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Hemorrhoids Prevalence: Hemorrhoids are extremely common, affecting half of the global population after age 50. Location and Types: Hemorrhoids can be internal (inside the rectum) or external (under the skin around the anus). Increased Risk with Age: The likelihood of developing hemorrhoids significantly rises as one ages. Primary Symptom - Bleeding: Bleeding during bowel movements is the most common indicator, especially for internal hemorrhoids. Itching and Discomfort: Itching and discomfort occur in both external and internal cases, often due to mucus discharge or hemorrhoid prolapse. Pain as a Symptom: Pain is more associated with external hemorrhoids, especially when a blood clot forms, whereas internal hemorrhoids usually cause discomfort. Swelling Around Anus: Swelling indicates external hemorrhoids or prolapsed internal hemorrhoids, presenting as a soft lump. Painful Lump Near Anus: A sudden painful lump near the anus, especially if thrombosed, is a symptom specific to external hemorrhoids. Common Causes: Factors such as constipation, straining, chronic diarrhea, obesity, and pregnancy increase hemorrhoids risk by raising intra-abdominal pressure. Differential Diagnosis: It's essential to differentiate hemorrhoids from conditions like colorectal cancer, anal fissures, and inflammatory bowel disease due to similar symptoms. Comprehensive Treatment Approach: Treatment begins with dietary adjustments, particularly increasing fiber intake to soften stool and reduce straining. Local Treatments: Soaking in warm water, using hydrocortisone cream for inflammation, and lidocaine cream for pain relief are effective local treatments. Astringent Properties: Witch hazel's astringent properties help shrink hemorrhoids. Fiber Supplements and Oral Supplements: Psyllium, diosmin, hesperidin, and rutin supplements aid in treating and managing symptoms. Surgical Interventions: Reserved for severe cases, options include rubber band ligation, sclerotherapy, and hemorrhoidectomy, with most external hemorrhoids treated conservatively unless thrombosed. Disclaimer: This information is provided for general knowledge and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult with your doctor for any questions or concerns you may have about your health.