How Do You Know if You Have Hemorrhoid Symptoms or Something More Serious?

What are hemorrhoids?

Minor blood spots can be a symptom of hemorrhoids, but if there's more consistent blood appearing during bowel movements, it could be a sign of colon cancer, Crohn's disease, or ulcerative colitis.

Hemorrhoids are itchy, painful, and sometimes bleeding masses of swollen tissues located in the anus and rectum. Hemorrhoid symptoms can be either internal, located above the junction between the anus and the rectum, or external, located just outside the junction of the anus and rectum. They are common, and you can normally treat them with simple home remedies.

Colon cancer has some of the same symptoms as hemorrhoids. In fact, people often believe they might have colon cancer when they only have hemorrhoids.

Understanding what these symptoms are, how to treat them, and knowing when you should go see a doctor is important to stay healthy.

Symptoms of hemorrhoids

Usually, the first hemorrhoid symptom is seeing blood in the toilet or on toilet paper after you’ve had a bowel movement. While it is troubling to see blood in those places, it’s one of the most common symptoms of hemorrhoids. Other symptoms include:

Itching in the anal area
Pain in the anal area, especially when sitting
Painful bowel movements
One or more hard, painful lumps around the anus

Colorectal cancer might not cause symptoms immediately, but if it does, these could be some of the symptoms:

A change in bowel habits, such as diarrhea or constipation, that lasts for more than a couple of days
Blood in the stool, which might make the stool look dark brown or black
Cramping or stomach pain
Heavy rectal bleeding with bright red blood
Needing to relieve your bowel but not having a bowel movement
Unintended weight loss
Weakness and fatigue

Causes of hemorrhoids

While the exact cause of hemorrhoids is unknown, they’re most likely to occur when there’s an increase in pressure in the area, like straining through a bowel movement. Certain people are more likely to get hemorrhoids, like pregnant women and older adults.

Additional causes of hemorrhoids can include:

Chronic constipation
Diarrhea
Low-fiber diets
Lifting heavy objects
Sitting on the toilet for long periods of time

When to see the doctor

Hemorrhoids usually just need home remedies and time to go away. If the symptoms persist for more than a couple of days or get worse, however, you should consult a doctor. If there’s consistent blood appearing during bowel movements, it could be a sign of colon cancer or other bowel diseases like Crohn’s disease or ulcerative colitis.

Diagnosis for hemorrhoids

Your doctor will be able to diagnose if your condition is hemorrhoids or something more serious after reviewing your medical history and performing a physical exam.

For external hemorrhoids, they will examine the area surrounding your anus, and for internal hemorrhoids, they will perform a digital rectal exam through an anoscopy, a colonoscopy, or a rigid proctosigmoidoscopy.

If your doctor believes it might be something more serious than hemorrhoids, they will likely refer you to a specialist like a colonoscopist to conduct a colorectal screening.

QUESTION

Everyone has hemorrhoids.
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Treatments for hemorrhoids

You can do the most common treatments for hemorrhoids without a doctor. Diet and lifestyle changes are a good start. Doing exercise and consuming more fiber, for example, can make bowel movements easier and put less stress on the rectum and anus.

Band it

In this procedure, the doctor wraps a small rubber band around the base of the hemorrhoid, cutting off its blood supply. The hemorrhoid will shrink and fall off within about a week.

Hemorrhoidectomy

This procedure might be necessary if you have large, protruding hemorrhoids in the anus that don’t go away with the Band It procedure. During a hemorrhoidectomy, the hemorrhoid and surrounding tissue are removed via a small incision.

Staples

An alternative to the hemorrhoidectomy is the stapled hemorrhoidopexy. In this procedure, the surgeon pulls the hemorrhoidal tissue up toward its normal position, stapling it in place. The staple falls out naturally over time.