Hemorrhoids (Internal & External)

Hemorrhoids are common, especially as we age. They can be uncomfortable, but they are usually manageable with simple care and lifestyle changes.

What Are Hemorrhoids?

Hemorrhoids are swollen veins in the lower rectum or around the anus.

Two of the Main Types of Hemorrhoids

Internal hemorrhoids:
Located inside the rectum
Usually not painful, but may cause bleeding
External hemorrhoids:
Located under the skin around the anus
Can cause pain, itching, and swelling

💡 You can have one type or both at the same time.

Why Hemorrhoids Are More Common With Age

Risk increases due to:

Chronic constipation or straining
Sitting for long periods
Low-fiber diet
Reduced physical activity
Weakened tissues over time

Common Signs and Symptoms

☐ Bright red blood on toilet paper or in the toilet
☐ Itching or irritation around the anus
☐ Pain or discomfort, especially when sitting
☐ Swelling or a lump near the anus
☐ Feeling of incomplete bowel movement
☐ Leakage or difficulty keeping clean

⚠️ Bleeding should always be discussed with a healthcare provider.

Proactive Steps to Prevent and Manage Hemorrhoids

Improve Bowel Habits

Do not strain during bowel movements
Go when you feel the urge (don’t delay)
Avoid sitting on the toilet for long periods

Increase Fiber Intake

Fiber helps soften stool and reduce straining.

Examples:

Fruits (apples, berries)
Vegetables (broccoli, carrots)
Whole grains
Beans and lentils

💡 Increase fiber slowly to avoid gas or discomfort. Ask your healthcare provider how much fiber you should consume per day.

Stay Hydrated

Drink fluids throughout the day
Helps prevent hard stools

Stay Active

Movement supports regular bowel function.

Walking
Light activity throughout the day

Always consult with your healthcare provider first before starting any new exercises.

Practice Gentle Hygiene

Use soft toilet paper or wipes
Avoid excessive wiping
Pat dry instead of rubbing

Use Comfort Measures

Warm sitz baths (10–15 minutes)
Over-the-counter creams or pads (as recommended by your healthcare provider)
Cold compresses for swelling

Hemorrhoid Symptom Tracking Checklist

Use this to monitor patterns:

☐ Frequency of symptoms
☐ Presence of bleeding
☐ Pain level
☐ Bowel movement habits
☐ Fiber and fluid intake
☐ Response to treatments

Hemorrhoid Relief Action Plan

My Goals

I will increase fiber in my diet (if directed by my healthcare provider)
I will drink ___ cups of fluid daily – ask your healthcare provider if you have any fluid restrictions
I will avoid straining
I will stay active ___ days per week (as approved by healthcare provider)
I will use comfort measures as needed

Concerns or triggers:

Questions to Ask Your Doctor

Are my symptoms caused by hemorrhoids or something else?
Do I have internal or external hemorrhoids?
What treatments are best for me?
Do I need any testing for bleeding?
When should I consider a specialist or procedure?
How can I prevent this from coming back?

When to Seek Medical Help

Contact your healthcare provider if you notice:

🚨 Ongoing or worsening symptoms
🚨 Bleeding that continues or increases
🚨 Pain that interferes with daily life
🚨 Changes in bowel habits
🚨 Symptoms that do not improve with home care

You may need to seek urgent care or emergency services if you have:

🚨 Heavy or persistent rectal bleeding
🚨 Black or tarry stools
🚨 Severe pain or swelling
🚨 Dizziness or weakness with bleeding

Call 911 or go to the nearest emergency room if needed — these may be signs of a more serious condition.

Always ask your healthcare provider for specific advice on when to call to report symptoms, and when to seek urgent/emergency care.

Key Takeaways

Hemorrhoids are common and often manageable
Internal and external hemorrhoids can cause different symptoms
Fiber, hydration, and bowel habits are key to prevention
Simple daily changes can provide significant relief
Medical evaluation is important for bleeding or persistent symptoms

Taking care of your digestive health helps improve comfort and quality of life.

⚠️ Medical Disclaimer

This resource is provided for educational and informational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. The information presented is general in nature and may not apply to every individual or health situation.

Individuals should consult their physician or other qualified healthcare professional for personalized medical advice, diagnosis, or treatment recommendations related to their specific health conditions and should not begin any new exercise program or change their diet or medications without consulting their healthcare professional.

Call 911 if you are experiencing a medical emergency.