Hemorrhoids are masses of swollen veins in the lower rectum (internal hemorrhoids) or at the anus (external hemorrhoids).

Symptoms of internal hemorrhoids include:

• Bright red rectal bleeding
• Staining of undergarments with mucus

Symptoms of external hemorrhoids include:

• Pain and itching when irritated by constipation or diarrhoea
• Difficulty with hygiene

Hemorrhoids are caused by:

• Straining
• Work strain (lifting, etc.)
• Straining while defecating
• Chronic constipation
• Passing hard, dry, small stools
• Laxative abuse

• Do not assume rectal bleeding is from hemorrhoids. See your doctor to rule out cancer or other disease.
• To prevent or manage hemorrhoids, increase your fibre and fluid intake. Consider adding a fibre supplement.
• Avoid straining at stool or sitting on the toilet for a long time.
• Clean the external rectal area gently with soap and water following stool evacuation.
• Try a topical cream or sitz baths to reduce inflammation.
• See your doctor if you don't improve.