A hemorrhoid is an enlarged or twisted vein in the wall of the lower rectum and/or the anus. Hemorrhoids may occur for many reasons, the most common of these are the extra pressure placed on the anorectal area by frequent constipation or by pregnancy; aging, obesity and the frequent use of enemas or suppositories can also be significant factors. Hemorrhoids (or ‘piles’ as they are sometimes called) may be so insignificant that you will hardly notice that there is a problem or they may be so severe that the pain is excruciating and, in the more extreme cases, you may experience bleeding.
Hemorrhoids may be classified as internal or external but it is possible to have both at the same time; these categories are simply referring to the hemorrhoids you can see outside the anal opening and those that are not apparent outside of your body.
Hemorrhoids that are severe enough to require medical treatment are least common in men and women in their 20s or younger. It is estimated that after age 30, however, three-quarters of all Americans will have hemorrhoids that require medical treatment; most of those cases will involve men and pregnant women....
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