Did You Know Your Hemroid Might Not Be A Hemroid?

Did You Know Your Hemroid Might Not Be A Hemroid?

Article by Jamey Fast









Hemroids are certainly very common and prevalent in modern society, some studies showing that three quarters (3/4th) of all adults in the United States and Europe have suffered at one time or another from this very condition. Hence it is really not a gigantic leap to quickly conclude that a person who complains of pain, bleeding and itching whilst defecating, is suffering from hemroids. However before I delve any further on this issue of jumping the gun and arriving at erroneous conclusions let me talk a little bit about what a hemroid is.

What Is A Hemorrhoid?

According to the16th edition of the Merck Manual of Diagnosis and Therapy a hemroid occurs due to “Varicosities of the veins of the hemorrhoidal plexus, often complicated by inflammation, thrombosis, and bleeding.” The more modern school of thinking though has it that hemroids are caused by a patho-physiology of the anal cushions with their contingent rich venous and arterial blood supply as well as elastic connective tissue.

Normally during the process of defecation the anal cushions are held at bay or out of the way by the submucosal muscle which on contraction flattens and braces the anal cushion against the internal sphincter. The characteristic bright red bleeding of hemroids occurs because of a disruption in this mechanism probably as a result of displacement, during the process of passing stool, of the weakened mucosa causing it to become pinched between the passing stool and the pectinate line.

Without going into too much detail concerning the subject of the classification of hemroids, suffice it to say that hemroid categorization goes along the following guidelines:

1. External Hemroids: This type of hemroid occurs outside the anal verge.

2. Internal Hemroids: These hemorrhoids arise within the rectum and unlike external hemroids are typically painless and classically present as painless, fresh bleeding on defecation.

3. Prolapsed Hemroids: This type of hemorrhoid arises through the progression of an external hemroid that becomes so swollen and distended that it is forced outside of the anus.

Differential Diagnosis of Hemroids

Okay let’s go back to the headline of this article for a moment which reads: “Is That Hemroid Really A Hemroid?” Inmedical techno-mumbo jumbo that merely means that there are a good number of medical conditions that present with symptoms similar to hemroids, so it is prudent for a qualified medical doctor to conduct a thorough examination and attendant tests before anybody concludes that fresh blood in the stool is due to hemroids!

Right let’s take a look at some medical conditions that present with symptoms similar to those of hemroids:

1. Anal Fissures

This is a condition that is described as of sudden onset and is characterized by searing pain accompanied with some degree of bleeding. Anal fissures commonly occur as a result of superficial tears in the anoderm that arise when hardened stool is forced through the anus by unduly excessive straining.

2. Abscesses and Fistulas

These typically occur in 30 – 50 year old males and are believed to be the result of obstruction of the anal gland ducts through causes such as infectious diseases like TB (tuberculosis) or other factors like radiation, trauma, cancer and IBD (irritable bowel disease). The formation of an abscess is indicative of an acute or early presentation of anorectal infection. Fistula formation occurs after a prolonged exposure to infection.

An abscess typically presents as a painful mass and the deeper abscesses are associated with buttock pain, rectal fullness (which is also a symptom commonly associated with hemroids) and coccygeal pain.

3. Rectal Prolapse (Procidentia)

Rectal prolapse occurs most frequently in older women who have some history of straining. This condition presents as an anal mass during defecation and may also be associated with incontinence and/or bloody/mucus discharge. And as mentioned previously presence of blood and an anal mass is also common to hemroids.

4. Anal Canal Cancer

A good rule of thumb here is that any patient who presents with a mass, bleeding and pain associated with defecation should be considered a prime candidate for anal canal cancer until a thorough examination and investigative tests prove otherwise.

So that just about brings us to the close of the differential diagnosis for hemorrhoids. Note thought that these are just a handful of anorectal conditions that can mistakenly be misdiagnosed as hemroids based on the fact they share common symptoms which, to reiterate, are: bleeding, pain and the presence of a mass.

Though hemroids, abscesses/fistulas and fissures are the usual suspects presenting with such symptoms, there are actually a slew of other conditions (including cancer) that mimic these very same symptoms. Ruling them out for the best fit match is the basis of differential diagnosis procedure.

In summary: Because the symptoms of hemroids could just as easily be indicative of some other anorectal condition, it is of paramount importance that anybody with symptoms of painless (or painful) bleeding whilst passing stool should undergo a complete and thorough checkup by a certified/qualified medical doctor before concluding that they are suffering from hemroids!

There’s a good reason why many people with hemroids become lifelong hemorrhoid sufferers and that is because 99 times out of 100 they only treat the symptoms of hemroids but not the underlying cause. Unfortunately even surgery is what is called palliative treatment (short term relief) because often the hemroids resurface.

If you wish to learn how to get rid of your hemroids for good click here: Hemroids



About the Author

There’s a good reason why many people with hemroids become lifelong hemorrhoid sufferers and that is because 99 times out of 100 they only treat the symptoms of hemroids but not the underlying cause. Unfortunately even surgery is what is called palliative treatment (short term relief) because often the hemroids resurface.

If you wish to learn how to get rid of your hemroids for good click here: Hemroids











Tagged: , ,

Leave a comment