Hemorrhoid is a very common disorder found in today's society, research shows that at one point almost one third of the US population has developed hemorrhoids at some degree. Everyone is honest to developing this kind of disorder. The first and the most significant symptom is the hemorrhoid pain. This creates a very uncomfortable feeling to the patient that even simple daily activities like sitting, standing and defecating can result in having painful hemorrhoids and other symptoms. Proper knowledge of the disorder is the key to prevention, and proper management for those who have developed the condition.

What are the causes?

Hemorrhoids and varicose veins are similar to each other and both are caused by the same factors. A person's risks to develop hemorrhoids are determined by the genetic make-up, pregnancy, prolonged sitting or standing, lifting heavy weights, training during defecation and excessive venous pressure. Hemorrhoid symptoms are characterized by bleeding, prolapse, anal discomfort, itching, pain and anal discharge. Hemorrhoid pain is experienced because of the high number somatic nerves that are found in the anal area that responds to the swelling and inflammation of the veins. The anal area is very sensitive to vibrations, temperature, noxious stimuli, and can tell the differences between solid, liquid and gas materials. It is because of this that makes the patients have painful hemorrhoids attack. The pain is described as continuous, sharp, shooting, burning and throbbing.

What are the treatments to treat pain?

There are many different surgical and non-surgical hemorrhoids treatment that can help in managing the hemorrhoids symptoms. Non-surgical treatments prescribed by doctors are sitz baths, stool softeners, bed rest, high fiber diets, and medication for hemorrhoid pain relief. Other methods used for treating hemorrhoid symptoms includes, infraed coagulation, sclerotherapy, bipolar diathermy, cryotherapy, direct current therapy and rubber band ligation, which is considered as the most commonly used therapy in the United States.

The treatment of choice for first and second degree hemorrhoids is rubber band ligation. This hemorrhoid treatment is a non-surgical procedure and is widely practiced; however, certain complications like local swapping, pain, fecal and urinary frequency were reported after undergoing the procedure. In procedures that involves the application of multiple bandings, the symptoms are more prevalent and pain after the procedure is reported by 91% of the patients.

There are also other surgical procedures that can be done to treat this condition like excisional hemorrhoidectomy. However, most patients opted not to undergo this procedure because of the painful and long recovery period. The pain after the surgery is the major reason why most patients are choosing not to get hemorrhoid treatment.

A new technique called stapled hemorrhoidectomy is done by inserting round purse-string sutures and the consequent application of round stapler. This is much less painful even though it's still a surgical method; This is usually indicated for third degree hemorrhoids. But further assessment of its long term functional and symptomatic results is still being contained.

There are still many other available treatments to relieve hemorrhoid pain, both surgical and non-surgical procedures, but keep in mind that there some limits for each approach. So be sure that you discuss the available methods with your doctor, away from the goal of reducing the pain, you must also consider the safety, convenience and also the cost of the procedure.