Hemorrhoids Disease and its Causes

Hemorrhoids Disease and its Causes

Hemorrhoidal Diseases and Their Risk Factors

Hemorrhoidal disease or commonly referred to as hemorrhoids / hemorrhoids is a condition where the blood vessels around the anus experience dilation. Hemorrhoids can occur at any age, but are more commonly experienced by people aged 50 years or older. This disease is very common, 1 in 4 people in a population are said to have a hemorrhoidal disease.

Symptoms of this disease include:

Bright red bleeding after defecation (defecation)Itching around the anusThere is mucus or even feces left in the panties after defecationIn the vicinity of the anusThe protrusion that comes out of the anus, under certain circumstances can swell and cannot re-enter (prolapse)

The complaints of these complaints are certainly uncomfortable and greatly affect the quality of life , and make a person decide to seek help and even in some cases end up with an act of surgery.

Hemorrhoids Classification

There are two types of hemorrhoids, namely internal hemorrhoids (internal hemorrhoids) and external hemorrhoids (external hemorrhoids). In internal hemorrhoids, swollen blood vessels are not visible from the outside. Whereas in external hemorrhoids, swelling of blood vessels appears from the outside and feels more painful.

Based on their size and severity, internal hemorrhoids can be grouped into:

  • Degree one: a small swelling appears inside the walls of the anus and is not visible outside the anus
  • Degree two: greater swelling that comes out of the anus during defecation and re-enters by itself after defecation
  • Third degree: there are one or several small lumps hanging in the anus, but can be pushed to re-enter
  • Fourth degree – there is a large lump that hangs from the anus and cannot be pushed back

The theory regarding the causes of hemorrhoidal occurrence is strongly influenced by several risk factors and lifestyles today which we will discuss below.

High Body Mass Index (Obesity)

Several studies have found a link between hemorrhoidal disease and obesity. In people with obseity there will be several mechanisms in their body that are risk factors for the occurrence of this disease, including ; increased pressure inside the abdomen, dilation of the reverse blood vessels/veins, and chronic inflammation. To prevent the occurrence of hemorrhoids or even increase treatment efforts it is recommended to regularly evaluate the waist circumference (Waist circumference) and keep the Body Mass Index within the normal range.


Constipation is a digestive disorder that makes a person defecate less than three times a week. Constipation, hard and straining stools during defecation increase the prevalence of hemorrhoidal disease, and can even cause prolapse (lumps out of the anus and not biased to re-enter) in a person who has already suffered. A balanced diet between foods high in fiber, sufficient water minur is strongly recommended so that the consistency of the feces is not hard and avoid straining during defecation.


Sedentary lifestyle or lifestyle where a person lacks physical activity means that it is one of the risk factors for hemorrhoidal disease. In hemorrhoidal patients, it is recommended to carry out physical activity that can improve bowel movements, blood circulation and strengthen muscles in the pelvic and back areas, among others; jogging, swimming, yoga gymnastics. The exercises recommended to avoid include ; cycling, rowing, horseback riding or lifting weights. Sports activities are recommended to be carried out regularly for 20-60 minutes, 3-5 days a week.


Pregnancy is a risk factor because in pregnant women there is often constipation and disorders of hemorrhoidal blood vessels / veins due to increased circulation and the hormone progesterone. Hemorrhoidal complaints will disappear on their own after childbirth. It is recommended to consume fresh fruit, vegetables and enough water during pregnancy to reduce risks or complaints.

Basically hemorrhoids are more commonly suffered at the age of over 50 years, but with a changed lifestyle and consumption of foods that lack fiber so that at the age of 30 years can suffer from hemorrhoids. In addition, to prevent hemorrhoidal diseases it is recommended to carry out a healthy lifestyle. A healthy lifestyle itself starts from consuming healthy and fibrous foods, such as vegetables, and fruits. Foods rich in fiber will make the volume of feces become larger and softer so that they can easily escape. Meanwhile, foods that are not recommended for hemorrhoidal sufferers are such as meat, foods that are too spicy and sour. In addition to fibrous foods, it is also recommended to drink plenty of water and exercise regularly.

For people with hemorrhoidal diseases, it is recommended to defecate regularly, hence a healthy diet is needed. If there is a change in bowel movement patterns, immediately see a general surgeon, because faster treatment is certainly better before going to the advanced stage. Meanwhile, patients who have performed surgery are expected to maintain their diet so that the disease does not reappear.



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