What Are Hemorrhoids (Piles)? Causes, Symptoms, and What Helps Hemorrhoids

What Are Hemorrhoids (Piles)? Causes, Symptoms, and What Helps Hemorrhoids
19.12.2025
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Let’s take a detailed look at what hemorrhoids are, why they occur, and the most effective methods to relieve them.

Hemorrhoids, also known as piles, occur when the veins located in the lower part of the rectum and anus become swollen. These veins enlarge and eventually lead to various symptoms. Pregnancy, excessive straining during bowel movements, overexertion of the anus, excess weight, and improper toileting habits can contribute to the development of hemorrhoids. Abnormal bowel habits affecting the anal area may ultimately lead to piles.

What Are Hemorrhoids?

Hemorrhoids develop when the veins in the lower rectum and anus enlarge, swell, and become inflamed due to factors such as straining or pregnancy. Known commonly as piles, this condition causes swelling, redness, and pain around the anal area. Blood in the stool is also a common symptom.

During bowel movements, hemorrhoids may swell and protrude outside the anus. Irritation or damage to the anal area from various causes may trigger hemorrhoids. They often present with itching and a stinging sensation. Hemorrhoids are classified into two types: internal hemorrhoids and external hemorrhoids.
Everyone has hemorrhoidal veins, but symptoms appear when these veins become swollen.

Hemorrhoid Symptoms (Piles Symptoms)

Here are the symptoms and signs caused by hemorrhoids:

  • Swelling around the anus that can be felt by hand
  • Itching around the anus
  • A sensation of discharge
  • Frequent moisture in the underwear
  • Pain
  • Stinging or burning in the anus
  • Bleeding from the anus
  • Blood visible in the stool

Hemorrhoids often become noticeable due to excessive and improper straining during bowel movements. Bleeding caused by hemorrhoids appears bright red.

Who Is Most Likely to Develop Hemorrhoids?

Hemorrhoids occur when the veins naturally present in everyone enlarge and protrude downward due to straining. The condition is more common in women who have experienced pregnancy. People who work in jobs requiring prolonged sitting may also develop hemorrhoids. Hemorrhoids frequently appear in young adults.

What Causes Hemorrhoids?

Let’s explain in more detail why hemorrhoids develop. Pressure builds up inside the anal region, and this pressure can lead to tissue damage. In addition to toileting habits, chronic constipation and family history play important roles.

Choosing specific toilets, sitting on the toilet without the urge to defecate, prolonged straining, delaying bowel movements, and sudden or forceful straining can all cause hemorrhoids. Sitting on the toilet for long periods, consuming low-fiber foods, not drinking enough water, and a sedentary lifestyle are other contributing factors.

How Are Hemorrhoids Treated?

If hemorrhoids are in their early stages, increasing fluid intake is essential. Following the right diet, using pain relievers, and applying creams can help. Sitting in warm water can also provide relief. Of course, it is important to consult your doctor for proper evaluation and treatment.

What Helps Hemorrhoids?

One of the most effective methods for relieving hemorrhoids is sitting in warm water for 10 to 20 minutes. To soften the stool, consuming high-fiber foods and drinking plenty of fluids is necessary. You should avoid sitting on the toilet for prolonged periods. Walking is beneficial because it prevents constipation and improves circulation.

To reduce hemorrhoid itching, you can take a warm sitz bath twice a day for 10–15 minutes. Eating high-fiber foods helps prevent constipation and reduces straining during bowel movements. Hemorrhoid creams may also help relieve itching and discomfort.
For sudden pain and swelling, applying a cold compress may provide relief.

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DOÇ. DR. YAHYA ÇELİK / PROCTOLOGY
DOÇ. DR. YAHYA ÇELİK / PROCTOLOGY
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