Prolapsed hemorrhoids out of the anal canal when defecating, walking or squatting for a long time, first retracts on its own, then pushes up and finally prolapses frequently.|Itching or irritation in the anal area due to mucus secretion from the mucosa of the anal canal.|Pain or discomfort, which ranges from no pain, little pain to very painful anal fissures, obstruction, or strangulation.|Swelling around the anus.|Rectal examination is mandatory when examining anorectal in general and examining hemorrhoids in particular. The purpose of rectal examination is not only to diagnose the hemorrhoid by palpation (soft, pressurized) but also not to miss other pathologies where hemorrhoids are only a symptom (rectal cancer) and early symptoms. kit to assess anal sphincter tone.|Have the patient squat to defecate to see the extent of prolapse and bleeding of the hemorrhoids.|Proctoscopy: When you see purple hemorrhoids at the foot of the hemorrhoid located at any position compared to the dentate line, you can see a messy ring of many hemorrhoids, in addition to detecting other diseases.
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The nature of hemorrhoids is the vascular plexus in the anal canal, when the blood is not circulated, the veins become stagnant and stretch and gradually dilate, depending on the level, causing more or less hemorrhoids. The swollen veins push the lining of the rectal canal to dilate, because the thin wall of the vessel is stretched, so the blood is easily penetrated out and the mucosa will be seen as congested and fragile. Over time, the degree of dilatation is more severe and prolapsed. Risk factors and causes of hemorrhoids|Constipation, or diarrhea, increases the frequency of hemorrhoids, and straining increases pressure on the veins causing dilation and blood stasis.|Diets low in fiber, increase the frequency of hemorrhoids.|Being overweight and obese increases the frequency of the disease.|Increased intra-abdominal pressure is seen in people who often do heavy work such as porters, weightlifters, tennis players, etc.,