Hemorrhoids are a widespread health issue that affects millions of people worldwide, regardless of age or gender. If you’re someone who has experienced the discomfort, pain, or embarrassment that often accompanies this condition, then this article is written specifically for you.
While hemorrhoids might seem like a minor issue at first glance, they can significantly impact one’s quality of life if not addressed properly. Understanding the causes, symptoms, treatment options, and preventive measures is crucial in managing and potentially overcoming this condition.
What Are Hemorrhoids?
Hemorrhoids, also known as piles, are swollen and inflamed veins in the rectum and anus that cause discomfort, bleeding, and sometimes prolapse (protrusion of the hemorrhoid outside the anal canal). This condition occurs when the veins in the lower rectum or around the anus become irritated due to increased pressure, usually from straining during bowel movements, prolonged sitting, or chronic constipation.
From a medical standpoint, hemorrhoids are essentially vascular disorders. When veins in the anorectal region become damaged or stretched, they fail to return blood efficiently, causing blood to pool. This leads to the formation of painful, swollen venous tissue — the hallmark of hemorrhoids.
Historically, people used leeches to treat hemorrhoidal nodes by drawing out stagnant blood. While such methods are outdated, it emphasizes how long this condition has existed and how seriously it has been taken throughout history.
Who Is at Risk?
One important factor in the development of hemorrhoids is genetics. If someone in your family has suffered from hemorrhoids, you’re more likely to develop them as well. But heredity isn’t the only contributing factor — lifestyle plays a massive role.
Hemorrhoids are particularly common among:
People who sit for extended periods (office workers, drivers)
Individuals who perform heavy physical labor (manual workers, weightlifters)
Those who consume low-fiber diets and eat a lot of processed or spicy food
Pregnant women (due to increased pressure on pelvic veins)
People suffering from chronic constipation or diarrhea
Elderly individuals due to weakened tissues and veins
Even something as seemingly harmless as sitting on a cold or hard surface can aggravate an already sensitive bowel, especially if you suffer from colitis, which is inflammation of the colon’s mucosal lining. Colitis weakens the lining, making it thin and fragile — like tissue paper — which can worsen symptoms or lead to hemorrhoids.
Types and Stages of Hemorrhoids
There are two main types of hemorrhoids:
Internal Hemorrhoids – These develop inside the rectum and are usually painless, though they can cause bleeding.
External Hemorrhoids – These form under the skin around the anus and can be painful, itchy, or even develop clots (thrombosed hemorrhoids).
Hemorrhoids also progress in stages:
Stage I: Mild swelling and discomfort; often unnoticed.
Stage II: Bleeding and prolapse during bowel movements, but the hemorrhoid retracts naturally.
Stage III: Prolapsed hemorrhoids that must be pushed back manually.
Stage IV: Hemorrhoids that are permanently prolapsed and may require surgical treatment.
Common Symptoms of Hemorrhoids
If you’re unsure whether you might have hemorrhoids, here are the most frequent signs:
Rectal bleeding, especially during bowel movements
Visible or protruding lumps (hemorrhoidal nodes)
Discharge or mucus from the anus
Itching or irritation in the anal area
Swelling around the anus
A feeling of incomplete evacuation
Fecal leakage or difficulty cleaning after bowel movements
These symptoms vary depending on the type and severity of the hemorrhoid but should not be ignored — especially if bleeding is present, as this could indicate other gastrointestinal conditions.
Diet and Lifestyle: Key Factors in Prevention and Healing
One of the most powerful tools in both preventing and treating hemorrhoids is diet. Your colon’s health depends heavily on what you eat.
If you have a sensitive or inflamed colon (colitis), you must avoid foods that trigger bloating, gas, or irritation:
Garlic
Cabbage
Radishes
Beans
Eggplant
Walnuts
Spicy peppers
Adjika (a spicy Georgian condiment)
Lamb
Cheese
Pork
However, this doesn’t mean you must entirely eliminate these from your life. If your digestive system is healthy and you care for your bowel properly, indulging in these occasionally — perhaps once a week — won’t cause significant harm.
Some additional dietary tips include:
Increase fiber intake (fruits, vegetables, whole grains)
Drink plenty of water throughout the day
Avoid alcohol, especially beer and red wine, as they promote bloating and congestion
Stay away from over-processed and fast foods
Avoid millet (ghomi) if it bloats you without satisfying your hunger
In addition to diet, hygiene and toilet habits are vital. Always clean gently with soft materials. Historically, people used to clean themselves with soft cloth towels instead of toilet paper, which was more effective and less irritating to sensitive skin.
Also, be cautious with your clothing. Synthetic, tight-fitting underwear, especially during summer when sweating is common, can create a breeding ground for irritation and inflammation. Choose breathable, cotton-based undergarments instead.
Medical and Home Remedies for Hemorrhoids
There are two main approaches to treatment: medicinal and surgical.
Medicinal Treatments Include:
Phlebotropic medications, such as Daflon or Detralex, which improve vein tone and circulation
Anti-inflammatory creams and suppositories to reduce pain and swelling
Pain relief medications for acute discomfort
Surgical/Procedural Interventions:
Rubber band ligation – A band is placed around the base of the hemorrhoid to cut off blood supply
Laser therapy – A modern, minimally invasive method to shrink hemorrhoids
Sclerotherapy – Injection of a solution that shrinks the hemorrhoid
Doppler-guided hemorrhoidal artery ligation – A targeted method to cut off blood flow
Natural and Folk Remedies
Some people prefer traditional Georgian herbal remedies, which have been passed down for generations:
1. Wild Strawberry Root Tea:
Collect 15–20 whole wild strawberry plants (roots and leaves)
Wash, chop, and boil in 1 liter of water for 10–15 minutes in an enamel pot
Let it cool with the lid on, then strain
Drink half a wine glass three times a day for one month. Repeat if necessary.
2. Nettle and Alder Bark Infusion:
Mix equal parts nettle leaves and alder bark
Boil 2 tablespoons in 1 liter of water for 10 minutes, then cover and infuse for 30 minutes
Strain and drink 4 times a day, especially during painful episodes
This remedy reduces bleeding and regulates bowel movements
3. Strawberry Leaf Steam Infusion:
Add 1 tablespoon of crushed strawberry leaves to a cup of boiled water
Cover and steam the mixture over hot water for 15 minutes
Strain, then restore the volume with boiled water
Drink one tablespoon four times daily, 30 minutes before meals
These remedies are not a replacement for professional medical advice but can be supportive additions to a comprehensive treatment plan.
Final Thoughts
Hemorrhoids may be common, but that doesn’t mean they should be ignored or left untreated. They can cause significant discomfort and may lead to more serious complications if neglected. Fortunately, early intervention, proper lifestyle habits, hygiene, and balanced nutrition can make a profound difference.
If you’re experiencing symptoms of hemorrhoids, consult a healthcare professional as soon as possible. The sooner you take action, the better your chances are of avoiding more severe issues. This article serves as your first step toward relief and recovery — because everyone deserves to live without pain or embarrassment.
