Hemorrhoids, also known as piles, are swollen veins in the anus and lower rectum that resemble varicose veins. Hemorrhoids can form inside the rectum (internal hemorrhoids) or beneath the skin near the anus (external hemorrhoids). Hemorrhoids affect nearly three out of every four adults at some point in their lives. Hemorrhoids can be caused by a variety of factors, but the cause is often unknown. Fortunately, there are effective treatments for hemorrhoids. Many people find relief through home remedies and lifestyle changes. External hemorrhoids may be visible to your doctor. Internal hemorrhoids may be diagnosed by examining your anal canal and rectum. Digital inspection. Your doctor inserts a lubricated, gloved finger into your rectum. He or she feels for anything out of the ordinary, such as growth. Visual examination. Because internal hemorrhoids are often too soft to detect during a rectal exam, your doctor may use an anoscope, proctoscope, or sigmoidoscope to examine the lower portion of your colon and rectum.
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