Hemorrhoids Pain / Hemroids Pain

Hemroids / Hemorrhoids Pain Introduction

Hemorrhoids truly are tiny bits of tissue, and it is almost unbelievable how hemorrhoids pain, from such tiny bits of tissue, can cause the kind of agony that they consistently do.

However, it could be argued that hemorrhoids pain, and the distress that hemorrhoids cause, is one of the biggest bad health effects that hemorrhoids can have. The industrialized culture that tends to cause hemorrhoids also often teaches us to endure pain without complaint, but many people don't know the myriad of both physical and psychological ill effects that hemorrhoids pain can easily cause.

Internal and external hemorrhoids both cause their own kind of hemorrhoids pain.

• External hemorrhoids pain can be excruciating physical pain because of their location on a dense and sensitive nerve band.
• Internal hemorrhoids pain is normally not that bad and don't often cause that kind of physical pain at first, but they cause quite a lot of fear, anxiety and discomfort as they grow larger, bleed and even prolapse.

Acute and chronic pain and discomfort both have their own unique effects on the human mind and body.

If you suffer from hemorrhoids, you'll probably endure both kinds of hemorrhoids pain. Acute hemorrhoids pain comes during flareups and inflammation, while chronic hemorrhoids pain, of course, pretty much endures all the time.

Acute Hemorrhoids Pain : Symptoms and Side Effects

Acute hemorrhoids pain is what happens when you shift too suddenly, when a hard or sharp bowel movement traumatizes a hemorrhoid, or when rough wiping sends limbic nerve signals flashing up into the brain.

This kind of hemorrhoids pain can cause continual fear, making people avoid normal life activities.

If fear of acute hemorrhoids pain goes too far, you can wind up living for your hemorrhoids instead of living anything resembling a normal life.

In addition, no matter how brave you try to be, acute hemorrhoids pain has distinct physiological side effects every time it happens.

Hemorrhoids pain is like any other pain, and pain is a red flag that something is wrong with you, that you are injured in some way. You have multiple instincts and body reactions to a perceived threat. Heart rate may go through the roof, blood pressure rises and neurotransmitters are all released to increase the body's ability to fight or flee.

While the fight or flight instinct is meant for the body's survival in extreme situations, repeated and unnecessary fight or flight responses can harm the body's resilience over the long term, such as when suffering from hemorrhoids pain.

Chronic Hemorrhoids Pain : Symptoms and Side Effects

Chronic hemorrhoids pain introduces all new problems for both quality of life and the long term health of the body.

Hemorrhoids pain has a way of focusing the mind on the problem to the exclusion of all else, including work and relationships.

It's not easy to go about one's daily round, doing the work of one's job and one's life, when chronic hemorrhoids pain is always taking up mental power. Again, this is not related to how stoic one is or how much you want to function as normal. The human body has limitations, and while you may be able to work and live for a time with hemorrhoids pain, the quality of work and of your communications will inevitably suffer for it.

Chronic hemorrhoids pain can often lead to anxiety and depression.

Anxiety, because it's in our nature to fear pain, such as hemorrhoids pain, and the consequences of it, depression because it seems as though we'll never be free of the pain from our hemorrhoids.

No matter how much we may try and deny it, we are by nature pain avoiding and pleasure seeking beings.

Chronic hemorrhoids pain affects our memory.

Chronic hemorrhoids pain also decreases our working memory, crippling our ability to deal with day to day problems.

Of course, this lack of ability on our parts only increases the potential for stress, anxiety and depression.

It can seem as though we're stuck in a vicious cycle, with hemorrhoids pain leading to dysfunction causing stress and depression leading to even more dysfunction.

The bad health effects of chronic hemroids pain.

The bad health effects of continual and unrelieved stress are rather well documented, although they haven't yet been fully understood.

As far as researchers have been able to tell to date, it's not a high level of unfortunate events that lead to stress-related health events but rather a lack of good events.

However, when suffering from chronic hemorrhoids pain, any experience that would be good or enjoyable under other circumstances can be utterly ruined.

You as a person, suffering hemorrhoids pain, may not have the ability to have any unmitigated enjoyment at all, thereby depressing the immune system, raising blood pressure and sapping the body's reserves.

(above primarily written by Loni Ice)

Painful Hemorrhoids treatment links

Although nowhere nearly as painful as a thrombosed hemroid, external hemroids can generate a lot of hemorrhoid pain and, discomfort can become severe, due to the hemroids being rubbed and damaged (cut, ulcerated) by actions such as sitting, walking and running, by constipation and straining, and with simply the buttock muscles squeezing on and squashing the hemroids.

See our Hemroids Home Remedies section for lots of help on pain control for internal and external hemroids. If your hemorrhoids pain is the result of infection you may require antibiotic treatment or even surgery. Lastly, spicy foods can cause hemorrhoids pain in some people, as the spices, such as cayenne pepper or chili, burn the damaged hemroid as they pass through.  Think about it, what happens if you rub pepper or salt into an open wound - it hurts!  The other side to that, is that some people report an abatement of hemorrhoid pain as a result of consuming such things!  It's a horses for courses type of thing - what works to aggravate your hemorrhoids pain, may soothe someone else's and vice versa.

What makes internal hemorrhoids pain different to external hemorrhoids pain?

Not every place on or in the body has nerve endings, nor would you want it to. The surface of your brain, for example, is completely without the ability to detect sensations or pain. The inside of your gastrointestinal tract is the same way. With the exception of a few areas, like the mouth and the first part of the esophagus, most of the tract has very little ability to “feel” anything. Sure the bowel has a way of sensing when it is full or distended, but it cannot feel things like your fingers can. This is quite a good thing, really, because it would be distinctly uncomfortable to feel the salad that you had for lunch make its way through the entire GI tract.

The situation changes right at the end of the GI tract, at the anus. In fact, there is a fairly sharp border at the anus between the area that we can feel (like the sensation in the fingers) and the area that we cannot. Toward the outside of the body, the anus is very densely populated with nerve endings and is quite sensitive. Just a short distance internally, however, the nerve endings vanish and the anus has very little ability to sense anything at all. The border between these two areas is called the pectinate line (synonymous with the dentate line). The pectinate line separates the upper two-thirds of the anal canal from the lower one-third. Despite occupying such a small amount of space, these two parts of the anal canal were developed from completely different tissues when we were fetuses.

Hemorrhoids occur when the blood vessels that surround the anus, usually veins, become fattened, distended, and thin. This can be due to a number of reasons including obesity, high blood pressure, chronic constipation, and other diseases of the blood vessels. Because of the anatomy of the area, hemorrhoids begin to bulge into the center of the GI tract. In severe cases of hemorrhoids, this inward bulging can be so extreme that the outward flow of feces can be partially blocked. Moreover, since these blood vessels are so close to the GI tract itself, the act of passing feces can lead to bleeding hemorrhoids. Patients with hemorrhoids often report, pain, blood on the toilet paper and in the toilet, and can feel bulges near their anus.

So why are hemorrhoids painful? Well, first of all, not all hemorrhoids are painful.

Because of this sharp demarcation between sensitive and insensitive areas of the anus, generally only hemorrhoids that are painful are external hemorrhoids (with some exceptions that we will discuss). Internal hemorrhoids, on the other hand, do not contact nerve endings. In fact, people suffering from simple internal hemorrhoids usually notice blood on the toilet paper and in the toilet, but no pain.

Why are external hemorrhoids painful?

Any place in the body where nerve endings are irritated can cause pain. Likewise, any place in the body that has nerve endings and bleeds, causes pain as well. Since external hemorrhoids irritate the very sensitive nerve endings in the anus and sometimes break open and bleed, they can cause a great deal of pain. People with external hemorrhoids generally seek medical attention soon after they first notice them. Internal and External Hemorrhoid treatment can be found here.

Why do some people report an itchy sensation with hemorrhoids?

Just as some irritated nerve endings on the skin cause an itch rather than overt pain, the same holds true for the anus—hemorrhoids may be irritating to nerve endings, but not specifically painful. Unlike an itch on the skin, however, that can be scratched and satisfied, itchy hemorrhoids cannot be scratched but rather need to be treated. By reducing the inflammation and engorgement of hemorrhoid blood vessels, the itchiness and pain can be abated.

Are there cases in which internal hemorrhoids can be painful? Absolutely.

While the pectinate line separates internal from external hemorrhoids and marks the separation between sensate and insensate sections of the anal canal that does not mean that hemorrhoids respect that line. In advanced anal pathology, the hemorrhoids can become mixed, internal and external. When a hemorrhoid becomes so large that it invades below the pectinate line, it will begin to be sensed by the nerves there, and the sensation of pain may be caused.

When internal hemorrhoids grow, become irritated and inflamed, they can cause a great deal of itchiness and pain. Remember the analogy of the brain; millions of nerves but no sensory nerve endings means that the brain cannot feel pressure, pain, vibration, etc. This is why brain surgery can be conducted on awake individuals with local anesthesia only for the scalp, skull, and meninges (covering of the brain). Anyone that has had a headache knows that it certainly feels like the brain hurts. While the exact cause of headache still puzzles scientists, one leading theory is that it is the nerve endings in brain blood vessels are sensing pain. The analogy helps us to understand the processes involved in the anus. The anus is highly vascularized, meaning it has a lot of blood vessels in a small amount of space. Not only does this state lead to bleeding hemorrhoids, but inflammation of the blood vessels themselves can cause pain, even in internal hemorrhoids.

Why would these blood vessels become inflamed to the point where pain is caused in the internal hemorrhoid?

The blood vessels that comprise hemorrhoids have by definition become abnormal in size—the larger the hemorrhoids, the more abnormal the vessel usually becomes. These abnormal vessels make ideal places for blood clots to form. Blood clots alone can be enough to cause pain in some hemorrhoid cases. A blood clot in an artery or capillary impedes blood flow to the tissue. Tissue without blood flow is deprived of oxygen and nutrients and when the tissue is in this state, it creates pain signals (think blood flow blockage in a heart attack). A blood clot in a vein causes a backup of blood upstream and can lead to tissue inflammation itself.

Inadequate blood circulation often leads to infection as well. Not only are long-lasting blood clots a great place for infection to seed, but circulating immune system cells cannot reach all areas of the hemorrhoid to fight infection. Occasionally the infection can become so bad that it invades the surrounding tissue. If the infection becomes walled off it is called an abscess and abscesses usually require surgical drainage before they will heal.

Finally, internal hemorrhoids can prolapse or extend outside of the anal canal. An uncomplicated prolapsed internal hemorrhoid may not cause pain (certainly it will cause discomfort). However, if the prolapsed internal hemorrhoid is squeezed by the anal sphincter and blood flow is shut off it is considered a strangulated hemorrhoid and may be quite painful. In this case it is the nerve endings in blood vessels that register the pain.

Internal Hemorrhoid Pain Treatment

It is true that most hemorrhoids will go away with conservative medical treatment; however, sometimes surgical treatment is necessary. The term “surgical treatment” may seem more serious than it actually is. Many procedures are very quick, do not require anesthesia, and are rapidly effective. Unfortunately many people are too embarrassed to seek treatment for hemorrhoids and suffer needlessly. Or they ignore internal hemorrhoids because they are not (yet) causing pain. It is almost always easier to treat hemorrhoids when they are small and causing few symptoms than when they are advanced or complicated. When you consider that internal hemorrhoids can progress from a mild irritation to a serious health problem, it seems the prudent choice is to openly discuss the issue of hemorrhoids with a trained professional.

(above primarily written by M Sapko)

Internal and External Hemroids / Hemorrhoids Pain Treatment

When fighting hemorrhoids pain, you can and should use all options at your disposal.

• Non-steroidal anti-inflammatories such as ibuprofen and analgesics such as acetaminophen offer a first line of defense against hemorrhoids that are acting up.
• Hot baths and ice packs can help increase circulation and decrease hemorrhoids pain.
• The proper diet, water intake and exercise prevents hard, sharp or too compact bowel movements that cause hemorrhoids pain and trauma.

A lot of hemorrhoids pain can also be treated with the appropriate creams or ointments.

Topical over the counter hemorrhoid creams can't be used directly on internal hemorrhoids, but they can be useful on exterior irritation or inflammation whether the actual hemorrhoid is internal or external.

Education can also help decrease hemorrhoids pain.

When you know where that strange bleeding comes from, you won't endure nearly so much mental pain and anguish over it.

In addition, education can help you develop a plan to get rid of your hemorrhoids for good. We, as human beings, always suffer less fear and anxiety when we have a plan, and dealing with hemorrhoids pain works exactly the same way.

Another way of helping with hemorrhoids pain is to remember to treat yourself gently.

You need treatment as a whole person, not just as the sum of your physical ailments.

Explain what you're hemorrhoids pain is like to your family, get their support and understanding.

Create as pleasant an environment for yourself as possible, paying attention to soothing scents, pleasant sounds and a relaxed atmosphere.

Hemroids / Hemorrhoids Pain Conclusion

Both chronic hemorrhoids pain and acute hemorrhoids pain, can rule and ruin your life if you let it.

The negative effects that hemorrhoids pain, fear, anxiety and stress can have on you range far in excess of the other health effects of such a small lump of flesh.

Get the education you need to relieve your hemorrhoids pain symptoms and also to eventually get rid of your hemorrhoids completely.

Be gentle and understanding with yourself and get the understanding of the people you love.

By treating yourself as an integrated human instead of a machine to be pushed until it breaks, you'll get through your hemorrhoids and it's pain quicker and with less disruption to your life.

Hemroids / Hemorrhoids Pain References

Taber's Medical Encyclopedia

Shipton EA, Tait B (2005). "Flagging the pain: preventing the burden of chronic pain by identifying and treating risk factors in acute pain". European journal of anaesthesiology 22 (6): 405–12.

Pruimboom L, van Dam AC (2007). "Chronic pain: a non-use disease". Med. Hypotheses 68 (3): 506–11.

Kreitler S; Niv D (2007). "Cognitive impairment in chronic pain" Pain: Clinical Updates (International Association for the Study of Pain) XV (4): 1–4.

Research and main write by Loni L. Ice, quality control, editing and additional writing by D. S. Urquhart.

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