WEBVTT

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Everyone has hemorrhoids.

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These are vascular cushions
filled with blood vessels

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located by the sphincters in the rectum.

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The rectum is the final part of the colon
before the anus.

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The rectum opens into the anal canal.

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Hemorrhoids control bowel movements

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by working with the sphincters

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to seal the anal canal.

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This prevents stool
from accidentally escaping.

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People only notice
that they have hemorrhoids

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when they become enlarged
and cause discomfort.

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Symptoms such as anal itching,
burning and moisture often occur.

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Painless bleeding is also possible.

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This can happen

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if solid stools damage
the hemorrhoids’ vascular walls.

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There are several factors

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that increase the risk
of enlarged hemorrhoids.

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These particularly include factors

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that repeatedly place strong pressure
on the anal canal.

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For example, being overweight,

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persistent constipation,

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frequent diarrhea,

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regularly lifting heavy weights

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or pregnancy and giving birth.

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Age also plays a role:
the older people get,

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the weaker the tissue

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and the more hemorrhoids expand.

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Some people are also thought
to have a genetic predisposition

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to enlarged hemorrhoids.

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During bowel movements,

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the enlarged hemorrhoids
can protrude from the anus.

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Hemorrhoids that are only slightly enlarged

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generally retract again on their own

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or can be pushed back in.

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Hemorrhoids that are very enlarged,
on the other hand,

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permanently protrude from the anus.

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Depending on the size of the hemorrhoids

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and the nature and strength
of the symptoms,

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various treatment options are possible.

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These range from a fiber-rich diet

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and anti-inflammatory ointments

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through sclerotherapy and tying to surgery.

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In summary:

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Everyone has hemorrhoids.

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These are tissue cushions in the rectum
that are filled with blood vessels

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and enable the anus to be sealed.

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Frequent, strong pressure on the anal canal

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can cause the hemorrhoids
to become enlarged

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and trigger symptoms
such as anal itching and burning.

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Factors such as recurrent diarrhea,
chronic constipation,

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pregnancy, giving birth

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or older age
increase the risk of enlarged hemorrhoids.

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Depending on the severity,

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hemorrhoids can protrude from the anus

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that do not retract again on their own
or cannot be pushed back in.

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In such cases,
several treatment options are possible.