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Hemorrhoids are vascular cushions normally present in the anal canal. Everyone has them—they play a role in continence by helping to seal the anal canal. The problem arises when these structures swell, become inflamed, or prolapse (move outside the canal), causing uncomfortable symptoms like pain, itching, or bleeding.

Hemorrhoids are one of the most common ano-rectal problems in North America. It is estimated that more than 75 % of adults suffer from them at one time or another in their lives. Yet, many people hesitate to talk to their doctor about them due to embarrassment, which often delays treatment.

Types of hemorrhoids: internal and external

Internal hemorrhoids

Located inside the anal canal, they generally do not cause pain. They most often manifest as bleeding during bowel movements or a feeling of prolapse.

External hemorrhoids

Located under the skin around the anus, they can cause intense pain, especially when thrombosis develops.

Hemorrhoid symptoms

  • Rectal bleeding: bright red blood after bowel movements
  • Itching or irritation in the anal area
  • Pain or discomfort, particularly during bowel movements
  • Swelling or tender lump around the anus
  • Burning sensation in the anal area

It is important not to attribute all rectal bleeding to hemorrhoids without consulting a doctor.

Causes and risk factors

Dietary and lifestyle factors

  • Low-fiber diet
  • Dehydration
  • Chronic constipation
  • Prolonged sitting

Physiological factors

  • Pregnancy
  • Age
  • Obesity

Available treatments in Quebec

Hygienic and dietary measures

  • Increase dietary fiber intake
  • Drink enough water
  • Avoid staying in the bathroom for too long
  • Exercise regularly
  • Use warm sitz baths

Medical office procedures

  • Elastic ligature
  • Injection sclerotherapy
  • Infrared photocoagulation

When to see a doctor?

  • Heavy or persistent rectal bleeding
  • Severe and sudden anal pain
  • Symptoms not improving after a week
  • Bleeding in a person aged 40 or over

To make an appointment at one of our service locations in Quebec, visit our page appointment scheduling. See our Pricing Page for available services.

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Geneviève Dostie
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