There are two classifications of hemorrhoidal swelling:
•Internal – wherein there is very little sign of abnormality in the hemorrhoid cushions. The most pronounced sign that an individual may already be suffering from internal hemorrhoids is rectal bleeding, where the blood could be described as bright red in color. This vivid shade is a clear indication that the blood comes directly from a blood vessel that drains its blood supply from an artery. Another sign that may go unnoticed is the secretion of anal mucus that could make the anus become moist and very itchy.
•External – wherein the individual would definitely notice a lump that looks like a swollen bit of slippery flesh, much like the inside of the lips. And just as the lips are filled with blood vessels, so is the hemorrhoid cushion. Herein lies the danger, because the blood could clot and cause severe pain. In this instance, it would be best to check with a physician from immediate treatment of the inflamed hemorrhoid.
Swollen hemorrhoids can be caused by several factors:
•Bowel movement. This includes constipation wherein the stool is really hard and has difficulty in passing through the anal canal, as well as diarrhea wherein the anal canal endures unnecessary pressure from the strain of constant contractions to excrete the loose bowel.
•Pregnancy. This is due in part to the dilation of veins especially in the area of the uterus. Constipation is also a major culprit for a swollen hemorrhoid during pregnancy.
•Genetics
•Hemorrhoidal irregularity manifested by the absence of essential valves in the veins
•Aging
Of the above causes, you have sole control over one: bowel movement. Unless you are suffering from a disease of the colon, you have absolutely no reason to become constipated as long as you make sure to eat food rich in dietary fibers. Fibers play a vital role in digestion because it binds with water to add volume and a softer quality to the stool. This explains the necessity of consuming large quantities of fiber-rich food such as fruit, vegetables, wheat, oat bran, and cereals. However, if you are already suffering from constipation but have not yet developed swelling of the hemorrhoids, it would be best to control your fiber intake and start with low doses. You can then gradually increase your intake of food loaded with fiber until your stool reaches a quality wherein it could easily be expelled without putting too much strain on the anal canal and the hemorrhoid cushion.