Although to the naked eye, anal fissures and hemroids
look alike and both react to a hard stool, they are
quite different. Anal fissures and hemorrhoids are
both very common in pregnant women as well as in others
including the elderly. Bleeding hemorrhoids in pregnant
women may not actually show up until the last few
months of pregnancy or even during the strain of labor.
Some pregnant women may notice fissures
before they have their baby or even after they have
gone through labor.
What Causes a Hemorrhoid?
All hemorrhoids start out in the same way. There are
varicose veins which become swollen and fill with
blood, causing a hemorrhoid to form. In a woman's
anal cavity, as well as her uterus, these veins become
swollen due to the pressure put onto them. Hemorrhoids
usually appear inside and around the anal cavity opening
and can be small in size and go up to the size of
a grape which can be itchy or painful. When the woman
is going to the bathroom and the bowel movement is
very hard, it can actually push on the hemorrhoid
so much that it causes it to leak a small amount of
blood onto the stool. This blood may appear as small
dots on the toilet tissue or even be seen on the stool
itself. When the stool is trapped in the body and
is not being released, it becomes more and more hard
causing a person to become constipated. In the case
of constipation, the strain of making a bowel movement
can push on these varicose veins in the anal canal
so much that they become hemorrhoids.
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Should I Worry When my Hemorrhoids Bleed?
The bleeding of the hemorrhoids may be unpleasant and uncomfortable but it can be dealt with and therefore need not cause you to worry. Eating a diet high in fruit and fiber, as well as drinking lots of water, can reduce the constipation and thereby the chance that hemorrhoids will start to bleed.
Anal fissures - these do bleed
An anal fissure is basically one or more little tears in the anal cavity which bleed when a person has a hard stool. Anal fisurres may become larger if a person is often constipated, from holding in a stool for long periods of time or even from eating a bad diet with a lack of water and fiber.. Sometimes the anal cavity may tear on its own in stressful situations where the muscles are used a lot. Anal fissures can be taken care of with proper treatment and a good diet (which emphasizes on making the stool softer and easier to pass). Sometimes the anal fissures will not disappear and may even cause scars to be left behind.
Resources
* www.medic8.com
* www.webmd.com