A pain in the rear

Everyone is born with the blood vessels that underlie hemorrhoids, but they may become problematic when they enlarge. Half of people have symptoms by age 50 that include pain, itching, swelling, and bleeding. Home remedies such as pain relievers, topical creams and ointments, sitz baths, and cold compresses don’t eradicate hemorrhoids. In-office procedures can cut off blood supply to internal hemorrhoids, allowing them to fall off. Surgery is the only definitive treatment option for external hemorrhoids visible at the anus.