Hemorrhoids are swollen veins located in the anus region. When the veins are arching and pressing, they cause severe pain that increases especially during "toilet sitting" caused by most constipation (chronic or normal).

There are two main types of hemorrhoids: internal hemorrhoids and external hemorrhoids, internal hemorrhoids develop within the rectum and in the last third of the colon and are covered with mucous membrane. It is customary to divide the internal hemorrhoids into 4 levels of severity:

Grade 1 - hemorrhoids do not exceed the anus and in certain situations they bleed.

Grade 2 - Hemorrhoids that exit and return to the rectum during a sitting in the toilet.

Grade 3 - Hemorrhoids that exit from the rectum during sitting in the toilet that can be pushed back with a finger.

Grade 4 - Prominent hemorrhoids outside the rectum, do not remain in the ditch and can not be pushed in with your finger.

External hemorrhoids develop under the skin located in the outer part of the anus. The external hemorrhoids often bleed (see it on toilet paper or feces), protruding, scratching, irritating the skin around the anus and mainly painful.

It is customary to treat hemorrhoids using ointments with a severity level of 1 - 2. It is less recommended to apply ointments or solutions when the severity of hemorrhoids is 3 and certainly 4 which requires aggressive treatment in most cases (surgery that doctors may recommend but for incorrect and economic reasons) Or sclerotherapy or the use of Hal Doppler), which are not performed by the HMO and require private institutes.