Masses of tissue and blood vessels are present within the anal canal in everyone. Hemorrhoids are often noticed when the tissue and blood vessels become swollen and irritated from a hard stool passing through the anal canal damaging the delicate tissue. Over the counter creams, ibuprofen and warm baths may be helpful. Consideration may be given to disposable cloths for the purpose of cleaning the anus after each stool.
A diet high in fiber, drinking 48 to 64 ounces of water and 20-30 minutes of aerobic exercise each day may reduce the risk of constipation, which in turn lessens the chance of hemorrhoids. The protruding tissues and veins that comprise the hemorrhoids may shrink and cause no more symptoms in some people. For really enlarged hemorrhoids, treatment by a physician may be required. In some patients, hemorrhoids become a chronic problem requiring lifestyle changes including diet and exercise for management.