Even though it is said as much as half of the over 50 population of the United States has the condition there are only about 500,000 reported annually. The numbers for the overall population are 1 of every 25 people with most of these between 45 and 65.

So how do I know if I have hemorrhoids? One the fastest indicators will be the appearance of bright red blood on toilet paper, that will scare you! It could even be rectal cancer, but it is far more likely to be hemorrhoids. So let's take a closer look at symptoms.

So? What are the hemorrhoids?

Hemorrhoids are like cushions and that is what they look like. They contain blood vessels, small muscles, and very elastic fibers and are also called piles by some people.

How do know if I have hemorrhoids or something else?

Let's look at a couple of hypotheticals. Someone goes to the doctor complaining of rectal discomfort with occasional blood on the tissue and itching in the anal area. This is more than likely an internal hemorrhoid. Another patient is complaining of severe rectal pain as well as prolapsed tissue in the anal area. This is probably going to be external hemorrhoids with the pain coming from a blood clot in the hemorrhoidal tissues.

There are four degrees of internal hemorrhoids. It may be interesting for you to know because first, second and sometime third degree can be treated by banding only. Fourth degree and sometime third degree requires surgery.

Do not forget non-hemorrhoid causes of symptoms. The option to check with your doctor is worthwhile because there could be other problems, including cancer or anal fissure. (By the way for anal fissure medical treatment alone may heal it in 90% of cases).

To treat itching or discomfort you may use suppositories, ointments, creams, and gels. These products contain protectant and anesthetics (pain relievers). Local anesthetics numb the area and decrease burning and itching.