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Prof. Dr. Mustafa Özdoğan · Medical Oncologist

Do Hemorrhoids (Piles) Lead to Colon Cancer?

Do Hemorrhoids (Piles) Lead to Colon Cancer?
In this article

The signs and symptoms of hemorrhoids (piles) are often similar to those of colon and rectal (colorectal) cancer. However, there is no evidence that hemorrhoids lead to cancer of the large intestine (colon and rectum). Colon cancer and hemorrhoids are very different conditions that can both cause blood in the stool.

It is therefore important to see a doctor if you notice blood in your stool.

What Are Hemorrhoids (Piles)?

Simply put, hemorrhoids are swollen veins in the rectum (the final part of the large intestine) or anus. The type depends on where they occur:

Internal hemorrhoids: involve veins in the rectum. You cannot feel pain here. Bleeding or a feeling of rectal fullness may be your only symptom.

Prolapsed hemorrhoids: are internal hemorrhoids extending outside the anus. Patients may feel a painless lump or pinching sensation while cleaning. They may itch and / or hurt and develop clots. The bleeding they cause is generally bright red.

External hemorrhoids: involve veins outside the anus. They may crack or bleed from friction while cleaning. They may itch and / or hurt, and like prolapsed hemorrhoids, may develop clots inside.

anal disorders internal hemorrhoids external piles anal fissure fistula abscess

Can Hemorrhoids Cause Colon and Rectal Cancer?

There is no evidence that hemorrhoids cause colon and rectal cancer. As noted, the two conditions may have overlapping signs and symptoms. People of any age can develop colon and rectal cancer, but most colorectal cancers develop after age 50. Therefore, new blood in the stool, changes in bowel habits, constipation and a feeling of fullness in the anal region should be taken seriously, particularly at older ages.

- What is large intestine - colon and rectal cancer? What are its causes and risk factors?

What Signs and Symptoms Do Hemorrhoids Cause?

Most people resolve hemorrhoid problems without medical help—for example, by preventing constipation—and seek medical care only if symptoms worsen.

Both internal and external hemorrhoids may cause rectal discharge (bright red blood) and itching.

Internal hemorrhoids generally cause prolapse or painless bleeding, often reported as blood on toilet paper or bleeding associated with bowel movements. External hemorrhoids may cause anal discomfort due to swelling.

What Can Be Done to Treat Hemorrhoids?

If you experience rectal bleeding and / or related symptoms, consult your family doctor first. If the symptoms are found to arise only from hemorrhoids, appropriate lifestyle and dietary changes will most likely resolve them:

  • preventing constipation
  • increasing dietary fiber)
  • drinking plenty of fluids (except alcohol)
  • exercising regularly

Your doctor may recommend the following:

  • local anesthetic ointment / cream and
  • hydrocortisone-containing creams for itching or pain.

Surgery or minimally invasive (nonsurgical) techniques may be considered for hemorrhoids that do not improve with lifestyle changes and medical treatment.

- You may be interested: Dietary Recommendations for Constipation and a Sample Recipe

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