Hemorrhoids can be cured permanently but you do not have to resort to surgery to do so. Hemorrhoids are just swollen blood vessels that are fully stretched under pressure. The most common cause of this strain is chronic constipation. Ordinarily constipation will not cause hemorrhoids. It is only when consistent chronic constipation causes the straining to be very frequent that hemorrhoids will erupt. Hemorrhoids can be internal or external depending on their locations based on the dentate line of the anal canal. The internal hemorrhoids can remain intact on the wall of the rectum (first-degree) or they can protrude but easily retractable voluntarily (second-degree) or they can be pushed back into the rectum with the aid of a finger (third-degree). The external hemorrhoids and the prolapsed hemorrhoids cannot be helped at all because of the large size of the linear staplers. They need to be removed physically. You can either opt for surgery or use the effective home remedies. Stapled Hemorrhoidectomy. This is the more popular choice to treat the third- and fourth-degree hemorrhoids. In this procedure, a circular, hollow tube is pushed into the rectum through which a suture is woven within the anal canal above the internal hemorrhoids. The ends of the suture are brought out of the anus through the hollow tube. The stapler is put through the