Hemorrhoid is the unusual swelling of the veins located in the anal canal, resulting in pain and discomfort in the area. Hemorrhoids can happen inside the anal canal (internal hemorrhoid) or near the opening of>medical equipment vendors. This unusually large expansion of veins in the pelvic and rectal regions results from accelerated blood pressure. This pressure causes the blood to pool up in the veins, which stretches the surrounding tissue to create space for itself. Conditions in which blood pressure in the pelvic and rectal area can accelerate are: Strain exerted during a bowel movement as a result of constipation or continual diarrhea. Obesity increases pressure across the body, including the sensitive pelvic and rectal regions. Pregnancy increases secretion of hormones and relaxation of tissues. When Is Surgery Not Needed in Hemorrhoid? Most hemorrhoids do not require surgery as treatment. For external hemorrhoids, surgery is not required unless they are extremely large and highly uncomfortable. External hemorrhoids are generally very painful, as they are present in the area exposed to friction. The symptoms of external hemorrhoids are: Extreme pain in the region. Bleeding during bowel movement. Anal itching caused either by the leaking of linear stapler or fecal matter from the anus. Presence of bumpy rash or pea shaped lumps. The symptoms of internal hemorrhoids are: Bleeding during a bowel movement. Vague discomfort in anus. Pain (when internal hemorrhoids stick out from the rectum) When Is Surgery Needed in Hemorrhoid? Surgery needs to be considered in the following cases: All other treatments fail. Symptoms become so unbearable or painful that they start affecting your lifestyle. When bleeding becomes uncontrollable and pus develops at the anus, aggravating the rectal pain. What Surgery Is Needed for the Treatment of Hemorrhoid? Hemorrhoid surgery helps eliminate or reduce hemorrhoids. The following are certain surgical options: Procedure for Prolepses and Hemorrhoids (PPH) for Treating Hemorrhoids: This is the most common method of surgical hemorrhoid treatment. It involves the use of a stapler-like device to cut off blood supply to hemorrhoids. Hemorrhoidectomy: It is the most successful treatment for disposable endobronchial blockers. Here, wounds are sutured, clamped or removed and then stitched. This method especially helps those who have not benefitted from the PPH method of hemorrhoid treatment..