Over time, however, one may have to push it back. If this occurs repeatedly, one should consult a healthcare provider, since it could become permanent. In rare cases this prolapse becomes strangulated. This cuts off the blood supply, which leads to gangrene. Other complications that call for medical attention include anemia due to blood loss, intense anal itching, loss of bowel control, or intense pain.
Pain occurs when there is a ruptured vein, inflammation due to prolapse, or an anal fissure.
Apply ice if there is swelling. Frequent warm sitz baths or running warm water over the hemorrhoids, and bed rest may help. It is important to avoid straining during a bowel movement. One way is to increase the amount of fiber, or roughage, and fluids in the diet. Good sources of fiber are fruits and vegetables, whole grain foods, beans and other legumes.