Hemorrhoids are enlarged blood vessels around the anus. The actual cause of hemorrhoids is not completely known. Constipation, pregnancy, child birth, obesity, poor fiber in diet, poor bath room habits, postponing bowel movements, straining whilst lifting or vomiting contribute to development of hemorrhoids. There are two types of hemorrhoids – external & internal or both. Surgery is required for certain types of hemorrhoids. Hemorrhoids tend to get worse over time, and it should be treated as soon as it is diagnosed. Several surgical and non-surgical techniques are used to treat hemorrhoids. Cost of treatment varies from country to country. There are some preventive measures which I can tell you over here. 1. Apply locally Shield ointment or Anovate cream 4 times daily 2. Avoid prolonged sitting 3. Take high fiber diet such as split peas, lentils, black beans, lima beans, baked beans, whole grains, vegetables such as artichoke, green peas, and sprouts and fruits 4. Ferrous sulfate tablet – one tablet daily (Brand name – Autrin) for 3 months 5. Folic acid 5 mg (Tablet Folvite) – one tablet daily for 3 months 6. Syrup lactulose (Syrup Duphalac) 2 teaspoonful per oral at bed time if you have constipation 7. Drink 4 – 5 liters of water daily 8. Avoid weight lifting 9. Avoid straining while defecating 10. Avoid coughing 11. Consult a general surgeon for per rectal examination and diagnosis and further management 12. Investigation – Hb% Thanks