Report

Hemorrhoids Epidemiology Forecast 2025-2034
Approximately 1 in 20 Americans are affected by symptomatic hemorrhoids, a condition observed across all genders, ages, ethnicities, and races. Hemorrhoids are particularly common among older adults, with more than 50% of individuals aged 50 and older experiencing the condition.

Hemorrhoids Epidemiology Forecast Report Coverage
The Hemorrhoids Epidemiology Forecast Report 2025-2034 by Expert Market Research delivers a comprehensive analysis of the condition's prevalence and associated demographic factors. It projects future incidence and prevalence trends across diverse population groups, considering key variables such as age, gender, and hemorrhoids type. The report highlights changes in prevalence over time and offers data-driven forecasts based on influencing factors. Additionally, it provides an in-depth overview of the disease, along with historical and projected epidemiological data for eight key markets: the United States, United Kingdom, France, Italy, Spain, Germany, Japan, and India.

Hemorrhoids: Disease Overview
Hemorrhoids are swollen veins in the lower rectum or anus, often causing discomfort, itching, bleeding, and pain. They can be internal or external and are a common condition, particularly affecting individuals over 50. Factors such as prolonged sitting, straining during bowel movements, obesity, pregnancy, and a low-fibre diet contribute to their development. Treatment options range from lifestyle changes and topical treatments to surgical interventions for more severe cases. While often not serious, hemorrhoids can significantly impact quality of life, making early management and prevention important.

Epidemiology Overview
The epidemiology section of hemorrhoids provides an overview of the patient population from historical data to current trends, as well as future projections for the eight major markets. Expert Market Research offers insights into both current and expected trends by reviewing various studies. The report also examines the diagnosed patient pool for hemorrhoids and their evolving patterns, breaking the data down into categories such as the total number of prevalent cases in males and females, and diagnosed cases across different age groups and patient demographics.
- In the general population, the prevalence of hemorrhoids is reported to be 4.4%, with nearly 50% of Americans expected to develop the condition by the age of 50.
- In the United States, it is estimated that between 10.4 million and 1 million new cases of hemorrhoids occur annually, with 10-20% of these requiring surgical intervention.
- Several studies indicate that the highest prevalence of hemorrhoids is found among Caucasian patients aged 45 to 65, as well as those with a high socioeconomic status.
- Hemorrhoidal disease is ranked as the third most common outpatient gastrointestinal diagnosis in the United States, with nearly 4 million office and emergency department visits annually attributed to the condition.

Hemorrhoids: Treatment Overview

1. Conservative Treatments
The first line of treatment for hemorrhoids typically includes lifestyle changes aimed at reducing symptoms. Increasing dietary fibre, drinking more water, and regular exercise help soften stools and reduce straining during bowel movements. Topical treatments like creams or ointments containing hydrocortisone or witch hazel can provide relief from itching and discomfort. Warm baths, known as sitz baths, can also alleviate irritation and promote healing. These conservative methods are usually effective for mild cases and may prevent the need for more invasive treatments.

2. Minimally Invasive Procedures
For moderate cases, minimally invasive procedures can be considered. Rubber band ligation, one of the most common methods, involves placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply. This causes the hemorrhoid to shrink and fall off within a few days. Other methods include sclerotherapy, where a chemical solution is injected into the hemorrhoid to shrink it, and infrared coagulation, which uses light to harden and shrink the tissue. These procedures typically require minimal recovery time.

3. Surgical Intervention
In severe cases or when other treatments have failed, surgery may be necessary. Hemorrhoidectomy, the surgical removal of hemorrhoids, is the most common procedure for large or prolapsed hemorrhoids. This surgery is effective but often requires a longer recovery time and comes with potential complications like bleeding or infection. In some cases, a stapled hemorrhoidopexy may be performed, where the hemorrhoidal tissue is stapled back into place, offering a less painful alternative with a quicker recovery.

4. Dietary and Lifestyle Modification
Modifying one's diet and lifestyle is essential in preventing and managing hemorrhoids. A high-fibre diet, rich in fruits, vegetables, and whole grains, can help soften stools and reduce the need for straining. Regular physical activity is important to prevent constipation and improve overall digestive health. Additionally, avoiding prolonged sitting, particularly on the toilet, can help reduce pressure on the rectal veins, alleviating the risk of developing hemorrhoids. Staying hydrated is equally important, as it aids in digestion and reduces constipation.

5. Non-Surgical Therapies
Non-surgical treatments, such as cryotherapy (freezing the hemorrhoid tissue) and laser therapy, can also be effective in managing hemorrhoids. Cryotherapy involves applying extremely cold temperatures to the hemorrhoid, causing it to shrink and fall off. Laser therapy uses a focused light beam to destroy the hemorrhoid tissue, resulting in minimal discomfort and a quick recovery. Both treatments are less invasive than surgery, offering a quicker recovery time, but they may not be suitable for all patients depending on the severity of the condition.

Hemorrhoids: Burden Analysis
Hemorrhoids significantly impact quality of life, causing physical discomfort, pain, and emotional distress. Individuals affected often experience itching, bleeding, and difficulty sitting or engaging in daily activities. These symptoms can lead to embarrassment and a reduced ability to work or participate in social activities. The condition can also cause sleep disturbances due to discomfort, further affecting well-being. Severe cases may require surgical interventions, contributing to increased healthcare costs and prolonged recovery times. As a prevalent condition, particularly in older adults, hemorrhoids create a substantial burden, reducing overall productivity and diminishing both physical and mental quality of life.

Key Epidemiology Trends
Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus, leading to discomfort and various symptoms. Recent epidemiological studies have shed light on several evolving trends related to this condition. Below are five notable trends:

1. Increasing Incidence in Younger Populations
Traditionally associated with older adults, hemorrhoids are now increasingly diagnosed among younger individuals. A study in Korea found that the incidence rate was highest among individuals in their 40s, with a higher occurrence in males and those residing in metropolitan areas. This shift may be attributed to lifestyle factors such as prolonged sitting, sedentary behavior, and dietary habits.

2. Gender Differences in Prevalence
While hemorrhoids affect both males and females, certain studies suggest variations in prevalence between genders. In Saudi Arabia, research indicated that females were more prevalent than males among patients with hemorrhoidal disease. This disparity could be linked to pregnancy-related physiological changes and hormonal influences affecting venous pressure and rectal vascular structures.

3. Impact of Socioeconomic and Lifestyle Factors
Socioeconomic status and lifestyle choices play significant roles in the development of hemorrhoids. In Korea, higher income levels and alcohol consumption were associated with increased incidence rates. Additionally, studies have identified factors such as low-fiber diets, obesity, and prolonged straining during bowel movements as contributing to higher prevalence rates.

4. Declining Rates in Certain Populations
Contrasting with the increasing trends, some regions have observed a decline in hemorrhoidal cases. In the United States and England, analyses of healthcare data revealed a consistent decrease in physician visits and hospital discharges related to hemorrhoids over the years. This decline may be due to improved dietary habits, increased awareness, and better management of risk factors.

5. Growing Healthcare Utilization
Despite varying prevalence rates, there is a notable increase in healthcare consultations for hemorrhoidal issues. In New Zealand, both the incidence of hemorrhoid diagnoses and the rate of surgical interventions rose significantly over a decade. This trend underscores the importance of accessible healthcare services and the need for effective management strategies for hemorrhoidal disease.

Analysis By Region

The epidemiology of hemorrhoids varies across countries and regions due to differences in healthcare infrastructure, socioeconomic factors, cultural attitudes towards pain, and access to pain management therapies. Understanding these variations is essential for developing targeted interventions and improving patient outcomes.

Key regions include:

- The United States
- Germany
- France
- Italy
- Spain
- The United Kingdom
- Japan
- India

These regions exhibit distinct epidemiological trends, reflecting the unique challenges and opportunities within their healthcare systems.

The epidemiology of hemorrhoids differs across countries due to variations in diet (particularly fibre intake), healthcare accessibility, cultural habits (such as defecation posture), and lifestyle factors like sedentary behaviour or obesity. In the United States, approximately 1 in 20 individuals experience symptomatic hemorrhoids.

Key Questions Answered

- How do socioeconomic factors, such as income and education, impact the distribution of chronic diseases in different populations?
- What are the primary environmental determinants influencing the spread of infectious diseases in urban vs rural areas?
- How does genetic susceptibility influence the prevalence of non-communicable diseases in different ethnic groups?
- What role do healthcare access and quality play in the variation of health outcomes between developed and developing countries?
- How can predictive modelling be used to forecast the future burden of diseases, such as cancer or diabetes, in ageing populations?
- In what ways do social determinants of health, like housing and employment status, contribute to mental health disparities?
- How have global trends in urbanisation influenced the epidemiology of vector-borne diseases, like malaria and dengue fever?
- What are the implications of climate change for the emergence and spread of infectious diseases, such as zoonoses?
- How does the prevalence of comorbidities impact the epidemiology of diseases like cardiovascular conditions or diabetes?
- What are the epidemiological factors contributing to the rise of antibiotic resistance, and how can surveillance systems help mitigate it?

Scope of the Report

- The report covers a detailed analysis of signs and symptoms, causes, risk factors, pathophysiology, diagnosis, treatment options, and classification/types of hemorrhoids based on several factors.
- The hemorrhoids epidemiology forecast report covers data for the eight major markets (the US, France, Germany, Italy, Spain, the UK, Japan, and India)
- The report helps to identify the patient population, the unmet needs of hemorrhoids are highlighted along with an assessment of the disease's risk and burden.