Hemorrhoids are dilated blood vessels in the anal canal and rectum and are very common. Risk factors for forming hemorrhoids include pregnancy, constipation and diarrhea, and straining with bowel movements. They can be asymptomatic, or cause anal itching, bleeding, or anal soreness. Treatment options include fiber supplementation, sitz baths, and over the counter hemorrhoid creams and suppositories. If needed, they can be removed in the office by the placement of rubber bands, or through surgery.