Hemorrhoids are part of the normal human anatomy of the anal canal. They become problematic when they become swollen or inflamed. In their normal state, they act as cushions that aid the passage of stool. The symptoms of problematic hemorrhoids depends on the type of hemorrhoid present. Internal hemorrhoids usually present with painless rectal bleeding while external hemorrhoids present with pain, pressure or itching. Hemorrhoid problems are very common in the United States. Treatment can vary from simple dietary changes to complex surgery. New alternatives for the treatment of hemorrhoids have been developed and are now available.