Public Knowledge and Awareness About Hemorrhoids and the Reasons for Late Presentation to Local Doctors in Makkah Region, Saudi Arabia: A Cross-Sectional Exploratory Study.

Background Hemorrhoids, also known as piles, manifest as anal lumps with or without bleeding. This study aims to explore and assess the public knowledge and awareness about hemorrhoids and the factors leading to late presentation to local doctors in the Makkah region of Saudi Arabia. Methodology A questionnaire-based, cross-sectional study was conducted targeting the Saudi population aged 18 years and more living in the Makkah region. The study was conducted from May 1 to May 29, 2023. Data collection was done using electronic Google Forms for data collection. The questionnaire was divided into three main sections covering demographics, knowledge items, and personal and family history of hemorrhoids. Results A total of 495 participants completed the study questionnaire. Participants' ages ranged from 18 to 65 years with a mean age of 25.1 ± 13.7 years old. Overall, 414 (83.6%) were males. Only 106 (21.4%) had an overall good knowledge level. The majority of the participants (78.6%, 389) had poor knowledge. Pain (78% of the participants) was the most common reason for seeking medical advice, followed by feeling uncomfortable (43.3%), and the presence of blood or blood spots in the stool (41.1%). Among others who never sought medical advice, the most reported reason was being embarrassed (66.7%). Conclusions This study revealed that the prevalence of early seeking medical advice was low as many did not because of stigma. The main reasons for seeking medical care were disease-related symptoms, and embarrassment was the main reported barrier.