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Hemorrhoids - Symptoms, Causes and Treatment Options

By hemorrhoids the veins in or around the anus, or in the lower rectum are swollen and often also inflamed. Hemorrhoids inside the rectum are called internal hemorrhoids, and those in the anal area external ones. Studies have shown that 1 out of 3 persons below the age of 50 will suffer from hemorrhoids. 1 out of 2 persons over the age of 50 is affected by this condition.


THE PROCESS THAT LEADS TO HEMORRHOIDS Before hemorrhoids form, there is usually an increased pressure in the veins of the anal area, for example due to over-filled intestines, due to constipation and thereby straining to get hard stool out during toilet visits, or due to frequent diarrhoea.

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 HOW CAN YOU CURE HEMORRHOIDS Sometimes hemorrhoids require surgical or other medical intervention. However, in many cases you can do much yourself to prevent, alleviate or cure the condition. Since cancer or other serious conditions sometimes resemble hemorrhoids or cause hemorrhoids, newly detected hemorrhoids should always be medically investigated.

-Tears in the swollen veins and bleeding from the tears. -Coagulated blood in the veins making hard lumps. -The hemorrhoids may lead to permanent lumps, scars or thickened area after the initial healing.

After being diagnosed with 'hemorrhoidal pathology" (3rd degree hemorrhoids, polyp in the anal canal), the 37 year-old male patient consulted various medical services and specialists, who each suggested different medical treatment methods:

Both internal and external hemorrhoids respond to home treatments. Do remember to make sure that while you resort to these, also take into account that if you suffer from constipation, you need to address that issue as well. Increase the fiber content in your diet and remember to drink your 8 glasses of water a day. Go for a long walk everyday and make sure your diet includes vegetables, especially a lot of greens and fruits - remember, whole fruits, not just the juice. Do not lift heavy things as this just worsens the condition.

Hemorrhoids are common in both men and women. About half of the population has hemorrhoids by age 50. Hemorrhoids are also common among pregnant women. Symptoms of hemorrhoids include anal itching ,anal ache or pain, especially while sitting ,bright red blood on toilet tissue, stool, or in the toilet bowl ,pain during bowel movements and one or more hard tender lumps near the anus. Medical treatment of hemorrhoids is aimed initially at relieving symptoms. Many home remedies help for relief Hemorrhoids. Yogic kriyas like jalneti and vamandhouti are highly beneficial. Cranberry A diet consisting of a lot of cranberries is supposed to be beneficial. A cup of milk boiled with mashed banana and taken thrice a day is also beneficial for piles. Boil 20g of sesame seeds in 500 ml of water and drink it. This is another effective home remedy for hemorrhoids.

Hemorrhoids are a very common complication by pregnancy. The hormonal stimulation during pregnancy causes the vessels in the anal area to dilate. The weight of the foetus and the straining during childbirth will further cause a marked pressure increase in the already dilated vessels, with hemorrhoids as a consequence.

* Bran added to your diet has high fibre content, and will stimulate the intestines to contract better and pass its content more rapidly. * Linen seeds will make the stool softer so that it is passed better through the intestines.

* Alleviating inflammation and itching. * Stimulating tissue healing. * Alleviating cramping in the rectal sphincter. * Dissolving coagulated blood.

Home Remedies for Hemorrhoids Tips 1. Take 100 mg of rutin three times a day. 2. Apply liquid lecithin directly on the hemorrhoids, once a day, until they disappear.

* Alleviating inflammation and itching.


* Stimulating tissue healing.


5. Enemas


If there is a hard constipation aggravating the hemorrhoids, a small enema can help to empty the colon and the rectum, and also help to cure the hemorrhoids. However, big enemas can increase the intestinal pressure and aggravate the condition.

3. Topical balms or ointments You can find topical balms on the market to apply onto the affected area. The balms contain ingredients that penetrate through the skin into the swollen blood vessels and anal muscles, or are transported through the tissue fluids upwards in the intestinal wall. Other ingredients remain on the affected area as a protecting and lubricating sheet. The effects of these ingredients are.

1. Lifestyle adjustments Lifestyle measures to prevent or cure an inactive colon, an overfilled colon and constipation, will also help to prevent or cure hemorrhoids. Such measures are:

5. Take bioflavanoids and rutin as a preventative measure. 6. Take 1 Tbsp of the coriander juice (green leaves) with 1 tsp of sugar added, 3 times daily.

2) If so, which of the previously specified techniques can be considered best in terms of least sufferance during and post surgery? And which technique would allow the patient to return to normal activity (including non-competitive sports) the quickest?

Other times the content of the hemorrhoids is dissolved and the vein heals without rupturing, but also now a permanent thickened or hardened vein segment may form.

Conclusion: according to the information provided by the patient the most suitable technique of treatment is stapled hemorrhoidectomy since it is most effective and less painful than Milligan-Morgan operation. Rubber-band ligation, though excellent, is not indicated in this case. The rectal polyp should be excised in any case.

The inflamed hemorrhoids may then tear, so that the content empties and the vein bleeds. After emptying its content, the vein heals, but may develop a residing scar.

Ideally, you should avoid getting hemorrhoids. If you're already a sufferer, there are a few things you can do at home to make them better. Sometimes, taking care of the root cause tends to slowly make the hemorrhoids shrink and go away. However, once you have the tendency to develop hemorrhoids, it is better to be aware and take the necessary precautions to ensure it does not recur.

THE SYMPTOMS OF HEMORRHOIDS Hemorrhoids give these symptoms: -Swollen veins in the anal area or inside the rectum. -Itching.

* Alleviating cramping and irregular contractions in intestinal system. * Stimulating the regular and effective contraction of the intestines.

1. Rubber band ligation; 2. Milligan-Morgan technique; 3. Cryotherapy; 4. Stapler. The patient specified that each specialist consulted only practices the technique that he personally deems most efficient. The problem raised, therefore, is that each specialist believes his technique (stapler, cryotherapy, ligation, etc.) to be the best, strongly advising against other techniques (without, however, clarifying the reasons for this). Purely based on acquaintances' experiences with the treatment, and the excellent results obtained, the patient would tend towards opting for cryotherapy (which would appear to be the least invasive, cheapest, and simplest technique, as it is generally carried out as an outpatient, with no particular preparation or hospital stay required).

The blood in the swollen vein segment then coagulates, making a hard lump that clogs the vein, and the clogged vein segment then gets infected and inflamed.

Online Doctor Consultation - Medical Questions: 1) Will any of the techniques mentioned provide a definitive solution to the medical problem?

Treating hemorrhoids - how to choose the least painful and most suitable option After consulting various specialists, each recommending his own pet method of treatment, a hemorrhoid sufferer gets online medical advice for choosing the least painful and most suitable treatment option.

Heavy muscular work or heavy lifting can increase the pressure in the anal vessels and contribute to hemorrhoids. Conditions that weaken the tissue in the anal area may also contribute to development of hemorrhoids, for example inflammations, allergies or high age.

Stapled hemorrhoidectomy: This is relatively a new technique and is in practice for ten years. In all aspects it is an operation and must take place in the hospital. Patients report on less post operative pain compared to Milligan-Morgan operation and hospital stay is usually 1 day. The success rate is about the same as the former but there is one exception: the stapler technique is not effective for treatment of Hemorrhoids with an external component.

* Killing bacteria that cause infection in the affected area. * Lubricating the rectal opening or the end part of the rectum to make the stool pass more easily.

 
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Cramping or prolonged tension in the anal sphincter and the muscles around the rectal opening seems to restrict the blood stream from the anal area back towards the heart, and thus also contribute to hemorrhoids. Nervous or psychological processes may cause tension in these muscles.

4. Oral products to treat hemorrhoids You can also find oral pills or capsules to help against hemorrhoids with the following effects:

Hemorrhoids, which are also called piles, are swollen and inflamed veins in your anus and rectum. Hemorrhoids may result from straining to move stool. Other contributing factors include pregnancy, aging, chronic constipation or diarrhea, and anal intercourse. A sometimes embarrassing topic of discussion, hemorrhoids are common. By age 50, about half of adults have had to deal with the itching, bleeding and pain that often signal the presence of hemorrhoids.Many anorectal problems, including fissures, fistulae, abscesses, or irritation and itching, also called pruritus ani, have similar symptoms and are incorrectly referred to as hemorrhoids.Symptoms of external hemorrhoids may include painful swelling. This condition is known as a thrombosed external hemorrhoid. Pregnancy causes hypertension and increases strain during bowel movements, and thus hemorrhoids are often associated with pregnancy.

9. It is also recommended is eating a large leek and drinking a glass of nettle liquid several times a day.


10. Take bioflavanoids and rutin as a preventative measure.

Options of treatment Cryotherapy: (the option the patient mentioned he was leaning toward) this is a painful procedure, frequently associated with a profuse discharge and at least a week off work. Only about 50% of patients are well satisfied with the treatment. In terms of morbidity and time off work it is slightly better than hemorrhoidectomy, but the long term results are less predictable. It has more complications than does rubber-band ligation. Most proctologists have abandoned this technique.

* A diet with enough fibre, containing whole corn cereals, whole corn bread, vegetables and fruit. * Using natural oils in the food that gives the intestinal content a soft consistency, like olive oil, sunflower oil, rape oil and soy oil.

CAUSES OF HEMORRHOIDS Since hemorrhoids are caused by conditions making increased pressure in the anal veins, like lazy colon, constipation or diarrhoea, the ultimate cause of hemorrhoids are factors causing these conditions. Such factors are:

The veins have valves preventing the blood from flowing backwards. The increased pressure makes the segment of a vain right after a valve to swell up like a balloon.

Sulfur Mix one teaspoonful of Flowers of Sulfur with one tablespoonful of Vaseline. Apply two or three times a day. Blanch 4gm of passion fruit to 1/4 cup of water, use a cloth to apply on the hemorrhoids. Apply Witch hazel with a sterile cotton pad, 3 times daily to shrink the swollen veins. Make a mixture of half-teaspoon fresh ginger juice, half-teaspoon fresh limejuice, a tablespoon honey, and a half-teaspoon mint leaves and take this mixture once a day. Mix 1 tablespoon of Vaseline with 1 teaspoon of Flowers of Sulfur and smear on the hemorrhoids 2-3 times a day. The jambul fruit is another effective food remedy. The fruits should be taken with salt every morning for 2-3 months in the season. Various yogasanas such as sarvangasana, vipritakarani, halsana and gomukhasana are also useful. Witch hazel will help soothe and shrink the hemorrhoids.

Milligan-Morgan operation: This is one of the most frequent techniques practiced. The operation is usually performed under general anesthesia, but spinal anesthesia can be used. The long term results are over 90% patient satisfaction. Pain is considered to be the main reason that patients resist the operation. It is evident that pain experienced after the operation is patient dependent. Hospital stay is about 1-2 days, but return to work is not for at least two weeks.

* Giving the stool a greater volume so that the intestines manage better to get hold of it and work it through. * Giving the stool a smoother consistency so that it passes more easily through the intestinal system and rectal opening.

If the itching and pain are bad, use ice to cool and contract the swelling. Sit in your warm hip bath for around 15 minutes each time and apply napkins soaked in hot water to the area if that gives you relief. Take a non-prescription pain reliever to tide you through the day rather than suffer in silence (not aspirin or NSAIDs as they make the bleeding worse). Apply a hemorrhoid cream to the affected area. Your pharmacist should be able to recommend a non-prescription one. Wear cotton underclothes which are comfortable, not tight, and try and lie down often if you can. Being on your feet for a long time can aggravate the condition. It helps to sleep on your stomach, elevating your rear with the help of a pillow placed under your abdomen. If you are pregnant, do take the pressure off your feet and lie on your side. The one comforting thought is that once the baby comes, most often, hemorrhoids shrink back to their normal size. So it is only a temporary phase when it occurs during pregnancy.

3. Eat a large boiled leek every day as an afternoon snack or with dinner. 4. Eat three raw unprocessed almonds every day. Chew each one about 50 times.

Relief comes with a warm hip bath, recommended often if the discomfort is a lot. Known as the sitz bath, it involves sitting in warm water to get your bowels moving. This is also soothing after you've had a bowel movement and the area is painful. After your bowel movement is done, do not wipe too hard as this might bring on the bleeding or increase it. Preferably, wash with water and gently dab with tissue. If you do not use water, wet some tissue with a gentle liquid cleanser and wipe or better still, use baby wipes. Don't use harsh cleansers or soaps.

-Lack of fibre in the daily diet -Drinking too less water. -Consuming too less fat, or the opposite too much fat. -Lack of daily physical exercise.

The expert??s opinion First of all I must emphasis that I have some doubt concerning the medical diagnosis and that some important details are missing. The medical report did not describe the physical rectal examination regarding the external anal component. This is important for choosing the best surgical technique and I will assume that there is no external component.

Rubber-band ligation: complications are infrequent with rubber-band ligation. Pain is usually mild and can be managed with analgesics. Return to work can be immediately or the day after treatment. The results of rubber-band ligation have been excellent with patient satisfaction of 80 to 91%. It must be emphasized that optimal treatment consist of 2-4 sessions with at least two weeks interval and depends on the number of hemorrhoids to be treated.

7. Apply Witch hazel with a sterile cotton pad, 3 times daily to shrink the swollen veins. 8. Powder dried mango seeds. Take 2 grams twice daily for bleeding piles.

* Some daily exercise. * Drinking enough water. 2. Agents to regulate the digestive function You can use certain natural products to regulate your digestive functions and this will also help against hemorrhoids:

Sometimes, hemorrhoids need to be treated at the doctor's clinic in order to bring relief. Nonsurgical procedures involve rubber band ligation where they are literally tied off with rubber bands, injection sclerotherapy where chemicals are injected right into the hemorrhoids, coagulation therapy, where the tissue surrounding them is scarred and hemorrhoidectomy where they are surgically removed. What treatment you resort to will depend on the severity of your problem.


 
 
     
 
 





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