symptoms of a hemroid - Thrombosed Prolapsed Hemorrhoids - Treatments and Causes
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Thrombosed Prolapsed Hemorrhoids - Treatments and Causes

Definition and Cause: Thrombosed hemorrhoids are mainly internal hemorrhoids that have prolapsed - come out of - our bottoms, the muscles clamp down hard to seal the area off - which is what they are suppose to do - thereby sometimes reducing the blood flow out of the hemorrhoid. When this blood flow out becomes restricted, you may end up with a very painful thrombosed hemorrhoid - a hemorrhoid that lets the blood in, but cant get the blood out as fast. So it swells with blood, the blood develops a clot within it, and the haemorrhoid becomes bluish in color.

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Begin with a sitz bath. This is where you soak your rear end in a tub of warm water. Doing so for 30 to 45 minutes twice a day is soothing and can relieve the pain and itching caused by hemorrhoids.

What's the best way to get rid of hemorrhoids? If you're a devout Catholic, you can try calling on St. Fiacre, the patron saint of hemorrhoids. Fiacre was a hermit known for his miraculous cures and strong distaste for women. How he became associated with hemorrhoids is unknown but it might have originated from the fact that the French word for that disorder is "fie" which means a small tumor. But if heaven turns a deaf ear on your pleas, you can always try these time-tested measures.

After the physical examination, You will be given time to redress, and then the doctor will come back in to discuss what was found with you. At this time you should ask any and all questions you may have so that you are fully informed. During the discussion, the doctor will make recommendations for your treatment plan, which may range from instructions to follow at home all the way up to surgery. If the physical examination was done by the specialist, you should feel free to discuss everything with both the specialist and your family doctor. In addition, further referrals to other specialists will be given to you at this time. After that, you should be well on your way to getting rid of your hemorrhoids for good.

So what causes hemorrhoids? One of the main causes is genetics. Many people have a genetically inherited weaker rectal vein wall while other causes can be from straining during bowel movements as well as poor muscle tone. Other factors that contribute are constipation, chronic diarrhea, sitting too long (on the toilet), and pregnancy, holding in bowel movements, and not eating enough fiber. Other issues that can help cause the condition are not drinking enough water and drinking too many diuretic fluids such as coffee or colas. Another dietary habit that can cause the affliction is excessive consumption of dairy products which can result in excessive lactic acid in the stool causing irritation.

The first doctor you'll be going to see will, in all likelihood, be your family physician. There are several good reasons for this, not least of which is that your insurance, if you have any, may refuse to pay a specialist unless your general practitioner recommends it, which means you have to go see said general practitioner first. In addition, while a specialist may know all about your problem, your family doctor knows you and your medical history. Ideally, the two should work together to create the absolute best treatment plan for you, but in addition, your family doctor functions as your advocate and watches out for you. Through knowing you better, he or she can often explain complex things to you more easily, and will be on the lookout for your well being throughout the entirety of your treatment plan.

Fiber also retains water and adds to the bulk, softness, and weight of stool - all factors in easing strain. Good sources of fiber include apples, bananas, baked beans, cooked broccoli, cabbage and carrots, canned com, fresh peaches, cooked peas, pears, strawberries, and cereals.

Exercise may direct one's thoughts from work or household worries, conferring a sense of relaxation that facilitates bowel movement. The value of drinking large quantities of water to prevent constipation has been highly overrated. Nevertheless, there's no harm in drinking six to eight glasses of water daily. This will contribute to the softening of stools.

If hemorrhoids have started bleeding, are too painful to get on with life, have developed a purplish or bluish tinge, or have started protruding through the anus, it's time to see a doctor. However, this can be a quite frightening, not to mention embarrassing proposal at the best of times. Getting all the information on what you can expect from your initial examinations is a good idea, and will both help to bolster your courage and let you make informed decisions on your care.

If you live long enough you will most likely experience the discomfort of hemorrhoids. There are two common types of hemorrhoid, external and internal. External hemorrhoids are those occurring outside the distal end of the anal canal and are sometimes painful and accompanied by swelling and itching. Internal hemorrhoids are those that occur inside the rectum and since this area does not have pain receptors these types of hemorrhoids are rarely painful and usually people don't even know they have them. This type of hemorrhoid is more prone to bleeding however and can lead to more severe forms of hemorrhoid called prolapsed and strangulated.

Not happy with the doctor?


Every doctor should respect your dignity, your privacy, and your right to be informed at all times. If any doctor does not, feel free to ask your family doctor about the problem. Perhaps your general practitioner may be able to help resolve misunderstandings, or can refer you to a different specialist who will be better suited to you. If your family doctor falls down in this regard, it's time to find a new family doctor. Feel free to interview general practitioners to find the best fit for you. Be respectful of their time and education, but remember that they are there to help you. With patience and respect on both sides, you should have no more troubles.

Keep the skin around the anus clean and dry. Residual fecal matter keeps the area moist and can irritate the skin. But vigorous wiping with dry toilet paper may make things worse. Instead swab the area after each bowel movement using toilet paper moistened with warm water. Then gently pat the area dry.

The recurrence of a thrombosed hemorrhoid is quite low once it has been dealt with by the knife. Non-surgical Treatment: If the thrombosed hemorrhoid is not too bad, the doctor may suggest you use the old tried and true method of sitting in a warm sitz bath, essentially a nice warm bath with a bit of salt / epsom salts or similar thrown in to sterilise and prevent hemorrhoid infection, as well as calm the affliction. The warm water helps the area to relax and for the blood vessels to open more, thereby allowing the blood to flow back out. If it works, your hemorrhoid pain should lessen markedly, if not completely.

 
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Surgical Treatment: Based on research from the French national research centre - Centre National de la Recherche Scientifique - thrombosed hemorrhoids are best treated by surgery. A simple inject, slice and squeeze:

Since perspiration can irritate the anal area, avoid tight undergarments and pantyhose. Loose cotton underwear is best. A light sprinkling of talcum powder in the area can help absorb moisture.

Personal Experience and Other Information: Due to the high pain often generated by a thrombosed hemorrhoid, anything short of immediate relief is not likely to be something you'll be prepared to wait round for. From my perspective, as someone who has suffered with a thrombosed hemorrhoid, the inject, slice and squeeze technique is best. Mine was conducted in the local hospital as an emergency out patient. Never had a recurrence, never want to. No other hemorrhoid pain compares to it.

Whether your family doctor or the specialist does the examination, the procedure is pretty much the same. After your vital signs are taken and noted by the attendant or nurse, you will be let into a private room, asked to replace your clothing with a hospital gown, and draped completely for your and your doctor's comfort. The draping serves to both make you more comfortable and to provide your doctor with the visual context for proper clinical detachment. Rest assured that your doctor is not judging you, nor does he or she find the physical exam in the least bit embarrassing but rather a normal process. He or she will visually inspect the area, and then probably insert an anoscope to check for internal hemorrhoids. An anoscope is a tapering hollow metal tube that has a visual portal cut out of one quarter of the wall. Because it only allows the doctor to see one quarter of the anorectal canal at a time, a total of four insertions will be necessary. In addition to the anoscope, your doctor may palpitate the exterior of the anus to check for lumps that are deep within the tissues.

In addition to this, here are more suggestions from "The New Medicine Show", a book published by the Consumers Union of America: You might find it helpful to add fiber or roughage to your diet in the form of fruits, vegetables, breads, and whole-grain cereals. Fiber resists digestion and reaches the large intestine virtually unchanged. There, it speeds the passage of feces through the intestine, lessening the strain of a bowel movement

Some natural treatments include exercising to increase muscle tone and improve posture. Taking herbs and supplements that strengthen the vein walls and eating fiber rich supplements such as plantain and psyllium will also help to remedy the situation.

Finally, discuss the hemorrhoid information you find here with your health care professional, to make sure the information is suitable in your situation.

Soap residues can irritate, so always rinse off completely after showering or bathing. If soaps do cause irritation, clean the anal area with a perianal cleansing lotion.

Hemorrhoids are extremely common and it is estimated that 50% of all Americans have this problem by the age of 50 although only a small number seek treatment. Only around 500,000 people are treated for hemorrhoids annually with as many as 20% needing surgery.

Do hemorrhoid creams work? Do they have any side effects? Find out in the fourth part of this series.


Since obesity is a factor in hemorrhoids, it pays to lose weight. You can do this with the help of Zyroxin, a safe and natural supplement that will maximize your weight loss through its unique fat-burning ingredients. For details, visit http://www.zyroxin.com/.

When you go in for your appointment with your family doctor, he or she may not physically examine you at that time. What is sure to occur is a detailed conversation in which your doctor will want to know exactly what has been going on. To make the most out of this initial appointment, it helps to write down every single symptom at a quiet time and place prior to going in to the office. This way, you won't have to worry about forgetting anything, and your doctor is sure to get all of the information they need to help you. If your family physician has the facilities and equipment on hand, he or she may want to physically examine you as well, but some family doctors don't stock specialized equipment due to space concerns. Seeing as they are the first people everybody comes to in the event of an ailment, if they kept all of the specialized medical equipment in existence on hand, there would be no room for people in their offices! So, in all likelihood your doctor will then refer you to a specialist and help you make an appointment.

Inject the adrenaline anesthetic into the hemorrhoid, which both deadens the area to pain and coagulates the blood in the hemorrhoid - this stings at first. Slice the offending hemorrhoid open and squeeze the coagulated blood out. If the hemorrhoid was particularly large as the result of the thrombosis, it can take several minutes for all the contents to be squeezed out, but at this point, you shouldn't feel a thing. In fact, when you walk out the door, you will be pain free and should have no further pain from a thrombosed hemorrhoid - this is one very simple surgery that results in substantial pain reduction immediately.

Hemorrhoids can be prevented with dietary adjustments such as drinking more fluids and eating more fiber as well as by participating in regular exercise, practicing better posture, and reducing strain during bowel movements. Since tight clothing can also cause irritation and contribute to poor muscle tone in the area some report that wearing no underwear or at least loose and lightweight underwear can help.

The down side of this home remedy, is that the thrombosed hemorrhoid may return. The sitz bath may be seen as a cure, in that the hemorrhoid has the blood let back out of it and the symptoms abate. Regrettably, the sitz bath may not be a long acting cure for some; once the hemorrhoid comes back out, there is a risk of it becoming thrombosed again.

There are a few treatments on the market. For temporary relief one may use a sitz bath, suppositories or a topical analgesic.


 
 
     
 
 





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