how to cure internal hemroids - Hemorrhoids - Symptoms, Causes and Treatment Options
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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.


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?

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 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.

You should also refrain from using laxatives regularly, or you could develop lazy bowel syndrome, when that happens you have become so addicted to laxatives that your bowels don't function normally.

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.

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.

How is constipation diagnosed and evaluated? As constipation is the leading cause of hemorrhoids, lots of tests for constipation and hemorrhoids are alike, and patient history is extremely significant. Exactly which exam or tests will be performed by physician will depend on your condition.

-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.

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).

History of patient can expose medications and diseases that may be the origin for constipation, also keeping a food log for a one or two weeks can show a lot to your physician, for example a diet low in fiber.

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.

* 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.

Origin of constipation One of the most frequent cause of constipation and hemorrhoids is not paying regard to your bowel movements. Occasionally it's ok to postpone bowel movement, when there is no toilet around or place is not permitting, but most of the times we postpone it because of pure laziness.

7. Try A Pain-Relieving Pad


Apply a hemorrhoid ointment or cream directly to the hemorrhoid, then cover the area with a sanitary napkin that has been soaked in Epsom salts. To make sure that the pad stays in place, attach it to your underwear. Or try the medicated pads such as Tucks for hemorrhoids. They serve the same purpose.

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.

Constipation Often times the right information can change a person's life. Read this carefully and I hope it will help you. Most of us overlook constipation as a dangerous complication, and each day that passes by and we don't deal with it, risk of hemorrhoids grows more and more.

Lots of things such as bills, bosses, parking tickets are a pain in the butt. But having a hemorrhoid is really just a varicose vein that sprouts where the sun don't shine. Are you likely to get them? Well, people who have chronic constipation or who habitually strain to move their bowels are susceptible. So are pregnant women, as the expanding uterus compresses the veins and obstructs the return of blood from the rectum. But they are so common that you may not be able to identify a specific cause. Sometimes you do not even know that you have hemorrrhoids. But in many cases, they refuse to be ignored, causing symptoms such as itching, bleeding, and pain. Here are some tips that you can consider to adopt for pain-relief.

5. Eat More Fiber To keep your stool soft, consume a high-fiber diet, especially during a flare-up. It is recommended eat more fresh fruits and vegetables and less red meat and cheese.

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.

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.

* 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.

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

* 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.

-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.

One other argument why you ought to deal with constipation as soon as you can is that it can lead to a condition called fecal impaction, when stool hardens so much that it can not be passed by natural bowel movements but have to be removed manually.

2. Do Some Serious Guzzling The harder your stool, the harder you have to push, which can aggravate hemorrhoids. Water is cheaper than a stool softener, and it is just as effective. It is recommended to try to drink at least eight 8-ounce glasses of water a day. But if water does not help, try a mild, over-the-counter stool softener. If you are salt sensitive and you have high blood pressure, just make sure that the softener you choose does not contain sodium.

 
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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:

Any number from 3 to around 15 times a week ought to be ok for a natural bowel movement, less then that and we can speak about constipation. Constipation signs:

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.

4. Reach For A Tube Of Relief For temporary relief, apply a non-prescription haemorrhoid preparation. Both ointments and suppositories are quite effective. No need to spend a bundle on these salves. However, most of them are based on a similar formula, so you can get the generic brand rather than name-brand ointment. You can also use plain old non-medicated petroleum jelly.

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:

6. Wipe Gingerly Wipe with moistened toilet paper, which is less abrasive. And wipe gently. Rough toilet hygiene can irritate a hemorrhoid. Also avoid using scented or colored toilet paper, which contains chemicals that may irritate hemorrhoids.

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

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.

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.

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

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.

1) If you have hard stool less then three times a week. 2) Often strain during bowel movements. 3) Are bloated or feeling discomfort. There is no scientific evidence that body absorbs more toxins if you have irregular or infrequent stool, but one thing is sure, as your stool ''waits'' inside, more and more water is absorbed by your body and stool becomes harder and harder.

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.

* 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:

1. Exercise - But Not Too Hard You should avoid activities that put a strain on hemorrhoids such as lifting weights or cycling. It is recommended to do swimming. You can resume your usual exercise routine once the flare-up is over. Regular exercise can help prevent hemorrhoids by helping to regulate your bowel movements.

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

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.

Constipation can be divided between the recent (acute) or long-term (chronic). Long term constipation requires fast medical check-up and diagnosis because it can be caused by dangerous medical problems.

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.

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.

3. Sit In A Sitz Bath Sit in a tub filled with 6 to 8 inches of warm water for 10 minutes, three times a day. Add 1 cup of Epsom salts if you wish. It can help reduce the swelling and can be quite soothing.

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.

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

Slow-paced transit of digesting food through colon is the most common source for constipation. Alternate causes may be medications (iron supplements, antidepressants, pain medications), diet (shortage of fiber), bad bowel movement habits, over use of laxatives, colon diseases, hormonal disorders or pelvic floor dysfunction.

* 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.

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:

* 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 one of these basic methods are not sufficient to point to constipation source, your doctor can also perform one of the consequent methods similar for diagnosing cause of constipation and hemorrhoids: colonic motility studies, abdominal x-ray or blood tests.

During digestion, waste is pushed through your intestines by muscle contractions and during that, most of water and salt is absorbed back. If your water intake is inadequate, water absorbed by digestion will stiffen your stool causing intestinal slowdown.


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.


 
 
     
 
 





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