
humiliation of hemorrhoids you already know how challenging managing these blood gorged veins can be. Over half of all people age 45 and older have hemorrhoids. The information below will help you to gain a better understanding as to what you are dealing with and provide a number of useful ideas for both home and/or professional care. Hemorrhoids quite simply are enlarged veins in the anal canal. Hemorrhoids are a common problem in both men and women after the age of 45. Also known as piles, hemorrhoids can be internal or external. Internal hemorrhoids arise near the beginning of the anal canal and cannot be seen by the naked eye. External hemorrhoids are visible as a bulge under the skin outside the anus. Hemorrhoids often lurk silently creating few or no problems. However, bleeding is a common symptom. Traces of bright red blood may appear on the toilet paper or in the toilet. When they protrude from the anus, hemorrhoids tend to produce itching and a mucous discharge. In some people, hemorrhoids cause painful bowel movements. Hemorrhoids that contain a blood clot (thrombosed) are especially painful. Fear of pain can lead to postponing defecation, which worsens the situation, as the stool remaining in the rectum becomes drier and harder. The main cause of hemorrhoids is persistent straining to move the bowels, often related to a diet low in fiber and consequent constipation. Non fibrous stools are dry and hard, and require straining to pass. Hemorrhoids are particularly apt to bulge when a constipated person strains to produce a bowel movement. Obese people and people with advanced cirrhosis (a severe liver condition) are at special risk of developing hemorrhoids. Pregnant women are prone to hemorrhoids temporarily, until several weeks after childbirth. Heredity and aging also have a role in hemorrhoid development and severity. Conventional Diagnosis and Treatment For the most part hemorrhoids are not serious. On the other hand, they can be quite painful, cause rectal itching, rectal bleeding, and can be a sign of rectal or colon cancer. Therefore they must be taken seriously. Individuals who experience rectal bleeding should seek prompt medical attention even when they believe that the bleeding incurred is from hemorrhoids. Diagnosis is confirmed though a rectal examination and tests, such as sigmoidoscopy (a diagnostic procedure that allows the physician to see upward into the rectum and the sigmoid colon using a lighted tube). It is not uncommon after testing has confirmed the presence of hemorrhoids for your physician to suggest diet modification (adding fiber) along with increased fluid intake. Doctors who deem this natural approach to be the best option generally suggest a diet consisting of fiber rich fruits, vegetables, and whole grains along with seven or eight glasses of water a day. This will soften stools, make them easier to pass, and decrease the pressure on hemorrhoidal veins. Responding promptly to the urge to eliminate is also important, as is good hygiene. Doctors advise people with hemorrhoids to use moist, soft toilet paper and to pat rather than wipe after bowel movements. Warm baths or sitz baths, cold packs, over the counter suppositories, and homeopathic or natural remedies can sometimes be successful as home remedies. When symptoms such as bleeding and pain persist, or when an internal hemorrhoid has prolapsed or fallen out of the anus, further treatment may be necessary. Options include destroying hemorrhoids with a laser, which seals blood vessels as it cuts the hemorrhoids; cryosurgery (removal by freezing); sclerotherapy (injection of a chemical solution into hemorrhoids that causes them to shrink); shrinking swollen veins with electric currents; and hemorrhoidectomy (surgical removal of hemorrhoids). Just to recap there are two types of hemorrhoids. External hemorrhoids form on the rim of the anus, and internal hemorrhoids develop inside the anal canal and sometimes hang downward out of the anus as a result of bowel movements or childbirth. Either type can cause itching, pain, or bleeding. Hemorrhoid Home Care These measures can be taken to reduce the pain and itching of hemorrhoids (if pain persists, a specialist should be contacted as soon as possible). *Implement an over the counter hemorrhoid treatment. Keep a close watch to make sure whatever type of treatment you choose is working. If not, a different approach might be called for. *Soak in a hot bath for about a half hour three times a day *Implement a high fiber diet that includes fruits, vegetables, and soluble fiber *Drink seven or eight glasses of water a day to keep the stool moist and pliable *Apply an ice pack to the anal area *Keep the anal area clean by cleansing with a moist piece of toilet paper after defecating *Avoid sitting or standing for long periods of time *Lie down when possible to relieve pressure *Consider using a gentle, all natural stool softener *Exercise regularly *When nature calls don’t wait, waiting will only make things worse as stool will tend to harden
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