Classification Of Internal Hemorrhoids:
- Grade 1 – A hemorrhoid is present but only visualized by a doctor with ansocopy or colonoscopy. The hemorrhoid does not extend out the anus.
- Grade 2 – The hemorrhoid extends out of the anus with a bowel movement or with straining. After your BM, the hemorrhoid goes back inside on its own.
- Grade 3 – The hemorrhoid extends out of the anus with a bowel movement or with straining. You have to manually push the hemorrhoid back inside the anus. If you have this, you should seek medical attention, but it is not urgent.
- Grade 4 – A hemorrhoid extends outside the anus and are not able to be manually pushed back inside. If you have this seek medical attention immediately. There are significant potential complications.
Hemorrhoids And What To Do About Them
Hemorrhoids are sometimes described as varicose veins in the lower rectum or anus. They’re very common, and almost three out of four adults will have them at some point during their lives. Hemorrhoids can be internal or external. Internal hemorrhoids are swollen veins that develop inside the rectum. External hemorrhoids are swollen veins under the skin around the anus.
You can experience differing symptoms depending on the location of your hemorrhoids. Signs and symptoms of external hemorrhoids can include:
Irritation and itching in and around your anus
Pain and discomfort
Sensitive lumps in your anal area
Unlike external hemorrhoids, internal hemorrhoids usually can’t be seen, and often don’t cause obvious symptoms until or unless you’re having a bowel movement.
In Most Cases You Won’t Know They’re There But If Things Change Home Remedies Often Help
You received good news after your last colonoscopy: no cancer or precancerous polyps. But with the good news came with a surprise finding: though you don’t have symptoms, you do have diverticulosis and hemorrhoids. The news may be puzzling, but don’t worry. “Both conditions are common and usually don’t cause any problems,” says Dr. Kyle Staller, a gastroenterologist at Harvard-affiliated Massachusetts General Hospital.
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Learn About Hemorrhoid Surgery & Your Alternative Options
In some cases, your doctor may recommend hemorrhoid surgery, known as hemorrhoidectomy, to remove hemorrhoids. If your doctor has recommended surgery for your hemorrhoids, it is a good idea to learn all that you can about the procedure ahead of time, so you can be comfortable and clear on what to expect.
Typically, hemorrhoid surgery is only needed for the most severe cases. In the vast majority of cases, a less invasive hemorrhoid treatment, such as rubber band ligation, can be just as effective for symptomatic hemorrhoids, without the pain and recovery time.
However, if surgery for hemorrhoids is needed, several types of hemorrhoidectomies are available, and most can be performed on an outpatient basis.
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Hemorrhoidal Artery Ligation And Recto Anal Repair
Hemorrhoidal Artery Ligation and Recto Anal Repair is a new procedure in which a miniature Doppler sensor is inserted in the anus to detect the arteries supplying blood to hemorrhoids. The surgeon can pinpoint the arteries supplying the hemorrhoids and can tie them off to cut the blood supply. The hemorrhoids are reduced almost immediately and within weeks, are no longer noticeable. The procedure is effective and virtually painless, but it is not simple.
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Why Is Haemorrhoidectomy Performed
If non-surgical treatments dont work, or the haemorrhoids are particularly large, a doctor might suggest a haemorrhoidectomy.
Removing the haemorrhoids will relieve the uncomfortable symptoms, but haemorrhoids can also return.
Less Invasive Treatment Options
Hemorrhoidectomies are generally reserved for the most severe cases or when other, less invasive treatment methods have failed. These milder treatments include the following.
Getting regular exercise and not straining, especially when you go to the bathroom, can help you avoid irritating the hemorrhoids.
Diet is also a factor. Try increasing your fluid intake and reducing consumption of fats. Add more fiber with fruits, vegetables, and whole grains. You can also take fiber supplements.
To ease symptoms such as swelling, itching, and pain, you can try the following remedies:
- Topicals. Over-the-counter hemorrhoid creams, pads, or suppositories can ease symptoms. Look for products that contain hydrocortisone, lidocaine, or witch hazel.
- Baths. Relax in a plain, warm bath. A sitz bath that fits on the toilet seat can also be helpful. You can soak for 10 to 15 minutes several times a day.
- Oral medications. Use OTC anti-inflammatories and pain relievers.
- Stool softeners. OTC stool softeners can help you avoid straining when you move your bowels.
Be sure to read labels and use only as directed. If you have any concerns at all, review your OTC medications with your doctor or pharmacist.
Minimally invasive treatments to get rid of painful hemorrhoids include the following:
Surgical removal of hemorrhoids may be an option if:
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How Are Internal Hemorrhoids Treated
Even if you require medical treatment for your symptomatic internal hemorrhoids, there are often other treatments to try before resorting to surgery. The most common of these methods is known as rubber band ligation.
Most colon and rectal specialists perform this procedure in the office, and it only take a few minutes. The doctor places a tiny band at the base of the hemorrhoid, reducing blood flow. This will shrink the inflamed tissue, stopping symptoms. Some patients require as many as four band placements to completely eliminate symptoms. This process causes only mild pain, requires no anesthesia, and you can return to work immediately.
Some doctors may prefer other procedures that work in a similar way, including sclerotherapy , infrared or laser coagulation and cryosurgery.
Can External Hemorrhoids Be Removed Completely Without Surgery
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No Phone In The Bathroom
People take their phones into the bathroom, and this habit is blamed for increasing the time on the toilet and leading to increased pressure on the anal region and straining during defecation. Some research points to a direct correlation between the time spent on the toilet and hemorrhoidal disease, although the exact cause-and-effect relationship with cell phone use has not been determined. In general, spending excessive time on the commode, including reading, should be discouraged.
What Causes External Hemorrhoids
External hemorrhoids are typically preceded by internal hemorrhoids. If you are able to catch and treat internal hemorrhoids before they cause external flare ups, you may be able to prevent the associated pain and irritation that comes with external hemorrhoids.
In short, external hemorrhoids are caused by pressure. This pressure can result from constipation, diarrhea, pregnancy, exercise, and other factors, including age, dehydration, and diet.
Constipation puts a great deal of strain on your body during bowel movements causing blood to engorge hemorrhoidal blood vessels around your anus. Pressure can also come from diarrhea, which makes the diet a critical factor in the causes of hemorrhoids. A diet rich in fats and carbs can cause irregular bowel movements, constipation, and diarrhea.
Additionally, any other factors that cause changes to your digestive system mean you are at risk for external hemorrhoids. Factors such as age, obesity, and pregnancy.
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What Happens If You Don’t Treat Hemorrhoids
If you have mild hemorrhoids, leaving them alone can be fine. The swelling and discomfort will usually go away within a few days. You will need to be gentle with the skin around your anus, of course, so that you don’t irritate the already-inflamed tissue.
Soften bowel movements
Hard bowel movements or straining to pass stools can aggravate hemorrhoids. Eating a high-fiberdiet rich in fruits and vegetables, in contrast, can make bowel movements easier to pass. Drink plenty of fluids to help soften stools. Over-the-counterstool softeners or laxatives can be used as well.
Soaking in a bathtub or sitz bath filled with warm water may ease discomfort. Some people also find adding Epsom salts will make hemorrhoids less painful. Wash the area with warm water and gentle soap if needed. Thoroughly pat the anus dry after washing. Loose-fitting clothing that doesn’t ride up your backside may be more comfortable.
You might find relief using over-the-counter treatments for hemorrhoids. Creams and ointments will reduce the pain and itching so you feel more comfortable. Follow the package instructions on these medicines.
Are There Things I Can Do To Help My Hemorrhoids
One of the best things you can do if you have hemorrhoids is improve your bowel habits. Don’t avoid going to the bathroom: use it when you need it. Hemorrhoids can result from sitting on the toilet for long periods, so it’s wise to avoid reading while in the bathroom. Sit only as long as you need to, and wipe gently with unscented toilet paper or cleansing wipes. While scent in toilet paper and wipes can cover unpleasant bathroom odors, fragrance can irritate your skin: the last thing you need if you have hemorrhoids.
Hemorrhoids are associated with constipation, which is the reason why clinicians tell people to get more fiber in their diet. High-fiber foods include fresh fruits and vegetables, whole-grain breads, and wheat bran. Drinking enough water is also important to help prevent constipation.
Getting enough exercise is also important to improve or prevent constipation. Getting at least half an hour a day of moderate exercise could help you to improve or prevent hemorrhoids.
For a hemorrhoid flare-up, you can also take a sitz bath, which means sitting in a few inches of warm, not hot, bath water. Soaking for ten minutes can relieve itching and burning that accompanies hemorrhoids. A well-insulated ice pack can also reduce swelling and pain. Always make sure you have a cloth barrier between the ice pack and your skin to prevent skin damage.
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Do Hemorrhoids Go Away On Their Own
Unfortunately, hemorrhoids won’t go away without using any treatment options. So many factors will aggravate the condition, and some of them are straining during bowel movement, sitting for long periods, constipation, frequent diarrhea, overuse of laxatives, poor diet, pregnancy, heredity factors and infection of the rectum.
There are two basic types of hemorrhoids:
- External hemorrhoids: Found just under the skin of your anus, these can be felt during examination. They cause serious itching, pain and sometimes bleeding.
- Internal hemorrhoids: Found inside the anus, your doctor cannot see it during a physical examination. These hemorrhoids will eventually push through your anus and turn into external hemorrhoids.
“How long do hemorrhoids last?” There is no single answer to this question though. Most people feel better after a couple of weeks of flare-ups, but that’s not the same for all. They may last until you go for surgery. Pain, itching and tenderness may persist because there is always pressure on rectal veins during bowel movements. Different factors may contribute to healing though.
Why Am I Experiencing Rectal Bleeding Without Pain
Bleeding in your lower gastrointestinal tract, including the lower colon and rectum, can occur without pain. Hemorrhoids are the most common cause of painless rectal bleeding, but dont presume this to be THE diagnosis. You should speak with your doctor if you have painful, itching hemorrhoids or rectal bleeding without pain. Rectal bleeding can have other causes, including anal cancer and colorectal cancer.
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What Are External Hemorrhoids
Hemorrhoids, also called piles, are clusters of veins that lie beneath the lining of the rectum and anus. When these veins become swollen, you experience what people commonly call hemorrhoids.
External hemorrhoids are the most uncomfortable and painful type of hemorrhoid.
They are found under the skin that surrounds the anus.
HemRid is a hemorrhoid supplement composed of scientifically researched ingredients that target hemorrhoids from the inside-out. If you are struggling with external hemorrhoid pain, try HemRid to get fast and long-term relief.
External hemorrhoids are often more symptomatic than internal hemorrhoids.
The are located underneath the skin that surrounds the anus. Because of their location, external hemorrhoids come with a great deal of discomfort or pain.
While external hemorrhoids are often much more obvious, understanding their causes, symptoms, and treatments is still important.
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Simple Painless Hemorrhoid Treatment Without Surgery
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Hemorrhoids are a common cause of discomfort, affecting 75 percent of people within their lifetime. They can also be uncomfortable to talk about, and many people seek the temporary relief provided by ointments and creams in the hope their hemorrhoids will simply go away so they can avoid the prospect of painful surgery. Now, Capital Health offers patients another option: hemorrhoid banding with the CRH ORegan System.
The CRH ORegan System is a non-surgical treatment option for hemorrhoids that is fast, painless, and proven to be effective, with minimal risk of complications, said Dr. Michael Kalina, board certified general surgeon at Capital Health Surgical Group. With no preparation or sedation required, the procedure can be performed in as little as 60 seconds. Patients can drive themselves to and from the appointment and immediately return to their daily lives.
Banding is the most common non-surgical hemorrhoid removal treatment in use today. A rubber band is placed around the base of the symptomatic hemorrhoid to stop blood flow to the tissue, which then dries up and falls off on its own in a week or two . Where conventional banding equipment uses metal-toothed forceps to grasp the hemorrhoid, the CRH ORegan System uses gentle suction to reduce the risk of pain and bleeding.
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How Are Hemorrhoids Diagnosed
Your doctor can tell if you have hemorrhoids by asking about your past health and doing a physical examination.
You may not need many tests at first, especially if you are younger than 50 and your doctor thinks that your rectal bleeding is caused by hemorrhoids. Your doctor may just examine your rectum with a gloved finger. Or your doctor may use a short, lighted scope to look inside the rectum.
Rectal bleeding can be a sign of a more serious problem, such as colon, rectal, or anal cancer. So if the first examination does not show a clear cause of your problems, your doctor may use a lighted scope to look at the lower third of your colon. Or your doctor may use another kind of scope to look at the entire colon to check for other causes of bleeding.
Can Hemorrhoids Be Removed During A Colonoscopy
Depending on your doctor, the state of your internal hemorrhoid, and the procedure itself, your internal hemorrhoids can be treated at the time of the colonoscopy. The most common form of internal hemorrhoid treatment for the majority of the Grades of internal hemorrhoids is called Rubber Band Ligation.
A small band is placed around the internal hemorrhoid, cutting off its blood supply. This method of strangulation forces the internal hemorrhoid to fall off in a matter of days.
Rubber Band Ligation, even when performed outside of a colonoscopy, only requires three office visits for full completion. It is a non-operative procedure that does not require a sedative with a low risk of infection or other complications.
In some cases, it can be expensive, especially when you do not have insurance.
In cases of external hemorrhoids, a colonoscopy is not needed because this type of hemorrhoid can be detected outside of the rectum in a visual examination. External hemorrhoids are hard lumps on the outside of the anus.
If your doctor requires further confirmation that the symptoms you are describing are the source of an external hemorrhoid, a visual examination can be performed. This examination is where your doctor inspects the anal-rectal area to detect for a visual indication of external hemorrhoids.
If your colonoscopy coincides with a painful and frustrating external hemorrhoid flare-up, you can proceed with an option of having your hemorrhoids treated during this procedure.
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How To Prevent The Internal Hemorrhoids
- Keeping your stools soft may postpone the incidence of hemorrhoids. This can be achieved by
- Eating high fiber foods
- Avoid straining at the toilet, which may reduce your pressure inside the rectum
- Don’t postpone bowel movements this may make your stools dry and hard to pass
- Stay active and do regular exercises
- Avoiding sedentary lifestyles
Procedure For Prolapse And Hemorrhoids
PPH uses a circular stapler to reduce the degree of prolapse. The procedure avoids the need for wounds in the sensitive perianal area thus reducing post-operative pain considerably, and facilitates a speedier return to normal activities. This procedure is for internal hemorrhoids only and not for external hemorrhoids or anal fissures.
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Types Of Hemorrhoid Surgery
Surgeries for hemorrhoids can be divided into simpler, outpatient, and less invasive procedures you can do without anesthesia and more complex, inpatient surgeries.
Depending on the severity of your symptoms, and whether you have complications, your doctor will determine whether you need surgery and the type of procedure best for you.
The severity of hemorrhoids is classified by grades as follows:
- Grade 1: no prolapse
- Grade 2: prolapse that goes away by itself
- Grade 3: prolapse that you have to push back in on your own
- Grade 4: prolapse that you cant push in on your own and causes you pain