What Are The Signs And Symptoms Of An External Or Thrombosed Hemorrhoid
Thrombosed external hemorrhoids are a painful condition. These occurs when a blood clot develops in a hemorrhoidal blood vessel causing swelling and inflammation.
- When a blood clot occurs in a hemorrhoid, the hemorrhoid will become even more swollen. This swelling leads to increased pain.
- The pain is usually worse with bowel movements and may increase with sitting.
A thrombosed external hemorrhoid may resolve on its own however, this condition often needs medical care. Bleeding with a bowel movement is never normal and should prompt a visit to a health-care professional. While hemorrhoids are the most common cause of bleeding with a bowel movement, there may be other reasons for bleeding including inflammatory bowel disease, infection, and tumors.
How To Tell The Difference Between Hemorrhoids And Cancer
Hemorrhoids and cancer are two entirely different conditions, yet still, one can find it hard to understand the difference between both. The symptoms require proper check-ups to tell the difference between hemorrhoids and cancer.
In this article, youll read about what hemorrhoids are and how can you know if you have hemorrhoids or something more serious. Youll be reading whether hemorrhoids cause back and stomach pain or not.
Treatments For Fissures And Hemorrhoids
Dr. Miller: When do you treat a fissure or hemorrhoids with a procedure?
Dr. Pickron: I’ll talk about the fissures first and probably maybe 10 or 20% of those are actually treated surgically. We have creams that we can use that generally take care of things. If that doesn’t work, Botox injection is an option. If those don’t work, then the last resort is certainly surgery.
Dr. Miller: So that’s treatment for fissures, how do you treat hemorrhoids?
Dr. Pickron: Again, most of these are treated non-operatively. There are procedures in the office we do. The most common thing we do is a procedure called rubber band ligation, where we put rubber bands around the hemorrhoids on the inside. That sounds pretty painful, but truthfully the internal hemorrhoids really have no sensation, so it’s a very easy procedure to do and very well tolerated. It’s usually just some mild pressure for about 24 hours and that’s it. The ones that do need to be treated surgically, like I said, are typically the external ones and those are, fortunately for patients, fairly rare.
Dr. Miller: It would seem to me to be rare, but are there times that the pain could be induced by something like a cancer?
Dr. Pickron: It is. That’s certainly one reason that these symptoms need to be evaluated very thoroughly.
Dr. Miller: So if they’re going on for weeks, that’s something that probably ought to be looked at?
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Sowhats Causing My Itchy Bottom
What patients often suffer from is the result of, ironically, being too clean.
What happens is a vicious circle. Filled with good intentions, you try to keep your bottom scrupulously clean by vigorous wiping using flushable wipes, Dr. Zutshi says. But the unexpected result is that this leads to soreness and itching and the feeling that you have abnormal down there, which in your dictionary is hemorrhoids.
When To Call Your Doctor
Even if you think it’s from hemorrhoids, you should call your doctor about any rectal bleeding. It’s also a symptom of colon polyps, colitis, Crohn’s disease, diverticulitis, and colorectal cancer. Anal fissures can also cause pain and bleeding. So you’ll want to make sure you get the right diagnosis and treatment.
If your hemorrhoids are very painful or aren’t getting better after you’ve tried treating them yourself, let your doctor know.
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Dietary Changes And Self Care
If constipation is thought to be the cause of your haemorrhoids, you need to keep your stools soft and regular, so that you don’t strain when passing stools.
You can do this by increasing the amount of fibre in your diet. Good sources of fibre include wholegrain bread, cereal, fruit and vegetables.
You should also drink plenty of water and avoid caffeine .
When going to the toilet, you should:
- avoid straining to pass stools, because it may make your haemorrhoids worse
- use moist toilet paper, rather than dry toilet paper, or baby wipes to clean your bottom after passing a stool
- pat the area around your bottom, rather than rubbing it
Read more about preventing constipation.
Is It Better To Sit Or Stand With Hemorrhoids
Many patients wonder whether it is better to sit or stand with hemorrhoids. Unfortunately, the best response is neither. You should never sit or stand for a long period of time.
The best way to alleviate the symptoms of hemorrhoids is to frequently move around. Like sitting, standing for long periods of time is a common cause of hemorrhoids.
As blood above the rectum exerts pressure on the rectal and anal areas, hemorrhoids become swollen when you stand for long periods of time.
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What Is The Best Sitting Position For Hemorrhoids
The best sitting position to help deal with the symptoms of hemorrhoids is to find a way to take the load off. If you cant sit less, you should try to sit wisely. You can do this by:
- Adjusting your sitting position on the toilet.
- Although it might sound funny, squatting is the best way to have a bowel movement. Thats why billions of people around the world still use the old tradition of this position. When you squat with your knees against your abdomen, you create a better internal alignment to help release your bowels.
- Use a cushion. When it comes to hemorrhoids, sitting is a major problem for most patients. Whether you are trying to prevent the occurrence or recurrence or alleviate the painful symptoms, you should try to sit on a cushioned set. When you put a thick cushion or pillow under your rectum, it will alleviate the risk of hemorrhoids associated with hard chairs or benches.
- Keep your rear end cool and dry.
- If you have had hemorrhoids, you know that heat and moisture between your cheeks can add to uncomfortable feelings and itchiness. You should keep your anal area clean and dry. Choose loose fitting clothing. When you sit in constricted, hot, moisture-trapping clothes, you can make the
Whyovercleaning Can Lead To Feeling Dirtier
The problem is the chemicals in the wipes dry out your bottom. So your skin works to produce more oil. And it still feels dirty down there. Vigorous wiping causes irritation of the superficial layers of the skin, repeatedly causing itching and burning, says Dr. Zutshi.
So what are those extra skin flaps? Theyre normal for many of us as we age. Women whove had children often have hemorrhoids during pregnancy that resolve later. But the stretched skin loses its elasticity and those folds in the perianal area are what patients feel.
This is the point where you self-diagnose hemorrhoids, Dr. Zutshi says, and start using medicated wipes and creams adding more chemicals that continue to make the situation worse. Even the alcohol-free wipes contain chemicals. And so the cycle continues. Remember: The skin in that area is delicate, is never exposed to the sun and should be treated with gentleness.
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What Are The Symptoms Of Hemorrhoids
Rectal cancer can cause many symptoms and signs that require a person to seek medical care. However, rectal cancer may also be present without any symptoms, underscoring the importance of routine health screening. Symptoms and signs to be aware of include the following:
- Seeing blood mixed with stool is a sign to seek immediate medical care. Although many people bleed due to hemorrhoids, a doctor should still be notified in the event of rectal bleeding.
- Change in bowel habits
- Prolonged rectal bleeding may lead to anemia, causing fatigue, shortness of breath, lightheadedness, or a fast heartbeat.
- Bowel obstruction
- A rectal mass may grow so large that it prevents the normal passage of stool. This blockage may lead to the feeling of severe constipation or pain when having a bowel movement. In addition, abdominal pain, discomfort, or cramping may occur due to the blockage.
- The stool size may appear narrow so that it can be passed around the rectal mass. Therefore, pencil-thin or narrow stools may be another sign of an obstruction from rectal cancer.
- A person with rectal cancer may have a sensation that the stool cannot be completely evacuated after a bowel movement.
- Weight loss: Cancer may cause weight loss. Unexplained weight loss requires a medical evaluation.
Your Internal Hemorrhoid Problem
Visit your doctor to learn more about this issue and discuss the treatment approach that’s right for you. To find a local colorectal specialist, try our Find a Doctor database.
As with all medical issues, your physician is the ultimate source as to what procedure best fits your needs. Discuss all options and get a second opinion if you have any doubts. These articles are intended to be a source of general information only.
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How Are Hemorrhoids Treated
Your healthcare provider will create a care plan for you based on:
- Your age, overall health, and past health
- How serious your case is
- Whether you have internal hemorrhoids, external hemorrhoids, or both
- How well you handle certain medicines, treatments, or therapies
- If your condition is expected to get worse
- What you would like to do
The main goal of treatment is to reduce your symptoms. This may be done by:
- Sitting in plain, warm water in a bathtub several times a day
- Using ice packs to reduce swelling
- Using hemorrhoid creams or medicines inserted into your rectum
Your healthcare provider may also suggest that you add more fiber and fluids to your diet to help soften your stools. Having softer stools means you don’t have to strain during bowel movements. This reduces the pressure on your hemorrhoids.
Adding more fiber to your diet means eating more:
Tips to help you get the most from a visit to your healthcare provider:
Causes And Risk Factors Of Hemorrhoids
You may be more likely to get hemorrhoids if other family members, like your parents, had them.
Pressure building up in your lower rectum can affect blood flow and make the veins there swell. That may happen from:
- Pushing during bowel movements
- Anal sex
People who stand or sit for long stretches of time are at greater risk, too.
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Whats The Best Way To Get Rid Of Hemorrhoids
There are a few remedies you can try to treat hemorrhoids at home, Dr. Bedford says. First, eating a high-fiber diet, exercising regularly, and drinking plenty of liquids can help make your poop softer and move it along more easily, so it doesnt cause extra irritation to your hemorrhoids. Avoiding sitting for long periods of time can also minimize discomfort.
Taking a sitz bath for 20 minutes a night for a week or two will also help keep the anal area clean, reduce inflammation, and generally make you feel more comfortable. Simply sit in a bathtub filled with 3 to 4 inches of warm water or buy a plastic tub that holds the water and fits over your toilet seat.
If youre still having trouble, there are over-the-counter hemorrhoid creams and ointments that can help, like Preparation H. These can help decrease inflammation and help shrivel up or shrink hemorrhoids, Dr. Bedford says. If that doesnt do the trick, your doctor may recommend a prescription cream or suppository to try to fix the situation.
What Is The Treatment For Rectal Cancer
Surgery is likely to be the only necessary step in treatment if stage I rectal cancer is diagnosed.
The risk of the cancer coming back after surgery is low, and therefore, chemotherapy is not usually offered. Sometimes, after the removal of a tumor, the doctor discovers that the tumor penetrated into the mesorectum or that the lymph nodes contained cancer cells . In these individuals, chemotherapy and radiation therapy are offered after recovery from the surgery to reduce the chance of the cancer returning. Chemotherapy and radiation therapy given after surgery is called adjuvant therapy.
If the initial exams and tests show a person to have stage II or III rectal cancer, then chemotherapy and radiation therapy should be considered before surgery. Chemotherapy and radiation given before surgery is called neoadjuvant therapy. This therapy lasts approximately six weeks. Neoadjuvant therapy is performed to shrink the tumor so it can be more completely removed by surgery. In addition, a person is likely to tolerate the side effects of combined chemotherapy and radiation therapy better if this therapy is administered before surgery rather than afterward.
The following chemotherapy drugs may be used at various points during therapy:
Medications are available to alleviate the side effects of chemotherapy and antibody treatments. If side effects occur, an oncologist should be notified so that they can be addressed promptly.
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Hemorrhoids And Anal Sex Okay
I want to know if you are able to have anal sex when you have hemorrhoids, and if there is a way that it will only hurt as much as it does to have sex that way without them. And if so, how can I reduce the pain?
Anal sex shouldn’t hurt. However, having hemorrhoids can make anal sex painful. In addition, people who find anal sex painful often do not use enough water-based lube others are not relaxed or aroused enough. Using lots of silicone- or water-based lube â which makes anal sex more slippery and wet â can increase pleasure for both you and your partner. Relaxation will also minimize or prevent the possibility of tearing the thin lining of the rectum, and make insertion easier and more comfortable. Some people relax by taking a warm bath others begin with a massage, starting with the butt and inner thighs, then gently playing in and around the anal sphincter with a finger. As the sensations become more comfortable and pleasurable, some people experiment by placing more fingers inside the anus. Others might progress to a small sex toy, or be ready to be penetrated by a larger toy, or even a penis. Communication with your partner about what feels good and how you want to be touched is essential for enjoyable anal play.
When To Seek Medical Advice
See your GP if you have persistent or severe symptoms of haemorrhoids. You should always get any rectal bleeding checked out, so your doctor can rule out more potentially serious causes.
The symptoms of haemorrhoids often clear up on their own or with simple treatments that can be bought from a pharmacy without a prescription . However, speak to your GP if your symptoms don’t get better or if you experience pain or bleeding.
Your GP can often diagnose haemorrhoids using a simple internal examination of your back passage, although they may need to refer you to a colorectal specialist for diagnosis and treatment.
Some people with haemorrhoids are reluctant to see their GP. However, theres no need to be embarrassed, because GPs are very used to diagnosing and treating haemorrhoids.
Read more about diagnosing haemorrhoids.
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The Shockingly Simple Fix
The solution often surprises many people, which is splash some water on it.
Rather than cleaning yourself with flushable wipes, use a bidet a water spray which can you install on your toilet, or even a portable, spray bottle version or a plastic sitz bath which is available at any drug store. Pat dry after that and do it gently.
Whatever method you choose, rinse the area with water to clean it, then pat dry, Dr. Zutshi says. Dont use soap and water, unless its very mild like Ivory® or Dove® the chemicals in soap dry the area too. Just plain water works fine.
My patients tell me that after they started doing this, their itching and discomfort went away, she says.
You can also use a barrier cream, like Desitin® or Calmoseptine® , when experiencing discomfort and then later, as needed, to calm the area.
So the moral of the story: Dont overclean yourself with chemicals. Let water do the work.
Which Donut To Sit On For Hemorrhoids
When it comes to donut cushions, there are many products to choose. The market is flooded with different companies and different products to help alleviate the symptoms of hemorrhoids while you sit.
Besides quality and look, hemorrhoid donuts come in all sorts of shapes and sizes. Some donuts are inflatable, some are made of foam, and some are ergonomically created to help disperse pressure in a helpful way while you sit.
To choose the best donut to sit on with hemorrhoids, it really depends on which product fits your exact needs and makes you the most comfortable.
The outside area of the donut is built up with excess padding and the ring connects so there are no gaps that could cause sitting to trigger your pressure points.
Even travel donuts are available for frequent travelers or those who need a less obvious option when using a donut in public.
In addition to hemorrhoid relief, donut cushions can also:
- Elevate the back of the rear for maximum weight relief
- Offer balance
- Reduce pressure in the legs, upper thighs, and rear
There Are Two Types Of Hemorrhoids:
- Internal Hemorrhoids
- External Hemorrhoids
Internal hemorrhoids develop inside of the anal cavity. It is impossible to see this type of hemorrhoid, unlike external hemorrhoids which are visible in the mirror as they develop outside of the anal sphincter. In some situations, it is possible to feel the presence of an internal hemorrhoid just inside the anal cavity, but you cant always depend on this.
If you have never had hemorrhoids before, then you may have a few questions as to the specifics of the condition. Here is a quick guide to how to determine whether or not you have hemorrhoids with answers to a couple of frequently asked questions.