Causes Of Hemorrhoids In Males

What Is The Best Treatment For Hemorrhoids

Given the numerous options for hemorrhoid treatment, the obvious question is which option is best. Rubber band ligation has a lower rate of recurrence than competitors.53â55 Guidelines from the American College of Gastroenterology33 and the American Society of Colon and Rectal Surgeons34 conclude that rubber band ligation is the most effective office-based therapy. Surgery has the lowest rate of recurrence, but has more pain and complications.42 There are a number of shortcomings to the literature, however, making it challenging to determine the best treatment. Table 1.

When Should You Call Your Doctor

Common symptoms of hemorrhoids may be a sign of other serious health problems. Colon or rectal cancer and other conditions have many of the same symptoms as hemorrhoids. Call your doctor if you have symptoms like these:

• Stools are black or tarry or change size and shape.
• Rectal bleeding becomes heavy or changes colour .

If you have hemorrhoids, call your doctor if:

• Moderate rectal pain lasts longer than 1 week after home treatment.
• Pain or swelling is severe.

How To Get Rid Of Hemorrhoids: Diagnosis And Treatments

Most individuals who have hemorrhoids discover them by either

• feeling the lump of an external hemorrhoid when they wipe themselves after a bowel movement,
• noting drops of blood in the toilet bowl or on the toilet paper, or
• feeling a prolapsing hemorrhoid after bowel movements.

This is true whether or not hemorrhoids are found during anoscopy.

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Do Hemorrhoids Go Away On Their Own

If you already have hemorrhoids, youre probably wondering what you can do to get rid of them ASAP. Luckily, you may not have to do much of anything.

Most hemorrhoids resolve spontaneously or respond well to conservative treatment measures, Schmaing says.

Smaller hemorrhoids may clear up on their own in just a few days. But larger, more severe ones can take longer to soothe and may cause discomfort. If thats the case, dont be afraid to pay a visit to your doctor.

While most hemorrhoids may resolve on their own, its always a good idea to see your primary care provider if you experience any symptoms of rectal pain, itching or bleeding, Schmaing explains. Most medical professionals are trained to treat hemorrhoids because theyre so common, and they can refer you to a specialist, if needed.

How Do Men Get Rid Of Haemorrhoids

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How To Treat Hemorrhoids

The good news: Hemorrhoids arent hard to treat. Your first line of defense is to try an over-the-counter cream, ointment, or suppository that contains the steroid hydrocortisone. This hemorrhoid treatment drug helps reduce inflammation, pain, and itching.

If your symptoms dont clear up within about a week, make an appointment with your primary care doctor, says Gina Sam, M.D., director of the Gastrointestinal Motility Center at the Mount Sinai Hospital. You may need a prescription medication that contains a combination of hydrocortisone and lidocaine to better control your swelling and pain.

Hemorrhoids still giving you pain? Ask your doctor to refer you to a gastroenterologist or proctologist. The specialists can treat severe cases of hemorrhoids or any complications, such as a blood clot, persistent bleeding, or a prolapse. In these scenarios, you may have to undergo a minimally invasive or surgical procedure to shrink your hemorrhoids.

Economic Costs And Impact

There are specific ICD-9 and ICD-10 codes for hemorrhoids. These codes could be used with large administrative, Medicare or VA databases to examine visits, costs, comorbid illnesses and treatments. There are Common Procedure Terminology codes for various interventions that are used to treat hemorrhoids. These codes could be used to estimate regional variation, time trends and costs.

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What Are The Signs And Symptoms Of An Internal Or Prolapsed Hemorrhoid

• May enlarge and swell even more if it cannot be pushed back
• May become entrapped, which requires more urgent medical attention

Hemorrhoids may also cause , and a constant feeling of needing to have a bowel movement .

Internal hemorrhoid severity can be graded:

• Grade I: Prominent blood vessels with no prolapse
• Grade II: Prolapse with bearing down but with spontaneous reduction
• Grade III: Prolapse with bearing down but requiring manual reduction
• Grade IV: Prolapse with inability to manual reduction

Preventing And Treating Haemorrhoids

Haemorrhoid symptoms often settle down after a few days, without needing treatment. Haemorrhoids that occur during pregnancy often get better after giving birth.

• gradually increasing the amount of fibre in your diet good sources of fibre include fruit, vegetables, wholegrain rice, wholewheat pasta and bread, pulses and beans, seeds, nuts and oats
• drinking plenty of fluid particularly water, but avoiding or cutting down on caffeine and alcohol
• not delaying going to the toilet ignoring the urge to empty your bowels can make your stools harder and drier, which can lead to straining when you do go to the toilet
• avoiding medication that causes constipation such as painkillers that contain codeine
• exercising regularly can help prevent constipation, reduce your blood pressure and help you lose weight

These measures can also reduce the risk of haemorrhoids returning, or even developing in the first place.

Medication that you apply directly to your back passage or tablets bought from a pharmacy or prescribed by your GP may ease your symptoms and make it easier for you to pass stools.

There are various treatment options for more severe haemorrhoids. One of these options is banding, which is a non-surgical procedure where a very tight elastic band is put around the base of the haemorrhoid to cut off its blood supply. The haemorrhoid should fall off after about a week.

Read more about treating haemorrhoids and surgery for haemorrhoids.

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Southern Cross Medical Library

The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.

What Are The Surgical Treatments For Piles

Haemorrhoidectomy A surgical procedure to cut away the haemorrhoid is an option to treat grade 3 or 4 piles or for piles not successfully treated by banding or other methods. The operation is done under general anaesthetic and is usually successful. However, it can be quite painful in the days following the operation.

Stapled haemorrhoidopexyA circular stapling gun is used to cut out a circular section of the lining of the back passage above the piles. This has the effect of pulling the piles back up the back passage. It also has the effect of reducing the blood supply to the piles and so they shrink as a consequence. Because the cutting is actually above the piles, it is usually a less painful procedure than the traditional operation to remove the piles.

Haemorrhoidal artery ligationThe small arteries that supply blood to the piles are tied . This causes the haemorrhoid to shrink.

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What Are Hemorrhoids Symptoms Causes Diagnosis Treatment And Prevention

Everyone has hemorrhoidal tissue in this area thats made up of blood vessels, connective tissue, and some muscle. These cushions dont always become enlarged or distended, but as we age, this phenomenon becomes more common causing what we call hemorrhoids, also known as piles.

Hemorrhoids can be caused in a number of ways, most commonly by straining to make a bowel movement. Lifting heavy objects, along with other activities that may cause straining, can also lead to hemorrhoids. Experiencing increased pressure during pregnancy and being overweight are other contributing factors.

Hemorrhoids may be painful and particularly bothersome if they are recurrent, but theyâre not dangerous or life-threatening, and symptoms usually go away within a few days. There are plenty of effective ways to treat them, as well as options for the less common types of hemorrhoids that may be more problematic.

What Causes Internal And External Hemorrhoids And Simple Ways To Treat Them

Hemorrhoids are usually caused by increased pressure due to pregnancy, being overweight, or straining during bowel movements. By midlife, hemorrhoids often become an ongoing complaint. By age 50, about half the population has experienced one or more of the classic symptoms, which include rectal pain, itching, bleeding, and possibly prolapse . Although hemorrhoids are rarely dangerous, they can be a recurrent and painful intrusion. Fortunately, thereâs a lot we can do about hemorrhoids.

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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:

Treatment Of Hemorrhoids In Men

Full healing of hemorrhoids can be guaranteed only by an integrated approach changing lifestyle, fulfilling doctors appointments. The result of self-treatment of the disease is its transition to the next stage.

First stage treatment

When referring to a proctologist at the first stage of the disease, the doctor usually recommends making changes in lifestyle, prescribing rectal suppositories, it is possible to use methods of traditional medicine at the same time.

Second stage treatment

In addition to previous tools, minimally invasive techniques are used:

• Sclerotherapy In the vessels are inserted gluing them drugs.
• Cryotherapy. The nodes are frozen with liquid nitrogen, after their withering away there is a small wound-trace.
• Electrocoagulation. Hemorrhoids are exposed to low voltage current.
• Laser coagulation. Carbon dioxide or neodymium lasers are used.

Also latex rings are superimposed on the hemorrhoidal nodes, after some time the node disappears.

Third stage treatment

In addition to rectal suppositories, ointments of the same name are prescribed, since the nodes are often outside.

Fourth stage treatment

The option worse than nowhere is treated mainly by surgery the removal of nodes.

The use of methods of traditional medicine, homeopathy, hirudotherapy, acupuncture, acupressure can give good results. But only with the recommendations of the attending proctologist, based on individual studies of the body of a particular man.

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Both Age & Gender Can Affect The Chances Of Hemorrhoids Developing

It should be pointed out that both a persons gender and age can affect a their chances of developing hemorrhoids. For example, as we get older the connective tissues that hold and support and cause hemorrhoids to form.

Hemorrhoids can also affect women more than men in that they are very common during pregnancy. However, hemorrhoids are also extremely common in men in that sitting for long periods of time, improperly lifting heavy objects, or straining while on the toilet can cause them to form.

It is important to note that while hemorrhoids do not typically affect one gender more than the other, women are more prone to report the presence of hemorrhoids to their doctors than men, but tend to receive less treatment for hemorrhoids.

Modify Your Daily Activities

• Avoid prolonged sitting or standing. Take frequent short walks.
• If possible, avoid lifting heavy objects frequently. If you must lift heavy objects, always exhale as you lift the object. Don’t hold your breath when you lift.
• If you are pregnant, sleeping on your side will lower pressure on the blood vessels in your pelvis. This can help keep hemorrhoids from becoming bigger.

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How To Prevent Hemorrhoids

First, make your bathroom time into an express experience, says Mitchell Bernstein, M.D., Director in the Division of Colon & Rectal Surgery at NYU Langone Health. In fact, you shouldn’t spend longer than 15 minutes on the toilet.

The longer you linger, the more pressure youll be exerting in your intra-abdominal region, he says. That can cause blood to pool in the veins in and around your rectum, leading to hemorrhoids.

Also, increase your water and fiber intake. Shoot for at least 25 grams of fiber per day from sources such as oatmeal, prunes, fruits, vegetables, and beans, says Dr. Sheth.

Youve heard that directive before, and heres just one more reason to focus on it. With that combo, your stools will become more pliable, shortening the time of transit through your digestive system, and also making it easier to poop.

That reduces or even eliminates the need for any straining or pushing when youre on the toiletan action that causes significant pressure on the veins and can lead to inflammation.

When your time to poop arrivesalways a joyous eventdont put it off. The longer you delay, the more water will be reabsorbed into the colon, making your stool harder to pass. That increases your chances of constipation and hemorrhoids.

How to Tell If Your Poop is Normal:

When Do I Need To See A Health Care Provider For Hemorrhoids

You should see your health care provider if you:

• Still have symptoms after 1 week of at-home treatment
• Have bleeding from your rectum. Hemorrhoids are a common cause of bleeding, but other conditions can also cause bleeding. They include Crohn’s disease, ulcerative colitis, colorectal cancer, and . So it’s important to see your provider to find the cause of the bleeding.

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What About Strangulated Or Thrombosed Piles

Strangulated or thrombosed haemorrhoids are uncommon but usually very painful. You may need to be referred for assessment in hospital. Treatments usually include bed rest, medication for pain relief, hot baths, ice packs and keeping your stools soft . Surgery may be needed to remove the haemorrhoid.

Can I Prevent Hemorrhoids

Benjamin Franklins phrase, An ounce of prevention is worth a pound of cure, was made in reference to fire prevention, but the same wisdom applies to health and specifically to hemorrhoids. Making proactive lifestyle choices can help prevent hemorrhoids from occurring or recurring.

Most important? Eat a high-fiber diet. Consuming lots of fruits, vegetables, and other high-fiber foods including nuts, seeds, and whole grains will help produce normal bowel movements. Drinking plenty of water is central to a high-fiber diet. Hydration works together with the fiber to help keep you regular. And dont forget to exercise! Keeping the body moving helps keep everything inside the body moving as well.

Two more tips for prevention: First, when you feel the urge to go, go! Allowing bowel movements to happen regularly will help prevent constipation. Second, limit the time you spend sitting on the toilet to reduce pressure on the rectal area.

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How Are Haemorrhoids Diagnosed

• Digital rectal examination, where your doctor puts on gloves and places a lubricated finger inside the back passage to gently feel for any abnormalities. This is likely to be uncomfortable but will probably not be painful.
• Proctoscopy, where your doctor examines the inside of the rectum using a proctoscope to look for any swelling or other symptoms. Again, this may be uncomfortable but will probably not be painful.

There is no need to feel embarrassed about these tests haemorrhoids are a common problem and your doctor is used to diagnosing and treating them.

In some cases, your doctor may refer you to a surgeon who can assess your haemorrhoids and recommend a treatment.

What Are The Symptoms Of Hemorrhoids

Internal hemorrhoids rarely cause pain unless they prolapse. Many people with internal hemorrhoids dont know they have them because they dont have symptoms.

If you have symptoms of internal hemorrhoids, you might see blood on toilet paper, in stool or the toilet bowl. These are signs of rectal bleeding.

Signs of external hemorrhoids include:

• Rectal bleeding.

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Who Is At Risk For Hemorrhoids

Hemorrhoids are one of the most common gastrointestinal illnesses. They affect both males and females of all races, in all age groups. But there are some factors that can put you at higher risk including:

• GeneticsA family history of hemorrhoids puts you at higher risk. Doctors will often ask whether family members suffer from hemorrhoids in order to identify a genetic tendency.
• AgingThe risk of hemorrhoids increases with age. While children and young adults do experience hemorrhoids, they are most common in adults 45-65 years old.
• ObesityBody weight can contribute to the risk of hemorrhoids since heavier weight can cause additional strain on the body and contribute to a more sedentary lifestyle.
• NutritionA poor diet that lacks fiber often leads to constipation and straining during bowel movements.
• PregnancyThe weight of carrying a baby during pregnancy can put increased pressure on the pelvic area. Thankfully, these will often resolve completely after delivery of the baby.