Ointments Creams And Suppositories
- A bland soothing cream, ointment, or suppository may ease discomfort.
- One that contains an anaesthetic may ease pain better. You should only use one of these for short periods at a time .
- Preparations which contain a corticosteroid for treating piles may be advised by a doctor if there is a lot of inflammation around the piles. This may help to ease itch and pain. You should not normally use a steroid cream or ointment for longer than one week at a time.
Hemorrhoid Treatment In A Doctors Office With Or Without Surgery
Medical procedures may be needed for hemorrhoids that dont go away with home treatments.
Painful external hemorrhoids can be excised during an office visit following a shot of local anesthetic to numb the area.
For internal hemorrhoids, a few office procedures may be considered. In rubber band ligation, the most common hemorrhoid procedure performed in the United States, the doctor places a small rubber band around the base of the hemorrhoid, cutting off the hemorrhoid’s blood supply. The hemorrhoid typically shrinks and falls off within about a week, though several quick follow-up visits may be required to completely get rid of the hemorrhoid.
Other procedures include sclerotherapy, in which a chemical injected into the hemorrhoid causes scar tissue to form, shrinking the hemorrhoid and infrared coagulation, in which an intense beam of infrared light causes the scar tissue to form, cutting off the blood supply and shrinking the hemorrhoid.
If you have a large external hemorrhoid, both internal and external hemorrhoids, or an internal hemorrhoid thats prolapsed , a surgical operation called a hemorrhoidectomy may be necessary, though few patients require this procedure.
Another option that aims to reduce postoperative pain is a stapled hemorrhoidopexy, in which a device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place.
How Do I Know If I Have High Blood Pressure
Theres only one way to know if you have high blood pressure: Have a doctor or other health professional measure it. Measuring your blood pressure is quick and painless.
Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure monitoring.
High blood pressure is called the silent killer because it usually has no warning signs or symptoms, and many people do not know they have it.
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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.
What Is The Most Important Difference Between Internal And External Hemorrhoids
Internal hemorrhoids are above the dentate line and are insensate, whereas external hemorrhoids are below the dentate line and are sensate. Ablation of internal hemorrhoids causes a pressure sensation with an urge to defecate, but a similar approach to external hemorrhoids leads to excruciating pain.
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Hemorrhoid Remedy Can Raise Blood Pressure
- PEOPLE’S PHARMACYJoe and Teresa Graedon
Q. I used Preparation H for some hemorrhoid irritationin the morning before I saw my doctor for a normal checkup. Ialmost broke the blood pressure machine. They measured my bloodpressure three times because it was so high.
I was trying to think what I might have done to accountfor this. Then I read the label on Preparation H and put two andtwo together.
I wonder how many people have landed in the emergencyroom because they couldn’t handle this stuff. It seems to me thewarning should be clearer.
A. The label on Preparation H Ointment advisesconsumers to “ask a doctor before use if you have heart disease,high blood pressure, thyroid disease, diabetes or difficulty inurination due to enlargement of the prostate gland.”
People may not realize that medication inserted into the rectumis likely to be absorbed into the bloodstream and circulatethroughout the body. Because Preparation H contains avasoconstrictor called phenylephrine, it may raise blood pressurein susceptible people. You also may have experienced white coathypertension brought on by stress in the doctor’s office.
Q. I read recently that women who take vitamins diesooner than women who don’t. That puzzled me, but the vitamin I amespecially concerned about is vitamin D. My doctor has made itclear that if I don’t get enough, I am risking weakbones.
Graedons’ People’s Pharmacy
No. D-23, P.O. Box 52027
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:
- Fruits
Tips to help you get the most from a visit to your healthcare provider:
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Are There Any Treatment Options For Symptomatic Internal Hemorrhoids Based On Identifiable Physical Characteristics
Yes. Treatment is based on the grade of the hemorrhoid, which is dependent on the degree of prolapse:
-
Grade 1: No prolapse. Treat with diet and stool bulking agents. Avoid prolonged straining.
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Grade 2: Hemorrhoids prolapse through the anal canal but spontaneously reduce. In addition to the above measures, these patients may benefit from rubber band ligation or injection sclerotherapy.
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Grade 3: Hemorrhoids prolapse, and the patient has to push them back into position. These can be treated with the above measures. Some patients may elect to undergo a stapled hemorrhoidectomy or surgical hemorrhoidectomy.
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Grade 4: Hemorrhoids prolapse and cannot be reduced back into the anal canal. These typically require operative management. In severe cases, strangulation and necrosis of the hemorrhoids can occur.
Risto J. Rintala, Mikko P. Pakarinen, in, 2012
What Are The Causes Of External Hemorrhoids
The most common cause of hemorrhoids is repeated straining while having a bowel movement. This is often caused by severe cases of constipation or diarrhea. Straining gets in the way of blood flow into and out of the area. This results in the pooling of blood and enlargement of the vessels in that area.
Pregnant women may also be at an increased risk of hemorrhoids because of the pressure that the uterus places on these veins.
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Hemorrhoid Ointment Raised Blood Pressure
Q: I used Preparation H twice yesterday and once today. I noticed a headache yesterday and attributed it to a lack of sleep.
When I applied the ointment today, my headache returned. I checked my blood pressure, and it was 16 points higher than normal. My typical BP reading with meds is 117/78. A diastolic reading of 94 concerns me.
I understand that the problem with Preparation H is the phenylephrine. Do I need to avoid this medicine?
A: The active ingredients in Preparation H hemorrhoidal ointment include mineral oil, petrolatum and phenylephrine. The phenylephrine constricts blood vessels. That is why it is also found in some decongestant nasal sprays.
The instructions that come with Preparation H state: Ask a doctor before use if you have heart disease high blood pressure thyroid disease diabetes difficulty in urination due to enlargement of the prostate gland. People on blood pressure medication should generally avoid products containing vasoconstrictors, like phenylephrine.
Another reader reported that using Preparation H for a week resulted in severely elevated blood pressure. To learn more about measuring blood pressure correctly, drugs to avoid and strategies to control hypertension, you may wish to read our eGuide to Blood Pressure Solutions. It is available in the Health eGuides section of www.PeoplesPharmacy.com.
Not only were none of the pharmacy employees wearing masks, but they were not wearing gloves, either.
What Is Rectal Cancer
The rectum is the lower part of the colon that connects the large bowel to the anus. The rectum’s primary function is to store formed stool in preparation for evacuation. Like the colon, the three layers of the rectal wall are as follows:
- Mucosa: This layer of the rectal wall lines the inner surface. The mucosa is composed of glands that secrete mucus to help the passage of stool.
- Muscularis propria: This middle layer of the rectal wall is composed of muscles that help the rectum keep its shape and contract in a coordinated fashion to expel stool.
- Mesorectum: This fatty tissue surrounds the rectum.
In addition to these three layers, another important component of the rectum is the surrounding lymph nodes . Lymph nodes are part of the immune system and assist in conducting surveillance for harmful materials that may be threatening the body. Lymph nodes surround every organ in the body, including the rectum.
The American Cancer Society estimates about 95,520 new cases of colon cancer, and 39,910 new cases of rectal cancer will occur in 2017. Males are more likely than females to develop rectal cancer . The most common type of rectal cancer is adenocarcinoma , which is a cancer arising from the mucosa. Cancer cells can also spread from the rectum to the lymph nodes on their way to other parts of the body.
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Medications For Stress And Anxiety
Sometimes people take medications for stress relief and these medicines can also be the cause of constipation. Most of the popular medications and drugs contain alcohol and chemicals that interfere with intestinal processes. When these processes are disturbed, you cannot avoid constipation, no matter how good your diet is.
What Should I Do If A Hemorrhoid Bursts
A burst hemorrhoid usually doesnt require any treatment. But you may want to take a sitz bath to soothe the area and keep it clean while it heals. A sitz bath can also help to increase blood flow to the area, which aids the healing process.
To take a sitz, bath, follow these steps:
- Fill a clean bathtub with 3 to 4 inches of warm water make sure its not too hot.
- Soak the area for 15 to 20 minutes.
- Try bending your knees or putting your legs over the edge of the tub to make sure the areas submerged.
- Gently pat dry the area with a clean towel, making sure you dont rub or scrub.
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Does High Blood Pressure Cause Or Have Any Affect On Hemorrhoids
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Can Hemorrhoids Cause Rectal Pain And Pressure
When they cause symptoms, the most common are pain, itching, pressure and bleeding they can often be felt as a bulge in the skin near the anal opening. Internal hemorrhoids may be present and cause no symptoms. When they cause symptoms, the most common are painless rectal bleeding, which usually is seen as.
Hemorrhoids | Atlanta Gastroenterology Associates A. 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. Constipation, diarrhea, pregnancy, obesity and frequent straining when having a bowel movement can also be causes however, some patients will have none of these conditions.
Given that stipulation, I cannot tell you whether you have hemorrhoids or not, but I can tell you a bit about them. Hemorrhoids can be likened to varicose veins. pressure systems are also low-flow systems. When an artery is.
If you suffer from levator ani syndrome, proctalgia fugax, or any form of rectal spasm, there are tools you can use to relax the pelvic muscles and ease the pain. once your rectum goes into spasm, it then prevents the stool from coming out, so you get into a really unpleasant feedback loop of: need to poo pressure causes.
Is It Hemorrhoids or Something Else?. Other common symptoms include rectal pain, pressure, Anal fissures can cause pain,
Get the run-down on the No. 1 cause of anal bleeding: What are they, why you get them, and how you can avoid them.
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Avoid Constipation And Straining At The Toilet
Keep the stools soft, and don’t strain on the toilet. You can do this by:
- Eating plenty of fibre .
- Have lots to drink. Most sorts of drink will do but too much alcohol and caffeine should be avoided.
- Fibre supplements. If a high-fibre diet is not helping, you can take fibre supplements such as ispaghula, methylcellulose, bran or sterculia.
- Avoid painkillers that contain codeine, such as co-codamol, as they are a common cause of constipation. However, simple painkillers such as paracetamol may help.
- Toileting. Go to the toilet as soon as possible after feeling the need. Do not strain on the toilet.
- Regular exercise helps to reduce constipation.
These measures will often ease piles symptoms such as bleeding and discomfort. It may be all that you need to treat small and non-prolapsing piles . Small grade 1 piles often settle down over time.
See the separate leaflets called Constipation, Constipation in Children and Fibre and Fibre Supplements for more information.
Constipation Is A Really Big Major Cause Of Hemorrhoids In The Western World While Diarrhea Is A Major Cause Of Hemorrhoids In The Eastern World
Constipation and diarrhea both cause straining or violent bowel motions and spikes in blood pressure. They also irritate to the lower intestinal tract in general. Naturally, all of this pressure and irritation causes hemorrhoids.
The urge to defecate is very weak, so if you ignore it, it will go away for a while then more moisture gets sucked out and constipation problems just get worse and you are more likely to cause the hemorrhoids. Considering that constipation is such a major cause of hemorrhoids, you should always go just as soon as you feel the urge.
Constipation is caused by a variety of other things, including a low fiber diet, a lack of water , excessive lactic acid from dairy problems, vitamin E deficiency, lack of exercise and the side effects of some medications. Excessive caffeine or alcohol consumption. In fact go back to the late 1800s and you will find many of the core points identified back then:
Constipation and the hemorrhoids it causes can both be prevented by eliminating the constipation and the dietary suggestions below may help considerably.
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What Is The Most Important Information I Should Know About Preparation H
You should not use this medicine if you are allergic to it phenylephrine .
Ask a doctor or pharmacist if it is safe for you to use this medicine if you have:
- heart disease
- enlarged prostate or urination problems
- diabetes or
- a thyroid disorder.
Ask a doctor before using this medicine if you are pregnant or breast-feeding.
Always ask a doctor before using phenylephrine rectal on a child. Do not give this medicine to a child younger than 2 years old.
What Are The Symptoms Of Piles
Piles symptoms can vary depending on the size, position and grade of the piles.
- Grade 1 are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the opening of the back passage . Grade 1 piles are common. In some people they enlarge further to grade 2 or more.
- Grade 2 are larger. They may be partly pushed out from the anus when you go to the toilet, but quickly spring back inside again.
- Grade 3 hang out from the anus when you go to the toilet. You may feel one or more as small, soft lumps that hang from the anus. However, you can push them back inside the anus with a finger.
- Grade 4 permanently hang down from within the anus, and you cannot push them back inside. They sometimes become quite large.
Sometimes there are no symptoms and may not realise that you have any piles.
The most common piles symptom is bleeding after going to the toilet to pass stools . The blood is usually bright red and may be noticed on the toilet tissue, in the toilet pan or coating the stools.
A pile can hang down and can be felt outside the back passage. Often, it can be pushed back up after you have been to the toilet. However, more severe piles remain permanently prolapsed and cannot be pushed back up inside.
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