Why Do Hemorrhoids Occur
Sometimes hemorrhoids develop for no reason, but often they are associated with chronic constipation or diarrhea, straining during bowel movements, and prolonged sitting on the toilet. You can reduce your risk by following these three easy steps:
- Get enough fiber in your diet
- Stay well hydrated
- Exercise regularly .
How To Heal Hemorrhoids: Over
Products used to treat hemorrhoids are available as
- foams, and
When used around the anus, ointments, creams, and gels should be applied as a thin covering. When applied to the anal canal, these products should be inserted with a finger or a “pile pipe.” Pile pipes are most efficient when they have holes on the sides as well as at the end. Pile pipes should be lubricated with ointment prior to insertion. Suppositories or foams do not have advantages over ointments, creams, and gels.
What Questions Should I Ask My Doctor
You may want to ask your healthcare provider:
- Why did I get hemorrhoids?
- What is the best treatment for me?
- What lifestyle changes can I make to keep from getting hemorrhoids again?
- When will symptoms improve?
- Should I look out for signs of complications?
A note from Cleveland Clinic
An estimated 15 million Americans have sought treatments for hemorrhoids at some point in their lives. But many more suffer needlessly. Dont be too embarrassed to talk to your healthcare provider about your symptoms. If hemorrhoids cause pain or discomfort, your provider has treatments that can help. You can also take steps to keep hemorrhoids from coming back.
Last reviewed by a Cleveland Clinic medical professional on 01/18/2021.
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Hemorrhoid Medication: When Why And Which Ones To Use
A number of OTC creams, ointments, and pads that contain hydrocortisone or witch hazel are available to help relieve pain, swelling, and itching caused by hemorrhoids. According to the National Institute of Diabetes and Digestive and Kidney Diseases, doctors recommend using over-the-counter products for a week. If symptoms persist beyond a week, follow up with your doctor.
Creams and suppositories containing hydrocortisone can cause the skin to weaken and thin, so they should not be used for more than a week. If any of these creams cause a rash or dry skin around the area, contact your healthcare provider.
Avoid laxatives, which can lead to diarrhea and worsen hemorrhoid symptoms.
About Dr David Heiman
Dr. David R. Heiman is Endoscopy Medical Director and a gastroenterologist at Florida Medical Clinics North Tampa location. He specializes in treating patients with conditions like hemorrhoids, IBS, GERD, and hepatitis, as well as performing endoscopies and colon cancer screenings. Dr. Heiman is dedicated to helping patients find treatment plans that work best for them and that address all of their medical concerns.
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Symptoms Of Thrombosed External Hemorrhoids
External hemorrhoids can be felt as bulges at the anus, but they usually cause few of the symptoms that are typical of internal hemorrhoids.
External hemorrhoids can cause problems, however, when blood clots inside them. This is referred to as thrombosis. Thrombosis of such a hemorrhoid causes an anal lump that is
- very painful,
- tender, and
- often requires medical attention.
The thrombosed hemorrhoid may heal with scarring, and leave a tag of skin protruding in the anus. Occasionally, the tag is large, which can make anal hygiene difficult or irritate the anus. Even after such a hemorrhoid goes away, a residual skin tag may remain, and this may need to be surgically removed.
Hemorrhoid Home Remedies: Warm Sitz Bath
A sitz bath refers to sitting in a few inches of warm water three times a day for 15 to 20 minutes. A sitz bath may help decrease the inflammation of hemorrhoids. Drying off the anal area completely after each sitz bath is important for minimizing moisture that irritates the skin surrounding your rectal area.
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Identify The Cause Of Your Hemorrhoids
Many people get hemorrhoids for different reasons. By identifying the cause of your hemorrhoids, you will be able to understand why you have them and what you can do to get rid of them. After every cause, we list the steps you can take to get rid of your hemorrhoids permanently.
Most Common Causes of Hemorrhoids
Go through this list and decide what is the cause of your hemorrhoids. Once you have it figured out, move on to step #3 where we talk about what you can do to get rid of your hemorrhoids and prevent them from coming back.
Prevention Tips & How To Find Relief
There are many different treatment options for patients looking for at-home solutions. Smaller hemorrhoids can be successfully treated at home through a combination of dietary changes and OTC medicines.
- Get more fiber in your diet. Eating more fruits, vegetables, and whole grains can help ease digestion. If you have trouble changing your diet, talk to your doctor and ask if a fiber supplement may work for you. Drinking more water can also help.
- Use over-the-counter pain relievers and hemorrhoid creams. Oral pain relievers containing acetaminophen and ibuprofen can help reduce discomfort. Topical creams can also relieve pain and itching.
- Soak in a sitz bath. A sitz bath involves sitting in a warm, shallow bath for 10 to 15 minutes to promote blood flow and keep the perianal area clean. Some manufacturers make sitz bath apparatuses that can be attached directly to a toilet seat, but you can also use a regular bathtub.
- Sit on a donut cushion. Donut-shaped cushions can help reduce the pressure on your tailbone when sitting. Cushions like these can help alleviate anal pain and discomfort, especially for patients who spend most of their day sitting at work.
- Limit your time on the toilet. Sitting on the toilet for too long can increase pressure in the veins in your anus and rectum, which can lead to hemorrhoids. Dont stay on the toilet for longer than you need toit may help to keep your phone out of the bathroom and remove any magazines or books that you keep nearby.
Whom Do Hemorrhoids Affect
Although most people think hemorrhoids are abnormal, almost everyone has them. Hemorrhoids help control bowel movements. Hemorrhoids cause problems and can be considered abnormal or a disease only when the hemorrhoidal clumps of vessels enlarge.
Hemorrhoids occur in almost everyone, and an estimated 75% of people will experience enlarged hemorrhoids at some point. However only about 4% will go to a doctor because of hemorrhoid problems. Hemorrhoids that cause problems are found equally in men and women, and their prevalence peaks between 45 and 65 years of age.
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What Causes Internal And External Hemorrhoids
There are two types of hemorrhoids, internal and external. Internal hemorrhoids are found inside the rectum while external hemorrhoids are found beneath the skin surrounding the anus. Internal and external hemorrhoids occur when too much pressure is exerted on the veins in the rectum and anus. This pressure is caused by a number of reasons:
Being Obese or Overweight
When the body is carrying more weight than it was ever meant to, a number of problems crop up. One of them is that blood vessels in the rectum and anus are placed under such immense pressure that the proper flow of blood is hindered. This is why they end up swelling when blood pools in them.
Straining in Bowel Movements
Straining while passing stool puts a lot of pressure on the blood vessels in the rectum and anus. When this goes on for too long because of chronic constipation, you end up developing hemorrhoids.
In the third trimester of pregnancy, the fetus in the womb gets heavy and puts pressure on blood vessels of the lower regions of the body. The baby rests on the inferior vena cava, a large vessel that transports blood from the lower limbs to the heart. This is the reason why hemorrhoids are common in pregnant women.
How Long Do Hemorrhoids Take To Heal
For many people, hemorrhoids last and last. Ongoing pain is especially common for people over age 50. For many people, hemorrhoidal pain returns years after treatment, and for many others the condition comes and goes, becoming more common over time.
Do Hemorrhoids Ever Go Away on Their Own?
Sometimes they do. Smaller hemorrhoids are apt to go away in just a few days. It’s a good idea during this time to avoid further irritating your rectal area by keeping the area as clean as you can.
How Can You Make Hemorrhoids Go Away?
Tougher cases of hemorrhoids may not go away on their own. After trying home remedies and over-the-counter options without success, you will need to talk to your doctor about other treatment options.
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How Are Hemorrhoids Treated
Once hemorrhoidal symptoms develop, a variety of treatment options exist, depending upon the situation and severity of the hemorrhoids. Internal hemorrhoids are graded by the degree of prolapse below the pectinate line into the anal canal.
Grade 1: The internal hemorrhoid bulges into the canal but does not prolapse or fall completely into it. These may bleed.
Grade 2: The hemorrhoid protrudes past the anal verge with straining for a bowel movement or passage of flatus, but spontaneously returns to its original internal position once the straining has subsided.
Grade 3: The hemorrhoid may protrude past the anal verge without any straining and requires the patient to push them inside manually.
Simple Ways To Treat Hemorrhoids
There are natural ways you can use at home to treat the symptoms that are associated with hemorrhoids. You can find them in your kitchen, kitchen garden, or your local store or pharmacy . Some of these home remedies include:
The normal tissue paper that you use in the toilet may be harsh on your hemorrhoids and is probably making them worse. You can use soothing wipes instead because they relieve irritations and even reduce swelling. They are made from anti-itch ingredients like hydrocortisone and witch hazel. You can purchase them online or in your local drug store.
Ice packs are often used on bruises, cuts, and skin irritations because they help in reducing pain, tissue damage, and inflammation. They do this by shrinking your blood vessels. Wrap the ice pack in a towel or cloth to avoid cold burns and press it on the hemorrhoids for 15-20 minutes.
Loose Cotton Clothing
Tight clothes made of polyester especially underwear and pants cause the development of hemorrhoids and make them worse. They hinder the smooth flow of blood and also contribute to the build-up of sweat which irritates the hemorrhoids further. Wear breathable cotton underwear and pants to keep the anal area dry and clean and hemorrhoids symptoms will reduce.
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Procedures For Hemorrhoids Treatment
Some hemorrhoids can’t be managed with conservative treatments alone, either because symptoms persist or because an internal hemorrhoid has prolapsed. Fortunately, a number of minimally invasive hemorrhoid treatments are available that are less painful than traditional hemorrhoid removal and allow a quicker recovery. These procedures are generally performed in a surgeon’s office or as outpatient surgery in a hospital.
Band it. The most commonly used hemorrhoid treatment in the United States is rubber band ligation, in which a small elastic band is placed around the base of a hemorrhoid . The band causes the hemorrhoid to shrink and the surrounding tissue to scar as it heals, holding the hemorrhoid in place. It takes two to four procedures, done six to eight weeks apart, to completely eliminate the hemorrhoid. Complications, which are rare, include mild pain or tightness , bleeding, and infection. Other office procedures include laser or infrared coagulation, sclerotherapy, and cryosurgery. They all work on the same principle as rubber band ligation but are not quite as effective in preventing recurrence. Side effects and recurrence vary with the procedure, so consult your physician about what’s best for your situation.
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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About Harvard Medical School Guides
Harvard Medical School Guides delivers compact, practical information on important health concerns. These publications are smaller in scope than our Special Health Reports, but they are written in the same clear, easy-to-understand language, and they provide the authoritative health advice you expect from Harvard Health Publishing.
- Help for hemorrhoids
What causes hemorrhoids?Any increase in abdominal pressure may produce hemorrhoids however, some people can get hemorrhoids for no apparent reason. Typically, the problem is associated with chronic constipation or diarrhea, accompanied by straining during bowel movements and prolonged sitting on the toiletall of which interfere with blood flow to and from the rectum and the anus. Under these circumstances, blood starts to pool and enlarge the vessels of the hemorrhoidal plexus. We discuss symptoms and treatments for constipation in depth later in this report.
There are some factors associated with the development of hemorrhoids you cannot control, while others you can.
SymptomsSome people with hemorrhoids never have any symptoms. When symptoms do occur, you may experience one or several of them, and their severity may vary. The most common symptoms include the following:
Severe pain is not a typical symptom, except in the case of a thrombosed external hemorrhoid.
Schedule An Appointment Today
Hemorrhoids are incredibly common and can be successfully managed with the right treatments. If youre concerned you have hemorrhoids or if theyre not improving, schedule an appointment with Dr. Heiman in Tampa, FL, today.
Disclaimer: This blog is not intended to substitute professional medical advice. Always talk with your doctor before starting or stopping medications or treatments.
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The Real Truth About Hemorrhoid Treatment
Almost all cases of hemorrhoids and fissures can be cured without surgery. Many misconceptions exist about the treatment of and cure of hemorrhoids. You can get the relief you deserve without surgery by visiting HCA today. Our non-surgical office hemorrhoid treatment is the new gold standard. We can help you get relief today by starting you on one of our custom hemorrhoid compounds and if needed plan your office treatment using the safest and most effective hemorrhoid ligation device available. Do not agree to possibly unnecessary surgery without first trying our non-surgical office hemorrhoid treatment.
Hemorrhoids Treatment: Rubber Band Ligation
The principle of rubber band ligation is to encircle the base of the hemorrhoidal clump with a tight rubber band. The tissue cut off by the rubber band dies, and is replaced by an ulcer that heals with scarring.
A similar procedure was described in 460 BC by the Greek physician Hippocrates:
And hemorrhoids you may treat by transfixing them with a needle and tying them with very thick and woolen thread, for application, and do not foment until they drop off, and always leave one behind and when the patient recovers, let him be put on a course of Hellebore.
Rubber band ligation can be used with first-, second-, and third-degree hemorrhoids, and may be more effective than sclerotherapy. Symptoms frequently recur several years later, but usually can be treated with further ligation.
The most common complication of ligation is pain. However, bleeding one or two weeks after ligation or bacterial infection in the tissues surrounding the hemorrhoids may occur.
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What Causes Hemorrhoids
Traditionally, hemorrhoids are associated with chronic constipation, straining during bowel movements, and prolonged sitting on the toilet all of which interfere with blood flow to and from the area, causing it to pool and enlarge the vessels. This also explains why hemorrhoids are common during pregnancy, when the enlarging uterus presses on the veins.
More recent studies show that patients with hemorrhoids tend to have a higher resting anal canal tone that is, the smooth muscle of the anal canal tends to be tighter than average . Constipation adds to these troubles, because straining during a bowel movement increases pressure in the anal canal and pushes the hemorrhoids against the sphincter muscle. Finally, the connective tissues that support and hold hemorrhoids in place can weaken with age, causing hemorrhoids to bulge and prolapse.
Change In Bowel Habits
With a prolapsed internal hemorrhoid you may develop the sensation that you cant fully evacuate your bowels. You may also notice a mucous discharge or difficulty cleaning yourself following a bowel movement because of displaced toilet tissue.
These symptoms can be uncomfortable but easily treated with medical intervention.
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