How Are They Treated
Depending on the cause and severity of the haemorrhoids, a number of different treatments are available.
Usually treatment is conservative, explains Foster. The condition needs to be tackled in two ways treating the symptoms and the cause. These recommendations dont cure piles, but they can relieve symptoms and reduce future problems.
The soreness and irritation of piles may be reduced by washing and drying the area round the bottom thoroughly after a bowel movement although over-vigorous rubbing can make matters worse. Doctors may also: use topical creams with steroids to reduce the size and itch of the haemorrhoid.
Other treatments may include: pushing back the haemorrhoid, which can make patients feel better, or using nitroglycerine ointments or even botulinum toxin injection to reduce spasm of the internal anal sphincter, he adds.
Dietary improvement , short-term laxative use and avoidance of overstraining may also be recommended.
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They Get Their Baggage In Check
Many people turn to food when theyre stressed. If thats you, learning new ways to handle your emotions is a must.
Want more ideas? Consider booking a few sessions with a counselor who has experience working with people to overcome their emotional eating.
How Can I Treat My Hemorrhoids
You can most often treat your hemorrhoids at home by
- taking a stool softener or a fiber supplement such as psyllium or methylcellulose
- drinking water or other nonalcoholic liquids each day as recommended by your health care professional
- not straining during bowel movements
- not sitting on the toilet for long periods of time
- taking over-the-counter pain relievers such as acetaminophen, ibuprofen, naproxen, or aspirin
- sitting in a tub of warm water, called a sitz bath, several times a day to help relieve pain
Applying over-the-counter hemorrhoid creams or ointments or using suppositoriesa medicine you insert into your rectummay relieve mild pain, swelling, and itching of external hemorrhoids. Most often, doctors recommend using over-the-counter products for 1 week. You should follow up with your doctor if the products
- do not relieve your symptoms after 1 week
- cause side effects such dry skin around your anus or a rash
Most prolapsed internal hemorrhoids go away without at-home treatment. However, severely prolapsed or bleeding internal hemorrhoids may need medical treatment.
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Banding With The Crh Oregan System
Banding can be one of the best ways to remove internal hemorrhoids and keep them from recurring. Endoscopic banding may seem like a better alternative, but this is an involved procedure that requires preparation and sedation. Hemorrhoid banding with the CRH ORegan System is an excellent alternative to other methods of hemorrhoid banding. Instead of using metal forceps to keep the affected vein in place, a small disposable ligator applies gentle suction. This method requires no preparation or sedation, makes the procedure pain-free and should cause no discomfort after the procedure.
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Internal Hemorrhoid Surgery Recovery Time
While you will be expected to reduce and/or eliminate activity after a hemorrhoidectomy, you should be able to resume normal activity one to two weeks after your surgery.
Studies have shown infrared photocoagulation surgery to require shorter recovery times than the traditional hemorrhoidectomy .
Light bleeding or pain can last for up to one or two months after surgery, depending on the surgery method chosen.
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Maintaining A Healthy Weight
Can Natural Home Remedies Treat And Prevent Hemorrhoids
Regardless of the size or swelling of a hemorrhoid, no treatment is required if symptoms do not exist. Prevention is perhaps the most effective treatment. Diet and adequate hydration are very important to maintain normal bowel movements. Hemorrhoid symptoms can occur with the passage of hard stool and constipation, as well as diarrhea and frequent bowel movements. People with constipation may require a high-fiber diet, adequate hydration, and stool softeners. Those with too frequent bowel movements may require antidiarrheal medications and diet adjustments. These preventive measures decrease the amount of straining that is required to have a bowel movement, thus decreasing the pressure within the blood vessels to prevent swelling. The internal hemorrhoid always stays protruded or prolapsed and is at risk for thrombosis or strangulation should the anal muscles go into spasm.
Grade 1 hemorrhoids are treated symptomatically. There can be some spasm of the anal muscles. Warm sitz baths, sitting in a warm tub for 20 minutes, two or three times a day may be helpful. Avoiding spicy food may also prevent anal itching. Over-the-counter medications may be helpful.
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Conventional Treatment For Hemorrhoids
When you go to see a doctor for enlarged hemorrhoids, he or she will look at your anus to see if its inflamed and whether the hemorrhoids come out of the anus when you push or if theyre already outside. Depending on the severity of your symptoms, there are a number of examinations your doctor may choose to perform in order to make a diagnosis. Doctors typically do a digital rectal examination first, which involves gently inserting a finger into the anus with gloves and lubricant. The doctor will feel the inside of the anal canal using circular movements, which allows him to examine the sphincter muscles and the texture of the membranes lining the anus.
If your doctor believes that you do have enlarged hemorrhoids, she will most likely perform a proctoscopy next. This involves inserting a short tube with a light and lens on it that exams the membranes lining the rectum. The doctor is looking to see if there are enlarged hemorrhoids and how big they are. People tend to fear the pain and discomfort that come with these procedures, but they usually dont hurt and do help your doctor make suggestions about how to get rid of hemorrhoids.
Most of the patients suffering from hemorrhoids have their symptoms alleviated through diet therapy, fiber supplements, hemorrhoid cream and medical treatments, such as sclerotherapy, rubber band ligation and infrared coagulation.
2. Rubber Band Ligation
3. Infrared Coagulation
4. Hemorrhoid Surgery
Who Removes Hemorrhoids Treatment
Treating enlarged hemorrhoids is important, because they tend to get worse over time. Hemorrhoids are treated with a variety of measures including diet, over-the-counter medicine like
- anti-inflammatory pain killers,
and various treatment options are available, like
Who Removes Hemorrhoids?
Most hemorrhoid complaints begin with a trip to a family doctor. Your doctor will then refer you to a specialist: either a gastroenterologist or a proctologist . Proctologists specialize in surgical treatments, while gastroenterologists are experts in digestive diseases.
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Simple Tips To Get Rid Of Internal Hemorrhoids Fast And At Home
What Are The Surgical Options For Piles
Haemorrhoidectomy An operation 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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Do I Need To See A Doctor
Its best to see a doctor if youre noticing blood. While it could be due to a hemorrhoid, it could also be a sign of something more serious, such as colorectal cancer.
A doctor will likely start by confirming that hemorrhoids are the source of the blood youve noticed. To do this, theyll either examine the area for external hemorrhoids or insert a gloved finger to check for internal hemorrhoids.
If its still not clear where the bloods coming from, they may recommend a colonoscopy, which involves inserting a small, lighted camera into your colon while you are sedated. This will help them check for any signs of other conditions that could be causing the bleeding.
Make sure to tell them if you have any of the following symptoms in addition to bleeding:
- changes in stool consistency or color
- changes in bowel movement habits
- weight loss
Can Internal Hemorrhoids Cause Back Pain
It can be easy to confuse the cause of back pain with hemorrhoids because in many cases, back pain originates from the tailbone, the same area where hemorrhoids form.
Internal hemorrhoids occur when there is pressure, stress, or strain on the lower half of your body, specifically in the lower rectal area.
Back pain can run all along the course of your spine, including the base, an area that can share the same pain as hemorrhoids.
However, no scientific link connects hemorrhoids, especially internal hemorrhoids, to back pain. Internal hemorrhoids are painless until they become prolapsed.
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You Can Get Rid Of Hemorrhoids Fast And Naturally
As detailed throughout this article, it is important to know how to get rid of hemorrhoids fast.
Some of the best natural methods include an Epsom salt sitz bath, cold compress, aloe vera, witch hazel, coconut oil, horse chestnut, butchers broom, psyllium husk, and essential oils like cypress and helichrysum. It is also helpful to drink plenty of water and eat a high-fiber diet and fermented foods like kefir, sauerkraut, or kimchi.
Also, be sure to remember to practice a better toilet routine, including avoiding straining, prolonged sitting on the toilet, and constipation, while also cleaning yourself thoroughly. After all, bowel movements should be smooth and without strain.
How Do Doctors Treat Hemorrhoids
Doctors treat hemorrhoids with procedures during an office visit or in an outpatient center or a hospital.
Office treatments include the following:
- Rubber band ligation. Rubber band ligation is a procedure that doctors use to treat bleeding or prolapsing internal hemorrhoids. A doctor places a special rubber band around the base of the hemorrhoid. The band cuts off the blood supply. The banded part of the hemorrhoid shrivels and falls off, most often within a week. Scar tissue forms in the remaining part of the hemorrhoid, often shrinking the hemorrhoid. Only a doctor should perform this procedureyou should never try this treatment yourself.
- Sclerotherapy. A doctor injects a solution into an internal hemorrhoid, which causes scar tissue to form. The scar tissue cuts off the blood supply, often shrinking the hemorrhoid.
- Infrared photocoagulation. A doctor uses a tool that directs infrared light at an internal hemorrhoid. Heat created by the infrared light causes scar tissue to form, which cuts off the blood supply, often shrinking the hemorrhoid.
- Electrocoagulation. A doctor uses a tool that sends an electric current into an internal hemorrhoid. The electric current causes scar tissue to form, which cuts off the blood supply, often shrinking the hemorrhoid.
Outpatient center or hospital treatments include the following:
Sometimes complications of hemorrhoids also require treatment.
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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 anal cancer. So it’s important to see your provider to find the cause of the bleeding.
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.
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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.
Increasing Your Fibre Intake
You can gradually increase the amount of fibre in your diet by eating foods including:
- fresh fruit and vegetables
- nuts and seeds
Commercial fibre supplements are also available and can be useful if you think you are not getting enough of the above foods in your diet.
Make sure you increase your fibre gradually so your digestive system has time to adapt.
Its also important to increase your fluid intake at the same time. This is because fibre in the stools acts like a sponge, absorbing moisture from the body. Try to drink lots of water. Cutting down on sugary drinks will also help you to cut down on calories that cause weight gain.
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Severe Hemorrhoids Vs Mild Hemorrhoids: Stages
Many physicians use a grading system to categorize hemorrhoids along four stages:
- First-degree hemorrhoids: Hemorrhoids that bleed, but do not prolapse. These are slightly enlarged hemorrhoids, but they do not protrude outside the anus.
- Second-degree hemorrhoids: Hemorrhoids that prolapse and retract on their own . These may come out of the anus during certain activities like passing stool, and then return back inside the body.
- Third-degree hemorrhoids: Hemorrhoids that prolapse and must be pushed back in by a finger.
- Fourth-degree hemorrhoids: Hemorrhoids that prolapse and cannot be pushed back in the anal canal. Fourth-degree hemorrhoids also include hemorrhoids that are thrombosed or that pull much of the lining of the rectum through the anus.
Discomfort Itching And Irritation In The Anal Region
Theres really no reason to try and live with your hemorrhoids until the pain becomes severe enough to disrupt your life. Many effective nonsurgical treatments exist that can resolve your hemorrhoids, including:
The highly effective IRC method utilizes infrared light delivered via a small probe to painlessly coagulate the blood vessels supplying your hemorrhoid. As the blood flow is blocked, the enlarged hemorrhoidal tissue shrinks and your symptoms resolve.
Rubber band ligation
This method also blocks blood flow to the hemorrhoidal tissue, which eventually causes the hemorrhoid to wither and die. Its admittedly more painful overall than IRC and may cause bleeding, but it remains an effective, nonsurgical solution for treating hemorrhoids.
You can rely on Dr. Clemens to focus first on diagnosing your condition correctly and then recommending the most conservative and effective hemorrhoid treatment available, including tips that help prevent hemorrhoids from recurring. Schedule your appointment today at Midwest Hemorrhoid Treatment Center.
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