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:
- Itchy anus.
- Hard lumps near the anus that feel sore or tender.
- Pain or ache in the anus, especially when you sit.
- Rectal bleeding.
Prolapsed hemorrhoids can be painful and uncomfortable. You may be able to feel them bulging outside the anus and gently push them back inside.
Constipation: The Main Culprit Of Hemorrhoids
Every doctor will tell you that if you find yourself straining on the toilet, struggling to go, and in general, experiencing constipation, your hemorrhoids are bound to become inflamed.
This can lead to extreme hemorrhoid pain.
A regular, happy, and healthy colon is the key to preventing flare-ups, among many other potential diseases and lower intestinal conditions.
In the end, the goal is to have softer stools so your body doesnt overexert itself during bowel movements.
Your hemorrhoids will then proceed with their regular functions and avoid becoming inflamed and irritated.
This is a great post that describes how to stop hemorrhoid itching and burning.
Related Conditions And Causes Of Hemorrhoids
Gastrointestinal problems such as constipation and diarrhea can lead to or worsen hemorrhoids. The prolonged sitting or straining that may occur when youre dealing with these issues puts pressure on the hemorrhoidal tissue.
Hemorrhoids also often develop during pregnancy. This is similarly due to greater pressure in the area but can also be due to an increase in blood volume and as a result of hormonal changes that increase the likelihood of swelling. Constipation during pregnancy is a common cause of hemorrhoids.
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Can Hemorrhoids Be Prevented Or Avoided
Just about everyone has hemorrhoids at some time. But some things may make you more likely to get them. People whose parents had hemorrhoids may be more likely to get them. Pregnant women often get hemorrhoids because of the strain from carrying the baby and from giving birth. Being very overweight or standing or lifting too much can make hemorrhoids worse.
How Often Do People Get Hemorrhoids
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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.
What Medications And Other Products Treat Hemorrhoids
Medications are used to control symptoms by softening the stool, decreasing the inflammation of the hemorrhoids, and treating the pain. Stool softeners work by increasing the water and fat content within the stool allowing it to be passed more easily. Docusate sodium is the most often recommended drug in this class .
Inflammation can be controlled with over-the-counter creams or suppositories. Some brand ingredients include low dose topical anesthetics to help with symptoms. Others contain astringents that help shrink the swollen tissues. Both may contain low dose steroids to decrease inflammation. People with diabetes should check with their pharmacist or health care professional before using OTC hemorrhoid treatments. If the medication contains a vasoconstrictor it may elevate blood sugar levels if absorbed in large amounts. Prescription-strength lidocaine or hydrocortisone may be offered by the health care professional.
Grade 2 and 3 hemorrhoids are initially treated the same way, using techniques to destroy hemorrhoids. These include injecting the hemorrhoid vein to make it sclerose or harden, using rubber bands to choke off the blood supply and make the hemorrhoidal tissue shrivel, or other procedures that cause the mucosa to shrivel and die.
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Alabama Colon & Rectal Institute Is Centered Around Treating Diseases Of The Colon Rectum And Anus
Alabama Colon & Rectal Institute has been in practice since 1990 as a free standing, private practice located in downtown Birmingham, Alabama. We are known for our efficiency and patient care, in a more relaxed office-based setting. Our doctors are known regionally for their expertise and are active in teaching surgical residents and other physicians. We are also a major sponsor of The Rumpshaker 5K, a race that promotes awareness about colorectal cancer. Check out our website for more information, or give us a call to make an appointment at 458-5000, or email us at .
What Natural Home Remedies Soothe Or Cure Hemorrhoids
Hemorrhoid symptoms of pain and itching can be treated at home by doing the following.
Warm Sitz Baths
- Sitting in a few inches of warm water three times a day for 15 to 20 minutes may help decrease the inflammation of the hemorrhoids.
- It is important to dry off the anal area completely after each Sitz bath to minimize irritation of the skin surrounding the anus.
Dietary Changes
- Increased fluid intake and dietary fiber will decrease the potential for constipation and lessen the pressure on the rectum and anus during a bowel movement, minimizing further swelling, discomfort, and bleeding. Dietary fiber supplements also may help bulk up the stools
Stool Softeners
- Stool softeners may help. A health-care professional or a pharmacist are good resources to discuss their use.
Exercise
- Individuals with hemorrhoids should not sit for long periods of time and may benefit from sitting on an air or rubber donut available at most local pharmacies.
- Exercise is helpful in relieving constipation and in decreasing pressure on the hemorrhoidal veins. Individuals should be encouraged to have a bowel movement as soon as possible after the urge arises and not sit on the toilet for long periods of time. Once that urge passes, stools can become constipated and straining with a bowel movement may occur.
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Signs Your Hemorrhoids Warrant A Doctor’s Visit
Your doctor may also check for blood in the stool, examine the muscle tone of your anus, and perform a rectal exam to diagnose internal hemorrhoids. This is done in the doctor’s office with a gloved, lubricated finger and an anoscope . Your doctor may also recommend additional tests to rule out other causes of bleeding, especially if you are over age 40.
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 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.
How Do Foods Influence Hemorrhoids Diet
Diet is believed to have a big impact in causingand preventinghemorrhoids. People who consistently eat a high-fiber diet are less likely to get hemorrhoids, while those people who prefer a diet high in processed foods face a higher hemorrhoid risk.
A low-fiber diet can leave you constipated, which can contribute to hemorrhoids in two way. For one, it promotes straining on the toilet. It also aggravates the hemorrhoids by producing hard stools that further irritate the swollen veins.
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Hemorrhoids Constipation Treatment: Diet And Lifestyle
Prolonged or frequent constipation often causes hemorrhoids by increasing the pressure in the anal region. To treat hemorrhoids effectively, the constipation must be treated simultaneously. Here are some measures to cure constipation and hemorrhoids:
Your diet must contain fiber in each meal, since fiber stimulate the bowel to work better and empty itself in due time. Food sources containing fiber are full corn cereals, full corn bread, vegetables and fruit.
Your diet must contain the right amount of fat. Too little fat makes the stool hard, too much can irritate the digestion. Vary between these natural fat sources: Fat fish, almonds, olive oil, rape oil, canola oil and flax oil. The fat type in these oils alleviates inflammations in the digestive system. In addition you should consume some, but not too much of these fat sources: Nuts, sunflower seeds, avocados, eggs, spawn, sunflower oil, corn oil and soy oil.
Drink enough water, since water makes the stool softer.
Eat regular meals each day. Do not overfill your stomach at each meal. It can be better to eat four or five smaller meals that three larger.
Go to the toilet every time you feel the urge to pass stool. Relax at the toilet and let it all get the time to pass out. Try to avoid straining to pass the stool out. To ease the passing of stool you can smear the anal opening with vaseline or with special ointments made for this purpose.
Home Remedies To Prevent Constipation
1. Probiotics
The healthy bacteria needed for your digestive tract, known as probiotics, may significantly reduce constipation and accompanying symptoms. The role of these microorganisms is to balance the micro flora in the digestive system and allow your body to form healthy stool to more easily pass through the colon. You can purchase probiotics at a health food store with a dosage of approximately 7-12 billion with multiple strains .
2. Fiber from foods
There are two types of fiber: soluble and insoluble. Generally, insoluble fiber is the most helpful for constipation as it passes virtually undigested through the digestive tract, adding bulk to stool and moving waste out of the body. Food sources are less harsh than herbal laxatives, such as cascara or psyllium husks, so you may want to try eating more nuts and seeds, brown rice, flax seedsand sweet potatoes first. Both types of fiber are beneficial as soluble fiber helps lower cholesterol and keep your blood sugar balanced.
3. Eat smaller meals
4. Stress reduction
Try something like yoga for constipation. There are specific poses to help move things along. Deep breathing and going for walks can also help relax and balance you, including your digestion.
5. Food intolerance
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They Get Their Baggage In Check
Many people turn to food when they’re stressed. If that’s you, learning new ways to handle your emotions is a must.
Experiment to find things that work for you. Some ideas: Get into your garden, go for a walk, torch stress with a serious workout, do yoga to chill out, or connect with a friend.
Want more ideas? Consider booking a few sessions with a counselor who has experience working with people to overcome their emotional eating.
Continued
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.
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Keep Your Bowels Moving
“The most important thing is to make sure you’re not constipated and having to bear down when you go to the bathroom,” Ramas says. Constipation can both lead to hemorrhoid flare-ups and make them last longer.
Drink plenty of fluids, preferably water — not alcohol and caffeine. These tend to dehydrate, which is the opposite of what you want.
“I found out that dairy was a huge culprit for me,” Adams says, “so I cut it out a little bit, and I had good results.”
Add fiber to your diet with fresh fruit, leafy green vegetables, whole grains, and bran. “It’s about fueling your body appropriately and giving yourself the nutrients that your body needs to function effectively,” Ramas says. Your doctor might also want you to take psyllium husk supplements.
Exercise can help keep you regular, too.
And when you feel the need to go, don’t wait. “You want to have a bowel movement as quickly and efficiently as possible,” she says.
Adams used a foot stool that wraps around the toilet to put her in a squatting position. “It’s like an ergonomic way to poop,” Ramas says. “If that helps some people, that’s definitely OK.”
How Are Hemorrhoids Diagnosed
Your healthcare provider diagnoses hemorrhoids based on symptoms and a physical exam. You may also have:
- Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum to feel for swollen veins.
- Anoscopy: Your provider uses an anoscope to view the lining of the anus and rectum.
- Sigmoidoscopy: Your provider uses a sigmoidoscope to view inside the lower part of the colon and rectum. Procedure types include flexible sigmoidoscopy and rigid sigmoidoscopy .
These tests may be uncomfortable but arent painful. They typically take place in a doctors office or outpatient center without anesthesia. You go home the same day.
Your provider may perform a colonoscopy to confirm findings from other tests or check for signs of colon cancer. This outpatient procedure requires anesthesia.
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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.
How Can I Treat Hemorrhoids At Home
Hemorrhoids often go away on their own without treatment. Symptoms like pain and bleeding may last one week or slightly longer. In the meantime, you can take these steps to ease symptoms:
- Apply over-the-counter medications containing lidocaine, witch hazel or hydrocortisone to the affected area.
- Drink more water.
- Increase fiber intake through diet and supplements. Try to obtain at least 20-35 grams of daily fiber intake
- Soak in a warm bath for 10 to 20 minutes a day.
- Soften stool by taking laxatives.
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