Classification Of Internal Hemorrhoids:
- Grade 1 – A hemorrhoid is present but only visualized by a doctor with ansocopy or colonoscopy. The hemorrhoid does not extend out the anus.
- Grade 2 – The hemorrhoid extends out of the anus with a bowel movement or with straining. After your BM, the hemorrhoid goes back inside on its own.
- Grade 3 – The hemorrhoid extends out of the anus with a bowel movement or with straining. You have to manually push the hemorrhoid back inside the anus. If you have this, you should seek medical attention, but it is not urgent.
- Grade 4 – A hemorrhoid extends outside the anus and are not able to be manually pushed back inside. If you have this seek medical attention immediately. There are significant potential complications.
How A Doctor Can Help
Doctors can recommend medical treatments and procedures that can reduce or get rid of hemorrhoids. Some of these procedures can be done right in a doctors office and involve very little discomfort.
- Medicated creams/ointments. If an OTC hemorrhoid cream isnt enough, doctors can prescribe stronger creams and ointments.
- Minimally-invasive procedures. There are some minimally-invasive procedures that a doctor can do in their office or in an ambulatory surgery center that typically doesnt require anesthesia or long recovery times. Some of these procedures include rubber band ligation, sclerotherapy injections, and laser/infrared coagulation treatments.
- Thrombectomy. For severe cases that develop blood clots and cause a lot of pain, your doctor can perform an external hemorrhoid thrombectomy to remove the hemorrhoid. Thrombectomies are most effective when performed no more than 72 hours after severe symptoms emerge.
- Surgery. There are several surgical options available when other treatments and procedures havent worked or if you have very large hemorrhoids. If youve struggled to find relief, talk to your doctor to learn if surgery is right for you.
Soak It Off In A Sitz Bath
A sitz bath comes from the German word sitzen, meaning sit, and it refers to a 10 to 15 minute soak in warm water that comes just up to your bottom and hips. Sitz baths can relieve irritation and itching as well as spasm of your anal sphincter muscles, says Dr. Thomas. Take a shallow soak in your bathtub or buy a small plastic tub from your pharmacy to give yourself a portable sitz bath two to three times a day.
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What Are The Best Home Remedies For Hemorrhoids
If youd prefer to avoid medication, or youd like to complement your treatment with at-home remedies, here are some ways you can alleviate your hemorrhoids at home:
- Sitz baths: A regular sitz bath can relieve itching and irritation. Fill a tub with three to four inches of warm water and sit in it with your knees bent for about 10 to 15 minutes. Gently pat yourself dry with a towel afterwards. For an extra soothing effect, try adding Epsom salts to the bath.
- Fiber supplements: These reduce hemorrhoid bleeding, inflammation, and enlargement by drawing water into your stool to make it easier to pass. A psyllium husk fiber supplement, such as Metamucil or a generic equivalent, is a good choice, although psyllium may cause gas or bloating. In that case, try a supplement containing wheat dextrin or methylcellulose .
- Cold compress: Applying ice packs to the anus for 10-15 minutes can help reduce swelling and reduce discomfort. To avoid ice burns always place ice in a cloth or paper towel, and never apply it directly to the skin.
- Aloe vera: Aloe vera has been used in many cultures for centuries to treat hemorrhoids due to its believed anti-inflammatory properties. Given the sensitivity of the area, only use pure aloe vera to treat hemorrhoids, and perform a patch test 24-48 hours on your inner wrist prior to application to check there is no allergic reaction.
From Earthcliniccom Users Describe Some Potential Side Effects Of Using Apple Cider Vinegar For Hemorrhoids:
I have tried apple cider vinegar undiluted using a cotton ball. The pain of the sting was excruciating but I thought I have to tolerate if I have to get any results. but the result I got was that the ACV burnt my skin and caused it to get infected.
ACV doesnt seem to be doing anything at all, other than making them more tender. Ive been applying to one hem to see if there was any improvement. Nothing after four days at all. Perhaps mine have just been there for too long.
I agree. I take ACV orally and tried it topically for hemmorhoid type problem. It was the worst thing I could ever have done. Intense burning and swelling caused a normally 3 day issue into an extreme 1 week issue in which sitting was almost impossible. If anyone tries this, I would be very careful and wash the ACV off with any sign of uncomfortable burn.
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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.
With a history of symptoms, a physician can begin diagnosis on the basis of a careful examination of the anus and anal area. Although the physician should try his or her best to identify the hemorrhoids, it is perhaps more important to exclude other causes of hemorrhoid-like symptoms that require different treatment such as
- anal fissures,
This is true whether or not hemorrhoids are found during anoscopy.
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When should you seek professional help?
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You should see your health care provider if you have severe pain, if home remedies have not helped, if you experience rectal bleeding or if you have any questions or concerns. Most people can tolerate hemorrhoids and learn how to prevent flare-ups. However, definitive treatment requires a procedure to have them removed.
Is surgery the most permanent option, and how successful is it?
Once you develop hemorrhoids, they donât usually go away completely unless you undergo a procedure to have them removed. There are several options for removal. One option is an injection, usually given by a gastroenterologist. The solution in the injection creates a scar and closes off the hemorrhoid. The second option is called banding. Hemorrhoids that are hanging out of the rectum are closed off by using a tiny rubber band. It takes about one week for the hemorrhoid to shrink, and it will eventually fall off. A third option for removal is using either an electric probe, a laser beam or an infrared light to cause a tiny burn that will painlessly seal the end of the hemorrhoid, causing it to close off and shrink. The last option is a surgery called hemorrhoidectomy. This is often reserved for large internal hemorrhoids or extremely uncomfortable external hemorrhoids.
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When To See A Doctor About Hemorrhoids
You should see a doctor if you notice bleeding during a bowel movement, or if you produce stool thats red or black. If you know you have a hemorrhoid, you should also see a doctor if the discomfort doesnt go away after a week with the help of at-home remedies.
Many patients find it to be difficult or embarrassing to talk to their doctor about gastrointestinal issuesbut you should know that your doctor is there to help you find solutions to your medical concerns, and you are certainly not the first patient theyve seen with this problem! Talking openly with your doctor is the best way for you to find long-lasting relief.
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.
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How To Get Rid Of Internal Hemorrhoids
Internal hemorrhoids are on the inside lining of the rectum and are not visibly seen by the eye unless they are enlarged and then they can be felt too. Internal hemorrhoids are usually painless and get noticed when causing rectal bleeding with a bowel movement.
The easiest and fastest way to get rid of internal hemorrhoids is changing your lifestyle and eating habits, using stool softeners if you are constipated, using the squatting method and not straining on the toilet or sit too long.
If you are struggling with internal hemorrhoids and its making your life miserable, imagine one day when you wake up and the hemorrhoids are gone. Wouldnt that be the best feeling in the world. Have a look at this and see how it can help you in an easy and risk-free way.
Some complex cases of hemorrhoids may need surgery to treat them, but most cases can be cured by following only some home procedures, including:
Make sure you watch the video too about internal hemorrhoids!
The Symptoms Of Prolapsed Hemorrhoids Are:
- Bleeding: it is bright red and is associated with excretion
- Itching: It is bothersome in the anal area.
- Feeling after complete removal: This is if the prolapsed hemorrhoid is large.
- Pain: especially during the removal and stretching process, thus increasing pressure on hemorrhoids.
If you suffer from severe pain and bleeding from the rectal area, and if it is accompanied by abdominal pain, diarrhea, or a high body temperature, it is important to consult a doctor immediately.
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What To Wear How To Sleep And Other Practical Tips For Hemorrhoid Sufferers
From chronic itching to excruciating pain, your hemorrhoids may cause a lot of discomfort that can affect your day-to-day activities, as well as your sleep.
At Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri, our experienced physician, Dr. Betsy Clemens, has more than two decades of experience helping those suffering with hemorrhoids get relief. We want to share with you some of our best at-home treatments to help you manage your hemorrhoid symptoms.
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Use Simple Toilet Paper
Scented and coloured toilet paper contain extra chemicals that could irritate sensitive areas. Dampen plain, white, unscented toilet paper or use a moist towelette when you need to wipe. Follow up by applying an unscented moisturizer with a facial tissue.
Here are seven tips for healthy bowel movements.
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Hemorrhoids And Their Symptoms
Hemorrhoids occur when blood vessels in your rectum or under the skin around your anus become swollen. Theyre very common. Some studies estimate that three out of every four people will experience problems with hemorrhoids at some point in their life.
Hemorrhoids can be painful and may bleed as the wall of the affected blood vessel thins and becomes irritated. Just as frequently, however, you may not have any discomfort but notice bright red blood with a bowel movement. It really all depends on the type of hemorrhoid youre struggling with.
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.
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Home Remedies And Lifestyle
Generations have used home remedies to shrink hemorrhoids and prevent them from returning. Some treat the hemorrhoid directly, while others are aimed at alleviating the bowel irregularities that are often at the heart of the problem.
The following remedies can provide significant relief of acute hemorrhoid symptoms:
- Ice packs can relieve local inflammation and pain, but should never be placed directly on skin or left on for longer than 10 minutes.
- A sitz bath, in which a person sits in a tub of warm water for 10 to 20 minutes, can help reduce itching and irritation. Epsom salts or baking soda is often added to help alleviate inflammation.
- Witch hazel may decrease bleeding and prevent infection by acting as an astringent. You can dab it on gently with a cotton ball or even add a couple of tablespoons to a sitz bath.
- Aloe vera gel, vitamin E oil, and coconut oil are natural remedies that can help soothe and shrink minor external hemorrhoids. Avoid creams or lotions that contain these products and opt instead for the pure refined oil.
Good anal hygiene is also essential to avoid further injury and infection.
This can include a perianal irrigation bottle to squeeze warm water onto the anus after a bowel movement and disposable baby wipes to gently dab the area clean.
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Internal Versus External Hemorrhoids
Internal hemorrhoids occur within the rectum. They arent usually visible and dont typically cause discomfort. They can bleed, however, and are the most common cause of bright red blood noted with bowel movements. They can also begin to interfere with bowel movements as they become larger.
Sometimes excessive straining can push an internal hemorrhoid outside of the anal opening. This straining can occur during a bowel movement but may be related to childbirth, heavy lifting, or certain sports activities. When an internal hemorrhoid falls outside the anus, it can cause significant discomfort and may bleed frequently.
External hemorrhoids occur in the sensitive anal region and often cause pain and bleeding with bowel movements. Because these hemorrhoids are exposed to external friction, they can also become itchy, irritated, and painful with routine activities such as sitting or walking.
Blood can sometimes pool in an external hemorrhoid and cause a clot . Thrombosed hemorrhoids can become extremely painful due to inflammation and swelling. You may notice a hard lump near the anal opening thats quite tender to touch.
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Causes Of Internal Hemorrhoids
In some cases, hemorrhoids can be an unavoidable issue associated with aging.
Hemorrhoids can develop any time there is an extra degree of pressure on the rectum. Some sources of this strain include:
- Constipation and diarrhea: These conditions both put stress on the rectal area, either by straining too much in the case of constipation or by frequent bowel movements in the case of diarrhea. These issues can often be resolved with diet and lifestyle changes but may also be associated with other conditions like IBS and IBD.
- Unhealthy diet: A diet that is high in fat and/or low in fiber can affect our bowel movements, causing constipation or diarrhea. As described above, this can put pressure on the rectum and increase time sitting on the toilet.
- Pregnancy and childbirth: Many women develop hemorrhoids during pregnancy due to the increased pressure on the pelvis that a growing fetus can cause. Straining during childbirth can also result in hemorrhoids.
- Obesity: People who are obese are at a higher risk of developing both internal and external hemorrhoids because of increased pressure around the rectum and because obesity may be associated with poor diet and a sedentary lifestyle.
- Long periods of sitting: Regular activity is an important aspect to prevent hemorrhoids and other anorectal health issues. Sitting for long stretches can put undue strain on your rectal area.
What Are The Types Of Hemorrhoids
Hemorrhoids can happen inside or outside the rectum. The type depends on where the swollen vein develops. Types include:
- External: Swollen veins form underneath the skin around the anus. Your anus is the canal where poop comes out. External hemorrhoids can be itchy and painful. Occasionally, they bleed. Sometimes they fill with blood that can clot. This is not dangerous, but can result in pain and swelling.
- Internal: Swollen veins form inside the rectum. Your rectum is the part of the digestive system that connects the colon to the anus. Internal hemorrhoids may bleed, but they usually arent painful.
- Prolapsed: Both internal and external hemorrhoids can prolapse, meaning they stretch and bulge outside of the anus. These hemorrhoids may bleed or cause pain.
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Understanding The Difference Between External And Internal Hemorrhoids
Its true that the symptoms youre having help identify which type of hemorrhoid youre experiencing. The good news is that treatment exists for all types, and it may be easier than you believe to get rid of the pain and bleeding that often accompany this fairly common problem.
Betsy Clemens, MD, is a specialist who leads our team here at Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri. She shares insight about hemorrhoid types, their symptoms, and the therapy available to help resolve your discomfort.
Related Resources For Hemorrhoids
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This article is not medical advice. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, immediately call your physician or dial 911.
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