How To Remove External Hemorrhoids Without Surgery
Although some external hemorrhoids will require surgery, there are many ways to treat hemorrhoids without surgery.
Focusing on your hygiene is one way to relieve hemorrhoids.
Thoroughly cleaning your anus after a bowel movement, avoiding straining during bowel movements, and regular use of a stool softener can help with the healing process.
Keeping a close eye on your eating and drinking habits can help as well. You should have a healthy, balanced diet that is rich in fiber. Additionally, you should drink the right amount of water daily to keep yourself hydrated. Avoid prolonger periods of sitting as well.
What Are Possible Complications Of Piles
A possible complication of piles that hang down is that they can ‘strangulate’. This means that the blood supply to the pile has been cut off. A blood clot can form within the pile. This causes really severe pain if it occurs. The pain usually reaches a peak after 48-72 hours and then gradually goes away over 7-10 days.
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What Should You Know About Hemorrhoids
What are hemorrhoids?
Hemorrhoids are blood vessels located in the smooth muscles of the walls of the rectum and anus. They are a normal part of the anatomy and are located at the junction where small arteries merge into veins. They are cushioned by smooth muscles and connective tissue and are classified by where they are located in relationship to the pectinate line, the dividing point between the upper 2/3 and lower 1/3 of the anus. This is an important anatomic distinction because of the type of cells that line hemorrhoid, and the nerves that provide sensation.
What are the internal and external hemorrhoids?
Internal hemorrhoids are located above the pectinate line and are covered with cells that are the same as those that line the rest of the intestines. External hemorrhoids arise below the line and are covered with cells that resemble skin.
What are the symptoms of hemorrhoids?
Hemorrhoids become an issue only when they begin to swell, causing itching, pain, and/or bleeding.
Types Of External Hemorrhoids
Hemorrhoids are classified as either internal or external. While most hemorrhoids fall under one of these two categories, prolapsed or thrombosed hemorrhoids can have qualities of both.
A prolapsed hemorrhoid is an internal hemorrhoid that can protrude out of the anus, appearing to be an external hemorrhoid.
A thrombosed hemorrhoid is an external hemorrhoid that has prolapsed and formed a blood clot. This is the most painful type of hemorrhoid.
Hemorrhoids also fall into four different stages based on size, severity of symptoms, and required treatments.
To discover the most common cause of hemorrhoids be sure to take a look at this post.
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Risk Factors For Hemorrhoids
Several risk factors have been claimed to be the etiologies of hemorrhoid development including aging, obesity, abdominal obesity, depressive mood and pregnancy. Meanwhile, some conditions related to increased intraabdominal pressure, such as constipation and prolonged straining, are widely believed to cause hemorrhoids as a result of compromised venous drainage of hemorrhoid plexus. Some types of food and lifestyle, including low fiber diet, spicy foods and alcohol intake, was reported to link with the development of hemorrhoids and the aggravation of acute hemorrhoid symptoms.
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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Do Hemorrhoids Look Like Blisters
Although it is not uncommon to confuse a hemorrhoid for a blister, there are noticeable differences. Blisters develop on the surface of the skin , while hemorrhoids originate from below the skin.
They form noticeably different lumps.
Another way to tell the difference between a hemorrhoid and a blister is the size.
While some hemorrhoids can be as small as a pea, most blisters do not get any larger than the size of a pea. Blisters have a thin membrane and are only located on the surface of the skin.
If it feels as though the lump has a mucus protective membrane and originates from deeper below the skin, chances are you are dealing with a hemorrhoid and not a blister.
Internal Hemorrhoid Itch Relief
Internal hemorrhoids are not often symptomatic. They are in an area of the anus that lacks sensing nerves. Internal hemorrhoids fall into one of four grades based on their severity.
In some cases, internal hemorrhoids become prolapsed.
This means they protrude out of the anus. Because it may be difficult to properly clean yourself after a bowel movement, prolapsed hemorrhoids can become irritated and lead to symptoms such as itching.
The most effective form of treatment for internal hemorrhoid itch relief is over-the-counter suppositories.
A suppository is a capsule-shaped medication that is inserted into the anus. These are primarily used to treat internal hemorrhoids because they are inserting into the anus.
They provide a barrier between the hemorrhoid and stool. Once inserted into the anus, the suppository begins to melt and disperse the medicated ingredients. The rectal muscles hold the suppository in place, pushing the medication further into the anal cavity.
When internal hemorrhoids become prolapsed, they can also be treated by the many of the same treatments for external hemorrhoids:
You can help prevent hemorrhoids by:
- Eating foods that are high in fiber
- Taking a stool softener or a fiber supplement
- Drinking enough fluids every day
- Not straining during bowel movements
- Not sitting on the toilet for long periods of time
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
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How To Deal With A Hemorrhoid
- Infrared coagulation – Infrared laser is used to burn off a tissue in order for the supply of blood to cut off from the hemorrhoid. Five to 6 sessions are needed. Despite the fact that ads show that it’s not painful, sufferers have reported that it’s painful specifically during the session. The hemorrhoids can reappear since the cause isn’t treated.
- Rubber band ligation – Elastic bands are wrapped around the base of the hemorrhoid to stop the supply of blood. After a few days, the hemorrhoids will die and will fall off. After the procedure, the bleeding and pain may be felt. They may reappear since the source of the problem isn’t addressed.
- Hemorrhoidectomy – a procedure that gets rid of the hemorrhoids. Statistics show that this type of procedure can be risky. So serious cases are only suggested for this procedure. It’s suggested as a last resort due to its very painfulrecovery.
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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Thrombosed Hemorrhoid Symptoms And Treatment
Robert Burakoff, MD, MPH, is board-certified in gastroentrology. He is the vice chair for ambulatory services for the department of medicine at Weill Cornell Medical College in New York, where he is also a professor. He was the founding editor and co-editor in chief of Inflammatory Bowel Diseases.
A hemorrhoid is a swollen vein in the anus or rectum, the last part of the large intestine. Thrombosed hemorrhoids happen when a blood clot forms inside a hemorrhoid. The blood clot blocks blood flow, causing painful symptoms.
Most thrombosed hemorrhoids are external, but they can also be internal. External hemorrhoids form in the tissue outside the anus, while internal hemorrhoids are inside.
Thrombosed hemorrhoids are also known as acute hemorrhoidal disease or perianal thrombosis. Perianal is a general term for the area around the anus.
Thrombosed hemorrhoids may appear as a single lump or a circle of lumps. In most cases, the blood clot is reabsorbed by the body and the symptoms go away.
Thrombosed hemorrhoids are not considered dangerous, but they can be very painful. If symptoms do not go away, there are multiple treatment options ranging from topical creams to surgery.
This article discusses the causes, symptoms, and treatment for thrombosed hemorrhoids.
Do All Hemorrhoids Itch
While all hemorrhoids have the potential to develop symptoms of itching, all hemorrhoids do not necessarily always itch.
Internal hemorrhoids may itch when they become prolapsed or if mucus caused by internal hemorrhoids leaks from the rectum.
External hemorrhoids can cause itching because of the inflammation or if there are skin tags left behind.
Some patients are lucky enough to not experience the symptoms of itching with their hemorrhoids, but any type of hemorrhoid may come with this uncomfortable side effect.
Try a hemorrhoid supplement like HemRid to stop that hemorrhoid itching and burning for good.
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What Is Stapled Hemrroidectomy
The following are pictures of the stapled hemorrhoidectomy procedure.
- Picture of Hollow Tube Inserted into the Anal Canal and Pushing up the Hemorrhoids
- Picture of Internal Hemorrhoids in Anal Canal
- Picture of Suturing the Anal Canal Through the Hollow Tube
- Picture of Bringing Expanded Hemorrhoidal Supporting Tissue into the Hollow Tube by Pulling on Suture
- Picture of Hemorrhoids Pulled Back Above Anal Canal After Stapling and Removal of Hemorrhoidal Supporting Tissue
Causes And Risk Factors
The underlying cause of hemorrhoids that form in the anus or rectum is still a matter of debate. One theory is that it is due to the breakdown of the supporting tissues in the anal canal.
When hemorrhoids are untreated, last for a long time, or are under more physical pressure, they can become prolapsed and protrude out of the anus or rectum.
There are several risk factors for prolapsed hemorrhoids, including:
- Advanced age
- Overuse of anti-diarrhea medications
Sometimes, placing something in the anus, such as during sexual activity, or for medical treatment, can also cause pressure, resulting in a prolapsed hemorrhoid.
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I Have Had An External Hemorrhoid For Months Is This Normal
Hemorrhoids can last for a several days or several months. The existence of hemorrhoids varies depending on their severity and the treatment. Some hemorrhoids may require medical treatment or surgery.
Many people suffer from hemorrhoids without ever seeking treatment. Depending on how you treat your hemorrhoids will determine how long they last.
Medical Procedures For Hemorrhoids That Wont Go Away
If hemorrhoids don’t go away with home treatments, medical procedures may be necessary.
If you visit your doctor with painful external hemorrhoids those located around the outside of the anus that are visible from the outside your doctor may offer to excise them during the office visit. You will be given a shot with a local anesthetic to numb the area before the procedure.
Doctor’s office procedures for internal hemorrhoids those located inside the rectum may include:
Rubber Band Ligation This is the most commonly performed hemorrhoid procedure in the United States. In this procedure, which can be used for grades 1, 2, and 3 internal hemorrhoids , the doctor places a small rubber band around the base of the hemorrhoid, which can be done when your doctor performs an anoscopy examination to better visualize the hemorrhoids. The rubber band cuts off the hemorrhoid’s blood supply.
The procedure typically causes the hemorrhoid to shrink and fall off within about a week, though several short visits to your doctor may be necessary to completely get rid of the hemorrhoid. Minor bleeding and a feeling of pressure may occur, but this can usually be alleviated with OTC pain relievers. This procedure is not associated with significant recovery time.
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How Do You Shrink External Hemorrhoids
There are many methods you can employ to shrink external hemorrhoids. To start, you can use topical based treatments, like Preparation H, hemorrhoid wipes with calming, anti-inflammatory ingredients, or natural extracts like coconut oil or aloe vera.
Applying these creams, ointments, or extracts directly to your external hemorrhoids can encourage them to shrink faster.
Sclerotherapy is another option for sufferers with constant flare-ups of external hemorrhoids.
Chronic external hemorrhoids are injected with a chemical compound that is designed to shrink them and help subside future flare-ups.
Your doctor can recommend additional non-operative or surgical treatment options to find which method is best for your hemorrhoid condition.
What Do External Hemorrhoids Look Like
Hemorrhoids, often referred to as piles, get their name from the Greek word haimorrhoides. If you do hear someone talking about piles, just know that piles and hemorrhoids refer to the same thing.
This means veins that are liable to discharge blood. Do external hemorrhoids go away? Yes, in most cases, they’ll go away in a few days and won’t require any medical treatment.
External hemorrhoids, unlike internal ones, are noticeable to the human eye. They are located underneath the skin that surrounds the anus.
When external hemorrhoids swell, they can be visible. When an external hemorrhoid becomes swollen, it will prolapse to the outside of the anus and can then be seen or felt.
External hemorrhoids appear as clumps of dilated blood vessels outside the opening of the anus.
When hemorrhoids swell, the veins enlarge, and their walls become stretched, causing the swollen bulges we see in external hemorrhoids.
External hemorrhoids appear in bunches as soft lumps. They are generally soft or squishy to touch and can range in size. Witch hazel is often used for external hemorrhoids.
External hemorrhoids can be as small as a pea and as large as a grape. There is a mucus covering on hemorrhoids that can become damaged during bowel movements.
This is when bleeding external hemorrhoids occur.
External hemorrhoids that become thrombosed may appear different as explained in the next section.
You may experience serious hemorrhoid pain with a thrombosis.
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How Are Hemorrhoids Diagnosed
Diagnosis of hemorrhoids is usually made by history and physical examination by the health-care professional. Inspection of the anus and a digital rectal examination are often performed. Depending upon the situation, past medical history, medications and stability of the patient, treatment may follow with no further testing.
- Internal hemorrhoids may not be diagnosed by physical exam they may not be able to be felt, even by digital rectal exam.
- Prolapsed internal and external hemorrhoids may be visualized when the health-care professional examines the anus.
- A thrombosed external hemorrhoid can be diagnosed just by looking at it.
If there is concern that significant bleeding has occurred, a complete blood count to measure blood hemoglobin and hematocrit levels, and platelet count is obtained. If the patient is on warfarin , a prothrombin time or INR may be done to measure the blood clotting levels.
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There are several natural home remedies, for example warm Sitz baths, dietary changes, stool softeners, and exercise, to treat hemorrhoids. OTC or prescription medicine or surgery may be required to repair the hemorrhoids, for example, rubber band ligation, sclerotherapy, laser therapy, hemorrhoidectomy, and stapled hemorrhoidectomy.
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How Do You Treat External Hemorrhoids Diagnosis
External hemorrhoids appear as bumps and/or dark areas surrounding the anus. If the lump is tender, it suggests that the hemorrhoid is thrombosed. Any lump needs to be carefully followed, however, and should not be assumed to be a hemorrhoid since there are rare cancers of the anal area that may masquerade as hemorrhoids.
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