Hemorrhoids In Patients Having Anticoagulant Or Antiplatelet Drugs
Anticoagulant or antiplatelet drugs may promote anorectal bleeding in patients with hemorrhoids and increase risk of bleeding after banding or surgery. Unless the bleeding is persistent or profound, the discontinuity of antithrombotic drugs may be unnecessary because most of the bleeding episodes are self-limited and stop spontaneously. Conservative measure is therefore the mainstay treatment in these patients. Injection sclerotherapy is a preferential treatment for bleeding low-graded hemorrhoids refractory to medical treatment. Rubber band ligation is not recommended in patients with the current use of anticoagulant or antiplatelet drugs due to the risk of secondary bleeding. If banding or any form of surgery for hemorrhoids is scheduled, the cessation of anticoagulant or antiplatelet drugs about 5-7 d before and after the procedure is suggested.
What Are The Different Types Of Piles
Piles can be divided into either internal or external piles. Some people develop internal and external piles at the same time.
- External piles start off nearer the surface, below a point 2-3 cm inside the back passage.
Whether internal or external, haemorrhoids often don’t cause any problems but can cause bleeding and sometimes pain. If they do cause any bleeding or pain then you should seek medical advice.
Piles are also graded by their size and severity.
Avoid Constipation And Straining During Bowel Movements
Keep the stools soft, and don’t strain on the toilet. You can do this by:
- Eating plenty of fibre .
- Having lots to drink. Ideally water, although most sorts of drink will do. Avoid too much alcohol, caffeine, and sugary drinks.
- Taking fibre supplements. If a high-fibre diet is not helping to prevent constipation, you can take fibre supplements such as ispaghula, methylcellulose, bran or sterculia.
- Avoiding painkillers that contain codeine, such as co-codamol, as they are a common cause of constipation. However, simple painkillers such as paracetamol may help.
- Toileting. Go to the toilet as soon as possible after feeling the need . Equally, do not strain on the toilet.
- Getting regular exercise. This helps to reduce constipation.
These measures will often ease symptoms of piles such as bleeding and discomfort. It may be all that you need to treat small and non-prolapsing piles . Small grade 1 piles often settle down over time.
See the separate leaflets called Constipation, Constipation in Children and Fibre and Fibre Supplements for more digestive health information.
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External Hemorrhoids Symptoms Treatment And Surgery
Hemorrhoids are made of vascular tissue and typically formin the rectum. One of the most common reasons for bleeding hemorrhoids isstraining or constipation and they can cause pain, itching, itching, and minorbleeding, especially during bowel movements or diarrhea.
Hemorrhoids can be categorized into two types InternalHemorrhoids and External Hemorrhoids. An individual may have both types ofhemorrhoids at the same time.
Hemorrhoids of both sorts generally go away on their own,although medical treatment may be required in some cases.
Hemorrhoids affect an estimated 50 million Americans everyyear, 10 million in the US alone, and 1 in 5 men and almost 1 in 20 women inthe U.S. They are caused by the build-up of excess tissue in the rectum and/oranus, which can lead to bleeding, prolapse, pain, and discomfort.
If left untreated, hemorrhoids can cause extreme discomfortand can lead to more serious health issues, such as a hemorrhage, thrombosis,and infection. In case, you are experiencing any of these symptoms, you may besuffering from hemorrhoids.
If youre struggling to get rid of your hemorrhoids, thenseeking the advice of a healthcare professional is the next best thing to doingwhat works for you at home
When Should I See My Doctor
Haemorrhoids often go away without any treatment. However, if you notice blood when you have a bowel motion, it is important to get checked out by a doctor, to make sure your symptoms are not a sign of something more serious. The symptoms of haemorrhoids can be very similar to those of bowel cancer.
Tell your doctor if you have noticed:
- blood or mucus in your stools
- changes in your bowel habits or movements
- changes in the colour of your stools
- recent weight loss
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If Discomfort From Hemorrhoids Isnt Resolved Within A Week
When youve had persistent discomfort, pain, or itching for a week, its time to talk to a doctor. While some symptoms of hemorrhoids resolve on their own, others do not and can be treated by a doctor, so you dont have to live with the daily symptoms. Your doctor can recommend treatments that range from the conservative, like dietary and behavioral changes, or in-office procedures, such as rubber band ligation, to more invasive approaches like surgery.
Common Questions About Hydrocortisone
The hydrocortisone in treatments for piles and itchy bottom is a steroid .
Like other steroids, it works by calming your immune system. This reduces inflammation and helps to relieve the pain and itching of piles.
The pain and itching should get better within a few days of starting treatment.
Piles and itchy bottom should get better within 7 days. Talk to your doctor if your piles have not got better or the itching gets worse.
There are other treatments available to buy that do not contain hydrocortisone. These include creams and suppositories containing zinc oxide or other soothing ingredients.
Your doctor may be able to prescribe stronger medicines for piles or itchy bottom.
No, using hydrocortisone treatments for piles does not affect what you can eat and drink.
It’s a good idea, though to eat lots of foods which contain fibre so you do not get constipation. Examples of foods with lots of fibre are porridge oats and wholegrain breakfast cereals, wholemeal breads, wholewheat pasta, pulses, potatoes with their skins on and vegetables.
To avoid constipation, try to drink several glasses of water or other non-alcoholic drinks each day. If you can, it may also help to increase your levels of exercise.
Yes, you can drink alcohol while using all hydrocortisone treatments for piles and itchy bottom.
There is no clear evidence that hydrocortisone treatments for piles or itchy bottom affect male or female fertility.
Look on the pill packet to find out what to do.
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How Will This Affect Haemorrhoid Sufferers
A Shift From Theatre to Clinic.
The guidance clearly stipulates that the evidence shows that clinic based treatments for grade 1, 2 and 3 haemorrhoid can be more effective than theatre based surgery and should be considered as a leading option for treatment.
The NHS currently carries out three types of surgical interventions for haemorrhoids a haemorrhoidectomy, haemorrhoidal artery ligation and stapling . However, the NHS is now advocating for the non-surgical procedure alternatives that are available in clinic. Surgical procedures will only be carried out if certain clinical criteria are met.
According to The Association of Coloproctology, surgery will only be undertaken in cases of persistent grade 1 or grade 2 haemorrhoids that have not improved from non-surgical interventions such as dietary changes or banding. Similarly, surgery may be performed on grade 3 or 4 haemorrhoids or those with a symptomatic external component.
Impact on Patients
While these changes are more effcient and save a lot of money, there undoutably is an impact on the 8 million haemorrhoids sufferes. The symptoms of living with haemorrhoids can be detrimental to these individuals. The condition is often joked about. Living with it can be incredibly stressful. Sufferers can find it difficult to talk about the symptoms.
A typical example of this comes from Robert B from Yorkshire.
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How To Treat External Hemorrhoids
In many incidents, individuals usually treat externalhemorrhoids at home and they disappear on their own in most cases.
According to doctors, they usually dont require medicalattention unless theyre causing you a lot of pain or are extremely swollen.
The treatment for external hemorrhoids is usually to relievepain, prevent infection, and treat symptoms such as itching and irritation.Treatments for external hemorrhoids can include over-the-counter creams,ointments, gels, suppositories, topical anesthetics, and other things.
The most common treatment for external hemorrhoids is to removethem surgically. This is known as hemorrhoidectomy and is done by a doctor tocompletely remove the internal hemorrhoids.
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About Our Health Information
At Bupa we produce a wealth of free health information for you and your family. This is because we believe that trustworthy information is essential in helping you make better decisions about your health and wellbeing.
Our information has been awarded the PIF TICK for trustworthy health information. It also follows the principles of the The Information Standard.
London Harley Street Haemorrhoid Clinic
Our London Harley Street clinic is our flagship clinic located in central London. Patients will be able to see Consultant General and Laparoscopic Colorectal Surgeon, Mr Piero Nastro MD, MRCS, FRCS GMC Number 6037215. Mr Nastro specialises in all types of haemorrhoid treatments including Rafaelo and is able to offer his expert advice to ensure you are receiving the best treatment.
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Increasing Your Fibre Intake
You can gradually increase the amount of fibre in your diet by eating foods including:
- fresh fruit and vegetables
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.
If Your Symptoms Continue Worsening
While many home remedies may provide temporary relief of inflammation, pain, or discomfort caused by hemorrhoids, they dont necessarily cure the issue. Thats why its important to seek medical care for hemorrhoids, especially if your symptoms get worse. On top of treating your hemorrhoids, your doctor can help you reduce the chances of another hemorrhoid flare-up by discussing things like your diet, staying hydrated, and changing your bathroom habits.
Read Also: Is It Hemorrhoids Or Something Else
When Do Hemorrhoids Require Medical Intervention
Your hemorrhoids can be an embarrassing topic to discuss with anyone, even your doctor. But hemorrhoids are common and affect 5% of adults in the United States every year, according to the National Institute of Diabetes and Digestive and Kidney Diseases. Its estimated, in fact, that as many as three in four adults will experience problems with hemorrhoids at some point in their lives.
Though you can find many treatments for hemorrhoids at your local pharmacy, home remedies dont help everyone. At Rivas Digestive Center, located in Hollywood, Florida, our expert gastroenterologist, Dr. John Rivas, wants you to know when its time to get medical help for your hemorrhoids.
When To Seek Medical Advice
See your GP if you have persistent or severe symptoms of haemorrhoids. You should always get any rectal bleeding checked out, so your doctor can rule out more potentially serious causes.
The symptoms of haemorrhoids often clear up on their own or with simple treatments that can be bought from a pharmacy without a prescription . However, speak to your GP if your symptoms don’t get better or if you experience pain or bleeding.
Your GP can often diagnose haemorrhoids using a simple internal examination of your back passage, although they may need to refer you to a colorectal specialist for diagnosis and treatment.
Some people with haemorrhoids are reluctant to see their GP. However, theres no need to be embarrassed, because GPs are very used to diagnosing and treating haemorrhoids.
Read more about diagnosing haemorrhoids.
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Medical Treatments For External Hemorrhoid
Your doctor may recommend a surgical procedure called a hemorrhoidectomyif you have a more severe case of external hemorrhoids. An external hemorrhoidis removed with a laser, scalpel, or cautery equipment.
Depending on the type of surgical procedure and requirement,your doctor will most likely use a local anesthetic for this treatment.
Prescription drugs for external hemorrhoids are occasionallyrecommended by physicians. These are some of them:
- nitroglycerine topical ointment, 0.4 percent
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
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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Maintaining A Healthy Weight
Being overweight is another factor that may contribute to the development of haemorrhoids. You can lose weight by exercising regularly, eating a low-fat diet and moderating your alcohol intake.
More information about food and nutrition is available in our healthy eating section and from the Nutrition Australia website.
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Natural Remedies For Hemorrhoids
- By Matthew Solan, Executive Editor, Harvard Men’s Health Watch
Hemorrhoids are painful, unpleasant, and, um, well, difficult to talk about. But they actually are quite common: about half of people over age 50 have had them. However, theyre easy to treat and manage.
Hemorrhoids can be troublesome and embarrassing, but they often shrink on their own with simple self-help care and over-the-counter remedies, says Dr. Howard LeWine, assistant professor of medicine at Harvard Medical School.
How Do You Identify The Signs And Symptoms Of External Hemorrhoids
External hemorrhoids can manifest themselves in severalways. The severity of the symptoms varies. You may experience the followingsymptoms:
Other illnesses may cause these symptoms as well. If younotice them, make an appointment with your doctor for a check-up.
Symptoms of external hemorrhoids may disappear after a few days. Over time, the hemorrhoid is normally absorbed by the body.
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Ask A Pharmacist About Treatment For Piles
Talk to a pharmacist to get advice on:
- creams to ease the pain, itching and swelling
- treatment to help constipation and soften poo
- cold packs to ease discomfort
You can ask the pharmacist to talk to you in a private area if you do not want to be overheard.
It can feel embarrassing to talk to your pharmacist or GP about your piles. But piles are very common. Your GP is used to diagnosing and treating piles.
What Do External Hemorrhoids Look Like
External hemorrhoids are much easier to self-diagnose because they can be seen and felt, while internal hemorrhoids tend to be less obvious.
External hemorrhoids can be described as any of the following:
- Mucus-covered bumps.
- Bumps that secrete blood when wiped with toilet paper.
Many symptoms of external hemorrhoids, such as pain, can also be caused by other conditions. Therefore, it is important to see a health care practitioner for a formal diagnosis.
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When To See Your Pharmacist
Do not be embarrassed to talk to your pharmacist about piles, they are a very common problem. Your pharmacist will need to ask you some questions about your symptoms, in particular, whether there is any blood mixed with your faeces, whether you have any abdominal pain, have lost weight or if your bowel habits have changed. Your pharmacist will also want to know how long you have had the symptoms and what treatments you have already tried. If your pharmacist is satisfied that you are not suffering from something more serious, he or she will recommend one of the products described above that is best suited to the symptoms you have described.
Are External Hemorrhoids Painful
External hemorrhoids can be painful. They are usually most painful immediately following a bowel movement or after straining or lifting.
They may be especially painful if they develop a blood clot, which is known as a thrombosed hemorrhoid. If medical professionals can lance and drain the clot within of development, the pain will ease immediately. If not, the clot will likely dissolve on its own, and the pain will ease in time.
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