Questions To Ask Your Doctor
- Why do I have hemorrhoids?
- Are there any lifestyle changes I can do that can relieve or prevent hemorrhoids?
- I saw blood on toilet paper. Is this serious?
- Are having hemorrhoids a sign of another health condition?
- Will I always have hemorrhoids?
- Is there medicine I can take for hemorrhoids? Are there side effects?
What The Experts Say
Most people come to doctors after seeing blood in the toilet. Dont try to treat it. If you have this bleeding going on you should see your doctor to make sure its not something more serious. When I hear about a patient with rectal bleeding, I wonder about what it could be. Especially as were seeing younger and younger people diagnosed with colon and rectal cancer.Henry Govekar M.D., a Colon and Rectal Surgeon at Rush University Medical Group
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.
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Acutely Thrombosed Or Strangulated Internal Hemorrhoids
Patients with acutely thrombosed or strangulated internal hemorrhoids usually present with severely painful and irreducible hemorrhoids. The incarcerated hemorrhoids may become necrotic and drain. This situation is quite difficult to treat particularly in a case of extensive strangulation or thrombosis ,3A), or the presence of underlying circumferential prolapse of high-graded hemorrhoids. Manual reduction of the hemorrhoid masses, with or without intravenous analgesia or sedation, might help reducing pain and tissue congestion. Urgent hemorrhoidectomy is usually required in these circumstances. Unless the tissues are necrotic, mucosa and anoderm should be preserved as much as possible to prevent postoperative anal stricture. In expert hands, surgical outcomes of urgent hemorrhoidectomy were comparable to those of elective hemorrhoidectomy.
Complicated hemorrhoids. A: Strangulated internal hemorrhoid B: Acutely thrombosed external hemorrhoid.
Are Bleeding Hemorrhoids Common
Usually, when people have bleeding hemorrhoids, they are referring to internal hemorrhoids and the painless rectal bleeding often associated with it.
Internal hemorrhoids are common, so much so that nearly half of adults around the age of fifty develop either type of hemorrhoid.
Pregnant women also commonly experience bleeding hemorrhoids.
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What Are The Best Hemorrhoid Suppositories To Use
Every sufferer will have treatments that they use that they will say has helped them better than any of the others they have tried, the problem is that this best treatment can be different from one individual to the next.What works for one person will not always work for the next.
With that being the case I will provide below a quick rundown of some of the best suppositories you can get your hands on.
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 .
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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.
How Do You Get A Hemorrhoid To Stop Bleeding
Unfortunately, there’s not much you can do to stop internal hemorrhoids from bleeding, you have to let the flare-up run its course.
However, rectal bleeding should subside fairly quickly, and you shouldn’t experience a lot of blood, either. Often, the bleeding will occur after a bowel movement or if you are straining on the toilet.
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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.
Does Vaseline Cure Hemorrhoids
Unfortunately, there is no cure for hemorrhoids, but Vaseline can be helpful in healing them more quickly. Even without treatment, hemorrhoids can go away within a few days to a week.
Hemorrhoids are often a reflection of our diet and lifestyle. A diet lacking in fiber means straining and constipation, both of which puts additional, abnormal pressure on rectal veins, leading to hemorrhoid flare-ups.
Lack of exercise, fluid intake, and obesity play a role in rectal vein inflammation as well.
With proper management, and even just a change of diet, hemorrhoid flare-ups can be controlled and in some cases, can completely subside. Everyone has hemorrhoids, and most of the time, it is just a matter of having a healthy, regular colon to keep them from becoming inflamed.
If you find that you are using Vaseline or other topical hemorrhoid treatments on your hemorrhoids for longer than a week, then you should talk to your doctor about a different treatment plan.
Hemorrhoids that are reoccurring or hemorrhoids that have signs of complications will require a more aggressive approach.
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What Is Rectal Bleeding
Rectal bleeding is a symptom of a problem in the digestive tract. The definition is broad as it means any blood passed rectally consequently, the blood may come from any area or structure in the GI tract that allows blood to leak into the GI lumen . For example, a bleeding ulcer in the stomach can have the blood excreted in the person’s fecal material. Rectal bleeding may be due to problems in the rectum itself or from many other problems that occur elsewhere in the GI tract. Perirectal bleeding is bleeding in an area adjacent to the rectum and may be due to abscesses or fistulas.
When Should You See The Doctor For Hemorrhoids
Before assuming that your condition is hemorrhoids, it’s a good idea to see your doctor for an examination. After all, it’s difficult to take a look for yourself. And please, no “selfies”!
If there is any bleeding, severe pain or fecal incontinence , you should definitely see your doctor. A large amount of bleeding or the sudden onset of severe pain means you should seek medical treatment immediately.
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Blood Thinners: Getting Regular Blood Tests
You will have 2 tests to find out how your blood is clotting. One is called prothrombin time . The other is called the international normalized ratio .
Get your blood tests as often as directed.
Follow up with your healthcare provider as advised. It may take a few hours for him or her to get your results. Call to find out your lab results. Ask your healthcare provider if you need to make changes to your dose or diet.
If your blood tests are not done at your healthcare providers office, tell him or her as soon as you get your test results.
My next INR/PT blood test is on _____________ at ___________ by ___________ .
The name of the healthcare provider who is in charge of my anticoagulation therapy is _____________________. The phone number is _________________.
First Aid To Stop Bleeding At Home
Before we get into the natural remedies to stop bleeding, first lets talk about the traditional first aid methods that you should know. It is recommended to wash and clean the wound with water and hydrogen peroxide as soon as possible. After that, apply steady pressure to the wound using a cloth for a full 15 minutes while keeping the wound elevated. The 15 minute time period is necessary and although it may seem like a long time, it is needed by the body to do its work. This is more than enough time for the blood in the wound to start clotting and even if the bleeding doesnt stop, it should go down to a trickle by then.
If the wound is in the mouth, the person suffering from it should be made to sit up and lean forward. This is done to prevent the blood from seeping into the throat.
These first aid procedures should be performed regardless of you using natural remedies to stop bleeding. If it is a smallish cut or scrape, you can maybe avoid it. In any case, use your best judgement.
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Rectal Bleeding Anorectal Disorders
Anorectal disorders are the most common causes of minor rectal bleeding.
Hemorrhoids: Hemorrhoids are swollen rectal veins in the anal and rectal area. They can cause burning, painful discomfort, and bleeding.
- External hemorrhoids are small swellings that are easy to see and quite painful. Anal itching is common.
- Internal and external hemorrhoids are usually painless. A person may note a rectal mass sensation with bowel movements.
- Symptoms from the swelling of the hemorrhoids are brought on by hard stools and straining with bowel movements. Treatment of hemorrhoids focuses on relieving these symptoms with the use of stool bulking agents and softeners.
- In cases of thrombosed hemorrhoids, a clot forms within the swollen vein. This causes moderate to severe pain and requires minor surgery to remove them.
Anal fissure: This is a tear in the lining of the rectum caused by the passage of hard stools.
- An anal fissure can lead to mild rectal bleeding of bright red blood. Exposed nerves and vessels result in moderate to severe pain. Pain worsens with bowel movements then decreases in between bowel movements.
- In both hemorrhoids and anal fissures, symptoms generally improve with use of stool softeners and bulking agents, increasing fiber in the diet, pain control, and frequent warm water baths.
Infection: Bacterial dysentery is commonly the source of infectious, bloody diarrhea.
Hemorrhoid Home Remedies: Warm Sitz Bath
A sitz bath refers to sitting in a few inches of warm water three times a day for 15 to 20 minutes. A sitz bath may help decrease the inflammation of hemorrhoids. Drying off the anal area completely after each sitz bath is important for minimizing moisture that irritates the skin surrounding your rectal area.
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Best Pills: Naticura Hem
Wont shrink bumps
Wont offer immediate pain relief
Over-the-counter hemorrhoid suppositories wont shrink your bump, but they can help stimulate a bowel movement or lubricate the anal canal so that its easier and less painful to go, Dr. Childs says.
There are a lot of products to help soften your stool, but we love this one because it has both witch hazel powder and psyllium husk, a natural fiber. Other ingredients like ginger root and horse chestnut seed are intended to help lower inflammation and promote healing in the damaged tissue of a hemorrhoid. Plus, psyllium husk is a gentle stool softener, so youll see results without any of the emergency feelings.
This formula is made from entirely natural ingredients with no chemicals and no fillers. That means its not only better in the moment, but also you can use the stool softener regularly if you need to help avoid future straining .
Active Ingredients: Psyllium husks, witch hazel, horse chestnut seed, and ginger root | Dose: 3 capsules once daily with a full glass of water | Uses: Reduces straining due to constipation, regulates bowel movements, support normal stool formation
Can You Put Vaseline On A Hemorrhoid
Vaseline contains relatively mild ingredients that are designed to lubricate and rehydrate the skin. In actuality, Vaseline merely is petroleum jelly.
Petroleum jelly can be used externally on any part of the body, including the rectal area. This area is sensitive, especially the anus, but Vaseline is a hypoallergenic product with an extremely low risk of an adverse reaction.
Many doctors will even recommend the application of Vaseline on the anal area to heal the delicate skin and as a lubricant to prevent further irritation during movement.
For hemorrhoids, Vaseline can be helpful to prevent sore and painful external hemorrhoids from worsening and producing their equally painful symptoms.
Before applying Vaseline on an external hemorrhoid or the anal area, you should clean the area thoroughly and pat it dry. Vaseline can be reapplied throughout the day and following bowel movements.
When applied on the anus directly, Vaseline can make stools pass through the rectum easier, preventing anal fissures and straining. Subsequently, by doing so, you can promote the quicker healing of your hemorrhoids.
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Hemorrhoid Medication: When Why And Which Ones To Use
A number of OTC creams, ointments, and pads that contain hydrocortisone or witch hazel are available to help relieve pain, swelling, and itching caused by hemorrhoids. According to the National Institute of Diabetes and Digestive and Kidney Diseases, doctors recommend using over-the-counter products for a week. If symptoms persist beyond a week, follow up with your doctor.
Creams and suppositories containing hydrocortisone can cause the skin to weaken and thin, so they should not be used for more than a week. If any of these creams cause a rash or dry skin around the area, contact your healthcare provider.
Avoid laxatives, which can lead to diarrhea and worsen hemorrhoid symptoms.
When Do Specialists Help Required
Any anal bleeding needs to be properly evaluated. If you have anal bleeding that lasts for more than 10 minutes, its best to see a medical professional make sure that something else isnt triggering your bleeding.
Not all bleeding is because of hemorrhoids, so its important to not self-diagnose. Sometimes, bleeding can be a sign of a more severe underlying condition, such as colorectal or anal cancer.
Ensure to inform them if you have any of the following symptoms in addition to bleeding:
- changes in stool consistency or color
- changes in defecation routines
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Can Hemorrhoids Bleed When Passing Gas
Hemorrhoids are not known to cause bleeding when passing gas.
Many experts believe that the rectal bleeding that arises from having internal hemorrhoids is from a hard stool passing through the bowels.
The hard stool scrapes the lining that is located inside the rectum, and this is where the bleeding originates.
However, hemorrhoids can make passing gas uncomfortable, as well as when you are sitting and standing in certain positions.
If you are experiencing bleeding when passing gas, let your doctor know right away.
Your doctor may want to perform additional examinations if this is a persisting issue for you.
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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How To Heal Hemorrhoids: Over
Products used to treat hemorrhoids are available as
- foams, and
When used around the anus, ointments, creams, and gels should be applied as a thin covering. When applied to the anal canal, these products should be inserted with a finger or a “pile pipe.” Pile pipes are most efficient when they have holes on the sides as well as at the end. Pile pipes should be lubricated with ointment prior to insertion. Suppositories or foams do not have advantages over ointments, creams, and gels.
Diagnosis For Bleeding Hemorrhoids
A licensed healthcare professional can help diagnose bleeding hemorrhoids. To get the diagnosis, your doctor may have you undergo a physical examination and:
- Rectal examination, where a doctor uses a gloved finger to check inside your rectum.
- Anoscopy, where a doctor inserts a lighted scope into your rectum to examine the anal canal.
- Colonoscopy, where a doctor places a long flexible tube with a tiny camera into your rectum to examine the entire colon.
There are two types of hemorrhoids:
- Internal hemorrhoids: Hemorrhoids hidden inside the rectum are called internal hemorrhoids. These are usually painless but can cause bleeding when you use the bathroom.
- External hemorrhoids: Hemorrhoids that you can see or feel are called external hemorrhoids. These are usually more painful because the skin becomes irritated and eroded.
A health care provider will help you determine what kind of hemorrhoids you have and discuss the best treatment options.
- Fibersupplements to help soften your stool
- Laxatives to help you make healthy stools
- Sitz bath to improve blood flow and relax the muscle around the anus
Minimally invasive treatments
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