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The Anatomy Of Hemorrhoids
The anal opening is also referred to as the anal verge. Approximately 2 to 3 cm above this is an anatomical landmark known as the dentate or pectinate line, which is distinguished by a circular row of glands that secrete mucus that acts to lubricate the anal canal. Groups of normal submucosal vascular beds composed of supportive connective tissue, smooth muscle, and blood vessels surround the anal canal. When these beds enlarge, the result is hemorrhoids.2 The exact cause of the enlargement is open to further dispute, although the straining theory asserts that straining interrupts the tissues that support the vascular bundles, displacing them and leading to their congestion.4
Cream Gel Ointment Or Suppository Which One To Choose
Before purchasing a hemorrhoid cream, it is very helpful to understand the difference between several choices like ointment, gel, cream or suppository. Though they are lumped into same group, but they do have certain differences too.
The most important difference between the cream and gels is creams are oil based and gels are water based. Usually, gel based solutions dont leave a heavy film as they are clear in texture. But creams are different as they leave a thin film application behind. Both creams and gels are easily absorbed by the body. So, they work better for people who have oily skin.
When it comes to ointment, they are thick in color and greasy in texture. When it is applied on the skin, it leaves a layer of oil on the skins surface. These products are best for people with dry skin as the oil present in it traps the moisture in the skin. Either it is water or oil based, these ingredients are very helpful in relieving itching, soreness, burning sensation and swelling.
Important Note: For people who have dry skin, it is better to use ointments. For people who have oily skin, it is better to use creams.
Apart from the texture, another important thing to consider is the type of hemorrhoids internal or external. Creams, gels or ointments are helpful for treating external hemorrhoids while suppositories are helpful for treating internal hemorrhoids.
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What Makes A Hemorrhoid Suppository
Active ingredients included in hemorrhoid suppositories can be natural herbs such as witch hazel or synthetic agents like phenylephrine HCl. Some formulations may combine both types of remedies.
To ensure that hemorrhoid suppositories stay solid before use and melt slowly, the active ingredients are formulated in a base which is the substance also serving as a vehicle for the active ingredients. Cocoa butter is a popular choice for the base in hemorrhoid suppositories.
Other inert excipients may be added to help with the release of the active ingredients in the anal canal.
Some of these added substances help lubricate the anal canal to allow the suppository to pass in with the least difficulty and also to soothe the smooth muscles of the anorectal region.
Hemorrhoids Suppositories are not meant for external hemorrhoids as these medications are developed in a way to work inside the body.
You can use topical creams and ointments for external hemorrhoids.
When inserted through the anal canal, the suppositories release the ingredients that work on the internal hemorrhoids to alleviate the irritation and burning sensations.
There are basically three different types of hemorrhoids suppositories available: Vasoconstrictors Analgesics and anesthetics and Laxatives.
Vasoconstrictors work by tightening the blood vessels and reducing the inflammation and pain.
Analgesics and anesthetics also reduce pain.
Laxatives dont work for hemorrhoids directly.
Best For Pain Relief: Wiseways Herbals Witch Hazel Salve
According to Dr. Nazarian, witch hazel can be very calming and anti-inflammatory, which is perfect for treating painful hemorrhoids. Its the main ingredient in this salve from WiseWays, where it works with other soothing ingredients such as yarrow, arnica, calendula, and chamomile to provide relief from itching, burning, and discomfort.
Im eight months pregnant and suffer from painful hemorrhoids, says one reviewer, who calls the salve a must-have. After weeks of pain and trying over the counter medicines, I saw the reviews for this and decided to try. And in just days, it reduced my hemorrhoids and pain.
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What Makes Hemorrhoid Creams Work So Well
Creams have different combinations of ingredients each ingredient is designed to relieve symptoms and to improve healing. What are these ingredients? Here are some of the types of ingredients typically included in topical hemorrhoid treatments:
- Analgesic. Intended to provide a cooling sensation, analgesics can reduce discomfort and pain by relieving painful itching sensations. Its a great way to reduce symptoms and is often included in creams.
- Anesthetic. Similar to an analgesic in the way it works, but more potent. Anesthetics numbs the area to which it is applied, and thereby provides relief for symptoms, but the relief is temporary.
- Steroidal. Inflammation goes hand in hand with hemorrhoids and reducing inflammation using a steroid is a common method of action for hemorrhoid creams. Horse Chestnut Seed Extract is another ingredient that reduces inflammation.
- Moisturizer. Dryness can cause itching and many people suffering from hemorrhoids complain about experiencing dryness. Creams include moisturizers because it goes a long way in relieve the itching and pain caused by hemorrhoids.
The ingredients in your cream will vary from product to product. Over the counter, treatments tend to have ingredients different from their prescription counterparts.
Prescription treatments may have stronger-acting ingredients that carry the risk of side-effects, which is why only doctors are allowed to prescribe certain hemorrhoid creams.
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How Should This Medicine Be Used
Hydrocortisone rectal comes as a cream, an enema, suppositories, and a foam to use in the rectum. Follow the directions on your prescription or your product label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use rectal hydrocortisone exactly as directed. Do not use it more or less of it or use it more often than prescribed by your doctor.
For proctitis, hydrocortisone rectal foam usually is used one or two times a day for 2 to 3 weeks, then if necessary, every other day until your condition improves. Hydrocortisone rectal suppositories usually are used two or three times daily for 2 weeks may require treatment for up to 6 to 8 weeks in severe cases. Proctitis symptoms may improve within 5 to 7 days.
For hemorrhoids, hydrocortisone rectal cream usually is used in adults and children 12 years and older up to 3 or 4 times daily. If you obtained hydrocortisone without a prescription and your condition does not improve within 7 days, stop using it and call your doctor. Do not put the cream into your rectum with your fingers.
For ulcerative colitis, hydrocortisone rectal enema usually is used every night for 21 days. Although colitis symptoms may improve within 3 to 5 days, 2 to 3 months of regular enema use may be required. Call your doctor if your colitis symptoms do not improve within 2 or 3 weeks.
If using a hydrocortisone rectal enema, follow these steps:
Bleeding During Bowel Movements
There are many underlying causes of rectal bleeding, including hemorrhoids. Blood associated with internal hemorrhoids is typically bright red, causes no pain, occurs with bowel movements, and may be mild to moderate in amount.
You cant assume, however, that your symptoms are due to hemorrhoids. If youve never been diagnosed with hemorrhoids or have noted a change in the characteristics of the bleeding youve associated with hemorrhoids, see a doctor for an accurate diagnosis.
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Hemotreat Hemorrhoid Treatment Cream
The HemoTreat Hemorrhoid Ointment is a fast, safe, and effective treatment that helps in providing immediate relief from the discomforts. It is a 100% safe, effective and best suitable for both internal and external hemorrhoids.
It makes use of 6 active ingredients camphor, calcium carbonate, eucalyptus oil, petroleum jelly, lanolin and adept sullies that alleviates pain, irritation and itching, reduces swelling and inflammation, treats dry skin and acts as a protectant and dealer.
This provides relief from hemorrhoids without any adverse side effects. It is very helpful in protecting and restoring the irritated skin.
All the ingredients used in the ointments have been clinically tested for safety and effectiveness. This unique and innovative blend has passed all the clinical trials which are rigorously tested for tolerance.
This ointment does not contain any steroids, chemicals or artificial ingredients.
The manufacturer provides 100% money back guarantee if you are not satisfied with the product.
You can gradually increase the amount of fibre in your diet by eating foods including:
- fresh fruit and vegetables
- nuts and seeds
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.
How To Insert Hemorrhoid Suppositories
To insert a suppository, you should get into a comfortable position.
Most patients stand with one leg up on a chair or lie on their side with one leg straight and the other pulled in towards the stomach.
Gently spread your anal area open and carefully push the suppository about one inch into your rectum.
You should be using the tapered end first.
Once inserted, close your legs and, if possible, remain still for about fifteen minutes as the medication dissolves.
Remember to wash your hands with soap and warm water once you are done.
Most hemorrhoidal suppositories come with step-by-step instructions for use. If you are uncertain about how often to use your suppositories, consult your physician.
Some suppositories recommend you use them after each bowel movement or up to six times a day, just like hemorrhoid wipes.
Since dosage varies from product to product, and prescription suppositories often have their own unique instructions, it is important to follow your doctor’s direction when it comes to frequency.
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What Are Thrombosed Hemorrhoids
Thrombosed hemorrhoids are thought to be the most painful hemorrhoids and are caused when a blood clot forms in the hemorrhoid as a result of a lack of blood flow.
These are generally extremely painful and will cause you to seek medical advice.
Thrombosed hemorrhoids are most often associated with external hemorrhoids, but can occur internally as well.
How Are Haemorrhoids Treated
Haemorrhoids often go away after a few days without any special treatment. In most cases your doctor will recommend measures to relieve constipation if you have it.
If your haemorrhoids are causing you pain or discomfort, ask your doctor or chemist about medicated creams or ointments that may ease your symptoms.
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How Can You Prevent Constipation
To avoid constipation and straining during bowel movements, people are often advised to change their diet, drink plenty of fluids, and get enough exercise. High-fiber foods like fruits, cereals, vegetables and legumes are generally recommended to try to make stools softer.
Studies suggest that plant fibers such as psyllium husk can reduce the frequency of bleeding. Whether or not they relieve other symptoms too hasnt been well studied. People who use psyllium husk must make sure that they drink enough fluids. But fiber can also cause diarrhea, which in turn leads to hemorrhoids being irritated even more by frequent bowel movements.
Are Hemorrhoid Suppositories Safe
Yes, hemorrhoid suppositories, just like any other marketed drug, are safe to use. Although it can seem strange to insert medication through the rectum, for some people, suppositories offer faster relief than other forms of hemorrhoid treatments.
Hemorrhoid suppositories must meet guidelines and pass regulations enforced by the FDA for safe, general use.
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Procedures For Hemorrhoids Treatment
Some hemorrhoids can’t be managed with conservative treatments alone, either because symptoms persist or because an internal hemorrhoid has prolapsed. Fortunately, a number of minimally invasive hemorrhoid treatments are available that are less painful than traditional hemorrhoid removal and allow a quicker recovery. These procedures are generally performed in a surgeon’s office or as outpatient surgery in a hospital.
Band it. The most commonly used hemorrhoid treatment in the United States is rubber band ligation, in which a small elastic band is placed around the base of a hemorrhoid . The band causes the hemorrhoid to shrink and the surrounding tissue to scar as it heals, holding the hemorrhoid in place. It takes two to four procedures, done six to eight weeks apart, to completely eliminate the hemorrhoid. Complications, which are rare, include mild pain or tightness , bleeding, and infection. Other office procedures include laser or infrared coagulation, sclerotherapy, and cryosurgery. They all work on the same principle as rubber band ligation but are not quite as effective in preventing recurrence. Side effects and recurrence vary with the procedure, so consult your physician about what’s best for your situation.
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What Medicine Is Best For Hemorrhoids
Oral medications might also enhance your comfort by decreasing pain and inflammation. Although, therere lots of orally taken medicines available for hemorrhoid inflammation, pain and swelling, but these are the best among them:
Aspirin, Ibuprofen and Acetaminophen
- Limit the number of pills you take, drugs like aspirin and ibuprofen can sometimes make hemorrhoids bleed more.
- Hemovel is an over-the-counter pill that helps reduce the severity and duration of hemorrhoids.
- The pill is discreet and easy to use.
- The active ingredients are diosmin, which are anti-inflammatory and has venotonic properties
- Unique formulation relieves symptoms, pain, swelling, and bleeding.
- Simple and convenient dosing, 1 pill three times a day for 4 days, then 1 pill twice a day for 3 days.
Daflon 500 mg
- Daflon has seen to be a help for hemorrhoids sufferers according to numerous studies.
- Dosing for Daflon is, 2 pills three times a day for 4 days and after that 2 pills two times a day for three days.
- If hemorrhoids have not been relieved after 15 days you should consult a doctor.
What Type Of Hemorrhoid Do I Have It Matters
First, you must be reading this because you have a hemorrhoid. Do you know what kind of hemorrhoid you have? The reason I ask is because IT MATTERS.
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Generic Name: Hydrocortisone Suppository
BRAND NAME: Anucort-HC, Anusol-HC, Cort-Dome
USES: This medication is used to treat hemorrhoids and itching/swelling in the rectum and anus. It is also used with other medications to treat certain intestinal problems . Hydrocortisone suppositories help to relieve rectal pain, itching, bloody diarrhea, and bleeding by reducing swelling directly in the rectum and anus. Hydrocortisone belongs to a class of drugs called corticosteroids.
OVERDOSE: This medicine may be harmful if swallowed. If swallowing or overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
NOTES: Do not share this medication with others.Laboratory and/or medical tests should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Information last revised March 2013. Copyright 2013 First Databank, Inc.