Hemorrhoids also referred to as piles. Hemorrhoids is a condition that causes the inflamed and swollen veins in the anus and lower rectum. Hemorrhoids can have several causes. A common cause is from straining during bowel movement or from increase pressure on the veins during pregnancy. You have internal hemorrhoids, which is inside the rectum and external hemorrhoids, which develop under the skin around the anus.
Hemorrhoids are a common condition. By the age of 50 nearly half adults have had a to deal with discomfort, itching or bleeding that may have signaled the occurrence of hemorrhoids.
What are the Symptoms of Hemorrhoids?
There are several signs of hemorrhoids including:
- Pain or discomfort
- Itching or irritation in your anal region
- Swelling around the anus
- Leakage of stool
- Painless bleeding during bowel movements- noticing small amount of bright red blood (on toilet tissue or in toilet bowl)
- A lump near your anus, which can be painful or sensitive
However, stretching or pressure when passing stool can damage hemorrhoid’s fragile surface and lead to bleeding. Occasionally straining can push internal hemorrhoid through the anal opening. This is referred to as prolapsed or protruding hemorrhoid, which can cause pain and irritation.
External hemorrhoids are under the skin and around the anus. When irritated, external hemorrhoids may itch or bleed. Blood may pool in external hemorrhoid and form a thrombus (clot) which results in swelling, and inflammation and severe pain
When should you See a doctor?
Bleeding during a bowel movement is the most common and visible sing of hemorrhoids. However, rectal bleeding can occur with another disease such as anal cancer or colorectal cancer. You should not assume bleeding is the result of hemorrhoids without talking to your doctor first.
Your doctor may conduct a physical examination and conduct another test to diagnose hemorrhoids and rule out – more severe diseases and conditions. You should also consider getting medical advice and treatment if your hemorrhoids cause physical pain, excessive and frequent bleeding or have not improved with standard home treatment.
If your hemorrhoids started with marked changes in our bowel habits or if you are stool is black, tarry, maroon in coloration, as well as blood clots or blood appears, you should consult your doctor immediately. These types of stools indicate that there are more extreme bleeding in other places inside your digestive tract.
You should seek emergency care if you encounter significant amounts of rectal bleeding, along with dizziness, faintness, and lightheadedness.
What Causes Hemorrhoids
The veins surrounding the anus tend to stretch under pressure and can bulge or swell. Swollen veins or hemorrhoids can develop from increased pressure in the lower rectum. Factors that may increase the pressure include the following:
- Straining during bowel movements
- Chronic constipation or diarrhea
- Long periods of sitting on the toilet
- Low fiber diet
- Anal intercourse
Hemorrhoids are prone to occur as you get older, and the tissues supporting the veins in the rectum and anus weaken and stretch with aging.
Complications with hemorrhoids are rare but include the following:
Anemia – Chronic blood loss from hemorrhoids that can cause anemia. The result is that you will not have enough healthy red blood cells to carry oxygen to your body cells. The effect is feeling fatigue and weakness.
Strangulated hemorrhoid. If the blood supplies to an internal hemorrhoid are cut off, hemorrhoids may be strangulated, which can cause intense pain and lead to tissue death or gangrene.
Hemorrhoid Diagnosis and Test
Your doctor will be able to diagnosis external hemorrhoids by looking. There is test that can implement to diagnose internal hemorrhoids including:Examination of the anal canal and rectum for abnormalities. During a digital rectal exam your doctor will insert a gloved, lubricated finger into the rectum. He or she will feel for anything that is unusual, such as lumps or growth. The exam will give your doctor insight of what further testing might be required.
Visual inspection of the rectum and anal canal. Since internal hemorrhoids are often too soft to be felt during a rectal exemption, your doctor may request lower portion of your colon and rectum to be examed with a proctoscope, anoscope or sigmoidoscope. These are a scope that allows you doctor to see into the anus and rectum.
Your doctor may consider a more extensive examination of the entire colon using colonoscopy which may be recommended if:
- You have risk factors for colorectal cancer
- You are over the age of 50 and have not had a recent colonoscopy
- Your signs and symptoms are suggestive you have digestive system diseases.
Hemorrhoid Treatments and Medications
In most cases, treatment for hemorrhoids involves several steps that you can take to treat yourself such as lifestyle adjustments. However, medication and surgical procedures are sometimes necessary.
If your hemorrhoids create only mild discomfort, you doctor may suggest over-the-counter ointments, cream, and suppositories or pads. These products can contain ingredients such as witch hazel or hydrocortisone, which will relieve pain and itching temporarily at least.
You should not use an over-the-counter cream or other products for more than a week unless your doctor instructs you to. These creams can cause side effects such as inflammation, skin thinning and skin rashes.
Minimally Invasive Procedures
If blood clots form within external hemorrhoid, you doctor may remove the clots through the simple incision, which may provide immediate relief.
For persistent bleeding or painful hemorrhoids, you doctor may recommend another minimally invasive procedure. This treatment can be done as outpatient procedures.
Rubber Band Ligation – Your doctor place one or two tiny rubber bands around the base of internal hemorrhoid to cut off the circulation, hemorrhoid would shrink and fall off within a week. This procured is effective for many people.
Hemorrhoid banding can be irritating and may cause bleeding, which can begin two to four days after the procedure, but the bleeding is rarely severe.
Injection (sclerotherapy), In this procedure, your doctor injects a chemical solution into the hemorrhoid tissue to reduce to shrink the size of it. Although the injection causes little to no pain, it can be less efficient than rubber band ligation.
Coagulation (infrared laser or bipolar) Coagulation methods use laser or infrared heat or light. The cause, bleeding, small internal hemorrhoids to harden and shrink.
Coagulation has a few side effects and is associated with a higher rate of hemorrhoids returning than rubber band ligation.
If other procedures have not been effective, or you have large hemorrhoids, your doctor may recommend a surgical procure. Energy can be performed on an outpatient basis, or you may need to stay in the hospital overnight.
Hemorrhoid removal. During a hemorrhoidectomy, your surgeon removes unnecessary tissue that causes bleeding. There are a variety of techniques that can affect More people. Surgery may be done with local anesthetic as well as sedation, a spinal anesthetic or general anesthetic.
Hemorrhoidectomy is the most complete and useful was to treat recurring hemorrhoids. The complications may be urinary tract infections and temporary difficulty emptying the bladder.
More people experience some pain after the procedure. Medication can relieve your pain. Soaking in a warm bath may help alleviate the pain.
Hemorrhoid stapling – This procedure, called hemorrhoidectomy or stapled hemorrhoidopexy, prevents the blood flow to the hemorrhoidal tissue. Stapling involves less pain than the hemorrhoidectomy and allow people to return to their regular activities earlier.
While a stapled hemorrhoidectomy has a greater risk of recurrence and rectal prolapse, in which the part of the rectum swells from the anus.
Home Remedies to Relieve Hemorrhoids
You can relieve mild pain, inflammation swelling with home based treatments.
Apply over-the -counter cream or suppository containing hydrocortisone or use pads that have numbing agent or witch hazel
Soak regularly in a warm bath or size bath. Soak your anal area in plain warm water for 10-15 minutes two to three times a day. A sitz bath fits over the toilet.
Keep the anal area clean, Bath or shower daily to cleanse the skin around the anus gently with warm water. Soap will not be necessary, and you do not want to aggravate the problem. Avoid alcohol or perfumed based wipes. Gently dry the area with a hair dryer after bathing.
Do not use dry toilet paper. Use moist towelettes or wet toilet paper that does not have alcohol to help keep the anal area clean after a bowel movement.
Take an oral pain reliever. You can use Acetaminophen, Aspirin or ibuprofen Advil or Mortin IB) or acetaminophen (Tylenol) to temporarily relieve pain.
The best method to stop hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and decrease symptoms of hemorrhoids.
Eat high fiber foods – Eat more fruits, vegetables, and whole grains. By doing this, the stool will soften and increase in bulk. Which will help you to avoid string and cause hemorrhoids or worsen symptoms from existing hemorrhoids?
Drink plenty of fluids. Drink six to eight cups of water and other liquids not including alcohol, each day.
You may want to consider taking fiber supplements. Most people do not get enough recommend fiber; which is 25 grams a day and women 38 grams for men in their diet. Over the counter fiber supplements, such s Citrucel and Metamucil can help improve overall symptoms from hemorrhoids. You should have also added fiber to reduce having issues from gas. If you use fiber supplements, make sure you take at least eight glasses of water and other fluids to avoid constipation.
Do not strain – Straining and holding your breath trying to pass stool create greater pressure on your veins and lower rectum.
Go to the bathroom as soon as you feel the urge to go – If you wait to pass a bowel movement, and the sensation goes away, your stool could become dry and heard to pass.
Exercise and stay active to prevent constipation and to reduces pressure on your veins. You should avoid long periods of sitting and sitting too long can increase the pressure on the veins in the anus. Exercise can help you lose excess weight that may contribute to your hemorrhoids.