Hemorrhoids are swollen veins in your lower rectum. Internal hemorrhoids are usually painless, but tend to bleed. External hemorrhoids may cause pain. Hemorrhoids (HEM-uh-roids), also called piles, are swollen veins in your anus and lower rectum, similar to varicose veins.
Haemorrhoids are small, blood-filled swellings caused by dilated varicose veins. Initially, they are located just inside the anus (internal haemorrhoids) but can sometimes protrude (external haemorrhoids). Haemorrhoids are not dangerous.
Constipation and prolonged straining when using the toilet are thought to contribute to the formation of haemorrhoids by increasing the pressure in the veins.
What are the symptoms of haemorrhoids?
Haemorrhoids may be present for many years but remain undetected until symptoms appear. They can cause anal bleeding and itching and also pain and discomfort.
Normally, the bleeding is limited to small stains of fresh blood on the toilet paper, but more severe bleeding can sometimes be present when stools are passed.
A lump may also be felt in the anus and large haemorrhoids give a sensation that the bowel hasn't emptied completely.
If you observe blood in your stools, and have the symptoms mentioned above, you should visit your doctor for a check-up.
If haemorrhoids are present, the doctor will then perform an examination to find out if there are any other possible causes of the bleeding that may be more serious.
The doctor will feel the anal canal by digital rectal examination and may go on to inspect the mucous membrane of the rectum and lower part of the large intestine using an examination tube called a proctoscope or sigmoidoscope.
How are haemorrhoids treated?
Some haemorrhoids can get better without medical treatment. This can happen if they are caused by constipation. The doctor may recommend a change of diet with the addition of more fibre and roughage particularly green vegetables, fresh fruit, wholegrain cereals and bran. Drinking 8 to 10 glasses of fluid daily is advisable.
The person is also told to avoid straining when passing a bowel motion. Nobody should strain to push out a stool. The feet can be placed on a low foot stool to aid the bowel movement. Sitting in a shallow bath of hot water for 15 minutes several times a day, will reduce the pain.
In the case of a pile protruding from the back passage, which has become swollen and painful, a day's bed rest with an ice pack applied to the anal area should be helpful.
A pack of frozen peas wrapped in a tea towel is ideal for this purpose. Never allow the ice to come directly into contact with the skin and only use this treatment for 20 minutes in an hour for a limit of three hours a day.
Relatively minor haemorrhoids can be treated using creams available directly from your local pharmacy or on prescription. A few days' treatment is usually enough, and then the irritation will settle spontaneously.
More severe cases need to be treated by a specialist.
One possible treatment is rubber band ligation. Rubber band ligation can be performed in the doctor's surgery or outpatient clinic and does not require hospital admission.
The procedure involves placing a small rubber band at the base of the haemorrhoid with a special applicator. The rubber band
Piles - Also called Haemorrhoids and homeopathy treatmentPranav Pandya
haemorrhoids are vascular structures in the anal canal. Normally they are cushions that help with stool control. They become piles when swollen or inflamed.
Haemorrhoids are small, blood-filled swellings caused by dilated varicose veins. Initially, they are located just inside the anus (internal haemorrhoids) but can sometimes protrude (external haemorrhoids). Haemorrhoids are not dangerous.
Constipation and prolonged straining when using the toilet are thought to contribute to the formation of haemorrhoids by increasing the pressure in the veins.
What are the symptoms of haemorrhoids?
Haemorrhoids may be present for many years but remain undetected until symptoms appear. They can cause anal bleeding and itching and also pain and discomfort.
Normally, the bleeding is limited to small stains of fresh blood on the toilet paper, but more severe bleeding can sometimes be present when stools are passed.
A lump may also be felt in the anus and large haemorrhoids give a sensation that the bowel hasn't emptied completely.
If you observe blood in your stools, and have the symptoms mentioned above, you should visit your doctor for a check-up.
If haemorrhoids are present, the doctor will then perform an examination to find out if there are any other possible causes of the bleeding that may be more serious.
The doctor will feel the anal canal by digital rectal examination and may go on to inspect the mucous membrane of the rectum and lower part of the large intestine using an examination tube called a proctoscope or sigmoidoscope.
How are haemorrhoids treated?
Some haemorrhoids can get better without medical treatment. This can happen if they are caused by constipation. The doctor may recommend a change of diet with the addition of more fibre and roughage particularly green vegetables, fresh fruit, wholegrain cereals and bran. Drinking 8 to 10 glasses of fluid daily is advisable.
The person is also told to avoid straining when passing a bowel motion. Nobody should strain to push out a stool. The feet can be placed on a low foot stool to aid the bowel movement. Sitting in a shallow bath of hot water for 15 minutes several times a day, will reduce the pain.
In the case of a pile protruding from the back passage, which has become swollen and painful, a day's bed rest with an ice pack applied to the anal area should be helpful.
A pack of frozen peas wrapped in a tea towel is ideal for this purpose. Never allow the ice to come directly into contact with the skin and only use this treatment for 20 minutes in an hour for a limit of three hours a day.
Relatively minor haemorrhoids can be treated using creams available directly from your local pharmacy or on prescription. A few days' treatment is usually enough, and then the irritation will settle spontaneously.
More severe cases need to be treated by a specialist.
One possible treatment is rubber band ligation. Rubber band ligation can be performed in the doctor's surgery or outpatient clinic and does not require hospital admission.
The procedure involves placing a small rubber band at the base of the haemorrhoid with a special applicator. The rubber band
Piles - Also called Haemorrhoids and homeopathy treatmentPranav Pandya
haemorrhoids are vascular structures in the anal canal. Normally they are cushions that help with stool control. They become piles when swollen or inflamed.
Piles or hemorrhoids are swollen rectal vein or hemorrhoidal venous plexus present in rectum like pads or cushion. The anal canal is a short, muscular tube at the last part of the large intestine and is about 4 cm long. At the lower end of the anal canal it opens outside by anal orifice. There is a network of small veins (blood vessels) in rectum within the lining of the anal canal. Piles can develop when the rectal veins get swelled up. The engorged blood vessels sometimes get ruptured at more straining result from constipation, hard dry stool, pregnancy condition etc.
Kiss Your Hemorrhoids Goodbye: Surgical and Non-Surgical Management OptionsPatricia Raymond
Kiss Your Hemorrhoids Goodbye: Surgical and Non-Surgical Management Options
Patricia L. Raymond MD FACG, Rx For Sanity
There seem to be many options to manage our patients' hemorrhoids: hemorrhoidectomy, banding, sclerotherapy, laser photocoagulation, topical medications. Which option is the best for your patient? The physiology and management of the bitter end of the gastrointestinal tract.
Objectives: The participant will…
Distinguish between internal and external hemorrhoids, review the anorectal anatomy and understand the grading system for internal hemorrhoids.
Categorize the differential diagnosis of hemorrhoids, including proctalgia fugax, anal fissure, perianal crohns disease, anal cancer, condyloma, skin tags and rectal prolapse
Examine specific medical, endoscopic, office, and surgical treatment options for hemorrhoids and their stated efficacy
Piles, also known as hemorrhoids, are swollen veins and muscle around your anus or in your anal canal. Your anal canal is a short, muscular tube with blood vessels that connects your rectum (back passage) with your anus. Piles can develop when this tissue becomes swollen, possibly as a result of straining on the toilet. Sometimes, piles can be painful and bleed if they become damaged.
Piles are also common during and after pregnancy. They may develop due to changes in the hormones (chemicals) in your body and the increased pressure in your abdomen (tummy), although doctors aren't sure. They usually get better once your baby is born.
Piles, also known as hemorrhoids, are swollen veins and muscle around your anus or in your anal canal. Your anal canal is a short, muscular tube with blood vessels that connects your rectum (back passage) with your anus. Piles can develop when this tissue becomes swollen, possibly as a result of straining on the toilet. Sometimes, piles can be painful and bleed if they become damaged.
Piles are also common during and after pregnancy. They may develop due to changes in the hormones (chemicals) in your body and the increased pressure in your abdomen (tummy), although doctors aren't sure. They usually get better once your baby is born.
Piles, also known as hemorrhoids, are swollen veins and muscle around your anus or in your anal canal. Your anal canal is a short, muscular tube with blood vessels that connects your rectum (back passage) with your anus. Piles can develop when this tissue around the rectal vain becomes swollen, possibly as a result of straining on the toilet. Sometimes, piles can be painful and bleed if the rectal vain get ruptured.
Piles are also common during and after pregnancy. They may develop due to changes in the hormones (chemicals) in your body and the increased pressure in your abdomen (tummy). They usually get better once the baby is born.
You can get piles at any age, but they’re most common in people aged between 45 and 65. It’s difficult to know exactly how many people get piles
Hemorrhoids: A Common Condition And Effective Treatment OptionsSummit Health
This presentation about hemorrhoids includes discussion about causes and preventive measures as well as effective nonsurgical and surgical treatment options.
Hemorrhoids in Women & Men - What You Need to Know.pdfMeghaSingh194
Hemorrhoids in Women and Men can be a common and uncomfortable condition. Hemorrhoids, also known as piles, are a common medical condition that affects both men and women. Swelling and inflammation happen when the veins in the rectum and anus become enlarged. Let's explore more: https://www.southlakegeneralsurgery.com/hemorrhoids-in-women-symptoms-causes-treatment/
Hemorrhoids- How You Can Treat Them.pdfMeghaSingh194
Hemorrhoids are swollen veins in the anus or rectum also known as piles. They are often painful and can be caused by constipation, straining during bowel movements, and lying on the anus for too long. They can also be caused by a pregnancy, varicose veins, and other conditions. Let's explore more: https://www.southlakegeneralsurgery.com/hemorrhoids-how-you-can-treat-them/
Piles or hemorrhoids are swollen rectal vein or hemorrhoidal venous plexus present in rectum like pads or cushion. The anal canal is a short, muscular tube at the last part of the large intestine and is about 4 cm long. At the lower end of the anal canal it opens outside by anal orifice. There is a network of small veins (blood vessels) in rectum within the lining of the anal canal. Piles can develop when the rectal veins get swelled up. The engorged blood vessels sometimes get ruptured at more straining result from constipation, hard dry stool, pregnancy condition etc.
Kiss Your Hemorrhoids Goodbye: Surgical and Non-Surgical Management OptionsPatricia Raymond
Kiss Your Hemorrhoids Goodbye: Surgical and Non-Surgical Management Options
Patricia L. Raymond MD FACG, Rx For Sanity
There seem to be many options to manage our patients' hemorrhoids: hemorrhoidectomy, banding, sclerotherapy, laser photocoagulation, topical medications. Which option is the best for your patient? The physiology and management of the bitter end of the gastrointestinal tract.
Objectives: The participant will…
Distinguish between internal and external hemorrhoids, review the anorectal anatomy and understand the grading system for internal hemorrhoids.
Categorize the differential diagnosis of hemorrhoids, including proctalgia fugax, anal fissure, perianal crohns disease, anal cancer, condyloma, skin tags and rectal prolapse
Examine specific medical, endoscopic, office, and surgical treatment options for hemorrhoids and their stated efficacy
Piles, also known as hemorrhoids, are swollen veins and muscle around your anus or in your anal canal. Your anal canal is a short, muscular tube with blood vessels that connects your rectum (back passage) with your anus. Piles can develop when this tissue becomes swollen, possibly as a result of straining on the toilet. Sometimes, piles can be painful and bleed if they become damaged.
Piles are also common during and after pregnancy. They may develop due to changes in the hormones (chemicals) in your body and the increased pressure in your abdomen (tummy), although doctors aren't sure. They usually get better once your baby is born.
Piles, also known as hemorrhoids, are swollen veins and muscle around your anus or in your anal canal. Your anal canal is a short, muscular tube with blood vessels that connects your rectum (back passage) with your anus. Piles can develop when this tissue becomes swollen, possibly as a result of straining on the toilet. Sometimes, piles can be painful and bleed if they become damaged.
Piles are also common during and after pregnancy. They may develop due to changes in the hormones (chemicals) in your body and the increased pressure in your abdomen (tummy), although doctors aren't sure. They usually get better once your baby is born.
Piles, also known as hemorrhoids, are swollen veins and muscle around your anus or in your anal canal. Your anal canal is a short, muscular tube with blood vessels that connects your rectum (back passage) with your anus. Piles can develop when this tissue around the rectal vain becomes swollen, possibly as a result of straining on the toilet. Sometimes, piles can be painful and bleed if the rectal vain get ruptured.
Piles are also common during and after pregnancy. They may develop due to changes in the hormones (chemicals) in your body and the increased pressure in your abdomen (tummy). They usually get better once the baby is born.
You can get piles at any age, but they’re most common in people aged between 45 and 65. It’s difficult to know exactly how many people get piles
Hemorrhoids: A Common Condition And Effective Treatment OptionsSummit Health
This presentation about hemorrhoids includes discussion about causes and preventive measures as well as effective nonsurgical and surgical treatment options.
Hemorrhoids in Women & Men - What You Need to Know.pdfMeghaSingh194
Hemorrhoids in Women and Men can be a common and uncomfortable condition. Hemorrhoids, also known as piles, are a common medical condition that affects both men and women. Swelling and inflammation happen when the veins in the rectum and anus become enlarged. Let's explore more: https://www.southlakegeneralsurgery.com/hemorrhoids-in-women-symptoms-causes-treatment/
Hemorrhoids- How You Can Treat Them.pdfMeghaSingh194
Hemorrhoids are swollen veins in the anus or rectum also known as piles. They are often painful and can be caused by constipation, straining during bowel movements, and lying on the anus for too long. They can also be caused by a pregnancy, varicose veins, and other conditions. Let's explore more: https://www.southlakegeneralsurgery.com/hemorrhoids-how-you-can-treat-them/
Thrombosed Piles - Symptoms and Treatment Options.pdfMeghaSingh194
Thrombosed piles, also known as thrombosed hemorrhoids, is a common and painful condition that affects the rectum and anus. Hemorrhoids are swollen blood vessels in the anal canal and can occur internally or externally. When a blood clot forms within an external hemorrhoid, it is referred to as a thrombosed pile. Let's explore more: https://www.southlakegeneralsurgery.com/thrombosed-piles-symptoms-and-treatment-guide/
Homeopathic remedies for hemorrhoids can proved to be effective for treating hemorrhoids naturally and without any side effects.
http://www.homeopathicremediesforhemorrhoids.com
Understanding Piles, Fissures, and Fistula - Symptoms, Treatment, and Surgery...royalcarehospitalind
Dealing with conditions affecting the anal region, such as piles (haemorrhoids), fissures, and fistulas, can be challenging. Understanding the symptoms, available treatments, and potential surgical interventions is crucial for effective management. This blog will offer valuable insight into each of these conditions.
Thrombosed Hemorrhoids – Southlake General Surgery.pdfMeghaSingh194
Thrombosed hemorrhoids are swollen hemorrhoids that have turned blue, purple, or black. They rarely bleed or cause pain on their own, but when they become large enough, they can cause severe discomfort and even blood loss. Let's explore more: https://www.southlakegeneralsurgery.com/thrombosed-hemorrhoids-southlake-general-surgery/
Have you ever experienced the discomfort, pain, or embarrassment of hemorrhoids? If so, you’re not alone. Millions of people suffer from this common condition, but many are hesitant to discuss it or seek help. Let's explore more: https://www.southlakegeneralsurgery.com/hemorrhoids-essential-guide/
6 Best homeopathic medicines for painful bleeding, non bleeding, external and internal piles which can avoid surgery and gives a permanent cure to piles.
Homeopathy is highly scientific, logical, safe, quick and extremely effective method of healing. It offers long lasting to permanent cure, treating the disease from its roots, for most of the ailments.
Homeopathy is the most rational science with respect to its concepts of health, disease and cure. Homeopathy does not treat superficially by just driving away the symptoms but heals the patient from within.
Undoubtedly, homeopathy is the medicine of future.
The remedies are prepared from natural substances to precise standards and work by stimulating the body’s own healing power.
But in case of injuries caused to the body from without, the surgical treatment is necessary only to the extent that the parts injured require mechanical aid whereby the external obstruction to cure is removed mechanically. But in such injuries also the living organism requires active dynamic aid to put it in a position to restore the organism to health and homeopathic treatment is called for.homeopathic remedies can play a vital role in reducing any complications that may arise as well as accelerating healing and recovery.
Soloman Shah, MD, has cared for patients at Virginia's Gastrointestinal Medical Associates since 1999. Dr. Soloman Shah treats hemorrhoids and other conditions of the digestive system.
In the recent years, there is a rise in the number of people suffering from piles, a condition medically termed as Haemorrhoids. Since time immemorial haemorrhoids have plagued humankind, yet many misunderstandings regarding haemorrhoidal complaints and disease still exist. Proportionately, there is a hike in the advertisements in different media on various patent products that are supposed to cure piles. But the fact is, majority of the piles patients we come across are self diagnosed cases. Most of them suffer from occasional burning pains or soreness in the anal region and diagnose themselves as piles without a medical consultation. Thereafter, they go on taking patent preparations over the counter without a doctor’s prescription. The present article focuses on homoeopathic approach to a case of haemorrhoids.
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According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
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1. What Are Hemorrhoids?
Hemorrhoids are clumps of dilated (enlarged) blood vessels in the anus
and lower rectum. The rectum is the last area of the large intestine before
it exits to the anus. The anus is the end of the digestive tract where feces
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2. leaves the body.
Sometimes hemorrhoids swell when the veins enlarge and their walls
become stretched, thin, and irritated by passing stool. Hemorrhoids are
classi몭ed into two general categories:
internal, originating in the rectum, and
external, originating in the anus.
Hemorrhoids (also termed piles) have caused pain and irritation
throughout human history. The word comes from Greek, “haimorrhoides,”
meaning veins that are liable to discharge blood. If you've had a bout of
hemorrhoid pain, you're not alone. It's estimated that three out of every
four people will have hemorrhoids at some point in their lives. Even
Napoleon su몭ered from hemorrhoids, which distracted him with severe
pain during his defeat at Waterloo.
Enlarged Hemorrhoid Symptoms
Enlarged hemorrhoids are associated with symptoms such as
itching,
mucus discharge,
burning at the anus,
severe pain,
a sensation that the bowel is not really empty, and
bleeding without pain.
In this article, our medical experts will explain where hemorrhoid pain
comes from, what hemorrhoids feel like, and how they are diagnosed.
Then you will discover the various treatments for hemorrhoids both at
home and at a hospital, along with the positive attributes and drawbacks
of each hemorrhoid treatment.
3. Internal Hemorrhoids
Internal hemorrhoids sit in the inside lining of the rectum and are not
obvious unless they are substantially enlarged, in which case they can be
felt. Internal hemorrhoids are usually painless and become apparent
because they cause rectal bleeding with a bowel movement.
Sometimes internal hemorrhoids prolapse or protrude outside the anus. If
so, you may be able to see or feel them as moist pads of skin that are
pinker than the surrounding area. These fallen hemorrhoids may hurt
4. because the anus is dense with pain-sensing nerves. Such slipped
hemorrhoids usually recede into the rectum on their own. If they don't,
they can be gently pushed back into place.
External Hemorrhoids
External hemorrhoids are located underneath the skin that surrounds the
anus, and are lower than internal hemorrhoids. They can be felt when they
swell, and may cause
5. itching,
pain, or
bleeding with a bowel movement.
If an external hemorrhoid prolapses to the outside (usually in the course of
passing a stool), you can see and feel it.
Blood clots sometimes form within this type of fallen hemorrhoid, which
can cause an extremely painful condition called a thrombosis. If a
hemorrhoid becomes thrombosed, it can look rather frightening, turning
purple or blue, and could possibly bleed.
Despite their appearance, thrombosed hemorrhoids usually are not
serious, though they can be very painful. They will resolve on their own in
a couple of weeks. If the pain is unbearable, your doctor usually can
remove the blood clot from the thrombosed hemorrhoid, which stops the
pain.
6. Whom Do Hemorrhoids A몭ect?
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.
7. What Causes Hemorrhoids?
Hemorrhoids are caused by swelling in the anal or rectal veins. This
makes them susceptible to irritation.
This swelling can be caused by several things, including
obesity,
pregnancy,
standing or sitting for long periods,
straining on the toilet,
chronic constipation or diarrhea,
eating a low-몭ber diet,
coughing,
sneezing,
vomiting, and
holding your breath while straining to do physical labor.
8. How Do Foods In몭uence Hemorrhoids? Diet
Diet is believed to have a big impact in causing—and preventing—
hemorrhoids. People who consistently eat a high-몭ber diet are less likely
to get hemorrhoids, while those people who prefer a diet high in
processed foods face a higher hemorrhoid risk.
A low-몭ber diet can leave you constipated, which can contribute to
hemorrhoids in two way. For one, it promotes straining on the toilet. It also
aggravates the hemorrhoids by producing hard stools that further irritate
the swollen veins.
9. Painless Bleeding
The most common hemorrhoids symptom is painless bleeding. A
hemorrhoid su몭erer may notice bright red blood on the outside of the
stools, on the toilet paper, or dripping into the toilet.
The bleeding usually resolves itself without treatment. Nevertheless,
rectal bleeding with a bowel movement is never normal and should
prompt a visit to a health care professional. While hemorrhoids are the
10. most common cause of bleeding with a bowel movement, there may be
other reasons for bleeding, including the following examples:
in몭ammatory bowel disease,
blood clotting problems,
몭stulas and/or 몭ssures (abnormal passages between a hollow organ and
body surface)
infection, and
tumors.
11. 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 (with or without bleeding). 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 몭nger.
Fourth-degree hemorrhoids: Hemorrhoids that prolapse and cannot be
pushed back in the anal canal. Fourth-degree hemorrhoids also include
hemorrhoids that are thrombosed (containing blood clots) or that pull much
of the lining of the rectum through the anus.
12. Symptoms of Prolapsed Internal Hemorrhoids
Hemorrhoids prolapse when their blood vessels swell and extend from
their location in the rectum through the anus. In the anal canal, the
hemorrhoid is exposed to the trauma of passing stool, particularly hard
stools associated with constipation. The trauma can cause bleeding and
sometimes pain when stool passes.
The presence of
stool,
in몭ammation, and
constant moisture
can lead to anal itchiness (pruritus ani), and occasionally the constant
feeling of needing to have a bowel movement. The prolapsing
hemorrhoid usually returns into the anal canal or rectum on its own or can
be pushed back inside with a 몭nger, but falls out again with the next
bowel movement.
13. Symptoms of Thrombosed External Hemorrhoids
External hemorrhoids can be felt as bulges at the anus, but they usually
cause few of the symptoms that are typical of internal hemorrhoids.
External hemorrhoids can cause problems, however, when blood clots
inside them. This is referred to as thrombosis. Thrombosis of such a
hemorrhoid causes an anal lump that is
very painful,
tender, and
often requires medical attention.
The thrombosed hemorrhoid may heal with scarring, and leave a tag of
skin protruding in the anus. Occasionally, the tag is large, which can make
14. anal hygiene (cleaning) di몭cult or irritate the anus. Even after such a
hemorrhoid goes away, a residual skin tag may remain, and this may need
to be surgically removed.
How Long Do Hemorrhoids Take to Heal?
For many people, hemorrhoids last and last. Ongoing pain is especially
common for people over age 50. For many people, hemorrhoidal pain
returns years after treatment, and for many others the condition comes
15. and goes, becoming more common over time.
Do Hemorrhoids Ever Go Away on Their Own?
Sometimes they do. Smaller hemorrhoids are apt to go away in just a few
days. It's a good idea during this time to avoid further irritating your rectal
area by keeping the area as clean as you can.
How Can You Make Hemorrhoids Go Away?
Tougher cases of hemorrhoids may not go away on their own. After trying
home remedies and over-the-counter options without success, you will
need to talk to your doctor about other treatment options.
16. 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 (protruding from the anus) 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 di몭erent treatment such as
anal 몭ssures,
몭stulae,
bowel disorders like ulcerative colitis,
blood coagulation disorders,
perianal (around the anus) skin diseases,
infections, and
tumors.
Seeing a Doctor About Hemorrhoids
Many people are embarrassed to go to their doctor about their
hemorrhoid problems, which is probably why only an estimated 4% of
people see the doctor even if 75% of us experience enlarged hemorrhoids
at some point in time. Despite the embarrassment, hemorrhoids should
always be examined professionally. Getting a medical exam will help your
17. doctor recommend an e몭ective treatment, and will also help to rule out
more serious causes for your symptoms.When you visit your doctor, you
will probably be asked to describe your symptoms. The doctor will
perform an examination to see whether your anus is in몭amed, and
whether enlarged hemorrhoids are present.
The doctor will want to know if you have found blood in your stool, which
may prompt a bowel endoscopy examination. The doctor will likely feel
for anything unusual through a digital rectal examination.
Remember that while this might be a little embarrassing and
uncomfortable, hemorrhoid exams are usually painless. Also, your doctor
is accustomed to caring for this sort of problem, which is very common.
If you seem to have enlarged hemorrhoids, the doctor will probably
recommend a proctoscopy. During a proctoscopy, a short tube with light
and a lens will be used to examine the membranes lining your rectum.
This will let your doctor see the enlarged hemorrhoids and determine
their size. Again, this procedure is usually painless.
18. Can Hemorrhoids Be a Sign of Cancer?
Can hemorrhoids kill you? First of all, hemorrhoids have no relationship at
all to colorectal cancer; hemorrhoids themselves are rarely life-
threatening. But they share some of the symptoms of more serious
diseases, including some rare anal cancers. That's why a doctor's
diagnosis is so important.
19. How to Cure Internal Hemorrhoids: Diagnosis
The diagnosis of an internal hemorrhoid is easy if the hemorrhoid
protrudes from the anus. Although a rectal examination with a gloved
몭nger may uncover deep hemorrhoids, the rectal examination is more
helpful in excluding rare cancers that begin in the anal canal and adjacent
rectum.
A more thorough examination for internal hemorrhoids is done visually
using an anoscope, which is similar to a proctoscope, but smaller. If there
has been bleeding, the colon above the rectal area needs to be examined
to exclude other important causes of bleeding other than hemorrhoids
such as
colon cancer,
polyps, and
colitis.
This is true whether or not hemorrhoids are found during anoscopy.
20. 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.
21. 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-in몭ammatory pain killers,
creams,
lotions,
gels,
pads, and
wipes,
and various treatment options are available, like
22. sclerotherapy,
rubber band ligation, and
surgery.
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 (also known as a colorectal surgeon). Proctologists specialize
in surgical treatments, while gastroenterologists are experts in digestive
diseases.
23. What Should I Eat if I Have Hemorrhoids? Diet
Individuals with hemorrhoids should soften their stools by increasing the
몭ber in their diets.
Fiber is found in numerous foods, including
fresh and dried fruits,
vegetables,
whole grains, and
cereals.
In general, 20 to 30 grams of 몭ber per day is recommended, whereas the
average American diet contains less than 15 grams of 몭ber. Fiber
supplements, like psyllium, methylcellulose, and calcium polycarbophil,
also may be used to increase the intake of 몭ber.
Stool softeners and increased drinking of liquids also may be
recommended, as well as bulk-forming laxatives. Nevertheless, the
bene몭ts of 몭ber, liquids, and stool softeners have not been well-tested
with respect to hemorrhoidal control in scienti몭c studies.
24. How to Heal Hemorrhoids: Over-the-Counter
Medications
Products used to treat hemorrhoids are available as
ointments,
creams,
gels,
suppositories,
foams, and
pads.
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 몭nger or a "pile pipe." Pile pipes are most
e몭cient 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.
25. Hemorrhoid Home Remedies: Warm Sitz Bath
A sitz bath (a bath where only the hips and buttocks are immersed in
warm or saline water) 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
in몭ammation of hemorrhoids. Drying o몭 the anal area completely after
each sitz bath is important for minimizing moisture that irritates the skin
surrounding your rectal area.
26. Hemorrhoids Treatment: Stool Softeners
Stool softeners may help, but once hemorrhoids are present, even liquid
stools may cause in몭ammation and infection of the anus. Your health care
professional and pharmacist are good resources for discussing the use of
stool softeners as hemorrhoid treatments.
27. Hemorrhoids Treatment: Sclerotherapy
Sclerotherapy is one of the oldest forms of treatment for hemorrhoids.
During this o몭ce-based procedure, a liquid (phenol or quinine urea) is
injected into the base of the hemorrhoid.
The veins thrombose, in몭ammation sets in, and ultimately scarring takes
place. Ultimately sclerotherapy causes the hemorrhoid to shrink. Pain may
occur after sclerotherapy, but usually subsides by the following day.
Symptoms of hemorrhoids frequently return after several years and may
require further treatment.
28. Hemorrhoids Treatment: Rubber Band Ligation
The principle of rubber band ligation is to encircle the base of the
hemorrhoidal clump with a tight rubber band. The tissue cut o몭 by the
rubber band dies, and is replaced by an ulcer that heals with scarring.
A similar procedure was described in 460 BC by the Greek physician
Hippocrates:
“And hemorrhoids … you may treat by trans몭xing them with a needle and
29. tying them with very thick and woolen thread, for application, and do not
foment until they drop o몭, and always leave one behind; and when the
patient recovers, let him be put on a course of Hellebore.”
Rubber band ligation can be used with 몭rst-, second-, and third-degree
hemorrhoids, and may be more e몭ective than sclerotherapy. Symptoms
frequently recur several years later, but usually can be treated with further
ligation.
The most common complication of ligation is pain. However, bleeding one
or two weeks after ligation or bacterial infection in the tissues surrounding
the hemorrhoids (cellulitis) may occur.
30. Doppler-Guided Artery Ligation
Another minimally-invasive treatment for hemorrhoids is found in
Doppler-guided artery ligation. Instead of removing the hemorrhoids
themselves, artery ligation cuts o몭 their blood supply. This treatment
works best for grade II-III hernias, and while it is meant to reduce
postoperative pain, 20% of patients still report pain after the procedure,
particularly when pooping.
31. Hemorrhoid Treatment: Heat Coagulation
There are several treatments that use heat to destroy hemorrhoidal tissue,
and promote in몭ammation and scarring, including
bipolar diathermy,
direct-current electrotherapy, and
infrared photocoagulation.
Such procedures destroy the tissues in and around the hemorrhoids and
cause scar tissue to form. They are used with 몭rst-, second-, and third-
degree hemorrhoids. Pain is frequent, though probably less frequent than
with ligation, and bleeding occasionally occurs. Other methods such as
laser and radiowave ablation have been done. Non-surgical treatments
are usually done on hemorrhoids graded I to II and some grade III; you
should discuss the treatment and its projected outcome and recurrence
rates with your doctor.
32. Hemorrhoids: Surgery
The vast majority of patients can manage their symptom-causing
hemorrhoids with non-surgical techniques. Non-operative treatment is
preferred because it is associated with less pain and fewer complications
than operative treatment. It is estimated that fewer than 10% of patients
require surgery if the hemorrhoids are treated early.
Surgical removal of hemorrhoids, known as a hemorrhoidectomy or
stapled hemorrhoidectomy, is reserved for patients with third- or fourth-
degree hemorrhoids.
History of Hemorrhoid Surgeries
Surgery for hemorrhoids dates back to ancient times. Ancient Greeks,
Romans, and Indians all described surgeries used to alleviate the pain and
discomfort of enlarged hemorrhoids. These procedures improved greatly
by the 13th century, and surgical treatments accelerated once again in the
19th century.
33. Getting Rid of Hemorrhoids: Excisional
Hemorrhoidectomy
During an excisional hemorrhoidectomy, the internal hemorrhoids and
external hemorrhoids are cut out. The wounds left by the removal may be
sutured (stitched) together (closed technique) or left open (open
technique). The results with both techniques are similar.
A proctoplasty may also be performed. This procedure extends the
removal of tissue higher into the anus so that redundant or prolapsing
anal lining is also removed. Postoperative pain is a major problem with
hemorrhoidectomy, and potent pain medications (narcotics) are usually
34. required.
Stapled Hemorrhoidectomy (“Stapled
Hemorrhoidopexy”)
The stapled hemorrhoidectomy (“stapled hemorrhoidopexy”) is a newer
surgical technique that is rapidly becoming the treatment of choice for
third-degree hemorrhoids. This surgery does not remove the
hemorrhoids, but rather the expanded hemorrhoidal supporting tissue
35. that has allowed the hemorrhoids to slip downward.
This procedure involves several steps:
A circular, hollow tube is inserted into the anal canal and a suture (a long
thread) is placed through it and woven circumferentially within the anal canal
above the internal hemorrhoids.
The ends of the suture are brought out of the anus through the hollow tube.
The stapler is placed through the hollow tube and the ends of the suture are
pulled, expanding the hemorrhoidal supporting tissue into the jaws of the
stapler.
The hemorrhoidal cushions are pulled back up into their normal position
within the anal canal.
The stapler is then 몭red, cutting o몭 the circumferential ring of expanded
hemorrhoidal supporting tissue trapped within the stapler.
At the same time staples bring together the upper and lower edges of the cut
tissue.
Stapled hemorrhoidectomy is less painful and faster than a traditional
hemorrhoidectomy. It takes approximately 30 minutes to perform.
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