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  Hemorrhoids 


            Hemorrhoids are swollen and inflamed veins in your anal and rectal region.

 

            Hemorrhoids are very common. About half of the world’s population experience hemorrhoids at some point in their life time. People between the ages of 45 and 65 are most vulnerable to hemorrhoids.

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            Hemorrhoids are also called piles. Haemorrhoids is British English for hemorrhoids. Hemroids is the most common misspelling for hemorrhoids.

 

            Even though we colloquially say hemorrhoids, the medical term for swollen and inflamed veins in the anorectal region is pathological hemorrhoids. This is so because hemorrhoids are a perfectly normal part of every healthy person.


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            In your normal, healthy state, hemorrhoids are vascular structures which assist the passage of stool. You have pathological hemorrhoid when the tissues surrounding the vascular structures become swollen and inflamed.

 

            The vascular structures which make up hemorrhoids are neither composed of arteries nor veins. They are a set of blood vessels called hemorrhoidal plexus. The hemorrhoidal plexus is composed of sinusoidal connective tissues and smooth muscles.


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            Haemorrhoids often embarrass people because they are located in the anal region. Due to fear of further embarrassement, most people hesistate to consult a medical professional.

 

            Worse yet, some people do not consult a medical professional and they do not seek an alternative home remedy. The inevitable result of such behavior is the aggravation of the situation. Surgery might become the only viable option, if treatment is over-delayed.


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            There are two types of piles: internal and external hemorrhoids.

 

How Can You Diagnose Symptoms of Internal Hemorrhoids?

            Internal piles are not painful. There are two extremely rare circumstances in which internal haemorrhoids are associated with pain: thromboses and necrosis.


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            Thrombosis is the blockage of circulation in blood vessels due to the clotting of cells.

 

            Necrosis is the premature death of blood cells.

 

            The distinguishing characteristic of internal hemorrhoids is the absence of pain.


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            Internal piles are accompanied by bright red blood on your tissue paper, toilet bowl and stool. The colour of blood is vital. If the colour is blackish, you might be dealing with a more serious condition like colorectal cancer, diverticular disease, angiodysplasia, colitis or inflammatory bowel disease. I cannot possibly over-emphasize the crucial importance of consulting a medical professional, if the blood is not bright red.

 

            Hematochezia is the medical condition blood smeared stool.


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            Do not panic because of rectal bleeding. It is not life threatening and rarely anemic.   

 

            Note that the presence of bright red blood on your stool is not a conclusive indication that you are dealing with internal piles. Bright red blood is also the symptom of an anal fissure.


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            The absence of pain and not bright red blood is the single distinguishing characteristic of internal piles.

 

             Other symptoms, which you might experience due to internal piles are fecal incontinence, itchiness and mucous discharge. Even though these symptoms are uncommon, it is always good to know that you might experience them. 


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            Internal piles develop above the dentate (pectinate) line.

 

            Internal haemorrhoids have 4 developmental stages:

Grade 1

            In grade 1, the piles are inside the rectum. You can’t see them externally.

 

Grade 2

            In this stage, it is common for your haemorrhoids to prolapse, especially during a bowel movement.

 

            Hemorrhoids are small peanut-shaped outgrowths. They can become as large as raisins or small grapes.


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            Prolapse describes an organ which has dislodged from its normal anatomical position.

 

            The passage of stool through the rectum usually dislodges internal piles, causing them to protrude out of the anus. The piles spontaneously retract into the rectum after the passage of stool.

 

Grade 3

            In this stage, your piles are prolapsed and protrude out of the anus. The prolapsed piles often cause itchiness. You can manually push them back into the rectum to gain relief from the irritation. 


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            You can diagnose grade 3 internal piles with the help of a mirror because the visible externally.

Grade 4

            Grade 4 internal piles are fully prolapsed. If you manually push them into the rectum, they will immediately fall back out.

 

            The prolapsed piles are visible externally; hence, you might be tempted to confuse them with external hemorrhoids. In addition, the piles become painful, especially if thrombosed. The pain is an addition cause for confusion because internal piles are usually painless.

 

How Can You Diagnose the Symptoms of External Hemorrhoids?

            External piles develop below the dentate (pectinate) line.


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            You can see external hemorrhoids from the onset by maneuvering a mirror about your rear.

 

            External hemorrhoids are painful. They are even more painful, if thrombosed. Pain is the central characteristic which distinguishes internal piles from external piles. By definition, the walls of rectum are not skin. They neither have sweat glands nor pain receptors. In contrast, the exterior region about the anus is skin and it is richly served with nerve endings and pain receptors.

 

            Your external piles will also torment you with itching and irritation.

 

Causes of Hemorrhoids

            The precise cause of pathological hemorrhoid is unknown. However, haemorrhoids are predominantly associated with sharp changes in intra-abdominal pressures.


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            Constipation and diarrhea are the biggest culprits, prone to provoking sharp changes in your intra-abdominal pressures.

            Obesity and lack of exercise can lead to haemorrhoids. Close your eyes and visualize those slimy tones of fat weighing down on the bowels of an obese person! Are you thinking that, such abdominal junk exerts high pressure on the lower bowels?

 

            You bet!

 

            Sharp hormonal changes and the increasing weight of the developing fetus exert high pressures on the lower abdomen. Hence, pregnant women are extremely susceptible to hemorrhoids.


pregnancy hemorrhoids

            Straining during bowel movements puts abnormal pressures on the bowels. You should take a dump when, you feel the urge. If stool isn’t passing, straining is not the solution. Straining will only increase your risk of contracting haemorrhoids.

 

            Aging and genetics have been suggested to have a causative role in haemorrhoids. There is definitely a correlation between age and the occurrence of haemorrhoids. The occurrence of hemorrhoids is much higher among people between the ages of 45 and 65.


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            Your nutrition impacts your health. A low fiber intake makes your stool hard and infrequent. Hard and infrequent stool are the symptoms of constipation by definition. And constipation is frequently leads to hemorrhoid.

 

            Some researches also point to chronic cough and pelvic floor dysfunction as probable causes of hemorrhoids.

 

Remedy of Hemorrhoids

            Women often recover from hemorrhoid postpartum without any medication.

 

            You might also recover without medication by adopting a high fiber diet and drinking lots of fluids. Few people take the path of medication-free recovery because relief is not guaranteed.


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            The guaranteed remedy is the all-natural venapro advanced home care formula.  Venapro comes highly recommended by doctors and medical professionals because it deals with both the symptoms and causes of hemorrhoids.

 

            Many people have reported that sitz baths provide relief. A sitz bath is a contraption which allows you to immerse your bum in water. You can purchase one from your local drugstore. Alternatively, you can convert your bathtub into a makeshift sitz bath.


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            Warm water is recommended for sitz baths because it increases the flow of blood in the anorectal region. However, many people claim to experience a more soothing relief by alternating between warm and cold water.

 

            The market is flooded with a vast variety of topical treatments and suppositories for haemorrhoids.

 

            A topical treatment is a percutaneous cream or ointment. A suppository is medication, administered through the anus.

 

            Exercise caution, if you decide to purchase some of the topical treatments and suppositories being promoted in the marketplace. It is possible that some of them work. But be aware that, most of them are not FDA approved.


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Treatment Options by a Medical Professional

            Your doctor disposes of a number of techniques to treat your hemorrhoids.

 

            Sclerotherapy is a medical technique in which a sclerosing substance is injected directly into the hemorrhoidal outgrowth. Phenol is the most widely used sclerosing substance. It causes the heamorrhoids to shrink up by inducing the collapse of the veins alimenting the piles.

 

            Rubber band ligation is effective for grade 1 to grade 3 internal piles. Rubber band ligation consists of cutting of the supply of blood to the haemorrhoid by fastening the protrusion with an elastic band. It is crucial that, your doctor ties the knot at least 1cm from the dentate line; else, intense pain ensues, after the hemorrhoid withers and falls off.  

 

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            Your doctor disposes of several cauterization techniques. The technique your doctor chooses depends on the developmental stage of your haemorrhoids. The most commonly used cauterization techniques include: electrocautery, infrared radiation, laser surgery and cryosurgery.

 

Surgical Treatment for Hemorrhoids

            Surgical intervention might be your only viable option if the development of your piles is too advanced. Therefore, you should always seek to start treatment as early as possible because surgery comes with a host of risks.


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            More than 85% of surgical interventions end in success. This implies, about 15% end up with medical complications such as fecal incontinence, urinary retention problems, anal strictures, infectious ailments and mucosal ectropion.

 

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          The surgical intervention is called hemorrhoidectomy.

 

            In excisional hemorrhoidectomy, the hemorrhoid is excised and the wound is stitched. The stitched wound is treated with glyceryl trinitrate ointment. Glyceryl trinitrate relieves pain and speeds up healing. Recovery might take anywhere from 3 to 5weeks.

 

            In stapled hemorrhoidectomy, only the excessively inflamed portion of the piles is removed. The rest of the swollen tissue is then inserted back into its normal anatomical position. Even though stapled hemorrhoidectomy is less painful, it has a lower rate of success.

 

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           You should strive to avoid surgery given the high risk of medical complication. Start treating your hemorrhoids as early as possible, in order to avoid the surgeon’s table.