hemorrhoids

What’s best treatment for hemorrhoids?

Ask the Doctor
Peter
Gott

Q Should hemorrhoids be surgically removed? Can they cause anal cancer?

A Hemorrhoids are swollen and inflamed veins in and around the anus.

There are a number of reasons for a person to develop hemorrhoids. Obesity, straining during bowel movements, pregnancy, a family history and chronic diarrhea or constipation are a few of the more common causes.

Symptoms include bleeding during a bowel movement, itching or irritation of the anal area, a protrusion from the anus (with external hemorrhoids) and pain. As a general rule, internal hemorrhoids don’t cause discomfort and can’t be seen or felt.

Hemorrhoids can often be treated with lifestyle modifications. Try a sitz bath with a unit that fits over your toilet, or place a couple of inches of warm water in your bathtub and squat or sit in the tub two or three times each day until the swelling diminishes.

Use an ice pack over the area to relieve swelling. Take acetaminophen or aspirin for pain relief. Topical hemorrhoid creams, hydrocortisone suppositories or pads that contain witch hazel are available over the counter and will provide relief of symptoms.

There are several procedures a physician can assist with in his or her office or through an outpatient setting, beginning with rubber-band ligation, clot removal through a simple incision, injection to shrink the hemorrhoid, or laser or infrared light or heat.

When all else fails, hemorrhoidectomy is a surgical procedure that is extremely effective but carries possible complications. Speak with your physician regarding which options might be best for you.

Write to Peter Gott, c/o United Media, 200 Madison Ave., Fourth Floor, New York, NY 10016

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Get Rid of Itching Hemorrhoids!

If you have hemorrhoids then you know how awful they can be. Let alone how totally embarassing they are when looking for new underwear to buy, wearing a swimsuit or on a hot date that is getting just a little steamy.

Who on earth would want to talk about them; even to a doctor let alone your husband, lover or friend? Whatever you do, to it fast. The longer you wait the harder hemorrhoids are to shrink. Faster hemorrhoid treatment is better treatment.

So here’s the deal; there are a few different hemorrhoid treatments depending on the type of hemorrhoid you have. Yes! There’s more than one type. 

Do you have internal hemorrhoids? You may not see them but you can feel them. They make going to the bathroom difficult, itchy and sore… you may even bleed. 

Maybe you have external Hemorrhoids. These you would know about because you can not longer wear a thong and bits of swollen skin and blood vessels be seen with the naked eye. Very emabarassing.

Symptoms of course vary from person to person depending on diet, constipation, bleeding, blood circulation and how many hemorrhoids you might have. 

Bleeding is fairly common followed by itching and inflammation. Lovely.  

Too much sitting can cause hemorrhoids. But so can too much standing.

Thrombosis is another type of hemorrhoid. It’s a lump that can cause serious pain for about a week. There are more; some needing surgery which should be avoided if at all possible.

So what to do? Warm baths are good, especially in epsom salts or sea salt, increase fiber in your diet, do some exercise, try yoga, don’t sit or stand for too long and try some herbal remedies. Do these things and they may not go immediately but over time your hemorrhoids will shrink. And the best hemorhoid remedies are natural, of course.

Here are more articles on how to get rid of hemorrhoids.

Hemroids Piles | Best Herbal Cure Healing external hemroids with alternative home herbal treatments.

Hemorrhoids Cure | Herbal Release These nonsurgical treatments cure most smaller and some larger internal hemorrhoids. For treatment of internal hemorrhoids, one of five methods is usually used. 

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Are Your Pregnancy Hormones Giving You Hemorrhoids? 

Pregnancy and vaginal delivery predisposes women to develop hemorrhoids because of hormonal changes and increased intra-abdominal pressure.

It has been estimated that 25% to 35% of pregnant women are affected by this condition. In certain populations, up to 85% of pregnancies are affected by hemorrhoids in the third trimester.

Hemorrhoids occur when the external hemorrhoidal veins become varicose (enlarged and swollen), which causes itching, burning, painful swellings at the anus, dyschezia (painful bowel movements), and bleeding.

Pain with bowel movements and bleeding are often the first signs of hemorrhoids.

It is important to note, however, that hemorrhoids are not the only cause of rectal bleeding, and the physician should properly confirm the diagnosis before initiating any treatment.

Hemorrhoids should be treated to prevent more serious complications, including inflammation, thrombosis, and prolapse.

Treatment

Most forms of the condition can be successfully treated by increasing fiber content in the diet, administering stool softeners, increasing liquid intake, anti-hemorrhoidal analgesics, and training in toilet habits. However, most evidence of the efficacy of therapeutic alternatives for hemorrhoids is gained from studies performed in non-pregnant patients.

A recent systematic review of both published and unpublished randomized controlled trials, which included the enrollment of more than 350 patients, showed that laxatives in the form of fiber had a beneficial effect in the treatment of symptomatic hemorrhoids Decreased straining during bowel movements shrinks internal hemorrhoidal veins, resulting in a reduction of symptoms.

Bathing with warm water (40C to 50C for 10 min) usually relieves anorectal pain Suppositories and ointments that contain local anesthetics, mild astringents, or steroids are available (see Topical treatment).

More aggressive therapies, such as sclerotherapy, cryotherapy, or surgery, are reserved for patients who have persistent symptoms after 1 month of conservative therapy Some recent studies have shown the effectiveness of botulinum toxin injections as a treatment for chronic anal fissure and hemorrhoids Because of its mechanism of action, however, botulinum toxin is contraindicated during pregnancy and lactation.

Although most pregnant women experience improvement or complete resolution of their symptoms with the conservative measures mentioned above, some women will need medications.

Oral treatment with ruto-sides, hidrosmine, Centella asiatica, disodium flavodate, French maritime pine bark extract, or grape seed extract can decrease capillary fragility and reduce symptoms improving the microcirculation in venous insufficiency However, evidence of their safety in pregnancy is not yet conclusive.

Topical medications with analgesics and anti-inflammatory effects provide short-term local relief from discomfort, pain, and bleeding. Because of the small doses and limited systemic absorption, they can be used by pregnant women; however, the safety of any of them in pregnancy has not been properly documented.

Most topical preparations for hemorrhoids have been used in Canada for more than 25 years.

They often contain anesthetics, corticosteroids, and anti-inflammatory agents in varying proportions. Most of these products help to maintain personal hygiene and alleviate symptoms.

However, there are no prospective randomized trials that suggest topical preparations reduce bleeding or prolapse in nonpregnant patients

Conclusion

At present, there are no reproductive safety data available for any of the compounds commonly used for hemorrhoids.

Hemorrhoids in pregnancy should be treated by increasing fibre content in the diet, administering stool softeners, increasing liquid intake, and training in toilet habits. It is expected that these conservative measures can alleviate symptoms in most patients. If required, patients should receive topical treatment.

For many women, most symptoms will resolve spontaneously soon after giving birth, and only few cases will require a surgical evaluation during pregnancy or after delivering. There is a solution – watch the video of the new squatting device Watch The Video Of The New Squatting Device The presented film shows the squatting device which has been planned for the use in the western world: the only thing what is necessary to change is the standard toilet bowl for the bowl of low height.

How to Prevent Hemorrhoids During Pregnancy. Some of the negative things associated with hemorrhoids, that can happen to you during pregnancy, when you have hemorrhoids include pain during bowel movement.

Hemorrhoids During Pregnancy  The following symptoms are common amongst hemorrhoid sufferers: bright red blood in or on the stool, blood on toilet paper, irritation and itching of the anus.

Get Rid of External Hemorrhoids The major factors for the occurrence of external hemorrhoids are pregnancy, bowel disorders, obesity and hereditary susceptibility to getting them.

Dealing With Hemorrhoids During Pregnancy  Any one or more of the following may help relieve hemorrhoids during pregnancy: Take a warm bath with baking soda or place baking soda (wet or dry) on the area to reduce itching [...]

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