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Examining For Hemorrhoids

by Richard Hill

You probably can’t tell yourself whether or not you have hemorrhoids, but you can go to the doctor and be examined to see if you do. Doctors or surgeons specializing in the rectum or colon can certainly find out whether or not you have hemorrhoids, as can most family practitioners. If you have complaints that you may have hemorrhoids, though, it’s a procedure you’re probably going to dread. You may undergo several rectal examinations and anoscopies, which can be extremely unpleasant especially if the person examining you is not experienced in doing so. Therefore, if you’re going to undergo such an examination, make sure you talk with your doctor and have your fears addressed before you undergo such an examination in order to get results from it.

For the examination, you’re going to lie in the left lateral Sims or decubitus position. This is more comfortable, and is usually less humiliating and easier to hold than the lithotomy or prone jackknife positions. It’s important to know that you are going to need to lie such that the examiner is going to get a good view of the anal area.

So that the examination itself is as easy as possible, you’re probably going to be placed lying on your belly more than on your back, positioned with your buttocks a little bit off the edge of the examining table, left side down, right shoulder rolled forward and left shoulder back. Your knees are going to be bent up towards your chest and your feet clear of the anal area.

This ensures that the anal area is going to be exposed enough to be examined without as much discomfort for the person being examined. The examiner will gently spread the buttocks apart and include the external perineal area for any eczematous lesions, abnormal findings or rashes. Usually, the examiner will ask the patient to contract the external sphincter to make sure there are no abnormalities in function.

After this is complete, you’ll generally be asked to push or bear down as though you were going to have a bowel movement; simultaneously, the examiner will insert a lubricated finger gently into the anus for what is called the digital examination. This examination should only take a minute or two, and is typically not painful, just uncomfortable.

And anoscopy will be performed after the digital examination is finished. This is to officially confirm that you do have hemorrhoids as the patient by using an anoscope, which is a hollow to with a light at one end, subsequently attached to a viewing machine. The anoscope that does a side view is preferred to one that does only an end view because side view anoscopes look at the anal canal and the rectum, not just the rectum.

Upon insertion, the viewing anoscope should be positioned with the open portion in the right anterior followed by the right posterior and lastly the left lateral position to observe for hemorrhoidal bundles. As the rectal surgeon examines, a pathologist will also observe for signs of dilated vascular spaces that may inhibit thrombosis and recanalization.

In some cases, other tests are also required, such as a colonoscopy or sigmoidoscopy, if more detail is needed. To find out if any hemorrhoidal prolapses have occurred, patients are you also usually required to push or strain slightly after the examination; f any anal bleeding occurs, it’s usually due to hemorrhoids, but may also be indicative of colorectal cancer. This is why it’s very important to check this. If rectal bleeding does exist, further examination is necessary to make sure other diseases beside hemorrhoids are not also present.

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Getting the Best External Hemorrhoids Treatment

by Sandy Rowde

Hemorrhoids have two types: the internal and the external hemorrhoids. Unlike internal hemorrhoids that have grown inside the anal canal, external hemorrhoids occur outside of the anal verge. This sac-like protrusion found outside the anus is often characterized by itchiness (pruritus ani), pain, irritation and swelling.

Protruding and bulging tissues that swell outside the anus opening is usually called external hemorrhoids; however, there are some instances wherein internal hemorrhoids, due to its worst state, have grown terribly to the point that it protrudes until outside the anal canal (this is also known as prolapsed internal hemorrhoids).

There are several treatment options for external hemorrhoids. Some people are still more comfortable doing the “natural” method in treating hemorrhoids, while there are others who rely on the latest sophisticated equipment that the society has now in treating hemorrhoids.

Surgery or hemorrhoidectomy is one of the best-known treatment for external hemorrhoids. In this surgical procedure, the swollen tissue is being scraped off using a scalpel. Patient who undergo this kind of treatment is being given an anesthesia (local or general – depending on the state of the victim). Based on testimonies of people who have undergone this kind of treatment, hemorrhoidectomy has a longer-effect despite the intense pain that was felt after the operation. Surgery is always being recommended to large-sized hemorrhoids that have already complicated to the point that it already causes so much discomfort and pain to the patient.

External hemorrhoids can also be treated through laser beam. Laser is also deemed by many as the fastest treatment among other treatments for hemorrhoids in terms of conducting the treatment procedure. Laser treatment is applicable to small and medium sizes of hemorrhoids.

Another treatment would also be rubber hand ligation. This is the most famous non-surgical external hemorrhoids treatment since this can be applicable to both small and medium sizes of hemorrhoids. In rubber band ligation procedure, a rubber band is being wrapped around the sac-like protrusion. The rubber band will serve as an instrument that will restrict the flow of blood circulation in the affected area. Lack of blood flow in the hemorrhoids will help in its shrinking, and then, to its eventual healing.

Another medical procedure in treating external hemorrhoids is through injection sclerotheraphy. A certain chemical solution is being injected to the affected area which help in the shrinking of the hemorrhoids.

There are also non-medical treatments for external hemorrhoids. Natural means of healing and prevention can also be applied which includes:

- introducing fiber-enriched foods into the diet that can soften stools and prevent constipation. A change in the diet also includes avoidance from meaty and processed foods. It also entails the inclusion of water intake. At least eight glasses of water per day should be consumed in order to sustain the smooth flow of digestion and easy defecation.

-the use of comfortable under wears. Avoid wearing tight-fitting under wears because this will give no room for your external hemorrhoids and might increase pressure towards it, causing more pain.

- use lukewarm water for bathing. Sitting on a tub half-filled with warm water will help reduces swelling and gives relief from pain and itchiness.

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Defeat Hemorrhoids – Hemorrhoid Pain Treatment

By: Chris Jensen

Hemorrhoids is said to affect one half of the American population today, and what’s even frustrating to know is that there is no exact hemorrhoid pain treatment for some relief. Hemorrhoids can be so painful. They are caused by congestion as well dilation of anal and rectal veins. They are usually a result of impaired blood flow through the venous plexus (a network of veins). They can be internal, meaning they are above the anal sphincter and they are usually painless or external which is outside the anal sphincter, this one is painful because of the nerve cells present. The anal sphincter is the sphincter muscle of the anus.

Hemorrhoids is common in both men and women, between the ages 20 and 50. What are the conditions that predispose a person to hemorrhoids? It includes persons whose job require them to sit for long hours, pregnancy in which the pressure due to the fetus causes the vessels to enlarge, obesity, increased intra-abdominal pressure due to prolonged constipation, loss of rectal muscle tone which is common to the elderly, lifting of heavy objects which causes one to strain, lack of fiber in diet, people who have undergone episiotomy and rectal surgery, and genetics.

Common signs and symptoms are bleeding with defecation, hard stools with streak of blood, pain with defecation, sitting or walking and protrusion of external hemorrhoids when inspected. If you are suffering from these symptoms, it is time for you to visit your physician and see if it is hemorrhoids or other disorders which also manifest the same signs and symptoms.

So, how do you treat hemorrhoids? One is to use stool softeners which will aide you in passing out stools, it will help you not to strain when defecating. Local anesthetics or anti -inflammatory creams may also be used. Adjustments in the diet like increasing your fiber intake and consumption of adequate liquids will be a big help. If there is already a prolapse, excessive bleeding and severe pain, Hemorrhoidectomy is indicated. It is the surgical excision of hemorrhoids. It is important that you have yourself diagnosed by a physician, so that the physician can observe, palpate and perform examination.

Hemorrhoids can be prevented; it is just a matter of lifestyle modification. Diet, exercise and regular bowel movement can make a difference. Early diagnosis also is a must, when symptoms start to appear have your check up so early treatment can be done and avoid further worsening the disorder.

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Dealing With Hemorrhoids

by Anne Torres

Hemorrhoids are clumps of tissue accompanied by bleeding from the lower rectum or anus. They are mostly a result of straining during passing stools. There may be other factors too like pregnancy, chronic constipation, liver disease, lifestyle habits etc. Hemorrhoids treatment is fairly simple although acute cases may need professional medical attention including surgery.

Hemorrhoidal conditions are more often than not painless but one should know what do hemorrhoids look like. The anal canal is the last stretch through which the end products of digestion pass before being emptied by opening the anus.

This area has a rich network of arteries and a steady supply of arterial or pure blood. When the tissues or the blood vessels become swollen, it results in hemorrhoids. There are two types of hemorrhoids – internal and external.

If you wish to find out what do hemorrhoids look like, you must remember that internal hemorrhoids are manifest as bleeding on the outside of the stools. The bright red blood on the toilet paper or the bowl signifies leakage from arteries. Some times, the hemorrhoids may push through the anus and you can feel them on the outside.

This is prolapsed hemorrhoids. External hemorrhoids arise from the blood vessels that empty at the lower end of the anal canal. These can also be felt on the outside. External hemorrhoids may be accompanied by painful clotting. This is thrombosed hemorrhoids.

The most common approach towards hemorrhoids treatment is allowing natural healing for hemorrhoids. This means adopting a combination of dietary changes and lifestyle modifications. Though the exact cause is not known, hemorrhoidal conditions are often associated with hard stools and difficulty in emptying the bowels, an increase in the fiber content of the diet often alleviates the problem. Eating more wholegrain products increases bulk and relieves constipation. If you suffer from chronic constipation, you should take a suitable laxative under medical advice. Avoiding spicy, deep fried food items and cutting down on caffeine are also good.

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Do Over-The-Counter Hemorrhoids Treatment Work?

by Sandy Rowde

Hemorrhoids is a serious health concern that should be given immediate attention. There are many ways to cure and remedy hemorrhoids, depending on the degree of its condition. There are some people who opt to treat hemorrhoids naturally by going for natural, non-medical treatments such as regular exercise, proper diet and hygiene. There are also other patients who want to go for over the counter hemorrhoids treatment like hemorrhoids ointment and creams. However, when the hemorrhoids condition is more severe, surgery is the best option.

Hemorrhoids: What it Is

Hemorrhoids occur when there is too much strain and pressure on our rectum caused by constipation, prolonged sitting on the toilet, obesity and too much weight, and pregnancy. Hemorrhoids are actually swollen veins of the hemorrhoids tissues found in our rectum and can affect both the inner and outer lining of our anal canal.

There are two kinds of hemorrhoids: the internal hemorrhoids and the external hemorrhoids. Internal hemorrhoids are found inside the anal canal, while external hemorrhoids are situated just under below of the anal skin at the outside.

Hemorrhoids are usually characterized with intense pain, itchiness, burning sensation, bleeding, and irritation. This usually put a person with hemorrhoids in very uncomfortable and awkward situations.

How can we cure hemorrhoids? Are over the counter hemorrhoids treatment advisable?

Over the counter hemorrhoids treatment such as hemorrhoids ointments, hemorrhoids cream and hemorrhoids petroleum jelly and laxatives are only good for light to moderate hemorrhoids conditions and hemorrhoids that are still in its early stages. These ointments and over the counter hemorrhoids treatment contain hydrocortisone and antiseptics that help relieve the inflammation.

Pain killers is another form of over the counter hemorrhoids treatment. However, pain killers do not cure and heal the condition itself. It only relieves the symptoms of hemorrhoids such as pain and itchiness.

Another way of treating hemorrhoids is through surgery and rubber band ligation. Surgery is really the scraping off of the protruding tissue (hemorrhoids). Surgery of hemorrhoids is also called hemorrhoidectomy. Rubber bond ligation is a non-surgical procedure wherein a rubber bond is being tied around the swollen tissue to reduce blood circulation in the area. The lack of blood flow in the affected area will result to the shrinking of the hemorrhoids.

Prevention is still better than cure. Hemorrhoids, for some, are still best prevented by living a healthy lifestyle such as maintaining proper diet, posture and regular bowel movement. Eating healthy food rich in fiber and drinking at least eight glasses of water every day help detoxify and aid our body with bowel movement. Constipation and straining to relieve the body of waste would only worsen any existing hemorrhoids condition. Regular exercise also help prevent hemorrhoids as it increases blood circulation which is, again, necessary for regular and smooth bowel movement. Exercise also help prevent obesity which is another cause of hemorrhoids.

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