Hemorrhoids and what to do about them
What causes hemorrhoids? The causes of hemorrhoids include. straining during bowel movements; sitting on the toilet for long periods of time; chronic constipation or diarrhea; a low-fiber diet; weakening of the supporting tissues in your anus and rectum that happens with . Nov 23, †Ј Anal intercourse: This can cause new hemorrhoids or worsen existing ones. Obesity: Diet-related obesity can cause hemorrhoids. Genetics: Some people inherit a .
Hemorrhoids are usually caused by increased pressure due to pregnancy, being overweight, or straining during bowel movements. By midlife, hemorrhoids often become an ongoing complaint. By age 50, about half the population has experienced one or more of the classic symptoms, which include rectal pain, itching, bleeding, and possibly prolapse hemorrhoids that protrude through the anal canal.
Although hemorrhoids are rarely dangerous, they can how to parenthetically cite apa a recurrent and painful intrusion. Fortunately, there's a lot we can do about hemorrhoids.
In one sense, everyone has hemorrhoids or piles what do hemorrhoids come from, the pillow-like clusters of veins that lie just beneath the mucous membranes lining the lowest part of the rectum and the anus. The condition most of us call wbat or piles develops when those veins become swollen and distended, like varicose veins in the legs. Because the blood vessels involved must continually battle gravity to get blood back up to the heart, some people believe hemorrhoids are part of drom price we pay for being upright creatures.
There are two kinds of hemorrhoids: internal hemorrhoids, which occur in the lower rectum, and external hemorrhoids, which develop under the skin around the anus. External hemorrhoids are the most uncomfortable, because the overlying skin becomes irritated and erodes. If a blood clot what do hemorrhoids come from inside an external hemorrhoid, the pain can be sudden and severe. You might feel or see a lump around the anus.
The clot usually dissolves, leaving excess what do hemorrhoids come from a skin tagwhich may itch or become irritated. Internal hemorrhoids are typically painless, even when they produce bleeding. You might, for example, see bright red blood on the toilet paper or dripping into the toilet bowl.
Internal hemorrhoids may also prolapse, or extend beyond the anus, causing several potential problems. When a hemorrhoid protrudes, it can collect small amounts of mucus and tiny stool particles that may cause an irritation called pruritus ani.
Wiping constantly to try justin timberlak what goes around relieve the itching can worsen the problem.
Hemorrhoids are distended blood vessels that form either externally around the anus or internally in the lower rectum. Traditionally, hemorrhoids are associated with chronic constipation, straining during bowel heomrrhoids, and prolonged sitting on the toilet Ч all of which interfere with blood flow to and from the area, eo it to pool and enlarge the vessels. This also explains why hemorrhoids are common during pregnancy, when the enlarging uterus presses on the veins.
More recent studies show that patients with hemorrhoids tend to have a higher resting anal canal tone Ч that is, the smooth muscle of the anal canal tends to be tighter than average even when not straining. Constipation adds to these troubles, because straining during a bowel movement increases pressure in the anal canal and pushes the hemorrhoids against the sphincter muscle.
Finally, the connective tissues that support and hold hemorrhoids in place can weaken with age, causing hemorrhoids to bulge and prolapse. Hemorrhoids can usually be diagnosed from a simple medical history and physical exam. External hemorrhoids are generally apparent, especially if a blood clot has formed.
Your clinician may perform a digital rectal exam to check for blood in the stool. She or he may also examine the anal canal with an anoscope, a short plastic tube inserted into the rectum with illumination. What is marilyn monroe known for there's evidence of rectal bleeding or microscopic blood in the stool, flexible sigmoidoscopy or colonoscopy may be performed to rule out other causes of bleeding, such as colorectal polyps or cancer, especially in people over age ehmorrhoids Dramatic relief for most hemorrhoid symptoms can be found with simple, home remedies for hemorrhoids.
To avoid occasional flare-upstry the following. Get more fiber. Add more fiber to your diet from food, a fiber supplement such as Metamucil, Citrucel, or Fiber Conor both. Along with adequate fluid, fiber softens stools and makes them easier to pass, reducing pressure on hemorrhoids.
High-fiber foods include broccoli, beans, wheat and oat bran, whole-grain foods, and fresh fruit. Fiber supplements help decrease hemorrhoidal bleeding, inflammation, and enlargement. They may also reduce irritation from small bits of stool that are trapped around the blood vessels. Some people find that boosting fiber causes bloating or gas.
Start slowly, and gradually increase your intake to 25Ч30 grams of fiber per day. Also, increase your fluid intake. Moderate aerobic exercise, such as brisk walking 20Ч30 minutes a day, can help stimulate bowel function. Take time. When you feel the urge to defecate, go to the bathroom immediately; don't wait until a more convenient time. Stool can back up, leading to increased pressure and straining. Also, schedule a set time each day, such as after a meal, to sit on the toilet for a few minutes.
This can help you establish a regular bowel habit. A sitz bath is a warm water bath for the buttocks and hips the name comes from the German "sitzen," meaning "to sit". It can relieve itching, irritation, and spasms of the sphincter muscle. Pharmacies sell small plastic tubs that what do hemorrhoids come from over a toilet seat, or you can sit in a regular bathtub with a few inches of warm water.
Most experts recommend a minute sitz bath after what do hemorrhoids come from bowel movement and two or three times a day in addition. Take care to gently pat the anal area what do hemorrhoids come from afterward; do not rub or wipe hard. You can also use a hair dryer to dry the area. Seek topical relief for hemorrhoids.
Over-the-counter hemorrhoid creams containing a local anesthetic can temporarily soothe pain. Witch hazel wipes Tucks are soothing and have no harmful effects. A small ice pack placed against the anal area for a few minutes can also help reduce pain and swelling. Finally, sitting on a cushion rather than what do hemorrhoids come from hard surface helps reduce the swelling of existing hemorrhoids and prevents the formation of new ones.
Treat the clot. When an external hemorrhoid forms a blood clot, the pain can be excruciating. If pain is tolerable and the clot has been present for longer than two days, apply home treatments for the symptoms while waiting for it to go away on its own. If the clot is more recent, the hemorrhoid can be surgically removed or the clot withdrawn how to make appam and vegetable stew the vein in a minor office procedure performed by a surgeon.
To perform a rubber band ligation, the clinician places a ligator over the hemorrhoid to position a rubber band around its base. Some hemorrhoids can't be managed with conservative treatments alone, either because symptoms persist or because an internal hemorrhoid has prolapsed.
Fortunately, a number hekorrhoids minimally invasive hemorrhoid treatments are available that are less painful than traditional hemorrhoid removal hemorrhoidectomy and allow a quicker recovery. These procedures are generally performed in a surgeon's office or as outpatient surgery in a hospital.
Band it. The most commonly used hemorrhoid treatment in the United States is rubber band ligation, in which a small elastic band is placed how to send dirty text messages to a guy the base of a hemorrhoid see box above. The band causes the hemorrhoid to shrink and the surrounding tissue to scar hemorrhoide it heals, holding the hemorrhoid in place.
It takes two to four procedures, done six to eight weeks apart, to completely eliminate the hemorrhoid. Complications, which are rare, include mild pain or tightness usually relieved with a sitz bathbleeding, and infection. Other office procedures include laser or infrared coagulation, sclerotherapy, and cryosurgery.
They all work on the same principle as rubber ro ligation but are not quite as effective in preventing recurrence. Side effects and recurrence vary with the procedure, ftom consult your physician about what's best for your situation. You may need surgery if you have large protruding hemorrhoids, persistently symptomatic external hemorrhoids, or internal hemorrhoids that return despite rubber band ligation.
In a hemodrhoids hemorrhoidectomy, a narrow incision is made around both external and internal hemorrhoid tissue and the offending blood vessels are removed. The procedure requires general whag, but patients can hemorrhpids home the same day. Patients can usually return to work after 7Ч10 days. Despite the drawbacks, many people are pleased to have a definitive solution to their hemorrhoids. An alternative to traditional hemorrhoidectomy is called stapled hemorrhoidopexy. This procedure treats bleeding or prolapsed internal hemorrhoids.
Xome surgeon uses a stapling device to anchor the hemorrhoids in their normal position. Like traditional hemorrhoid removal, stapled hemorrhoidopexy rrom performed under general anesthesia as day surgery. Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
Hemorrhoids and what to do about them What causes internal and external hemorrhoids and simple ways to treat them Updated: August how to video call skype, Published: October, Diverticular disease of the colon Backed-up bowels? Don't get stuck on daily "regularity" The "other" incontinence Ч don't suffer in silence Treating interstitial cystitis Preparing for a hemorrhoixs By the way, doctor: Is it okay to take a stool softener long-term?
E-mail Address. First Name Optional. Internal and external hemorrhoids Hemorrhoids di distended blood vessels that form either externally around the anus or internally in the lower rectum. Rubber band ligation of hemorrhoid To perform a rubber band ligation, the clinician places a ligator over the hemorrhoid to position a rubber band around its base.
When should I seek a doctorТs help?
You have clumps of veins in and around your anus and lower rectum that can stretch with pressure. When they swell or bulge, theyТre called hemorrhoids. You can get them inside or just on the. Aug 14, †Ј Bleeding hemorrhoids may form a lump around the anus that a person can feel while wiping. Bleeding hemorrhoids usually occur after a bowel movement. A person may see traces or streaks of blood on Author: Rachel Nall, MSN, CRNA. A bleeding hemorrhoid is usually a sign of irritation or damage to the wall of the hemorrhoid. This should resolve on its own over time, but there are several things you can do at home to speed up.
Medically reviewed by Drugs. Last updated on May 13, Hemorrhoids are lumps or masses of tissue in the anus, which contain enlarged blood vessels. Any increase in abdominal pressure may produce hemorrhoids.
This may be from:. Internal hemorrhoids. Internal hemorrhoids lie inside the anal canal, where they primarily cause the symptom of intermittent bleeding, usually with bowel movements, and sometimes mucous discharge.
They are usually painless. Internal hemorrhoids also may protrude prolapse outside the anus, where they appear as small, grape-like masses.
Usually the prolapsed hemorrhoid can be pushed back into the anus with a fingertip. External hemorrhoids. These lie just outside the anal opening, where they primarily cause symptoms of swelling or bothersome protrusions, and sometimes discomfort.
Swelling and discomfort may occur only intermittently. External hemorrhoids may also cause difficulties keeping the anal area clean after bowel movements. External hemorrhoids sometimes develop a blood clot inside of them "thrombosis" , often after a period of diarrhea or constipation. In that case, it produces a sudden firm and painful swelling or lump around the rim of the anus. Hemorrhoids are a very common health problem.
Hemorrhoids are more likely to develop in individuals who eat insufficient dietary fiber and don't get enough exercise, which can lead to repeated episodes of constipation and straining to have bowel movements. For thrombosis of an external hemorrhoid, a painful bulge or firm lump suddenly appears at the rim of the anus.
The lump may have a blue or purple tint. It may discharge blood. Like most anal or rectal conditions, physicians diagnose hemorrhoids by inspecting the anal area, feeling inside the anus with a gloved finger, and looking inside the anal canal with a small short scope "anoscope".
If there is rectal bleeding, it is important that a physician also checks for other more dangerous causes of bleeding, such as colorectal cancer. This evaluation is usually done with a long flexible telescope "flexible sigmoidoscopy," or "colonoscopy". Hemorrhoid flare-ups swelling, irritation and mild discomfort are usually brief, and most symptoms disappear within a few days. In pregnant women, hemorrhoid symptoms usually improve dramatically or disappear after childbirth.
Painful swelling from thrombosis of an external hemorrhoid usually resolves over a period of days to weeks. You can often prevent hemorrhoids by preventing constipation. Some of the following diet and lifestyle changes may help you to soften your stool, establish a regular schedule for bowel movements, and avoid the straining that can lead to hemorrhoids:. Although this traditional surgical removal of hemorrhoids is painful, it is effective, for both internal and external hemorrhoids.
Laser hemorrhoidectomy does not offer any advantage over standard operative techniques. Call your doctor whenever you have bleeding from your rectum, especially true if you are over age 40, when there is an increase in the risk of rectal bleeding from colorectal cancer or other serious digestive diseases.
Hemorrhoids are not dangerous, and only need to be treated if they cause very bothersome symptoms. If hemorrhoids occur during pregnancy, they will usually regress spontaneously after childbirth.
For hemorrhoids related to constipation, the prognosis is also good, provided you make the necessary changes to your diet and lifestyle. For hemorrhoids that cause persistent symptoms despite nonsurgical treatment, the results from office treatment or surgery are usually very good. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Hemorrhoids Medically reviewed by Drugs. This may be from: Repeated straining to have a bowel movement, especially in people who suffer from frequent constipation. Repeated episodes of diarrhea.
Many patients have no apparent explanation for the formation of hemorrhoids, however. Many patients have both internal and external hemorrhoids. Symptoms Symptoms of hemorrhoids include: Bright red blood on the toilet paper after having a bowel movement, especially if the stool was very hard or very large. Blood also may streak the surface of the stool, or color the water in the toilet bowl.
For a prolapsed hemorrhoid, a soft, grape-like mass protruding from the anus that may discharge mucous. For external hemorrhoids, bothersome protrusions and difficulties keeping the anal area clean. External hemorrhoids may also cause intermittent swelling, irritation, and mild discomfort, especially after a period of diarrhea or constipation. Severe pain is not a typical symptom of hemorrhoids except for thrombosis of an external hemorrhoid.
Diagnosis Like most anal or rectal conditions, physicians diagnose hemorrhoids by inspecting the anal area, feeling inside the anus with a gloved finger, and looking inside the anal canal with a small short scope "anoscope". Expected Duration Hemorrhoid flare-ups swelling, irritation and mild discomfort are usually brief, and most symptoms disappear within a few days. Intermittent slight bleeding from hemorrhoids may carry on for months or years. Prevention You can often prevent hemorrhoids by preventing constipation.
Some of the following diet and lifestyle changes may help you to soften your stool, establish a regular schedule for bowel movements, and avoid the straining that can lead to hemorrhoids: Add more fiber to your diet.
Set a goal of 25 to 30 grams of fiber daily, from such high fiber foods as beans, broccoli, carrots, bran, whole grains and fresh fruits. Alternatively, many people find that it is more convenient to take a fiber powder such as psyllium "Metamucil" , or methylcellulose "Citrucel" , which is available at drug stores without prescription. To avoid bloating and gas, add fiber to your diet gradually over a period of several days. Drink adequate amounts of fluid.
For most healthy adults, this is the equivalent of 6 to 8 glasses of water daily. Begin a program of regular exercise. As little as 20 minutes of brisk walking daily can stimulate your bowel to move regularly. Train your digestive tract to have regular bowel movements. Schedule a time to sit on the toilet at approximately the same time each day. The best time to do this is usually right after a meal.
Do not sit on the toilet for long periods it tends to make hemorrhoids swell up and push out. Respond immediately to the urge to have a bowel movement. Do not postpone until the time is more convenient. Treatment If you are experiencing a flare-up of hemorrhoid swelling and discomfort, try the following: Take a fiber powder to soften the stool. Take warm sitz baths , especially when the hemorrhoids are uncomfortable.
Sit in a tub or pan of plain warm water , 3 or 4 times a day, for minutes each time. Large pharmacies and medical supply stores also sell convenient plastic sitz bath devices that fit into a toilet. The water will keep the area clean, and the warmth will reduce inflammation and discomfort.
Be certain to dry the rectal area thoroughly after each sitz bath. If you work, you can still take a sitz bath in the morning, upon returning from work, and again at bedtime. Apply a cold compress or icepack to the anal area, or try a cool cotton pad soaked in witch hazel. Apply petroleum jelly or aloe vera gel to the anal area, or use an over-the-counter hemorrhoid preparation containing lidocaine or hydrocortisone. After every bowel movement, clean the anal area with a witch hazel pad, a soothing baby wipe or a cotton cloth soaked in warm water.
Be thorough but gentle. Aggressive rubbing and scrubbing, especially with soaps or other skin cleansers, can irritate the skin and make your hemorrhoids worse.
A rubber band is slipped around the base of an internal hemorrhoid to cut off its circulation. This shrinks the banded hemorrhoid. This is the office treatment used most commonly in the United States. An irritating chemical solution is injected directly into the internal hemorrhoid or the area around it.
This solution causes a local reaction that interferes with blood flow inside the hemorrhoid, making the hemorrhoid shrink. Coagulation therapies. These treatments use electricity or infrared light to destroy internal hemorrhoids by burning. Treatments in the operating room: Hemorrhoidectomy. Hemorrhoid stapling. This is a surgical procedure that uses a special device to internally staple and remove hemorrhoid tissue. It is effective only for internal hemorrhoids, but is less painful than traditional hemorrhoidectomy.
When to Call a Professional Call your doctor whenever you have bleeding from your rectum, especially true if you are over age 40, when there is an increase in the risk of rectal bleeding from colorectal cancer or other serious digestive diseases. Also, see your doctor if you have severe rectal pain. Prognosis Hemorrhoids are not dangerous, and only need to be treated if they cause very bothersome symptoms.
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