Hemorrhoids are swollen veins located around the anus or in the lower rectum. Hemorrhoids can either be internal or external. Internal hemorrhoids develop within the anus or rectum. External hemorrhoids develop outside of the anus. Hemorrhoids are also known as piles. Hemorrhoids usually are caused by increased pressure within the lower abdomen. It may be caused by:
• Straining during bowel movements
• Sitting for long periods of time, especially on the toilet
• Certain diseases, such as liver cirrhosis
HOW IS HEMORRHOIDS DIAGNOSED?
The proper diagnosis of Hemorrhoids is done through a physical examination of the rectum by using an anoscope. In particular, the internal Hemorrhoids condition is also diagnosed through 2 other procedures which are sigmoidoscopy and colonoscopy.
HOW IS HEMORRHOIDS TREATED?
Treatments for hemorrhoids include:
• Over-the-counter corticosteroid (for example, cortisone) creams to help reduce pain and swelling
• Hemorrhoid creams with lidocaine to help reduce pain
• Stool softeners help reduce straining and constipation
• Rubber band ligation
• Injection (sclerotherapy)
• Coagulation (infrared, laser or bipolar)
• Hemorrhoid removal
• Hemorrhoid stapling
DID YOU KNOW?
You can prevent Hemorrhoids from occurring by following healthy diet.
The condition of hemorrhoid develops when the blood vessels which lining the lower walls of the anus and rectum are inflamed or become swollen. In the normal state, these blood vessels cushion the movement of bowel.
There are two types of hemorrhoids:
• Internal: Characterized by bright red rectal bleeding during defecation, this is a painless state.
• External: Accompanied by swelling of the anus and bleeding from the rectum, this state is painful.
Lying within the anus like the internal hemorrhoids, external hemorrhoids, also known as piles, often prolapse or move to the outside. At this point, they can be seen and felt. If thrombosis sets in, the blood begins to clot, causing intense pain. While the pain may disappear in two days, the swelling takes up to a few weeks to be reduced. As the piles heals, a small skin tag stays attached to the anus. In spite of the evident discomfort, piles is usually not a very serious condition.
Hemorrhoids are also known to cause bad hygiene along with itching and irritation in the area around the anus.
Piles is not caused by any fixed factor. The symptoms of piles may however be brought about by any of the following reasons:
• Exertion of tremendous pressure on the abdomen during pregnancy.
• Straining during defecation.
Piles symptoms can be easily diagnosed by colonoscopy and sigmoidoscopy.
While there is no definite treatment for piles, it is possible to prevent piles altogether if you follow the simple steps given below:
• Exercise regularly.
• increase the intake of fibre in your daily diet.
• Do not strain in the toilet.
• Refrain from lifting heavy weights.
Home-treatment of piles alleviates the pain and discomfort caused by piles. The measures for piles home treatment to ease the pain and relieve the symptoms of piles are as follows:
• Take more oral fluids to increase hydration.
• Consume more dietary fibre or use fibre supplements.
• Rest adequately.
• Use steroidal, anti-inflammatory drugs.
• Take sitz-bath.
Doctors advise to limit the use of steroidal drugs to two weeks. These drugs, which may often include zinc oxide or petroleum jelly, lidocaine and vasoconstrictors like epinephrine, may result in skin-thinning.
A sitz bath refers to a shallow, warm bath which cleanses the perineum or the space between the rectum and the vulva or scrotum. It relieves the irritation and pain caused by piles. The blood flow to the perineum increases as a result of the use of warm water in a sitz bath which helps to heal piles faster. It also enhances personal hygiene. Often, medicines like povidone-iodine solutions are added to the water to help limit the growth of bacteria in the anus.
When the piles symptoms persist and result in further complexities, patients are often advised to undergo surgical procedures to cure piles. Doctors decide upon the specific surgical method on the basis of the diagnosis of symptoms offered by the patient’s condition.
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