18/10/2021
HEMORRHOID/PILES TREATEMENT WITHOUT SURGERY
What are hemorrhoids?
Hemorrhoids are swollen, enlarged veins that form inside and outside the a**s and re**um. They can be painful, uncomfortable and cause re**al bleeding. Hemorrhoids are also called piles. We’re all born with hemorrhoids, but at baseline, they don’t bother us. It’s only when they become swollen and enlarged that they produce irritating symptoms.
How common are hemorrhoids?
An estimated 1 in 30 have symptomatic hemorrhoids. They affect people of all ages, genders, races and ethnicities. They’re more common as you age, affecting more than half of people over age 30.
Who might get hemorrhoids?
Anyone can get symptomatic hemorrhoids, even teenagers. (Because hemorrhoids take a while to develop, they’re uncommon in children.) You may be more at risk if you:
• Are overweight or obese.
• Are pregnant.
• Eat a low-fiber diet.
• Have chronic constipation or diarrhea.
• Regularly lift heavy objects.
• Spend a lot of time sitting on the toilet.
• Strain while having bowel movements.
What causes hemorrhoids?
Straining puts pressure on veins in the a**s or re**um, causing hemorrhoids. You might think of them as varicose veins that affect your bottom.
Any sort of straining that increases pressure on your belly or lower extremities can cause a**l and re**al veins to become swollen and inflamed. Hemorrhoids may develop due to:
• Pelvic pressure from weight gain, especially during pregnancy.
• Pushing hard to have a bowel movement (p**p) because of constipation.
• Straining to lift heavy objects or weightlifting.
What are the symptoms of hemorrhoids?
• Itchy a**s.
• Hard lumps near the a**s that feel sore or tender.
• Pain or ache in the a**s, especially when you sit.
• Re**al bleeding.
How are hemorrhoids diagnosed?
Your healthcare provider diagnoses hemorrhoids based on symptoms and a physical exam. You may also have:
• Digital re**al exam: Your provider inserts a gloved, lubricated finger into the re**um to feel for swollen veins.
• Anoscopy: Your provider uses an anoscope (lighted tube) to view the lining of the a**s and re**um.
• Sigmoidoscopy: Your provider uses a sigmoidoscope (lighted tube with a camera) to view inside the lower (sigmoid) part of the colon and re**um. Procedure types include flexible sigmoidoscopy and rigid sigmoidoscopy(proctoscopy).
These tests may be uncomfortable but aren’t painful. They typically take place in a doctor’s office or outpatient center without anesthesia. You go home the same day.
Your provider may perform a colonoscopy to confirm findings from other tests or check for signs of colon cancer. This outpatient procedure requires anesthesia.
MANAGEMENT AND TREATMENT
What are the complications of hemorrhoids?
Hemorrhoids can be uncomfortable and painful, but they don’t tend to cause serious problems. Rarely, people with hemorrhoids develop:
• Anemia.
• Blood clots in external hemorrhoids.
• Infection.
• Skin tags (flap of tissue that hangs off skin).
• Strangulated hemorrhoids (muscles in the a**s cut off blood flow to a pr*****ed internal hemorrhoid).
How can I treat hemorrhoids at home?
Hemorrhoids often go away on their own without treatment. Symptoms like pain and bleeding may last one week or slightly longer. In the meantime, you can take these steps to ease symptoms:
• Apply over-the-counter medications containing lidocaine, witch hazel or hydrocortisone to the affected area.
• Drink more water.
• Increase fiber intake through diet and supplements. Try to obtain at least 20-35 grams of daily fiber intake
• Soak in a warm bath (sitz bath) for 10 to 20 minutes a day.
• Soften stool by taking laxatives.
• Take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation.
• Use toilet paper with lotion or flushable wet wipes to gently pat and clean your bottom after p**ping. You can also use a tissue or washcloth moistened with water. (Discard wipes in the trash, not by flushing. Launder washcloths separately in hot water to avoid spreading infections often found in p**p.)
How do healthcare providers treat hemorrhoids?
You should see your healthcare provider if symptoms get worse or interfere with your daily life or sleep. Also seek help if signs don’t improve after a week of at-home treatments. Your provider may treat hemorrhoids with:
• Rubber band ligation: A small rubber band placed around the base of a hemorrhoid cuts off blood supply to the vein.
• Electrocoagulation: An electric current stops blood flow to a hemorrhoid.
• Infrared coagulation: A small probe inserted into the re**um transmits heat to get rid of the hemorrhoid.
• Sclerotherapy: A chemical injected into the swollen vein destroys hemorrhoid tissue.
Surgical treatments include:
• Hemorrhoidectomy: Surgery removes large external hemorrhoids or pr*****ed internal ones.
• Hemorrhoid stapling: A stapling instrument removes an internal hemorrhoid. Or it pulls a pr*****ed internal hemorrhoid back inside the a**s and holds it there.
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Distributing American Natural Medicine
