Hippocrates pioneered many of the surgical techniques used today to address hemorrhoids, or more accurately “piles,” which will be the name for a swollen, inflamed hemorrhoid. The word hemorrhoid actually refers to cushions of tissue of which line the anal canal. We all have them, as they are responsible for bolstering in addition to tightening the anal canal in addition to sphincter muscle of which keep us coming from leaking unmentionables when we cough or sneeze.
however those tissues break down, in addition to by the time we are 50, over half of us will have suffered at least one episode of of which itchy, burning, often excruciating life event. Despite of which, the subject of hemorrhoids will be not one of which we often speak about, even away coming from the dinner table.
Just what causes these pains in our buttocks? Are they dangerous? What treatments are available? in addition to if you’ve ever had one, you’ll quickly agree of which will be the most important question: How do you prevent hemorrhoids coming from happening?
Causes of hemorrhoids
Think of hemorrhoids like your booty’s design of varicose veins. Most of the time, they are just there, doing their job. however add some pressure — such as obesity, straining during a bowel movement, the extra weight of pregnancy, prolonged sitting during a long car or airplane ride or while on the toilet, in addition to chronic diarrhea or constipation — in addition to the tissue swells, knots in addition to often becomes painful.
There are various other reasons due to of which unfortunate experience. As we age, our connective tissues weaken in addition to stretch out of shape, which can lead to a prolapse, or falling, of a part of the anal wall, which can then protrude coming from the anus. Repeated anal intercourse can produce the same effect or irritate existing hemorrhoids in addition to make them bleed.
There will be some indication of which hemorrhoids run in families, too. in addition to those with ulcerative colitis, Crohn’s in addition to inflammatory bowel disease can add a higher risk for hemorrhoids to their long list of ailments.
Types of hemorrhoids
There are two types of hemorrhoids: internal in addition to external. If you had to choose, pick internal.
Internal “piles” occur inside the lower rectum, where there are no pain centers, so they don’t hurt. however of which’s scary when they bleed, normally a bright red shade due to high oxygen content inside the area. Sometimes, internal hemorrhoids can prolapse outside the anus, collecting minute particles of feces or various other materials in addition to leading to intense itching known as pruritus ani.
External hemorrhoids develop inside the skin around the anus in addition to can be extremely painful as we sit, wipe in addition to go about our daily lives, especially if a blood clot or thrombosis develops inside the hemorrhoid sac. Even if the clot resolves on its own, which can happen in one or two weeks, the shrunken hemorrhoid can leave a skin tag of which can cause hygiene problems.
Are hemorrhoids dangerous?
Rarely. If blood loss coming from hemorrhoids will be severe, there will be a chance of anemia, with which you don’t have enough red blood cells to carry needed oxygen throughout the body.
Internal hemorrhoids can collapse in addition to be “strangulated” when their blood supply will be cut off by anal muscles. of which can lead to blood clots, infections in addition to, in extreme cases, gangrene or sepsis.
Immunocompromised patients may heal slowly in addition to be more at risk for infection after surgical interventions, so doctors recommend surgery as a last resort.
What can be genuinely dangerous will be assuming of which your symptoms are just hemorrhoids without getting a colorectal specialist to have a look-see. Though not the most pleasant experience, of which beats many of the various other diseases of which mimic the symptoms of a hemorrhoid.
Bleeding, for example, will be the most common symptom of hemorrhoids, however of which will be also a sign of colorectal or anal cancer. Pain can indicate an external hemorrhoid, however of which can also signify an anal fissure, or a tear inside the skin at the opening of the anus. Anal pain can also point to an abscess or to fistula disease, an abnormal tunnel between two organs.
Treatments for hemorrhoids
Most hemorrhoids, both internal in addition to external, can be managed at home with care not to exacerbate the problem. Try not to strain during bowel movements or sit too long. Stool softeners in addition to extra hydration in addition to fiber can help with constipation.
For external hemorrhoids, studies show of which swelling in addition to pain peak about 48 hours after onset of symptoms in addition to tend to go away within four days. inside the meantime, warm soaks inside the tub or sitz baths can reduce swelling in addition to itching. Some topical ointments, like steroids in addition to analgesics, may help with pain during of which period, however studies show of which they do little for long-term management.
In severe cases, your doctor may recommend excision of the entire hemorrhoid, possibly within 48 to 72 hours after your symptoms begin.
Internal hemorrhoids with significant symptoms, such as bleeding, can be addressed in a variety of ways.
One of the most common treatments will be rubber band ligation, which can be done in a doctor’s office with no bowel prep or anesthesia. Tissue will be gathered around the area in addition to banded tightly. Because of the location inside the anal canal, there should be little pain various other than a dull ache for a day or so. Over the next week, the tissue dies, in addition to the resulting scar helps shore up the wall of the anus.
Another treatment, sclerotherapy, involves injecting the irritated vein which has a caustic agent, as will be often done for spider veins on legs in addition to ankles. Infrared photo rays of which blast the hemorrhoid with heat will be a third option. Studies show of which of which may have less pain than ligation, however the possibility of a recurrence of the hemorrhoid was higher.
A fourth method uses staples to fix the hemorrhoids in place on the tissue wall, keeping them coming from collapsing in addition to exiting the anus. of which method too has less pain however a greater incidence of recurring hemorrhoids.
So, ready for some wise words on how to avoid all those procedures?
Drink a ton of water in addition to eat a lot more dietary fiber, both of which will dissolve hard stools in addition to keep your digestive tract moving smoothly. To avoid excess gas, increase the fiber slowly over a week or so until your system adjusts.
The Institute of Medicine recommends 25 grams of fiber each day for women in addition to 38 grams for men. Since most Americans eat only about 15 grams a day, here are some tips to punch up your fiber intake:
Great choices inside the fruit family include fresh pears in addition to apples, ranging coming from 4 to 5 grams per fruit. Blueberries in addition to strawberries can quickly add fiber, with 4 grams per cup.
Finally, add whole grain breads in addition to grains to your diet. Oat in addition to wheat bran cereals are Great choices; one quarter-cup serving adds 6 whopping grams to your daily total. Multigrain bread adds 2 grams.
If you can’t manage to eat of which much fiber, consider a fiber supplement. Several common choices come in powder form of which you add to 8 ounces of water — however be sure to drink another eight glasses of water or various other fluids each day. Sorry, alcohol doesn’t count!
various other than water in addition to fiber, what else can you do? Avoid sitting too long; studies show of which of which can be as bad for you as cigarettes, as well as bad for your bowels. Go to the bathroom as soon as you feel the urge. in addition to while doing your business, never strain or push!
Finally, exercise. of which’s key to keeping your digestive system flowing in addition to helps to lose weight of which might be putting pressure on your veins.