Hemorrhoids Hemorrhoids or other wise known as piles is an embarrassing disease to have. But it really needn?t be that way, considering the fact that statistically eight out of ten of us are likely to suffer from the disease. Even napoleon suffered from hemorrhoids. It is even suggested that the pain from these was a major distracting factor that led to his defeat at waterloo. To understand the basics behind piles a small amount of anatomical knowledge is necessary. First you have to know that veins are the pipes carrying blood towards your heart. Another essential fact is that there are two parallel venous systems operating in your body the- systemic part carrying blood from all over the body and the portal part carrying the blood from the intestines. These two systems are connected at few points, one of them being the veins in your anal canal. Now if the pressure in any of the two systems rises, it tries to decompress by shunting the excess blood via the other system. In doing so the connecting points between the systems experience excess blood flows and hence swells up. These swollen up veins in the anus are known as piles. These may protrude outwards and are thus called external piles, or these may stay in and are called internal piles. The causes of piles can now be easily understood by the newbies. These include portal venous hypertension (I guess this cause is now self explanatory), increased pressure in the abdomen as in excessive straining at stool due to constipation, pregnancy, and sometimes chronic cough (yes, cough increases intrabdominal pressure too. Obesity, systemic hypertension, alcohol and coffee intake are also associated with the occurrence of the disease. The internal piles are a deceptive type because you may not even know they are there unless they bleed. This is because there are no pain receptors inside the rectum and hence are not painful. External hemorrhoids on the other hand are painful because there are pain receptors on the outer part of anal canal. One of our professors once described internal hemorrhoids as the appearance of a red toothpaste applied on stool. These present as bleeding with stool usually on straining. They may also present with itching around the anus. Whatever you see here and whatever you read here, do not try to diagnose yourself and treat yourself on basis of this knowledge, ALWAYS CONSULT A DOCTOR, because there are many other far more dangerous diseases which may present with similar symptoms. Hemorrhoids or hemroids as many people mistakenly spell, is one of the most common diseases of the anal canal. I am writing this article to tell you all who are researching this word (for obvious reasons) that this disease is not as bad as people make it out to be. It does not always require surgery and most often it gets cured spontaneously, that is, by itself. Of course the hemorrhoids are embarrassing and irritating enough but fortunately it is not gifted with high mortality, that is, the chance of the patient dying due to this disease is very remote. Because of the nature of the disease, that is, high morbidity versus high mortality it ranks high among the list of lucrative diseases for which bogus remedies and products are created purely to monetize on the patients helplessness. Thus it is advisable to steer clear of most of the e-books and personal experiences shared via e-books and always consult a qualified physician before pursuing a line of treatment. Now on the subject of treatment, there are multiple things you should know. The results of various sort of treatments on this disease?s outcome is not well documented. For example when you consult a physician, he would obviously refer you to a surgeon, who in turn would book you for one of the various procedures to treat hemorrhoids that is band legation, stapling, hemorrhoidectomy etc? The result of most of these procedures is well documented and most probably you will be cured. But if you visit a homeopath or ayurvedic doctor you will be issued a medication hat has not been rigorously tested out by clinical trials. So there is a fair chance that you may not be cured. The bottom line is this that while visiting a physician, check whether he is an allopath or not. Now onto the subject of home remedies for hemorrhoids. If the physician classified your disease as mild, then the role of home remedies emerges. For these there is no authenticated information available, and since most of these are harmless enough, you may follow any of the remedies you are suggested by your information source. Again my advice would be to follow the remedies suggested by the doctor since by his vast experience of dealing with the disease, he is the only one who can tell you the remedies which are effective in a large proportion of patients. Hence the take home message of this article, always consult a doctor and follow his advice. Do not invest in unauthenticated sources no matter what they claim, there is a fair chance you might be duped. Hemorrhoids are a major disabilitating illness in the developed countries leading to very low mortality but high morbidity. HOW TO RECONGNISE HEMORRHOIDS: Streaks of blood on toilet tissue. Bowel movement that are bloody and painful. Itching in the anal area. Painful bump on or near anus. Mucus discharge from anus. Some HOME REMEDIES we cooked up for you to ease the pangs of an itchy painful bottom: TRY FOR SOFT EASY BOWEL MOVEMENTS: Thus is the most effective strategy against hemorrhoids. More often than not on top of every rear end with hemorrhoids sits a person grunting and groaning. Such huffing and puffing at the toilet causes the engorged veins in your bottom. The answer to this is to drink lots of fluids, eat lots of fiber and try out the next remedies. OIL YOUR INSIDES: Can be achieved by either eating paraffin wax (Yuck!) or greasing your rear end by a dab of petroleum jelly applied inside the anus by a fingertip (Eeew!). This will lubricate the path of the feces and you won?t have to go red in the face to get it out. CLEAN THE REAR- TENDERLY: Toilet paper can be too scratchy for the tender veins in your bottom, so pamper them by wiping gently with a dab of tissue moistened in water. If that isn?t enough you can even try facial tissues coated with moisturizing cream for a hemorrhoid friendly wipe. DON?T SCRATCH- RESIST THE TEMPTATION: Hemorrhoids can itch pretty badly, but that short term relief you get on scratching might prove expensive later on when you succeed in tearing or infecting your piles. GIVE YOUR MUSCLES A DAY OFF: Doing heavy exercise increases abdominal pressure and can cause hemorrhoids. These need to be avoided if you want your hemorrhoids to heal. SOAKING ECSTASY: This is my personal favorite, sort of a luxury bath for your rear end- the SITZ bath. This remedy tops in the list of most hemorrhoid experts. The warm water helps to kill the pain while increasing the blood flow thus promoting healing. THE MEDICATION: Most of the hemorrhoid creams and suppositories available in the market will NOT make your problem disappear contrary to what all of them claim to do. All they do is to reduce the pain and discomfort due to which property you may give it a try. WATCH YOUR WEIGHT: Because of the increased weight they have more pressure on the lower extremities, thus overweight people have a very hard time dealing with hemorrhoids since it is difficult for them to be motivated enough to lose some weight. So all you hemorrhoidians out there don?t despair, because many remedies are out there. Imagine standing in the queue of a bus stop or sitting at your office and all of a sudden an overwhelming need to scratch your bottom distracts you. Suppose instead of an itch you get severe pain. Wouldn?t it be highly embarrassing and a difficult situation to deal with. Suppose you sit down to empty your bowels and find streaks of blood on your stool. Unfortunately these situations are altogether not so uncommon. Nearly two third of us might experience this disease if we go by what studies have shown. This, my friends is the infamous disease known as hemorrhoids or piles, a supremely discomforting illness, leading to loss of quality of life. Hemorrhoids are basically swollen up veins in your anal canal which usually results from some condition leading to an increased pressure in side your abdomen, such as excessive straining at stool, doing some heavy manual work, being obese, and even pregnancy. The condition is highly preventable as its pathophysiology implicates life style of a person as major aggravating factor. Thus lifestyle modification holds the key to prevention of hemorrhoids. Here we concentrate on how to prevent hemorrhoids. 1) CHANGE YOUR DIET: A high fiber diet with lots of water intake lets you have softer and easily passable stools, so you wouldn?t have to strain so much. But don?t be in a hurry because too much fiber in too little time actually slows down your bowels and giving the bacteria a chance to convert your bowels into a gas plant. Some physicians also recommend having some paraffin wax to oil up your insides. But this can turn your stools a bit messy. 2) REGULAR EXERCISE: A regular exercise schedule helps to not only keep you fit, it also strengthens up your pelvic muscles, thus preventing sagging of the pelvic structures and thus preventing engorgement of veins. 3) CHANGE YOUR STYLE: While this may be a difficult change to adopt, there is ample proof of its usefulness. The Indian way of squatting during defecation also prevents hemorrhoid formation as opposed to the Western way of sitting on the seat while defecating. 4) WATCH YOUR WEIGHT: While this one may prove to be supremely insurmountable obstacle for most of the fat ones out there, this remedy would also help in other health related problems other than hemorrhoids. This article is written for those only who have very serious severe hemorrhoids or those who have had it for a long time and have tried nearly everything else apart from surgery. First of all I would sympathize with you guys because it is highly unfortunate, since most hemorrhoids resolve spontaneously or at most with a bit of lifestyle modification. In this article I would discuss with you the various options you have left that consists mostly of surgeries. Now we will see as to the options that we have: 1) BAND LIGATION: also known as Baron ligation, in this we apply rubber band on to the hemorrhoids to cut off its blood supply and then over the next few days the dead tissue comes out by itself with your bowel movements. No incision is required; the hemorrhoids are approached via the anus. 2) STAPLING: in this the tissue proximal (that is away from the anal opening) to the is stapled so as to cut off the blood supply to the hemorrhoids, thus causing shriveling up of the hemorrhoids. It is meant for those hemorrhoids that fall out or bleed. 3) HEMORRHOIDECTOMY: The only true blue surgery for hemorrhoids. This one involves the classic cut it remove it aura of surgeons. However there are side effects such as pain in those areas later on in life. It also cause incontinence (that is you can?t hold your stool, it comes out without your permission. 4) CRYOSURGERY: This involves freezing the hemorrhoids with a cryoprobe temperatures causing destruction. However not preferred nowadays because of multiple side effects. 5) SCLEROTHERPY: A sclerosing solution is injected into the hemorrhoids which cause drying up of the hemorrhoids and then they themselves slough off. 6) LASER, INFRAFRED BEAM, GALVANIC ELECTROTHERAPY: These use laser, heat and electrical beam to destroy the hemorrhoids. Not extensively used since their utility has not been verified. 7) DOPPLER GUIDED HEMORRHOIDAL ARTERY LIGATION: This is the best technique available today. It involves finding the blood vessel that supplies the hemorrhoids and then tying it up to stop blood flow to the hemorrhoids. It involves no skin incision or even a stay in the hospital. Patients are free to go on the same day of the procedure. The usefulness of the procedure also depends on the skill of the surgeon. As different doctors practice different techniques it is best to leave up to him the choice of procedure.
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