Annoying, uncomfortable and many time embarrassing, hemorrhoids are a common and fortunately not serious health concern. A hemorrhoid is known as any abnormally swollen veins in the anus or rectum. There are two diametric types of hemorrhoids: internal and external. Internal hemorrhoids don’t hurt or itch. They can’t be felt because they form deep inside the rectum. outside hemorrhoids are the cause of the pain, itching and burning that you often hear active on TV. If you are wondering if you are troubled from hemorrhoids, their symptoms include: rectal tenderness and bleeding, itching, sore bowel movements – especially with straining. Sometimes a lump that can be felt in the anus or there may be a slight protrusion of tissue. Sufferers may also experience a discharge of mucus aft a bowel movement.

Aleksandr Kavokin MD/PhD This is precise sensitive area of your body. Too private. Nobody likes when something is wrong over there. However it happens. Hemorrhoids occur practically in everyone. Though hemorrhoids cause problems in 1 down of 25 people. Mostly those are people between 45 and 65 years of age. You find a blood on toilet tissue. Bright red blood. Ok, now what? You do not know why you bleed. It could be rectal cancer by the way. It could be hemorrhoids. So? What are the hemorrhoids? They look like cushions. They contain blood vessels, some muscle and elastic fibers. People often call them piles. Not everything over there is a hemorrhoid. There could be other problems. Fissure, abscess, fistula, pruritus (itching), condylomata (sort of hanging skin caused by viral infection), viral and bacterial skin infections can happen in that, so sensitive area. It is worth to talk to your doctor. How would a scenario of hemorrhoids look? A 46-year-old female presents with complaints on rectal discomfort, occasional nitid red blood on toilet tissue and prolapsing tissue in of anal area. This is probably internal hemorrhoid. Another scenario brings a patient who complains on severe rectal pain and prolapsed tissue. The strict pain happens in external hemorrhoids. The pain follows thrombosis (thrombosis is the blood clot in your blood vessels). There are cardinal degrees of inner hemorrhoids. It may be interesting for you to know because first, ordinal and sometime ordinal degree can be treated by banding only. Fourth degree and sometime ordinal degree requires surgery. Do not forget non-hemorrhoid causes of symptoms. To check with your doctor is worthwhile because there could be other problems, including cancer or anal fissure. (By the way for anal fissure medical treatment alone may heal it in 90% of cases). How are hemorrhoids treated? Well first you need to understand how do hemorrhoids happen. Several reasons lead to hemorrhoids:

• Constipation and extra straining
• Chronic Diarrhea and free stools
• Long nonmoving or standing
• Weight lifting
• Obesity
• Pregnancy and childbirth
• Inherited tendency to hemorrhoids.

So, avoid all this and you are free. Obviously this list of reasons is too wide. The list of measures is fanlike too. Increase the fiber in your diet. Eat much cereals, fruits, vegetables, grains, etc Psyllium and methylcellulose are supplemental types of fiber. Exercise, avoid long standing or sitting, don't strain, keep the anal area clean. Increase liquids in your diet. Use stool softeners, stool-bulking agents (not a tasty ones, but what can you do). Treat diarrhea with anti-motility drugs and fiber. Not every of these methods are tested scientifically. Nonetheless they are included in the standard recommendations for hemorrhoids treatment. To treat itching or discomfort you may use suppositories, ointments, creams, and gels. You may find that complete in your topical pharmacy. These products contain protectant and anesthetics (pain relievers). Local anesthetics insensible the area and decrease burning and itching. Remember that local anesthetics may cause allergy. Analgesics (menthol, camphor) relieve pain and itching as well Vasoconstrictors reduce swelling in the perianal area. Though they may have side effects. Better discuss with your doctor. Protectants (kaolin, cocoa butter, lanolin, inorganic oil, starch, zinc oxide or calamine, glycerin, etc) create a physical barrier to prevent contact of stool and the skin. This reduces irritation, itching, and burning. Similarly, some agents - astringents - humorous the skin. That helps to relieve burning, itching, and pain as well. To kill or at least suppress bacteria and opposite organisms use antiseptics. Boric acid, phenol, resorcinol and galore others can be used. Again healthier to discuss with your doctor or at least pharmacist. Many of these drugs are oversubscribed over-the-counter. Corticosteroids. Corticosteroids decrease inflammation and relieve itching, but may cause skin damage. They should be old for few days only. Sitz bath may also help in relieving the symptoms. When those methods fail your doctor may perform one of the following: Sclerotherapy (causes scarring of the hemorrhoid). Rubber band ligation. The rubber band punctured off blood supply and hemorrhoid heals with scarring. Side effects of any of the treatment may be infection of greasy and other tissues surrounding the anal canal, especially if patient has diabetes cancer, AIDS. Another option - electrotherapy and infrared photocoagulation. Works the unvarying way, cause scarring of the tissue. Cryotherapy uses cool to cause inflammation and scarring. Practically the same, though more time consuming. Let say your medical treatment fails. What do you do then? Well, you go to surgeon and treat it surgically. Operations are done in less than 10% of patients. Though it depends. Surgical procedures include Dilation. It is when surgeon stretches your anal sphincter. Ligation. Often a Doppler probe helps to measures blood flow and finds the individual artery. The doctor ties disconnected the artery. Sphincterotomy. It is when sphincter is partially cut. complete idea is to reduce the pressure. Hemorrhoidectomy. Hemorrhoidectomy makes sense for patients with third- or fourth-degree hemorrhoids. The hemorrhoids are punctured out. Stapled hemorrhoidectomy. Stapler cuts off the ring of expanded hemorrhoidal tissue. There are different considerations why to do this and not that type of treatment. And vice versa. There are complications (pain, difficulty urinating, bleeding several days after surgery, scarring, infection, stool incontinence). Complications happen relatively rare, but they are still there. Better talk to you surgeon. I hope you be OK. You were not alone. It looks like Napoleon Bonaparte, Carter, Hemingway, Tennyson, Lewis Carroll also were troubled from hemorrhoids. About The Author