Treatment of Hemorrhoids

The term hemorrhoids refers to a condition in which the veins around the anus or lower rectum are swollen and inflamed.Hemorrhoids may result from straining to move stool. Other contributing factors include pregnancy, aging, chronic constipation or diarrhea, and anal intercourse.Hemorrhoids are actually the anatomical term for “‘Cushions of tissue filled with blood vessels at the junction of the rectum and the anus.”[1] However, the term has come into common usage to indicate the condition described herein. Perianal hematoma are sometimes misdiagnosed and mislabeled as hemorrhoids, when in fact they have different causes and treatments

What causes hemorrhoids?
It is not known why hemorrhoids enlarge. There are several theories about the cause, including inadequate intake of fiber, prolonged sitting on the toilet, and chronic straining to have a bowel movement (constipation). None of these theories has strong experimental support. Pregnancy is a clear cause of enlarged hemorrhoids though, again, the reason is not clear.

Constipation and the accompanying straining
Diarrhea and the continuous expulsion of loose stools
Sitting or standing for a long time, especially sitting on the toilet

The most common cause is straining during bowel movements. Hemorrhoids may result from constipation, sitting for long periods of time, and anal infections. In some cases they may be caused by other diseases, such as liver cirrhosis .
Symptoms of Hemorrhoids
Small amount of blood in the stool or on the toilet paper after wiping
Incomplete bowel movements

Swelling protruding from the anus. Piles may be felt as small soft lumps at the opening of the back passage, sometimes compared to a ‘bunch of grapes’. They’re usually soft and fleshy but may become hard if thrombosis occurs. The piles may only appear after straining on the toilet.

You then can feel the hemorrhoids, at your anus, from the outside.
Many times you can gently push the hemorrhoids back through the anus and solve the problem.

Treatment of Hemorrhoids
Over-the-counter corticosteroid creams can reduce pain and swelling. Hemorrhoid creams with lidocaine can reduce pain. Witch hazel (applied with cotton swabs) can reduce itching. Other steps for anal itching include:Wear cotton undergarments.Avoid toilet tissue with perfumes or colors.

Rubber band ligation is the most effective nonoperative (without incision or excision) treatment for internal hemorrhoids that don’t respond to self-care. Sometimes referred to as “banding,” rubber band ligation is a relatively simple procedure in which the doctor attaches tiny rubber bands to the base of internal hemorrhoids.

Avoid rubbing the anal area. You can rinse off in the shower or on a bidet instead of wiping yourself with toilet paper. After cleansing, gently pat the anal area dry with a soft, absorbent towel or cloth.If you have prolapsed hemorrhoids that will not go back through the anus, or you have significant pain from your hemorrhoids, you should consult your doctor.