Friday, April 14, 2006

Hemorrhoids

Hemorrhoids

Hemorrhoid surgery - series
Definition:
Hemorrhoids are painful, swollen veins in the lower portion of the rectum or anus.
Alternative Names:
Rectal lump; Piles; Lump in the rectum
Causes, incidence, and risk factors:
This condition is very common, especially during pregnancy and after childbirth. Hemorrhoids result from increased pressure in the veins of the anus. The pressure causes the veins to bulge and expand, making them painful, particularly when you are sitting.
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.
Internal hemorrhoids occur just inside the anus, at the beginning of the rectum. External hemorrhoids occur at the anal opening and may hang outside the anus.
Symptoms:
Symptoms of hemorrhoids include:
Anal itching
Anal ache or pain, especially while sitting
Bright red blood on toilet tissue,
stool, or in the toilet bowl
Pain during bowel movements
One or more hard tender lumps near the anus
Signs and tests:
A doctor can often diagnose hemorrhoids simply by examining the rectal area. If necessary, tests that may help diagnose the problem include:
Stool guaiac (shows the presence of blood)
Sigmoidoscopy
Anoscopy

Treatment:
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.
Try not to scratch the area.
Sitz baths can help you to feel better. Sit in warm water for 10 to 15 minutes. Stool softeners help reduce straining and constipation.
For cases that don't respond to home treatments, a doctor may recommend surgery, like rubber band ligation or surgical
hemorrhoidectomy. These procedures are generally used for patients with severe pain or bleeding who have not responded to other therapy.
Expectations (prognosis):
Most treatments are effective, but to prevent the hemorrhoids from coming back, you will need to maintain a
high-fiber diet and drink plenty of fluids.
Complications:
The blood in the enlarged veins may form
clots, and the tissue surrounding the hemorrhoids can die. Hemorrhoids with clots generally require surgical removal.
Severe bleeding may also occur.
Iron deficiency anemia can result from prolonged loss of blood. Significant bleeding from hemorrhoids is unusual, however.
Calling your health care provider:
Call for an appointment with your health care provider if hemorrhoid symptoms do not improve with home treatment. You should also be seen if you have rectal bleeding. Your provider may want to check for other, more serious causes of the bleeding, especially if you have never bled from hemorrhoids before.
Call 911 if blood loss is significant or if you feel dizzy, lightheaded, or faint.
Prevention:
Avoid straining during bowel movements. You can help prevent hemorrhoids by preventing constipation. Drink plenty of fluids, at least eight glasses per day. Eat a high-fiber diet of fruits, vegetables, whole grains. Consider fiber supplements.
References:
Feldman M, Friedman LS, Sleisenger MH. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. 7th Ed. Philadelphia, PA: Saunders; 2002.
Marx JA, Hockberger RS, Walls RM, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th Ed. St. Louis, MO: Mosby; 2002.
Rakel P, ed.Textbook of Family Practice. 6th Ed. Philadelphia, PA: Saunders; 2002.
http://pennhealth.com/ency/article/000292.htm

2 comments:

Anonymous said...

Nice to meet you. I claim to be kadu.
I serve as a reference very interestingly.The article was very informative.
I am fortunate when I link.
Health care for the disease and hygiene "disease, prevention, wisdom, hygiene"

Debbie Wallace said...

HERBAL CURE FOR SHINGLES,WARTS AND HERPES,HIV/AIDS 
 5 years ago I had warts, I was treated with some liquid applied to the warts they continued to grow and spread... The next 2 doctors did laser surgery to remove them. 1 year after the surgery, they grew back close to where the 1st ones were' so I was finally told it was SHINGLES. I have had it for a very long time, I contracted it from my cheated boyfriend and I found out he was also infected and I ended the relationship between us. The warts were so embarrassed because it started spreading all over. I have been dealing with these things for a very long time. The last treatment I took was About 2 years ago I applied for natural treatment from Dr. JAMES HERBAL MIX MEDICINE, a week after I applied the treatment all the warts were gone. It's now 2 years and some months I don't have a single wart or any symptoms of SHINGLES. wow"" it's great, Dr. JAMES has finally cured me. If you know anyone suffering from these diseases or having any health challenges should contact Dr. JAMES for natural treatments. His herbal mix medicine is easy to drink with no side effects. Dr.James has cure for diseases like  Pcos,Plantar-warts,Ovarian cyst, Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer ,Epilepsy Dupuytren's disease ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Fibromyalgia,Fluoroquinolone Toxicity
Syndrome Fibrodysplasia Ossificans ProgresS sclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis,Lupus,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Lyme Disease,Blood Cancer,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer, HIV/AIDS, Herpes Virus,Hepatitis B, Liver Inflammatory,Diabetes,Fibroid. Contact this Great man on his email and get a permanent cure from your diseases. Dr James  Email  Address     [drjamesherbalmix@gmail.com].