Home Remedies for Hemorrhoids Treatment

Since time immemorial, hemorrhoid is one disease that has disturbed humankind. Until now there has no clear understanding on this condition, the reported complaints and certain causes. Both health professionals and laypersons do not have the clear comprehension about the anorectal area the problems that may arise from it.

The exact definition of hemorrhoids is not yet present, but they can be characterized as clumps or masses of tissue surrounding the anal canal which contain blood vessels. The sustaining tissues are made up of elastic and muscle fibers. The anal canal is found in the last four centimeters where the stool passes from the rectum.

Apart from the common notion that hemorrhoids are abnormal conditions, it is usually present in all individuals. The problems arise when the clumps or masses (“cushions”) of tissue enlarge. This can then be a disease to be treated.

Present statistics disclose that only 4 percent of the general population experience problems in hemorrhoids. Both men and women have been found out to be equally prevalent in hemorrhoidal problems. And it is usually rampant in ages 45 and 65 years of age. The arteries constitute a network around the anal canal which supplies blood from the rectum above. It is because of this rich network of arteries that vessels have enough volume of arterial blood to supply. The bright red color of blood coming from hemorrhoids is the arterial blood as compared to the darker redness of the venous blood. It follows then that bleeding from hemorrhoids is rarely severe. These blood vessels bypass the tissues underneath the hemorrhoidal cushions.

Types of Hemorrhoids

There are two types of hemorrhoids. First is the internal hemorrhoid which is formed at the top of the anal canal or the rectal side. The external hemorrhoid on the other hand is the one which originates at the lower end of the anal canal. Basically the distinction between the external and internal hemorrhoids is on its location whether found above or below the dentate line.

As previously mentioned, hemorrhoidal cushions located in the upper anal canal contain blood vessels and their tissues underneath. Usually there are three major cushions of the hemorrhoids, namely left lateral, right posterior, and the right anterior. When the internal hemorrhoids are enlarged, both the supporting tissues and the anal cushions increase in size. The stuffed blood vessels and the mass of tissue then protrude into the anal canal which necessarily causes problems.

Hemorrhoids Symptoms

In the anal canal, there are two types of nerves. These are the somatic nerves, which are located below the dentate line, and the visceral nerves which are found above the dentate line. The latter type of nerves does not experience pain but can only sense pressure. This explains why internal hemorrhoids are usually painless.

When the anal cushion of the internal hemorrhoid keep on enlarging, it swells into the anal canal. Sometimes it can pull down a segment of the inside layer of the rectum above, therefore loosing its normal attachment and may protrude from the anus. When this happens, there is a prolapsing internal hemorrhoid. The hemorrhoid in the anal canal is exposed the disturbance of stool passing especially the solid ones due to constipation. The strain of the anal canal causes the bleeding and in some cases pain as the stool passes by. The anal lining that has been distanced moistens the rectum and the surrounding skin by secreting mucus. Some fragments of the stool may leak into the anal skin. Once this happens, the continuing moisture may result into itchiness of the anus, also known as pruritus ani.

There are three stages of hemorrhoids which also disclose their severity particularly that of internal hemorrhoids:

  • First-degree hemorrhoids: In this first stage, the hemorrhoids do not prolapse however they may bleed.

  • Second-degree hemorrhoids: The hemorrhoids in the second-degree retract and prolapse on their own. There may be or may not be bleeding.

  • Third-degree hemorrhoids: There is necessity of pushing bach the prolapsing hemorrhoids.

  • Fourth-degree hemorrhoids: In this last degree, hemorrhoids may have already contained blood clots or the lining has been excessively pulled down.

External hemorrhoids have a different set of symptoms as compared to internal hemorrhoids. This kind of hemorrhoid is physically felt as protuberance in the anus. Sometimes they manifest same symptoms with that of internal hemorrhoids. The major problems occur in external problems when blood clots inside. A painful anal lump may result in the thrombosis of an external hemorrhoid. This necessarily requires medical assistance.

Diagnosis for Hemorrhoids

In the case of external hemorrhoids, once lumps of bumps appear surrounding the anus and is tender, it is suggested that it should be medically attended. A thrombosed hemorrhoid can be a cause of rare cancers of the perianal area. Sometimes it may only appear as external hemorrhoids, together with its symptoms but it may also be a sign of prevalent cancer.

Internal hemorrhoid diagnosis is somewhat easy, especially if the hemorrhoid obtrudes from the rectal area. Although anal examination may help in putting the internal hemorrhoid into sight with a gloved finger, the necessity of the anal examination is more useful in pre-determining rare cancers that are starting to grow in the adjacent rectum and anal canal. The use of anoscope is also one way of thoroughly examining of internal hemorrhoid.

The anoscope is an instrument, three-inch long with a clear or metal hollow tube about one inch in diameter in its screening point. Before this apparatus is inserted into the anus, it is lubricated. It then passes through the anal canal, and eventually into the rectum. Then the anoscope is slowly taken out. On its way to exit, the part of the rectum where internal hemorrhoids are present, are clearly seen. When the patient strains, just like when they are about to have a bowel movement, it makes the hemorrhoids more visible. Other functions of the anoscopy include effective diagnosis of fissures in the anus.

Indirect anoscopy has also its functions. Indirect anoscopy involves the use of a special mirror for visualizing the anus of a patient while he is at seat and strained on a toilet. What is distinct in indirect anoscopy is that it helps the doctor in seeing the results of straining and the consequent gravity on the anal area.

If there appears to be bleeding in the stool, the colon on top of the rectum needs to be checked to eliminate all other causes of bleeding except that of hemorrhoids. This is necessary even if hemorrhoids are not found. Some causes of bleeding may include colitis, colon cancer, and polyps. The examination may be done through colonoscopy or sigmoidoscopy. These are medical procedures which enables the doctor to see more than half or the entire colon.

Hemorrhoids Treatment and Home Remedies

There are some home-treatments that can be done on your own to treat hemorrhoids. However, in whichever case you have, it is highly recommended to consult your physicians before taking any actions. Surgical procedures or simple medications are entirely important in the proper treatment of hemorrhoids.

Medications for Hemorrhoids

Over-the-counter (OTC) ointments, creams or pads may be prescribed by your doctor if you are experiencing minor discomforts only due to the hemorrhoids present. These OTC medications may contain topical anti-inflammatory containing hydrocortisone or hazel agents. This medications coupled with warm baths daily, may alleviate the discomfort of your symptoms.

Surgical or other procedures

If blood clots are present in the areas near an external hemorrhoid, your physician can simply get rid of the clot by plain incision. This procedure usually gives you immediate relief.

If pain and bleeding persists, these procedures may be recommended:

  • Hemorrhoid Banding – In this procedure, your physician places one or two small rubber bands surrounding the bottom of an internal hemorrhoid to stop its flow and the hemorrhoid will eventually fall off. This procedure is also known as “rubber band litigation”. It can be done in the doctor’s office and is proven to be effective for many individuals.
  •  SurgerySurgery is only proceeded with if other procedures have failed or if you happen to have big hemorrhoids. A procedure called hemorrhoidectomy can be done to eliminate tissues. This surgery is necessarily preceded with application of either general anesthetic or local anesthetic coupled with sedation, a spinal anesthetic. It’s typically made in an overnight hospital stay or as an outpatient. Usually the surgery may lead to certain discomforts but immediate medication may grant you relief afterwards. A warm bath and be soaked in it for a few minutes might also help in easing the discomfort.
  • SclerotherapyThis procedure reduces the size of the hemorrhoid by injecting a chemical solution around the blood vessel.
  • Infrared lightTo cut off the circulation to small, bleeding, internal hemorrhoids, the doctor can administer a 1- or 2-second rupture of infrared light.

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