Hemmoroid Cream

Hemmoroid Cream is one of the common treatment for hemmoroid although there are also a number of medications used in alleviating the discomforting effects of hemmoroids, Hemmoroid cream is more common than ointment because creams can be rubbed in easily and the water components easily evaporates thus leaving only the thin film of the active ingredients behind and hemmoroid creams are obviously not greasy. Ointments on the other hand are very greasy. This hemmoroid cream is applied directly on the affected area and are kept there for several hours.

Hemmoroids on the other hand, also known as piles are a swelling and inflammation of the veins of the rectum. Hemmoroids can develop from two different places: either internal hemmoroid are rectal veins which can become swollen and will form internal hemmoroids. But, as the internal structure of the rectum has few pain receptors these cannot generally be seen or felt. External rectal veins can also swell to form external hemmoroids. External hemmoroids can be seen around the outside of the anus and, many times, can be felt.

There are several symptoms that usually indicate some type of hemmoroid condition. These include blood in the stool, in the toilet, or on bath tissue after using the bathroom, or a vague pain in the anus after defecating. Also, itching, burning, or pain in the region may indicate a case of hemmoroids.

Research has shown a number of factors can lead to varying forms of hemmoroids. These causes of hemmoroid includes:

• constant sitting
• constipation
• diarrhea
• obesity
• childbirth
• heavy lifting
• severe coughing
• straining with bowel movements
• hereditary
  

Basically, any increase in the pressure in the veins around that area can lead to formation of hemmoroids.

Most cases of hemmoroids can be diagnosed and treated by the individual experiencing the discomfort. The exception to this is if there is bleeding from the anus, which may indicate a larger, more serious problem. If this is the case, a doctor will observe the area using one or more medical devices. These can include a anoscope, proctoscope, and/ or performing a sigmoidoscopy.

So for many who suffered from hemmoroid, an answer to their discomforting condition is applying of hemmoroid cream for fast hemmoroid relief. But it is important that you start your hemeoriod treatment with a weaker type of hemmoroid cream. If this hemmoroids cream does nothing for you after a period of three days. Work your way up to a stronger type cream and again if this does nothing for you after three days, you then progress to the strongest type cream. Only if you are so sure that you have no improvement at all then only do you step up to the stronger cream.

The reason for this above mentioned statement is that your body gets very familiar very quickly to creams and ointments. The consequences are that the particular cream or ointment may not work in the near future when you may really need this particular cream. So why take a chance using a hemmoroid cream that you might not need at this stage. Another problem with your stronger type creams and ointments is that you can ruin your skin around the anus causing skin eczema for the rest of your life and other more serious complications. This problem is usually caused by overdosing on the cream or ointment.

The main goal of using hemmoroid cream is to relieve the pain, itchiness, and burning sensation brought about by the said ailment. With regard to their contents, some hemmoroid cream have herbal ingredients such as aloe while others contain anesthetic chemicals like xylocaine. In addition, this type of product is usually available over-the-counter, which means that anyone can purchase it from a drugstore. However, there are certain hemmoroid cream for more severe cases of hemmoroids that are obtained only by prescription.

In addition to hemmoroid cream, there are many other natural means in which you can prevent hemmoroids from occurring. The most simple means is to ensure you have soft bowel movements by drinking lots of water and keeping a healthy (high fiber) diet. From there, develop good bowel habits by ensuring you do not spend longer than is necessary on the toilet (reading is not recommended) or ensuring you do not strain during bowel movements (soft bowels help this from being necessary.) Certain natural vitamins help as well, such as the following:

• 1) Vitamin E : Vitamin E prevents further inflammation from occurring, being a powerful anti-oxidant.
• 2) L-Arginine : This can help to prevent muscle spasms, which is also beneficial in preventing anal fissures from occurring
• 3) Horse Chestnut : a wonderful herb that alleviates swellings of hemmoroids
• 4) Red Sage : Red Sage stimulates blood circulation, which is beneficial in the prevention of hemmoroid
• 5) Oat straw : Oat Straw is beneficial for the digestive system, and also raises energy levels
• 6) Plantain : Itching and burning is greatly relieved
  

More serious forms of hemmoroids may only be cured through hemmoroid surgery or hospital treatment procedures, although many of the natural hemmoroid creams mentioned above may prevent this. If hospital procedures are required, however, there are methods which are relatively quick and are designed to cut off blood supply to the hemmoroids or shrink them so that they fall off on their own, and the skin left behind heals. Hemmoroid surgery, though, requires over-night treatment and actual removal of the hemmoroids themselves.

Moving on, a few things must be remembered in using hemmoroid cream. First, a person must not apply more than what has been indicated on the label or instruction sheet. Putting a lavish amount of this kind of treatment on the hemmoroid will cause irritation and worsen the problem instead of treating it. Second, after waking up in the morning, you has to immediately wash the area where he applied the cream on the previous night to remove the excess residue that may cause itching. Third, always has to make sure that the skin is thoroughly dried before gently applying the substance and that his hands are washed prior to and after the medication process. You can also use a soft cotton swab in putting and spreading the cream on the hemmoroid. Finally, you should store the hemmoroid cream in a place with a moderately cool temperature after using

There are many types of hemmoroid remedies and hemmoroid cream or ointment available over the counter and on the market today, however most of these creams or ointments are only designed to soothe the pain, itching and burning associated with hemmoroids, which is why they usually contain numbing agents. However, there are some hemmoroid cream that are able to shrink the swelling anal cushions (which is what hemmoroids are) and these vary from anesthetic and analgesic ointments, to homeopathic or natural ointments. Some of these products also come as a foam of sorts. Cortisone-based creams are available by prescription. You can also ask your doctor for proper usage of hemmoroid cream.

Hemmoroid Banding

Hemmoroid banding is a procedure recommended for those whose hemmoroids are located in the rectum or the anus and for those who have sever bleeding, pain or if the hemmoroid contains a blood clot. This procedure is not for those whose prolapsed hemmoroid hangs on the outside of the body.

Hemmoroid banding is used to treat painful, swollen hemmoroids. And more than one hemmoroid can be banded at the same time. This banding is most often performed for the following reasons:

• Severely bleeding hemmoroids
• Severely painful hemmoroids
• Hemmoroid containing a blood clot (called thrombosed hemmoroid)
• Hemmoroids that protrude through the anus (called prolapsed hemmoroids)

Hemmoroid banding is done using local anesthesia, and you are considered an in and out patient because it is one of those same day surgery procedures; A procedure that involves a doctor inserting an instrument with a light and lens, called an anoscope, through the anus, which is held in position by an assistant. This instrument will allow the doctor to locate and see the hemmoroid problem. Once the hemmoroid is located, the doctor uses a special banding tool to place a small rubber band around the hemmoroid. This procedure will cause the hemmoroid to shrink because the banding cuts off the blood supply to the hemmoroid. The rubber band stays in place for 1-2 weeks until the hemmoroid falls off.

It usually appears to be that the only way to be rid of hemmoroids is to go through more pain and suffering by procedures that claim to eliminate the pain, bleeding, and swelling once and for all; snip, clip and tie and then your hemmoroid issue will vanish forever. But it should not be at all cases. There are a lot of severe hemmoroid condition that can only be treated with natural home remedies but because other hemmoroid condition does not respond to natural treatments that’s why hemmoroid banding is recommended even it cause you pain.

The procedure of banding the hemmoroid is another method that will eliminate a hemmoroid, but not without leaving you with a painful recovery period. As you can see, anything connected to hemmoroid relief comes with a certain amount of suffering before and after; at least when you use the conventional methods of destroying the embarrassing problem.

However, do not think that since the hemmoroid is gone that your worries are over; you may find yourself back at the doctor's office for the same hemmoroid issue, simply because the problem can return. All that pain and suffering repeated, letting you know that the procedure is just a temporary fix.

Take not that with this particular hemmoroid banding procedure, there is automatic discomfort during and after the banding treatment. This is a relatively quick procedure, but the length of time depends on how many hemmoroids need treatment.

Patients often report some discomfort during and after this hemmoroid banding procedure. If you feel sharp or severe pain, tell the doctor immediately. Mild pain medication helps manage discomfort during recovery. These possible complications includes:

• Infection
• Excessive bleeding
• Allergic or other adverse reaction to the local anesthetic (if used)
• Difficulty urinating
• Difficulty passing stool due to scar tissue
• Swelling and pain from remaining hemmoroids
• Recurrence of hemmoroids

With hemmoroid banding, after everything is over and done with, your doctor will tell you to avoid straining, bearing down when using the bathroom and holding your breath during your bowel movement to avoid complications and to promote fast recovery. Here are some postoperative care after your hemmoroid banding procedure:

• Expect some bleeding and discomfort.
• Take sitz baths as recommended. Sitz baths will help relieve discomfort and clean the area. For a sitz bath, sit in warm water for 10-15 minutes. Pat the area dry, do not wipe or rub vigorously. You may be advised to take a sitz bath every four hours and after every bowel movement. Devices are available to place on top of the toilet to make this process easier.
• For a few days, you may have difficulty controlling passage of gas and bowel movements.
• Use a stool softener, exercise, drink plenty of fluids, and eat plenty of high-fiber foods (fruits, vegetables, beans, and whole grains) to prevent constipation and straining during bowel movements.
• Do not sit on the toilet for long periods of time.
• Apply hemmoroid creams or ointments as directed by your doctor.
• Avoid heavy lifting for two or three weeks.
  

Also do not hesitate to call your doctor if any of the following occurs after your hemmoroid banding:

• Passing large amounts of blood
• Pain becomes more severe
• An aching feeling develops in the perineal area, between the rectum and the genitals
• Signs of infection, including fever and chills
• Constipation or difficulty urinating

Lastly, with all the hardship you encounter during and after your hemmoroid banding, still many people may continue to develop new hemmoroids after the banding procedure. What is better advise is really to treat your hemmoroid as soon as possible before its too late. Not only with hemmoroid banding but also with other surgical treatment . All hemmoroid surgical procedure will not give you 100% completely healed condition without recur. Therefore, at first glance of hemmoroid symptoms, immediately seek for doctors advise. Yet, still prevention is better than cure.

How To Treat Hemmoroids

How to treat hemmoroids is the basic question for those who suffer from hemmoroids . It is because having hemmoroids causes a lot of distracting symptoms. Although it is impossible to cure hemmoroids completely in just one try , foods and natural products are best medicine to cure hemmoroids. Fruits and juices are there to heal hemmoroids partially. Juices, which give best effect to cure hemmoroids, like carrot and spinach juice, apple juice, and celery juice. But some of foods should be avoided to heal hemmoroids are starch content, sugar content foods, chilly or spice foods. Vitamins also give good results to treat hemmoroids.

How to treat hemmoroids permanently and to keep hemmoroids from coming back is just a change to your overall lifestyle. First do an evaluation of how you live your day to day life. How much exercise do you get each day? Are you moderately active or not active at all? How much do you have to drink each day? Do you drink a lot of water or is it mostly soda? Do you eat a lot of processed foods? What do you usually eat for breakfast?

Your answers to these questions will help you to strive for an improved lifestyle not just for your hemmoroids problem but for your overall health. One thing to keep in mind is that if you have many things you would like to change about yourself don't start to feel down and try to change everything all at once. That will more than likely just set yourself up for failure and you should not feel bad about yourself even if you have some things that you would like to change. Be sure to strive for a gradual change.

I will tell you some home remedies on how to treat hemmoroids. But before going for the natural home remedies, you need to change your lifestyle from certain aspects as you are in the process on treating your hemmoroids.

1. Your stay in toilet
Do not stay in the toilet for more than 5 minutes at a time as this may aggravate or worsen your hemmoroids. Instead prefer several short walks a day, as sometimes too much sitting or simply standing for long can upset your condition.

2. Do not let your affected part remain dry
Applying a reliable and effective hemmoroid cream will sooth the hemmoroids to a great extent making you comfortable. Hemmoroid creams with Zinc Oxide can give you great relief from pain and discomfort. In case of extreme pain and agony caused by hemmoroids, a cream or lotion with tetracaine or stramonium in it may work wonders for you.

3. Beware of the oral pain killers
Oral pain killers available over the counter may sometimes very dangerous for you. Like oral pain killers containing codeine in them can prove really fatal for your hemmoroids.

4. Sitz Baths
A sitz bath included in your daily routine may work wonders for your treatment of hemmoroids. This bath is a soothing blend of Epsom salts and warm water. Sit in the bath for about 10 minutes to gain hemmoroid relief. These baths help to get rid of the hemmoroid symptoms like inflammation, itching and swelling.

5. Proper care
Always remember to wipe off your affected area with a soft toilet paper after you wash your area with a mild soap and water. Or another better option is to use a cotton cloth with soap and water. And try to avoid perfumed toilet paper as they will worsen your hemmoroid.

6. Reinsertion
This is a very effective home remedy for prolapsed hemmoroid. You can also try to push the hemmoroids into the anus. But be gentle to avoid causing any harm.

7. Hemroid Cushion
Some hemmoroid sufferers find the hemmoroid cushions very comfortable. As this cushion is an inflatable rubber ring similar to the rings that children use while swimming. Now you might be thinking about how to use it. Well, simply you just have to sit over it. This cushion works by minimizing contact pressure between the sitting surface and your hemmoroids. Hemmoroid cushion also relieves the pressure of the backside cheeks on any prolapsed hemmoroid. As a substitute, a soft cushion or pillow may also work.

8. Ice
Use of ice over hemmoroid is something you might have not heard of. But this is really effective. An ice packs helps you to reduce the swelling of hemmoroids. But let the ice cubes melt a bit so that it does not stick to your hemmoroid. And make sure that the ice cubes are wet and slippery. Now insert like a normal suppository. This will help numb your hemmoroids thus reducing its pain.

After going through these self-care tipson how to treat hemmoroids, the only thing that comes to one's mind is that can these simple home remedies completely treat hemmoroids. And the answer to this question will be- these are the alternatives for those who cannot go for an immediate treatment for hemmoroids. Having a hemmoroid surgery done will completely cure you as this will remove them from its roots. While the above discussed remedies prove to be best in the cases of budding hemmoroids.

You can also treat hemmoroids by taking all the preventive measures. If you make efforts from getting rid of a certain problem then how can it attack you?

Another thing you should do after you know how to treat hemmoroids is for you to know how can you prevent your hemmoroids. As the saying says, still prevention is better that cure.
To help prevent hemmoroids or hemmoroidal flare-ups:

• • Eat high-fiber foods. Eat more fruits, vegetables and grains. Doing so softens the stool and increases its bulk, which will help lessen the straining that can cause hemmoroids or worsen symptoms from existing hemmoroids.
• • Drink plenty of liquids. The exact amount of water and other fluids you should drink each day varies and depends on your age, sex, health, activity level and other factors.
• • Consider fiber supplements. Over-the-counter hemmoroid treatment products such as Metamucil and Citrucel can help keep stools soft and regular. Check with your doctor about using stool softeners. If you use fiber supplements, be sure to drink at least eight glasses of water or other fluids every day. Otherwise, fiber supplements can cause constipation or make constipation worse that can also worsen your hemmoroid. Add fiber to your diet slowly to avoid problems with gas.
• • Exercise. Stay active to reduce pressure on veins, which can occur with long periods of standing or sitting, and to help prevent constipation. Exercise can also help you lose excess weight that may be contributing to your hemmoroids.
• • Avoid long periods of standing or sitting. Sitting too long, particularly sitting on the toilet for long periods, can increase the pressure on the veins in the anus resulting to formation of hemmoroids.
• • Don't strain. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
• • Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, your stool could become dry and be harder to pass.

At the end, the only message i can give to all the hemmoroid sufferers is that nothing is impossible in this world if you have the right knowledge and determination to get rid of your problems. If we are the one who created the problem, intentionally or unintentionally, then only we are the only to cure it. So, do not expect any miracle to happen to make you hemmoroid-free. Its up to your participation on how you treat your hemmoroids.

How To Get Rid Of Hemmoroids

How to get rid of hemmoroids are the common questions of many sufferers because of the pain and discomfort attributed by their hemmoroids. Hemmoroids are swollen veins just inside the anus. They produce pain if they come out of the anus with a bowel movement because they are constricted. Once they come out, the skin around them and the veins themselves can become inflamed. Hemmoroids are like extra skin with blood vessels or inflammation that accumulates around your anus.

Symptoms of hemmoroids include anal pain, anal itching, bright red blood on toilet tissue, stool, or in the toilet bowel; one or more tender lumps near the anus.

Hemmoroids are an embarrassing and often painful problem to endure. They can make sitting for long periods nearly unbearable, and cause itching and burning, which makes for extreme discomfort in what seems like the most inconvenient times. So, how can you get rid of hemmoroids for good?

Fortunately there are lots of ways on how to get rid of hemmoroids. There are hemmoroids that can be cured through natural methods, while there are some hemmoroids that require surgery in getting rid of hemmoroids.

How to get rid of hemmoroids then? If you want to get rid of hemmoroids you need to know what causes your hemmoroids and what natural remedies or other hemmoroid treatment to use.

• • If you have hemmoroids, one way to get rid of your hemmoroid is the need to have regular bowel movements When you go into the bathroom, go in there to have a bowel movement. Don't take a newspaper, magazine, or book to read because that keeps you in there longer. Sitting for long periods on the toilet puts pressure on your rectum and anal veins. This long sit will eventually leads to hemmoroids or aggravates the hemmoroids you already have. So, you don't want to sit there longer than necessary.
• • And for sure, don't strain and push to have a bowel movement. This is a sure way to enlarge your hemmoroids. If your stools don't want to come out don’t force it and just wait for the urge.
• • If you have a job where you have to sit all day, get up and walk around every hour or as often as you can.
• • You also need to exercise if you want to get rid of hemmoroids. A daily fast walk around a few blocks is the best. Yoga is also very helpful, since it helps to stretch colon and anus muscles, and revive circulation. Any exercise you do will be helpful. Another exercise to do is on a rebounder. A rebounder exercises every part of your body and helps to force your lymph liquid into the lymph nodes for detoxification. This will help you to recover from any condition you might have quicker.
• • The other exercise that you can do is an anus exercise. You do this by pushing down like if you are going to have a bowel movement and then pull back. Do this for a few minutes. This will help to build the tissue in that area and to bring new blood to remove the toxins that build up in that area.
• • Drink more water. You need water for fiber to work and to help your stool softens.
• • Eat more high-fiber foods, which will help prevent constipation. Good sources of fiber include breakfast cereals such as All Bran, Fiber One, Bran Buds, which have approximately 10 grams of fiber per serving. Check the box to be sure. Fresh fruit, beans, prunes, raw or cooked vegetables, especially asparagus, cabbage, carrots, corn, and broccoli, are also good sources of fiber. Try to have 20-30 grams of fiber per day (or more) in your diet.
• • Hemmoroids can be surgically removed but post-operative pain can make this an unpleasant experience. In addition, stitches often break during bowel movements soon after the surgery. Infection is a common problem after this procedure. Thrombosed hemmoroids generally must be treated surgically, though.
• • In another surgical procedure, veins are stapled back into place. This is usually used for prolapsed hemmoroids. Recovery can be painful. Infection is also common. In rare cases, the internal anal sphincter can be damaged.
• • Laser treatment is another option. Lasers are used to shrink the hemmoroids. Multiple treatments may be required.
  

Take note that you can do all the things to prevent hemmoroids and constipation, but if you do not exercise regularly, it will be hard to get rid of hemmoroids and even constipation. AS all we know constipation is one of the major causes of hemmoroids.

So plan to have a regular exercise, because it is not only good for life but it is also good prevention of hemmorids and constipation. Keeping regular with easy flowing bowel movements and regular exercise can help you reduce or even prevent hemmoroids.

With these measures, the pain and swelling of most symptomatic hemmoroids will decrease in two to seven days, and the firm lump should recede within four to six weeks. In cases of severe or persistent pain from a thrombosed hemmoroid, your physician may elect to remove the hemmoroid containing the clot with a small incision. Performed under local anesthesia as an outpatient, this procedure generally provides relief. And also, severe hemmoroids may require special treatment, much of which can be performed on an outpatient basis such as:

• • Ligation – the rubber band treatment - works effectively on internal hemmoroids that protrude with bowel movements. A small rubber band is placed over the hemmoroid, cutting off its blood supply. The hemmoroid and the band fall off in a few days and the wound usually heals in a week or two. This procedure sometimes produces mild discomfort and bleeding and may need to be repeated for a full effect.
• • Injection and Coagulation can also be used on bleeding hemmoroids that do not protrude. Both methods are relatively painless and cause the hemmoroid to shrivel up.
• • Hemmoroid stapling – this is a technique that uses a special device to internally staple and excise internal hemmoroidal tissue. The stapling method may lead to shrinkage of but does not remove external hemmoroids. This procedure is generally more painful that rubber band ligation and less painful than hemmoroidectomy.
• • Hemmoroid Surgery – or what we called hemmoroidectomy- is the most complete method for removal of internal and external hemmoroids. It is necessary when (1) clots repeatedly form in external hemmoroids; (2) ligation fails to treat internal hemmoroids; (3) the protruding hemmoroid cannot be reduced; or (4) there is persistent bleeding. A hemmoroidectomy removes excessive tissue that causes the bleeding and protrusion. It is done under anesthesia using either sutures or staplers, and may, depending upon circumstances, require hospitalization and a period of inactivity. Laser hemmoroidectomies do not offer any advantage over standard operative techniques. They are also quite expensive, and contrary to popular belief, are no less painful.
  

As you can see, the medical methods of how to get rid of hemmoroids carry some significant risks. In order to avoid the risks and discomfort of traditional medical treatment like hemmoroids surgeries, many people prefer to try a natural hemmoroid treatment. You can ask your doctor for natural or home treatments on how to get rid of hemmoroids.

What Causes Hemmoroids

Exactly what causes hemmoroids are unknown, but we do know that they are commonly caused by increased pressure in the anus. The upright posture of humans alone forces a great deal of pressure on the anus, which sometimes makes them to bulge. Primary factors that causes hemmoroids are:

o Sitting in one place to often
o Straining while moving bowels (from constipation or hard stools). This is the most common cause.
o Excessive rubbing, or cleaning around the anus
o Diarrhea
o Sitting on the toilet too long
o Severe coughing
o Childbirth
o Lifting heavy objects
o Anal infection

Other contributing factors that causes hemmoroids are:

o Aging
o Chronic diarrhea or constipation
o Pregnancy
o Misfortune of Heredity
o Frequent use of laxatives or enemas resulting in faulty bowel function
o Straining during bowel movements
o Too much reading on the toilet

Whatever the causes of hemmoroids, the bottom line is the tissues are stretched. As a result, the veins dilate; and the vein walls become thin and bleed. If the pressure continues to stretch, they become weakened and protrude out of the anus. Hemmoroids are very common, especially during pregnancy and after childbirth

What are hemmoroids

Hemmoroids are one of the most common ailments known. More than half the population will develop hemmoroids, usually after age 30. The average person suffers in silence for a long period before seeking medical care. But today's hemmoroid treatment methods make some types of hemmoroid removal much less painful.

Often described as "varicose veins of the anus and rectum", hemmoroids are enlarged, bulging blood vessels in and about the anus and lower rectum. There are two types of
hemmoroids: external and internal, which refer to their location.

• External (outside) hemmoroids develop near the anus and are covered by very sensitive skin. These are usually painless. However, if a blood clot (thrombosis) develops in an external hemmoroid, it becomes a painful, hard lump. The external hemmoroid may bleed if it ruptures.
• Internal (inside) hemmoroids develop within the anus beneath the lining. Painless bleeding and protrusion during bowel movements are the most common symptom. However, an internal hemmoroid can cause severe pain if it is completely "prolapsed" - protrudes from the anal opening and cannot be pushed back inside.
  

What are hemmoroid symptoms

If you notice any of the following, you could have hemmoroids:
• Bleeding during bowel movements
• Protrusion during bowel movements
• Itching in the anal area
• Pain
• Sensitive lump(s)

How are hemmoroids treated?

Mild symptoms can be relieved frequently by increasing the amount of fiber and fluids in the diet. Eliminating excessive straining reduces the pressure on hemmoroids and helps prevent them from protruding.

Probably 95% of patients with hemmoroid trouble can be treated without surgery. The principles of non-operative treatment of hemmoroids are:

• A high fiber diet or taking a fiber supplement
• Having soft, formed bowel movements
• Avoid sitting on the toilet beyond the time needed for each bowel movement (Do not read or watch TV on the toilet. If you did not really need to go or are not sure if you’re done, get up and come back if needed) because this also contributes to formation of hemmoroids
  
• Use baby wipes instead of toilet paper if you have pain, itching or irritation
• A sitz bath - sitting in plain warm water for about 10 minutes - can also provide some relief .
  

With these measures, the pain and swelling of most symptomatic hemmoroids will decrease in two to seven days, and the firm lump should recede within four to six weeks. In cases of severe or persistent pain from a thrombosed hemmoroid, your physician may elect to remove the hemmoroid containing the clot with a small incision. Performed under local anesthesia as an outpatient, this procedure generally provides relief. Therefore this severe hemmoroids may require special hemmoroids treatment, much of which can be performed on an outpatient basis.

• Ligation – the rubber band treatment - works effectively on internal hemmoroids that protrude with bowel movements. A small rubber band is placed over the hemmoroid, cutting off its blood supply. The hemmoroid and the band fall off in a few days and the wound usually heals in a week or two. This procedure sometimes produces mild discomfort and bleeding and may need to be repeated for a full effect.
• Injection and Coagulation can also be used on bleeding hemmoroids that do not protrude. Both methods are relatively painless and cause the hemmoroids to shrivel up.
• Hemmoroid stapling – this is a technique that uses a special device to internally staple and excise internal hemmoroidal tissue. The stapling method may lead to shrinkage of but does not remove external hemmoroids. This procedure is generally more painful that rubber band ligation and less painful than hemorroidectomy.
• Hemmoroidectomy – surgery to remove the hemmoroids - is the most complete method for removal of internal and external hemmoroids. It is necessary when (1) clots repeatedly form in external hemmoroids; (2) ligation fails to treat internal hemmoroids; (3) the protruding hemmoroid cannot be reduced; or (4) there is persistent bleeding. A hemmoroidectomy removes excessive tissue that causes the bleeding and protrusion. It is done under anesthesia using either sutures or staplers, and may, depending upon circumstances, require hospitalization and a period of inactivity. Laser hemmoroidectomies do not offer any advantage over standard operative techniques. They are also quite expensive, and contrary to popular belief, are no less painful.
  

Thus, in order for your hemmoroid to keep it from coming back and to prevent hemmroids you should try to avoid what causes your hemmoroids.

External Hemmoroids

External hemmoroids is the other type of hemmoroid that still gives discomfort to the sufferers. Hemmoroids are classified into two types based on its location mainly the internal hemmoroid and the external hemmoroid. And because its external, hemmoroids can be pressed especially for long period of sitting thus it gives you pain. And because it is an external hemmoroids, it sometime gives you hard time of cleaning your rectal area because of its bulging condition. Although pain is not associated to external hemmoroids. But you might notice streaks of blood on the toilet paper after straining to pass a stool as most common symptoms of external hemmoroids.

Hemmoroids are the result of an increase in pressure on the veins in the rectal area due to some disease or other physical condition. The increased pressure on the veins leads to swelling and a set of disturbing symptoms for hemmoroids like pain, itching, irritation, and even bleeding as detailed below: The symptoms of external hemmoroids are much more obvious than those of internal hemmoroids: These are:

• • Bleeding: Usually seen after bowel movement and a common symptom of hemmoroids. There will be blood on the toilet paper or in the toilet bowl.
• • Pain: External hemmoroids are extremely painful when it becomes thrombosis external hemmoroids. This is the common reason why external hemmoroids are detected.
• • Itching: The anus area may feel a little irritated and itchy. Do not scratch it even though the urge to do so is very strong.
• • Lumps: Sensitive lumps around the anus are also an obvious symptom that you have external hemmoroid.
  

The visible external hemmoroids affliction is noticed by a bulge appearing from the rectum, which is normally accompanied by hemmoroid symptoms stated above. Although external hemmoroids can be felt as bulges or lump of tender skin that will form around the anus but they usually causes few of the symptoms and signs that are typical of internal hemmoroids. This means that external hemmoroids’ symptoms differ from internal hemmoroids.

However, external hemmoroids can only cause problems when blood clots inside them and this situation is referred to as thrombosis external hemmoroid. This condition really gives you pain. This occurs, because they are low in the anal canal and have little effect on the function of the anus, particularly the anal sphincter. An anal lump, caused by thrombosis of an external hemmoroids can be painful because the area is supplied by somatic nerves and often requires medical attention.

Healing of external hemmoroids could also be scarring and leave a skin tag protruding from the anus for the thrombosed hemmoroid. And if the tag is large, it can irritate the anus thus make anal hygiene and cleaning difficult. Therefore instant action should be taken for treatment of external hemmoroids because they can enlarge very rapidly and result in unpleasant surgical treatment.

Finding hemmoroid relief is therefore the concern of every patient who happens to suffer from or another form of hemmoroids. While medical treatments for external hemmoroid are available for providing hemmoroid relief, a number of natural and alternative methods for external hemmoroids have also been found useful. Some of these methods are briefly described below.

Warm Baths
Soothing the pain and discomfort associated with hemroids can be alleviated naturally by taking warm baths a few times daily. A sitz bath is very useful for temporary hemmoroid relief especially for external hemmoroids. Sitting in a sitz bath with the knees raised helps in reducing the pain and swelling of hemmoroid-affected veins and tissues. Although not a cure for hemmoroids, this technique reduces discomfort and pain associated with the condition.

Diet
Hemmoroids are frequently caused and/or aggravated by digestive problems i.e. diarrhea and constipation. Healthy diet plays an important role in maintaining proper digestion and thus providing relief from external hemmoroids. Diet conducive to the digestion of hemmoroid patients includes more fiber-rich items like vegetables and fruits. Fiber-rich diet prevents hard bowel movements and is recommended for hemmoroids relief for external hemmoroids.

Lubrication
Lubrication before passing stool helps avoid the friction that causes pain and, sometimes, bleeding associated with your external hemmoroids. Relief can be found with petroleum jelly or other creams, which are free of harsh chemicals, and are often used for this purpose. The patient should dab petroleum jelly or cream about half inch inside the rectum with the help of a soft cotton swab before passing stool.

Witch Hazel
Witch Hazel is an astringent obtained from the Witch Hazel shrub (Hamamelis virginiana). It has been found useful in providing relief from external hemmoroids. By shrinking and contracting the affected blood vessels in the rectal area, Witch Hazel reduces their swelling and associated hemmoroids symptoms like pain and irritation. Witch hazel is usually available at health stores and in supermarkets.

Reducing Salt, Caffeine, and Alcohol
Certain substances like salt, alcohol, and caffeine aggravate the symptoms of external hemmoroids. Reducing their intake provides relief from hemmoroids. Salt should not be totally given up but reduced to a minimum. Alcohol and caffeine may be given up and replaced with fruit juice and herbal teas.

Herbal Treatments
Another way of getting hemmoroid treatment is by using herbal treatments. Stoneroot (Collinsonia), for example, is known to strengthen the veins and makes them resistant to pressure. This helps the veins become resistant to swelling and hence providing relief from external hemmoroids.

Doughnut Shape Pillows
Doughnut Shape Pillows are available at drugstores and pharmacies and are also helpful in providing hemmoroid relief. These pillows help in reducing pressure on the rectal tissues especially you have external hemmoroids.

If the above external hemmoroids treatment does not alleviate your hemmoroid condition, you should seek for doctors advice and don’t wait for your external hemmoroids condition gets worst.

Hemmoroid Surgery

Hemmoroids surgery, or hemmoroidectomy, is a surgical procedure to remove hemmoroids. Hemmoroids occur when an increase of pressure in the veins around the anus and rectum causes them to become swollen and stretched. They may result from a number of factors such as straining during a bowel movement , pregnancy, prolong sitting, overweight, chonic constipation and a like. In hemmoroids surgery, hemmoroidal tissue and excess tissue around the anal canal is surgically removed (excised). The procedure is typically performed in a hospital or surgery center by a surgeon who specializes in colon and rectum surgeries. An overnight hospital stay is usually required, but in some cases the procedure may be performed on an outpatient basis. Hemmoroidectomy is highly effective, but recovery is similar to recovery from other surgeries and may be initially painful.

Hemmoroids surgery is important in the treatment of extensive or severe hemmoroids. It can be used in the treatment of both internal hemmoroids and external hemmoroids, as well as those that occur both internally and externally at the same time. Altough it is not generally used for mild- to-moderate hemmoroids, however, it may be used to treat less severe hemmoroids if other treatment options (e.g., stool softeners, sitz baths) fail. And also hemmoroidectomy is also useful in the treatment of patients who have developed certain complications. Persistent bleeding may only be effectively treated with the removal of the hemmoroids, although less severe bleeding can be treated with other therapies. When blood clots form inside hemmoroids, the hemmoroids must usually be removed.

And take not that recovery from hemmoroid surgery generally takes between two and three weeks. But the risk of hemmoroid recurrence is much lower with hemmoroidectomy than with other methods of hemmoroid treatment.

However, pain and discomfort are common following hemmoroids surgery therefore pain-relief medications are usually prescribed. After surgery, the rectal area is monitored for bleeding and laxatives are used to ease defecation. Fluid intake is also monitored. Any increased rectal bleeding, pus drainage, fever, constipation or rectal spasms need to be reported to a physician. It is important to prevent constipation following surgery. Therefore, patients may be encouraged to exercise, drink plenty of fluids and eat a high-fiber diet .

Although we know that hemmoroids surgery is the most effective treatment for hemmoroids however, it does pose potential risks. Urinary retention, urinary tract infections , fecal impaction and bleeding are the most common complications of the procedure. So alternatives to hemmoroids surgery include many minimally invasive techniques, especially rubber band ligation and coagulation (e.g., infrared coagulation, electrocoagulation). Also new techniques for treating hemmoroids are also being developed.

Before hemmoroids surgery

Before hemmoroids surgery, the physician will explain the procedure and answer any questions the patient may have. The patient will then be instructed to sign an informed consent form.
The patient will typically be placed on a special, low-residue diet for several days prior to the surgery. A low-residue diet contains very few foods that can become caught in the colon. This helps keep the colon clean for the surgery. The patient’s hemmoroids will be evaluated. External hemmoroids will be examined, with particular attention to size, evidence of bleeding and the presence of drainage.

Stool softeners and an enema may be used just before the surgery to prepare the bowels. The rectal area will then be cleansed. This may involve a sitz bath, in which the patient sits in a small amount of warm water. After it has been cleansed, the rectal area may be shaved.

During the hemmoroids surgery procedure

Hemmoroids surgery is performed with the patient under anesthesia. In most cases, a general or spinal anesthetic is used. General anesthetics cause a patient to lose consciousness and sensation by an injection of medication or breathing a medicinal gas. Spinal anesthetics cause a patient to lose sensation of pain by injecting a medication into the area around the spinal cord. Some patients may be able to tolerate a local anesthetic combined with sedation. This causes a loss of sensation in only a specific region of the body. When spinal anesthetics or local anesthetics are used, the patient remains conscious during the procedure.

During hemmoroids surgery, an anoscope is used to view the hemmoroid and surrounding tissue. An anoscope is a short, rigid tube that is inserted into the anus. Once the surgeon can see the base of the hemmoroid, its blood supply is tied off with surgical stitches (sutures). The hemmoroidal tissue is removed, or excised, and some of the surrounding tissue is usually removed as well. The surgeon takes care to avoid damaging the anal sphincter. The actual removal of tissue may be done with a scalpel, scissors, cautery (uses an instrument that relies on heat or electricity to cut tissue) or laser.

The edges of the anal or rectal lining (rectal mucosa) around the excised tissue may be left open, closed or partially closed. This is a matter of physician preference. Results and post-surgical pain are similar whether the lining is left open or closed.

After hemmoroids surgery

Like with many surgical procedures, pain and discomfort are common following a hemmoroid surgery. However, medications are prescribed to relieve the pain and Sitz baths may be used to relieve discomfort and promote healing. The patient’s vital signs are monitored regularly during the period immediately after the hemmoroids surgery. The rectal area is also monitored hourly for bleeding. Any excessive bleeding is treated. This may be accomplished by inserting a balloon-tipped catheter into the rectum. The balloon tip places pressure on the bleeding area, stopping the bleeding. Prescription ointments may be applied to the rectal area to help it heal and to relieve pain. Dressings, typically pads, are changed frequently.

Stool softeners and bulk laxatives are prescribed to ease defecation. It is important to increase fluid intake while taking these medications. The patient’s fluid balance is monitored. Health care professionals will keep track of how much liquid the patient consumes and ensure that the patient urinates between eight to 12 hours after hemmoroids surgery.

Patients may be discharged following the surgery or may need to remain in the hospital overnight. It is important for patients to change positions frequently after the procedure, and to lie down for about 15 minutes every hour. This helps to reduce rectal swelling. A special pad is typically given to the patient to ease discomfort when sitting. However, rubber rings are not recommended as they can block blood flow and cause swelling.

Any increased rectal bleeding, pus drainage, fever, constipation, severe abdominal pain, rectal spasms, swelling, weakness or infection need to be reported to a physician. It is also important to keep the rectal area clean. The rectal area needs to be cleansed gently with warm water and mild soap. It should be rinsed thoroughly and gently patted dry.

Patients are urged not to strain during a bowel movement. Constipation can be prevented with regular exercise and by drinking plenty of fluids and eating plenty of high-fiber foods (e.g., fruits, vegetables). Bulk laxatives may also be used as needed. However, overuse of stool softeners should be avoided. Firm stool is important to dilate the anal canal and prevent strictures (narrowing).

Potential benefits and risks

Hemmoroids surgery usually eliminates hemmoroids with no recurring symptoms. When symptoms do recur, they are rarely severe enough to require additional hemmoroid surgery.
Complications can be minimized with proper surgical technique during the procedure and adequate pain control, attention to fluid intake and proper use of bulking laxatives and stool softeners after the surgery. Patients are urged to discuss the use of laxatives with their physicians. Complications of hemmoroidectomy may include:

• • Pain. Pain is very common following hemmoroids surgery, as with many other surgeries. But the degree of pain varies between patients. Pain relievers are administered to relieve pain.
• • Urinary retention. Difficulty emptying the bladder. This temporary complication may occur, depending upon several factors. These include the amount of fluids given during and after surgery, the degree of pain the patient experiences and whether the patient has a history of difficulty emptying the bladder. In some cases, patients may require a catheter to drain the bladder. The need for catheterization can be reduced by limiting fluid intake and using pain medications and warm sitz baths. A physician will be able to determine the risk of this complication and suggest proper levels of fluid intake and other prevention and treatment measures.
• • Urinary tract infections. These occur in some patients and may be a result of urinary retention.
• • Fecal impaction. A mass of hardened feces becomes lodged in the rectum. This may be due to the pain following hemmoroids surgery, which worsens with defecation. This may cause patients to hold in their stool to lessen their pain. Holding in stool is a common cause of fecal impaction. The use of narcotic pain relievers may also be a factor. Bulk fiber, stool softeners and stimulant laxatives are generally effective in preventing fecal impaction. In some cases, fecal impaction may require manual removal while the patient is anesthetized.
• • Delayed bleeding. A few patients may experience bleeding seven to 16 days after hemmoroids surgery. It is generally believed to be caused by the shedding of tissue that has been operated on and tends to require closing with stitches.
• • Anal stenosis. Narrowing of the anal canal. This is a long-term complication. It may result from the removal of too much tissue around the hemmoroids.
• • Submucosal abscess. An infection of the tissue just below the anal or rectal lining, resulting in an abscess (a collection of pus). This is a very rare complication that, even more rarely, can result in death.
  

In addition, hemmoroids surgery carries the risks common to all surgeries including bleeding, skin infection and allergic reaction to anesthesia.

Therefore it is concluded that hemmoroids surgery is always be the last option if all the other hemmoroid treatment fail to cure your hemorroids.