HEMMROID|HEMMROIDS: treatment|symptoms|cure|causes|relief|pictures|bleeding|internal|exter

Hemmroid pain is one of the disturbing symptoms if you have hemmroid. Although hemmroid is not a serious ailment, it’s the pain that make is so uncomfortable. And we suffer in silence because we're too embarrassed to talk about it. The pain and itching become unbearable given that there are so many sensitive nerve endings around the anal area. You can't focus. After a week of suffering you become physically exhausted and mentally depressed. Women tend to avoid having sex, afraid that their partner will find out about their hemmroids.

Hemmroids are veins just inside the anus but become swollen if there is pressure on the vein itself to prevent blood flow from returning to the heart. The veins may become constricted by a large amount of stool if someone has constipation. And this hemmroid produce pain if they come out of the anus during your bowel movement . Once they come out, the skin around them and the veins themselves can become inflamed.

Generally, hemmroids are not serious and symptoms go away in a few days. However sometimes hemmroids may signal a more serious problem. See your doctor if any of the following occurs:

1. Rectal bleeding. Although this is a common symptom of hemmroids, rectal bleeding could be a symptom of a more serious disease.
2. Persistent hemmroid pain. In some cases, hemmroids must be removed surgically. Your doctor will perform an exam and decide on the best course of hemmroid treatment.

Hemmroid pain also varies according to your hemmroid location. This hemmroids may occur either near the opening of the anus (external hemmroids) or inside the anal canal (internal hemmroids) and the pain associated to it varies as follows:

• External hemmroids may be painful but usually do not need medical treatment unless a clot develops.
• Internal hemmroids usually do not cause pain. However, they can itch, cause a pressure sensation, and make it difficult to clean the anal area. They may also bleed or stick out from the anus. Internal hemmroids are assessed and treated according to how bad they are.

• o Second-degree hemmroids bulge from the anus during bowel movements but go back into the anus afterward on their own.

• o Third-degree hemmroids bulge from the anus during bowel movements, but they can be pushed back into the anus.

• o Fourth-degree hemmroids bulge outside the anus all the time.

Once the rectal veins have been stretched out and hemmroids created, they are very difficult to get rid of completely. They tend to recur with less and straining than it took to produce them initially. If chronic constipation has a role in creating or maintaining the hemmroids, then diet to avoid constipation is essential in treating them. As hemmroid already exist there is always a tendency that you will experience pain. So if hemmroid pain still persist, you are highly advise to seek for doctors advise with regards to your condition. Your doctor can also give you hemmroid treatment that best for you and would help alleviate hemmroid pain you experience.

The decision about what hemmroid treatment to use to stop the hemmroid pain takes into account your personal feelings and the medical facts. The method you choose will depend on:

1. The location of the hemmroids, whether they are internal or external.
2. The size of the hemmroids and how bad they are.
3. The amount of pain or discomfort the hemmroids cause.
4. The amount of bleeding from the hemmroids.
5. Other conditions that may affect your choice.
   

You also have to take into consideration the following when making your decision and to end up you’re the hemmroid pain you experience as explain further below:

1. Home treatment is usually the first step in treating hemmroids pain. Home treatment includes adjusting your diet to avoid constipation, drinking more fluids, using a stool softener, and using ointments to relieve symptoms thus avoiding the possible pain you will experience.
2. Fixative procedures, which cut off the blood flow to the hemmroids using rubber bands, lasers, heat, or chemical injections, are an option if you have internal hemmroids that bulge from the anus during bowel movements.
3. You might consider surgery to remove hemmroids for internal hemmroids that bulge from the anus or external hemmroids that are causing symptoms and have not improved with home treatment.
   

1. Home treatment

This methods for hemmroids mainly involve having healthier bowel habits. You can avoid making hemmroids worse and to avoid worst experience of hemmroid pain by blotting the anus gently after bowel movements with white toilet paper moistened with water or a cleansing agent such as Balneol or with moistened, medicated pads such as Tucks. Also, avoid rubbing the anal area, and avoid soaps with perfumes or dyes. To relieve symptoms, apply ice several times a day. Also, try applying moist heat, such as warm, damp towels, several times daily, or sitting in warm water (sitz bath).

Other measures you can take at home include increasing the amount of fiber and water in your diet and taking stool softeners. This will help prevent constipation and make stools easier to pass. Changing some of your habits so that you do not strain while having bowel movements will often relieve symptoms caused by both types of hemmroids. This also may keep hemmroids from becoming bigger. However, although hemmroids may shrink, they will not go away immediately.

2. Fixative procedures

The goal of fixative procedures is to reduce the blood supply to the hemmroid, causing the hemmroid to shrink or go away thus stopping the hemmroid pain you experience. These nonsurgical hemmroid treatments cure most smaller and some larger internal hemmroids. Fixative procedures include tying off hemmroids with rubber bands (rubber band ligation); scarring the tissue around the hemmroids (coagulation therapy) with devices that use heat, a laser, or an electrical current; and injecting hemmroids with chemicals that cause them to shrink (injection sclerotherapy). These are called fixative procedures because the scar that results keeps nearby veins from bulging into the anal canal. As explained below:

• Rubber band ligation is used to treat small and medium-sized hemmroids that are too large to be treated by injection sclerotherapy and infrared photocoagulation. It is the most successful fixative procedure and the one most commonly used. More than 86% of the time, hemmroid symptoms do not return. If they do return, they can be treated again with rubber band ligation or other treatments.
  
• Infrared photocoagulation is also used to treat small hemmroids. It has fewer risks than injection sclerotherapy and a similar success rate. It is generally more expensive than injection sclerotherapy.
• Injection sclerotherapy is rarely performed; its success depends on the skill of the doctor, and it works well only for small hemmroids. About 77% to 86% of the time, the hemmroids do not return.
  

Improvements in hemmroid symptoms after rubber band ligation appear to last longer than after other types of fixative procedures, but people reportedly have more pain after the procedure than after injection sclerotherapy or infrared photocoagulation.

However, most fixative procedures, such as rubber band ligation and infrared photocoagulation, usually have few risks. Possible problems may include:

1. Pain or discomfort. For some people, the pain may be so bad that they will not be able to do their normal activities for a day or so.
2. Bleeding, which may require another doctor visit to treat.
3. Temporary difficulty urinating because of pain. If the person is completely unable to urinate, treatment will be needed.
4. Infection or abscess. In rare cases, rubber band ligation may cause a bad infection that can be life-threatening and requires hospitalization for treatment.
   

Rubber band ligation appears to cause more pain than other types of fixative procedures. Infrared photocoagulation usually causes fewer side effects and does not have the rare, life-threatening complications.

3. Hemmroidectomy

Surgical removal of hemmroids (hemmroidectomy) is the most successful way to treat large internal hemmroids. Small internal hemmroids are sometimes treated surgically when several hemmroids are present, bleeding cannot be controlled with other treatments, or both internal and external hemmroids are present.

Surgery usually cures a hemmroid, but the long-term success of hemmroid surgery depends largely on how well you are able to change your daily bowel habits to avoid constipation and straining.

Hemmroid surgery is more likely than fixative procedures to cause side effects. These may include:

• > Pain, which may last for weeks. Passing bowel movements, even if they are soft, can be quite painful.
• > Bleeding, which may last for a few days. If the bleeding is severe, you may need treatment.
• > Inability to urinate or pass stools. Inability to pass stools may cause stools to become stuck in the anal canal (fecal impaction).
• > Infection.
• > And in rare cases, a more serious problem may develop.But for most cases, internal hemmroids becomes smaller and cause less pain with either home treatment or fixative procedures, which cut off blood flow to the hemmroids.
• > However, hemmroid surgery may give better long-term results than fixative procedures.
• > Compared with fixative procedures, surgery costs more, is more risky, and has a longer recovery period.
• > Fixative procedures are less risky and less painful than surgery and require less time off from work and other activities.
• > Of the fixative procedures, rubber band ligation seems to give the best results but also appears to have a higher risk of complications, especially pain.
• > Fixative procedures, especially rubber band ligation, may successfully treat hemmroid symptoms.
  

All mention above are suggestions for you to choose to stop the hemmroid pain you experience. And if you do not treat your hemmroids, you may continue to have discomfort, experience hemmroid pain, or bleeding. If bleeding is severe, it may cause anemia. You may also have difficulty keeping the anal area clean. Don’t let your hemmroid get worst. Don’t bear the hemmroid pain it brings because you don’t deserve it. Stop the pain and consult your doctor.

Hemmroid doctor, is the one who works with hemmroids, among other things. They are hemmroid specialist called proctologist. In point of fact, proctologists deal with the entire colon and anorectal canal, which pretty much covers the entire large intestine. When dealing with hemmroids, proctologists are the specialists to see first.

Since more than half of the population will, at some time, suffer from hemmroids, there is a great need for specialists in this area as hemmroid doctor. Patients with this condition generally find that visiting and consulting to doctors specializing in the care of hemmroids is very beneficial, since their area of practice is so focused. You'll have access to all of the latest hemmroid treatments and techniques, and you can be assured that your hemmroid doctor knows all of the latest information that can help relieve your suffering.

Hemmroids fall into a pretty rare medical category in that they are usually not serious but, at the same time, can be occasionally quite complicated to treat. Some of the surgical procedures can even require a specialized surgeon to perform.

Always take note that a good hemmroid doctor will always give hemmroids the time and attention they deserve, rather than brushing them off as "simple". The hemmroid itself is not much of a problem, but the area of the body hemmroids reside in is quite complicated and needs care and detailed attention in order to work properly. Improperly performed surgery can cause lasting damage to the anal area, which can severely impact quality of life

The first hemmroid doctor you'll want to see about your hemmroids will be your family doctor, who should already be quite familiar with you and your medical history. A general practitioner with whom you have a good working relationship is invaluable when dealing with any health condition, and doubly so when it comes to hemmroids. Make an appointmentwith your hemmroid doctor to explain and discuss all of your hemmroid symptoms in detail to date.

When hemmroids are uncomplicated by bleeding, thrombosis or extreme prolapse, your hemmroid doctor will probably tell you that the hemmroids will be best treated at home. Your hemmroid doctor will also probably give you recommendations for home treatment to include a high-fiber diet, warm water sitz baths, and any other techniques he or she knows of. For further hemmroid relief, the doctor may also give you a prescription for a painkiller in either cream or tablet form.

On the other hand, if you do have any of the complications listed above your family doctor will probably refer to a proctologist, which is a specialist who deals specifically with the colorectal/anal area. This is one key hemmroid doctors to be aware of.

If your family doctor wants to refer you to a proctologist, do be sure to communicate what's important to you in a doctor who'll be examining such a private and delicate area. While your family doctor may not have the exact education to deal with complicated hemmroids, he or she does know both you and the various specialists in the area. This makes your family doctor the best qualified person to both find a good hemmroid doctor for you and to be your advocate during the continuation of your hemmroids treatment.

These "Hemmroid Doctors" specialize in specific treatments for this condition. Since there are currently many methods for treating hemmroids, these doctors will be able to prescribe which one will be the most effective for your particular case. Most hemmroid doctors will start with conservative hemmroid treatments initially and then move to more serious techniques if the hemmroids do not respond to treatment.

While most hemmroids are caused infrequently by excess straining or pressure on the anus, there are those that suffer from hemmroids on a chronic basis. This can be very uncomfortable and traditional treatment methods, such as over the counter ointments may not bring enough relief. For these patients, it is usually recommended that they undergo a procedure that will actually remove the hemmroid.

See your doctor if the symptoms last longer than a week because your hemmroid doctor can determine which hemmroid treatment procedures are best for you. You should also see your doctor if you have bleeding, to ensure that there is not some other cause. Your doctor will examine your anus, feel inside the anal canal and may also insert a small metal tube, called a proctoscope, an inch or two into the anal canal to give a better view. For more information, look at the section on seeing your doctor about an anal problem.

First- and second- degree hemmroid usually go away on their own if constipation is avoided, but your hemmroid doctor may prescribe a short course of hemmroid cream to relieve symptoms. Third-degree hemmroid may also go away on their own, but if they persist, they may need hospital treatment.

Generally, only a few people need an hemmroid operation because most hemmroids are treated by natural home remedies, hemmroid treatment just like banding or phenol injections. There is usually no need for a general anesthetic or to stay in hospital overnight for these procedures. Stretching (anal dilatation) was a popular treatment in the 1970s, but is seldom used now.

Most common hemmroid treatment are:

Banding involves placing a small rubber band at the base of the hemmroid, so that it pinches the lining of the anal canal. This ‘strangles’ the hemmroid, so it dies and falls off. It causes some scarring. It is more effective than the other hemmroid treatments but has some drawbacks, such as severe bleeding in a few cases. Therefore you need to tell the surgeon if you are on blood-thinning medication. Some people feel faint and nauseous just after the bands are put on, and they can be quite painful for the following 48 hours. According to an article in the British Medical Journal(2003;327:8847–521), the success rate for hemmroid banding is:

• • 79% of hemmroids are cured

• • 18% of hemmroid return so that repeat banding is needed

• • for 2% of hemmroid, it does not work at all.

Injection of phenol in almond oil is a method of causing scarring in the area, but produces a permanent cure in only about 25% of cases. It is less commonly used now, because the results are not as good as with banding.

Cryosurgery freezes the hemmroid to destroy it. It is not used much, because it causes a watery discharge afterwards.

Infrared coagulation uses infrared light to destroy the hemmroid. This method is not commonly used, because it is not as effective as other hemmroid treatment methods.

However, if your hemmroid doctor believes that your hemmroids require surgery, ask for a lengthy and detailed polite conversation for the doctor to explain his or her reasons. The doctor should be able to convince you that this is the best option before you sign off on it.

Be aware also that doctors can fire uncooperative patients. If your hemmroid doctor has made a reasonable effort to convince you and your doctor is right according to mainstream medicine, he or she may refuse to see you again. If your hemmroid doctor should go this far, it may be difficult to find a family doctor in the future, as other doctors don't want to take a risk on accepting a patient who won't listen. For this reason, it is important to maintain open channels of communication, to always be polite and civil, and to make sure that any doctor you are considering is open to your priorities, such as natural hemmroid remedies, before entering that doctor's care.

Hemmroid banding is a procedure recommended for those whose hemmroids are located in the rectum or the anus and for those who have sever bleeding, pain or if the hemmroid contains a blood clot. But this banding procedure is not for those whose prolapsed hemmroid hangs on the outside of the body.

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

• • Severely bleeding hemmroids

• • Severely painful hemmroids

• • Hemmroid containing a blood clot (called thrombosed hemmroid)

• • Hemmroids that protrude through the anus (called prolapsed hemmroids)

Hemmroid 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 hemmroid problem. Once the hemmroid is located, the doctor uses a special banding tool to place a small rubber band around the hemmroid. And this procedure will cause the hemmroid to shrink because this hemmroid banding cuts off the blood supply to the hemmroid. The rubber band stays in place for 1-2 weeks until the hemmroid falls off.

It usually appears to be that the only way to be rid of hemmroids 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 hemmroid issue will vanish forever. But it should not be at all cases. There are a lot of severe hemmroid condition that can only be treated with natural home remedies but because other hemmroid condition does not respond to natural treatments that’s why hemmroid banding is recommended even it cause you pain.

The procedure of hemmroid banding is another method that will eliminate a hemmroid, but not without leaving you with a painful recovery period. As you can see, anything connected to hemmroid 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 hemmroid is gone that your worries are over; you may find yourself back at the doctor's office for the same hemmroid 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 hemmroid 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 hemmroids need treatment.

Patients often report some discomfort during and after this hemmroid 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 hemmroids

• • Recurrence of hemmroids

With hemmroid 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 hemmroid 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.

• • Move your bowels as soon as you feel the urge.

• • Do not sit on the toilet for long periods of time.

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

• Take several warm baths in a sitting position . This disposition reduce pain and unblemished the affected area. But sitting down can often be very uncomfortable for sufferers of thrombosed hemmroid, in this case try squatting in the warm water for 5 minutes or so.
  

• Avoid straining when removing the stool ” admitting that you struggle when going to the toilet, we recommend making your stools softer. This can be done by eating foods with supercilious levels of natural fibers such as fruits and vegetables, bran, beans etc to add bulk to your stool thus avoiding extra pain to your thrombosed hemmroid.
  

• Avoid dehydration. Stay hydrated by the agency of intemperate habits a minimum of 7 glasses of water daily. This is not difficult - you should scope for 10 glasses to ensure hydration. Try toping 2 glasses proximately when you wake up in the morning, 2 more at peep of day tea time and lunch time, 2 at dinner time and 2 before going to bed. Its always better to sip the water than drink it quickly.
  

• Apply ice to the anal opening (or affected area). This will reduce the blood flow to the superficial contents and will also numb the thrombosed hemmroid. Wrap ice in a cloth to apply .
  

• As a very temporary solution to excruciating hemmroid pain ” Ibuprofen have power to be same effective.

• Use a hemmroid cream which can be most at most pharmacy's and chemists to reduce wrath. But remember that hemmroid creams work differently for different people and it does not provide long term solutions to your thrombosed hemmroid.
  

• Increase your rate of metabolism by dint of walking for 20 minutes a day. This is probably best done after having a sitz bath or when you feel the least pain.

• Reduce irritation and pain when cleaning your anus by using unusual delicate toilet paper or a soft damp towel. Try to avoid perfumed toilet pads as they can add irritation to your thrombosed hemmroid.

• Rubber-band Ligation ” this technique is performed by placing a rubber-band around the hemmroid which causes it to dry up and eventually disappear.

• Hemmroidectomy ” this procedure is reserved for only the most severe cases of piles due to the long painful recovery time which is needed.

• Sclerotherapy ” the infected area is injected by a shrinking agent. The hemmroid eventually disappears.

Hemmroid treatments can give quick and effective relief from discomfort and other problems associated with hemmroid when acted as early as its symptoms appear. There are now various prescription drugs as well as over-the-counter medicines available currently for hemmroid treatment. There are also alternative therapies for hemmroid treatment that can give you safe and long lasting results which includes homoeopathic and herbal medicines, dietary supplements and home made remedies . So there is no reason why you cannot treat your hemmroid before it becomes worst.

But what is hemmroid by the way? Hemmroids are the network of veins around the anus area. The condition known as hemmroids occurs when these veins enlarge and distend usually caused by straining or pressure. The two types of hemmroids are internal and external. Internal hemmroids usually do not cause much pain and rarely itch while external hemmroids are the type of hemmroid that tends to cause burning, itching, and/or pain. Symptoms of hemmroid usually 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 hemmroids.

Because of this irritating symptoms brought by hemmroid, appropriate hemmroid treatments are necessary. But most commonly, hemmroid treatments may require nothing more than home treatment and lifestyle changes, which mainly involves establishing healthy bowel habits and simple changes to healthy diet. But if you need instant relief from pain, itching and swelling brought by your hemmroid, try the following:

• Apply a hemmroidal cream or suppository to the affected area as directed.

• Use ice packs, which can reduce swelling from painful hemmroid.

• Soak in a warm bath or "sitz" bath (sitting in three inches of water) for 10 minutes a few times a day.

You can talk to your doctor about your hemmroids and ask for any hemmroid treatment during your next visit. And to encourage better bowel movements, your doctor may suggest some initial lifestyle changes, such as increasing your fiber and fluid intake and exercise. If these changes do not help; your doctor may suggest one of the following types of hemmroid treatment:

• A fiber laxative.

• A stool softener.

Fiber is the part of a plant that can't be digested. It adds bulk to keep other foods moving through the digestive system and it holds water which, in turn, softens the stool for easy elimination. Fiber laxative and stool softeners should be used only as directed. And take note that different hemmroid treatments work in different ways so let your doctor choose the best one for you.

Although in many cases hemmroid treatment involves steps that you can take on your own but sometimes medications or surgical procedures are necessary as your best way as your hemmroid treatment. These includes:

Medications CReams

If your hemmroids are producing only mild discomfort, your doctor may suggest over-the-counter hemmroid creams, ointments or pads containing witch hazel or a topical anti-inflammatory agent containing hydrocortisone. This local hemmroid treatment, in combination with daily warm baths, may relieve your hemmroid symptoms.

Surgical or other procedures

If a blood clot has formed within an external hemmroid, your doctor can easily remove the clot with a simple incision, which may provide prompt relief. But for persistent bleeding or painful hemmroids, your doctor may recommend these following hemmroid treatments:

• Rubber band ligation. Your doctor places one or two tiny rubber bands around the base of an internal hemmroid to cut off its blood circulation and the hemmroid falls off. This simple procedure - called rubber band ligation - is done in the doctor's office and is effective hemmroid treatment for many people. To remove a hemmroid using rubber band ligation, your doctor inserts the ligator through a scope in the anal canal, grasping the hemmroid with forceps. Sliding the ligator's cylinder upward releases rubber bands around the base of the hemmroid. Rubber bands cut off the hemmroid's blood supply, causing it to wither and drop off.

• Sclerotherapy. In this procedure, your doctor injects a chemical solution around the blood vessel to shrink the hemmroid.

• Infrared light. A one- or two-second burst of infrared light cuts off circulation to small, bleeding, internal hemmroids.

• Surgery. If other procedures haven't been successful or if you have large hemmroids, your doctor can remove tissue in a procedure called hemmroidectomy. The surgery is done with either a local anesthetic combined with sedation, a spinal anesthetic, or a general anesthetic. Hemmroid surgery can be performed on an outpatient basis or you may require an overnight hospital stay. While you may experience discomfort after the procedure, medications can be used to relieve your pain. Soaking in a warm bath also can ease your discomfort.

• Stapling. This procedure, which blocks blood flow to hemmroidal tissue, is a relatively new hemmroid treatment technique. While some experts point out that this procedure involves less pain than surgery and allows an earlier return to work, there are drawbacks as well. Stapling has been associated with a greater risk of hemmroidal recurrence and prolapse compared with open surgery. Talk with your doctor about what might be the best hemmroid treatment option for you.

You can also take the following steps to reduce your risk of having hemmroids thus avoiding unnecessary and time consuming hemmroid treatments. Try follow these easy steps:

• Eat more fiber and drink plenty of fluids. This will help soften stools and promote regular elimination, which reduces straining thus avoiding the causes of such hemmroid.

• Go when you feel the urge to have a bowel movement. Delaying now can mean straining later.

• Don't read on the toilet. Sitting and straining too long encourages swelling.

• Wipe gently with soft, white unperfumed tissue. This helps keep the area clean to avoid irritation.

• Exercise regularly; which aids digestion and improves circulation.

Take note that complications of untreated hemmroid are - bleeding, infection, prolapse, strangulation, necrosis and gangrene. Painful bleeding usually indicates startup of complications.

So do not delay. Let your hemmroid be treated as early as its symptoms shows. Don’t be shy if you have that condition. You just don’t know that the number of people who hemmroid are now increasing due to poor eating habits and changes of lifestyle. You cant talk with your family regarding your shameful condition, talk directly to your doctor as he can help you. Your doctor can give you right hemmroid treatment.