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

Cure hemmroids was initiated due to pain attributed by all types of hemmroid. Hemmroids have become very common diseases nowadays at least you see symptoms of hemmroid in two out one. But you do not have to worry because lots of treatments today that are now available in the market and are allowed by the doctor as to cure hemmroids. Also some of the fruits like banana, apple, and straw berry give better results to cure hemmroids. Herbs are very commonly used to cure hemmroids, herbs like green tea, calendula and so on.

• *** The first and most common way to cure hemmroids flare up is, of course, a sitz bath. What is a sitz bath? A sitz bath is where the hemmroid sufferer fills either a small pan or their bathtub with warm water. The water must always be warm as hot water may aggravate the already irritated skin around the hemmroid. After sitting in the water for between 15 and 20 minutes, letting the infected area soak in the water, get out of the water and gently dab the area dry with a warm cloth. Be sure to dab the area and not wipe, as wiping will only aggravate the areas. In the worst of cases, you could aggravate the area to the point where you draw blood.
• *** Another method on how to cure hemmroids quickly is through the use of medicated ointments and creams. Many hemmroid creams are readily available over the counter at your nearest pharmacy, though in rare cases you can have one prescribed by a physician. Many of these ointments have anesthetics in them to help quicken the soothing of the affected area. The drawback to this technique, however, is that many people complain of the mess that is associated with the application of the cream. Because of the nature of applying the cream, it is not always easy to find the infected areas, in addition to the mess of simply having the cream on your fingers. Another drawback to this method of treatment is in the fact that the actual application of the cream can be a painful, slow process.
• *** A third option, one that many with hemmroids tend to avoid, is to undergo a surgical procedure to remove and cure hemmroids. More often than not, the procedure that people undergo is a simple process called rubber band ligation. The process is very simple. After having the hemmroid or hemmroids examined by a doctor, the physician will wrap a small rubber band around the swollen husk of skin. The rubber band then acts as a device that strangles the husk, cutting off air flow and eventually killing the hemmroid. The dead mass is then removed, along with the band, during normal bowel movements.
  

How to treat hemmroids? Well, treating hemmroids by simple treatment in an early stage is quite achievable than hemmroids that is already in worst condition. How to treat hemmroids is commonly asked especially for people who do not want to go to doctors for check up because they are ashamed of their condition. True that its is sometimes an embarrassing topic for discussion, but hemmroids are common. By age 50, about half of adults deal with the itching, bleeding and pain that often signal the presence of hemmroid.

Hemmroids, are swollen and inflamed veins in your anus and rectum. They may result from straining when having a bowel movement or the increased pressure on these veins during pregnancy. Fortunately, effective hemmroid medications and procedures are readily available to treat hemmroids. And in many cases this condition may require only self-care and simple lifestyle changes.

So, how to treat hemmroids?

Treatment for this problem consists of two important parts: (1) what you can do, and (2) what your doctor can do...

What Can You Do? How to treat hemmroids on your own? Well, you can temporarily relieve the mild pain, swelling and inflammation of most hemmroidal flare-ups with the following self-care measures:

• * Put an ice bag on your hemmroids to help relieve acute pain. Some people find that the tanic acid from a warm, wet tea bag applied to the area is soothing. Others use compresses containing witch hazel applied to your hemmroid for 10 to 15 minutes three or four times a day.
• * A 10 to 15 minute soak in a warm bath three or four times a day may relieve hemmroid pain and swelling for some people.
• * Lying on your stomach or side instead of sitting may lessen the discomfort brought by hemmroids.
• * If you must sit try using a “donut pillow”. This will help take some of the direct pressure off on your hemmroids.
• * Keep the rectal area clean to help relieve the itching.
• * Do not wipe yourself vigorously. Patting with toilet paper will help. Using moistened toilet paper or baby-wipes after a bowel movement can protect the skin from further hemmroids irritation.
• * Avoid scratching. This will make your hemmroids worse.
• * Avoid anti-itching creams or lotions with an ingredient that has "-caine" in its name. These products have a local anesthetic in them and, if used too often, can cause further hemmroid irritation.
• * Use topical treatments. Apply an over-the-counter hemmroid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a topical numbing agent.
• * It is recommended that you consult with a physician prior to using any suppository-type product. Or better, try hemmroid creams than suppositories.
• * Keep the anal area clean. Bathe or shower daily to cleanse the skin around your anus gently with warm water. Soap isn't necessary and may only aggravate your hemmroids. Gently drying the area with a hair dryer after bathing can minimize moisture, which can cause hemmroid irritation.
• * Push back a prolapsed hemmroid. If a hemmroid has prolapsed, gently try pushing the hemmroid back into the anal canal.
• * Don't use dry toilet paper. Use moist towelettes or wet toilet paper after a bowel movement instead.
• * Take oral medications. Acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin, others) may relieve your discomfort brought by hemmroids.
  

What Can Your Doctor Do ToTreat Hemmroids

• Your doctor will examine your rectal area and may recommend several alternatives on hoe to treat hemmroids. Prescription of hemmroid creams and suppositories are available for hemmroid pain and swelling.
• Your doctor may also recommend a stool softener or a high-fiber, anti-constipation diet. All of these are available over the counter. The dietary fiber should be between 20 and 35 grams a day.
• If hemmroids persist or are particularly troublesome, a more active type of hemmroid treatment may be necessary. This may include the following:

• Banding hemmroids. This is how to treat hemmroids through banding. Your doctor places one or two tiny rubber bands around the base of an internal hemmroid to cut off its circulation and the hemmroid falls off. This simple procedure — called rubber band ligation — is done in the doctor's office and is effective for many people.

• Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemmroid.

• Infrared light. A 1- or 2-second burst of infrared light can cut 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 local anesthetic combined with sedation, a spinal anesthetic, or general anesthetic. It's usually done as an outpatient or overnight hospital stay. While you may experience discomfort after the procedure, medications can be used to relieve your pain. Soaking in a warm bath can also ease your discomfort. Some newer surgical techniques may decrease the amount of pain that some people experience.
  

Take note also that as a general rule, see your doctor if your hemmroids don't improve with self-care, cause pain, or bleed frequently or excessively. If the onset of your hemmroids occurs along with a marked change in bowel habits or if you're passing black, tarry or maroon stools, consult your doctor without delay. These types of stools can signal more extensive bleeding elsewhere in your digestive tract. Also seek emergency care if you notice large amounts of rectal bleeding, lightheadedness, dizziness or faintness.

The most common sign of hemmroids is rectal bleeding. But because rectal bleeding can occur for other reasons, see your doctor to rule out more serious conditions or diseases. Other causes of bleeding in the lower gastrointestinal tract include colorectal or anal cancer.

A doctor may also determine if you have external hemmroids simply by looking. For internal hemmroids, your doctor may want to conduct an examination with a rubber-gloved finger. But even this technique may be inconclusive because internal hemmroids are often too soft to detect by a rectal examination. In this case your doctor may want to examine the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope. A more extensive examination could include an examination of the entire colon and rectum using a flexible fiber-optic colonoscope, to help exclude bleeding lesions not only in the rectum but also in the entire colon. Close follow-up is necessary, however, and continued bleeding despite hemmroid treatment requires additional examinations.

So, how to prevent hemmroids formation or to prevent hemmroids from coming back? These as follows:

• 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 hemmroids.
• Drink plenty of liquids. This can help avoid constipation as very common cause of hemmroids. But 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 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 to 10 glasses of water or other fluids every day. Otherwise, fiber supplements can cause constipation or make constipation worse. 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 thus avoiding possible causes of hemmroids.
• Avoid long periods of standing or sitting. If you must sit for long periods, don't use an inflatable doughnut cushion to pad your chair. It can increase the pressure on the veins in the anus.
• Don't strain. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum. This is what you should do while on your pprocess of treating your hemmroids.
  
• 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 resulting to exerting much pressure which causes formation of hemmroids.
  

The mention above are the following suggestion on how to treat hemmroids. Just choose what best suit for your condition. And remember, notify your doctor if you have any of the following symptoms: Severe, acute bleeding that you cannot control, bleeding that lasts more than a week , and severe hemmroid pain lasting more than a few hours.

Treating hemmroids is the main objective to be achieve by sufferers of hemmroids especially at early stage of hemmroid formation because if left untreated and once they already have hemmroids, they’re likely to always have them -- this is because swelling weakens the vein walls and thus makes them prone to future swelling.

Everyone can get hemmroids. In fact, more than half of the population develops hemmroids by the age of 50. And these hemmroids are likely caused by straining on the toilet. Other causes include heredity, aging, chronic constipation, bouts of diarrhea, anal sex or spending too much time reading on the toilet.

But before treating your hemmroids, be sure also that what your are suffering is really a hemmroid problem. Because the presence of blood in the stool can be indicative of other digestive disorders, including colorectal cancer other than hemmroid so thorough evaluation and proper diagnosis is very important. Diagnosing hemmroids may include:

• * physical examination - to examine the anus and rectum and look for swollen blood vessels that indicate hemmroid• digital rectum examination (DRE) - the physical inserts a gloved, lubricated finger into the rectum to check for abnormalities causing hemmroids.
• * anoscopy - a hollow, lighted tube useful for viewing internal hemmroids is inserted into the anus.
• * proctoscopy - a lighted tube, which allows the physician to completely examine the entire rectum, is inserted into the anus.
• * sigmoidoscopy - a diagnostic procedure that allows the physician to examine the inside of a portion of the large intestine, and is helpful in identifying the causes of diarrhea, abdominal pain, constipation, abnormal growths, and bleeding. A short, flexible, lighted tube, called a sigmoidoscope, is inserted into the intestine through the rectum. The scope blows air into the intestine to inflate it and make viewing the inside easier.
• * colonoscopy - a procedure that allows the physician to view the entire length of the large intestine, and can often help identify abnormal growths, inflamed tissue, ulcers, and bleeding. It involves inserting a colonoscope, a long, flexible, lighted tube, in through the rectum up into the colon. The colonoscope allows the physician to see the lining of the colon, remove tissue for further examination, and possibly treat some problems that are discovered aside from the formation of hemmroids.
  

But if you are lucky enough not to have hemmroids, there are some things you can do to prevent hemmroids. And even if you already have hemmroids, it is possible to prevent future flare-ups.
Here are some self-care tips you can consider in treating hemmroids:

• If hemmroids extend outside the anal canal, ice compresses may ease the swelling.
• Sitting in warm water (sitz baths) for approximately 15min at a time can ease the symptoms of hemmroid. While adding Epsom Salt to the water helps relieve the inflammation.
• Avoid foods and drinks that may make hemmroids worse, including spicy foods, nuts, coffee and alcohol.
• Do not use dry toilet paper. Use moist towelettes or wet toilet paper after a bowel movement instead to avoid hemmroid irritation.
• Keep the anal area clean by gently cleansing with warm water. Soap is not necessary and may aggravate your hemmroid problem.
• Push back a prolapse hemmroid. If a hemmroid has prolapsed, try pushing it back gently into the anal canal.

Fortunately, for most people, hemmroid "flare-ups" heal on their own within a couple of days but there are also some things you can also do to speed up treating hemmroids process and spare yourself from suffering. For chronic hemmroid sufferers, the following are some ways in treating hemmroids quickly and may also help reduce the symptoms:

> Take a bath: Soaking in a tub of warm water for about 10 minutes to 15 minutes can help reduce swelling and decrease hemmroid pain.

> Ice it: A cold compress to the affected area can help reduce the swelling of your hemmroids.

> Apply creams: Over-the-counter hemmroid creams and wipes containing witch hazel, hydrocortisone or other anti-inflammatory agents can help reduce swelling and alleviate pain. Wiping with moist wipes can also prevent continued irritation of your hemmroid.

> Eat more fiber: Eating more fruits, vegetables and whole grains can help make stool bulkier and easier to pass thus avoiding hemmroid pain.
> Drink lots of water and fluids: This makes stool softer, which reduces straining.

> Go when "nature calls": Otherwise, your stool can dry and harden, making it more difficult to pass thus it is considered as most common causes of formation of hemmroid.

> Exercise: Keeping an active, healthy lifestyle can help reduce pressure on veins and keep you from getting constipated.

> Don't sit or stand for too long: Both standing and sitting can add pressure to your veins. If you have a desk job, taking periodic breaks to move around can help reduce the risk of developing hemmroids.

However, reserved for extreme cases of hemmroids, treating hemmroids through surgical procedures are required if above suggestion fails to alleviate your hemmroid condition.

• Ligation: One way of treating hemmroids is making used of rubber bands. A rubber band is wrapped around hemmroids to cut off blood circulation to them. The hemmroids and the band will shrivel and fall off within days, but it may take a couple of weeks for the area to completely heal. This procedure however, is usually painful and may cause bleeding.

• Sclerotherapy: A chemical solution is injected into the vein to shrink the hemmroids.

• Coagulation: A laser is used to burn off or shrivel the hemmroid tissue.

• Hemmroidectomy: Usually reserved for permanently prolapsed or protruding hemmroids, these are anal surgeries that are carried out under anesthesia and may require hospitalization afterward.

In conclusion, treating hemmroids is not just as easy as it is expected. In needs time and patience but if you are persistent enough treating hemmroids will not take too long to heal.
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Treatments for hemmroids are mostly very effective. But if your hemmroids still a problem after one to two weeks talk to your doctor for possible treatment for hemmroids.

For many, hemmroids are enormous embarrassment. But they really needn't be. Hemmroids are among the most common of all health ailments, striking an estimated eight out of ten of us throughout our lifetimes. Even Napolean suffered hemmroids. It is said that the distracting pain of the emperor's hemmroids contributed to his crushing defeat at Waterloo. But hemmroids don't have to be your Waterloo. Much like varicose veins, these swollen veins in the anus are partially hereditary, but they can also be caused by—and be remedied by—such things as diet and toilet habits.

Hemmroids are lumps or masses of tissue in the anus, which contain enlarged blood vessels. Hemmroids may be inside the anal canal (internal hemmroids), where they primarily cause the symptom of intermittent bleeding, usually with bowel movements. They may also lie just outside the anal canal (external hemmroids), where they primarily cause symptoms of swelling and sometimes discomfort. Swelling and discomfort may occur intermittently, when the hemmroids become especially irritated.

Listed below are some of suggestions while your treating your hemmroids.

• > Strive for soft and easy bowel movements. The most effective strategy against hemmroids is to go right to the source of the problem. More often than not, on top of every rear end with hemmroids sits a person grunting and groaning. If it's news to you that passing one's stools is not supposed to be a long and arduous affair, you've likely got hemmroids. Huffing and puffing on the toilet provides just the kind of strain needed to engorge and swell the veins in your rectum. Hard stools then make matters worse by scraping the already troubled area. Solution? Drink lots of fluids, eat lots of fiber, and refer often to the following hemmroid remedies.
• > Oil your inner workings. Once you've increased the fiber and fluids in your diet, your stool should become softer and pass with less effort. You may help your bowels to move even more smoothly by lubricating your anus with a dab of petroleum jelly. Using a cotton swab or your finger, apply the jelly about 1/2 inch into the rectum thus avoiding your hemmroids for further irritation.
• > Clean yourself tenderly. Your responsibility to your hemmroids shouldn't end when you're through moving your bowels. It's extremely important to clean yourself properly and gently. Toilet paper can be scratchy, and some types contain chemical irritants. Purchase only nonperfumed, noncolored (white) toilet paper, and dampen it under the faucet before each wipe.
• > Elect a kinder, gentler toilet paper. If you've never heard of lubricated toilet paper, that's because it isn't sold yet. But you can find facial tissues coated with moisturizing cream—and these offer the most hemmroid-friendly backside wipe on the market.
• > Don't scratch. Hemmroids can itch, and scratching can make them feel better. But don't give in to the urge to scratch. "You can damage the walls of these delicate veins," and make matters much worse for yourself.
• > Don't lift heavy objects. Heavy lifting and strenuous exercise can act much like straining on the toilet. If you're prone to hemmroids, get a friend to help or hire someone to help you move heavy object thus avoiding too much pressure while lifting.
• > Go soak yourself. The sitz bath—sitting with your knees raised in 3 or 4 inches of warm water in a bathtub—is a remedy that still tops the list of most experts as a way to deal with hemmroids. The warm water helps to kill the pain while increasing the flow of blood to the area, which can help shrink the swollen veins.
• > Apply a hemmroid medication. There are many hemmroid creams and suppositories on the market, and while they generally will not make your problem disappear (contrary to what the ads may say), most are designed as local painkillers and can relieve some of the discomfort brought by your hemmroids.
• > Choose a cream. Choose a hemmroid cream over a suppository. Suppositories are "absolutely useless," for external hemmroids, and even for internal hemmroids, suppositories tend to float too far up the rectum to do much good. So prefer hemmroid cream as treatment for hemmroids for better result.
• > Work wonders with witch hazel. A dab of witch hazel applied to the rectum with a cotton ball is one of the very best treatment for hemmroids available for external hemmroids, especially if there's bleeding, "Barbers use witch hazel when they cut you—because it causes the blood vessels to shrink down and contract," so as to your hemmroids. While anything cold, even water, can help kill the pain of hemmroids, give your hemmroids a special treat by putting a bottle of witch hazel into a bucket of ice, just as you would a champagne bottle. Then take a cotton ball, soak it in the witch hazel and apply it against your hemmroids until it's no longer cold, then repeat such procedure.
• > Watch your weight. Because they have more pressure on the lower extremities, overweight people tend to have more problems with hemmroids just as they do with varicose veins so better watch your weight to avoid such formation of hemmroids.
• > Control your salt intake. Sure, you like your french fries covered with salt, but it can make your hemmroids worse. Excess salt retains fluids in the circulatory system that can cause bulging of the veins in the anus and elsewhere so try to control your salt intake while your on your process of treating your hemmroids.
• > Avoid certain foods and drinks. Some foods, while they won't make your hemmroids worse, can contribute to your anal misery by creating further itching as they pass through the bowels. Watch out for excessive coffee, strong spices, beer, and cola.
• > Pregnant? Take the pressure off. Pregnant women are particularly prone to hemmroids, in part because the uterus sits directly on the blood vessels that drain the hemmroidal veins. A special hemmroid remedy if you are pregnant is to lie on your left side for about 20 minutes every 4 to 6 hours. By doing so, you decrease pressure on the main vein draining the lower half of the body.
• > Give it a little shove. Sometimes the word hemmroid refers not to a swollen vein but to a downward displacement of the anal canal lining. If you have such a protruding hemmroid, try shoving it back into the anal canal. Hemmroids left hanging are prime candidates to develop into clots.
• > Sit on a doughnut. We're talking about a doughnut-shaped cushion, here. They are available in pharmacies and medical supply stores and can be useful to hemmroid sufferers who do a lot of sitting.
• > Try the ClenZone. This can also be use as one way of treatment for hemmroids. This little appliance attaches to your toilet seat and squirts a thin stream of water into your rectum after every bowel movement. It gets you superclean and serves as a soothing mini-sitz bath at the same time.
  

Although in many cases treatment for hemmroids involves steps that you can take on your own. But sometimes medications or surgical procedures are necessary. To illustrate more, cited below are some treatment for hemmroids you can choose if above hemmroid suggestion fail to give you relief.

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 hemmroid relief. But for persistent bleeding or painful hemmroids, your doctor may recommend treatment for hemmroids as follows:

• Banding hemmroids. Your doctor places one or two tiny rubber bands around the base of an internal hemmroid to cut off its circulation and the hemmroid falls off. This simple procedure — called rubber band ligation — is done in the doctor's office and is effective for many people as their treatment for hemmroids.

• Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemmroid.

• Infrared light. A 1- or 2-second burst of infrared light can cut off circulation to small, bleending, internal hemmroids.

• Surgery. If other treatment for hemmroids haven't been successful or if you already have large hemmroids, your doctor can remove tissue in a procedure called hemmroidectomy. The surgery is done with either local anesthetic combined with sedation, a spinal anesthetic, or general anesthetic. It's usually done as an outpatient or overnight hospital stay. While you may experience discomfort after the hemmroid surgical procedure, medications can be used to relieve your pain. Soaking in a warm bath can also ease your discomfort. While some newer surgical techniques may decrease the amount of pain that some people experience.

So stop worrying, sit yourself down on a comfortable pillow, and try the above treatment for hemmroids suggestions which best suited for your condition.

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.

Hemmroid removal is only recommended when your hemmroid is already in severe stage. Hemmroid removal is performed via the standard form of hemmroids surgery called Hemmroidectomy. This type of hemmroid surgery is performed in cases of large internal hemmroids, large external hemmroids, and hemmroids that have not been treated effectively by other methods. Although most hemmroids are treated by medicines and other different remedies to provide relief from the disturbing symptoms of pain and inflammation caused by the affected rectal tissues, severe cases of the hemmroids requires hemmroid removal if you want long-term hemmroid relief.

Hemmroids are mostly affected to the people who are all above 30 years of age. Many treatments and methods are there for hemmroid removal without having any pain. There are two types of hemmroids like external hemmroids and internal hemmroids. But external hemmroid removal is done by surgery.

For Internal hemmroid removal, those are small and some large it is then treated by non-surgical or home treatments. If the internal hemmroid is very large then some treatments like laser therapy, sclerotherapy, are used for internal hemmroids removal. Laser therapy used in internal hemmroid removal is painless; in this treatment hameriods are burned.

Surgical hemmroid removal, also know as hemmoroidectomy, it is the most successful treatment for internal hemmroid removal. Some times both internal hemmroid and external hemmroid will be present for that, combination of surgical hemmroid removal and fixative procedure is used for hemmroid removal.

Hemmroid removal is also done by herbal treatments, home made remedies. Herbal remedies for hemmroid removal is by using some herbal products which contain horse chestnut, barberry, neem, nagkesar and so on.

But the best and easiest way for hemmroid removal is by the surgical only, other treatments for hemmroid removal are not so effective as surgical because it takes time to get cure of hemmroids. Nowadays every doctor will prescribed for surgical hemmroid removal. But surgical hemmroid removal is preferred only for those who have severe internal hemmroids or external hemmroids.


Hemmroid removal by means of Hemmroidectomy is performed by giving the patient a long-acting local anesthesia, usually in a surgery center. The surgeon makes incisions in the tissues around the hemmroid-affected area by using a surgical knife (called ‘scalpel’), a cautery pencil (a device working by means of electricity), or a laser. Hemmroids removal is then performed after tying off the swollen veins to prevent bleeding. After completing the hemmroids removal, the surgical wounds may be covered with medicated gauze. The patient is usually able to go home the same day. The recovery time for most people undergoing hemmroids surgery is two to three weeks.

Hemmroid removal via surgery is successful in over 90% of cases, which means that hemmroids do not ever return after the surgery. In about 5% of cases, the condition is reported to recur. The commonly reported risks associated with hemeriods surgery are pain, bleeding from the surgical wound, and difficulty in urinating. The latter may also result in edema. Other risks, less commonly associated with hemmroids removal, include: bleeding from the anal area, incontinence, difficulty in passing stool, and infection of the surgical wound. At a later stage, in some cases, narrowing of the anal area may occur, or the patient may develop a fistula i.e. an abnormal passage in the rectal/anal area.

Care after Hemmroids Removal

After removing hemmroids via surgery, the patient and the caregivers need to consider some points in order to make recovery quicker and complete. Feeling pain is normal after hemmroids surgery. To get relief from pain, the patient should use any prescribed medicine for pain relief. Bleeding from the anal area may occur after the surgery, especially during the first bowel movement. Ice packs may be applied to the operated area to relive inflammation. Also effective are warm water baths (sitz baths) for alleviating pain and muscle spasms. To prevent infection, the doctor may prescribe antibiotic drugs. Also recommended for most patients are fiber-rich diet and other remedies that soften the stools. These help in preventing straining during defecation, which may cause the recurrence of hemeoroids. In all cases, the patient is supposed to take follow-up exams with the surgeon after a week or so, as per surgeon’s advice.

After the success of your hemmroid removal it is strongly advise then to take some hemmroid preventions to keep your hemmroid from coming back. The best way to prevent hemmroids is to keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs. Exercise, including walking, and increased fiber in the diet help reduce constipation and straining by producing stools that are softer and easier to pass. All of these may help you avoid of having hemmroid removal again.

• physical examination - to examine the anus and rectum and look for swollen blood vessels that indicate hemorrhoids
• digital rectum examination - the physical inserts a gloved, lubricated finger into the rectum to check for abnormalities.
• anoscopy - a hollow, lighted tube useful for viewing internal hemorrhoids is inserted into the anus.
• proctoscopy - a lighted tube, which allows the physician to completely examine the entire rectum, is inserted into the anus.
• sigmoidoscopy - a diagnostic procedure that allows the physician to examine the inside of a portion of the large intestine, and is helpful in identifying the causes of diarrhea, abdominal pain, constipation, abnormal growths, and bleeding. A short, flexible, lighted tube, called a sigmoidoscope, is inserted into the intestine through the rectum. The scope blows air into the intestine to inflate it and make viewing the inside easier.
• colonoscopy - a procedure that allows the physician to view the entire length of the large intestine, and can often help identify abnormal growths, inflamed tissue, ulcers, and bleeding. It involves inserting a colonoscope, a long, flexible, lighted tube, in through the rectum up into the colon. The colonoscope allows the physician to see the lining of the colon, remove tissue for further examination, and possibly treat some problems that are discovered.

• Poor intake of dietary fiber that results to constipation as one major causes of hemmroids.
• Poor intake of water or fluids also results to hard stool or constipation, as one major causes of hemmroids.
• Chronic constipation
• Straining during bowel movements
• Diarrhea and the continuous expulsion of loose stools thus can irritate the walls of the veins, thus causes hemmroids.
• Fecal straining
• Age specially at 45-60
• Pregnancy and child birth
• Lack of regular exercise
• Lack of physical and body movement
• Sitting or standing for a long time, especially sitting on the toilet waiting for the urge

Other Causes of hemmroids may also include:
• Genetic predisposition
• Pressure and strain due to standing for long periods
• Lifting objects that are too heavy
• Vomiting
• Coughing
• Sneezing

• Bleeding during bowel movements and the appearance of bright red blood on toilet paper after you strain to have a bowel movement is the number one hemmroid symptoms.
• Itching and burning are another hemmroids symptoms.
• The feeling of pain and swellings while cleaning your rectal area are also most common hemmroids symptoms.

• Apply hemmroid creams. There are various over-the-counter hemmroid creams containing witch hazel, hydrocortisone or other anti-inflammatory agents that can help reduce swelling and offers hemmroid relief to those who are badly suffering from hemmroids. Hemmroid cream usually contains active ingredients that go directly to the main problem thus providing immediate soothing hemmroid relief.
• Moist wipes. Wiping with moist wipes or moist toilet pads can also reduce and prevent continued irritation of the rectal area thus gives hemmroid relief.
• Applying petroleum jelly or aloe vera gel to the anal area also gives hemmroid relief
• Sitz bath. Soaking in a tub of warm water regularly for about 10 minutes to 15 minutes can help reduce swelling and decrease pain and discomfort.
• Apply Ice on it. Apply a cold compress or an icepack to the affected area can cause hemmroid tissue to numb thus can help reduce the swelling and offers you hemmroid relief.
• Keep the anal area clean. Bathe or shower daily to cleanse the skin around your anus gently with warm water. Soap isn't necessary because it may aggravate the hemmroids problem. Gently drying the area with a hair dryer after bathing can minimize moisture, which can cause irritation
• Zinc oxide lotion. Many people find kind of lotion such as that in diaper rash medicines, to be very relieving and offers effective hemmroid relief. They’ll help reduce the pain and swelling very quickly.
• Aerosol treatments are also good with their numbing properties.
• Take oral medications. You can use acetaminophen, aspirin or ibuprofen for temporary hemmroid relief.
• You will also want to make sure you’re patting down the rectal area instead of wiping and rubbing it after going to the toilet. Unscented baby wipes are highly recommended because they are mild and easy on your skin.

• Apply Hemmroid Cream: Over-the-counter hemmroid cream or corticosteroid creams and wipes containing witch hazel and other anti-inflammatory agents can help reduce pain and swelling. Wiping with moist wipes can also prevent continued irritation of the rectal area while having your hemmroid treatment.
• Take a bath: One of the most common hemmroid treatment is soaking in a tub of warm water for about 10 minutes to 15 minutes can help reduce swelling and decrease pain. Warm baths are excellent way to accomplish hemmroid relief. It 's best if you can soak in the warm water several times a day. It provide immediate relief from pain and itching, increased blood flow to the area that will accelerate healing and clothing and to reduce pressure on the anal area.
• Take plenty of liquids in your daily diet. As much as possible take a minimum of 7 to 9 glasses of water a day. If any one is having bowel disorders this can lead to hemmroids. Because of this many prominent people and physicians stress the importance of taking much water for rapid recovery as one your hemmroid treatment. Try to lose weight. If you're overweight, it could be one contributing factor to your hemmroid.
• Losing weight and being more active will provide hemmroid treatment. Reduce your salt intake as much as possible.
• Try not to sit or stand for a long period. Or try to sit with pillow if you cannot have short breaks to stand. And avoid lifting heavy objects while your doing your hemmroid treatment.

• Hemorrhoidectomy. This kind of hemmroid surgery is commonly reserved for permanently prolapsed or protruding hemmmeroids, these are anal surgeries that are carried out under anesthesia and may require hospitalization after the process. When the hemmroid becomes too large and is already protruding out of the anus all the time, it might be a right time and necessarily be cut off through a hemmroids surgery process called hemmroidectomy. In some cases it might not mean actual cutting off of pieces of hemmroids tissue from the anal walls, but just merely dissecting the swollen hemmroid to remove clotted blood and puss so that the hemmroid can eventually "dry" up with the help of other medication such as ointments and suppositories. Internal hemmroids usually can be destroyed by injecting them with a chemical substance, this is necessary if internal hemmroids are prolapsed or very large.

• Coagulation. This kind of hemmroid surgery is considered best for hemmroids that are still in its smaller shape. It involves the process of burning of hemeriods with the help of electric current or infrared light to burn off or shrivel the hemmroid tissue. Continuous hemmroid treatment results in shrinkage and disappearance of hemmroids.

• Rubber Band Ligation. Any qualified medical practitioner uses a rubber band to tie off the hemmroids at the root so that they wither off and die. By its very nature, this hemmroid surgery method of treatment cannot be applied in the early stages of the hemeroid since the hemmroids are still tiny. It is best suited for hemmreoids that are already hanging out of the anus, or those that are seen and felt as big lumps outside the anal opening. This procedure is based on the fact that hemmroid thrive on regular blood supply. Therefore, if the blood supply is cut off, by tying the vessels that carry blood to the lumpy hemmroids, then this shortage and absence of this blood supply will see to it that the hemmroid will "starve to death", but it takes a couple of weeks for the area to completely heal. This procedure is usually painful and may cause bleeding and because there are no nerve endings in the rectum, no anesthesia is necessary on this kind of hemmroid surgery.

• Sclerotherapy. In sclerotherapy, a chemical solution or substance are injected around the blood vessel to shrink and destroy the hemmroidal tissue.