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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Another thing you should do after you know how to cure hemmroid is for you to know how can you prevent your hemmroid. As the saying says, still prevention is better that cure.

To help prevent hemmroids or hemmroidal flare-ups:

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

At the end, the only message i can give to all the hemmroid sufferers is that nothing is impossible in this world if you have the right knowledge and determinationon how to cure hemmroids problems in persistently. If we are the one who created the problem, intentionally or unintentionally, then only we are the only to cure it. So, do not expect any miracle to happen to make you hemmroid-free. Its you and only you who will have to make efforts.

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.
herb

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.

• 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.

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

Other causes of hemmroids includes:

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

Other contributing factors that causes hemmroids are:

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

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

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

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

o External (outside) hemmroids develop near the anus and are covered by very sensitive skin. These are usually painless. However, if a blood clot (thrombosis) develops in an external hemmroid, it becomes a painful, hard lump. The external hemmroid may bleed if it ruptures.

o Internal (inside) hemmroids develop within the anus beneath the lining. Painless bleeding and protrusion during bowel movements are the most common internal hemmroid symptom. However, an internal hemmroid can cause severe pain if it is completely "prolapsed" protrudes from the anal opening and cannot be pushed back inside.

What are Hemmroids Symptoms

If you notice any of the following, you could have hemmroids:

• Bleeding during bowel movements
• Protrusion during bowel movements
• Itching in the anal area
• Pain
• Sensitive lump(s)

Hemmroid Treatment

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

However, probably 95% of patients with hemmroid trouble can be treated without hemmroid surgery. The principles of non-operative treatment of hemmroids are:

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

With these measures, the pain and swelling of most symptomatic hameriods will decrease in two to seven days, and the firm lump should recede within four to six weeks. In cases of severe or persistent pain from a thrombosed hemmroid, your physician may elect to remove the hemmroid containing the clot with a small incision. Performed under local anesthesia as an
outtpatient, this procedure generally provides relief.

Severe hemmroids may require special treatment, much of which can be performed on an outpatient basis.

• Ligation – the rubber band treatment - works effectively on internal hemmroids that protrude with bowel movements. A small rubber band is placed over the hemmroid, cutting off its blood supply. The hemmroid and the band fall off in a few days and the wound usually heals in a week or two. This procedure sometimes produces mild discomfort and bleeding and may need to be repeated for a full effect.

• Injection and Coagulation can also be used on bleeding hemmroids that do not protrude. Both methods are relatively painless and cause the hemmroid to shrivel up.

• Hemmroid stapling – this is a technique that uses a special device to internally staple and excise internal hemmroidal tissue. The stapling method may lead to shrinkage of but does not remove external hemmroids. This procedure is generally more painful that rubber band ligation and less painful than hemorroidectomy.

• Hemmroidectomy – surgery to remove the hemmroids - is the most complete method for removal of internal and external hemmroids. It is necessary when (1) clots repeatedly form in external hemmroids; (2) ligation fails to treat internal hemmroids; (3) the protruding hemeoriods cannot be reduced; or (4) there is persistent bleeding. A hemmroidectomy removes excessive tissue that causes the bleeding and protrusion. It is done under anesthesia using either sutures or staplers, and may, depending upon circumstances, require hospitalization and a period of inactivity. Laser hemmroidectomies do not offer any advantage over standard operative techniques. They are also quite expensive, and contrary to popular belief, are no less painful.

And in order for your hemeroid to keep it from coming back, you should try to avoid what causes of your hemmriods. But you should have to consult your doctor if hemmroid conditions becomes worse.

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

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

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

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

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

• If you have hemmroids, one way to get rid of your hemmroid is the need to have regular bowel movements When you go into the bathroom, go in there to have a bowel movement. Don't take a newspaper, magazine, or book to read because that keeps you in there longer. Sitting for long periods on the toilet puts pressure on your rectum and anal veins. This long sit will eventually leads to hemmroids or aggravates the hemmroids you already have. So, you don't want to sit there longer than necessary.

• And for sure, don't strain and push to have a bowel movement. This is a sure way to enlarge your hemeoriods. If your stools don't want to come out don’t force it and just wait for the urge.

• If you have a job where you have to sit all day, get up and walk around every hour or as often as you can.

• You also need to exercise if you want to get rid of hemmroids. A daily fast walk around a few blocks is the best. Yoga is also very helpful, since it helps to stretch colon and anus muscles, and revive circulation. Any exercise you do will be helpful. Another exercise to do is on a rebounder. A rebounder exercises every part of your body and helps to force your lymph liquid into the lymph nodes for detoxification. This will help you to recover from any condition you might have quicker.

• The other exercise that you can do is an anus exercise. You do this by pushing down like if you are going to have a bowel movement and then pull back. Do this for a few minutes. This will help to build the tissue in that area and to bring new blood to remove the toxins that build up in that area.

• Drink more water. You need water for fiber to work and to help your stool softens.

• Eat more high-fiber foods, which will help prevent constipation. Good sources of fiber include breakfast cereals such as All Bran, Fiber One, Bran Buds, which have approximately 10 grams of fiber per serving. Check the box to be sure. Fresh fruit, beans, prunes, raw or cooked vegetables, especially asparagus, cabbage, carrots, corn, and broccoli, are also good sources of fiber. Try to have 20-30 grams of fiber per day (or more) in your diet.

• Hemmroids can be surgically removed but post-operative pain can make this an unpleasant experience. In addition, stitches often break during bowel movements soon after the hemmroid surgery. Infection is a common problem after this procedure. Thrombosed hemmroids generally must be treated surgically, though.

• In another surgical procedure, veins are stapled back into place. This is usually used for prolapsed hemeoroids. Recovery can be painful. Infection is also common. In rare cases, the internal anal sphincter can be damaged.

• Laser treatment is another option. Lasers are used to shrink the hemmroids. Multiple treatments may be required.

You can do all the things for preventing hemmroids and constipation, but if you do not exercise regularly, it will be hard to get rid of hemmroids and even constipation. So plan to exercise, it is good for life and not just good for hemmroids and constipation. Keeping regular with easy flowing bowel movements and regular exercise can help you reduce or even prevent hemeriods. But to get rid of hemmroids, you will need to make sure you are not constipated. Constipation is the cause of hemmroids.

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

External hemmroids like other hemmroids, also bring you pain and discomfort. Though there is no difference in terms of pains, external hemmroids can be easily distinguished from other hemmroids because of its location.

Hemmroids are a form of vericose vein. Hemmroids occur when the veins in and around the rectum or anus become swollen. External hemmroids are located near the anus and feels like a large lump. It is sensitive to the touch and can be noticed with the fleshy growth. and will bleed if it is ruptured. Inspect the infected area and flashy growth. You may get confused about the strangulating lumps-which are symptom of internal hemmroid- as that of external hemmroid. The basic cause behind external hemmroid is said to be straining of veins of anal opening. When external hemmroid becomes larger in shape it is called as Thromboses external hemmroid. You can distinguish thromboses hemmroid by lump formation or swelling around anus. Further thromboses hemmroid gives you severe pains. You may face problems like bleeding around rectal region, itching and irritation.

External Hemmroids Causes

Hemmroids are commonly caused by too much pressure in the rectum. This will force blood to stretch and bulge in the walls of the veins, sometimes rupturing them. The most frequent causes of external hemmroids are as follows:

• Pregnancy
• Diarrhea
• Constipation
• Constant sitting

External Hemmroids Symptoms

The symptoms of external hemmroids are much more obvious than those of internal hemmroids:

• Bleeding: Usually seen after bowel movement and a common symptom of hemmroids. There will be blood on the toilet paper or in the toilet bowl.

• Pain: External hemmroids are extremely painful. This is the common reason why external hemmroids are detected.

• Itching: The anus area may feel a little irritated and itchy. Do NOT scratch it even though the urge to do so is very strong.

• Lumps: Sensitive lumps around the anus are also an obvious symptom that you have external hemmroid.

External Hemmroids Treatments

Following remedies are suggested to gain temporary relief from external hemmroids. However, it is always better to consult your doctor who will guide you the right remedy according to condition of your hemmroid.

• Lukewarm bath procedure: This is a self-method and you can perform it yourself at home. No medicines are involved in this method. You just need a tub to perform this. Pour lukewarm water in the tub, dip affected area in the water and sit for 10 to 15 minutes. Continue this procedure regularly for some days. This will surely give your some hemmroid relief. Never forget to dry the area dipped in the water, after completing sitting. Wetness of area may lead to itching and irritation and subsequently result in worsening of hemmroids.

• Ice-packs may also provide your some relief. Just take few ice blocks, wrap it in the cloth and use on affected area -apply and withdrawal cycle.

• If you are office worker requiring prolonged sitting in chairs - you must use cushions. Softness of cushions will decrease pressure on veins and give you some relief.

• Clothing plays important role in reducing your discomfort caused by hemmriods. Always use loose undergarments. Skin-fitting clothes may increase pressure on external hemmroids and add to the pains.

• Dietary control like increasing quantity of fluids and more in take of fibrous food may also help you in getting relief.

• Applying Cream: Creams that treat external hemmroids should be available at any pharmacy. Almost any cream containing witch hazel will work and help reduce the swelling, itching and pain of the hemeriods lump.

• Most Wipes: Wiping with toilet paper that is dry may irritate external hemmroids. Instead, use moist wipes or just wash down after bowel movement. Medicated pads containing witch hazel (a natural medication) can also be bought from pharmacies. It can help reduce the swelling of your hemmroid and more importantly, relive some of the pain that comes with having external hemmroids.

You can use allopathic medicines as well as herbal medicines to get relief from external hemmroids. If your hemmroids are considerably larger in shape and more painful, you may opt for hemmroid surgery. There are other remedies like herbal medicines and homeopathic medicines available for treating hemmroids. But remember, your doctor will be the right man to decide and prescribe the right treatment for your external hemmroids.

Hemmroid surgery, or hemmroidectomy, is a surgical procedure to remove hemmroids. Hemmroids occur when an increase of pressure in the veins around the anus and rectum causes them to become swollen and stretched. They may result from a number of factors such as straining during a bowel movement , pregnancy, prolong sitting, overweight, chonic constipation and a like.

In hemmroid surgery, hemmroidal tissue and excess tissue around the anal canal is surgically removed (excised). The procedure is typically performed in a hospital or surgery center by a surgeon who specializes in colon and rectum surgeries. An overnight hospital stay is usually required, but in some cases the procedure may be performed on an outpatient basis. Hemmroidectomy is highly effective, but recovery is similar to recovery from other surgeries and may be initially painful.

Hemmroidectomy is important in the treatment of extensive or severe hemmroids. It can be used in the treatment of both internal hemmroids and external hemmroids, as well as those that occur both internally and externally at the same time. It is not generally used for mild- to-moderate hemmroids. However, it may be used to treat less severe hemmroids if other treatment options (e.g., stool softeners, sitz baths) fail.

Hemmroidectomy is also useful in the treatment of patients who have developed certain complications. Persistent bleeding may only be effectively treated with the removal of the hemmroids, although less severe bleeding can be treated with other therapies. When blood clots form inside hemmroids, the hemmroids must usually be removed.
Recovery from hemmroidectomy generally takes between two and three weeks. The risk of hemmroid recurrence is much lower with hemmroidectomy than with other methods of hemmroid treatment.


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

Hemmroid surgery is the most effective treatment for hemmroids. However, it does pose potential risks. Urinary retention, urinary tract infections , fecal impaction and bleeding are the most common complications of the procedure. Alternatives to hemmroid surgery include many minimally invasive techniques, especially rubber band ligation and coagulation (e.g., infrared coagulation, electrocoagulation). New techniques for treating hemmroids are also being developed.


Before hemmroid surgery, the physician will explain the procedure and answer any questions the patient may have. The patient will then be instructed to sign an informed consent form.
The patient will typically be placed on a special, low-residue diet for several days prior to the surgery. A low-residue diet contains very few foods that can become caught in the colon. This helps keep the colon clean for the surgery. The patient’s hemmroids will be evaluated. External hemmroids will be examined, with particular attention to size, evidence of bleeding and the presence of drainage. Stool softeners and an enema may be used just before the surgery to prepare the bowels. The rectal area will then be cleansed. This may involve a sitz bath, in which the patient sits in a small amount of warm water. After it has been cleansed, the rectal area may be shaved.

Hemmroid surgery procedure

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

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

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

After hemmroid surgery

Like with many surgical procedures, pain and discomfort are common following a hemmroid surgery. However, medications are prescribed to relieve the pain and Sitz baths may be used to relieve discomfort and promote healing.

The patient’s vital signs are monitored regularly during the period immediately after the hemmroid surgery. The rectal area is monitored hourly for bleeding. Any excessive bleeding is treated. This may be accomplished by inserting a balloon-tipped catheter into the rectum. The balloon tip places pressure on the bleeding area, stopping the bleeding. Prescription ointments may be applied to the rectal area to help it heal and to relieve pain. Dressings, typically pads, are changed frequently.

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

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

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

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

Hemmroid benefits and risks

Hemmroid surgery (hemmroidectomy) is the most effective treatment for hemmroids. It frequently eliminates hemmroids with no recurring symptoms. When symptoms do recur, they are rarely severe enough to require additional surgery. However, hemmroidectomy does pose certain risks. Complications can be minimized with proper surgical technique during the procedure and adequate pain control, attention to fluid intake and proper use of bulking laxatives and stool softeners after the surgery. Patients are urged to discuss the use of laxatives with their physicians. Complications of hemmroidectomy may include:

• Pain. Pain is very common following hemmroid surgery, as with many other surgeries. The degree of pain varies between patients. Pain relievers are administered to relieve pain.

• Urinary retention. Difficulty emptying the bladder. This temporary complication may occur, depending upon several factors. These include the amount of fluids given during and after surgery, the degree of pain the patient experiences and whether the patient has a history of difficulty emptying the bladder. In some cases, patients may require a catheter to drain the bladder. The need for catheterization can be reduced by limiting fluid intake and using pain medications and warm sitz baths. A physician will be able to determine the risk of this complication and suggest proper levels of fluid intake and other prevention and treatment measures.

• Urinary tract infections. These occur in some patients and may be a result of urinary retention.

• Fecal impaction. A mass of hardened feces becomes lodged in the rectum. This may be due to the pain following surgery, which worsens with defecation. This may cause patients to hold in their stool to lessen their pain. Holding in stool is a common cause of fecal impaction. The use of narcotic pain relievers may also be a factor. Bulk fiber, stool softeners and stimulant laxatives are generally effective in preventing fecal impaction. In some cases, fecal impaction may require manual removal while the patient is anesthetized.

• Delayed bleeding. A few patients may experience bleeding seven to 16 days after hemmroid surgery. It is generally believed to be caused by the shedding of tissue that has been operated on and tends to require closing with stitches.

• Anal stenosis. Narrowing of the anal canal. This is a long-term complication. It may result from the removal of too much tissue around the hemmroids.

• Submucosal abscess. An infection of the tissue just below the anal or rectal lining, resulting in an abscess (a collection of pus). This is a very rare complication that, even more rarely, can result in death.

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

However, hemmroid surgery is not always an option. For example, it is not used in patients with Crohn's disease of the rectum, which is a form of inflammatory bowel disease. In this condition, the intestinal tract is easily irritated. Hemmroid surgery on a patient with Crohn’s disease is much more likely to cause serious complications. In cases such as these, the risks of hemmroid surgery outweigh the benefits.

• 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.