Hemorrhoids: Painless Rectal Bleeding
Hemorrhoids are varicose kind veins of the anal area. They are very similar to a surgical glove squeezed in the fingers to produce a large spare tyre. These bulges filled with blood coagulate and form clots. This particular stretching of the blood vessel is painful, and the clot maintains stretching of the vein producing continued soreness. Brand new straining following original development of the clot, i.e. from constipation, bowel movements, work or some other form of constriction of the abdomen can further stretch this already widened blood vessel and forms a new thin layer around the clot increasing the clot dimension causing more and more continued pain.
This thin stretched vessel has pressure receptors in it that are perceived as pressure pain and can be inflamed by sitting, direct trauma, toilet paper or restraining. In the event that you've ever had them, you know how uncomfortable they may be. Also called "piles", they occur for a number of reasons. One cause is gravity. The veins from higher up on the anus start to decrease down due to the laxity of the tissue as we grow older. Another cause is the pelvic congestion due to prolonged sitting, straining with heavy lifting or trying to have a bowel movement, or perhaps by the pelvic congestion of pregnancy. Initial symptoms can be a tad alarming. Maybe it's a small amount of fresh blood on the tissue paper after a bowel movement. Then there is the obscure itching, generalized discomfort and downright pain that can accompany hemorrhoids. Add to that the discovery of "lumps" in the area by the sufferer, and you have the makings of a panic.
Imagine for a Moment that You are Looking Into the Anal Area Through an Anoscope
There is a circular line around the mucosa where muscle tissue attach to the outer anal sphincter called the "dentate" (or "pectinate") line. If hemorrhoids tend to be above the dentate line, they are called "external," and should they be below the dentate line they are called "internal." The external ones are more easily seen and felt, while a person may be unaware that they have internal hemorrhoids.
We Will Not Know for Sure What Percentage of the Population Receives Hemorrhoids
In the us the number who existing for medical care of hemorrhoids are about 4%. In Great Britain, where they have Socialized Medicine, about 30% of patients present for treatment of this condition. We know in the us that the sale of over-the-counter products for them goes into the billions of dollars.
Difference between Anal Cancer and Haemorrhoids - Anal Cancer VS Haemorrhoids
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People who have occupations that require prolonged sitting, for example like truck drivers, get hemorrhoids, as do people who do a lot of heavy lifting. Fighter pilots get hemorrhoids from gravity and also fighting against G-forces. Pregnant females get hemorrhoids, mentioned above previously, from pelvic congestion, but later from moving the baby out during the latter part of labor. Probably the most common cause is straining at bowel movement secondary to chronic constipation.
What are the treatment options for hemorrhoids? Well, believe it or not, increasing fiber in the diet is an excellent treatment for all signs.. Stool softeners haven't been found to help that much. Fiber decreases bleeding and irritative signs and symptoms. Witch Hazel and glycerin astringent wipes can be very soothing to painful hemorrhoids and also can often relieve itchiness. Sometimes, warm sitz baths several times a day can help, as well as sitting on an inflatable "doughnut" support (decreases direct pressure and pinching). If there is an acute clot in a hemorrhoidal vein, it may respond to intermittent ice packs. Occasionally, the E.R. or family doctor can make a tiny cut in the hemorrhoid and let the clot away, resulting in great relief and also final healing.
What are the physician treatments of hemorrhoids? One of the most effective is the outpatient application of unique rubber bands to the hemorrhoids. A patient can have up to three bands a week. Some doctors sclerose (inject it with irritant substance to cause it to shrink) the hemorrhoids by injecting them with 5% oily phenol, but the results are not as good as with banding.. Some clinics make use of infrared coagulation, cryotherapy (freezing), or various forms of cautery with mixed results. Any time hemorrhoids are too severe, either open or closed, hemorrhoidectomy will be done in the operating room. The results are generally good, but the time in order to recovery can be lengthy. There have been some good operative results with simply tying from the hemorrhoidal artery.
So, what's the take-home message? Hemorrhoids are the most common cause of bright red anal bleeding, itching and pain, but this simply can not be assumed in every circumstance. The doctor is going to have to examine your anus. There are plenty of other things that may cause these symptoms. Please leave your embarrassment in the waiting room and tell the doctor what's been going on. The one thing to keep in mind when sitting in the waiting room is you're not alone, and the more open you are with your doctor the better help he/she can provide for you to acquiring better. If you are over 50 or have risk factors for colon cancer, you probably need anoscopy and colonoscopy. These are very benign tests in this day and age. Once all the more serious options have been ruled out, then you can start a comprehensive program to treat and handle hemorrhoids, and you will "live happily ever after."
John Came Laurusonis M.D.
Doctors Medical Center.
Kory S. Ford
Kory is a writer at utitreatment.info, a web site about alternative health issues. Last year, Kory worked as a post curator for a well-known high tech web site. When he's not researching content, Kory enjoys working out and roller skating.