Quick Hemorrhoids Facts
- About half of the population has hemorrhoids by age 50
- Hemorrhoids usually are not dangerous or life threatening
- Today's treatment methods make some types of hemorrhoid removal much less painful
- The number of hospital hemorrhoidectomies is declining
- Hemorrhoids are more common in whites, in persons of higher socioeconomic classes, and in persons who live in rural areas
Causes and Risk Factors
Hemorrhoids develop from increased pressure in the veins of the anus or rectum. The contributing factors are:
- Straining during bowel movement
- Pregnancy
- Aging
- Chronic constipation or diarrhea
- Obesity
- Heavy lifting
Misdiagnosis
Anorectal conditions that may be misdiagnosed with hemorrhoids:
- fissures
- fistulae
- abscesses
- anorectal irritation
- anorectal itching (pruritus ani)
Treatment Options
A number of methods may be used to remove or reduce the size of internal hemorrhoids. Commonly used techniques include:
- Rubber band ligation. A rubber band is placed around the base of the hemorrhoid inside the rectum. The band cuts off circulation, and the hemorrhoid withers away within a few days.
- Infrared coagulation. A special device is used to burn hemorrhoidal tissue.
- Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemorrhoid.
- Hemorrhoidectomy (surgery). Occasionally, extensive or severe internal or external hemorrhoids may require removal by surgery known as hemorrhoidectomy.
Relieve Burning, Itching and Pain
To relieve symptoms like burning, itching and pain you can try the following methods:
- Over-the-counter creams and suppositories (e.g. Preparation H, Neo Healar). These remedies can help with the symptoms, but unlikely shrink the hemorrhoids
- Apply a cold compress or icepack to the anal area, or try a cool cotton pad soaked in witch hazel
Prevention
- Keep regular soft stool. The best way to prevent hemorrhoids is to keep stools soft so they pass easily
- 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
- Drink plenty of fluids. For most adults, this is the equivalent of 6 to 8 glasses of water daily. This may help to keep soft regular stools
- Practice good personal hygiene. Keep the anal area clean and avoid using rough toilet paper. Baby wipes are excellent alternative for toilet paper
Some Links
- Comparison of hemorrhoids treatment methods
- Comparison of Infrared Coagulation, Rubber Band Ligation, Injection Sclerotherapy and Hemorrhoidectomy.
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