Hemorrhoids, or piles, result from the swelling and abnormal enlargement of veins
in the anal cushions surrounding the rectal area. It’s basically the same as varicose
veins on the legs.
There are progressive stages of severity with the first and second degrees considered
manageable while the third and fourth degrees considered severe and needing more
potent medication if not surgery.
It’s important to know the main cause of hemorrhoids in order to treat them. Once
you have it, symptoms can be alleviated but there is no known cure. Unfortunately
the precise cause remains a mystery. If you were born with weak connecting tissues
between the anal cushions and the underlying muscles, you get more susceptibility
Aggravated by constipated bowel movements or frequent passing of hard feces, the
anal cushions get stressed to slide out of the anus so you get hemorrhoids. Other
than pregnancy and advancing age, the most common immediate cause is stressful bowel
movements. If you're constipated and passing hard or infrequent feces, you are stressing
your anal linings to cause them to fall out of your rectum.
Most hemorrhoids can be relieved or alleviated with the proper diet regimen and home
medication. Surgery is reserved for the more painful advance stages when even sitting
can be impossible. Over-The-Counter anti-hemorrhoid medication are available that
are known to relieve the symptoms of hemorrhoids.
• Go into a high fiber diet with lots of liquids to preclude constipation and the
passing of hard feces. Fiber supplements like ispaghula husk (e.g. Fybogel) or
mild laxatives like lactulose will soften feces and pass them easily.
• Soothing creams and gels containing corticosteroids like Proctosedyl and Anugesic-HC
or local anesthetic like lidocaine can reduce swelling and pain.
• There are herbal and kitchen concoctions that can help alleviate the discomforts
and shrink hemorrhoids. Check the net for home herbal treatments.
This is resorted to if home medication doesn’t work.
• Banding -Using an endoscope, the surgeon inserts an elastic band into the rectal
passage above the hemorrhoid tissues. This cuts of the blood supply into the pile
causing the hemorrhoid to dry and fall of within days.
• Sclerotherapy -Your piles are injected with a special solution which makes them
shrivel up and die. This is quite effective for first and second degree hemorrhoids.
Severe hemorrhoids that can’t be relieved with home medication and non-surgical treatment
will have these as a last resort.
• Haemorrhoidectomy-This is the conventional surgical removal of piles and requires
general anesthesia. The surgeon will excise the protruding pile and cut off the blood
vessels feeding it. The wound will heal on its own.
• Stapled haemorrhoidopexy -An alternative surgical method using a medically-designed
circular stapler inserted into the rectum to remove a circular pile of tissue above
the hemorrhoid growth. This pulls back the protruding tissue into the anal canal
and reduces blood flow into the piles resulting in shrinkage of the hemorrhoid tissue.
This procedure results in faster healing but carries greater risk of hemorrhoids