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Hemorrhoids should strictly limit time straining during bowel

swelling and inflammation of veins in the rectum and anus movement


cushions of tissue filled with blood vessels at the junction Wearing tight clothing and underwear will also contribute
of the rectum and the anus to irritation and poor muscle tone in the region and
promote hemorrhoid development ->wearing only very
Causes lightweight underwear
increased straining during bowel movements caused by
constipation or diarrhea may lead to hemorrhoids Fluids emitted by the intestinal tract may contain irritants that
 a common condition due to constipation caused by may increase the fissures associated with hemorrhoids.
water retention in women experiencing Washing the anus with cool water and soap may reduce the
premenstrual syndrome or menstruation swelling and increase blood supply for quicker healing and may
remove irritating fluid.
Hypertension, particularly portal hypertension, can also
Treatments
cause hemorrhoids because of the connections between
 hemorrhoids are mild and temporary conditions that heal
the portal vein and the vena cava which occur in the rectal
spontaneously or by the same measures recommended
wall—known as portocaval anastomoses
for prevention
Obesity can be a factor by increasing rectal vein pressure.
 local treatments such as warm sitz baths, using a bidet,
Poor muscle tone or poor posture can result in too much
extendable showerhead, cold compress, or topical
pressure on the rectal veins
analgesic (such as Nupercainal, and Polysporin), can also
Cigarette smoking during bowel movements, may worsen provide temporary relief
hemorrhoid, may lead to severe internal bleeding of veins  Especially in the case of external hemorrhoids with a
inside rectum area. Both can cause diarrhea. Note that
visible lump of small size, the condition can be improved
caffeine ingestion increases blood pressure transiently, but
with warm bath causing the vessels around the rectal
is not thought to cause chronic hypertension. Alcohol can
region to be relaxed
also cause alcoholic liver disease leading to portal
hypertension.  Consistent use of medicated creams ( Polysporin Fast
Healing Ointment ) during the early stages of a
Symptoms hemorrhoid flare-up will also provide relief and may
stave off further development and irritation.
The most common symptom of internal hemorrhoidial  However, creams containing steroid preparations
radiation is bright red blood covering the feces
weaken the skin and may contribute to further flare-ups.
(hematochezia), on toilet paper, and/or in the toilet bowl.
 However, an internal hemorrhoid may protrude through  Keep the area clean and dry, with some lubrication
the anus outside the body, becoming irritated and provided by hemorrhoidal creams or a lubricant.
painful. This is known as a protruding hemorrhoid.  Ointment or suppositories such as Proctosedyl and Faktu
Symptoms of external hemorrhoids may include painful can also relieve the symptoms
swelling or a hard lump around the anus that results
when a blood clot forms. This condition is known as a Hemorrhoidectomy
thrombosed external hemorrhoid. A true surgical procedure to excise and remove
hemorrhoids. Has possible correlation with incontinence
Food issues later in life; in addition, many patients complain
○ Insufficient liquid can cause a hard stool, or even that pain during recovery is severe. For this reason is
often now recommended only for severe (grade IV)
chronic constipation, which can lead to hemorrhoidal
hemorrhoids.
radiation.
○ An excess of lactic acid in the stool, a product of
excessive consumption of dairy products, such as
yogurt, can cause radiation; reducing such consumption
can bring relief.
○ Vitamin E deficiency is also a common cause. Eating
spicy food does not cause hemorrhoids, though spicy
foods may aggravate the condition
○ External hemorrhoids are those that occur outside the
anal verge (the distal end of the anal canal). Specifically
they are varicosities of the veins draining the territory
of the inferior rectal arteries, which are branches of the
pudendal artery. They are sometimes painful, and can
be accompanied by swelling and irritation. Itching,
although often thought to be a symptom of external
hemorrhoids, is more commonly due to skin irritation.
○ External hemorrhoids are prone to thrombosis: if the
vein ruptures and/or a blood clot develops, the
hemorrhoid becomes a thrombosed hemorrhoid.

Prevention
 drinking more fluids
eating more dietary fiber (such as fruits, vegetables and
cereals high in fiber) (20 to 25 grams daily)
 exercising
 practicing better posture
reducing bowel movement strain
time avoid using laxatives

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