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 make a large bulge. These bulges filled with blood coagulate and form clots. This particular stretching of the blood vessel created pain, and the clot maintains stretching of the vein causing continued soreness. Fresh straining after original creation of the clot, i.e. from constipation, bowel movements, work or some other type of constriction of the belly can further stretch this already broadened blood vessel and forms a new thin layer throughout the clot increasing the clot dimensions causing more and more continued pain.
This thin stretched vessel has pressure receptors in it that are perceived as pressure pain and can be painful by sitting, direct trauma, toilet paper or restraining. If you've ever had these, you know how uncomfortable they may be. Also referred to as "piles", they occur for a number of reasons. One cause is actually gravity. The blood vessels from higher up on the anus start to drop down due to the laxity of the tissue as we grow older. Another cause is the pelvic congestion brought on by 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 little bit alarming. Maybe it's a small amount of fresh blood on the tissue paper after a bowel movement. Then there is the hazy itching, generalized discomfort and downright pain that can accompany hemorrhoids. Add to that the discovery of "lumps" in the area by the victim, 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 wherever muscle groups attach to the outer rectum called the "dentate" (or "pectinate") line. If hemorrhoids are usually above the dentate line, they are called "external," and if they are 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 america the number who existing for medical care of hemorrhoids tend to be about 4%. In Great Britain, where they have Socialized Medicine, about 30% of patients present for treatment of this condition. We all know in america that the sale of over-the-counter products for them goes into the billions of dollars.
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 fighting towards G-forces. Pregnant girls get hemorrhoids, mentioned above previously, from pelvic congestion, but later from pressing the child out during the latter part of labor. Probably the most common cause is straining at bowel movement secondary to chronic constipation.
Difference between Anal Cancer and Haemorrhoids - Anal Cancer VS Haemorrhoids
Hemorrhoid . Everyday health hemorrhoids vs. Colon cancer and how to know the difference stopcoloncancernow cancer hemorrhoids vs colon cancer "" " .
What are the treatments for hemorrhoids? Well, believe it or not, increasing fiber in the diet is a wonderful treatment for all signs and symptoms.. Stool softeners haven't been found to help that much. Soluble fiber decreases bleeding and irritative signs. Witch Hazel and glycerin astringent wipes can be very soothing to painful hemorrhoids and also can often relieve itching. 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 doctor can make a tiny cut in the hemorrhoid and let the clot out, resulting in great relief and also last healing.
What are the physician treatment options of hemorrhoids? Certainly one of the most effective is the outpatient application of unique rubber bands to the hemorrhoids. A patient can have around three bands a week. A few physicians sclerose (inject it with irritant substance to cause it to shrink) the hemorrhoids by injecting them with 5% slimy phenol, but the results are not as good as with banding.. Some clinics use infrared coagulation, cryotherapy (freezing), or various forms of cautery with mixed results. Whenever hemorrhoids are too severe, either open or closed, hemorrhoidectomy is done in the operating room. The results are generally good, but the time to be able to recovery could be prolonged. There have been some good operative results with simply tying from the hemorrhoidal artery.
So, what's the take-home message? Hemorrhoids are probably 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 which can cause these symptoms. Please leave your shame in the waiting room and tell the doctor what's been going on. The one thing to remember 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 getting 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 significant possibilities have been ruled out, then you can start a comprehensive program to treat and manage hemorrhoids, and you will "live happily ever after."
John Came Laurusonis M.D.
Doctors Medical Center.