severe hemorrhoids - Initial Examination by a Doctor for Hemorrhoids
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Initial Examination by a Doctor for Hemorrhoids

If hemorrhoids have started bleeding, are too painful to get on with life, have developed a purplish or bluish tinge, or have started protruding through the anus, it's time to see a doctor. However, this can be a quite frightening, not to mention embarrassing proposal at the best of times. Getting all the information on what you can expect from your initial examinations is a good idea, and will both help to bolster your courage and let you make informed decisions on your care.

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Whether your family doctor or the specialist does the examination, the procedure is pretty much the same. After your vital signs are taken and noted by the attendant or nurse, you will be let into a private room, asked to replace your clothing with a hospital gown, and draped completely for your and your doctor's comfort. The draping serves to both make you more comfortable and to provide your doctor with the visual context for proper clinical detachment. Rest assured that your doctor is not judging you, nor does he or she find the physical exam in the least bit embarrassing but rather a normal process. He or she will visually inspect the area, and then probably insert an anoscope to check for internal hemorrhoids. An anoscope is a tapering hollow metal tube that has a visual portal cut out of one quarter of the wall. Because it only allows the doctor to see one quarter of the anorectal canal at a time, a total of four insertions will be necessary. In addition to the anoscope, your doctor may palpitate the exterior of the anus to check for lumps that are deep within the tissues.

The first doctor you'll be going to see will, in all likelihood, be your family physician. There are several good reasons for this, not least of which is that your insurance, if you have any, may refuse to pay a specialist unless your general practitioner recommends it, which means you have to go see said general practitioner first. In addition, while a specialist may know all about your problem, your family doctor knows you and your medical history. Ideally, the two should work together to create the absolute best treatment plan for you, but in addition, your family doctor functions as your advocate and watches out for you. Through knowing you better, he or she can often explain complex things to you more easily, and will be on the lookout for your well being throughout the entirety of your treatment plan.

Surgical Treatment: Based on research from the French national research centre - Centre National de la Recherche Scientifique - thrombosed hemorrhoids are best treated by surgery. A simple inject, slice and squeeze:

The next category of herbal remedies are normally ingested foods that can help treat hemorrhoids. Many brightly colored fruits, such as blueberries, cranberries and cherries contain bioflavonoids which can be of great help by increasing muscle tone and blood circulation. And, of course, most of the fiber supplements on the market today are herbal derivatives such as psyllium seed husks and ground flax seed and come in a plethora of forms. You can get powder to be mixed with water and drank, doses contained in gelatin capsules, or wafers to munch on. Just remember to get plenty of water when adding herbal fiber supplements to your diet, and you should get excellent results.

Definition and Cause: Thrombosed hemorrhoids are mainly internal hemorrhoids that have prolapsed - come out of - our bottoms, the muscles clamp down hard to seal the area off - which is what they are suppose to do - thereby sometimes reducing the blood flow out of the hemorrhoid. When this blood flow out becomes restricted, you may end up with a very painful thrombosed hemorrhoid - a hemorrhoid that lets the blood in, but cant get the blood out as fast. So it swells with blood, the blood develops a clot within it, and the haemorrhoid becomes bluish in color.

3. Injection Sclerotheraphy Injecting certain chemical solution to the swollen tissue of the hemorrhoids is also another method of treatment. Patients who are not really fond of needles have to withstand the sight and the feeling of being injected with needles at this time. Said chemical solution contains something that can close the affected hemorrhoids vein, disallowing blood passage to the area. In this manner, hemorrhoids have the tendency to shrink and eventually heal.

Finally, discuss the hemorrhoid information you find here with your health care professional, to make sure the information is suitable in your situation.

The third classification of hemorrhoid herbal remedies are the ones that affect hemorrhoids most directly through the circulatory system. This set of herbs includes butcher's broom, horse chestnut, and the Japanese pagoda tree. Taken internally, butcher's broom narrows blood vessels, improves and strengthens blood vessel walls, and lessens inflammation and swelling. Horse chestnut improves microvascular circulation, lessens fluid retention and brings down swelling. Japanese pagoda tree extract reduces bleeding, helps maintain vein health, and helps with hemorrhoid symptoms such as itching, burning, or inflammation. Because these herbs are taken internally and they affect the workings of the circulatory system, do not take them if you have a heart or blood condition, and check to make sure that they don't interact badly with any ongoing medication you're currently taking.

Treatment for hemorrhoids depends greatly on the extent or degree of the condition. The kind of hemorrhoids treatment also depends on the attitude of the patient towards the kind of treatment. The following are some of the medical procedures that can help rid off internal hemorrhoids:

2. Laser Coagulation This treatment and procedure involves the use of a laser device. Laser coagulation, as it is also called, is a new medical treatment relief that uses electric current to the hemorrhoids. The electric current found in the laser device enables certain chemical reactions in the hemorrhoids which will result to the shrinking of the inflamed hemorrhoid tissue.

When you go in for your appointment with your family doctor, he or she may not physically examine you at that time. What is sure to occur is a detailed conversation in which your doctor will want to know exactly what has been going on. To make the most out of this initial appointment, it helps to write down every single symptom at a quiet time and place prior to going in to the office. This way, you won't have to worry about forgetting anything, and your doctor is sure to get all of the information they need to help you. If your family physician has the facilities and equipment on hand, he or she may want to physically examine you as well, but some family doctors don't stock specialized equipment due to space concerns. Seeing as they are the first people everybody comes to in the event of an ailment, if they kept all of the specialized medical equipment in existence on hand, there would be no room for people in their offices! So, in all likelihood your doctor will then refer you to a specialist and help you make an appointment.

There are several categories of herbs that qualify as hemorrhoid treatments. The first, and most commonly used, are astringents. This classification covers such hemorrhoid standbys as witch hazel, aloe vera gel, and apple cider vinegar. In short, these herbal extracts reduce inflammation and cause hemorrhoidal tissue to dry out, thus reducing pain, irritation, and itching. Witch hazel and aloe vera gel come in the form of medicated wipes that can be used to pat the area. Apple cider vinegar is generally used on a moistened sterile cotton ball or swab. While many hemorrhoid sufferers find that witch hazel and aloe vera are more effective than apple cider vinegar, if you have vinegar on hand, it does offer enough immediate relief to plan for the future. While medicated pads can't be used directly on internal hemorrhoids, 99% pure aloe vera juice is available as a drink that may assist. A less common herbal astringent is a poultice made from the roots or rhizomes of cranesbill, mashed and used as a poultice. Each and every person reacts differently to various herbs, so if one doesn't work it may be worth your time to try another.

 
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1. Rubber Band Ligation This is the usual treatment being undertaken by those who have small to medium sizes of hemorrhoids. This procedure does not necessarily require the patient to check-in at the hospital since this is only an out-patient procedure. Rubber Band Ligation is a kind of internal hemorrhoids treatment in which a small rubber band is being placed at the base of the internal hemorrhoid. The placement of a rubber in the said affected area cuts off blood supply to the hemorrhoid. Restricting blood flow to the inflamed hemorrhoid vein can help it to shrink and eventually to fall off within four to seven days after the Rubber Band Ligation.

The recurrence of a thrombosed hemorrhoid is quite low once it has been dealt with by the knife. Non-surgical Treatment: If the thrombosed hemorrhoid is not too bad, the doctor may suggest you use the old tried and true method of sitting in a warm sitz bath, essentially a nice warm bath with a bit of salt / epsom salts or similar thrown in to sterilise and prevent hemorrhoid infection, as well as calm the affliction. The warm water helps the area to relax and for the blood vessels to open more, thereby allowing the blood to flow back out. If it works, your hemorrhoid pain should lessen markedly, if not completely.

Personal Experience and Other Information: Due to the high pain often generated by a thrombosed hemorrhoid, anything short of immediate relief is not likely to be something you'll be prepared to wait round for. From my perspective, as someone who has suffered with a thrombosed hemorrhoid, the inject, slice and squeeze technique is best. Mine was conducted in the local hospital as an emergency out patient. Never had a recurrence, never want to. No other hemorrhoid pain compares to it.

Internal hemorrhoids can also manifests as unusual pains in the anus. There are internal hemorrhoids, though, that can be noticed easily because its sac-like protrusion from the inside reaches the outer lining of the anal canal due to intense swelling and inflammation. This causes the dangling protrusion effect that sometimes can be mistaken as en external hemorrhoid.

After the physical examination, You will be given time to redress, and then the doctor will come back in to discuss what was found with you. At this time you should ask any and all questions you may have so that you are fully informed. During the discussion, the doctor will make recommendations for your treatment plan, which may range from instructions to follow at home all the way up to surgery. If the physical examination was done by the specialist, you should feel free to discuss everything with both the specialist and your family doctor. In addition, further referrals to other specialists will be given to you at this time. After that, you should be well on your way to getting rid of your hemorrhoids for good.

Using herbal remedies for hemorrhoids is a natural extension of hemorrhoid treatment. Most doctors will tell you that the vast majority of hemorrhoids are best treated at home, and many of the most common home remedies, such as witch hazel, are herbal in nature to begin with. However, the large and unfamiliar territory of herbal remedies can be daunting, to say the least. It helps greatly to know what herbs work on hemorrhoids, what they do, and how to use quality herbal remedies effectively.

Not happy with the doctor?


Every doctor should respect your dignity, your privacy, and your right to be informed at all times. If any doctor does not, feel free to ask your family doctor about the problem. Perhaps your general practitioner may be able to help resolve misunderstandings, or can refer you to a different specialist who will be better suited to you. If your family doctor falls down in this regard, it's time to find a new family doctor. Feel free to interview general practitioners to find the best fit for you. Be respectful of their time and education, but remember that they are there to help you. With patience and respect on both sides, you should have no more troubles.

Among the two, the internal hemorrhoids are always left unnoticed at first. Because it is found inside the anal canal, it cannot be easily detected. The person having hemorrhoids can only realize that he or she is having it when there is already bleeding or a stain of blood got mixed with the stool.

Inject the adrenaline anesthetic into the hemorrhoid, which both deadens the area to pain and coagulates the blood in the hemorrhoid - this stings at first. Slice the offending hemorrhoid open and squeeze the coagulated blood out. If the hemorrhoid was particularly large as the result of the thrombosis, it can take several minutes for all the contents to be squeezed out, but at this point, you shouldn't feel a thing. In fact, when you walk out the door, you will be pain free and should have no further pain from a thrombosed hemorrhoid - this is one very simple surgery that results in substantial pain reduction immediately.

Concluding Remarks


Many people have found relief from hemorrhoid symptoms and from hemorrhoids themselves by taking advantage of herbal remedies. Herbal remedies also carry a few other advantages, such as being less expensive than other treatments and many are widely available. Remember to use common sense and only get your herbal remedies from reputable companies, and, with luck, your hemorrhoid problems will be over.

There are two types of hemorrhoids - the internal hemorrhoids and the external hemorrhoids. The only difference between the two kinds of hemorrhoids is it placement in the anus area. Internal hemorrhoids are located inside the anal canal, while external hemorrhoids are found outside the verge of the anal canal or rectum.

The down side of this home remedy, is that the thrombosed hemorrhoid may return. The sitz bath may be seen as a cure, in that the hemorrhoid has the blood let back out of it and the symptoms abate. Regrettably, the sitz bath may not be a long acting cure for some; once the hemorrhoid comes back out, there is a risk of it becoming thrombosed again.


4. Hemorrhoidectomy


The surgical procedure in removing hemorrhoids is also known through its medical term "Hemorrhoidectomy." This surgical procedure should involve the expertise of the doctor or surgeon who is doing the operation. This internal hemorrhoids treatment scrapes off the dangling sac-like protrusion of the hemorrhoids as well those remaining swollen hemorrhoids tissues inside the anus. This is usually applicable to higher grades of hemorrhoids.


Wright Wright

 
 
     
 
 





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