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Thursday, December 1, 2011

Best remedy for hemorrhoids

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  • The secret Chinese "Fargei" remedy that they don't want you to learn ... even Chinese herbalists don't always know this.
  • The exact 4-element diet that I used to get rid of huge-sized piles in a matter of 4 days.
  • The RAW TRUTH on why most creams and suppositories simply don't work for a lot of people ....
  • 5 secret root extracts (when combined) will soothe inflammation and improve venous flow by 300%. Lasting results fast!
  • How to shrink your hemorrhoids even if they are over the size of a golf-ball literally. Even 3rd or 4th degrees can be gone fast.
  • My time-tested 60 second exercise to forever end constipation. Never be bothered with it again.
  • The one "aroma" ingredient that makes the difference between a average digestive feeling and a great one.
  • "Nature Stool" method that will ensure you never cause unnecessary pressure down there.
  • 5 fruits and vegetables that will ensure you NEVER have a hemorrhoid ever again. Eat these just once a week if you'd like.
  • Reverse the debilitation effects of stress that may be aggravating your hemorrhoids at this very moment.
  • How to stop the bleeding and NEVER have to strain when using the restroom.... the true solution to the root of the problem.
  •  Why 99% of the ointments hustled out there will NEVER work..... you will be shocked at this.
  • Secret method to using water that will cure it for you. NEVER SEEN BEFORE.
  • Why stopping sugar or sweet intake is FAR from the real solution.....
  • Why you still can have hemorrhoids even if you're never constipated, sedentary, or for any usual reasons ... and how to reverse any type of hemorrhoids in record time.
  • End the "ripping and tearing" feeling forever and NEVER have a flare-up again.
  • Unravel 3 reasons why even rubber band ligation ("rubber banding") really doesn't work best in my opinion.
  • Eliminate any possibility of leakage.... no details needed. My grandfather had this and he stopped it in 2 days.
  • Doing certain exercises or sports can hurt the hemorrhoid? Yes sometimes, so be careful.....
  • The 9 sure-fire ways to ensure an "invincible" digestive state against these problems. Just my personal theory but see it!

Non Surgical Treatment for Hemorrhoids

By Thomas A. Kruzel, ND

Affliction from hemorrhoids has been noted in the writings of various cultures throughout history such as Babylonian, Hindu, Greek, Egyptian, and Hebrew. In the United States, as well as other industrialized countries, hemorrhoidal disease is extremely common. Estimates have indicated that 50% of persons over 50 years of age have symptomatic hemorrhoidal disease at one time or another and up to one-third of the total US population have hemorrhoids to some degree.

The causes of hemorrhoidal disease are similar to those of varicose veins. Like varicose veins, predisposition to development of hemorrhoids depends on genetic make up, excessive venous pressure, pregnancy, long periods of standing or sitting, straining at stool and heavy lifting are considered the major factors. Most patients have more than one predisposing factor.

Presenting symptoms are itching, burning, irritation with passage of stool, swelling of the anus and perianal region, blood on the toilet paper or in the bowl, and seepage of mucus. Most patients attribute all rectal symptoms to hemorrhoids, however, rarely are internal hemorrhoids painful or cause itching. Usually the hallmark of a hemorrhoid eruption is bleeding or protrusion which is noted following passage of stool. Pain from internal  hemorrhoids occurs when they become strangulated from prolapse and with thrombosis.
Any other pain associated with hemorrhoids is usually due to a coexisting lesion such as a fissure. Itching is rarely associated with internal hemorrhoids except where there is excess mucus discharge.

Internal hemorrhoids are classified according to symptomology and finding on examination. Stage I hemorrhoids bleed but do not protrude. Stage II hemorrhoids protrude following bowel movement, and then spontaneously reduce. Stage III hemorrhoids protrude with stool and must be manually reduced. Stage IV hemorrhoids protrude and are not reducible. Stages II, III, and IV may or may not bleed and a Stage IV
hemorrhoid presents the possibility of strangulation resulting in decreased blood flow and eventual thrombosis. In contrast to the United States and the United Kingdom, hemorrhoids are rarely seen in
parts of the world where high-fiber, unrefined food diets are consumed. A low-fiber diet, high in refined foods, contributes greatly to the development of hemorrhoids. Individuals consuming a low-fiber diet tend to strain more during bowel movements, since their smaller and harder stools are more difficult to pass. This straining increases the pressure in the abdomen, which obstructs venous return. The increased pressure will increase  pelvic congestion and may significantly weaken the veins, causing hemorrhoids to form.

Treatment
A high-fiber diet is perhaps the most important component in the prevention of hemorrhoids. A diet rich in vegetables, fruits, legumes, and grains promotes peristalsis because many fiber components attract water and form a gelatinous mass which keeps the feces soft, bulky, and easy to pass. The net effect of a high-fiber diet is significantly less straining during defecation.

Another important, but only recently recognized, dietary factor is breakfast. An age, sex and pregnancy matched case–control study carried out in an outpatient clinic found a remarkable 7.5-fold increase in the odds of suffering from hemorrhoids or anal fissures in matched subjects who did not eat breakfast!

Topical treatments for acute or chronic hemorrhoids involving the use of suppositories, ointments, and anorectal pads, in most circumstances, only provide temporary relief. Many over-the-counter products for hemorrhoids primarily contain natural ingredients, such as witch hazel (Hamamelis), cocoa butter, Peruvian balsam, zinc oxide, allantoin or homeopathic preparations, to name a few. Many patients will use hydrocortisone cream to help with itching that they associate with hemorrhoids. Prolonged use can often
aggravate the pruritis ani setting up a cycle of continued use. Surgical treatment

Hemorrhoidectomy, or the surgical removal of redundant tissue is by far the most invasive of the hemorrhoid procedures. This procedure often requires an outpatient surgical setting and results in lost time from activities of daily living so healing can take place. Most patients seek alternative treatments in order to avoid surgery and its complications such as pain and rectal sphincter instability. The Keesey Galvanic technique is a monopolar direct current treatment that is purely an in-office procedure. What makes the Keesey technique attractive is that the patient may be freely ambulant after completion of the procedure and can return to their normal activities of daily living. The hemorrhoid will disappear in 7 to 10 days after the treatment. Each separate hemorrhoid is treated in the same manner and larger hemorrhoids may need to be treated more than once. Infra red coagulation (IRC) is effective with Stage I and II hemorrhoids but can be combined with the Keesey treatment for Stage III and IV. While the Keesey technique utilizes current, the infra red coagulator utilizes a burst of intense heat generated internally and shot through a blue anodized sapphire tip to the surface of the hemorrhoid. The IRC painlessly “coagulates” the redundant tissue to a depth that is a function of the amount of time of the light burst, usually 1 to 1.5 seconds.

External Hemorrhoids
External hemorrhoids occur when there is dilation of the external rectal plexus or thrombosis following an episode of constipation, diarrhea, heavy lifting or valsalva from sneezing, coughing or childbirth. The patient will notice an often-painful perianal lump and may have some bleeding associated with it. External hemorrhoids usually pose mild to little discomfort and will largely resolve on there own if homeostasis is restored. External anal skin tags found on examination are the remnants of previous external hemorrhoids.
If however the hemorrhoid becomes thrombosed, a cycle of acute edema and pain is set up which may lead to surgical intervention. As the lesion becomes increasingly distended, varying degrees of pain and swelling can be found which is often exacerbated by passage of stool or from prolonged sitting. The patient may report that there is bleeding after stool due to a disruption of the hemorrhoid [50].

Treatment
Unless the hemorrhoid has thrombosed and the patient is in excessive pain, the condition can usually be managed medically. Initial treatment should be to relieve the pressure and dissolve whatever thrombosis has formed. As this occurs, long term management in the form of patient education, dietary changes and enhancing vascular integrity should be undertaken to help prevent further episodes.

Initial treatment with the enzyme Protease 2400 mcu’s, two capsules between meals TID and two capsules at bed time will help to reduce the thrombosis and decrease pain. Alternating Sitz baths act to relieve pain and increase blood flow. A number of homeopathic medicines such as Aesculus, Aloe, Hamamelis, Muriatic acid, Ratanhia and Sepia are effective in relieving pain and speeding the course of healing.

In patients who are experiencing an acute episode of a thrombosed external hemorrhoid, prompt surgical excision or incision are in order. Because the external skin is innervated by somatic nerves, administration of anesthesia prior to evacuation of the clot will be needed. Excision, leaves a wound that should not be sutured but allowed to heal by second intention, but leads to increased postoperative pain. Incision and debridement of the clot allows for less pain, but may close too early and lead to reformation of the thrombus. A minor or rectal and colon surgical text should be consulted as to proper surgical technique.

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Natural Cures For Hemorrhoids

By Cathy Wong, About.com Guide

1) Fiber Fiber shows a consistent beneficial effect in relieving hemorrhoid symptoms and bleeding. It can soften stool and increase its bulk, which helps to reduce straining. Seven randomized trials with a total of 378 participants have found fiber improved symptoms including itching, discomfort, and pain.
There are plenty of ways to get more fiber. Start by eating foods high in fiber, such as whole grains and vegetables. Psyllium, a powdered fiber supplement, is another option, one that's inexpensive and readily available. A typical amount of psyllium is one teaspoon of the husks in water followed by another glass of water.

Another option is ground flaxseeds. Whatever the source of fiber, it's important to drink sufficient water or constipation may worsen.

2) Bioflavonoids

Bioflavonoids are a type of plant compound that are thought to work by stabilizing and strengthening blood vessel walls and by decreasing inflammation. They have been found to reduce anal discomfort, pain, and anal discharge during an acute hemorrhoid attack. Side effects of bioflavonoids appear to be mild and rare, making them a promising treatment for hemorrhoids in pregnancy (the flavonoid tangeretin however, shouldn't be used by people taking tamoxifen for breast cancer).
The major flavonoids found in citrus fruits, diosmin, herperidin, and oxerutins, appear to be beneficial. Daflon, a product made with citrus bioflavonoids was found to improve symptoms in pregnant women by day four of taking it and to reduce symptoms of pain, heaviness, bleeding, itching and discharge.

3) Witch Hazel Compress or Cream

This drug store staple is made from the leaves and bark of a plant called Hamamelis virginiana. It is not be taken internally but is instead applied topically to the anal area in the form of witch hazel distilled liquid, ointment, or medicated pads.
Witch hazel is thought to decrease the bleeding of hemorrhoids by acting as an astringent. It may also relieve pain, itching and swelling associated with hemorrhoids.

4) Butcher's Broom

The plant butcher's broom (Ruscus aculeatus), which is also known as knee holly, box holly, and sweet broom, gets its name because it was once used by butchers in Europe to clean their chopping blocks. Butcher's broom has a long history of traditional use for hemorrhoids and varicose veins. It is often used when there is underlying poor circulation in the veins.
How does butcher's broom work? Although scientists haven't confirmed the effectiveness of butcher's broom for hemorroids, butcher's broom extract contains anti-inflammatory and vein-contricting properties that are believed to improve the tone and integrity of veins and shrink the swollen tissue. The active compound is called ruscogen.
Butcher's broom is usually recommended in capsule or tea form. The tea has a slightly bitter taste, so a bit of stevia or honey can be used to sweeten it. The tea can be made by steeping one teaspoon of the herb in a cup of hot water for 10 to 15 minutes. Butchers broom has also been shown to be effective when applied topically as an ointment or compress.
Butcher's broom should not be used by people with high blood pressure, benign prostatic hyperplasia (BPH), by pregnant or nursing women, or by people taking alpha blocker or MAO inhibitor drugs unless otherwise recommended by their doctor.

5) Horse Chestnut

The herb horse chestnut (Aesculus hippocastanum), like Butchers broom, is often recommended when there is poor circulation in the veins, or chronic venous insufficiency. In folk medicine, it is used to relieve symptoms such as swelling and inflammation and strengthen blood vessel walls. The active compound is believed to be aescin.
Horse chestnut can be taken as a tea or in capsule form. It can also be applied externally as a compress. People with an allergy to the horse chestnut family, bleeding disorders, or people taking blood thinners should not take horse chestnut. Only products made from the seeds or bark of the young branches should be used. Other parts of the plant are poisonous. Although uncommon, side effects have included kidney damage, severe bleeding, bruising, and liver damage.

6) Other Natural Remedies


Triphala. An Ayurvedic compound of three fruits. It is well-known as a bowel tonic that gently relieves constipation without being a harsh stimulant.

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Laser Hemorrhoid Surgery

Laser is a useful tool in treating many diseases, including hemorrhoids. It is used to destroy tissues – if wide beam is used, laser can be used to destroy large swath of tissues whereas if a narrow beam is used, then it can be used as a cutting tool.
The best type of laser is nd-YAG laser, which stands for neodymium-Yttrium-aluminum-garnet laser, although other types such as argon and CO2 lasers are also popularly used.
Advantages of using Laser
Using laser instead of scalpel has several advantages, namely:
  1. There is no smoke, steam emission, or sparking that can obstruct the doctor’s view during surgery
  2. Tissue cut with laser tends not to bleed – laser “seals” the blood vessels it cuts, so there’s little blood.
  3. There is little damage to surrounding tissue cut with laser, thus lessening the chance of complication from tissue death (or necrosis) surrounding the cut tissue.
The first two helps the surgeon conduct a clean & precise surgery, whereas the last item is supposed to help the wound heal faster.
Disadvantages to Laser
Laser surgery, however, also has its disadvantages:
  1. Laser equipment is expensive to buy and maintain.
  2. Special protective goggles must be used by the doctor and the surgical staff – as, unlike in the movies, laser beams are invisible.
  3. Less expensive methods of preventing bleeding, such as the use of a solution of adrenaline, works just as well.
  4. Increased risk of fire during operation

In hemorrhoid surgery or hemorrhoidectomy, the use of laser as cutting tool does not seem to have overwhelming advantages. There is no evidence that laser hemorrhoidectomy is less painful, that patients heal faster, or that there are less chance of complications.
This does not mean that using laser is a sub-standard method – on the contrary, it is a fine surgical tool – however, the lack of advantages coupled with higher cost suggest that other (cheaper) methods of hemorrhoid surgeries should be considered instead. (hemorrhoidsinplainenglish)
 
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How are hemorrhoids treated ?

At-home Treatments

Simple diet and lifestyle changes often reduce the swelling of hemorrhoids and relieve hemorrhoid symptoms. Eating a high-fiber diet can make stools softer and easier to pass, reducing the pressure on hemorrhoids caused by straining.
Fiber is a substance found in plants. The human body cannot digest fiber, but fiber helps improve digestion and prevent constipation. Good sources of dietary fiber are fruits, vegetables, and whole grains. On average, Americans eat about 15 grams of fiber each day.3 The American Dietetic Association recommends 25 grams of fiber per day for women and 38 grams of fiber per day for men.3
Doctors may also suggest taking a bulk stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).
Other changes that may help relieve hemorrhoid symptoms include
  • drinking six to eight 8-ounce glasses of water or other nonalcoholic fluids each day

  • sitting in a tub of warm water for 10 minutes several times a day

  • exercising to prevent constipation

  • not straining during bowel movements
Over-the-counter creams and suppositories may temporarily relieve the pain and itching of hemorrhoids. These treatments should only be used for a short time because long-term use can damage the skin.

Medical Treatment

If at-home treatments do not relieve symptoms, medical treatments may be needed. Outpatient treatments can be performed in a doctor’s office or a hospital. Outpatient treatments for internal hemorrhoids include the following:
  • Rubber band ligation. The doctor places a special rubber band around the base of the hemorrhoid. The band cuts off circulation, causing the hemorrhoid to shrink. This procedure should be performed only by a doctor.

  • Sclerotherapy. The doctor injects a chemical solution into the blood vessel to shrink the hemorrhoid.

  • Infrared coagulation. The doctor uses heat to shrink the hemorrhoid tissue.
Large external hemorrhoids or internal hemorrhoids that do not respond to other treatments can be surgically removed.

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What causes hemorrhoids ?

It is not known why hemorrhoids enlarge. There are several theories about the cause, including inadequate intake of fiber, prolonged sitting on the toilet, and chronic straining to have a bowel movement (constipation). None of these theories has strong experimental support. Pregnancy is a clear cause of enlarged hemorrhoids though, again, the reason is not clear. Tumors in the pelvis also cause enlargement of hemorrhoids by pressing on veins draining upwards from the anal canal.

One theory proposes that it is the shearing (pulling) force of stool, particularly hard stool, passing through the anal canal that drags the hemorrhoidal cushions downward. Another theory suggests that with age or an aggravating condition, the supporting tissue that is responsible for anchoring the hemorrhoids to the underlying muscle of the anal canal deteriorates. With time, the hemorrhoidal tissue loses its mooring and slides down into the anal canal.

One physiological fact that is known about enlarged hemorrhoids that may be relevant to understanding why they form is that the pressure is elevated in the anal sphincter, the muscle that surrounds the anal canal and the hemorrhoids. The anal sphincter is the muscle that allows us to control our bowel movements. It is not known, however, if this elevated pressure precedes the development of enlarged hemorrhoids or is the result of the hemorrhoids. Perhaps during bowel movements, increased force is required to force stool through the tighter sphincter. The increased shearing force applied to the hemorrhoids by the passing stool may drag the hemorrhoids downward and enlarge them. (medicinenet)


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What are the symptoms of hemorrhoids ?

The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement. Internal hemorrhoids that are not prolapsed are usually not painful. Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.
Blood clots may form in external hemorrhoids. A blood clot in a vein is called a thrombosis. Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus. When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch.
Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse.
Hemorrhoids are not dangerous or life threatening. Symptoms usually go away within a few days, and some people with hemorrhoids never have symptoms.


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What are hemorrhoids ?

Medicinenet : A precise definition of hemorrhoids does not exist, but they can be described as masses or clumps ("cushions") of tissue within the anal canal that contain blood vessels and the surrounding, supporting tissue made up of muscle and elastic fibers. The anal canal is the last four centimeters through which stool passes as it goes from the rectum to the outside world. The anus is the opening of the anal canal to the outside world.

Although most people think hemorrhoids are abnormal, they are present in everyone. It is only when the hemorrhoidal cushions enlarge that hemorrhoids can cause problems and be considered abnormal or a disease.

Prevalence of hemorrhoids

Although hemorrhoids occur in everyone, they become large and cause problems in only 4% of the general population. Hemorrhoids that cause problems are found equally in men and women, and their prevalence peaks between 45 and 65 years of age.

Anatomy of hemorrhoids

The arteries supplying blood to the anal canal descend into the canal from the rectum above and form a rich network of arteries that communicate with each other around the anal canal. Because of this rich network of arteries, hemorrhoidal blood vessels have a ready supply of arterial blood. This explains why bleeding from hemorrhoids is bright red (arterial blood) rather than dark red (venous blood), and why bleeding from hemorrhoids occasionally can be severe. The blood vessels that supply the hemorrhoidal vessels pass through the supporting tissue of the hemorrhoidal cushions.

The anal veins drain blood away from the anal canal and the hemorrhoids. These veins drain in two directions. The first direction is upwards into the rectum, and the second is downwards beneath the skin surrounding the anus. The dentate line is a line within the anal canal that denotes the transition from anal skin (anoderm) to the lining of the rectum.

Formation of hemorrhoids

If the hemorrhoid originates at the top (rectal side) of the anal canal, it is referred to as an internal hemorrhoid. If it originates at the lower end of the anal canal near the anus, it is referred to as an external hemorrhoid. Technically, the differentiation between internal and external hemorrhoids is made on the basis of whether the hemorrhoid originates above or below the dentate line (internal and external, respectively).

As discussed previously, hemorrhoidal cushions in the upper anal canal are made up of blood vessels and their supporting tissues. There usually are three major hemorrhoidal cushions oriented right posterior, right anterior, and left lateral. During the formation of enlarged internal hemorrhoids, the vessels of the anal cushions swell and the supporting tissues increase in size. The bulging mass of tissue and blood vessels protrudes into the anal canal where it can cause problems. Unlike with internal hemorrhoids, it is not clear how external hemorrhoids form.


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