HEMMEROID|HEMMEROIDS: treatment|relief|symptoms|bleeding hemmeroids|internal|surgery|cure|

External hemmeroids are as the word implies its hemmeroids that have developed externally. These are easy to detect. You will have a sensation that there is something just outside your anus and when you touch the area, you will actually feel them.

Hemmeroids bring in any form of pain and discomfort, and external hemmeroids make no exception. Hemmeroids can be either external or internal depending on where hemeriods appear. These external hemmeroids protrude near the anus and are covered by a layer of very tender skin. Painful swelling is a result of a blood clot developing in the hemmeroids. These feel like a hard, sensitive lump and will bleed if ruptured. External hemmeroids are the more prevalent of the two types and are associated with the hemmeroids symptoms we most experience. External hemmeroids are usually visible as fleshy lumps around the anus. Seldom they can be mistaken with prolapsed hemmeroids (internal hemmeroids that protrude out the anus). Otherwise, any swelling or a protruding mass at or near the anus are considered to be external hemmeroids.

It is estimated that 85% of the world's population will be affected by hemeoriods at some time in their life but only a tiny percentage of sufferers actually seek medical treatment and those tend to be at the extreme end of sufferers.

External hemmeroids occur outside the rectum, around the anus. Basically, all swellings or protruding masses at or near the anal opening are considered to be external hemmeroids (except in the case of prolapsed internal hemmeroids, which originate internally but can protrude externally as they worsen).

Thrombosed external hemmeroids however, are caused by blood pooling in a distended vein and forming a clot, or thrombus, in the outer region of the anus. These particular hemmeroids usually cause a great deal of pain, as well as some swelling and itching, but they don’t bleed.

After visual examination of the anus and surrounding area for external or prolapsed hemmeroids, a doctor would conduct a digital examination. In addition to probing for hemmeroidal bulges, a doctor would also look for indications of rectal tumor or polyp, enlarged prostate and abscesses. If warranted, more detailed examinations, such as sigmoidoscopy and colonoscopy can be performed. In sigmoidoscopy, the last 60cm of the colon and rectum are examined whereas in colonoscopy the entire bowel is examined.

External hemmeroid symptoms may include severe painful swelling or a hard lump around the anus that results when a blood clot forms The lump may have a blue or purple tint. Other symptoms for external hemmeroids are the burning feeling, irritation and anal itching. External hemmeroids elicit symptoms are caused by acute thrombosis, recurring thromboses, or personal hygiene problems. This condition is known as a thrombosed external hemmeroid.

In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms. Pain results when the clot and surrounding edema cause rapid swelling of skin containing a high concentration of nerve endings. This pain can last for one to two weeks, depending on the length of time it takes for the resolution of the thrombosis. At that time, the stretched anoderm remains as excess skin often referred to as "skin tags". External thromboses can sometimes erode the outer layer of skin, which can cause bleeding. Draining mucus may also cause itching. You can easily notice external hemmeroids by inspecting the outer opening of anus. Acute and recurrent thromboses are managed by identifying the offending vascular cluster with the use of local anesthetic in the doctor's office or other clinical setting. Local anesthetic is injected, then the outer skin and subcutaneous veins are excised. Whenever you notice any symptom of external hemmeroids, consult your physician immediately and start treatment. Early hemmeroid treatment will give you early relief from pains and discomforts of external hemmeroids.

Sometimes external hemmeroid ruptures and slight bleeding occur. You might notice bright red blood on the toilet paper after straining to pass a stool. In rare cases, a vein inside an external hemmeroid breaks. Blood may pool under the skin, forming a hard, painful lump. This is called a thrombosed, or clotted hemmeroid. However, a sudden sharp or burning pain during a bowel movement, along with a small spot of blood on toilet tissue, is more likely to be an anal fissure than a hemmeroid.

External hemmeroids can also create problems with personal hygiene. The excess skin that remains after an acute thrombosis is usually the cause of these problems. This excess perianal skin from external hemmeroids requires more attention to be paid when cleansing the area to make sure that all of the skin folds have been tended to.

External hemmeroid treatment includes the following:

• Warm baths (you have to sit in warm water for 10 to 15 minutes twice or thrice a day)
• Ice packs (a temporary relief - the ice packs have be wrapped in a towel to prevent direct contact with the skin)
• Suppositories, seat cushions (if your job requires continuous long sitting) and loose underwear (for your comfort).
• Also, a fibrous diet (blackberries, blueberries, cherries, vitamin C) will help you to get relief up-to certain extent, as this strengthens the veins and ensure smooth bowel.
• You should also try butcher's broom (Ruscus aculeatus), and flavonoids (plant pigments found in fruit and fruit products, tea, and soy).
• After each bowel movement, wiping with a moistened tissue or pad sold for that purpose helps lessen irritation.
• Herbal teas and other kinds of herbal preparations are also suggested for reducing discomfort and eliminating hemmeroids.
• Other recommendations might be to drink six to eight glasses of water a day to increase fecal bulk and prevent straining and to choose a time when you are not rushed.
• Do not ignore the urge to defecate and do not hold your breath while you are on the toilet seat.
• Many people find that over-the-counter hemmeroid creams and foams bring relief, but these medications do not make hameriods disappear.
• Acupuncture, acupressure, aromatherapy, and homeopathy are also used to treat hemmeroids.

In order to avoid your external hemmeroid from coming back, you can try this measures below:

• Avoid prolonged straining at stool. Straining for more than five minutes is harmful to colorectal muscles and nerves. It can also increase stress on the veins of the rectum and worsens hemmeroids. Straining can lead to divertulosis - the formation of small blister-like pockets in the colon walls that can become infected.

• To treat external hemmeroids: Grate one medium potato; mix well with 2-3 teaspoons slippery elm powder. Form into small patty and place on disturbed area for 10-15 minutes, 1-3 times a day. This remedy may be used on sore or cracked nipples as well.

• Use a peeled clove of garlic as a suppository three times a week. You can also use raw potato suppositories to help heal external hemmeroids and relieve pain. Peel a potato and cut it into small cone-shaped pieces.

• Learn not to strain when moving the bowels. Keep the bowels clean and avoid constipation. Do not sit on the commode longer than 10 minutes at a time, as this causes the blood to pool in the hemmeroidal veins.

• Sit on a soft cushion, not on hard surfaces. Use an ordinary cushion, not a doughnut-shaped one. The old-fashioned inflated doughnut cushion actually increases pressure on the hemmeroidal blood vessels, aggravating the swelling and bleeding.

• Cleanse your external hemmeroid with warm water. A hot bath for 15 minutes a day is quite helpful. Do not add bath beads, oils, or bubbles to the water, as this can irritate sensitive tissues. Many people add Epsom salts, but this has no proven clinical value. It is the warm water that reduces swelling and eases pain brought by hemmeroids. A warm water sitz bath to which you can add some white oak may be beneficial. Do not use white oak or other sitz bath products if you have either weeping eczema or congestive heart failure.

• Warm sitz baths are especially beneficial. Take a mineral sitz bath daily.

• Avoid use of strong or harsh laxatives. Most of these products induce unnecessary straining at bowel movements and often "overdo" their jobs by creating a condition similar to diarrhea. Also, using chemical laxatives does not provide the healthful benefits that natural substances provide. Laxatives products can also cause the bowels to become dependent upon them for normal functioning, much like an addiction. Instead of chemical preparations, use a stool softener or glycerine suppository if constipation or straining at defecation are a problem.

• Kombucha tea, which has antibacterial and immune-boosting properties, has been reported to be helpful.

• Wear cotton underwear. Cotton has more fresher than other fabrics and is less likely to restrict circulation and it good especially for external hemmeroid.

• In rare instances, zinc oxide from creams applied to hemmeroids can cause a metallic taste in the mouth. If this happens, change hemmeroid creams. In very rare cases, overuse of zinc oxide creams can cause yellow eyes, yellow skin, and abdominal pain. In these cases, discontinue the cream and see a health care provider promptly.

• Treatments for hemmeroids can reduce the risk of permanent fecal incontinence after the damage that can occur during childbirth.

• The most common cause of anal itching is tissue trauma resulting from the use of harsh toilet paper so therefore refrain from using toilet paper, you can try moist pads instead to avoid external hemmeroid irritation.

You can consult your doctor if above treatment for external hemmeroid does not give you relief or external hemmeroid symptoms still persist. Your doctor can give you proper advice for your hemmeroid condition.

Hemmeroid Cream is one of the common treatment for hemmeroid although there are also a number of medications used in alleviating the discomforting effects of hemmeroids. Hemmeroid cream is more common than ointment because creams can be rubbed in easily and the water components easily evaporates thus leaving only the thin film of the active ingredients behind and hemmeroid creams are obviously not greasy. Ointments on the other hand are very greasy. And this hemmeroid cream is applied directly on the affected area and are kept there for several hours.

Hemmeroids on the other hand, also known as piles are a swelling and inflammation of the veins of the rectum. Hemmeroids can develop from two different places: either internal rectal veins which can become swollen and will form internal hemmeroids. But if this internal structure of the rectum has few pain receptors these cannot generally be seen or felt. External rectal veins can also swell to form external hemmeroids. External hemmeroids can be seen around the outside of the anus and, many times, can be felt.

There are also several symptoms that usually indicate some type of hemmeroid condition. These include blood in the stool, in the toilet, or on bath tissue after using the bathroom, or a vague pain in the anus after defecating. Also, itching, burning, or pain in the region may indicate a case of hameriods.

Research has shown a number of factors can lead to varying forms of hemmeroids. These causes of hemmeroid includes:

• constant sitting
• constipation
• diarrhea
• obesity
• childbirth
• heavy lifting
• severe coughing
• straining with bowel movements
• hereditary

Basically, any increase in the pressure in the veins around that area can lead to formation of hemmeroids.

Most cases of hemmeroids can be easily diagnosed because of its appearance and the pain it brings and be treated by home remedies. The exception to this is if there is bleeding from the anus, which may indicate a larger, more serious problem. If this is the case, a doctor will observe the area using one or more medical devices. These can include a anoscope, proctoscope, and/ or performing a sigmoidoscopy.

So for many who suffered from hemmeroid, an answer to their discomforting condition is applying of hemmeroid cream for fast hemmeroid relief. But it is important that you start your hemeoriod treatment with a weaker type of hemmeroid cream. If this hemmeroids cream does nothing for you after a period of three days. Work your way up to a stronger type cream and again if this does nothing for you after three days, you then progress to the strongest type cream. Only if you are so sure that you have no improvement at all then only do you step up to the stronger hemmeroid cream.

The reason for this above mentioned statement is that your body gets very familiar very quickly to creams and ointments. The consequences are that the particular cream or ointment may not work in the near future when you may really need this particular cream. So why take a chance using a hemmeroid cream that you might not need at this stage. Another problem with your stronger type creams and ointments is that you can ruin your skin around the anus causing skin eczema for the rest of your life and other more serious complications. This problem is usually caused by overdosing on the cream or ointment.

The main goal of using hemmeroid cream is to relieve the pain, itchiness, and burning sensation brought about by the said ailment. With regard to their contents, some hemmeroid cream have herbal ingredients such as aloe while others contain anesthetic chemicals like xylocaine. In addition, this type of product is usually available over-the-counter, which means that anyone can purchase it from a drugstore. However, there are certain hemmeroid cream for more severe cases of hemmeroids that are obtained only by prescription.

In addition to hemmeroid cream, there are many other natural means in which you can prevent hemeriods from occurring. The most simple means is to ensure you have soft bowel movements by drinking lots of water and keeping a healthy high fiber diet. From there, develop good bowel habits by ensuring you do not spend longer than is necessary on the toilet or ensuring you do not strain during bowel movements Certain natural vitamins help as well, such as:

• Vitamin E : Vitamin E prevents further inflammation from occurring, being a powerful anti-oxidant.
• L-Arginine : This can help to prevent muscle spasms, which is also beneficial in preventing anal fissures from occurring
• Horse Chestnut : a wonderful herb that alleviates swellings of hemmeroids
• Red Sage : Red Sage stimulates blood circulation, which is beneficial in the prevention of hemmeroid
• Oat straw : Oat Straw is beneficial for the digestive system, and also raises energy levels
• Plantain : Itching and burning is greatly relieved.
  

More serious forms of hemmeroids may only be cured through hemmeroid surgery or hospital treatment procedures, although many of the natural hemmeroid treatment mentioned above may prevent this. If hospital procedures are required, however, there are methods which are relatively quick and are designed to cut off blood supply to the hemmeroids or shrink them so that they fall off on their own, and the skin left behind heals. Hemmeroid surgery, though, requires over-night treatment and actual removal of the hemmeroids themselves.

Moving on, a few things must be remembered in using hemmeroid cream. First, a person must not apply more than what has been indicated on the label or instruction sheet. Putting a lavish amount of this kind of treatment of hemmeroid will cause irritation and worsen the problem instead of treating it. Second, after waking up in the morning, you has to immediately wash the area where he applied the hemmeroid cream on the previous night to remove the excess residue that may cause itching. Third, always has to make sure that the skin is thoroughly dried before gently applying the substance and that his hands are washed prior to and after the medication process. You can also use a soft cotton swab in putting and spreading the cream on the hemmeroid. Finally, you should store the hemmeroid cream in a place with a moderately cool temperature after using

There are many types of hemmeroid remedies and hemmeroid cream and ointment that are available over the counter and on the market today, however most of these creams or ointments are only designed to soothe the pain, itching and burning associated with hemmeroids and not to cure permanently. However, there are some hemmeroid cream that are able to shrink the hemeeroids back to normal size and these vary from anesthetic and analgesic ointments, to homeopathic or natural ointments. Some of these products also come as a foam of sorts. Cortisone-based creams are available by prescription. You can also ask your doctor for proper usage of hemmeroid cream.

Finding an effective hemmeroid cures has been the quest of health professionals, both medical practitioners and alternative treatment experts. Both categories of healers have worked out for hemmeroid cures to provide hemmeroid patients a relief from painful symptoms of hemmeroids. Topical medications manufactured by pharmacies relieve hemmeroids symptoms temporarily while hemmeroid surgery is performed as a long-term hemmeroid cures particularly in severe cases of hemmeroids. Alternative hemmeroid cures, on the other hand, work by using natural products for keeping control of condition. This approach does not carry the health risks associated with hemmeroid surgery or adverse effects of prescribed medicines. However, natural hemmeroid cures are more of an on-going strategy than instant relief from hemeoriods. A natural hemmeroid cure is commendable on account of its health benefits and also because it is mostly painless and free of serious side effects.

Before looking for any hemmeroid cure, lets take a moment of knowing what are hemmeroids. Hemmeroids are swollen anal varicose veins. These veins can become so stretch that they push with extreme force, then rupture and bleed. The hemmeroids cause rectal bleeding, pain, burning, inflammation, irritation and itching, since the swollen tissues are difficult to keep clean.
Hemmeroids may be external or internal. The external hemmeroids you can see and feel them as a soft bluish-purple lump. The internal hemmeroids you probably won't notice them, due that they are usually painless. There is another type of hemmeroid called prolapsed, and is an internal hemmeroid that collapses and protrudes outside the anus, accompanied by a mucus discharge and heavy bleeding. They can become thrombosed and are when they form cloth within that prevent their receding. They are terribly painful. The most common cause of hemeriods is chronic constipation or congested liver.

Other factors that can cause or contribute to hemmeroids include obesity, poor exercise, food allergies, lifting heavy objects, and insufficient consumption of dietary fiber.

In pregnancy, women can develop hemmeroids due to pressure of the growing uterus on the mayor veins. Constipation in pregnancy can make hemmeroids more painful, from straining during bowel movement; because this, puts a lot of pressure on the veins around the anus area. It’s also common after childbirth.

Most cases of hameriods can be diagnosed and treated by the individual experiencing the discomfort. The exception to this is if there is bleeding from the anus, which may indicate a larger, more serious problem. If this is the case, a doctor will observe the area using one or more medical devices. These can include a anoscope, proctoscope, and/ or performing a sigmoidoscopy.

The prognosis is that for most cases of hemmeroid cures are very good. Most cases are eliminated within 1-2 weeks. There are a number of over-the-counter medications that can reduce the symptoms of hemmeroids. A change in diet and lifestyle will also often lead to a reduction in hemmeroid symptoms. And also there are number of ways that can cure your hemmeroids.

Admit it or not, home remedies for hemmeroids have been found a useful hemmeroid cures by a large number of people. Some of the frequently appreciated remedies for hemmeroids relief include the use of Horse Chestnut, Hyssops, Flavonoids, hydroxyethylrutosides, and rutin. These natural herbs are available in usable form at most health stores. Also effective against hemmeroids of various types are naturally occurring essential oils. More popular of these essential oils include Pelargonium, Cypress oil, Italian cypress, and Niaouli. The extract of Japanese Pagoda tree is also recognized as a promising hemmeroid cure.

• Fruits are another hemmeroid cures. They are rich in fiber and, along with vegetables, make the healthiest diet for everyone, especially for hemmeroid patients. Fruits facilitate the process of digestion, preventing constipation and thus making possible soft bowel movement. This prevents any increase in pressure on the rectal veins – the root cause of hemmeroids. Also, the antioxidants in fruits (and vegetables) make the veins strong and resistant to swelling. While all commonly used fruits are health-friendly, hemmeroid patients should particularly make use of blackberries, plums, raisins, cherries, red grapes, and prunes. The dark colored varieties of any/all of these fruits are better recommended as hemmeroid treatment.

• Many vitamins have antioxidant properties and they work as cures for hemmeroids by giving strength to the body tissues and blood vessels contained in them. Vitamins that are especially useful against hemmeroids include Vitamin C, Vitamin B, and vitamin A. Recommended to be taken two to three times daily, these vitamins may be obtained from vegetables and fruits or they may be obtained from special nutritional supplements available at health stores and supermarkets. It is important, however, to consult one’s physician before using any hemmeroid cures in order to get information on the right dosage and other instructions. There is no single recommended dosage for all patients; rather the dosage varies from person to person.There are also certain things you can do to avoid getting them like eating a fibrous diet and taking lots of fluids to avoid constipation and also with straining to have bowel movements, not sitting or standing for long periods of time (this increases pressure on the anus blood vessels), and getting plenty of exercise.

However, some people can do all the right things but have a hereditary predisposition to getting hemmeroids. So when you do get a hemmeroid it is important to keep the area clean by using moistened wipes instead of rough toilet paper. Rough rubbing can cause the hemmeroid to bleed if it is external.

The best hemmeroid cure is to stay fit and healthy to avoid them and if you do get them already taking these wellness measures will make it all the easier for you to nurture yourself back to being pain free. But if the pain is unbearable or you are bleeding a lot or the hemmeroid doesn’t go away in a week you need to schedule an appointment with your doctor to have appropriate hemmeroid cures and hemmeroid treatment.


If you have internal hemmeroids, they can still bleed, however since they are inside your anus you can’t irritate them with toilet paper. Internal hemmeroids will still itch and burn like crazy so just because you can’t feel a lump on the outside of your skin doesn’t mean you shouldn’t take care of it. Before hemmeroids go worst prior hemmeroid cures are required.