Hemmeroids are dilated or bulging veins of the rectum and anus. Hemmeroids are somewhat similar to varicose veins that develop in the legs, only that hemmeroids are veins located in the anus.

Hemmeroid causes: When the blood veins around your rectum and anus become swollen and inflamed. Most common reason behind the swelling and inflammation is higher than normal pressure, usually due to constipation and straining during defecation. Hemmeroids often develop during pregnancy because of the pressure the fetus exerts in the abdominal area, as well as the hormonal changes that cause the veins to enlarge. Also stress is another cause of hemoroid.

Hemmeroid symptoms: Are most commonly referred to anal itching, anal ache or pain, especially while sitting , appearance of bright red blood on toilet tissue or stool, pain during constipation and hard tender lumps near the anus.

Hemmeroid Diagnosis: To diagnose hemmeroid, the doctor will insert a thin tube-like instrument called an anoscope into the lower few inches of the rectum. To look for other sources of bleeding, the doctor may perform a colonoscopy - an examination of the inside of the colon. Or a sigmoidoscopy - an examination of the rectum and the last part of the colon.
Showing posts with label External Hemmeroids. Show all posts
Showing posts with label External Hemmeroids. Show all posts
7:52 AM

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

Hemmeroid are a swelling of blood vessels in the rectal area that rarely go away without any cure for hemmeroid. This condition can affect their activities so it is imperative that those suffering from this condition look for a cure for hemmeroids. Statistics suggest that as many as half the population has hemmeroid. Some of these people get hemmeroid because they sit for long periods of time. Some of these people cannot avoid this because they have to sit to get their job done. Other people sit to watch television. These people might be able to get a cure for hemmeroid by getting up and doing some exercise. The people at work might try to get up whenever possible. Straining can produce hemmeroid so for people with this habit, they might have a cure for hemmeroid by changing the way they go to the bathroom.

Painful hemmeroid flare-ups can be a persistent problem, especially if you suffer from repeated episodes of constipation. Flare-ups are usually brief, and most symptoms disappear within a few days. But in pregnant women, hemmeroid are often a temporary problem that either improves dramatically or disappears after childbirth.

People troubled by hemmeroid should discuss this condition with the pharmacist if they want to get a cure for hemmeroids that they can administer themselves. There are some hemmeroid treatments available without a prescription from a medical doctor. But some of these cures for hemmeroid are still medicines so people should discuss these with the pharmacists to make sure that the given cure for hemmeroid is best suited for their condition. And take note that the size of the hemmeroid could also make a difference in the effectiveness of the treatments. Pharmacists mostly know their customers who give them good and bad feedback on different hemmeroid treatments. So better discuss with them so as they can give you exact and appropriate cure for hemmeroids. These can be the followings:

Home Remedies

Admit it or not, home remedies for hemmeroids have been found a useful hemmeroids cure by a large number of people. Some of the frequently appreciated remedies for hemmeroid 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 hemmroids cure.

Fruits

Fruits are another cure for hemmeroids. 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 hemmeroid. 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 treatment for hemmeroids.

Vitamins

Many vitamins have antioxidant properties and they work as cure 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 not a single recommended dosage for all patients; rather the dosage varies from person to person.

Fixative procedures

The goal of nonsurgical procedures, called fixative procedures use as cure for hemmeroids, is to reduce the blood supply to the hemmeroid so it shrinks or goes away. The scar tissue left in its place helps support the anal tissue and helps prevent more hemmeroid from developing.
Fixative procedures include tying off the hemmeroid with a rubber band (rubber band ligation) or injecting chemicals to shrink the tissue (injection sclerotherapy). One other fixative procedure uses heat, laser, or electric current to create scar tissue (coagulation therapy).

Hemmeroid Surgery

While different non-surgical treatment options are available for treating the less severe cases of hemmeroid, hemmeroid surgery is necessarily performed for providing long-term relief from severe hemmeroids, particularly those involving a significant degree of prolapse (emergence or hanging of hemmeroidal tissue out of the anal canal).

Following are the important types of hemmeroid surgery currently available for treating severe hemmeroids.

Milligan-Morgan Surgical Method

This technique of hemmeroid surgery was developed in Britain in the 1930s by Dr. Milligan and Dr. Morgan and it remains the most popular type of surgery for hemmeroids to date. The surgery is performed to excise three main hemmeroidal vessels. Three incisions, resembling a pear in their outline, are made and left open, separated from one another by gaps comprising skin and mucous membrane. Milligan-Morgan surgery for external and internal hemmeroids is considered the standard surgical procedure for treating severe hemmeroids.

Ferguson Surgical Method

Named after its originator Dr. Ferguson (1952), this technique is a modified form of the Milligan-Morgan hemmeroids surgery, the main difference being that in the Ferguson technique, the surgical incisions are closed (partly or completely) either by suturing or through coagulation by means of a surgical device. One of the main drawbacks of the Ferguson technique is the high rate of suture breakage which prolongs the time required for healing of the surgical wounds.

Procedure for Prolapse and Hemmeroids (PPH)

A comparatively recent type of hemmeroid surgery for all hemmeroids including bleeding hemmroids is the procedure for Prolapse and Hemmeroids, or PPH. Also known as Stapled Hemmeroidectomy, PPH works by reducing the prolapse of hemmeroid tissues through the excision of a band of prolapsed tissue while the remaining part of the tissue is stapled. PPH has proven a less painful type of hemmeroid surgery and most of the patients resume normal life activities quickly than in cases of other hemmeroid surgeries. However, PPH runs a higher risk of causing damage to the rectal wall muscles. Also, PPH has been associated with a higher risk of recurrence and prolapse than other types of hemmeroid surgery.

Laser Hemmeroid Surgery

Lately, laser surgery for hemmeroids has been performed with appreciable accuracy. Hemmeroid surgery with laser is performed by a skilled laser surgeon who vaporizes or excises the unwanted, diseased hemmeroid tissue. Hemmeroid surgery with laser has several advantages over other surgical treatments for hemmeroids. Laser hemmeroid surgery takes less time; is less painful; allows quick healing of the surgical wounds; and does not require many healing medications for hemmeroid. Laser surgery may be used alone or in combination with other surgical procedures. As with any surgical procedure, plan well in advance, and take the proper steps to recover from hemmeroid surgery.

Prevention

But you often can prevent hemmeroid by preventing episodes of constipation. Some of the following diet and lifestyle changes may help you to soften your stool, establish a regular schedule for bowel movements and avoid the straining that can lead to hemmeroid:
  • • Add more fiber to your diet. Set a goal of 25 to 30 grams of fiber daily, from such high fiber foods as beans, broccoli, carrots, bran, whole grains and fresh fruits. To avoid bloating and gas, add these foods gradually over a period of several days. With these, you can avoid possibility of formation of hemmeroid.
  • • Drink adequate amounts of fluid. For most healthy adults, this is the equivalent of 6 to 8 glasses of water daily.
  • • Begin a program of regular exercise. As little as 20 minutes of brisk walking daily can stimulate your bowel to move regularly.
  • • Train your digestive tract to have regular bowel movements. Schedule a time to sit on the toilet at approximately the same time each day. The best time to do this is usually right after a meal. Do not sit on the toilet for long periods (it tends to make hemmeroid push out and swell up) as this is also one cause of hemmeroid.
  • • Respond immediately to the urge to have a bowel movement. Do not postpone until the time is more convenient.
Mention above are the most common ways to cure for hemmeroids and all you need to do is to choose which cure is best suited for your hemmeroid condition.




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5:33 AM

External Hemmeroids
external hemmeroids picExternal 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.

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2:34 AM

What Causes Hemmeroids
what causes hemmeroids picWhat causes hemmeroids is most common question ask by many because they don’t want to suffer the effect brought by hemmeroid. So for pre cautions, they are eager to know what causes hemmeroid. But before we discuss of what causes hemmeroid, lets take a tour on what is hemmeroid is all about.

Hemmeroids are swollen blood vessels of the rectum. The hemmeroidal veins are located in the lowest area of the rectum and the anus. Sometimes they swell because the vein walls become stretched, thin, and irritated by passing bowel movements. Hemmeroids are classified into two general categories: internal and external.
  • Internal hemmeroids lie far enough inside the rectum that you can't see or feel them. They don't usually hurt because there are few pain-sensing nerves in the rectum. Bleeding may be the only sign that they are there. Sometimes internal hemmeroids prolapse, or enlarge and protrude outside the anal sphincter. If so, you may be able to see or feel them as moist, pink pads of skin that are pinker than the surrounding area. Prolapsed hemmeroids may hurt because the anus is dense with pain-sensing nerves. They usually recede into the rectum on their own; if they don't, they can be gently pushed back into place.
  • External hemmeroids lie within the anus and are usually painful. If an external hemmeroid prolapses to the outside (usually in the course of passing a stool), you can see and feel it. Blood clots sometimes form within prolapsed external hemmeroids, causing an extremely painful condition called a thrombosis. If an external hemmeroid becomes thrombosed, it can look rather frightening, turning purple or blue, and could possibly bleed. Despite their appearance, thrombosed hemmeroids are usually not serious and will resolve themselves in about a week. If the pain is unbearable, your doctor can perform hemmeroid removal to the thrombosed hemmeroid, to stops the pain
Anal bleeding and pain of any sort is alarming and should be evaluated; it can indicate a life-threatening condition, such as colorectal cancer. Although hemmeroids are the No. 1 cause of anal bleeding and are rarely dangerous, but a definite diagnosis from your physician is a must.

So what causes hemmeroids then? The main cause of hemmeroids is the pressure applied on veins of pelvic and rectal system. This pressure comes from different habits that the patient has in his bathroom, constipation, diarrhea, sitting or standing for a long time, obesity, pregnancy or genetic factors. In the next lines, we will detail a little each hemmeroid cause and bring some solutions to it.

1. Adopting a wrong position on the toilet seat is one of the main causes of hemmeroids. Here is correct way to sit; a person should follow when sitting on the toilet: sit on the toilet normally, then raise your feet up on tiptoes and balls of feet (front part of foot) and bend forward with your elbows to your knees. This position allows the bowel to come out with little effort, thus lessening the chance of hemmeroids coming through the hole and reducing the chance of developing new hemmeroids.

2. Constipation is another cause of hemmeroids. Straining to pass hard stools puts too much pressure on the rectum and makes the veins swell (like varicose veins behind the knees). To avoid the internal problems caused by constipation, when you go to the toilet, take your time; let nature do its thing. Try gentle deep breathing and avoid holding your breath, to put a little pressure on the bowel to come out.

3. Diarrhea is another factor of what causes hemmeroids that damages the veins. In this case, there are frequent passing of stool, and even though the fecal matter is soft, it dampens the intestine at the same time and causes the hemmeroid disease. Take a good care of your health, always wash your hands before eating and always wash the fruits and vegetables before consuming them.

4. Wiping too hard or too long may also cause or aggravate hemmeroids. The bowel should evacuate the contents well, reducing the need for excess wiping, if you followed the suggestions of extra fiber and water. Also, use a soft damp cloth that absorbs a lot.

5. Other important causes of hemmeroids is pregnancy. Maximum pressure is exerted during delivery time and this increases the anal pressure while the baby is pushed out. To prevent hemmeroids from showing, you must do a lot of exercise during the pregnancy, especially in the beginning.

6. Heavy lifting straining can cause hemmeroids and can possibly cause hemmeroids to develop. If your job requires heavy lifting, discuss this issue with someone specially trained in your work area.

7. Liver disease can also cause increased pressure in the veins, as blood is pooled in and around the pelvic system. Don’t drink too much alcohol or coffee, don’t eat junk food, and try to keep your liver and your heart healthy.

8. If you are overweight, you are lifting your excess weight up every time you stand or walk or run. Especially when sitting, the pressure of your body is bearing on your anal region and may well be weakening it or aggravating existing hemmeroids. To help alleviate the suffering from hemmeroids and perhaps prevent new hemmeroids from developing, you should try to loose the excess weight you are carrying around on your body.

9. Another factor of what causes hemmeroids that counts is heredity. Some people are genetically predisposed to this type of illness and there aren’t too many things we can do about it. Do a lot of sport, especially to train and relax your anal sphincter muscles (the ring of muscles that surrounds the anal opening).

10. Anal sex is another cause of hemmeroids. No matter how much lubricant it’s used; keep in mind that the anus wasn’t designed for this function. If we remember that just wiping the area with toilet paper is considered a risk, you will get the picture yourself of how much problems can cause this type of sexual intercourse.

Diet has a pivotal role in causing -- and preventing -- hemmeroids. People who consistently eat a high-fiber diet are unlikely to get hemeriods, but those who prefer a diet high in processed foods can expect them. A low-fiber diet or inadequate fluid intake can cause constipation, which can contribute to hemmeroids in two ways: It promotes straining on the toilet and it also aggravates the hemmeroids by producing hard stools that further irritate the swollen veins. Hope the above mention satisfies your question on what causes hemmeroid.

Although hemmeroids are rarely dangerous, they can also be a painful recurrent bother, as you've found. Fortunately, most hemmeroid symptoms improve dramatically with simple measures. Here are some things to try:

• Add fiber. Boost the fiber in your diet with high-fiber foods, a fiber supplement or both. When taken with adequate fluid, fiber softens stools and makes them easier to pass, reducing pressure on hemorrhoids and lowering the risk of bleeding, inflammation and swelling.

• High-fiber foods include prunes, dates, apples, pears, strawberries, broccoli, brussels sprouts, carrots, peas, spinach, legumes (for example, baked beans or kidney beans), bran cereals and oatmeal. Fiber supplements include psyllium (Metamucil, Konsyl, Perdiem), methylcellulose (Citrucel), calcium polycarbophil (FiberCon, Fiber-Lax, Mitrolan) and wheat dextrin (Benefiber). Fiber can cause bloating or gas, so start slowly, and gradually increase your intake to 25 to 30 grams of fiber per day. Increase your fluid intake at the same time.

• Exercise. You can stimulate bowel function with moderate aerobic exercise, such as brisk walking 20 to 30 minutes a day.

• Go when you have to go. When you feel the urge, go to the bathroom immediately; don't wait
for a more convenient time. Your stool can back up, leading to increased pressure and straining.

• Take sitz baths. You can often relieve itching, irritation and spasm of the sphincter muscle with a warm water bath for the buttocks (sitz bath). Sit in a few inches of warm water in your bathtub or in a small plastic tub that fits over a toilet seat. Try a 20-minute sitz bath after each bowel movement and at two or three other times during the day. Afterward, gently pat the anal area dry; don't rub or wipe hard because this can cause irritation to your hameriods.

• Try over-the-counter hemmeroid creams. These can temporarily soothe pain, irritation and itching. Hemmeroid cream and suppositories containing hydrocortisone are also effective, but don't use them for more than a week at a time, because they can cause the skin to get too thin. Witch hazel wipes (Tucks) are soothing and have no harmful effects. A small ice pack placed against the anal area for a few minutes may also help. Finally, sitting on cushions rather than hard surfaces can help reduce swelling.

Occasionally, hemeoriods can't be managed with conservative hemmeroid treatments alone, either because the symptoms persist or because an internal hemmeroid has slipped down into the anus. If symptoms continue for more than a few days despite your efforts to relieve them, call your doctor. He or she can confirm that you have hemmeroids, rule out other conditions and recommend an appropriate hemmeroid treatment, such as hemmeroid surgery, to remove or shrink hemmeroids. But the best thing to avoid or keep hemmeroids from coming back is to try your best to avoid what causes hemmeroids formation.

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