hemorrhoid clot - Medical Diagnosis -treating Hemorrhoids - How to Choose the Least Painful and Most Suitable Option
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Medical Diagnosis -treating Hemorrhoids - How to Choose the Least Painful and Most Suitable Option

Treating hemorrhoids - how to choose the least painful and most suitable option After consulting various specialists, each recommending his own pet method of treatment, a hemorrhoid sufferer gets online medical advice for choosing the least painful and most suitable treatment option.


Milligan-Morgan operation: This is one of the most frequent techniques practiced. The operation is usually performed under general anesthesia, but spinal anesthesia can be used. The long term results are over 90% patient satisfaction. Pain is considered to be the main reason that patients resist the operation. It is evident that pain experienced after the operation is patient dependent. Hospital stay is about 1-2 days, but return to work is not for at least two weeks.

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 The expert??s opinion First of all I must emphasis that I have some doubt concerning the medical diagnosis and that some important details are missing. The medical report did not describe the physical rectal examination regarding the external anal component. This is important for choosing the best surgical technique and I will assume that there is no external component.

You can also apply cold compress or ice packs to the affected area. The coldness can help reduce swelling as well as redness. Medical experts have also been pointing at that a good hemorrhoids remedy is maintaining a fibrous diet. A person with hemorrhoids should avoid eating too much meat and dairy products since these can cause constipation. Constipation should be avoided by someone who has hemorrhoids because the straining brought by it can aggregate more pain towards the hemorrhoids. Too much pushing during defecation can also cause hemorrhoids to rupture and bleed. In this manner, fibers are really needed in the body to help aid digestion and to have a clean and soft stool - making way for an easier defecation.

Taking 40 grams of fibers daily would be enough to ensure smoother digestion. Fibers can be found among green leafy vegetables, rice, oatmeal, citrus fruits, cereals and whole grains. Another part for a healthy diet is the drinking of at least eight glasses of water daily. This is to avoid dehydration and to help, as well, in having soft stool.

Options of treatment Cryotherapy: (the option the patient mentioned he was leaning toward) this is a painful procedure, frequently associated with a profuse discharge and at least a week off work. Only about 50% of patients are well satisfied with the treatment. In terms of morbidity and time off work it is slightly better than hemorrhoidectomy, but the long term results are less predictable. It has more complications than does rubber-band ligation. Most proctologists have abandoned this technique.

2) If so, which of the previously specified techniques can be considered best in terms of least sufferance during and post surgery? And which technique would allow the patient to return to normal activity (including non-competitive sports) the quickest?

As is the case of most herbal remedies for differing conditions, there is not always valid scientific proof of the effectiveness or safety of each individual herb but many people swear on the results of such herbs. As it is beyond the scope of this article to examine each herb in detail, it is suggested that further research be done before deciding to use any of the herbs mentioned. While herbs are natural substances that occur in nature, this does not necessarily guarantee safeness and just like minerals and vitamins, toxic affects can occur if a large enough dose is consumed. Because of these facts I must stress once again that further research should be done before taking any of the less well known herbs mentioned in this article. You should instead use this article as a guideline for what is available and once you find something interesting, visit your local nature store for more information.

Rubber-band ligation: complications are infrequent with rubber-band ligation. Pain is usually mild and can be managed with analgesics. Return to work can be immediately or the day after treatment. The results of rubber-band ligation have been excellent with patient satisfaction of 80 to 91%. It must be emphasized that optimal treatment consist of 2-4 sessions with at least two weeks interval and depends on the number of hemorrhoids to be treated.

The application of topical ointment is also another effect remedy for hemorrhoids. It can relieve the burning and itching feeling due to the irritations at the affected area. Aside from topical ointment or hemorrhoids cream, a suppository can also be a good alternative. Suppositories containing soothing medicine can be inserted in the anal canal.

Many hemorrhoid sufferers are looking for something that not only treats the symptoms but will also cure their hemorrhoid condition. There are numerous over the counter creams and suppositories available that claim to treat symptoms and heal the damage and while some of these products have a well proven reputation, the effectiveness of others has is not so well proven and some scientific research shows that some may actually do more harm then good. Another option for treating and healing hemorrhoids may be different types of natural herbal remedies. This article will discuss some of the herbs available and what each claims to do.

Relief comes with a warm hip bath, recommended often if the discomfort is a lot. Known as the sitz bath, it involves sitting in warm water to get your bowels moving. This is also soothing after you've had a bowel movement and the area is painful. After your bowel movement is done, do not wipe too hard as this might bring on the bleeding or increase it. Preferably, wash with water and gently dab with tissue. If you do not use water, wet some tissue with a gentle liquid cleanser and wipe or better still, use baby wipes. Don't use harsh cleansers or soaps.

1. Rubber band ligation; 2. Milligan-Morgan technique; 3. Cryotherapy; 4. Stapler. The patient specified that each specialist consulted only practices the technique that he personally deems most efficient. The problem raised, therefore, is that each specialist believes his technique (stapler, cryotherapy, ligation, etc.) to be the best, strongly advising against other techniques (without, however, clarifying the reasons for this). Purely based on acquaintances' experiences with the treatment, and the excellent results obtained, the patient would tend towards opting for cryotherapy (which would appear to be the least invasive, cheapest, and simplest technique, as it is generally carried out as an outpatient, with no particular preparation or hospital stay required).

It is with no doubt that hemorrhoid truly entail embarrassment and humiliation to the one having it. It is unimaginable that unexpected bleeding from the behind can actually occur to someone who has hemorrhoids (let the case of menstruation among women rest in this issue).

The first class of herbal extracts for using in the treatment of hemorrhoids would be the ones that work to sooth the pain and these are also the most commonly used. The most popular herb for hemorrhoid pain treatment is Witch Hazel and you will find this herb on the list of ingredients in virtually all over the counter hemorrhoid creams products on the market. In its astringent form, it is often used to treat sores, bruises and swelling. A sitz bath with Witch Hazel and Calendula can be used for hemorrhoid treatment or you can also use Yarrow, Sage, Bayberry, Oak Bark, and Yellowroot. These combinations of herbs have shown some evidence of being effective as they work to tighten the damaged tissue, stop the bleeding, and begin the healing process.

 
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Conclusion: according to the information provided by the patient the most suitable technique of treatment is stapled hemorrhoidectomy since it is most effective and less painful than Milligan-Morgan operation. Rubber-band ligation, though excellent, is not indicated in this case. The rectal polyp should be excised in any case.

If the itching and pain are bad, use ice to cool and contract the swelling. Sit in your warm hip bath for around 15 minutes each time and apply napkins soaked in hot water to the area if that gives you relief. Take a non-prescription pain reliever to tide you through the day rather than suffer in silence (not aspirin or NSAIDs as they make the bleeding worse). Apply a hemorrhoid cream to the affected area. Your pharmacist should be able to recommend a non-prescription one. Wear cotton underclothes which are comfortable, not tight, and try and lie down often if you can. Being on your feet for a long time can aggravate the condition. It helps to sleep on your stomach, elevating your rear with the help of a pillow placed under your abdomen. If you are pregnant, do take the pressure off your feet and lie on your side. The one comforting thought is that once the baby comes, most often, hemorrhoids shrink back to their normal size. So it is only a temporary phase when it occurs during pregnancy.

Soaking the anal area in a hot tub is one of the most effective hemorrhoids remedy that can offer immediate relief. Sitting in lukewarm water for several minutes repeatedly during the course of the day can help aid relief from itchiness and pain brought by hemorrhoids.

Both internal and external hemorrhoids respond to home treatments. Do remember to make sure that while you resort to these, also take into account that if you suffer from constipation, you need to address that issue as well. Increase the fiber content in your diet and remember to drink your 8 glasses of water a day. Go for a long walk everyday and make sure your diet includes vegetables, especially a lot of greens and fruits - remember, whole fruits, not just the juice. Do not lift heavy things as this just worsens the condition.

It also helps to have a regular exercise routine. Sedentary lifestyle might cause hemorrhoids to further bloat as excess weights are continuously pushing pressure towards the lower abdomen. Notably, people with excess weights (or those who are obese) and pregnant women are more prone to hemorrhoids problems. Refrain also from sitting and standing in just one position for prolonged period of time.

No matter how small or large the size of your hemorrhoids may be, it is always advisable to consult a doctor the soonest time possible. This is to ensure further complications and problems. Furthermore, seeking medical advice at an earlier time can help treat hemorrhoids right away; thus, reducing further pain and discomfort.

Stapled hemorrhoidectomy: This is relatively a new technique and is in practice for ten years. In all aspects it is an operation and must take place in the hospital. Patients report on less post operative pain compared to Milligan-Morgan operation and hospital stay is usually 1 day. The success rate is about the same as the former but there is one exception: the stapler technique is not effective for treatment of Hemorrhoids with an external component.

Online Doctor Consultation - Medical Questions: 1) Will any of the techniques mentioned provide a definitive solution to the medical problem?

There are also classes of herbs that can be used to make teas or used externally in a sitz bath and some can actually be taken either way. Because the herbs listed below are not as commonly used for hemorrhoids as the ones above and also because they are often associated with use for other conditions, I do not advocate using any of them without further research. Teas used to treat hemorrhoids can contain herbs such as Lady's Mantle, Sheperd's Purse, Raspberry Leaves, Figwort, Collinsonia, Stone root, Rich weed, and Horse Chestnut. Herbs such as White Pond Lilly and Horse Chestnut can be used either internally as a tea or externally in a sitz bath. There are also many Chinese herbs that it is said can be used to treat hemorrhoids such as Chi Hu, Dang shen, Huang Qi, and Xuan shen.

After being diagnosed with 'hemorrhoidal pathology" (3rd degree hemorrhoids, polyp in the anal canal), the 37 year-old male patient consulted various medical services and specialists, who each suggested different medical treatment methods:

Hemorrhoids also bring a lot of discomfort and burning sensation to the one who has it - not to mention the awkward moments, especially if situated in a public place or activity, when pain and itchiness strike. Because of this, it is without doubt that people are dying to undergo medical treatments or relief treatment procedures just to get rid of their hemorrhoids.

Ideally, you should avoid getting hemorrhoids. If you're already a sufferer, there are a few things you can do at home to make them better. Sometimes, taking care of the root cause tends to slowly make the hemorrhoids shrink and go away. However, once you have the tendency to develop hemorrhoids, it is better to be aware and take the necessary precautions to ensure it does not recur.

Sometimes, hemorrhoids need to be treated at the doctor's clinic in order to bring relief. Nonsurgical procedures involve rubber band ligation where they are literally tied off with rubber bands, injection sclerotherapy where chemicals are injected right into the hemorrhoids, coagulation therapy, where the tissue surrounding them is scarred and hemorrhoidectomy where they are surgically removed. What treatment you resort to will depend on the severity of your problem.


 
 
     
 
 





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