The first lines of defense against the symptoms of hemorrhoids are commercial laxatives, topical medications and education about anal care. Hemorrhoids usually cause rectal bleeding. Once your doctor has ruled out another, more serious cause of the bleeding, some simple measures can stop the bleeding.
Development and symptoms
Hemorrhoids are normal collections of connective tissue, arteries and veins that are located inside or outside the anal canal. They play an important role in relieving the passage of faeces through the canal, acting as buffers. Without them, bowel movements would be painful and difficult. However, hemorrhoids can become symptomatic when enlarged.
When hemorrhoids are very high in the anal canal, they are known as internal hemorrhoids. Usually, these hemorrhoids bleed, produce anal itching and may protrude outside the anus. This situation is known as a hemorrhoidal prolapse. Internal hemorrhoids usually cause pain. External hemorrhoids are found inside the lower anal canal and also on the outside of the canal. These hemorrhoids can be associated with pain, especially when they become thrombosed. A thrombotic external hemorrhoid is one that has developed a blood clot within the vein. External hemorrhoids can itch, bleed or interfere with anal hygiene.
Diagnosis and treatment
It is extremely important that a doctor who specializes in the diagnosis and treatment of diseases of the colon, rectum and anus assess your condition and rule out other serious and life-threatening problems, such as rectal cancer and anal cancer. A colon and rectal surgeon, previously known as a proctologist, should be able to evaluate you gently and quickly. With a safe diagnosis of hemorrhoidal disease, effective treatment can begin.
Because the tissues of the anus are delicate, any irritation caused by enlarged hemorrhoids can cause bleeding. To reduce irritation, soften the stool with an appropriate softener, such as a fiber preparation to promote easy bowel movement. For immediate relief, use a hydrocortisone ointment. Your doctor will be familiar with all the various preparations and can help you choose the right one. A 2, 5 percent hydrocortisone ointment, applied in small amounts to the area, can stop bleeding.
Since hydrocortisone can weaken the skin and make your condition worse, prolonged use is not recommended. Patients should not sit for prolonged periods of time on the toilet and should avoid using soap in the anus.As the body is very good at self-cleaning, the water or soft anal wipes are all necessary to clean the anal area. Consult your doctor if you have any concerns.
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