What is Hemorrhoid?
Haemorrhoid is the piles of blood vessels that are found at the end of the rectum in the anus. The rectum is that area of the large intestine where the digestion completes, and the final products of digestion are excreted out of the body. The anus is the end of the digestive tract where feces leave the body. Haemorrhoid controls the bowel moment with the help of another circular muscle called the anal sphincter.
What we actually mean by that ‘we have hemorrhoid’ is that hemorrhoid has become enlarged. This may be because the veins may have enlarged and their walls have become thin and stretched and irritated while passing stool.
A hemorrhoid is classified into two types:
• Internal: which originates in the rectum and may come out of the anus and can be seen as a collection of tissues coming out. This is the most common form of hemorrhoid seen.
• External: which originates in the anus and tends to feel like a large lump of tissues collected outside the anus and thus it makes sitting very uncomfortable and painful. Sometimes bleeding is also a very common effect.
Hemorrhoids classified in total four grades depending upon the intensity of seriousness.
• Grade 1: enlarged hemorrhoid which cannot be identified from outside that of the anus.
• Grade 2: somewhat larger hemorrhoid which may come outside the anus whole passing stool, but goes back on its own.
• Grade 3: Hemorrhoid which comes out of the nanus while engaging in any physical activity or while passing stool and does not goes back on it own, but needs to be pushed inside the anus.
• Grade 4: the situation when the Hemorrhoid is always outside the anus and does not goes inside.
Hemorrhoids are also called piles, and this term is derived from the Greek word, ‘haimorrhoides,’ which means veins that are liable to discharge blood. It has caused pain and irritation from very past and still now more than fifty percent of the human population has suffered from it once in their lifetime. Although many people consider them to be very abnormal, the truth is that it is very common for almost everyone.
Haemorrhoid is as common as that it is approximated that almost 75% of the world population will suffer from it at any point of their life and of this 75 % only 4% are most likely to visit a doctor for the treatment of hemorrhoid. It is a gender neutral problem, and there are equal chances of occurring in males and females and are most likely to occur in the 45 to 65 years old persons.
Symptoms of hemorrhoids include following apart from itching and pain
• Fecal leakage
• Severe pain
• Burning and irritation at the anus
• Painful bowel movement
• A sensation that bowel is not empty
• Blood leakage after the bowel movement
Internal hemorrhoids are present inside the lining of the rectum and are not only painful when they are quite enlarged. Until then they are not felt and not at all painful. Although internal hemorrhoids are only felt because they cause bleeding during the bowel movement.
At times internal hemorrhoid appears too much pink than the surrounding due to the bowel movement and feels like a moist pad around the anus. This area of the anus is too much pain-sensing due to the presence of a large number of nerve cells. Internal lining of anus gets pushed inside on its own.
An external hemorrhoid is present under the skin that surrounds the anus. These are sensed when hemorrhoid swells and causes itching, pain, and bleeding during bowel movement. The lining and other tissues are visible and also causes pain. When blood clots inside the skin and hemorrhoid them it may lead to a very painful condition which is known as thrombosis.
Apart from the way they are visible, thrombosed are not that fatal and serious, they just cause much pain. This condition is resolved on its own in a period of few weeks. To relax the pain, doctors also remove these blood clots which eliminates the pain completely.
Causes of Hemorrhoid
Haemorrhoid is caused due to the swelling of the veins in the anus and rectum and thus inducing the sense of irritation and pain. The swelling can be caused due to the any of the reasons listed below:
• Chronic constipation
• Low fibre intake in the diet
• Standing or sitting for long hours
• Spending a long time on the toilet
• Faulty bowel movement
• Lifting heavy weights regularly
Intake of low fibre diet and consumption of spicy foods and alcohol may be the possible cause of hemorrhoid. Weakening of the supporting tissues due to the ageing of the body is also the possible cause of the development of hemorrhoid as the person gets older.
A painless bleeding is the major common symptom of hemorrhoid, and red blood stains can be seen on the toilet, toilet paper, etc. the bleeding is normal and may stop within a weeks’ time, but the bleeding due to bowel movement may not be taken lightly and should be visited a physician for treatment. Several reasons that may cause the bleeding from bowel movement are inflammatory bowel disease, infection, and tumours.
How to Get Rid of Hemorrhoids:
People generally detect the presence of hemorrhoid when
• After a bowel movement, they feel the presence of a lump of external hemorrhoid while whipping.
• Presence of blood either on the toilet paper or inside the toilet.
• Feeling a prolapsing hemorrhoid
When you visit a physician for hemorrhoid, the doctor checks first perform some visual, physical tests for enlarged tissue of anus when you push. This will let him know the severity of the condition and will then perform a number of other examinations for the same. The digital rectal examination is done first in which they insert a finger wearing gloves and using lubricant and then feel inside of the anus and examine the texture of the inner lining and sphincter muscles.
If the presence of hemorrhoids detected in this examination then your doctor will most likely be performing a proctoscopy test which involves inserting a tube with a lens and light mounted on it. this examines the membranes lining the anus. This is a required test to detect the intensity of seriousness of the condition and better prescribe the treatment methodology.
In many cases, people often do fear from this, but is it a really important test to better understand the condition.
Treatment of hemorrhoid
Treatment of enlarged hemorrhoid is important as the condition becomes worse over time. there are several methods followed for the treatment of enlarged hemorrhoids, such as diet and other medicines like
And procedures such as
• Rubber band ligation
One way to relax the enlarged hemorrhoid muscles is softening the stool by increasing the content of fibre in your diet. Some Fibre-rich foods are
• fresh and dried fruits
On average, 20 to 10 grams of fibre is recommended, whereas in our normal diet we usually consume only 15 grams of fibre due to increased use of processed food. So to compensate and fulfill the diet recommendations these supplements can be used
• calcium polycarbophil
softer stool can also be promoted with higher intake of liquid on a daily basis with the recommended level of fibre intake. Although softer stool control hemorrhoid, it may not be much tested to prevent it.
It is among the most trusted and recommended method of treatment of hemorrhoid. It is a chemical based method in which certain chemical is injected into the base of hemorrhoid. The injected chemical basically acts to eliminate the innermost linings of the vessel, which results in a clot which blocks the circulation of blood in the veins. With time, this tissue lining fades away. This method may cause pain, but it is only limited to the following day, and after that the situation is normal. Features disappear for several days and may reappear when further treatment is required.
Rubber Band Ligation
In this procedure, the base of the hemorrhoid clump is encircled with a tight rubber band. the tissue which has been cut by this rubber band dies, and an ulcer is formed which heals with scarring. This method of treatment is applicable to the three stages of hemorrhoid and is better than the sclerotherapy. Although the symptoms may reappear after several years of treatment, but can again be treated for no symptom and complete cure from enlarged hemorrhoid.
Although this method is better than others, it causes pain, and there is bleeding also associated which may continue for a week or two. But after that, the condition is better and cured.
The best way of prevention is to keep in check that the stool is soft and easy to pass through the rectum and anus and thus does not cause any irritation. Eating a fibre-rich diet and consuming enough quantity of water daily can help to maintain the stool softer.
These are the top methods to get rid of Hemorrhoids.