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Hemorrhoids or Piles – Root cause, Symptoms and Diagnosis

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We’ve have heard so much about piles, but one may ask, what is piles or hemorrhoids?


What causes piles?





What are hemorrhoids?

Hemorrhoids are swollen and inflamed veins around the anus or in the lower rectum. The rectum is the last part of the large intestine leading to the anus. The anus is the opening at the end of the digestive tract where bowel contents leave the body.

There are two types of hemorrhoids:

External hemorrhoids:

External hemorrhoids are located at the anal opening, just beneath the skin. These tissues rarely cause problems unless they thrombose (form a blood clot). When this occurs, a hard, bluish lump may appear. A thrombosed hemorrhoid also causes sudden, severe pain. In time, the clot may go away on its own. This sometimes leaves a “skin tag” of tissue stretched by the clot.

Internal hemorrhoids:

Internal hemorrhoids often occur in clusters around the wall of the anal canal. They are usually painless. But they may prolapse (protrude out of the anus) due to straining or pressure from hard stool. After the bowel movement is over, they may then reduce (return inside the body). Internal hemorrhoids often bleed. They can also discharge mucus.
Grading Hemorrhoids

Based on the physical exam, your doctor may assign a grade to internal hemorrhoids. The grades are based on the severity of your symptoms.

Grades of Hemorrhoids
Grade I hemorrhoids do not protrude from the anus. They may bleed, but otherwise cause few symptoms.
Grade II hemorrhoids protrude from the anus during bowel movements. They reduce back into the anal canal when straining stops.
Grade III hemorrhoids protrude on their own or with straining. They do not reduce by themselves, but can be pushed back into place.
Grade IV hemorrhoids protrude and cannot be reduced at all. They can also be painful and may require prompt treatment.
History of Hemorrhoids

The earliest known mention of this affliction transpired in Babylon round about ~2250 BC which described the symptoms of hemorrhoids in the Code of King Hammurabi.

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Interestingly, the first recorded incidence of hemorrhoids occurred in Egypt in 1700 BC. Written on papyrus treatment emphasized a topical wound ointment of great protection.

And remarkably, the use of the word “haemorrhoids” in English was in 1398, principally as a derivative from Old French termed “emorroides”, taken from Latin derivative “hæmorrhoida-ae”, which in turn was taken from the Greek “αἱμορροΐς” or translated haimorrhois.

Celsus (25 BC – AD 14) described ligation and excision procedures, and discussed the possible complications. In the 13th century, European surgeons such as Lanfranc of Milan, Guy de Chauliac, Henri de Mondeville, and John of Ardene made great progress and development of the surgical techniques.


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What causes and risks makes hemorrhoids?

Swelling in the anal or rectal veins causes hemorrhoids. Hemorrhoid symptoms are similar to the symptoms of other anorectal problems, such as fissures, abscesses, warts, and polyps. Several factors may cause this swelling, including:


Chronic constipation or diarrhea

Straining during bowel movements
Sitting on the toilet for long periods of time
Strenuous exercise or heavy lifting
A lack of fiber in the diet
Heredity
Spinal cord injury
Loss of rectal muscle tone
Rectal surgery
Episiotomy
Anal intercourse
Colon malignancy
Hepatic disease
Obesity
Faulty bowel function due to overuse of laxatives or enemas
Straining during bowel movements
Another cause of hemorrhoids is the weakening of the connective tissue in the rectum and anus that occurs with age
Pregnancy can cause hemorrhoids by increasing pressure in the abdomen.


What are the symptoms of hemorrhoids?

The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement.

Internal hemorrhoids that are not prolapsed are usually not painful.
Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.
Blood clots may form in external hemorrhoids. A blood clot in a vein is called a thrombosis.
Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus.
When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch.
Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse.
Hemorrhoids are not dangerous or life threatening.
Symptoms usually go away within a few days, and some people with hemorrhoids never have symptoms.
Complications
Iron-deficiency anemia, if blood loss is significant.
Severe pain caused by a blood clot in a hemorrhoid.
Infection or ulceration of a hemorrhoid.

How are hemorrhoids diagnosed?

The doctor will examine the anus and rectum to determine whether a person has hemorrhoids. The doctor will perform a physical exam to look for visible hemorrhoids.
A visual exam is used to view the outer anal skin.
A digital rectal exam is used to check for hemorrhoids or other problems in the anal canal. It is done using a lubricated gloved finger.
An anoscopic exam is done using a special viewing tube called an anoscope. The scope helps your doctor view the anal canal.

Additional exams may be done to rule out other causes of bleeding, especially in people age 40 or older:

Colonoscopy. A flexible, lighted tube called a colonoscope is inserted through the anus, the rectum, and the upper part of the large intestine, called the colon. The colonoscope transmits images of the inside of the rectum and the entire colon.

Sigmoidoscopy. This procedure is similar to colonoscopy, but it uses a shorter tube called a sigmoidoscope and transmits images of the rectum and the sigmoid colon, the lower portion of the colon that empties into the rectum.

Barium enema x ray. A contrast material called barium is inserted into the colon to make the colon more visible in x-ray pictures.
How to treat and cure hemorrhoids?
Home remedies
Over-the-counter topical treatments, such as hydrocortisone or hemorrhoid cream, can ease your discomfort from hemorrhoids.
Soaking your anus in a sitz bath for 10 to 15 minutes per day can also help.
Practice good hygiene by cleaning your anus with warm water during a shower or bath every day.
But don’t use soap, as soap can aggravate hemorrhoids. Also avoid using dry or rough toilet paper when you wipe after a bowel movement.
Using a cold compress on your anus can help reduce hemorrhoid swelling.
Pain relievers, such as acetaminophen, ibuprofen, or aspirin can also alleviate the pain or discomfort.



Non operative managements

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The most common surgical treatments are ligation or tissue destruction, fixation techniques (i.e., hemorrhoidopexy), and excision (i.e., hemorrhoidectomy).

Rubber band ligation

Rubber band ligation is a common office treatment for internal hemorrhoids and is often recommended as the initial surgical treatment for grades 1 to 3 hemorrhoids. The procedure involves placing a rubber band around a portion of redundant anorectal mucosa. This causes strangulation of the blood supply to the hemorrhoid, resulting in tissue necrosis and sloughing of the hemorrhoid in five to seven days.

Rubber band ligation

The procedure is performed through an anoscope, and a variety of devices are available to apply the bands. Because the bands are placed in the insensate region (above the dentate line), the procedure can be performed without anesthesia.

Stapled hemorrhoidopexy

Stapled hemorrhoidopexy is an alternative treatment for grades 2 to 4 hemorrhoids. The device removes a circumferential column of mucosa and submucosa immediately above the hemorrhoids, thus interrupting the blood supply. The ring of staples fixes the downwardly displaced vascular cushions back into their original locations to restore anatomy and function.

Postoperatively, patients have a circular staple line above the dentate line, which becomes buried within the mucosa over time. Staples can be noted within the rectum for many months after the procedure and can cause rectal bleeding. Compared with excisional hemorrhoidectomy, stapled hemorrhoidopexy is more favorable in terms of postoperative pain, time until return to work, and complications of pruritus and fecal urgency

Sclerotherapy

Sclerotherapy for hemorrhoids is a less-invasive, less-painful procedure that causes the problematic hemorrhoid to shrivel and dissipate within a short period of time. Sclerotherapy usually is successful, but it is not a permanent solution and might need to be repeated, and there is a chance of fairly heavy bleeding. Five percent phenol in almond oil is injected in submucosa just above the base of hemorrhoid causing inflammation and scarring. It is an OPD procedure but complications like prostatitis and sepsis can occur.

IR coagulation and Sclerotherapy

Infrared coagulation

Infrared coagulation involves the application by a polymer probe tip of radiation from a tungsten-halogen lamp to the base of the hemorrhoid. This creates an ulcer that subsequently heals, producing cicatrisation (scarring) that reduces blood flow to the hemorrhoid. The procedure is well tolerated, but success rates are lower than those with rubber band ligation. Infrared coagulation may be considered in patients who are on anticoagulant therapy

Bipolar Diathermy

Bipolar diathermy for hemorrhoid uses electric current of very high frequency. The electrical energy is then used to thicken the affected tissue. Bipolar diathermy for hemorrhoid may just require several sessions before one could get rid of all the piles though.

Cryotherapy

Cryotherapy is based on the concept that freezing the internal hemorrhoid at low temperatures can lead to tissue destruction. A special probe is used, through which nitrous oxide at −60° to −80°C or liquid nitrogen at −196°C is circulated. The procedure is time consuming and associated with a foul-smelling profuse discharge, irritation and pain. The procedure is no longer recommended for the treatment of internal hemorrhoids.
Operative managements

Excisional hemorrhoidectomy

In excisional hemorrhoidectomy, an elliptical incision is made over the hemorrhoidal complex, which is then mobilized from the underlying sphincter and excised. The wound is closed with sutures.

Several randomized controlled trials (RCTs) and meta-analyses have shown that excisional hemorrhoidectomy is the most effective treatment to reduce recurrent symptoms in patients with grade 3 or 4 hemorrhoids. It is also recommended for patients with mixed hemorrhoids and for those with recurrent hemorrhoids in whom other treatments have been ineffective.

Doppler-guided Hemorrhoidal Artery Ligation

It involves a proctoscope with a Doppler transducer integrated in the probe allowing sequential identification of the position and depth of superior rectal arterial branches (usually 5-7 are found at one level), which are then selectively ligated 2-3 cm above the dentate line at two levels 1-1.5 cm apart by absorbable sutures via a lateral ligation window within the scope. The interference with the blood supply suppresses the bleeding and volume of the hemorrhoids and symptomatic relief is usually evident within 6-8 weeks.
Prevention
The key to prevention is proper diet and habits to produce softer stools, thus reducing the need to strain.
Add plenty of fiber to diet (fruits, vegetables, legumes, and whole grains).
Good dietary fiber sources include:
Whole wheat
Brown rice
Oatmeal
Pears
Carrots
Buckwheat
Bran
Dietary fiber helps create bulk in the intestines, which softens the stool, making it easier to pass.
Drink plenty of fluids (8 to 10 glasses of water daily).
Don’t hurry or strain to push bowel movements, but avoid prolonged toilet sitting.


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Health

HOW TO USE CHANCA PIEDRA (STONEBREAKER) FOR HEPATITIS B TREATMENT.

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The “stone breaker,” Chanca Piedra, is a common herbal folk treatment for kidney stones. The herb is supposed to aid in the prevention of calcium-oxalate stones. It’s also thought to make existing stones smaller.


Simply look around your surroundings and you will eventually come across this plant, which is both common and powerful.

This herb is extremely beneficial to people who have hepatitis B.



This plant may be found all around and has been proven to be a blessing from God for the healing of numerous diseases and illnesses.


It possesses 25 chemical features and effects, according to research.


It grows 30-60cm tall with numerous oblong and feathery little green leaves and can be found along roadsides, gardens, cultivated regions, and living locations, among other places.


It’s laid out in two rows, with longitudinally ribbed seeds at the bottom.


HEPATITIS B TREATMENT

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In a pot with a tight-fitting lid, boil one handful of the plant with a liter of water for 15 minutes on medium heat.



REMEMBER: If you can see steam or detect an odor, your lid isn’t closed tightly enough, and valuable properties are escaping.

It can be stored in the refrigerator after straining off the leaves and seeds, but it will go bad within 3 days.


You can boil a large quantity and preserve it in the fridge for up to one week.


DOSAGE: Half or one full cup should be taken twice daily on an empty stomach for 30 days.

Children should be given a fraction of the adult dose.

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After 30 days, repeat the test; if there is still evidence of hepatitis in your system, continue therapy for another two weeks and repeat the test.


Hepatitis B traces in your system will vanish totally.




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Health

Your Agonising Back And Joint Pain Is Being Caused By A Common Vitamin Deficiency!

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Your Agonising Back And Joint Pain Is Being Caused By A Common Vitamin Deficiency!

However, there are several occasions where people suffer from excruciating agony as a result of vitamin insufficiency. This is why you must be physically active and fight to relieve your pain rather than accept it.

Vitamin deficiency is a prevalent problem these days, and it is strongly linked to joint discomfort.

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This article will explain how to treat it as well as how to deal with any associated symptoms.

In most cases, joint pain is caused by ageing, but it can also be caused by acidity, food, weight, or job position. A new study discovered that joint discomfort is frequently caused by a lack of vitamin D.

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pain
However, there are several occasions where people suffer from excruciating agony as a result of vitamin insufficient

Furthermore, if this problem is not resolved quickly, the discomfort worsens and may lead to bone problems and arthritis.

As a result, it is critical to understand the signs of vitamin D deficiency in the body:

  • Improper balance
  • Poor sleep
  • Burning and itching sensation in the feet
  • Pain present in the feet and legs

You can also perform a simple test to determine if you are lacking in this vitamin. You must push the chest bone to identify the pressure levels that cause pain. If pressing causes pain nearly immediately, you should absolutely boost your vitamin D intake.

To begin, you should expose yourself to the sun for at least 10-15 minutes per day to increase your vitamin D levels. Being exposed to direct sunlight may be an issue during the winter or if you live in a colder place where the sun is scarce.

As a result, you should be aware that it can also be obtained through meals such as egg yolks, tuna, mushrooms, and mackerel.

You can also choose to supplement, which eliminates the need to alter your typical diet. However, it is advisable to look for a supplement that contains vitamin D3, not D2. D3 is naturally created by the body in response to sunshine exposure.

These supplements may contain up to 5.000 IU of this vitamin, as well as probiotics, which are beneficial to the digestive system.

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Health

6 Best Foods For Prostate Health

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Rich and natural food is not only an excellent support for the overall health, but also for the prostate health.

 


6 Best Foods For Prostate Health

Certain nutrients have the potential to prevent and treat health problems related to the prostate, including prostatitis, benign prostatic hypertrophy and prostate cancer. In other words, you have a chance to improve the health of the prostate every time you sit down to eat.

Brazil nuts

Of all the different types of nuts, these “natives” originated in South Africa are the richest source of the mineral selenium, which is important for the health of the prostate. Studies show that selenium is associated with lower risk of prostate cancer

Brazil nut tree grows in Brazil, Peru, Bolivia and Colombia. Brazil nut actually developed as seed, not as a nut, because it grows in a hard shell with 8 to 24 seeds / nuts inside.

These seeds are also a rich source of zinc, another mineral that is quite health friendly for the prostate. Be careful when consuming brazil nuts, eat just a few per week, because they are too rich in selenium.

Broccoli

Broccoli is a member of the cauliflower and kale family. Broccoli contains large amounts of phytocomponent sulforaphanes and indoles, both of which have anticancer properties.

Sulforaphane enhances body activity and detoxification and helps eliminating potential elements that might cause cancer. Indole-3-carbinol, which is the main nutrient of broccoli and its other “relatives”, reduces the risk of prostate cancer.

The healthiest way to enjoy this kind of vegetable is to steam cook it for no longer than 5 minutes, and if you cook it longer, broccoli will lose its anticancer properties.

Before you steam cook broccoli, chop it into pieces and let it rest for a few minutes. Season the vegetable with olive oil and fresh garlic to increase its benefits.


Green Tea

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Healing powers of green tea come due to the antioxidant compounds called catechins, a type of polyphenol known as a great destroyer of bacteria and viruses, immune system booster, and an antioxidant which has proven to be excellent in fighting some forms of cancer, including prostate cancer.

Catechins in green tea appear to be strong in fighting pre-cancer symptoms. Studies show that men who consumed catechins every day had a much lower risk of developing prostate cancer, making catechins useful in treating symptoms of benign prostatic hypertrophy.

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So men who drink at least one cup of tea each day have significantly less chances of getting prostate cancer.

Pomegranate

For a long period of time this unusual fruit and the benefits of its consumption have been the main target of many researches conducted by scientists.

Pomegranates are rich in antioxidants, especially beneficial for prostate health. Studies have shown that pomegranate extract effectively kills cancer cells.

Pomegranate juice significantly reduced the progression of prostate cancer in men who have had surgery or were susceptible to radiation. Pomegranate is delicious, because of its inside and the juice as well; pomegranate is also easily accessible.

Pumpkin

Pumpkin seeds are beneficial in the fight against prostate cancer, especially in men suffering from benign prostatic hypertrophy. This health condition involves prostate expanding and usually occurs in men aged 50 and older.

Pumpkin seed oil prevents the spread of cell walls and is rich in carotenoids and omega-3 fatty acids. Higher level of carotenoids means reduced risk of benign prostatic hypertrophy. Seeds are also rich in zinc, which prevents cancer development.

Turmeric

Turmeric is a very popular spice, and it grows in the form of a root. Curcumin is the most active ingredient in turmeric and it gives the spice its bitter taste.

Traditionally turmeric is used to fight inflammation, colds and asthma, but researchers also found that turmeric has anticancer properties as well, including the ability to fight prostate cancer and significantly reduce tumor growth.

Turmeric has the potential to prevent the spread of metastases. It causes apoptoze, a process that kills cancer cells triggers.

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