4 Things To Do About Hemorrhoids

almost all of us have been there it’s itching it hurts it can even bleed and it’s in the anus this which you can see here is a cross section of the anus this would be an internal hemorrhoid and this over here an external hemorrhoid actually everybody has hemorrhoids and why am i saying this well because hemorrhoids are normal anatomical vascular structures that everyone has they can be found over here and they are small cushions that help control the stool these hemorrhoids can become swollen and then we refer to them as internal hemorrhoids a disease internal hemorrhoids here we see the perineal and they can become thrombosed and we refer to that as external hemorrhoids so this is what patients usually get wrong internal hemorrhoids are actually normal anatomical structures that became swollen the external hemorrhoids are not hemorrhoids at all those are perianal vessels that became thrombosed luckily not all of us experience hemorrhoids that are swollen or thrombosed perianal vessels but two out of three individuals of general population actually do have this disease it’s rather common how and why exactly they happen we don’t know what we do know however is that constipation diarrhea pregnancy and sitting on the toilet for too long does increase the risk of having hemorrhoids or simply it makes them worse so what can be done about this condition and what are our options well there are many options and many suggested treatments which actually do not work flavonoids are often suggested as this successful miracle treatment but the benefits are questionable and there are potential side effects chinese herbal treatments were not proven successful in clinical studies either and the steroids which actually do help can only be used for 14 days this is the case because steroids are associated with thinning of the skin so what can be done about these hemorrhoids well there are four things i’d like to highlight and because it can be extremely frustrating if you tried some of these previously mentioned treatments and they didn’t work i guess the first thing i should suggest is to listen to doctors who follow evidence-based medicine and adhere to the guidelines usually created by the relevant american societies for medicine for example the american society of colon and rectal surgeons does not recommend the use of topical agents and suppositories and i don’t know why across america but also around the world doctors keep suggesting treatments like that that simply don’t work the second thing that can be done is to subscribe to our channel and like this video because youtube and other platformers will not suggest this video to other people suffering from hemorrhoids unless we get enough likes and subscriptions that’s simply how their algorithms work these days so that’s something you can do to help us help other people and now let’s explain the third thing that can be done and that is to understand that treatment of hemorrhoids consists of a teamwork between a patient and a physician and what patients can do about hemorrhoids is simply to eliminate the causes of hemorrhoids that we identified not the causes but the risk factors first and foremost diet is important with a lot of water and fiber after that it is important to treat diarrhea and obstacles if it’s present and not to spend a lot of time on the toilet or straining concerning the pain patients can take non-steroidal anti-inflammatory drugs without a prescription that is if they don’t have any other contraindications doctors however concerning the pain can prescribe local anesthetics such as lidocaine but to cure hemorrhoids doctors can perform a procedure called rubber band legation this procedure has some potential side effects such as pain bleeding and inflammation rubber band ligation is actually a first-line treatment for grade one to three and this is actually a good way to treat this condition because it has a cure rate of up to 87 and a complication rate of up to just 3 percent this is where skills and knowledge of a doctor can help solve the problems for the patient this is not just some pill you prescribe it is a procedure in which an operating surgeon and his skills have a direct impact on the success rate and the outcome of the procedure another successful treatment for hemorrhoids is a treatment with a success rate of up to 70 percent and it is called sclerotherapy it involves an injection of a sclerosing agent there are also cauterization methods and this is what evidence-based medicine suggests and recommends this doesn’t mean that we immediately treat every patient surgically there are specific indications when to attempt a surgical treatment of hemorrhoids so for example this which you can see here is a prolapsed internal hemorrhoid it is prone to ulcers bleeding and progression and that might be an indication to treat it surgically non-prolapsing internal hemorrhoids might cause bleeding and also anemia through this bleeding and therefore that