Hemorrhoids are classified as one of two types. Those above the internal sphincter are called internal hemorrhoids, and those appearing outside the external sphincter are called external hemorrhoids.
Hemorrhoids cause itching and pain and are the most common cause of bright red bleeding with defacation. External hemorrhoids are associated with severe pain from the inflammation and edema caused by thrombosis (i.e, clotting of blood within the hemorrhoid). This may lead to ischemia of the area and eventual necrosis. Internal hemorrhoids are not usually painful until they bleed or prolapse when they become enlarged.
Let us tackle more the first type- the internal hemorrhoids. This can occur when the pressure of the hemorrhoidal vein is increased. This Hemocyl produces symptoms of discomfort in the anal area and bright red blood that appears on the stool or on the toilet paper.
What are the factors that increase the risk of developing an internal hemorrhoid? Some of the known factors include excessive straining during defacation, obesity, high-fat, low fibre diet, decreased fluid intake, decreased physical activity, pregnancy, aging, chronic diarrhea or constipation, and anal intercourse.
Pain is not a common complaint in patients having internal hemorrhoids. However, there's a greater chance of protrusion through the anus outside of the body. This in turn, would cause irritation and pain. If this is not given attention, this Hemocyl could persist and remain outside the anus and the person is expected to report complaints of constant soiling of underwear.
Diagnosis includes thorough medical history taking and physical examination. It is important to report to the doctor if there are any bleeding episodes so proper evaluation and tests can be done. It is also important to take note that bleeding can also be a symptom of a serious medical condition like colon or rectal cancer.
An anoscope is a hollow, lit tube that is used to view hemorrhoids for closer evaluation. A proctoscope can also be used for further examination of the entire rectum. A sigmoidoscopy (examination of the rectum and lower colon) or colonoscopy (examination of the entire colon) is done to rule out other causes of bleeding.
The Hemocyl main goal for the treatment of this type of hemorrhoids is geared towards relieving the symptoms and establishing a diet regimen that is high in fiber. The patient is also encouraged to increase fluid intake to prevent straining during bowel movement. It is also important to modify bowel habits.
Other specific intervention would include having a warm bath several times a day. Eat foods that are rich in fiber such as whole grain foods like oats, high-fiber cereals, beans, fruits and many more. It is also essential to increase the intake of fluids; two to three litres a day. Stool softeners are also prescribed to prevent straining during defacation. Some over-the-counter medicines are also helpful to decrease itching and inflammation.
The majority of people show improvement after several days of an internal hemorrhoid treatment. However, if symptoms are not relieved, internal hemorrhoids protrude and cause repeated bleeding, surgical intervention can be an option.
In order to prevent the occurrence of internal hemorrhoids, it is important to keep the stools to decrease straining during defacation. As soon as there's an urge to empty the bowel, do so. Exercise and proper diet (high fiber) can help prevent constipation.