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Nutrition and Dietary Supplements
* Psyllium and other fiber may help soften stool and reduce the pain associated with hemorrhoids.
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Surgery and Other Procedures
For cases that don't respond to home treatments, your doctor may recommend other procedures:
Rubber band ligation â A tiny rubber band is placed around an internal hemorrhoid, which cuts off the blood supply and causes the hemorrhoid to fall off.
Sclerotherapy â Used to treat varicose veins, in this procedure a chemical solution is injected into the vein, which causes the hemorrhoid to collapse.
Surgery â If other options, fail, your doctor may recommend a hemorrhoidectomy.
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Lifestyle
Try the following approaches to reduce the pain and itching from hemorrhoids:
* Avoid pressure on the area (for example, sit on an inflatable ring)
* Wear cotton undergarments
* Avoid toilet tissue with perfumes or colors
* Try not to scratch the area
* Sit in a warm bath (or use a sitz bath â ask your doctor) for 10 to 15 minutes 1 to 2 times per day
* Avoid straining during bowel movements
* Limit the amount of time you sit on the toilet
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Treatment Approach:
Medications can ease pain and discomfort while hemorrhoids to heal. In addition, certain lifestyle measures can help you feel better and even prevent the recurrence of hemorrhoids.
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Diagnosis:
Your doctor can often diagnose external hemorrhoids by looking. For internal hemorrhoids, your doctor may do a rectal examination (inserting a gloved finger in the rectum). He or she may also use an anoscope or sigmoidoscope to look inside the anal canal.
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Preventive Care:
It's important to avoid being constipated so that you don't strain when having a bowel movement, so adding more fiber (fruits, vegetables, whole grains) to your diet can be helpful. You may want to consider fiber supplements. Drink plenty of fluids (at least 8 glasses per day) and get enough exercise.
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Signs and Symptoms:
Symptoms of hemorrhoids include:
* Anal itching
* Anal pain, especially while sitting
* Bright red blood on toilet tissue, stool, or in the toilet bowl
* Pain during bowel movements
* One or more hard tender lumps near the anus
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Causes:
Hemorrhoids are a type of varicose vein that tends to occur as we get older; about 75 percent of Americans have hemorrhoids at some point. Being constipated or passing large, hard stools may contribute to developing hemorrhoids. In many cases, however, there is no obvious cause. In addition to age and constipation, other contributing factors include the following:
* Some medical conditions (like cirrhosis â end stage liver disease)
* Pregnancy
* Sitting for a long period of time (especially sitting on the toilet)
* Obesity
* Chronic diarrhea
* Diet low in fiber or fluids
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Internal hemorrhoids usually don't cause pain or discomfort, while external hemorrhoids often do. However, internal hemorrhoids can protrude outside the anus (prolapsed hemorrhoid) and become painful. In some cases, a blot clot (thrombosis) may form in the vein, making the hemorrhoid more painful and sometimes requiring surgery.
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Hemorrhoids occur when veins in the rectum or anus become swollen and painful and may bleed. Sometimes they go away by themselves, but in other cases they can cause lingering pain, itching, and bleeding. There are two types of hemorrhoids: those that are just inside the anus or lower rectum (internal) and those that are outside the opening to the anus (external).