Haemorrhoids

Haemorrhoids

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What is haemorrhoids?…



Haemorrhoids are small, blood-filled swellings caused by dilated varicose veins. Initially, they are located just

inside the anus (internal haemorrhoids) but can sometimes protrude (external haemorrhoids). Haemorrhoids are not

dangerous…



Constipation and prolonged straining when using the toilet are thought to

contribute to the formation of haemorrhoids by increasing the

pressure in the veins.…



What are the symptoms of haemorrhoids?…



Haemorrhoids may be present for many years but remain undetected

until symptoms appear. They can cause anal bleeding and itching and also pain

and discomfort....



Normally, the bleeding is limited to small stains of fresh blood on the toilet

paper, but more severe bleeding can sometimes be present when stools are

passed…



A lump may also be felt in the anus and large haemorrhoids give a sensation

that the bowel hasn’t emptied completely.…



If you observe blood in your stools, and have the symptoms mentioned

above, you should visit your doctor for a check-up.…



If haemorrhoids are present, the doctor will then perform an

examination to find out if there are any other possible causes of the bleeding

that may be more serious.....



The doctor will feel the anal canal by digital rectal examination and may go on to inspect the mucous membrane of the

rectum and lower part of the large intestine using an examination tube called

a proctoscope or sigmoidoscope…



How are haemorrhoids treated?.…



Some haemorrhoids can get better without medical treatment. This can happen if they are

caused by constipation. The doctor may recommend a change of diet with the addition of

more fibre and roughage particularly green vegetables, fresh fruit, wholegrain cereals and bran. Drinking 8 to 10 glasses of fluid daily is

advisable..…



The person is also told to avoid straining when passing a bowel motion. Nobody

should strain to push out a stool. The feet can be placed on a low foot stool to aid the bowel

movement. Sitting in a shallow bath of hot water for 15 minutes several times a day, will

reduce the pain.…



In the case of a pile protruding from the back passage, which has become swollen and painful, a day’s bed rest with an ice pack applied to the anal

area should be helpful....



A pack of frozen peas wrapped in a tea towel is ideal for this purpose. Never

allow the ice to come directly into contact with the skin and only use this treatment

for 20 minutes in an hour for a limit of three hours a day....



Relatively minor haemorrhoids can be treated using creams available directly

from your local pharmacy or on prescription. A few days’ treatment is

usually enough, and then the irritation will settle spontaneously....



More severe cases need to be treated by a specialist...



One possible treatment is rubber band ligation. Rubber band ligation can be performed in the doctor’s surgery or

outpatient clinic and does not require hospital admission....



The procedure involves placing a small rubber band at the base of the

haemorrhoid with a special applicator. The rubber band cuts off the blood supply

to the haemorrhoid, which eventually falls off after a few days...



Injection of a substance that makes the blood in the haemorrhoid clot is another option (sclerotherapy)....



The most serious cases are third-degree haemorrhoids. These protrude through the back

passage and can require surgical removal or ‘haemorrhoidectomy’. Such operations are successful in 90 per cent of cases. However, many third-degree haemorrhoids shrink and

become symptom-free without surgical treatment...



Haemorrhoids after surgery…



After haemorrhoids have been removed, small skin tags can develop beside the back passage. In some cases they will be slightly

painful or itchy and if they cause considerable difficulty with personal hygiene

they can be surgically removed by a minor operation....



Following any treatment for haemorrhoids, it is very important to

avoid constipation and straining or the condition may reoccur...



For more information on Haemorrhoids



Haemorrhoids

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