Hem­or­rhoids

Health & Nutrition - - SELF CARE - Ex­ter­nal In­ter­nal

What are they? Hem­or­rhoids are swollen veins around the anal canal. hem­or­rhoids are lo­cated in­side the anus but can some­times pro­trude to the anal open­ing; bleed­ing is the ma­jor prob­lem with th­ese. hem­or­rhoids are lo­cated at the rim of the anus; th­ese can also cause bleed­ing as well as itch­ing and pain. Low tech so­lu­tions in­clude life­style changes and top­i­cal ther­a­pies -- creams, oint­ments, sup­pos­i­to­ries etc. Surgery: One pro­ce­dure is called rub­ber band lig­a­tion (RBL), in which a small band is placed around an in­ter­nal hem­or­rhoid to cut off the blood sup­ply. RBL is usu­ally ef­fec­tive at least half of the time, and re­peated lig­a­tions im­prove the suc­cess rate. Lig­a­tion causes mi­nor pain for most peo­ple but no long-term side ef­fects. Infrared pho­to­co­ag­u­la­tion (IPC), uses infrared light to heat and scar the hem­or­rhoid. Causes less pain, but may be less ef­fec­tive for more se­vere hem­or­rhoids. He­m­or­rhoidec­tomy might be con­sid­ered, but this is ap­pro­pri­ate only for a mi­nor­ity of peo­ple. Pos­si­ble down­sides are se­vere post-op­er­a­tive pain, uri­nary re­ten­tion, and bleed­ing. Dis­cuss the pros and cons with your doc­tor thor­oughly be­fore mak­ing your de­ci­sion.

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