There are lots of treatment available
for Piles. But it should preferred to go for treatment without surgery.
Hemorrhoids Treatment
Review:
There
are a variety of treatment options for hemorrhoids, including temporary
reliefs, surgeries, and herbal treatments. Which one is right for you? Read on:
Temporary Relief:
For
some people with mild hemorrhoid symptoms, temporary relief is enough. These
can be achieved by:
Taking a sitz bath:
Sitz
bath is a bath of plain warm water, either in the bathtub or in a special basin
that can be placed on top of the toilet. Soaking in warm water for 10 minutes
or so can relieve the swelling and pain of hemorrhoids, especially for
prolapsed hemorrhoids.
Using soft or moist
wipes:
Instead
of wiping with dry toilet paper, which can irritate external hemorrhoids, try
using moistened wipes or rinsing with water after bowel movement. Some
commercially available medicated pads also contain witch hazel, a natural
astringent that can help reduce swelling and alleviate the pain.
Using over the counter analgesic creams or
suppositories
Topical
hemorrhoids creams (or suppositories) are basically lubricants to ease friction
and irritation. Some have added ingredients of analgesics that deaden pain
nerves, to give a more potent temporary relief. These analgesics include
benzocaine, lidocaine, or other "-caine" derivatives. Some topical
creams also contain astringents to reduce swelling.
A
word of caution, some people are allergic to these analgesics and astringents,
which may make their hemorrhoids condition worse.
Medicated
creams, available only with prescriptions through your doctor, usually contain
steroids to control inflammation.
Hemorrhoid Surgeries
Severe
hemorrhoids usually require medical surgeries. Medical treatment of hemorrhoids
encompass many forms, including:
Clot Removal
This
minor surgery is usually done in an out-patient setting in your doctor's
office. It is usually performed with local anasthesia on painful thrombosed
hemorrhoids, where a blood clot develops in an external hemorrhoids.
In
this procedure, your doctor would apply local anasthetics, cut the skin, lift
out the clot, and then apply dressing to the wound. Although there may be
lingering tenderness while the wound heals, the main source of pain (the clot)
is gone.
Blood
clots usually resolve themselves, so the choice of having them removed is
largely a matter of whether or not you want to suffer the pain. Your doctor may
even suggest that you leave the blood clot alone without surgery.
Rubber Band Ligation:
Ligation
or binding with rubber band is the medical treatment of choice for bleeding or
prolapsed internal hemorrhoids. It can usually be done quickly in the doctor's
office with no special preparation.
Here,
the hemorrhoid is held with a forcep and rubber bands are slipped onto it, thus
cutting off its blood supply. The hemorrhoids will shrivel and die in a couple
of days to a week. Afterwards, the dead tissue and the rubber band will fall
off with bowel movement.
For
multiple hemorrhoids, the practice is to tie off only one at a time, with
separate hemorrhoids treated about one month apart.
Although
not usually painful (not many pain nerve endings in the anal canal), it is
recommended that the patient drinks plenty of water, eat a high-fiber diet,
and/or take stool softeners to ease bowel movement. Nevertheless, some people
experience discomfort after the procedure.
In
some rare instances, a small group of people experience clotting of an external
hemorrhoids as the result of rubber banding an internal one, or have bleeding
complications.
Cryosurgery:
A
popular method twenty years ago, cryosurgery has fallen out of favor because of
the pain and possible complication involved.
Here,
internal and external hemorrhoids are frozen and destroyed by a cryoprobe,
which uses nitrous oxide or liquid nitrogen as freezing agents. The liquid
nitrogen circulates through a system of tubes and cools the tip of the
cryoprobe to freezing temperature.
The
hemorrhoids can either be directly frozen or be ligated first. In either case,
local anasthesia is usually used to deaden the pain.
Cryosurgery
can be more painful than other medical surgeries. Furthermore, the open wound
can become infected and for as long as a couple of weeks after surgery,
patients can have abnormal rectal discharge or foul odor which may require the
use of absorbent pads.
Sclerotherapy or
Injection Therapy:
In
sclerotherapy, a sclerosing or hardening agent is injected into the base of a
smaller bleeding internal hemorrhoids to cut blood circulation to the rest of
the veins. It is often the preferred method of treatment for older patients,
whose veins are more fragile.
The
sclerosing agent is basically a scar-producing chemical solution that causes
hemorrhoids to shrivel up.
In
contrast to rubber banding, sclerotherapy can be applied to multiple areas at
once. However, it is not as effective as rubber band ligation on larger
hemorrhoids. Also, in very rare situation, sclerosed hemorrhoids can develop
abscesses or other complications.
Infrared and BICAP
Coagulations:
In
these procedures, infrared light and electric current are used to cauterize or
burn off smaller hemorrhoids. However, because they are new and some patients
feel pain due to the heat involved, these coagulation procedures are not yet
popular.
Hemorrhoidectomy:
A
true surgical procedure, hemorrhoidectomy is usually reserved for severe cases
of hemorrhoids. It is recommended for an internal hemorrhoid that is unusually
large and troublesome, or for an external one that is large, very painful, or
causes severe itching.
Surgical
hemorrhoidectomy can be done by using scalpels or lasers. It requires
anasthetic and hospitalization. Here, surgeons cut off the hemorrhoids and
close the cut with stitches. Usually, a small anal pad is placed on the anus to
absorb drainage. Post-surgery recovery period usually last three to ten days in
the hospital and one to four weeks at home.
Although
rare, complications from hemorrhoidectomy can include severe pain, inability to
defecate, heavy bleeding, narrowing of the anal canal (called stricture),
cleaving of the anal canal (called fissure formation), and scarring. If
improperly done, surgeries can destroy essential nerve endings, which leave
patients with the inability to tell flatulence apart from the urge to
eliminate.
Because
of these considerations and the availability of other forms of treatments,
including the use of traditional herbs outlined below, only a very small
percentage of hemorrhoids ( less than 1%) are actually treated by surgery.
Hemorrhoids Treatment
with Natural Supplements:
For
a majority of hemorrhoid sufferers, self treatment can also include the use of
herbal supplements to alleviate the symptoms of hemorrhoids.
Three
herbal ingredients have been shown to be beneficial:
Japanese Pagoda Tree
(Sophora japonica):
Natural
extracts of the Japanese pagoda tree has been shown to be effective in the
strengthening of vein walls, normalization of the permeability of veins and
capillaries, and maintenance of good vein health.
Clinical
studies on purified Japanese pagoda tree extracts have shown that a significant
majority of people taking it experience relief from the pain, itching, and
discomfort of hemorrhoids.
In
these studies, 96% of men and women with mild to severe cases of hemorrhoids
had relief from bleeding, 88% had a significant reduction of remitted
discharge, 95% had relief from inflammation, and 90% had relief from itching.
Overall, 94% of subjects taking Japanese pagoda tree extracts were symptom-free
or had significantly better hemorrhoids condition compared to ony 23% of those
taking placebo.
Horse Chestnut
(Aesculus hippocastanum):
Since
the 1800s, horse chestnut seed has been used to treat various vein conditions,
including hemorrhoids. It is actually commonly prescribed in European doctors
for hemorrhoid treatment.
Horse
chestnut contains the active ingredient aescin, which reduces inflammation,
strengthens and tones vein walls. It is thought that aescin accomplishes this
by plugging up minute leaks and holes in the veins and capillaries, and by promoting
vein elasticity. Horse chesnut has also been shown to improve connective
tissues and support microvascular circulation.
Grape Seed Extract:
Rich
in antioxidants, grape seed extract helps protect vein cells from the damage by
free radicals. These damages lead to microtears in the vein walls, thus
contributing the symptoms of hemorrhoids.
In
addition to its benefits in fighting free radicals, grape seed extract also
helps boost microcirculation and help maintain tissue elasticity.
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