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A lump near the anus, usually sensitive or painful Other symptoms depend on the location of the hemorrhoids: This can be found inside the rectum. They cannot be seen nor be felt thus rarely cause discomfort. Occasionally, this pushes the internal hemorrhoid out in the anal opening. This becomes a protruding or prolapsed hemorrhoid that is usually painful and agitating. This can be found under the skin around the anus. It is possible for blood to accumulate in the external hemorrhoid which causes it to form a lump. It may block the anus with displays of swelling, severe pain and inflammation. Complications Although complication in hemorrhoids is rare, such cases can include anemia and strangulated hemorrhoid. Also, if blood supply is impaired, the hemorrhoid can be strangulated sourcing another cause of extreme pain. Prevention The best prevention against hemorrhoids is to maintain a soft bowel. This way the stool can easily pass through the anus. Eat high-fiber foods such as fruits and vegetables. Doing so can soften your stool which will help you avoid straining. Drink plenty of water after eating. Six to eight glasses of fluids a day can do the trick but that goes with avoiding alcoholic beverages. If eating high-fiber foods is not enough for you, you may consider fiber supplements. Studies have shown that such supplements improve the overall symptoms of hemorrhoids. Sometimes, the pressure exerted in the veins of the lower rectum causes the hemorrhoids to form. Go as soon as you feel the urge because otherwise, your stool will become dry, making it harder to pass. Stay active and attend to your physical routines to promote bowel motility and support prevention of constipation. Also, avoid sitting for long hours as this can increase the pressure on the veins in the anus. Diagnosis Physicians conduct their diagnosis by health record inquiry and physical examination. They may perform digital rectal examination or anal inspection. Depending on the situation, there can be cases where the treatment may no longer require any further testing. Unlike prolapsed internal and external hemorrhoids which can be visualized by examining the anus and thrombosed external hemorrhoid which can be diagnosed simply by looking at it, internal hemorrhoids, on the other hand, cannot be diagnosed by neither physical examination nor by digital rectal test. However, if chronic bleeding occurs, health-care professionals may require a complete blood count to measure the hematocrit levels and blood hemoglobin. Also, PT or INR may be requested to measure the blood clotting levels in case the patient is on warfarin. Non-surgical Rubber band ligation is the most common technique for a hemorrhoid removal. The doctor simply puts a pair of tight rubber bands around the hemorrhoidal vein causing it to lose its blood supply. For an alternative procedure, we can consider Sclerotherapy. This decreases the size of the hemorrhoid by injecting a chemical solution. However, if the internal hemorrhoid is still small- to medium-sized, the doctor can use infrared photocoagulation. The procedure is done one hemorrhoid at a time. It includes infrared light others use laser or electrical current which creates heat that causes a scar tissue to cut off the blood supply to the hemorrhoid. If not effective, we have electrocoagulation which is a broad-spectrum technology to remove suspended solids, emulsified oils, bacteria, and other water contaminants. Surgical There is a variety of surgical options in addressing persistent pain and uncontrolled bleeding. First in the list is laser therapy. This is an application which intends to scar and solidify internal hemorrhoids. Another option is hemorrhoidectomy. This is said as the most aggressive approach as the whole hemorrhoid is removed in an anesthetic surgery. However, if you are looking for the best option to cure severe cases of hemorrhoids, best recommended is stapled hemorrhoidectomy. It is the newest technique for curing hemorrhoids and it has become known for not removing the hemorrhoids but rather tightening the homorrhoidal supporting tissue to prevent it from prolapsing downward. This technique involves much lesser pain and patients are able to return to normal activities way sooner than traditional hemorrhoidectomy. Home Remedies Itching and pain can be treated at home by considering the following: Warm sitz baths can help decrease the inflammation of the hemorrhoids. This is done by submerging half of your body in warm water three times a day for at least 15 minutes. Dietary changes include increased water intake and roughage consumption. This helps keeping your bowels soft, therefore, preventing constipation and lessening pressure on the anal and rectal region. Although exercise does not sound very much inviting, it is important to keep your body moving in order to decrease pressure on the hemorrhoidal veins. Visiting a Doctor When symptoms occur, go visit a doctor. He can perform physical examinations and do other tests to confirm hemorrhoids and eliminate more-serious concerns. Do not easily assume bleeding as a sign of hemorrhoids as this can also occur in other medical disorders. Furthermore, talk to your physician if you know you have hemorrhoids and bleed excessively, experience severe pain even after adhering to home remedies. Seek emergency care in the event of excessive rectal bleeding, dizziness and lightheadedness. Spicy foods; alcohol; caffeinated drinks; tea; chocolates. It often causes pain and bleeding when passing stools. In some cases, anal fistula causes persistent drainage. Surgery is the only cure for the medical condition. Other symptoms include irritation around the anus, swelling, redness, tenderness, discharge of pus, fever and constipation. See how to get rid of anal fistula. A fistula may develop after one of the small glands inside the anus becomes blocked and infected, creating an abscess. There will be a buildup of pus which will have to be drained surgically if it does not occur naturally. In around a half of all cases, after the pus has drained from the infection, a fistula may form. Symptoms Anal fistulas exhibit very similar symptoms displayed by the presence of abscesses. You may feel tired, sick or feverish in general, but the main symptoms to look for are exhibited at the problem area. There may be noticeable pus drainage around the anus as well as redness, soreness or itchiness, often accompanied by swelling. If you are exhibiting these symptoms you should seek help from a medical professional. Complications Anal fistulas may manifest symptoms in different ways. Some larger ones may even act as a second rectum, allowing excrement to pass through along with existing pus and blood. Other complications that may develop relevant to the anal fistula can also be associated to the surgical process involved in their treatment. After surgery, a fistula may reoccur in the same location. If a lot of the sphincter wall has to be removed during the treatment procedure, then fecal incontinence may follow. However, fecal incontinence is a very late symptom of anal fistula. Surgical procedure is performed in order to try to prevent this complication. Prevention There is very little you can actively do to avoid contracting an anal fistula. You need to maintain a consistent bowel pattern as much as possible, avoiding either diarrhea or constipation. These are the best thing anyone can do to avoid these problems. Diagnosis A general practitioner usually refer any suspected case of anal fistula to a colonic and rectal specialist. These specialists will inspect your anus in order to check for any excretions of pus or sore areas. They may choose to use more complicated diagnostic tools to understand your case in more depth. These may be performed under general anaesthetic which include but are not limited to: The doctor may use sonic imaging technology to look at the extent of the fistula, to see where it opens out and if it has any branches. This is a specially designed tool which can be used to inject a small amount of ink into the anal fistula in order to see it in full. Non-Surgical The only form of non-surgical treatment currently available for anal fistula is fibrin glue. This technique also relies on the patient being put under general anaethestic. Essentially the surgeon injects the fibrin glue into the fistula, which closes the canal and encourages it to heal together. It is a lesser effective method than other more invasive procedures and may not be as long lasting. It does not require any cutting of the anal sphincter making it advantageous in some cases. Surgical The most common and effective treatment for an anal fistula is surgical methods. Depending on each specific case, the doctor may recommend any one or a number of different options available to the sufferer. The most common type of surgery used to treat an anal fistula. A fistulotomy involves cutting the length of the fistula tunnel and causing it to heal as a flat scar. This is usually recommended by the surgeon unless there is too high a risk of incontinence due to cutting of the anal sphincter. A seton is a surgical thread that is placed into the fistula and left for a couple of weeks in order to allow the problem to try to solve itself. A seton is unfortunately not a perfect solution and more, tighter setons may have to be placed in order to tackle the problem more fully. This technique is surgical like the fistulotomy except it has a lower success rate. It can also be used to avoid cutting the anal sphincter. The flap procedure involves cutting the fistula and then using rectum tissue to cover the hole in the bowel wall.
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