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So, you think you have hemorrhoids.
You have read all the information you can find, maybe talked to a few people, possibly tried some home remedies and bought different creams and reluctantly arrived at the conclusion that there is only one course of action left to you, the visit to the doctor. This is the one thing that most of us dread as the thought of exposing an intimate part of our anatomy to anyone other than the closest person to us is absolutely terrifying.
When you finally enter the doctor’s office and sit down, the doctor will ask you some pretty straight forward, rudimentary questions, the same as they would for any other condition. They may want to know why you think you have hemorrhoids, ask you about your medical history, your toilet habits, diet, and whether you have tried any treatments yourself. They will then offer you advice in respect of your answers and once this is done it is time for the examination.
You will be asked to go into an examination area/room and remove the bottom half of your clothing (obviously) and maybe put on an examination robe. They will usually ask you to either lie down on an examination table, though if, like me, your hemorrhoids have prolapsed to such a degree, they may just ask you to bend over. For prolapsed hemorrhoids there is usually no need for further examination and don’t worry, the doctor won’t touch them unless completely necessary.
Once on the table the doctor will ask you to get into a foetal position, which basically means you lie on your side and bring your knees up to your chest. This position is best for a rectal examination as you are more exposed, and will certainly feel that way too. If you are female you will understand that all modesty is left outside as is the case with a cervical smear or vaginal examination.
Whilst you are doing this, the doctor will prepare, procuring the necessary examination apparatus. These are normally a pair of surgical gloves, lubricant and an anoscope. (This is a small instrument, usually about 3 inches long that enables the doctor to see inside the anal canal. As seen in the diagram, the instrument has an obturator which rounds off the end for easier insertion).
The first examination the doctor might perform is called a Palpation. For this the doctor will ask to lie on your back and they will press down on the abdomen to assess the tissue, whether there is any unnecessary pain, swelling etc that may be of note. Not all practitioners will perform this examination for this condition though it does inform them of any other complaints that may be in existence.
The next examination is visual and the doctor will spread your buttocks to check for signs of external hemorrhoids and any inflammation or other tissue abnormalities that may be symptomatic of external hemorrhoids.
After this the doctor will give you a Digital examination. For this the index finger (hence digital) is lubricated and gently inserted into the anal cavity. This is not painful but believe me, it is not a pleasant experience even though the doctor will try to reassure you. (My doctor was thankfully quite a humorous chap which made the whole experience a bit more bearable). Once inserted, the finger is gently moved around the circumference of the wall to feel for any anomalies before being slowly removed.
The examinations listed previously should always be performed before the subsequent examination.
This next examination is the Anoscopy. The aforementioned anoscope is lubricated and (I repeat this a lot) gently rotated as it is inserted into the anal cavity. The obturator is then slowly removed so that the doctor may see into the anal passage. The anoscope is then gently and slowly removed giving the doctor the facility to complete a thorough examination of the anal cavity. You will probably feel a bit uncomfortable for a few hours afterwards, this is perfectly normal.
Once the doctor has completed his examination, you will be given something to clean yourself with and be left to get dressed. Once clothed, the doctor will then ask you to be seated and will then discuss their conclusions with you.
Depending on the prognosis, there are several avenues the doctor may suggest. If hemorrhoids are confirmed, depending on the severity, several treatments will be recommended. This may well be that you are prescribed some creams that are readily available for a price from the chemist/pharmacy and that you more than likely have already tried. They may ask you to come back in for a further examination either by themselves or by a proctologist, or maybe to undergo a surgical procedure to remove them.
Best regards
Simon G
Simon Gammage invites you to view his site http://www.relieffromhaemorrhoids.net as you may find some useful information regarding this uncomfortable condition. As a former sufferer Simon knows what you are going through and http://www.relieffromhaemorrhoids.net is there to help.
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Hemorrhoids are a common occurrence and can be a very embarrassing, painful and irritable condition. Thus more and more people want to know how they can achieve hemorrhoids relief. If you are suffering from this condition then this article will help you by identifying options that can work for you.
If you want to know about hemorrhoids relief, then you have to understand that prevention is always better than cure. Hemorrhoids occur when there is a prolonged period of chafing and pressure around the rectum which engorges the veins and causes irritation. The condition is accompanied by additional painful symptoms such as continuous bleeding because of torn tissues, mucous discharge and a burning sensation. Because the condition is painful, instant remedies are so popular in this field. Because when you are writhing in immense pain, instant gratification is what you are looking for the most.
There are lots of hemorrhoid relief centers that might bring you expert opinion on the matter. Normally, these centers manage to cure hemorrhoids for good. Their recommendations generally work wonders quickly. Because they are up to date with the latest developments in this field, they are able to provide the patients with the best possible advice given.
Of course the treatment also depends on how aggravated your condition is. But no matter how severe, modern technology has given us ways to combat it. Of course this all comes at a cost! Any sort of natural or topical ingredients might be used to get rid of hemorrhoids. However, in serious cases even surgery might be needed. Obviously this depends upon the level of suffering.
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In the past, hemroids used to be treated by conservative medical treatment including local anesthetics and analgesics to control pain associated with defecation, hydrocortisone rectal suppositories to ease internal hemroids bleeding, lead subacetate solution, and H formula. This is in addition to local physical measures as alternating ice and warm foments, sitz baths and other measures.
However, this treatment is actually symptomatic treatments which just deal with acute symptoms of hemroids namely, pain and bleeding, with no actual curative effects, because it is obvious that they don’t take in consideration either the causes or the pathology.
Therefore, the end result was almost always complete failure to cure hemroids, with a rapid progression to the decision of surgery. Even surgery will just cure the current hemroids, but does not protect against future recurrence, because both the susceptibility and the precipitating factors are still present.
Nowadays, the approach to hemroids treatment is much different. Medical treatment has proved to be ineffective and unreliable in comparison with the recently introduced natural hemroids treatments.
These natural methods have the advantage with dealing with the pathology and the causes of hemroids, not just controlling the symptoms. Another advantage is safety. Although these herbs are considered drugs, they generally are safe with little or no side effects even with prolonged use. However, you should note that if you are pregnant, lactating, or suffer of any other disease, you should ask your doctor before consuming any of these herbs.
The following list contains some of the commonly used natural substances that proved to be very effecting in both curing hemroids and preventing them.
Aloe Vera. It is one of the most commonly used herbs for hemroids treatment. It has anti-inflammatory effects which relieve pain and reduce swelling and nutritive effects that boost the immune system and improve health in general. It can be used locally as a gel form or systemically as a drink. Butcher’s Broom. This herb has anti-inflammatory effects and improves the circulation, so it cures swollen hemroids and reduce their size. It can be used either locally as an ointment, or systemically as a tea as a capsule form. Horsetail. It has a good healing power due to its high content of silicon which is used in collagen synthesis. It is also used locally of systemically. Plantain. Plantain has analgesic, soothing, and anti-itching effects. It is used locally to relieve pain and itching.
Actually, there is a very long list or herbal remedies that are used to treat hemroids, you can use any or all of them individually, however, for the best result, a mixture is made from many herbs with a certain percentage. This is the idea for most commercially available preparation. Although the active ingredients in most of these preparations are known, preparing them at home will be very sophisticated and even more expensive than purchasing them.
Wael Shah, read more about the best methods of natural hemroids treatment and avoiding them in the future.
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High definition audio quality Documentary for those of you who have the terrible symptoms of hemroids
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