Anyone at any age can be affected by piles. They are very common, with about 50% of people experiencing them at some time in their life. However, they are usually more common in elderly people and during pregnancy. Researchers are not certain what causes haemorrhoids. “Weak” veins – leading to haemorrhoids and other varicose veins – may be inherited.
Between the messy creams and uncomfortable suppositories, there really aren’t many good home-remedy options for the treatment of hemorrhoid symptoms. And who has time to take another warm bath? The truth is that most home hemorrhoid treatments don’t really work and when they do offer relief, it’s only temporary. They do nothing to remedy the root issue causing the pain, itching, burning, and discomfort.
A small, painless emission of very bright red blood in the stool or on the toilet paper just after a bowel movement is a sign of an internal hemorrhoid. The blood will be on the surface of the stool only, not mixed in. In small amounts, it’s not a serious issue. If this is the first occurrence, see your doctor to confirm that hemorrhoids are the source. Visit your doctor if bleeding continues, as a constant loss of blood may lead to anemia ( a condition where there are not enough red blood cells to bring oxygen to your tissues).
Band it. The most commonly used hemorrhoid procedure in the United States is rubber band ligation, in which a small elastic band is placed around the base of a hemorrhoid (see box above). The band causes the hemorrhoid to shrink and the surrounding tissue to scar as it heals, holding the hemorrhoid in place. It takes two to four procedures, done six to eight weeks apart, to completely eliminate the hemorrhoid. Complications, which are rare, include mild pain or tightness (usually relieved with a sitz bath), bleeding, and infection. Other office procedures include laser or infrared coagulation, sclerotherapy, and cryosurgery. They all work on the same principle as rubber band ligation but are not quite as effective in preventing recurrence. Side effects and recurrence vary with the procedure, so consult your physician about what’s best for your situation.
Postsurgical complications included moderate pain in 41% of patients, severe pain in 1% of patients, bleeding in 2% of patients, and vasovagal symptoms in 1.6% of patients. Two months postprocedure, 92% of the patients with second-degree hemorrhoids and 76% of the patients with third-degree hemorrhoids had no residual symptoms. RBL failed to alleviate hemorrhoids in only 3% of patients.
All in all, Hem-Relief is a good supplement with several very positive elements. The ingredients are all natural, with some essential key elements included in their formula, providing good relief for hemorrhoids sufferers without any noted side effects. We liked that Hem-Relief is backed by a risk-free 90 day money back guarantee, this is definitely an advantage. This allows many consumers to experience the benefits of this product without the worry of losing their money. However, our biggest concern, was the negative reviews we found, which left us a little wary about the overall performance of this product.
The main factor for preventing external hemorrhoids is to avoid straining during bowel movements. If you have severe constipation, you may want to try using aids such as laxatives or including more fiber in your diet.
Such procedures destroy the tissues in and around the hemorrhoids and cause scar tissue to form. They are used with first-, second-, and third-degree hemorrhoids. Pain is frequent, though probably less frequent than with ligation, and bleeding occasionally occurs. Other methods such as laser and radiowave ablation have been done. Non-surgical treatments are usually done on hemorrhoids graded I to II and some grade III; you should discuss the treatment and its projected outcome and recurrence rates with your doctor.
Sclerotherapy can provide adequate treatment of early internal hemorrhoids. [36, 37] However, sclerotherapy and cryotherapy are infrequently used and generally reserved for grade I or II hemorrhoids. Although minimally invasive, these treatment methods have a higher rate of postprocedure pain. Impotence, urinary retention, and abscess formation have also been reported. Recurrence rates are as high as 30%.
A proctoplasty, which extends the removal of tissue higher into the anal canal so that redundant or prolapsing anal lining is also removed, is sometimes also performed. Postsurgical pain is a major problem with hemorrhoidectomy, and potent pain medications (narcotics) are usually required.
External hemorrhoids are under the skin around the anus and are therefore visible. Because there are more sensitive nerves in this part of the body, they are normally more painful. Straining when passing a stool may cause them to bleed.
Non-surgical treatments for haemorrhoids in the lower part of the canal are likely to be very painful, as the nerves in this area can detect pain. In these cases, haemorrhoid surgery will usually be recommended.
Stapled hemorrhoidopexy is an alternative to a conventional hemorrhoidectomy. It involves the use of a circular stapling device that removes the hemorrhoidal tissue and staples the area back into its original position. While the post-operative pain tends to be less and the recovery time shorter, hemorrhoid recurrence is possible. A general or regional anesthetic may be used.
J. Byron Gathright Jr, MD, is a chair emeritus of the department of colon and rectal surgery at the Ochsner Clinic Foundation and a clinical professor of surgery at Tulane University, both in New Orleans. He is also past president of the American Society of Colon and Rectal Surgeons.
Internal hemorrhoids can also cause acute pain when incarcerated and strangulated. Again, the pain is related to the sphincter complex spasm. Strangulation with necrosis may cause more deep discomfort. When these catastrophic events occur, the sphincter spasm often causes concomitant external thrombosis. External thrombosis causes acute cutaneous pain. This constellation of symptoms is referred to as acute hemorrhoidal crisis and usually requires emergent treatment.
The ACG guidelines, for example, recommend that patients with symptomatic hemorrhoids initially be treated with increased fiber and adequate fluid intake. The guidelines also recommend that if dietary modifications do not eliminate symptoms in patients with first- to third-degree hemorrhoids, various office procedures, including banding, sclerotherapy, and infrared coagulation, should be considered, with ligation probably being the most effective treatment. The ACG further states that patients should be referred for surgery if they are refractory to or unable to tolerate office procedures, if their hemorrhoids are accompanied by large symptomatic external tags, or if they have either fourth-degree or large third-degree hemorrhoids. 
In order to understand hemorrhoids, you have to understand the structure of the rectum and anus. Doctors call the area where feces exit the digestive system the anal canal. There exists a complicated set of muscles known as anal sphincters that control the release of feces through the anal canal. The hemorrhoids are located adjacent to the anal canal and fill with blood to help close the anal canal and prevent leakage. When the hemorrhoids become significantly enlarged, they protrude into the anal canal or appear on the outside of the anus.
If Avatrol managed to strengthen the formula to cut its healing time and lower costs, it would perform much better in our ratings. No side effects were complained about. But it is a different kind of treatment than some of the others we tested. The cost was reasonable, although the recommended length of time needed was higher than most.
This product saved my ass! Literally! I was in so much pain I could almost not wear pants and felt like my insides were being dragged out of me! I was looking at laser surgery and was super nervous about it! Not only was it $500 a hemroid to repair but says they could come back anyways 🙁 so I came across this product on a all natural cure site read the reviews and thought what have I got to lose? Well this oil is a miricle! I was religious about using it 3times a day and it did take a couple of weeks to really get going but I’d say about half way through the bottle I was “cured” I was no longer in pain and was fully healed. I still get irritated from time to time (depending on what I eat) but I just immediately start to use the oil again and problem solved! So grateful to have found this! Life changer!! * – Emily
Prevention is perhaps the most effective treatment. Diet and adequate hydration are very important to maintain normal bowel movements. Hemorrhoid symptoms can occur with the passage of hard stool and constipation, as well as diarrhea and frequent bowel movements. For patients with constipation, high fiber diet, adequate hydration and stool softeners may be required. For those with too frequent bowel movements, antidiarrheal medications and diet adjustments may be required. These preventive measures decrease the amount of straining that is required to have a bowel movement, thus decreasing the pressure within the blood vessels to prevent swelling.
I was hit by lightning in ’04, had several major changes in my body…Hemorrhoids one of them. In ’06 I had a major external Thrombosed Hemoroid(size of my thumb nail), very painful, many doctors said only treatment was surgery! I read about your oils and decided to try it for 2 -3 weeks. It cured my problem in 10 days! and its not come back! Thank You *
Watchful waiting is a wait-and-see approach. And in most cases, bleeding caused by hemorrhoids should stop after 2 to 3 days. Continue home treatment to prevent bleeding from starting again. Call your doctor if bleeding:
^ Jump up to: a b c d e f g h i j k l m n o p q r Beck, David E. (2011). The ASCRS textbook of colon and rectal surgery (2nd ed.). New York: Springer. p. 175. ISBN 978-1-4419-1581-8. Archived the original on 2014-12-30.
A colonoscopy is a procedure whereby a docotor inserts a viewing tube (colonoscope) into the rectum for the purpose of inspecting the colon. Colonoscopy is the best method currently available to diagnose, detect, and treat abnormalities within the colon.
The process varies from person to person. The majority of people that use our products experience immediate relief. The entire process can take as little as 2 weeks to 6 weeks. At first you may not notice any change in the condition but, be patient! Usually the first signs will be when the hemorrhoids shrink in size in the early morning and come up again later in the day. Continue with regular applications. It is important to apply three times a day without missing applications.*
This is a review for a product called Avatrol. It claims to deliver key ingredients to reduce inflammation and itching of hemorrhoids. Avatrol contains horse chestnut, citrus bioflavonoids, oat straw and bilberry, ingredients rich in components that help circulatory and gastrointestinal health. Nevertheless, Avatrol is missing some of the vital clinically proven ingredients that are known to be anti-inflammatory or soothing for painful hemorrhoids, such as witch hazel, which can be found in our top pick. Saying that, this company has good reputation so we felt that it warranted further exploration.
Rubber band ligation, a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow so that the hemorrhoid shrinks and dies and, in about a week, falls off.
An anoscopy employs an endoscopic device with a light to examine the interior wall of the anal canal and the very lowest part of the rectum. For a more complete examination of the large intestine, a colonoscopy and flexible sigmoidoscopy can be utilized.
When painful hemorrhoids do not respond to home-based remedies, professional medical treatment is necessary. The choice of treatment depends on the type of hemorrhoid, what medical equipment is available, and other considerations.
Often, no specific treatment is needed. Initial measures consist of increasing fiber intake, drinking fluids to maintain hydration, NSAIDs to help with pain, and rest. Medicated creams may be applied to the area, but their effectiveness is poorly supported by evidence. A number of minor procedures may be performed if symptoms are severe or do not improve with conservative management. Surgery is reserved for those who fail to improve following these measures.
Rectal bleeding can be a sign of a more serious problem, such as colon, rectal, or anal cancer. So if the first examination does not show a clear cause of your problems, your doctor may use a lighted scope (sigmoidoscope) to look at the lower third of your colon. Or your doctor may use another kind of scope (colonoscope) to look at the entire colon to check for other causes of bleeding.
Internal hemorrhoid are far inside the rectum. Usually an internal hemorrhoid is not painful, because pain-sensing nerves are absent inside the rectum. The only sign you may have of an internal hemorrhoid is bleeding when you’re on the toilet. Like external hemorrhoids, internal hemorrhoids may prolapse and expand into the sphincter. Unlike a more minor internal hemorrhoid, these expanded internal hemorrhoids can be quite painful.
Large internal hemorrhoids and those that do not respond to injection sclerotherapy can be tied off with rubber bands (a procedure called rubber band ligation). The band causes the hemorrhoid to wither and drop off painlessly. One hemorrhoid is treated about every 2 to 3 weeks.
Hemorrhoidal venous cushions are normal structures of the anorectum and are universally present unless a previous intervention has taken place. Because of their rich vascular supply, highly sensitive location, and tendency to engorge and prolapse, hemorrhoidal venous cushions are common causes of anal pathology.  Symptoms can range from mildly bothersome, such as pruritus, to quite concerning, such as rectal bleeding.
Many people who have hemorrhoids find relief from symptoms through home treatment. If medical treatment is needed, fixative procedures are the most widely used non-surgical treatments. Fixative procedures are only for internal hemorrhoids.