Brian J Daley, MD, MBA, FACS, FCCP, CNSC is a member of the following medical societies: American Association for the Surgery of Trauma, Eastern Association for the Surgery of Trauma, Southern Surgical Association, American College of Chest Physicians, American College of Surgeons, American Medical Association, Association for Academic Surgery, Association for Surgical Education, Shock Society, Society of Critical Care Medicine, Southeastern Surgical Congress, Tennessee Medical Association
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.
The position of the hemorrhoid determines the main classification described as either internal or external. Remember that the anus, or anal canal, is the opening, and the rectum is the final portion of the colon, or large intestine, that leads to this opening. Hemorrhoids can occur both above the anal canal (internal) or below the anal canal in the skin around the anus (external). However, they exhibit different symptoms depending on the location.
Doppler-guided, transanal hemorrhoidal dearterialization is a minimally invasive treatment using an ultrasound doppler to accurately locate the arterial blood inflow. These arteries are then “tied off” and the prolapsed tissue is sutured back to its normal position. It has a slightly higher recurrence rate, but fewer complications compared to a hemorrhoidectomy.
External hemorrhoids appear as a bump and/or dark area surrounding the anus. If the lump is tender, it suggests that the hemorrhoid is thrombosed. Any lump needs to be carefully followed, however, and should not be assumed to be a hemorrhoid since there are rare cancers of the anal area that may masquerade as external hemorrhoids.
Keep this important point in mind: if blood emanates from upper intestinal tract organs (esophagus, stomach, duodenum, small intestine), the bleeding may have started at least 24 hours before you see the first signs of it. That’s how long it normally takes for chyme to turn into stool and reach the toilet bowl. For people who are severely constipated it may take even longer. This means that by the time the blood in stools is detected, the loss of blood may be considerable.
A visual examination of your anus may be enough to diagnose hemorrhoids. To confirm the diagnosis, your doctor may do a different examination to check for any abnormalities within the anus. This check is known as a digital rectal exam. During this exam, your doctor inserts a gloved and lubricated finger into your rectum. If they feel anything abnormal, they may order an additional test called a sigmoidoscopy.
Hemorrhoids do not cause cancer and are rarely dangerous or life threatening. Most clear up after a few days without professional medical treatment. However, because colorectal cancer and other digestive system diseases can cause anal bleeding and other hemorrhoid-like symptoms, people should always consult a doctor when those symptoms occur.
Amazing stuff. I would give it 10 stars instead of 5. I have had some very large hemorrhoids that caused me a lot of pain. Get a two month supply to thoroughly get rid of your hemorrhoids. If I have flare ups from lifting weights I use this a couple of weeks and they are gone. Will never use anything else. Don’t have surgeries until you use this. *
Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen’s University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
^ Jump up to: a b Alonso-Coello, P.; Guyatt, G. H.; Heels-Ansdell, D.; Johanson, J. F.; Lopez-Yarto, M.; Mills, E.; Zhuo, Q.; Alonso-Coello, Pablo (2005). Alonso-Coello, Pablo, ed. “Laxatives for the treatment of hemorrhoids”. Cochrane Database Syst Rev (4): CD004649. doi:10.1002/14651858.CD004649.pub2. PMID 16235372.
Instead of dealing with the itching and pain, hoping they will just go away, find out more about why you have hemorrhoids, what causes them to become inflamed, and how to treat and prevent them below!
Stapled hemorrhoid surgery, or PPH, was first described in 1997-1998 and has become prominent. [20, 43, 44] This procedure is mainly used to treat internal hemorrhoids that are not amenable to conservative and nonoperative therapies. PPH is suggested for patients with large internal hemorrhoids and minimal external component. This procedure can be done in an outpatient setting with local anesthesia, [45, 46, 47, 48] similar to the protocol used for conventional hemorrhoid surgery. Narcotic use and recovery is significantly decreased compared with conventional operative hemorrhoid surgery.
Internal hemorrhoids often do not cause a visible lump or pain, but they can bleed. Bleeding from internal hemorrhoids typically occurs with bowel movements, causing blood-streaked stool or toilet paper. The blood may turn water in the toilet bowl red. However, the amount of blood is usually small, and hemorrhoids rarely lead to severe blood loss or anemia.
In an observational study of 402 outpatients who underwent transanal dearterialization for grade II-IV hemorrhoids, complications occurred in 16.7% and the rate of recurrent disease was below 10% for each group.  Bleeding and hemorrhoidal thromboses were the most common complications, with 10 cases each. Of patients with grade II disease (n =16), 6.3% had recurrent disease; grade III (n = 210), 5.8%; and grade IV (n = 176), 9.7%. The investigators indicated advantages of transanal dearterialization include mild pain, fast recovery, low complication rate, and early return to daily activities. 
The anal canal expands to 35 mm without apparent harm when there are no enlarged internal hemorrhoids to constrict it. Anything beyond that size is bound to cause pain. If an individual is tense, he or she may not be able to completely relax the external anal muscle, and may experience pain even from smaller stools.
Try alternative medicine. Though medical treatments are most effective, certain herbal or vitamin treatments may help provide relief. Do not try any supplements or alternative remedies without first checking with your doctor or pharmacist — they can interact with other medication you may be taking. Common alternative treatments include:
If you have signs and symptoms of hemorrhoids, make an appointment with your regular doctor. Depending on your signs and symptoms, your doctor may refer you to one or more specialists — including a doctor with expertise in the digestive system (gastroenterologist) or a colon and rectal surgeon — for evaluation and treatment.
Presence of concomitant anorectal conditions (eg, anal fissure or fistula, hygiene trouble caused by large skin tags, a history of multiple external thromboses, or internal hemorrhoid trouble) requiring surgery
If you have severe hemorrhoids or hemorrhoids that don’t respond to in-office medical treatments, you may need a doctor to surgically extract them. This has been shown to provide symptom relief and reduce future outbreaks.
Hemorrhoids are very common in both men and women. About half of all people have hemorrhoids by age 50. The most common symptom of hemorrhoids inside the anus is bright red blood covering the stool, on toilet paper or in the toilet bowl. Symptoms usually go away within a few days.
The awareness of the intersection between inflammation and chronic disease has spawned a plethora of diet plans, nutritional supplements, and lifestyle programs, many implying they offer new ways to improve your health by quelling inflammation.
We are not aware of our hemorrhoids when they are in their normal state. They cause no symptoms. But sometimes we can develop problems because of our internal hemorrhoids. This is known as “internal hemorrhoidal disease.” Such symptoms can occur occasionally (flare ups) or may be chronic (long-term).
It’s believed that most American adults will be forced to deal with hemorrhoids at some point in their lives. Often, hemorrhoids are just a nuisance, but in some cases they can form a painful clot that may require minor surgery. So, what causes this problem, which can result in pain, itching, bleeding and general discomfort around our most sensitive area? Let’s take a look.
Many anorectal problems, including fissures, fistulae, abscesses, colorectal cancer, rectal varices, and itching have similar symptoms and may be incorrectly referred to as hemorrhoids. Rectal bleeding may also occur owing to colorectal cancer, colitis including inflammatory bowel disease, diverticular disease, and angiodysplasia. If anemia is present, other potential causes should be considered.
Despite their appearance, thrombosed hemorrhoids usually are not serious, though they can be very painful. They will resolve on their own in a couple of weeks. If the pain is unbearable, your doctor remove the blood clot from the thrombosed hemorrhoid, which stops the pain.
I was very skeptical that this product would work but was also very desperate for some help and relief. I am so glad I gave this a try. It worked with no issues or side effects. Thank you for your product. * – Marie
26. Jutabha R, Jensen DM, Chavalitdhamrong D. Randomized prospective study of endoscopic rubber band ligation compared with bipolar coagulation for chronically bleeding internal hemorrhoids. Am J Gastroenterol. 2009;104(8):2057–2064.
You are more likely to get hemorrhoids if you have infrequent bowel movements. Fiber contributes to a healthy digestive system and regular unstrained bowel movements. Dr. Murrell recommends 20-25g of fiber a day. There are natural fiber supplements such as psyllium husks but traditionally green vegetables, legumes and fruits are a healthy source of fiber.
Much less invasive than hemorrhoidectomy surgery, hemorrhoid ligation, also called hemorrhoid banding, is a simple process that can be performed in a doctor’s office in just minutes with little discomfort and most patients returning to work the same day. Effective for the treatment of both internal hemorrhoids and external hemorrhoids, hemorrhoid banding offers patients a permanent and painless solution to the discomfort and recovery time associated with other hemorrhoid removal options.
If your hemorrhoids become so painful that you can’t pass your stool, you should see your doctor immediately. You’ll need a prescription strength ointment, or you may have to have your hemorrhoid lanced if it has thrombosed, or developed a blood clot.
The best way to prevent hemorrhoids is to keep stools soft so they pass easily, thus decreasing pressure, and to empty bowels without undue straining as soon as possible after the urge occurs. Exercise, including walking, and eating a high fiber diet, help reduce constipation and straining by producing stools that are softer and easier to pass.
Choose a hemorrhoid cream over a suppository, says Leff. Suppositories are absolutely useless for external hemorrhoids. Even for internal hemorrhoids, they tend to float too far up the rectum to do much good, he says.
Psyllium seed significantly decreases bleeding and pain compared with placebo. Psyllium seed (Metamucil) and methylcellulose (Citrucel) are the most commonly used supplements. The average American diet consists of 8-15 g of fiber per day; a high-fiber diet includes more than 25 g of fiber per day. Many hemorrhoidal symptoms resolve only when they are treated with dietary alterations, including increased fiber and the addition of fiber supplements.
Healthy bacteria reside and procreate inside the protective layer of the mucosal membrane, and derive their nutrients from mucus. To give them a good home and head start, your mucosal membrane must be healthy, well-nourished, and populated with beneficial bacteria. To accomplish this goal, follow my recommendations in the Dysbacteriosis (Dysbiosis) guide.