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Posts Tagged ‘Anal Canal’

Anal Itching


 

This is one of the symptoms of hemorrhoids and yet is often made worse by the ointments and creams that are liberally put around the area to improve them! More is not always better.

Causes of Anal Itching

The area around your anus is very sensitive and the inflammation can be due to a variety of reasons such as not having cleaned the anus after passing a stool (faeces/poo).

Sometimes mucous from the anal canal can cause the irritation as the anal sphincter is not as effective and the leakage causes irritation on the skin surface.

It can also be made worse by constant washing with perfumed soaps, washing after having your bowels open is a good idea if you have hemorrhoids; but just be aware it may be the soap which is causing the irritation. If you would like another option baby wipes are very gently and do not contain any harsh cleansers so may well be gentler on your bottom.

The irritation may also be due to a fungal infection called Candida Albicans / thrush which can be easily treated with an anti fungal cream.

Your bottom may be sore and itchy due to excess perspiration; this can be due to the climate or your work environment. A doctor will be able to determine which is the cause of your discomfort and may well be able to offer a more appropriate form of treatment.

Prolapsed Hemorrhoids Treatment


This type of hemorrhoid is one which has originated from above the dentate line   in the anal canal this has no nerve therefore are often painless. Below the line which has nerves are called external Hemorrhoids. This is why it can be a bit of a shock when you feel a piece of tissue outside your body which should be inside. This piece of tissue will not feel painful unless it has become strangulated or thrombosed that is to say that the hemorrhoid has become stuck outside the anus and you cannot push it back inside. If the tissue has become strangulated it will become painful and inflamed and you will need to seek medical help urgently.

Treatment for Prolapsed Hemorrhoids

If you have suffered with prolapsed hemorrhoids this will mean that when you visit your Doctor you will referred to a Consultant at a hospital in your area. The surgeon will discuss your options with you when you go for your initial consultation and will usually suggest  surgery of a Hemorrhoidectomy or Hemorrhoidopexy.

Bleeding Hemorrhoids Treatment


It is important to state that if you have blood coming from your rectum it is not necessarily hemorrhoids. Bleeding of unknown origin needs to be investigated by a qualified healthcare worker.

If you treat your bleeding hemorrhoids prior to diagnosis from your doctor you could be missing a more serious condition.

The anal veins supply the cushions of the anal canal and it is these cushions which have swollen and become hemorrhoids. Bleeding usually occurs when hard stools (faeces/poo) and straining have caused the thinned walls of the hemorrhoid to bleed. The bleeding can vary from just noticing red blood on the toilet paper after wiping your bottom, to blood dripping into the toilet from perhaps a prolapsed hemorrhoid. It is very alarming the first time this happens and can be the incentive you need to get you along to see the doctor.

If you have small amounts of blood on the toilet paper after you wipe you bottom this will stop fairly rapidly it may well be internal hemorrhoids which will stop bleeding quite quickly.

If you are bleeding from hemorrhoids near to the anus and they are itching as well as bleeding it is important to treat this with care, you will need to wash carefully after your bowel motion so your bottom is clean. Do not use perfumed soap as this will aggravate and sting. If you use baby wet wipes these are very gentle as well as cooling. If bleeding persists use a clean piece of toilet paper wet it with cold water and hold it against the bleeding area firmly for a couple of minutes it can take up to five. This can seem an awfully long time to put pressure on the hemorrhoid but if you keep dabbing at the wound it will continue to bleed. If you have been prescribed cream for use after you have had a bowel motion, wait until the bleeding has stopped prior to application.

Less used Hemorrhoid Treatments


Other less common hemorrhoid treatments include: Cryosurgery  for hemorrhoids This is a procedure where hemorrhoid tissue is frozen and eventually sloughs off, it are not popular as a form of treatment due to pain and the watery discharge. The major disadvantage to cryosurgery is the post operative pain associated it seems to be not as effective as other treatments and people do not tend to want to have repeated treatments due to the pain.   Diathermy – bi-polar for hemorrhoids This is used to cause coagulation (burning) of the tissue of the hemorrhoid causing the tissue to fall away. This leaves the tissue underneath fibrosed, like a scar which is hoped will keep the cushions of the anal canal from forming another hemorrhoid. One of the main draw backs of this is the burning sensation which local anaesthetic did not completely eliminate during the procedure and post operative pain. Post operative bleeding was another of the complications. Radiofrequency coagulation for hemorrhoids This is another form of coagulation (burning) which seals the skin surface causing scaring. Research showed that with early stage 1-2 hemorrhoid treatment this was effective and although patients still experienced pain immediately post operatively the majority of people returned to their activities of daily living quite rapidly. It should be noted that grade 1-2 hemorrhoids do not require the same level of intervention as 3-4 and to date more research is needed with regard to this. However the outlook is distinctly promising with reduced pain, complications and return to work.

Haemorrhoids Home Treatment


Conservative/ non invasive hemorrhoid treatments include

  • Change of diet
  • Plenty of fluids
  • Creams with either local anaesthetics/ corticosteroids or both
  • Controlled use of Laxatives

 

There are a great many home treatments for haemorrhoids which you can find on the internet some proven others not. If you are shy and have found it difficult to consult your doctor the internet and information can be a mine field for you. First and foremost I would urge you to visit your doctor to exclude any other type of condition. Secondly be reassured that often people who have had one incident of haemorrhoids don’t always go on to develop long term problems.  There are positive steps you can take at home to help yourself.

 

Haemorrhoids and diet

 

  • Foods which are rich in fibre such as vegetables, fruit and wholemeal products like bread and pasta, bran, brown rice. In consultation with your doctor you may be advised to take a bulk-forming laxative not a bowel stimulating  one like senna but one with ispaghula husk or similar to help with your bowel movements and the affect it has on your haemorrhoids.

 

 

Hemorrhoids and Exercise

 

  • 20-30 minutes exercise everyday will keep you fit and strong which helps to maintain a healthy digestive system. Always consult your doctor prior to embarking on a regular activity which you have not undertaken before, begin gently and work up to a regular routine.

 

 

Hemorrhoids and Weight loss

 

  • If you are overweight the pressure you will be unnecessarily exerting on the blood supply around you anus will be increased, therefore by lowering you weight that pressure will decrease.

 

 

Hemorrhoids and Fluids

 

  • One of the fundamental things to help yourself is to drink more fluids ideally that should be water, however if you drink milk or juice or Squash just by increasing those fluids will help with your digestive system. Your body needs fluids approximately two litres a day, and if it doesn’t have enough fluids it removes it from the food travelling through your intestines (gut) thus making your stools (faeces /poo) hard and lumpy.  If you drink more your stools will be soft and more easily expelled more like toothpaste consistency.
  • One cautionary word about alcohol and caffeine. These  drinks are counterproductive they act as a diuretic making you urinate(wee) more often this causes your intestines to loose fluid and again the stools become hard and difficult to pass. If you drink lots of tea or coffee during the day try switching to decaffeinated.

 

Hemorrhoids and Personal Hygiene

 

  • It is important to keep your bottom clean; this will help prevent rashes and irritation. You can carry small packets of baby wipes or moisten toilet paper to use after you have had a bowel motion. This will ensure no stool motion remains on the skin surface to cause irritation. Do not use perfumes soaps to wash with as these can irritate the skin and  do not use talcum powder to dry the area or to prevent moisture build up it does not work and can make the itching worse. Pat your bottom dry with clean toilet paper.  If you have a constant problem with leakage you will need to visit your doctor for advice but in the meantime you can use a small amount of nappy cream which will protect your skin and sanitary pad can be used effectively to absorb fluid.

 

Medicines and creams for Haemorrhoids

 

  • There are a huge amount of products out there to help you with your problem some of which make outrageous cure claims. As stated before piles cannot be cured they CAN be relieved and treated but there is not sure way any one can tell you that if a haemorrhoid is reduced and not causing a problem that it won’t rear its ugly head again or that another won’t occur.
  • Many creams will be wonderful and soothing and some will contain a local anaesthetic which will numb the affected area for a period of time. Other creams have corticosteroids in them which are used to reduce inflammation. There are precautions which you will need to be aware of prior to using any of these products so always read the information supplied with the medication. Make sure you are not allergic to any of the ingredients. Burning stinging and itching are some of the side-effects but these symptoms should pass. These products should notbe used for more that 7 days at a time due to further irritation from over use. If your problem continues after this you will need to consult your doctor. Always wash you hands after using any of these preparations

 

Pain relief for Haemorrhoids

 

  • If you are in discomfort with your haemorrhoids you can take regular pain relief tablets which you can obtain from your local chemist or supermarket. Usually the pain is short lived just when you are passing stools (faeces /poo) and the creams with local anaesthetic can help with this. You should follow the instructions on the packaging when using creams but they usually say to be used after each bowel movement or morning and night
  • If you have other ailments which are causing you pain please be aware that some pain relief medications can contain codeine i.e co-codamol. This is known to cause constipation and exacerbate your symptoms. Consult your doctor to perhaps look for alternative pain relief.

 

Hemorrhoids and Toilet Habits

 

  • It is both unhygienic and ill advised to sit and read either the newspaper or books whilst sitting on the toilet. This is something which should be avoided as it increases the pressure exerted on the blood vessels supplying the anus causing them to engorge. You should aim at spending only a couple of minutes evacuating your bowels  and always respond to your body when you feel you need to empty your bowels – do not wait until later as the stool will  become dry making it more difficult to pass. If you are unable to open your bowels as soon as you sit on the toilet get up and walk around until the urge to go again happens then try again. Sitting straining will make mattes worse.

Hemorrhoids and Constipation

  • If you are having problems with constipation you can improve your digestive system by combining the main elements of health. Eat fibre enriched food drink plenty of fluids and become more active. If you are still having problems after you have improved your life style it may be time to speak to your doctor regarding laxatives. It is very important that you have the correct one as products like senna cause contractions in the bowel which may give you further problems. Stools softeners,  bulk forming laxatives or lactulose will be far better as they improve the stool making the passage through the bowel easier.

Hemorrhoids and  Cold compresses

  • If you want some cooling soothing relief from you haemorrhoids you can use cold compresses. I am concerned about the amount of advice that I have read especially on the web that says to use ice for this as there doesn’t seem to be any warning or acknowledgement that using ice straight onto the skin surface can itself cause damage.  Cold water compresses are just as effective however, if you do use ice it should be wrapped up in a flannel and used for only short periods at a time.  It can be counter productive due to the nature of the body wanting to warm the skin surface after it has been chilled to such an extreme.

Hemorrhoids Cream


(OTC) Over the counter preparations can be purchased from you local chemist. If you speak to the pharmacist they will usually be able to help you decide which preparation will help you with your specific problem. Like all things in life creams/ lotions should be applied in moderation. Most of these topical creams will contain some of the following attributes.

  • Local anaesthetic
    This causes a short term numbing effect and a good form of topical pain relief. It may cause allergic reactions and should not be used for longer than a week at time as it might make the condition worse
  • Hydrocortisone 1%
    This is an anti inflammatory product used for reducing the local irritation of swelling, burning, and itching sensations which you experience with external hemorrhoids
  • Vasoconstrictors 
    Ephedrine is one of the most common constrictors – this act by shrinking the blood vessels thereby reducing pain and bleeding.
  • Astringents
    These can dry the skin surface and should be used sparingly witch hazel is one of these and it can reduce itching and swelling.
  • Corticosteriods 
    These should be used with great caution. They reduce the inflamed area around the anus and relieve itching however they should not be used for more than two weeks continuously as they may cause permanent skin damage.
  • Barriers / Skin Protectors
     The are called barrier creams as they act as a barrier to the leakage of faecal mucous and fluid from the anal canal. This fluid can lead to irritation and soreness around the anus the cream protects the skin.

Internal Hemorrhoids


These use the grading system from 1-4 or First to Fourth degree

  • Grade 1: First Degree –These are relatively small up inside the anal canal and are more like bulges in the mucosal layer of the rectum. They can be felt on examination by a doctor.
  • Grade 2: Second Degree – These are larger and will remain inside your rectum, occasionally protruding when a stool is passed but returning inside once you have finished evacuating your bowels.
  • Grade 3: Third Degree – These begin inside the rectum but actually hang out and you may be able to feel these. They can be gently pushed back inside the anal canal with your fingers.
  • Grade 4: Fourth Degree – These become large protrude outside the anal sphincter. They are not able to be pushed back inside. You will need to see your doctor about these as you will require treatment.