Diagnose and Treat Hemorrhoids Correctly
Diagnose and Treat Hemorrhoids Correctly
Diagnose and Treat Hemorrhoids Correctly
Hemorrhoids are mentioned in ancient medical writings of every culture, including Babylonian, Hindu, Greek, Egyptian, and Hebrew. The word "hemorrhoid" is derived from the Greek "haema"=blood, and "rhoos"=flowing, and was originally used by Hippocrates to describe the flow of blood from the veins of the anus. There are variant definitions of the histology of the hemorrhoid tissue, but they are universally classified according to anatomical origin. Internal hemorrhoids consist of redundant mucus membrane of the anal canal with the origin above the dentate line. Internal hemorrhoids are further graded based on the extent to which the tissue descends into the anal canal.
When a patient presents with rectal discomfort, swelling, pain, discharge, and bleeding at the time of defecation, it is prudent not to assume it is a result of hemorrhoids; a full evaluation is indicated, a proctoscopic exam, and in some cases a sigmoidoscopy. There are several conditions producing symptoms similar to hemorrhoids that must be considered. To rule out grave causes of ano-rectal bleeding, such as anal or rectal carcinoma, one gastroenterologist suggests, "All patients over forty years old, even with typical hemorrhoidal bleeding, must undergo flexible sigmoidoscopy or colonoscopy."
Other types of ano-rectal pathology that must be ruled out include anal fissures, which can cause pain with defecation and be associated with rectal bleeding. The pain will be described as burning or tearing, as opposed to the achiness or feeling of fullness after defecation described by patients with hemorrhoids. Perirectal abscesses are less common in the general population but should be considered in patients with diabetes or other immunocompromising conditions. Anal fistulas can cause drainage, soiling of underwear, and discomfort. Mucosal diseases such as ulcerative proctitis, colitis, or Crohn's disease can present with rectal bleeding and should be ruled out. Perianal condylomas cause pruritis, local irritation, pain and bleeding. Skin tags can be remnants of past external hemorrhoids and commonly co-exist with fissures.
A rectocele can cause fullness in the rectum, giving the patient a similar sensation to an internal hemorrhoid. It is common for patients to associate pruritis ani with hemorrhoids. In some cases swelling of external hemorrhoids and skin tags can prevent proper anal hygiene, which can cause marked itching. Hemorrhoids themselves do not produce significant itching. When a patient presents with pruritis ani, many assume it is the sequela of hemorrhoidal disease. However, a mindful physician will consider causes such as allergic reactions, perianal dermatitis, microorganisms, parasites, oral antibiotics, hygiene, systemic disease, heat, and hyperhidrosis.
Prior to the 1800s hemorrhoids were treated simply by poultice, bed rest, or, in difficult cases, by the application of a red hot poker. A simpler method was prayer to the patron saint of hemorrhoid sufferers, St. Fiacre, an Irish priest who lived in the seventh century. Injection therapy was begun in 1869 by Morgan of Dublin using iron persulfate, and was a relief to many who had endured the medical treatment of the time. As late as 1888 the only other recommended treatment was abstinence from alcohol, sitting in cane chairs, and half a paint of cold spring water injected into the rectum after a morning fast.
According to medical knowledge, the advantage of western medicines is that they have clear healing efficacy and powerful lethal effect to infectious agent because they are usually chemical substances. Yet at the same time, as western medicines have certain side effect more or less, some present toxic side effect obviously and even can cause serious drug-induced diseases and drug resistance. It is thus clear that western medicines cause serious harm to the body at the time of dealing with diseases. In the trend of returning to nature and taking natural drugs, natural drugs for hemorrhoids are emerging all over the world and surely have a worldwide upsurge in research, development and application.
Natural drugs come from plants or mineral of nature and their direct destruction aiming at infectious agent is often inferior to western medicine. However, natural drugs are not for destroying enemy but for mobilizing autologous tissue or self-recovery capability. Additionally, natural drugs have an effect to improve effect and decrease toxicity by compatibility of medicines and reduce side effect further. Natural drugs play an important role in multiplication and prosperity of livestock and human health. You can learn more about the powerful organic treatments for hemorrhoids on http://www.naturespharma.org.
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