Differential Diagnosis Of Hemorrhoids
Hemorrhoids appear either inside the anus or under the skin around it
. 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, including a rectal examination, 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 ache 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 immunocompromised conditions.
Anal fistulas can cause drainage, soiling of underwear, and discomfort. Mucosal diseases such as ulcerative proctitis, colitis, or Crohns 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 (e.g., diabetes mellitus, liver disease), heat, and hyperhidrosis. The exact cause of enlarged and symptomatic hemorrhoids is debated, and numerous etiologies have been suggested.
Some of the earliest proposed etiologies included temperament, body habits, customs, passions, sedentary life, tight-laced clothes, climate, and seasons. Recent studies implicate gravity, intrinsic weakness of the blood vessel wall, heredity, increased intra-abdominal pressure from many causes, including prolonged forceful valsalva during defecation or resistance training, obstruction of venous outflow secondary to pregnancy or pelvic masses, and constipated stool in the rectal ampulla.
As a patient ages and has continual presence of one or more of the factors mentioned, the integrity of the hemorrhoid cushions deteriorates, and the hemorrhoids begin to bulge and descend into the anal canal. When the cushion bulges into the canal, it is exposed to potential trauma and irritation from the passage of stool.
Natural substances make a better hemorrhoid cure than synthetic drugs because our bodies are designed to absorb and benefit from naturally occurring plant molecules. In comparison, synthetic substances are alien to our system and were only introduced in the last 80 years.
Our bodies were not created to accept or metabolize these synthetic substances, which would explain why they are responsible for more fatalities than those suffered by US forces during the Vietnam War. Drugs clog receptor sites and confuse the system. A cure for hemorrhoids made from plant extract compounds represent molecules of life itself, which are in perfect biochemical harmony with the human system.
HemorrhoidCure has a therapeutic effect to reverse hemorrhoids and prevent relapse unlike any other cures for hemorrhoids. Due to its astringent properties and the fact that it is well tolerated by rectal tissue, hemorrhoids are quickly eliminated by this treatment. Cure from the symptoms begins immediately.
When we incorporate medicinal plants in therapeutic treatments, we are adapting the same compounds that the plants themselves use. Antimicrobial plant extracts can be used to repel the attacks of invading microbes on our system, such as what a natural cure for hemorrhoid does.
Medicinal plants have been used for centuries and their therapeutic properties have been revealed during clinical observations. These properties have been validated through pharmacological tests on animals, isolated tissue samples and cell cultures, proving that medicinal plants provide outstanding results in healing the human system. To learn more, please go to http://www.bcured.net.
by: bcured
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