Internal And External Hemorrhoids
Many patients attribute all perianal symptoms to hemorrhoids
. The astute clinician can often listen to a patient's description of symptoms and ascertain the source of the problem or condition before confirmatory examination. Nonhemorrhoidal causes of symptoms need to be excluded.
Hemorrhoidal symptoms are divided into internal and external sources. Internal hemorrhoids cannot cause cutaneous pain, because they are above the dentate line and are not innervated by cutaneous nerves. However, they can bleed, prolapse, and, as a result of the deposition of an irritant onto the sensitive perianal skin, cause perianal itching and irritation.
Internal hemorrhoids can produce perianal pain by prolapsing and causing spasm of the sphincter complex around the hemorrhoids. This spasm results in discomfort while the prolapsed hemorrhoids are exposed. This muscle discomfort is relieved with reduction. 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 consternation of symptoms is referred to as acute hemorrhoidal crisis. It usually requires emergent treatment.
Internal hemorrhoids most commonly cause painless bleeding with bowel movements. The covering epithelium is damaged by the hard bowel movement, and the underlying veins bleed. With spasm of the sphincter complex elevating pressure, the internal hemorrhoidal veins can spurt.
Internal hemorrhoids can deposit mucus onto the perianal tissue with prolapse. This mucus with microscopic stool contents can cause a localized dermatitis, which is called pruritus ani. Generally, hemorrhoids are merely the vehicle by which the offending elements reach the perianal tissue. Hemorrhoids are not the primary offenders.
External hemorrhoids cause symptoms in 2 ways. First, acute thrombosis of the underlying external hemorrhoidal vein can occur. Acute thrombosis is usually related to a specific event, such as physical exertion, straining with constipation, a bout of diarrhea, or a change in diet. These are acute, painful events.
Pain results from rapid distension of innervated skin by the clot and surrounding edema. The pain lasts 7-14 days and resolves with resolution of the thrombosis. With this resolution, the stretched anoderm persists as excess skin or skin tags. External thromboses occasionally erode the overlying skin and cause bleeding.
Recurrence occurs approximately 40-50% of the time, at the same site (because the underlying damaged vein remains there). Simply removing the blood clot and leaving the weakened vein in place, rather than excising the offending vein with the clot, will predispose the patient to recurrence.
External hemorrhoids can also cause hygiene difficulties, with the excess, redundant skin left after an acute thrombosis (skin tags) being accountable for these problems. External hemorrhoidal veins found under the perianal skin obviously cannot cause hygiene problems; however, excess skin in the perianal area can mechanically interfere with cleansing.
HemorrhoidBalm-Rx and AntiHemorrhoidDrops are well-established highly effective hemorrhoids treatment products. Our treatment for hemorrhoids is characterized by very strong and real pharmacological activities, which unequivocally qualify our solution as an 'ethical drug'. The effectiveness is undisputed.
These remedies are concentrated with pharmacological extracts well documented to greatly improve the overall tone of rectal tissue, as well as provide effective treatment of hemorrhoids. The Journal of Pharmacology, April 2005, reported these extracts deliver a "strong inhibitory effect" and "significant anti-inflammatory activity" against hemorrhoids.
These treatments are concentrated using a wide spectrum of medicinal plant extracts exhibiting curative effects against hemorrhoids, as published in the Journal of Ethnopharmacology. Scientific studies further quantify NaturesPharmas treatment for hemorrhoids produces superior results compared to prescription medication and other remedies.
HemorrhoidBalm-Rx and AntiHemorrhoidDrops derive their uses from the action of complex naturally occurring sesquiterpene and diterpene components. They improve microcirculation, capillary flow, and vascular tone, and strengthen the connective tissue of the rectum. To learn more, please go to http://www.naturespharma.org.
by: bcured
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