subject: Pathophysiology Of Hemorrhoids [print this page] The term hemorrhoid is usually related to the symptoms caused by hemorrhoids. Hemorrhoids are present in healthy individuals. In fact, hemorrhoidal columns exist in utero. When these vascular cushions produce symptoms, they are referred to as hemorrhoids. Hemorrhoids generally cause symptoms when they become enlarged, inflamed, thrombosed, or prolapsed.
Most doctors agree that low-fiber diets cause small-caliber stools, which result in straining during defecation. This increased pressure causes engorgement of the hemorrhoids, possibly by interfering with venous return. Pregnancy and abnormally high tension of the internal sphincter muscle can also cause hemorrhoidal problems, presumably by means of the same mechanism. Decreased venous return is thought to be the mechanism of action.
Prolonged sitting on a toilet (eg, while reading) is believed to cause a relative venous return problem in the perianal area (a tourniquet effect), resulting in enlarged hemorrhoids. Aging causes weakening of the support structures, which facilitates prolapse. Weakening of support structures can occur as early as the third decade of life.
Straining and constipation have long been thought of as culprits in the formation of hemorrhoids. This may or may not be true. Patients who report hemorrhoids have a canal resting tone that is higher than normal. Of interest, the resting tone is lower after hemorrhoidectomy than it is before the procedure. This change in resting tone is the mechanism of action of Lord dilatation, a surgical procedure for anorectal complaints.
Pregnancy clearly predisposes women to symptoms from hemorrhoids, although the etiology is unknown. Notably, most patients revert to their previously asymptomatic state after delivery. The relationship between pregnancy and hemorrhoids lends credence to hormonal changes or direct pressure as the culprit.
Portal hypertension has often been mentioned in conjunction with hemorrhoids. Hemorrhoidal symptoms do not occur more frequently in patients with portal hypertension than in those without it. Massive bleeding from hemorrhoids in these patients is unusual. Bleeding is very often complicated by coagulopathy. If bleeding is found, direct suture ligation of the offending column is suggested.
Anorectal varices are common in patients with portal hypertension. Varices occur in the midrectum, at connections between the portal system and the middle and inferior rectal veins. Varices occur more frequently in patients who are noncirrhotic, and they rarely bleed. Treatment is usually directed at the underlying portal hypertension. Emergent control of bleeding can be obtained with suture ligation.
Existing medicinal interventions to treat hemorrhoids are highly invasive, traumatic, painful, and can result in tissue damage or rectal scarring. Rectal surgery has become a highly common hemorrhoid cure. Laser surgery and conventional surgical and scalpel techniques are commonly used as hemorrhoid cures.
Yet there are many myths associated with hemorrhoids. The cure options of hemorrhoidectomy (anal surgery) factories have touted a cure for hemorrhoids that is painless or involves decreased pain and shortened healing times. They claim that these are the advantages of anal laser surgery, though there are no documented studies to support these claims.
CURED have combined certified organic medicinal plant extracts with healing botanicals to create our hemorrhoid cures. These extracts display a remarkable array of pharmacological and biochemical actions to reverse hemorrhoids. They have been shown to be an excellent cures for hemorrhoids in scientific trials.
The therapeutic result of HemorrhoidCure in eliminating hemorrhoids is accomplished via its rapid absorption into cell membranes and deep penetrating action. The active certified organic ingredients in this cure for hemorrhoids are lipophilic, highly astringent, and have a low molecular weight.
The lipophilic tendency means they are soluble in fatty or skin tissue, allowing them to be absorbed by cell membranes. As a result, the treatment readily passes into rectal tissue where the astringent properties safely and gently contract blood vessels, ideal for hemorrhoid cure. The end result of our cure for hemorrhoids is elimination of hemorrhoids, often within days, without any recurrence.
HemorrhoidCure has been able to eliminate hemorrhoids in patients of all ages with symptoms ranging from mild but chronic, to dramatically acute. Anyone afflicted with hemorrhoids will benefit greatly from using this hemorrhoid cure. To learn more, please go to http://www.bcured.net.
