Beware on bearing down. Did you know that persistent straining when passing on stools is one of the risk factors on developing hemorrhoids?
It is important to know that varicose veins do not only occur on the legs. They can also be found in veins surrounding the anal canal. This condition called hemorrhoids, also known as piles, can be very cumbersome for the more than 10 million Americans who have them. But despite this staggering prevalence, not too many people talk about it, even between family members and close friends. Even so, many are still concerned with the appearance of a cluster of lumps around the anal area spending more than a total of $100 million annually for the relief and treatment of hemorrhoids.
Things You Should Know
With the kind of lifestyle we have today, hemorrhoids have become increasingly common, and more than half of the population will experience the condition by the age of 50. Affected people mainly seek medical help because of the bleeding particularly when passing stools or when they feel really painful which can cause a significant disruption of their normal activities.
Common Causes
Friction and shearing of the mucosal lining of the anal canal during defecation will cause the surrounding structures of the rectal wall to slide down. This is aggravated by constipation, sedentary lifestyle, and consuming low-fiber foods.
Pregnancy and obesity will also increase the pressure on the anal and rectal veins. The good news is that for many women, the hemorrhoids usually subside after the baby is born, unless they were already there beforehand.
Just like leg varices, prolonged sitting and standing will also predispose a person to develop hemorrhoids. The downward pressure exerted by a person’s body weight in addition to the pull of gravity will put weight on the veins of the anal canal and rectum.
Another contributing factor towards developing hemorrhoids is the person’s sexual practices. Anal intercourse can cause shearing, as well as increasing the pressure on the veins and mucosa of the anal canal.
Types
Hemorrhoids are dilated veins in the anal canal. They can be classified by its location–internal or external.
External hemorrhoids are those lumps that can be felt outside the anal opening. They can be very painful especially when thrombosed (a clotting of blood within the vein). When irritated, this will cause anal itching which may lead to skin perforation and bright red bleeding.
On the other hand, internal hemorrhoids at its early stages are usually painless and may go undetected. However, they may also bleed when perforated. Once internal hemorrhoids become severe, they may protrude outside the anal opening which is now called a prolapsed hemorrhoid and can be extremely painful.
Self-Care
Fortunately, symptoms of hemorrhoids can be relieved by simple self-care methods. We begin to keep the perianal area clean.
Developing a good personal hygiene
The area around the anal opening must always be kept clean from residual fecal matter as this can cause local skin irritation. On the other hand, do not rub the area too much especially with dry toilet paper. Try using a pre-moistened (wet) wipes, or simply wash the area with plain water and patting instead of rubbing it dry. Rinse well as residual soap can also irritate the skin.
Eat high-fiber foods
A diet that is high in fiber along with an increased fluid intake largely helps with the discomfort caused by hemorrhoids by promoting the passage of stools that are soft, bulky, and heavy which are easier to eliminate thus preventing a person from straining. However, in some cases where a high roughage diet is not enough, there will be a need to be prescribed with stool softeners. But beware of overusing laxatives as they can cause a long-term malfunction of the bowel.
Walk around
If you can’t avoid sitting or standing for long periods, make sure that you get up and walk around or frequently change positions when possible. Regular exercise such as brisk walking can also improve the digestive tract to work efficiently which helps in preventing constipation.
Engorgement management
Sitting in a warm tub (or a sitz bath) will help soothe the inflammation. Do this two to four times daily to relieve the pain.
Certain medications for your trouble with hemorrhoids are available. However, be careful in purchasing them especially those who have pre-existing medical conditions such as heart disease, diabetes or even allergies. Over-the-counter “shrinks” that claim to shrink the hemorrhoidal tissue must be used carefully. Remember to check the label for contraindications and proper application.
Lastly, if your condition worsens or does not improve within seven days, consult your physician for proper medical management.