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 HAEMORRHOIDS are very common. People develop some form of haemorrhoid before age 50.About 70% of people will experience haemorrhoid at least once in their life time.

“Haemorrhoids are most common between ages 45 and 65, although it’s not unusual to see them in younger adults as well,”says Dr Kimbrough.

It is caused by strain on the veins near the anus. This results from pressure on the blood vessel not by anything happening in the body’s metabolism.

Ebuka, 32, an account executive with a multinational oil company has been constipated for the past two days but now, he is so worried after defeacating bloody stool.

First thing in the morning, he drove down to the hospital, entered the doctor’s consulting room and the following conversation ensured.

Patient: Good morning doctor.

Doctor: Good morning sir. Have a seat. How can I be of help?

Patient: Doc, I’m worried. I have been spooling blood.

Haemorrhoid

The followings are the symptoms of haemorrhoid

*Soft, tender, swollen vein in the rectum that may bleed during a bowel movement.

*Itching in the rectal area

*Burning in the rectal area.

When you stand, sit, lift heavy object, strain to have a bowel movement or exercise, you put pressure on the veins and around your rectum. Just as varicose veins in your legs bulge when you stand because the force of gravity fills them with blood, the veins of haemorrhoids bulge when pressure builds in the rectum. The more pressure, the more likely you are to have haemorrhoids.

Haemorrhoids are more common in people who have constipation or diarrhoea, pregnant women, people who are overweight and people who stand for long periods of time or lift heavy objects.

External hemorrhoids are hemorrhoids that involve the veins outside of anus. External hemorrhoids can be itchy and painful. When a vein on the inside of the anal canal bulges, an internal haemorrhoid may form. There is little or no pain with internal hemorrhoids, but bleeding often occurs with a bowel movement. The haemorrhoid may stretch down and bulge outside your anus. This is a prolapsed haemorrhoid. Prolapsed haemorrhoids can be itchy or painful. A very tender, hard knot on the outside of the rectum may be thrombosed or clotted haemorrhoid.

Thrombosed  haemorrhoids may bleed and cause pain, especially with a bowel movement.

Diagnosis

Your doctor can usually diagnose the problem by examining your anal area. An internal haemorrhoid can be seen with an anoscope, a short, rigid,l ighted scope. If the source of the bleeding isn’t haemorrhoids, your doctor will probably order several other tests, such as a sigmoidoscopy or barium enema to find the source.

Treatment

Because haemorrhoids are often a result of constipation, treating constipation is a good start. Ask your doctor about which haemorrhoid preparation to try.

Warm baths help relieve distress and itching in the anal area. Also practice sit bath .Clean your anus after each bowel movement by patting it with moist toilet paper or moistened pads, such as baby wipes. Don’t rub hard because this may irritate the skin.

Ice packs may help relieve swelling and analgesic medicines may help relieve the pain. Numbing ointment may help soothe itching and pain, like a cream that contains hydrocortisone.

Surgical treatments for internal haemorrhoids include rubber band ligation. In this procedure, tight rubber bands are fastened around the haemorrhoid. The haemorrhoid falls off within days to weeks. More extensive, recurrent bouts may require surgical removal of the haemorrhoids.

Thrombosed haemorrhoids can be opened by the doctor and the clot removed if it’s done within the first day or two of symptoms.

Prevention

Drink lots of water and eat plenty of fibers. Try not to strain when you have a bowel movement.

Straining increases the pressure in that area and increases your risk of developing haemorrhoids. Avoid becoming constipated. Constipation can contribute to haemorrhoids by causing you to strain during a bowel movement, which increases the pressure on anal veins.

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