Haemorrhoids are divided into two main groups. External (a bulge on the side of the anus) and internal (in the lower part of the rectum). Many patients suffer from pain caused by anal fissures which in turn is caused by Haemorrhoids.
CAUSES AND RISK FACTORS
Haemorrhoids are more common in chronically constipated patients who sit for prolonged periods on the toilet whilst passing stools, or in those who strain excessively during bowel movements. Any condition which causes an increase in abdominal pressure, such as pregnancy, liver disease, obesity and intra-abdominal or pelvic tumours also increase the risk of developing symptomatic haemorrhoids. A sedentary or inactive lifestyle which contributes to constipation, is also a risk factor.
Some patients may have a genetic predisposition to developing piles
These factors result in an increase in the pressure within the veins of the anal canal causing them to swell. These swollen veins can then cause discomfort, pain, itching and bleeding.
Types of Haemorrhoids
There are two main types of haemorrhoids: internal and external.
Internal haemorrhoids are located inside the rectum and anal canal and are generally not visible. However with straining or bearing down, these haemorrhoids can be pushed outward. Internal haemorrhoids are generally less painful than external haemorrhoids, but are a common cause of painless, bright red bleeding from the anus.
External piles are located just outside the anus and are visible and palpable. These external haemorrhoids can become very sensitive and painful if blood within the distended veins clots, forming a thrombosed haemorrhoid.
SYMPTOMS
The symptoms of haemorrhoids can vary from asymptomatic to anal pain and bleeding.
Some common symptoms of haemorrhoids include:
- Pain or discomfort in the anus
- Bleeding from the anus, usually during or after passing a stool.
- Itching or irritation in the anus
- Swelling or lumps around the anus, which can be sensitive or painful to touch.
- A feeling of fullness in rectum or anal canal.
- Leakage of faeces4
INCREASED INTRA-ABDOMINAL PRESSURE CAN BE CAUSED BY THE FOLLOWING FACTORS:
- Exertion during defecation, usually caused by constipation.
- During pregnancy – blood volume increased, while Progesterone weakens muscles, the uterus is heavy and there is pressure on the lower vena cava while lying on the back.
- Coughing and vomiting increase intra-abdominal pressure, which in turn produces pressure on veins where the blood pressure is usually very low, stopping the flow.
- Strenuous physical activity.
ADDITIONAL FACTORS ARE:
- Portal hypertension drain the Haemorrhoids and can be caused by cirrhosis.
- Psychological stress can also awaken Haemorrhoids.
- Severe cardiac insufficiency can worsen Haemorrhoids because of blood vessels’ problems and problems in venous blood drainage.
- Sitting often for extended periods of time may potentially cause the formation of Haemorrhoids.
DIAGNOSIS
To diagnose haemorrhoids, an examination of the anus and rectum is needed. This may include a digital examination (inserting a gloved finger into the rectum.) Bleeding from the anus should always include an examination which allows visualisation of the anal canal and rectum. Your doctor may perform an anoscopy or refer you for a sigmoidoscopy or colonoscopy to further investigate and most importantly to exclude other more sinister causes of bleeding.
THERE ARE FOUR MAIN PHASES TO HAEMORRHOIDS:
- Internal Haemorrhoids – which are not directly felt.
- Coming out during defecation and retracting unaided.
- Coming out and not retracting, have to be thrust inside.
- Those that come out and cannot be returned.
Each phase can be accompanied with bleeding. Pain is especially acute in the last phase.
Internal Haemorrhoids form above the anal-rectal line. Sometimes internal Haemorrhoids may grow to a degree till they pass the vein which is under the anal sphincter.
Haemorrhoids involve much suffering and agony. The condition presents many hardships to persons afflicted by it, primarily, preventing them from properly conducting their daily routines, (especially during serious and acute onslaught of Haemorrhoids). In such agonizing situations, there is an urgent need to treat your Haemorrhoids outright with a highly potent ointment, which can efficiently bring immediate relief from pain and pressure that has been created in the rectal area, while at the same time, calming and soothing the associated aggravating symptoms, such as swelling, itching, burning, irritation, extreme sensitivity and severe discomfort, thereby helping you to quickly return back to your normal health.
TREATMENT
Presto Gel is a revolutionary herbal treatment designed for rapid relief of pain, pressure, inflammation, swelling, burning, itching, irritation, sensitivity, discomfort and other associated symptoms of Haemorrhoids and anal fissures.
Presto Gel – Mode of Action:
What distinguished Presto Gel and makes it completely different from all other preparations – whether they be in herbal or medicinal form –
Presto Gel was developed through a very special and intricately complex production technique. The secret lies in how the herbal constituents are made to co-act and interact on the treated area upon coming in contract with the skin.
Indications: Presto Gel contains highly active natural ingredients and is intended for the fast and effective relief and treatment of Haemorrhoids (piles) both internal and external including fissures and anal discomforts.
Presto Gel rapidly relieves pain, pressure, inflammation, swelling, burning, itching, irritation and sensitivity.
PREVENTION AND LIFESTYLE CHANGES
There are several steps you can take to prevent haemorrhoids or reduce your risk of developing them. These include:
- Eating a high-fibre diet: This can help to prevent constipation and reduce the pressure on the veins in the anus and rectum.
- Drinking plenty of water: This can help to soften stools and make them easier to pass.
- Exercising regularly: This can help to improve bowel function and reduce the risk of constipation.
- Avoiding prolonged sitting: Sitting for long periods of time can put pressure on the veins in the anus and rectum, increasing the risk of haemorrhoids.
- Using the bathroom when you need to: Holding in bowel movements can lead to constipation and increase the risk of haemorrhoids.5,3