Piles or hemorrhoids often disappears on its own within a few days, but there are many treatments to reduce the itching and discomfort. Make simple dietary changes and no straining during bowel movements, usually recommended by doctors as an initial treatment.
Sometimes it takes more invasive treatments. The treatment depends on the location of the hemorrhoids. If the hemorrhoids are above, below, or to the dentate line (dentate line). Dentate line is a line on the wall of the anal canal that separates the area capable of the area who are unable to feel pain. Handling without surgery on hemorrhoids will be very painful if the hemorrhoids grow at or below the dentate line. Because the nerves in the area that could detect pain. If this is the case, it would be advisable for hemorrhoids surgery done.
Changes in Diet and Self Awareness
If hemorrhoids are caused by constipation, you should try to make the stool becomes soft and you can defecate regularly. The goal is that you are not straining during a bowel movement. To do that, you can increase your intake of fiber in your diet. Some good sources of fiber which is the bread of whole grains, cereals, fruits, and vegetables.
You should also drink plenty of water and avoid the consumption of caffeinated beverages such as tea, coffee, and sodas. Follow the following suggestions when you go to the toilet:
- Tap slowly buttocks area, not wipe.
- After defecation, use a soft tissue or use special baby wipes to clean the buttocks area. Do not use toilet paper, dry and coarse textured.
- Avoid straining during bowel movements, these habits can aggravate hemorrhoids.
Suggested Treatment Type
1. The topical medicine that can be bought freely
A variety of creams, ointments and suppositories medications available at drug stores without requiring a prescription. Suppository is a type of medication that is inserted directly into the anus. The drugs of this type can be used to relieve swelling or discomfort felt by the patient.
Do not use drugs on top of more than one week, unless the doctor suggests. These products can cause side effects such as rashes and inflammation. Any kind of treatment must be combined with a good diet and still introspective. There is no evidence about which treatment is more effective. Ask your doctor or pharmacist about a suitable product for you.
Do not forget to read the guidelines on the use of each medication before using or consuming it. Not recommended to use more than one medicinal products simultaneously.
2. The use of corticosteroid creams
If you are experiencing inflammation or inflammation in or around the anus, the doctor will recommend the use of corticosteroid creams. Do not use this cream for more than seven consecutive days. These creams can make the skin around the anus thinner and aggravate irritation.
3. Pain medication
Paracetamol as a pain medication, can help relieve the pain of hemorrhoids. Avoid similar painkillers codeine. This medicine can cause and worsen constipation.
Products containing local anesthetics may also be advised doctors to treat hemorrhoids. For example, a topical treatment that can be purchased directly, and should only be used a few days. Topical medication can make your skin more sensitive. This medicine can help some people who have hemorrhoids that are painful. Ask your doctor before taking this medicine.
4. The use of laxatives or laxatives
If you have constipation, your doctor may prescribe laxatives or purgatives. This type of treatment will help expedite the process of defecation.
Handling Hemorrhoids Without Surgery
If dietary changes and medication do not provide results, the doctor will refer to a specialist. Specialist doctor can determine if you are suffering from hemorrhoids and suggest appropriate treatment.
If the hemorrhoids are found above the dentate line, without surgery procedures such as bonding or sclerotherapy will be suggested.
1. Binding of hemorrhoids
This binding involves elastic cord tied tightly at the base of the hemorrhoid to cut off blood flow. Without blood flow, hemorrhoids will fall off after a week's treatment.
This binding process is a daily procedure. This process does not require anesthesia and the patient can return to normal activities the next day. Discomfort and pain may appear for one or two days. Ordinary painkillers effective enough to overcome this pain. If necessary, the doctor will prescribe a dose that much stronger.
You may not realize when hemorrhoids are independent. Usually it will be released when you defecate. If you notice any mucus or mucous in the seven days after the binding procedure, meaning hemorrhoids already separated. After performing the binding, there will be little blood on the toilet paper. It's a normal thing, but there should be only slight bleeding. If you spend a lot of bright red blood or blood clots, immediately go to the nearest emergency department.
Ulcers or sores may appear on the binding site. Ulcers usually heal on its own without treatment. To know more, consult your doctor.
2. Injection sclerotherapy
Handling as sclerotherapy may be used as a substitute for the binding of hemorrhoids. In the process of sclerotherapy, a chemical solution is injected into the blood vessels in the anus. These injections will relieve pain by making the nerve endings become numb (numb) at the injection site. These injections also make the hemorrhoidal tissue to harden and eventually formed a wound. After about one and a half months, the size will shrink or shrink hemorrhoids.
After the injection, avoid exhausting exercise throughout the day. You may feel pain temporary or slight bleeding. You should be able to resume normal activities, including work, day after injection sclerotherapy.
3. Coagulation with the infrared
Coagulation with the infrared is sometimes also used to deal with hemorrhoids. In the process, a device that emits infrared light is used to burn hemorrhoidal tissue. This step also serves to cut off blood flow.
In addition to the infrared, the same procedure can also be carried out using an electric current. This method is known as diathermy or electrotherapy for hemorrhoids.
While most hemorrhoids can be treated with the method described above, there are 10% of all patients with hemorrhoids which eventually had to undergo surgery.
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