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Suggest Treatment For Hemorrhoids

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Posted on Wed, 25 Oct 2017
Question: For the past five years I have had on and off again hemmroids (I believe). Itchy, sometimes a pinching pain when I poop, occasional light bright red blood. No changes in bowel habits, no weight gain or loss, no dark blood in the poop. Sometimes it will stop for awhile and I will feel a ripping pain with a large poop and it will start back up for awhile. I don’t have to worry about anal cancer correct? I am assuming after five years if I had cancer bad enough to show symptoms like bleeding and itchy that I would have other symptoms by now or it would have gotten worse and it hasn’t. Please calm my fears.
doctor
Answered by Dr. Ramesh Kumar (50 minutes later)
Brief Answer:
30 is not a typical age for anal carcinoma.Cancer is usually fast growing and would have even metastaised in 5 years.

Detailed Answer:
Hello my dear patient,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.
First and foremost its no cancer dear otherwise in 5 years it would have presented with full blown symptoms like severe pain,massive bleeds and metastasis to other parts of body. Secondly you are just 30 its not a typical age for anal or rectal carcinomas rather your symptoms and age is suggestive of hemorrhoids. Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated,when a person strains or poop is large and hard it erodes the mucosa of it and hence cause pain.Bleeding is usually not there in internal hemorrhoids and is a feature of external hemorrhoid..This pain is a result of trauma experienced by mucosa while overstrining. Hemorrhoids are therefore the pathological term to describe the abnormal downward displacement of the anal cushions causing venous dilatation.
According to standard texts Hemorrhoids are classified as-
Grade 1:hemorrhoid bulges into the canal but does not prolapse or fall completely into it. Very likely your stage.
Grade 2: hemorrhoid protrudes past the anal verge with straining for a bowel movement or passage of flatus, but spontaneously return to their original internal position once the straining has subsided.
Grade 3: the hemorrhoid may protrude past the anal verge without any straining and requires the patient to push them inside manually.
Grade 4: the internal hemorrhoid always stays protruded or prolapsed and is at risk for thrombosis or strangulation should the anal muscles go into spasm.
Your case is grade 1 hemorrhoid.

Three types of managements are there
1)Conservative
2)Non invasive
3)Invasive surgical
First and the foremost suggestion is go to a general surgeon and get a proctoscopic examination of anal canal done.This will make clear what it is and would take hardly 10 minutes.
If its a hemorrhoid initially we start with conservative management for at least 3 months-
Suggestion for conservative management are-

Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Using laxative would prevent straining while defecating.

-Secondly, start using Prepration H (a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc.) locally over the prolapsed hemorrhoids.

Thirdly, oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% cases.It was demonstrated that calcium dobesilate decreased capillary permeability, inhibited platelet aggregation and improved blood viscosity; thus resulting in reduction of tissue edema.

Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.Take it 2 tsf twice daily with half cup of XXXXXXX warm milk.

-A probiotic like VSL#3 should also be taken regularly with these medicines. Probiotic improves overall digestion and help in formation of smooth stools easier to pass.

Oral flavonoids: These venotonic agents were first described in the treatment of chronic venous insufficiency and edema. They appeared to be capable of increasing vascular tone, reducing venous capacity, decreasing capillary permeability, and facilitating lymphatic drainage as well as having anti-inflammatory effects

.
Hope I provided you with the information you wanted.
In case you need further advice feel free to ask.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2805 Questions

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Suggest Treatment For Hemorrhoids

Brief Answer: 30 is not a typical age for anal carcinoma.Cancer is usually fast growing and would have even metastaised in 5 years. Detailed Answer: Hello my dear patient, Thanks for choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concerns. First and foremost its no cancer dear otherwise in 5 years it would have presented with full blown symptoms like severe pain,massive bleeds and metastasis to other parts of body. Secondly you are just 30 its not a typical age for anal or rectal carcinomas rather your symptoms and age is suggestive of hemorrhoids. Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated,when a person strains or poop is large and hard it erodes the mucosa of it and hence cause pain.Bleeding is usually not there in internal hemorrhoids and is a feature of external hemorrhoid..This pain is a result of trauma experienced by mucosa while overstrining. Hemorrhoids are therefore the pathological term to describe the abnormal downward displacement of the anal cushions causing venous dilatation. According to standard texts Hemorrhoids are classified as- Grade 1:hemorrhoid bulges into the canal but does not prolapse or fall completely into it. Very likely your stage. Grade 2: hemorrhoid protrudes past the anal verge with straining for a bowel movement or passage of flatus, but spontaneously return to their original internal position once the straining has subsided. Grade 3: the hemorrhoid may protrude past the anal verge without any straining and requires the patient to push them inside manually. Grade 4: the internal hemorrhoid always stays protruded or prolapsed and is at risk for thrombosis or strangulation should the anal muscles go into spasm. Your case is grade 1 hemorrhoid. Three types of managements are there 1)Conservative 2)Non invasive 3)Invasive surgical First and the foremost suggestion is go to a general surgeon and get a proctoscopic examination of anal canal done.This will make clear what it is and would take hardly 10 minutes. If its a hemorrhoid initially we start with conservative management for at least 3 months- Suggestion for conservative management are- Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Using laxative would prevent straining while defecating. -Secondly, start using Prepration H (a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc.) locally over the prolapsed hemorrhoids. Thirdly, oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% cases.It was demonstrated that calcium dobesilate decreased capillary permeability, inhibited platelet aggregation and improved blood viscosity; thus resulting in reduction of tissue edema. Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.Take it 2 tsf twice daily with half cup of XXXXXXX warm milk. -A probiotic like VSL#3 should also be taken regularly with these medicines. Probiotic improves overall digestion and help in formation of smooth stools easier to pass. Oral flavonoids: These venotonic agents were first described in the treatment of chronic venous insufficiency and edema. They appeared to be capable of increasing vascular tone, reducing venous capacity, decreasing capillary permeability, and facilitating lymphatic drainage as well as having anti-inflammatory effects . Hope I provided you with the information you wanted. In case you need further advice feel free to ask. Regards