June answers:

I am with everyone else. Please get checked out. I was diagnosed with stage iv colon cancer Jan 2006 at the age of 40. My symptoms were not much different then yours. I complained of chronic constipation since my late teens, had rectal bleeding and fatigue. I had a barium enema in 2001 and it missed my polyp/cancer. A colonoscopy is the best and only procedure I would recommend for screening. Do not let the doctor talk you out of it because of your age. I know many people with cc under the age of 40. CC is very treatable and preventable if caught early.

Wendy
www.wendysbattle.com

June answers:

Hemorrhoids are enlarged, painful veins in the rectum.

The most common symptom of internal hemorrhoids is bright red blood covering the stool, on toilet paper, or in the toilet bowl ,an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful. Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus that results when a blood clot forms
Pregnancy makes you more prone to hemorrhoids.

Hemorrhoids can be treated easily but as soon as possible or it tends to get worse over the years.

Buy regular Annusol ointment or suppository over the counter for itching relief and healing.

The best way to prevent hemorrhoids is to keep stools soft so they pass easily by eating lots of veggies and drinking enough water.
Disclaimer :
I am not a doctor and I am a Guy so hopefully you don’t mind my advise. Anyway a Consultation with a doctor about hemorrhoids is always a good idea.

Congratulations on being pregnant.

June answers:

Physicians are going to want money for their time so I doubt there is any website where you can talk with someone with the knowledge one-on-one. It’s best to go see a doctor instead. Make an appointment with your physician; that way he can run tests if necessary. Online you can’t run tests of any type so it’s almost useless.

June answers:

My mom is a nurse and said go to your doctor, you could just need some topical cream and medication. Dont put any hand lotions or any lotions that you have on your butt! Just a warning
good luck

June answers:

Of course it is best to consult your doctor to prevent it from becoming a chronic problem. But hemorrhoids can also be treated using natural remedies. If you do not want to subject yourself under the knife. Find out how to get rid of hemorrhoid using natural remedies visit http://curehemorrhoidsforgood.blogspot.com/

June answers:

The best product I have ever seen (or used) is by Michael’s of Texas, Inc. I think it’s called Haemorrhex or Rhoid-X (or something close to that). You could contact the company via e-mail and state that their hemorrhoid cream was recommended to you, and could they pls. Mail order you some? As piles, or hemorrhoids for the person who didn’t know what piles are, are essentially varicose veins of the rectum, anything that will help treat varicosities will also help your hemorrhoids. These would include: horsetail, thyme, butcher’s broom, rosemary, witch hazel, comfrey, yarrow, and any astringent, tonifying, antibacterial, antipruritic herb. Any salve that contains myrrh, goldenseal, comfrey, olive oil and/or leaf, echinaecea, yellow dock will help you and there are many others as well. Your self-treatment could be as simple as taking cotton balls dipped in witch hazel and cleansing the area. This is a traditional home remedy. I would strongly suggest that you also try a course of Circucaps by Sanhelios (about $16-20 for 90, and available at any co-op or healthfood store. If they don’t have them, they can special order them for you.). I also suggest that you change your diet and strongly avoid foods that make one’s digestion sluggish, especially red meat and most hard cheeses. Coffee can actually stimulate one to go, so it’s not necessary to remove that from the diet. There is a product called Malt Soupex used in hospitals and nursing homes to gently treat constipation. It is just barley malt, and is warmed, and just given by the teaspoonful. You can buy barley malt very cheaply at almost any healthfood store or co-op. I would avoid laxatives like the plague, as it’s too easy to become dependent upon them, and they can significantly worsen the problem. Stop taking iron supplements as well, as they worsen the condition. Eat salad and greens, fruits, vegetables, grains and beans several times/day, every day. Ultimately, hemorrhoids are just a minor complaint of pregnancy usually, and will often resolve themselves. As long as you are not bleeding profusely, do not worry. Having babies too close together is not good for this condition, and if you have rectal varicosities, you usually have or will soon have varicose veins in your legs as well. This can be serious as you then will have a higher risk or “milk leg” or deep vein thromboses (DVT’s). I would consult w/ an herbalist, and an acupuncturist, as well as an ND (Naturopathic Doctor) regarding this condition. As your screen name sounds Indian, have you considered consulting w/ an Ayurvedic Physician?

June answers:

Wash, cream, doctor. O_O

June answers:

1) These 2 are the same pathological process in different areas
2) These are fairly standard medications and there is little in the way of cheaper alternates.
3) There are no cures only managements I am afraid.
4)It is possible to remove affected segments of bowel in some patients, however this does not guarantee a cure as other areas may become involved. Surgery is generally not an option when anus and rectum are involved.

June answers:

Yes, Venapro appears to be a very worthwhile hemorrhoids treatment that really does appear to work.
This hemorrhoids treatment contains quality herbal extracts can help to bring quick relief to the inflammation, soreness and pain of hemorrhoids, alleviate the pain of bowel motions and alleviate the remaining hemorrhoid symptoms, such as itchiness, bleeding, swelling, and burning.

For picture and more information you can go to this hemorrhoids education site
http://www.hemorrhoidshemroids.com/venapro-hemorrhoids-hemroids-piles-pills-works.html#paragraph1

June answers:

Preparation H and such products help largely by keeping the protrusion ‘greased’ and thus less aggravated by further movements. Even a simple ointment such as Vaseline, or antibiotic ointment such as Polysporin, performs the same function allowing the inflammation to settle. Be patient and don’t aggravate the area!!!! It, too, shall pass!

June answers:

There are different treatment options for hemorrhoids: various creams, pills, medical injection, super freezing, tight rubber band placed around the base of each hemorrhoid, surgery or laser treatment.

I tried several and finally got rid of it with Rue Care Oil. How long it will take to get rid of it depends on the size of hemorrhoid and how regularly you’re applying the oil.

Soft stool also helps to cure faster. High fiber diet can help for regular bowel movement.
Avoid prolonged sitting or standing in one position, heavy lifting, overweight.

For more information about Rue Care Oil I suggest you contact the seller. They are very helpful and answering fast.

June answers:

You would be surprised how many teens get them. I got them in my early teens. It can be caused by lack of exercise and poor diet as well as other things. Im 40 now, still have problems on and off, my doc told me to take 30 grams of fiber every day. He said everyone should take that much and that is a lot of fiber. Go to your doctor, there is much they can do about them.

June answers:

Yea I would say labor could make them rupture. I would ask your dotor for sure, maybe theres something you can do to heal them before the baby gets here. Yes I got them with my first child..they will go away. And no anal sex untill you heal. Youll be fine. I have so been there. Its sucks.

June answers:

Maybe that’s a side effect of anal sex…lol

June answers:

Hi,

Yes there is!

I used to have the same problem n got rid of it after I detoxed

I also had a fren who did a detox and her piles is getting better and better.

My dad used to suffer from constipation and piles has fully recovered from that after I encouraged him to do a detox.

This is because our piles are the result of our colon absorbing too much toxic.. So if you can remove the rubbish inside, your piles will recover…

If you bleed, you have to be careful…

I had a friend with a similar problem.. He has been bleeding BADLY (he says his blood will spurt out) since 15 years old.. That is cos he has an ulcer in his colon…

He was intially scheduled to go for an op but managed to avoid that when he did a detox and got better. He did a detox and his ulcer has shrunk by 50%, he also has stopped bleeding.

If you want to find out more about the detox, please email me at verityy@yahoo.com

June answers:

ADVERTISE MORE LIKE THE QUESTION YOU HAVE SUBMITTED IN GROCERY CHAINS OR THE MALL

June answers:

Either Signal 31, or Red Concrete

June answers:

No it really happened. My uncle Buckle was there and made hieroglyphic stone carvings to prove and record the event. Your post is further proof it really happened.

June answers:

I call them “Chalfonts”

June answers:

Well you’ll most likely get an infection if you dont already and then you get death if left untreated

June answers:

What are hemorrhoids?

The term hemorrhoids refers to a condition in which the veins around the anus or lower rectum are swollen and inflamed.

Hemorrhoids may result from straining to move stool. Other contributing factors include pregnancy, aging, chronic constipation or diarrhea, and anal intercourse.

Hemorrhoids are either inside the anus—internal—or under the skin around the anus—external.

What are the symptoms of hemorrhoids?

Many anorectal problems, including fissures, fistulae, abscesses, or irritation and itching, also called pruritus ani, have similar symptoms and are incorrectly referred to as hemorrhoids.

Hemorrhoids usually are not dangerous or life threatening. In most cases, hemorrhoidal symptoms will go away within a few days.

Although many people have hemorrhoids, not all experience symptoms. The most common symptom of internal hemorrhoids is bright red blood covering the stool, on toilet paper, or in the toilet bowl. However, an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful. This is known as a protruding hemorrhoid.

Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus that results when a blood clot forms. This condition is known as a thrombosed external hemorrhoid.

In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms. Draining mucus may also cause itching.

How common are hemorrhoids?

Hemorrhoids are common in both men and women. About half of the population has hemorrhoids by age 50. Hemorrhoids are also common among pregnant women. The pressure of the fetus on the abdomen, as well as hormonal changes, cause the hemorrhoidal vessels to enlarge. These vessels are also placed under severe pressure during childbirth. For most women, however, hemorrhoids caused by pregnancy are a temporary problem.

How are hemorrhoids diagnosed?

A thorough evaluation and proper diagnosis by the doctor is important any time bleeding from the rectum or blood in the stool occurs. Bleeding may also be a symptom of other digestive diseases, including colorectal cancer.

The doctor will examine the anus and rectum to look for swollen blood vessels that indicate hemorrhoids and will also perform a digital rectal exam with a gloved, lubricated finger to feel for abnormalities.

Closer evaluation of the rectum for hemorrhoids requires an exam with an anoscope, a hollow, lighted tube useful for viewing internal hemorrhoids, or a proctoscope, useful for more completely examining the entire rectum.

Illustration reprinted with permission from the American Society of Colon and Rectal Surgeons. Artist: Russell K. Pearl, M.D. (http://digestive.niddk.nih.gov/ddiseases/pubs/hemorrhoids/images/Hemorrhoid.gif)

To rule out other causes of gastrointestinal bleeding, the doctor may examine the rectum and lower colon, or sigmoid, with sigmoidoscopy or the entire colon with colonoscopy. Sigmoidoscopy and colonoscopy are diagnostic procedures that also involve the use of lighted, flexible tubes inserted through the rectum.

What is the treatment?

Medical treatment of hemorrhoids is aimed initially at relieving symptoms. Measures to reduce symptoms include
> tub baths several times a day in plain, warm water for about 10 minutes
> application of a hemorrhoidal cream or suppository to the affected area for a limited time

Preventing the recurrence of hemorrhoids will require relieving the pressure and straining of constipation. Doctors will often recommend increasing fiber and fluids in the diet. Eating the right amount of fiber and drinking six to eight glasses of fluid—not alcohol—result in softer, bulkier stools. A softer stool makes emptying the bowels easier and lessens the pressure on hemorrhoids caused by straining. Eliminating straining also helps prevent the hemorrhoids from protruding.

Good sources of fiber are fruits, vegetables, and whole grains. In addition, doctors may suggest a bulk stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).

In some cases, hemorrhoids must be treated endoscopically or surgically. These methods are used to shrink and destroy the hemorrhoidal tissue. The doctor will perform the procedure during an office or hospital visit.

A number of methods may be used to remove or reduce the size of internal hemorrhoids. These techniques include

Rubber band ligation. A rubber band is placed around the base of the hemorrhoid inside the rectum. The band cuts off circulation, and the hemorrhoid withers away within a few days.

Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemorrhoid.

Infrared coagulation. A special device is used to burn hemorrhoidal tissue.

Hemorrhoidectomy. Occasionally, extensive or severe internal or external hemorrhoids may require

June answers:

Consult gen.surgeon…

June answers:

Piles (haemorrhoids)
This factsheet is for people who have piles.

Piles, or haemorrhoids, are areas in the anal canal where the tissue, which contains lots of blood vessels, has become swollen. Around half the population of the UK will have suffered from piles at some point.1 They are common in all age groups from mid-teens onwards and particularly common in pregnant women.1,2

About piles
Piles look like round pink swellings, the size of a pea or a grape. Sometimes they are a blue colour.

Piles can be internal, inside the anus, or external, and be seen and felt on the outside of the anus. You can have internal and external piles at the same time.

Internal piles
Internal piles are classified according to their position.

First-degree (or grade 1) piles are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the anus.
Second-degree (or grade 2) piles are larger and stick out (or prolapse) from the anus when you go to the toilet, but return afterwards.
Third-degree (or grade 3) piles are similar, but hang out from the anus and only return inside when pushed back with a finger.
Fourth-degree (or grade 4) piles permanently hang down from the anus and you cannot push them back inside.
External piles
An external haemorrhoid (perianal haematoma) is a small lump that develops on the outside edge of the anus. They are less common than internal haemorrhoids.1

Symptoms
Common symptoms include:

blood from the anus, which you may notice on toilet paper, coating the stool or in the toilet after you have opened your bowels1,2,3
itchiness around your anal area1,3
pain and discomfort after you have opened your bowels1,2,3
a slimy discharge of mucus1,2,3
a feeling that your bowels have not completely emptied1,2,3
There are conditions other than piles that can cause bleeding from the anus. If you notice bleeding for more than six weeks then you should get medical advice.4

Possible complications
If you have pain in your anus, this may mean that a complication has occurred and you should get medical advice. Complications include:

strangulation – when a pile that sticks out of the body (prolapsed pile) swells considerably and the blood flowing into it cannot return to the body.1,2
thrombosis – if the blood in the swollen pile clots, forming a thrombosed pile.1,2
gangrene (tissue death) – if there is a lack of blood supply to a pile.1
infection – where an abscess may form around the rectum and anus causing pain and swelling.1
Causes
The exact way piles form is controversial but it may be linked to excess pressure in the anus and lower rectum. The rectum is at the end of your colon and is where faeces collect before they are expelled through your anus as a bowel movement.

You have an increased risk of getting piles if you:

strain to empty your bowels when constipated1,2
have chronic diarrhoea1
are pregnant – as the weight of the fetus on your abdomen and the increased blood flow, as well as the effect of hormones on the blood vessels, can increase pressure1,2
have a family history of piles – piles can run in families and are potentially hereditary, perhaps because of weak veins in the anal area1
have varicose veins – many people with these also develop piles, although piles are not varicose veins2
have cancer or growths in the pelvis or bowel, which may exert pressure in a similar way to a pregnancy2
Haemorrhoids are not caused by sitting on cold hard surfaces, prolonged standing or sedentary work.3

Diagnosis
Your doctor will ask you about your symptoms and will examine you.

Your doctor may also carry out a rectal examination, where he or she will gently insert a gloved finger into your anus. Internal piles cannot normally be felt in this way, but the examination can reveal other problems which will need to be excluded before a diagnosis can be made.

One of the main investigations is a proctoscopy. A small telescope known as a proctoscope will be passed into your anus. This allows your doctor to see any internal piles. Some GPs may be trained to use a proctoscope, but it may be necessary to see a hospital specialist (usually a general or colorectal surgeon).

Another test that may be performed by either your GP or a hospital specialist is a sigmoidoscopy. A thin telescope will be inserted into your anus, so your doctor can examine your rectum and the lower part of your large bowel (sigmoid colon).

Occasionally, a test called a barium enema may be performed in a hospital. Liquid dye is passed into your large bowel, which makes your bowel show up on X-ray pictures taken of your lower abdomen.

Relieving symptoms
There are a number of treatments that aim to relieve the symptoms of piles. They do not cure piles.

Regular warm baths may relieve irritation.1
Ice packs may help reduce swelling, but do not apply ice directly to your skin.2,5
Soothing creams may ease symptoms such as discomfort and itchiness.5 These often contain agents such as bismuth subgallate and zinc oxide.1,6 These are available over-the-counter from pharmacies.
Creams, such as lignocaine (lidocaine), contain a local anaesthetic to provide short-term relief from any discomfort.6 These products should only be used for a few days. They are not recommended for long-term use or for children.1,6 Ask your pharmacist for advice.
Products containing corticosteroids, such as Anugesic-HC and Proctosedyl, may reduce inflammation and pain. They should only be used for up to seven days as they may be harmful if used long-term.1,6
Treatment
To encourage piles to clear up, it’s important to avoid constipation. If you have regular bowel movements and avoid straining, stools will pass easily and will not put pressure on the blood vessels in the anal area. The piles will then eventually go away without treatment after about six weeks.1

Eating plenty of fibre-rich foods such as fruit, vegetables and wholegrain cereals (eg brown rice, wholemeal bread and wholemeal pasta), and drinking plenty of fluids, especially water, should keep bowel movements soft.

It may help to take a fibre supplement such as ispaghula husk (eg Fybogel) or mild laxatives such as lactulose solution (eg Regulose), which soften bowel motions. Do not use strong laxatives, such as the stimulant laxative senna, on a routine basis unless your doctor advises you to because long-term use can be harmful.6

If these self-help measures do not work, you may need to be treated in a hospital with the following procedures.

Non-surgical treatments
Banding
Banding is a common treatment for second and third-degree piles.5 It can also be used for first-degree piles that have not cleared up with self-help treatment.5,7

An elastic band is placed at the base of the pile so the blood supply to the pile is reduced. The pile then shrinks and drops off after a few days. The pile is passed with a stool and the bands fall off with time.

Up to three piles can be treated during each procedure. It is generally successful but if it fails you can have further banding treatment.5,7

Sclerotherapy
This is an injection of a chemical solution known as a sclerosant (which usually has phenol in it) into the piles, which causes them to shrink.5,7 The solution is usually based on a nut oil, so always tell your doctor if you have a nut allergy. This treatment may have to be repeated once or twice.

Cryosurgery
Cryosurgery is a surgical procedure that freezes the piles, causing them to shrink and drop off.

Light coagulation
This treatment can be used for piles that do not stick out of the body (non-prolapsing piles). Infrared rays are used to restrict blood flow to the piles, causing them to shrink and drop off.

Surgical treatments
Haemorrhoidectomy
A haemorrhoidectomy is usually reserved for fourth-degree piles or if the procedures mentioned above fail.

There are a number of techniques. The most common involves placing a tight stitch around the base of the pile to control any bleeding during the operation. Then, your surgeon will make a cut on the outer part of the pile and remove any excess tissue.8 The wound may be closed with dissolvable stitches. Most of the stitches will be inside your body and don’t need removing.

Another technique is called circular stapled haemorrhoidectomy. A circular stapler is placed inside the rectum. It removes a ring of the rectal tissue above the haemorrhoids. This blocks the blood supply to the piles so that they shrink.9

Anal dilatation
An anal dilatation procedure to stretch the sphincter was an operation that was tried in some patients in the past. However it is rarely done as there is a high risk of faecal incontinence.

Your doctor will discuss with you which treatment is most suitable.

Prevention
A good intake of dietary fibre, plenty of fluids, especially water, and regular exercise can keep the bowel movements soft and regular, making piles less likely.