What Causes External Hemorrhoids And Its Treatment
What is an External Hemorrhoids or Piles?
A hemorrhoid or pile is an inflammation of the veins in the anus and rectum . It is a common medical condition though many may be embarrassed to admit suffering from one. In reality, around half of the adult population will have hemorrhoids at any given time.
There are actually two types of hemorrhoids determined according to their location: internal and
external . The former is a hemorrhoid that is located just within the anus . specifically at the beginning of the rectum. Internal hemorrhoids are normally painless because of the lack of nerve fibers along the membranes of the internal anal area. Pain is felt when the hemorrhoids start to protrude and manifest itself on the anal opening. External hemorrhoids, meanwhile, occur at the opening of the anus where it is bound to be very painful. A hemorrhoid that protrudes beyond the anal opening is an external hemorrhoid. This does not include a prolapsed hemorrhoid which began in the anus. More information about external piles or hemorrhoids.
The Causes of External Hemorrhoids
Generally, both internal and external hemorrhoids are caused by an increase in pressure exerted on the veins of the lower part of the rectum. To be specific, the causes of an external hemorrhoid can be any or a combination of the following:
• Chronic diarrhea
• Straining during passing of stool
• Anal intercourse
• During pregnancy, the fetus puts pressure on the pelvic and rectal area while childbirth may result in over straining .
• Lifting heavy objects
• Prolonged sitting
• Obesity adds too much pressure on the veins in the rectum
• Hemorrhoids can also develop from poor posture
External Hemorrhoids Symptoms and Signs
Perhaps one of the most dreaded external hemorrhoids symptoms is pain. There is none more uncomfortable than rectal pain especially when a thrombosed develops. A thrombosed is simply a clotted hemorrhoid which looks like a hard lump just under the skin. This lump is often hard and painful.
Other external hemorrhoids symptoms include itchiness . swelling . inflammation . and sometimes bleeding. You will know if there is bleeding when there are traces of blood in your stool. This is more of a symptom of an internal hemorrhoids. For external hemorrhoids, bleeding can easily be spotted just by pressing gently the affected area with soft cloth or toilet paper.
Treatment for External Hemorrhoid
People who are suffering from this condition are advised to go through some treatment for external hemorrhoids. Doctors rely on a combination of medicines, medical procedures and natural methods of treatment for external hemorrhoids.
One such medical external hemorrhoids treatment is the use of over-the-counter medications. These include topical ointments . lotions, and even suppositories. These might not cure hemorrhoids permanently instead they only help reduce the symptoms like swelling and itchiness.
One specific home cure for external hemorrhoids is the use of lavender cream. This cream, along with some others, helps to reduce itching and irritation that accompanies hemorrhoids.
As a treatment for external hemorrhoids that are bleeding, simply apply pressure using clean cloth or tissue paper to make the blood clot. The bleeding will slow down and in time will cease. You can then use cold compress, like an ice pack wrapped in clean and soft towel, to allow the blood vessels to contract and slow the bleeding some more until it completely stops .
Bleeding can also be treated with astringent. At first glance, this kind of treatment for external hemorrhoids might seem a little off. The kinds of astringent that can be used are not the chemical-based ones but rather natural. One good example is witch hazel. Though it may sting a bit, applying distilled witch hazel as an astringent helps disinfect and dry the affected area. This also helps stop the bleeding. Other natural substances that can be used as astringents are aloe vera juice, apple cider vinegar, stone root . and yarrow .
One natural external hemorrhoids treatment you can do at the comforts of your home is hydrotherapy . specifically sitz bath. For 3 to 4 times a day, sit in water up to your hips for 15 to 20 minutes. Make sure the water is hot but not too hot that it’ll scald you. Alternate this with cold sitz baths . Once done, dry the affected area completely. Do not use a towel as its roughness will only add to the discomfort. Sitz bath is an effective external hemorrhoids treatment as it helps reduce the swelling, redness, and pain. Another form of hydrotherapy is applying hot and cold compresses alternately on the affected area.
Speaking of natural remedies for external hemorrhoids, herbal medicine can also be administered as cure
for all the symptoms. Among the herbs that can be used as external hemorrhoids treatment are bayberry bark, calendula . ginkgo . horse chestnut . pilewort . and plantain . A well known natural formula treatment is Venapro Hemorrhoids formula where it used 100% natural ingredient to ease pain relief & improve healing process.
Another form of alternative medicine that can be applied as an external hemorrhoids treatment is homeopathy . With the principle of “like cures like”, homeopathy deals with external hemorrhoids using diluted versions of the very substances that may cause the symptoms of hemorrhoids . Among them is Aesculus hippocastanum which is beneficial in tackling pain, soreness, swelling, and the lumpy feeling in their rectum. Arnica Montana is given to relieve the sore feeling of hemorrhoids caused by straining. Graphites, meanwhile, is effective against piles with burning sensations and cracks. For bleeding hemorrhoids, Calcarea fluorica and Hamamelis may be given. As for painful hemorrhoids accompanied by chronic constipation, Nux vomica is recommended. Sulphur is the preferred homeopathic treatment for external hemorrhoids that are oozing and burning.
Ayurveda is another traditional form of medicine that can be applied as treatment for external hemorrhoids. Called Arsha Shoola in Ayurvedic medicine, hemorrhoids are treated by eating raw or cooked carrots, inserting garlic inside the rectum, and administering other herbs like Blumea balsamifera . Mimosa pudica . Semecarpus anacardium . and Trikatu. Ayurvedic treatment for external hemorrhoid focuses on two aspects. The first is to reduce constipation with a variety of food like asafetida, buttermilk, cumin, ghee, fennel, and green leafy vegetables. Pain relief and the reduction of the hemorrhoid is the next step after constipation is controlled. This is done by directly applying sesame oil on the hemorrhoid. Sandalwood is a good alternative.
External hemorrhoids treatment in Ayurvedic medicine also depends on the type of hemorrhoid as based on the doshas or body principles. The Vata type of hemorrhoid is dark, hard, and there is acute pain and constipation . This is treated with Arshogni vati, Kankayana vati, and Pranada gutika. Pitta hemorrhoids are reddish and soft with bleeding present. This may be accompanied by fever and diarrhea. Hemorrhoids belonging to this type are treated with Avipattikara choorna. Finally, the Kapha type of hemorrhoids is characterized by a slimy feel and is soft and white. Kutajavaleha is the medicine of choice for this type along with other bleeding hemorrhoids.
Aromatherapy has also been used as an external hemorrhoids treatment. A number of essential oils like cypress and myrrh can be mixed with water for sitz baths .
A diet filled with fiber-rich food is recommended for people already suffering from external hemorrhoid. It is also a good way to avoid having one, especially if your family has a history of having hemorrhoids. Fruits, vegetables, wheat bran, oatmeal, brown rice, lentils, broccoli, and barley are just a few excellent sources of soluble and insoluble fiber.
The right consumption of fluids is also detrimental in treating and preventing hemorrhoids . By staying hydrated, the body has less difficulty in digesting food and passing stool.
It is also advised to have enough Vitamin C and bioflavonoids to help strengthen the blood vessels.
Regular exercise helps keep the digestive system and the body in general, in tiptop shape. This helps prevent constipation and other problems that may worsen hemorrhoids. Yoga is a good form of exercise that is beneficial as a treatment for external hemorrhoids. There are yogic poses and exercises that help improve circulation and digestion which prevents constipation.
Consequences of Untreated External Hemorrhoids
If left untreated, hemorrhoids may result in other medical conditions. That is why it is important to be familiar with the symptoms of hemorrhoids in order to know how to treat them properly.
Infection is a common complication in cases of hemorrhoids. Fecal matter contains microorganisms that are harmful to the body especially when it enters the blood stream. This may lead to blood poisoning or septicaemia .
Anemia may develop due to the continuous blood loss of untreated bleeding hemorrhoids. The lack of healthy red blood cells also causes fatigue because oxygen has a difficult time reaching the cells.
Fibrosis is the result of lack or improper treatment for external hemorrhoids wherein the hemorrhoid becomes fibrous causing the anal opening to become rigid or lose its elasticity. This, of course, causes extreme pain especially when passing stool.
Another complication that may arise from lack of external hemorrhoids treatment is strangulated hemorrhoid. The loss of blood supply to a hemorrhoid may cause it to be strangulated which may result to gangrene.
Thrombosis is a blood clot that develops inside hemorrhoids. These blood clots are especially dangerous when untreated and are transported to other parts of the body. The least these clots can do is cause terrible pain and disrupt the body’s circulation. But when it reaches the brain, a blood clot may cause stroke and in many cases, death.