 How
are hemorrhoids treated by yourself ? |
Treatment
of External Hemorrhoids.
How
are hemorrhoids treated by yourself ? |
Treatment of External Hemorrhoid
Initial treatment of an external hemorrhid is generally conservative and consists of stool softeners, warming : sitz baths (i.e. sitting in a tub of warm water), putting hot towel to anus.
There are numerous cremes and suppositories which can help relieve the irritation, inflammation and pain symptoms of relatively minor external hemorrhoids, such as hydrocortisone (Proctsedyl creme(ointment), Neriproct ointment . etc.) and (Boraza G ointment(tribeneside)).
OTC Boraginol M and hydrocortisone (OTC Boraginol A , OTC Priza S ointment....etc) are commonly recommended medicatons at a japanese drugstore.
About 50-75% of external hemorrhoids are treated in this fashion will heal in a weeks to 2 weeks. If the pain is severe, it is usually more effective to surgically drain the thrombosed hemorrhoid because this usually provides immediate relief from the pain. It is a procedure that is easily performed in a japanese doctor's office using a local anesthetic to numb the skin during the procedure. Thrombosed external hemorrhoids are ultimately best treated by surgical removal of the offending hemorrhoid if diagnosed within the first few days of its onset.
Over the course of one to two weeks, the body will usually dissolve the clot or it can break through the skin and bleed.
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How are hemorrhoids treated by yourself ? ( reference to MedicineNet Hemorrhoids Forum in U.S.A..)
1) Prevention .
The best treatment of hemorrhoids is prevention. A diet high in fiber and bulk can prevent constipation. If this cannot be accomplished with diet, adding bulk laxatives such as Mag. Usta, Senna( Purzenid). or polycarbophil(FIBERCON etc ) may be necessary.
Prevention of the recurrence of hemorrhoids is aimed at changing conditions associated with the pressure and straining of constipation. Doctors (in U.S.A. )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 ,of course !) 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 apples, vegetables, sea-woods, and whole grains. In addition, doctors in U.S.A. may suggest a bulk stool softener or a fiber supplement such as psyllium in U.S.A.(Metamucil ) or methylcellulose in U.S.A.(Citrucel). You may aslo get fibergoods in japanese drug store.
This applies to people who have established hemorrhoids since proper diet can prevent worsening of the condition.
( reference to MedicineNet Hemorrhoids Forum in U.S.A..)
2) Warming of hips. Sitz baths
Sitz baths (sitting in a tub or bathtub of warm water) may suffice. Warming of Anal region is the most important way , results in relaxation of anal sphincter muscle with reliefing from the pain and bleeding. ( see fig.1 )
（ fig.1 ） < 3) Suppositories and Cremes (ointment).
There are numerous cremes and suppositories which can help relieve the irritation and pain symptoms of relatively minor hemorrhoids.
But I am afraid you feel difficult to select OTC supositories in japanese drug store, because you don't understand what kind of creme or supository are effective or adequate to your symptome sufferring.
I introduce you the names of suppositories and cremes(ointment) ,which are prescribed at japanese doctors, and I would like to reffer japanese OTC supositoreis and cremes, by each different type of symptoms . I am afraid you can't find Anuzol in Japanese drug store.
1) Bleeding.
a) such as hydrocortisone (Lubritex suppositories or ointment) and strong hemostatic (Helmitin S suppositories) on a japanese docter's prescription.
b) OTC Dormaishin creme(Oint). & supp., OTC Bush G oint. & supp., OTC Esugyl 8 Oint.& supp. , OTC Puriza ace oint.& supp. New Efretin oint.& supp. ,including both of hemostatic & hydrocortisone are commonly recommended medicatons at a japanese drugstore.
2) General Irritation of chronic hemorrhoids.
a) Lidcain & tribenosid( Borraza G suppositories or ointment) ,small dose of hydrocortisone Posterisan fortae etc. are most popular on japanese doctor's prescription.
b) Nonsteroid OTC Borragynor M, OTC New Rec-H ,and , Small dose of corticostroid OTC Borraginol A. OTC Sanoura supp.or oint., OTC new Helmitin supp. or oint. OTC Puriza S supp. or oint., are also adequate for mild chronic general hemorrhoids . you can use rather long period without severe side effect.? (<>1 mos .)
3) Acute Pain, Swelling, Severe irritation.
a) Strong hydorcortisone and Lidocain Neriproct suppositories or ointmet by japanese doctor's prescription may be effective.
b) Strong corticosteroid OTC Puriza S supp., OTC Puriza Ace supp. & oint., OTC Esuzy-ru 8 supp., OTC Dormysin supp. & oint. are effective. Pay attention. ! Use them for short period within 2 weeks.!.
<to Treatment of Int.Hemorrhoies> 4) Regulate your stool.
How to regulate your stool soft.?
1) Eat regular meals; it is expecially important to have breakfast. Take bulking agent with meals and follow with a full glass of water. Begin with:
1-2 tablespoons millers bran 3 times a day or 1-2 heaping teaspoons Metamucil 3 times a day .
Do not take harsh (stimulant) laxatives except as directed.
Establish regular daily bowel habits;
DO NOT ignore the urge to have a bowel movement.!!
Allow 15 minutes after breakfast to sit on the toilet - do not strain.
2) If there has been no bowel movement after 48 hours, take 1 or 2 tablespoons Milk of Magnesia (Mag.Ustae in Japan) at bedtime. If unsuccessful, the dose may be increased the next evening. If no bowel movement occurs after 3 days, use a glycerin suppository .
3) Exercise daily.
Whenever possible, avoid medications that contribute to constipation. DO NOT stop taking any prescribed medications unless approved to do so by your physician.
4) Proper Diet
The first treatment for constipation is to eat a high fiber diet to provide natural bulk in your daily food intake. Dietary fiber, often called roughage, is a portion of food that passes through the intestine and colon almost unchanged. Undigested fiber holds water to keep the stool soft and adds bulk which helps move stool to the rectum. Most Americans eat very little roughage and this is often a major factor in the cause of constipation. An increase in dietary fiber generally results in a softer and bulkier stool which can be passed more easily.
Bulk Agents:
Bulk agents are very useful in addition to dietary fiber to restore and maintain regularity. These include bran and psyllium.
These apply to people who have established hemorrhoids since proper diet and regulating stool can prevent worsening of the condition.
( reference to MedicineNet Hemorrhoids Forum in U.S.A..)
<to Treatment of Int.Hemorrhoies> 5) Trainig of Anal sphincter muscles.
( Fig.2)
Shirink or contract you anal muscle very frequently, and repeat it 5 minutes. Continue half a year. Keep your contraction of anal muscle for 15 seconds, and repeat for 5 minutes. By the training of contraction of anal sphincter muscle, congestion of blood flow of anal vein ( varices) may be relieved remarlably and after 6 mos. of continuous training, you will find yourself remarkable reduction or lessening of hemorrhoids. ( see Fig.2)
So Please Try! Its radically effective . Only 5 min a day.& Easy to continue!.
<to Treatment of Int.Hemorrhoies> 6) How to recover prolapsed hemorrhoids by your self.
if the internal hemorrhoids are large and prolapse (come out of the anal opening), what do you control it?
( Fig 3 ) Insert the pillow under your hips. Then, you push back the protruded hemorrhoids "one by one" by your finger, using the gauze applied with olive oil or waseline oil under the supine positionｾ as shown in upper fig.3 ",
<to Treatment of Int.Hemorrhoies> Please remember, information can be subject to interpretation and can become obsolete. Therefore, information should never be a substitute for an open and trusting doctor-patient relationship. Always consult your doctor.
7) Visit Doctor in severe case!
In some cases, hemorrhoids must be treated surgically. These methods are use to shrink and destroy the hemorrhoidal tissue and are performed under anesthesia. These can be treated by various methods, including rubber band ligation, injection sclerotherapy, infrared coagulation or surgical hemorroidectomy.
*If the internal hemorrhoids are large ( grade III to IV)or prolapse (come out of the anal opening), then surgical hemorrhoidectomy (removal of the hemorrhoid) may be the only option for cure. A hemorrhoidectomy involves surgically excising (removing) the hemorrhoid groups in the anal canal.The doctor will preform the surgery during an office or hospitalization.
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How are Fissure treated by yourself ?
A) Acute Fissure ( grade I ), B) Chronic Fissure ( Grade III )A) Acute Fissure ( grade I )
Initial treatment of an anal fissure ( acute & inital stage of fissure) is generally conservative and consists of stool softeners, sitz baths (i.e. sitting in a tub of warmwater), and/or suppositories or foams which can help decrease the pain. Barraza G ointment in Japan, ANUSOL in U.S.A. and hydrocortisone (Procrosedyl ointment in Japan) are commonly prescribed medicatons, which can reduce inflammation. About 50-75% of anal fissures treated in this fashion will heal in several weeks to months. So it is most important to cure completely in acute stage of fissure.
1) Regulation of stool.!
A diet high in fiber and bulk can prevent constipation. If this cannot be accomplished with diet, adding bulk laxatives such as Milk of Magnesia (Mag.Ustae in Japan) , Sennoside ( Purzenid). or polycarbophil(FIBERCON etc ) may be necessary.
Eating the right amount of fiber and drinking six to eight glasses of cold water or cold milk result in softer, bulkier stools. A softer stool makes emptying the bowels easier and lessens the pain of fissure, resulting in healing within a week.
It is good to establish regular daily bowel habits. but,........ DO NOT ignore the urge to have a bowel movement.at any time !, even if you are on the attendance to conference.!!! Because the smooth defecation may be most important to cure acute fissure.
2) sitz baths (i.e. sitting in a tub of warmwater)
Warming of hips lessens the tension of spastic anal sphincter muscles. So, sitz baths or having a hot bath every day is most important for the process of healing fissure .
If you are suffering fron the severe pain after defecation, I recommend to warm the anus(hips) by putting hot towel to your hips or by having hot bath, resulting in relieving the pain.
3) Use Ointments (Cremes)
I recommend you to use ointments( cremes) rather than supossitories in the case of fissure. I am afraid that the suppositories make pain at the insertion into anal canal , because fissure is the wound of sensitive anal canal.
Cremes (ointment)and suppositories which can help decrease the pain. Borraza G ointment (in Japan),ANUSOL( in U.S.A.) and hydrocortisone (Proctosedyl oint. Posterizan forte oint. etc ) are commonly prescribed medicatons in Japan, which can reduce inflammation.
Lidocain without corticostreoid, OTC Borragyinor M ointment , OTC Anuzol oint., OTCNew Rec H oint.,OTCNew Efretin oint., and Small dose of corticostreoid with Lidocain OTC Puriza S oint. OTC Sanoura oint. GI-fo (SBCH) oint. may also effective .
Medication of vitamin E( Yubera tab in Japan) may be effective.
A painkiller like aspilline,baffarin(in Japan), sedes( in Japan) may be relieving the pain. Dont use too much .
Please Try !!
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B) Chronic Fissure ( Grade III)
If the fissure does not heal and becomes chronic in nature, then some form of surgery is usually necessary. when surgery is indicated an internal lateral sphincerotomy is the procedure of choice because of its low risk of incontinence, high cure.
In chronic stage, you can find lump and ulcer followed by polyp ( Trias of chronic fissure!) on the anal lesion. The pain followed by defecation is very severe and sometimes persist more than 1 hour.
If you can't visit doctor so soon, you should control the pain by yourself.
1) Stool softeners .: Keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs. Exercise, including walking, and increased fiber in the diet help reduce constipation and straining by producing stools that are softer and easier to pass.
2) Regular Sitz baths (--sitting in a warm tub or applying warm moist compresses for 5-10 minutes 3-4 times a day.). ..Warming of hips by taking hot baths.
3) Suppositories or foams which can help decrease the pain.
a) Lidcain & tribenosid( Borraza G suppositories or ointment) by doctor.
b) Non-steroid OTC Borragynor M, OTC New Rec-H and , and Lidcain with Small dose of corticostroid OTC Borraginol A. OTC Sanoura supp.or oint., OTC new Helmitin supp. or oint. OTC Puriza S supp. or oint. are also reduce the pain. But I am afraid that these suppositories are not so effective for the severe persistent pain by chronic fissure.
4) A painkiller like Sedes G, Aspirine ( Baffarin in Japan), Boltaren suppositories may reduce your severe persistent pain. But do not use for long period for to prevent the side effect by these drugs .
5) Nitroglycerine paste Recent literature also suggests that using "nitroglycerine paste" to the anal area can help expedite the healing.
Please remember, information can be subject to interpretation and can become obsolete. Therefore, information should never be a substitute for an open and trusting doctor-patient relationship. Always consult your doctor. Because " nitroglycerine paste "is essentially efficacious for coronary heart deseases.
Try "nitroglycerin paste " ( named by "Vasolator oint". :used in Japanese Hospital), if you are suffering from severe pain by chronic fissure and you could not visit proctologist.
( Reference to" Ask The Experts! Question Regarding:Anal fissures - treatment with nitroglycerine?Anal fissures not getting better.. MedicineNet Hemorrhoids Forum in U.S.A..)
It is recommended that medical care for an abscess be sought immediately. Incision of abscesses under local anesthesia must be underwent immediately by doctor( surgeon, or proctologist). Drained abscesses frequently develop into a fistula later. Abscesses cannot usually be cured with antibiotics, their treatment is surgical.!!
A fistula will usually leak blood-stained pus (cloudy fluid), because, as mentioned, it is a form of mild infection. There usually is some discomfort, but this condition isn't really painful. Not infrequently patients with fistulas are treated with antibiotics, that sometimes reduce inflammation temporally. This treatment, however, does not result in a cure. Most of fistula will not heal without surgical treatment. So visit a doctor and consult.
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Please remember!!, information can be subject to interpretation and can become obsolete. Therefore, information should never be a substitute for an open and trusting doctor-patient relationship. Always consult your doctor. ( Dr. T. Yamada M.D.)
