Hemarrhoids

Hemarrhoids

Hemarrhoid

Facts about Hemarrhoids

  • According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), 10.4 million people in the U.S. suffer from hemorrhoids.
  • Only 3.5 million people, or 1 in 3, seek medical treatment each year for their hemorrhoids.
  • Left untreated, hemorrhoids can get progressively worse over time, growing in both size and number.
  • Some chronic sufferers develop hemorrhoids in as many as three locations.

Research scope in Hemarrhoids

  • The risk factors and mechanisms that contribute to the occurrence of hemorrhoids are not well understood.….more
  • Haemorrhoids have been diagnosed and treated since the dawn of civilization, yet their cause, nature, symptomatology and especially their treatment options, remain hotly debated…more
  • Spinal cord injury (SCI) leads generally to an irreversible loss of sensory functions and voluntary motor control below injury level. Cures that could repair SCI and/or restore voluntary walking have not been yet developed nor commercialized....more
  • Cap-assisted endoscopic sclerotherapy (CAES) as a novel endoscopic sclerotherapy should be a convenient, safe and effective flexible endoscopic therapy for internal hemorrhoids...more
  • Anal cushion lifting (ACL) method might be better than all other current methods for managing hemorrhoids...more
  • Botulinum toxin injection into the internal anal sphincter (IAS) is gaining popularity as a second line therapy for chronic anal fissures after patients fail medical therapy...more

Treatment for Hemarrhoids

  • Fiber intake shows a consistent beneficial effect for symptoms and bleeding in the treatment of symptomatic hemorrhoids…more
  • Oral supplementation with Aesculus hippocastanum, Ruscus aculeatus, Centella asiatica, Hamamelis virginiana, and bioflavonoids may prevent time-consuming, painful, and expensive complications of varicose veins and hemorrhoids.more
  • Despite higher cost, the hemorrhoid laser procedure technique is more effective than rubber band ligation in reducing postoperative pain, resolving symptoms, and improving quality of life in patients with grade II or III hemorrhoids with incomplete mucosal prolapse...more
  • Rubber-band ligation is recommended as the initial mode of therapy for grades 1 to 3 hemorrhoids…..more
  • Ligasure is superior to Ferguson hemorrhoidectomy in the treatment of hemorrhoids..more
  • Stapled hemorrhoidectomy is a safe and quick procedure associated with less pain, better outcome, and early recovery with shorter hospital stay..more
  • The treatment of hemorrhoids: guidelines of the Italian Society of Colorectal Surgery..more

Prevention of Hemarrhoids

  • High grain fiber intake and sedentary behavior are associated with a decreased risk of hemorrhoids….more
  • Study shows that psyllium powder consumption during the third trimester of pregnancy could significantly prevent constipation, hemorrhoid anal fissure..more
  • A mixture of honey, olive oil, and beeswax is safe and clinically effective in the treatment of hemorrhoids and anal fissure….more
  • The prevention of hemorrhoids in sailors...more

Risk factors for Hemarrhoids

  • For young patients, especially those with a past hemorrhoidal history, spice or alcohol intake and constipation are risk factors for hemorrhoidal crisis...more
  • Diarrhea may represent a risk factor for the development of hemorrhoids...more
  • An increased tone of the anal sphincter constitutes a common pathophysiologic mechanism for the development of hemorrhoids...more
  • A high BMI can be regarded as an independent risk factor for hemorrhoids..more
  • Abdominal obesity, depression, and past pregnancy may be risk factors for hemorrhoids and hemorrhoids affect quality of life negatively...more
  • Patients taking clopidogrel may be at higher risk for bleeding complications in patients with hemarrhoid...more
  • There is no scientific evidence that a spicy meal based on red hot chili pepper may worsen hemorrhoidal symptoms and, therefore, there is no reason to prevent these patients from occasionally enjoying a spicy dish if they so wish...more

Systematic reviews

  • Fiber for the Treatment of Hemorrhoids Complications: A Systematic Review...more
  • Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids..more
  • Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation…more
  • Stapled haemorrhoidopexy for the treatment of haemorrhoids: a systematic review...more

Treatment with Medicinal Herbs

  • Prostrate Knotweed (Polygonum aviculare) –  Dose – 2-3 ts herb (4.8 – 7.2 g) in hot teas/day; 5 g; 2 g herb/cup tea; 4-6 g/day or cup of tea (1.5 g herb) 3-5 x/day 
  • Wood Ear (Auricularia spp.) – Dose – 15 g herb in tea 2x/day  
  • Salad Burnet (Sanguisorba officinalis) – Dose- 2-6 g dry tops as tea, 3x/day; 2-6 ml liquid top extract (1:1 in 25%3  ethanol) 3x/day; 2-8 ml top tincture (1:5 in 45% ethanol) 3x/day; 2-3 tsp (2.8 – 4.2 g) herb in cold tea; 30-50 drops tincture 
  • Zedoary (Curcuma zedoaria) – Dose- 1-3 g /day; 1-2 g powdered root; 14-28 ml root tea; 1-1.5 g root/cup water; 1:4 rhizome:liquid extract; 300 and 450 mg capsules 

Reference: Handbook of Medicinal Herbs (2006)

Herbals

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