Hemorrhoids are very trite and often they cause considerable trouble. They are small tumors consist in of enlarged, twisted and varicosed blood-vessels in the web of the rectum, appearing at the edge of or just within the anus and object considerable ache during evacuation of the manure. Sometimes the mucous meninges is extended without the anal opening. The veins often come congested, and frequently suit occluded by blood clots.
There may be external or interior emerods, also bleeding and itching hemorrhoids, but the cause is really the same in all cases. The accidental variety may be seen at the margin of the anus as small, hard, rounded, purplish masses. The internal variety may or may not proirude through the arsehole.
Though piles are estimate by most members of the medical claim as a purely provincial disturbance, it has been verify that constitutional measures, without any topic value whatever, on the whole bring redress and often the ultimate obliteration of the piles; whereas territorial measures, surgical or enema handling, may prove only temporarily of endowments.
Chronic constipation is a incline cause of piles. The shadow straining at stool aggravates the tendency to the condition. Among other object are lowered tone of all texture, obesity, continued reputation on the fact, liver congestion, enlarged prostate and heavy uterus. Such exertions as lifting heavy moment may cause piles. They frequently result also from looseness and dysentery and cystitis or inflammation of the inflate. However, few piles would disclose if the syn circulation and especially the abdominal transmission were kept normal. But from faineance of the abdominal muscles and a twisted diet various qualification result which lead to the development of piles.
An inactive liver, often effect from such plight, anticipate return flow of the lineage through the hemorrhoidal vessels of the rectum and abdomen, resulting in a stagnant condition in the rectum – the starting point of the hemorrhoidal vessels. The support up of this rake in the anal membrane source local engorgement and reduces tenor. At first this is a temporary state, but in time becomes chronic. When this possession disclose, especially when there are some of the other causes mentioned, hemorrhoids are very likely to promote, peculiarly if there is straining at stool.
Symptoms. Piles usually develop slowly and may not be perceive for some time after their outset. Usually there are torment at stool, foolish bleeding when the piles are spiritual, a feeling of soreness and annoyance after nullification, and most often a sensation of incomplete abolition. There may be a feeling of weight in the rectum. Constipation becomes aggravated as a rule, because of the dread of evacuation on account of the attendant endurance.
Internal piles arc associated with phlebotomy, protrusion during defecation, the sensation of fullness in the rectum and perhaps a mucous dismiss. There may be enough hemorrhage to result in anemia. Often there is a tenesmus, or spasmodic tightening of the rectal sphincters. External piles often action pronounced local itching. The pituitous skin may become inflamed, the piles increase in many and the aggrieve and hemorrhage become profuse when the condition is neglected. The piles at first may be no larger than a pea, but may wax to the six of a plum.
Treatment. It is much emend to anticipate piles than to ambush their development and then cure them, but usually this grief is not respect until it has so improved. However, if a person lives on the individual diet, sustain perpendicular elimination and maintains good tonicity of all the muscular system, spiritual as well as external, there necessity be no fear of the educement of piles. Treatment must be constitutional and regional. Constipation must be regular. General muscular vex is essential, but particularly abdominal exercises, and particularly on an inclined uphold (beaviness practice). The knee-chest position, also gressorial throughout the room on hands and feet are very helpful also.
Diet is one of the most important element of manipulation. The fast is excellent in this condition because it reduces congestion in the liver and in the rectal vessels. A complete fast (or a fruit regimen) may endure for from five to twenty days, or even longer if the condition is extreme and the weight analogical or above normal.
The milk diet may follow the faithful or fruit diet to benefit, if constipation is not allowed to develop on the regimen. It censure the character and currency of the descent, also tissue temper, more rapidly than any other feed. However, in many cases it is emend to use a solid fare fare, having an abundance of the awkward vegetable salads, cooked green vegetables, raw and brothel fruit and beestings in some form, preferably buttermilk or sharp foremilk, also fair quantities of whole texture cereals.
On the colostrum diet it regularly is wise to inject two or three ounces of olive oil into the rectum every concealment before retiring, but this may be application on the important food diet also unless elimination is communicative. The cold sitz-bath taken morning and evening usually is of influential value, though of course retroaction to warmth must be prompt and complete. The very hot shelf bath or the hot sitz-bath may be used, followed by a alike indifferent bath or cold spray, for the most part with much benefit. It is of value also to inject one-half pint of cold moiré into the rectum or three or four ounces of witch hazel, either to be retained.
Rectal dilation is excellent in piles also. This may be given by hard-bumper dilators, procurable in any stupefy warehouse in a set of four. It is best to begin with the smallest magnitude and shift to a larger size every few days or each week. One should use the largest gauge that can be used comfortably. The rectal attachment of a supportable voltaic vibrator also may be used once or twice a day for two or three minutes, with relief and real benefit.
Spinal manipulative treatment often is of great value, but this should be osteopathic or confined to some represent of manipulation that reduces contractures along the lumbar spine. The hot-dilute bag or fiery compresses may be used locally to the anus, but if usefulness for from fifteen to thirty critical it is better to terminate the manipulation with as bleak an application as possible for from one to three exact.
Operation has been effect countless times in the suit of emerods and still is achieve quite frequently. But the present entertainment replacing orthopraxy is the injection method. Often piles restore after either surgery or clyster treatment, for the simple reason that nothing is done to rectify the temper of the vessels and the currency in vague. Where the above treat, in whole or in part, is used faithfully, the hemorrhoids usually will be hugely relieved within a short time and exterminate within a very few months, and they are not probable to restore if general tone is maintained and a correspondent diet for usual haleness protracted.