Hemorrhoids (Piles), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

by Kenneth Kee

Overview

Just 1 week ago my sister in law consulted a doctor about a protrusion in the anus and bleeding in the feces when she passed motion for a few months,
She was told that she had a rectal prolapse and surgery to remove the rectal prolapse.
She decided to consult me about her medical problem.
I examined her and found that there is a small protrusion from the anus which looked more like a prolapsed hemorrhoid rather than a rectal prolapse.
There were 3 small protrusions from the anus rather than a whole mucosal lining of the rectum that show concentric rings of mucosa protruding through the anus.
There was some blood on the protrusions that are typical of bleeding swollen blood vessels that are typically hemorrhoids or piles.
Hemorrhoids are swollen blood vessels that are present usually at the three o’clock, seven o’clock and eleven o’clock of the anal openings.
I reassured her because hemorrhoids are easier to treat than rectal prolapse.
I applied local anesthesia and pushed back her protrusion.
After this I inserted a suppository that will help to shrink the hemorrhoids.
She was told to avoid straining at her bowel movements and avoid constipation.
In all cases of bowel movement the squatting position to pass motions is the best where passing feces is concerned.
Regular bowel habits in the morning or at fixed times of the day will also help.
Avoid sitting on hot seats or areas like spas.
Drink more water and do more walking especially after food to help the digestion.
Take more fruits, vegetables and fibers that will help to improve the bowel movement,
Most importantly if there is bleeding a colonoscopy examination is always helpful to exclude any tumors, polyps.
Any hemorrhoids or polyps found can be removed at the same time.

New methods of treatments using Doppler guided hemorrhoid artery ligation and hemorrhoid lift are least painful.
The Rafaelo procedure uses needle to emit radio-frequency energy to shrink piles

Hemorrhoids or piles are medical disorders that are distended veins inside the anus which are swollen and inflamed.
Hemorrhoids are either inside the anus (internal) or the skin around the anus (external).
Hemorrhoids are swollen blood vessels in the anus or lower portion of the rectum.
They have many arteries and veins.
Hemorrhoids may be inside or outside the body.
There are 2 types of hemorrhoids:
1. Internal hemorrhoids occur just inside the anus, at the beginning of the rectum.
When they are bigger they may fall outside (prolapse).
The most common problem with internal hemorrhoids is bleeding during bowel movements.
2. External hemorrhoids occur outside the anus.
They can result in difficulty cleaning the region after a bowel motion.
If there is a blood clot forming in an external hemorrhoid, it can be very painful (thrombosed external hemorrhoid).

Hemorrhoids are very common (75%).
They result from increased pressure on the anus.
This pressure may happen during pregnancy, childbirth, and due to constipation.
The pressure causes the normal anal pads to form swellings.
These blood vessel swellings can bleed, frequently during bowel movements.
Hemorrhoids may be caused by:
1. Straining to pass the stool out of anus
2. Constipation
3. Sitting for long periods of time, especially on the toilet
4. Pregnancy,
5. Aging,
6. Chronic constipation or diarrhea

The most frequent symptom of internal hemorrhoids is
1. Painless Bleeding from the anus.
Bright red blood may be observed covering the stool, on toilet paper, or dripping from the anus into the toilet bowl.
2. There may be pain too particularly if the stool is hard.

Diagnosis of hemorrhoids:
Anal exam
Colonoscopy

Treatment of hemorrhoids:
Suppository or cream
Tub baths
Removal of piles
TABLE OF CONTENT
Introduction
Chapter 1 Hemorrhoids
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Rectal Prolapse
Chapter 8 Constipation
Epilogue

Product Details

BN ID:	2940155092728
Publisher:	Kenneth Kee
Publication date:	01/01/2018
Sold by:	Smashwords
Format:	eBook
File size:	178 KB

About the Author

Medical doctor since 1972. Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009. Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993. Dr Kenneth Kee is still working as a family doctor at the age of 65. However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon. He first started writing free blogs on medical conditions seen in the clinic in 2007 on http://kennethkee.blogspot.com. His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog afamilydoctorstale.blogspot.com. This autobiolographical account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Conditions” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com. From which many free articles from the blog was taken and put together into 550 amazon kindle books and some into Smashwords.com eBooks. He apologized for typos and spelling mistakes in his earlier books. He will endeavor to improve the writing in futures. Some people have complained that the simple guides are too simple. For their information they are made simple in order to educate the patients. The later books go into more details of medical conditions. The first chapter of all my ebooks is always taken from my blog A Simple Guide to Medical Conditions which was started in 2007 as a simple educational help to my patients on my first blog http://kennethkee.blogspot.com. The medical condition was described simply and direct to the point. Because the simple guide as taken from the blog was described as too simple, I have increased the other chapters to include more detailed description of the illness, symptoms, diagnosis and treatment. As a result there are the complaints by some readers of constant repetitions of the same contents but in detail and fairly up to date. He has published 550 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter. The purpose of these simple guides is to educate patient on health conditions and not meant as textbooks. He does not do any night duty since 2000 ever since Dr Tan had his second stroke. His clinic is now relocated to the Bouna Vista Community Centre. The 2 units of his original clinic are being demolished to make way for a new Shopping Mall. He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting with the Apple computer and going to PC. All the PC is upgraded by himself from XT to the present Pentium duo core. The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive. He is also into DIY changing his own toilet cistern and other electric appliance. His hunger for knowledge has not abated and he is a lifelong learner. The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned. This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale. Dr Kee is the author of: "A Family Doctor's Tale" "Life Lessons Learned From The Study And Practice Of Medicine" "Case Notes From A Family Doctor"