In case of women who have a baby the hemorrhoids are more common,specially those whit a family history of hemorrhoids and varicose veins suffer most.In this case the hemorrhoids develop as part of the pelvic congestion of pregnancy and are probably encouraged by atony of the vesel walls.
The hemorrhoids are painful when they prolapse and become thrombosed as a result of their strangulation by the anal ring-this is particularly likely to occur in women cases during the second half of pregnancy or during and immediatly after labour.
Once the hemorrhoids are thrombosed they remain extruded and become swollen,tense oedematous and tender and after they may ulcerate.The thrombus begins to organize in a few days and swelling then subsides and the pain disappears.But the hemorrhoid remains as small and more fibrous structure.
Prevention:
It is impossible to avoid hemorrhoids but it is often possible to prevent their becoming strangulated and painful.This is done by:
-keeping the bowels regularly and the stool easy to pass without straining.
-gentle replacement of prolapsed hemorrhoids immediately after defecation.
-resting flat in bed for 15-30 minutes after defecation to give the anal sphincter time to recover tone.
-avoiding standing whit the pelvic floor muscles relaxed.
Treatment.
Treatment of strangulated hemorrhoids:
the best treatment for an attack of pilles is rest.Two or three days lying flat in bed will cure more quickly than any other procedure.Lying is essential,sitting up makes the situation worse.The prone position with the hemorrhoids at the hihest level of the body often brings quick relief.
Anaesthetic ointments and anal suppositories satisfy tha patient that something is being done but are of little intrinsic value.
Ice packs and cold compresses are more helpful.hot bath should be avaoided becouse although temporarily soothing,they increase the congestion.
Removal of the thrombus by incision under local anaesthesia is sometimes advised but the results are poor.
Treatment between attacks:
-injecting the internal hemorrhoids with slertosing fluids is indicated when their symptoms is bleeding but this is not reliable in preventing their prolapse.
-other methods of treating internal hemorrhoids without anaesthesia are the application of rubber bands or cryotherapy.
-although the hemorrhoidectomy is a common operation it should only be used when all other methods have failed.
Use a healthy diet based on full grain cereals and fresh fruits and vegetables and fluids!
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