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Methods to Prevent Hemorrhoids

BRIEF HISTORY
In order to avoid being affected by the inflamed veins that surround the lower part of your rectum or anus, you should try to keep your stools soft.
Hemorrhoids do not pose a risk to life, but they can be very painful. Here are some tips you should consider to avoid having hemorrhoids.
While hemorrhoids do not pose a risk to life, they could be very painful. To avoid being affected by the inflamed veins that surround the lower part of the rectum or anus, 3 you should try to keep your stools soft, since Excessive exertion during intestinal elimination, and other complications caused by constipation, are important factors that could impact the risk of hemorrhoids.




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Here are some recommendations to consider:

Drink plenty of fluids: Ideally, drink between six and eight glasses of pure water, without fluoride, per day, in order to soften your stool.

Refrain from consuming alcoholic beverages, sodas, energy drinks and products that have caffeine6 and that are loaded with fructose, since these contain artificial ingredients and sugars that could do more harm than good.

Avoid straining during intestinal elimination: Striving and holding your breath while trying to evacuate the stool, will further press the veins that are in the lower part of the rectum. If you do this constantly, it could cause the hemorrhoids to develop.

Evacuate as soon as you feel the need: By prolonging your desire to have a bowel movement, this increases the chance that your stool will dry out and could make it difficult to evacuate, force the passage, and possibly cause the development of hemorrhoids.

Change toilet paper through a bidet: Using toilet paper to clean your back may cause irritation. A bidet is not only a light option, but it will save you more investment and reduce the contamination of your hands.

However, if you do not have access to a bidet, it could be cleaned with fragrance-free wipes or damp toilet paper.

Exercise: Staying seated or standing for long periods of time may increase the pressure on your veins and slow down your body, including bowel elimination. Basically, when you exercise, you prevent constipation by allowing waste to move through your intestinal tract, which decreases the pressure on your veins.

As a result, this reduces the risk of hemorrhoids.7 In addition, exercising will allow you to get rid of excess weight, another factor that could increase the likelihood of developing hemorrhoids.

Avoid sitting for long periods of time: Sitting for a long period of time, especially in the toilet, will increase the pressure on the veins of the anus, which could lead to the development of hemorrhoids.

When you are in the toilet, put yourself in a squatting position, you do not feel: Actually, when you feel it prevents evacuation by pinching the anus canal. So, you should choose to squat, since this position puts your knees closer to your torso, changes the spatial relationship of your organs and muscles, and relaxes and straightens your rectum - which produces a more efficient evacuation .

Eat foods high in fiber and consider fiber supplements: It is known that fiber is effective to soften stool, increase its volume and prevent the effort that could lead to hemorrhoids or worsen the complications of existing hemorrhoids.

If you have included foods high in fiber in your diet, just make sure to do it gradually to avoid the problem of flatulence.

If you want to take food supplements, choose organic psyllium husk (which is considered a simple and inexpensive way to add fiber to your system) and drink eight glasses of water per day.

If you are dehydrated because you do not have enough fluid in your system, taking fiber supplements could cause or aggravate your constipation.

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How to prevent hemorrhoids in pregnancy

Hemorrhoids are varicose dilatations of the hemorrhoidal plexuses. They can go from practically unnoticed to being terribly symptomatic and require medication and surgery.

Pregnancy and childbirth, together with genetic inheritance, intestinal transit disorders and aging itself, are two of the main factors that favor its appearance. It is very common to appear during pregnancy or have previously appeared, worsen symptoms. This is due to several causes:



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• - Increase in intra-abdominal pressure and compression of the plexuses.
• - Greater frequency of constipation.
• - Vasodilatation mainly due to hormones.

Hemorrhoids can be of 2 types: internal or external. The internal ones are those that are inside the anus. The external ones are under the skin that surrounds the anus. And within the external there are degrees that go from I-IV being the latter the most serious.

During the second stage of labor, as a result of pushing and increasing pressure in the area, hemorrhoids can worsen dramatically.

Symptoms and prevention of hemorrhoids in pregnant women
Among the symptoms that can occur, are hemorrhages, pain, anal itching and inflammation. In some cases, clots can form inside them and thrombosis, in the case of an external thrombosis, with very acute pain. How to prevent them during pregnancy ?:

1. It is important to maintain a correct bowel habit, consult with your midwife to develop a diet appropriate to your needs and the supplements you can take during pregnancy and lactation that do not harm your health and your baby's.

2. Avoid standing too long or carrying weight. Women who lead sedentary lives are also more afflicted with this problem.

3. Avoid underwear from synthetic fabrics.

4. Avoid toilet paper with perfume or dyes.

5. Avoid spicy foods, alcohol and coffee ...

6. Perform sitz baths frequently, avoiding very cold water.

7. Avoid self-medication with antihemorrhoids, consult your midwife previously.

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Hemorrhoids: How to do to prevent them from becoming annoying.

Hemorrhoidal disease affects more than 60% of the population over 50 years.

Hemorrhoids are normal anatomical formations, pads of submucous tissue where the venules and arterioles of the anal canal are contained, with which all humans are born, but when they become symptomatic, that is, they become inflamed, itchy, it hurts or bleeds. which is called hemorrhoidal disease.



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Dr. Claudio Wainstein, specialist in coloproctology at Clínica Las Condes, indicates that more than 60% of the population over 50 years old will suffer from hemorrhoids symptoms. Why? Factors such as diarrhea and constipation, difficulty in the evacuation and abuse of laxatives, prolonged efforts, obesity, sedentary life, pregnancy and childbirth, circulatory disorders, abuse of alcohol, spicy foods and coffee may favor its appearance.
 
"Most symptoms are produced by the prolapse (slippage) of the anorectal mucosa in and out of the anal canal. The prolapse of the mucosa and internal hemorrhoids in the anal canal cause the pressure of the sphincter on these structures to determine an alteration of the blood flow, which predisposes to the 'thrombosis' (clots inside the blood vessels) "

- Dr. Claudio Wainstein

  Types of hemorrhoids

Hemorrhoids are classified as external, internal and mixed. External hemorrhoids (covered with skin) are seen outside the anal canal, and internal hemorrhoids (covered by mucosa) are located inside the anal canal and can only be seen if they prolapse out of the canal. "Internal hemorrhoids bleed and prolapse, giving a sensation of mass in the anal canal, pain, discharge and may produce a feeling of lack of continence. Patients notice that hemorrhoids are coming out with defecation, "he says.

External hemorrhoids usually do not bleed, but they can thrombosed (produce clots inside the blood vessels) and cause great pain. "Although external hemorrhoids can in a few cases be necrotic and cause a serious complication, most thrombosed hemorrhoids are resolved with medical treatment, without the need for surgery," says the doctor. But there may be areas of redundant skin, which may cause itching and difficulty to perform a proper toilet.

"Symptoms usually include increased local volume and inflammation, pain in relation to defecation or the presence of hemorrhoidal mass and defecatory and / or spontaneous anal bleeding, which may be scarce or, in cases of continued over time, reach to chronic anemia. Severe bleeding may occur in some patients, "adds the specialist.

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How to avoid hemorrhoids because of the bike saddle

Despite suffering in silence there they are, and although sedentary life is one of the reasons that causes the sport can be equally treacherous.

Dr. Javier Jiménez Miramón, Head of Coloproctology Section of the General and Digestive Surgery Service of the University Hospital of Getafe, is clear: "In general, sedentary life favors constipation and congestion of the pelvic area, so that the Sports practice is good to prevent the development and symptoms of hemorrhoids. "



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However, he adds, that competitive sport has detrimental effects on the organism, which can be counteracted with a very refined training and technique. In short, sports such as running or swimming, can be used as an alternative.

It also advances that there are other sports, such as cycling or horse riding, which are less advisable, although they are not the worst because they do not favor the appearance of hemorrhoids, although their irritation due to repeated trauma. If you have to look for one that can originate them, you have to get off the bicycle or the horse:

"The hemorrhoidal tissue is a zone of the rectal mucosa rich in vessels, it constitutes a ring, like a cushion inside the anal canal that contributes to continence." Efforts, such as coughing, difficult defecation, lifting weights, pregnancy , causes the sliding of this tissue out of the anus, when the effort ceases they return to their initial position.When this is forced, the hemorrhoidal tissue can remain permanently outside, facilitating its trauma "explains the doctor giving the key of the sports that favor its appearance.

Sports that require great efforts contribute to the development of hemorrhoids

If they are already there and the inconvenience is bearable, we can follow some tips to make them compatible with our sports practices:

"In cycling, most of the symptoms do not come from hemorrhoids, but rather from the local trauma caused by the seat , they can be avoided by using quality and appropriate seats and clothing for each athlete Lubricate the anal area with Vaseline, prevent and relieve In general, a diet rich in fiber and abundant water is recommended to prevent constipation, and when the symptoms are severe, you should stop practicing sports temporarily, "explains the doctor.

Home remedies are for mild cases , if there is permanent perianal bulging or intense pain Jiménez Miramón recommends to be in the hands of a specialist. With health you do not play, especially when we know that bad news does not end here.

"These sports produce equally traumatism of the prostate , prostatis, and even impotence have been described in relation to the practice of cycling for long periods, no relation has been found with prostate cancer," he concludes.

One of lime and one of sand, in any case it seems essential to choose a bicycle with a seat that does not compress the perineum. Less pressure and less effort for a life without hemorrhoids.

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How to prevent hemorrhoids in summer

It is estimated that between 30 and 50% of the adult population has suffered at some point in their lives.

1
What are the causes of hemorrhoids

• -Increased blood flow to hemorrhoidal packages
• -Weakening of the tissue of the rectal channel that surrounds the hemorrhoids.

Factors such as stigma, obesity, overweight, pregnancy, chronic bronchitis, excessive and prolonged efforts or jobs that require a prolonged sitting, as well as sports such as riding, cycling or lifting weights can cause the increase in abdominal pressure and, consequently, a hyperflow of blood to hemorrhoids. Situations such as chronic diarrhea, prolonged efforts during evacuation, abuse of laxatives, prolonged maintenance of the erect position, a sedentary lifestyle and the passage of time, on the contrary, are related to the weakening of the mucosa that It holds hemorrhoids.



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2
Take care of the food

The ideal diet to prevent hemorrhoids is rich in fibers that provide the following benefits:

• - Crawling during the intestinal transit of food, with reduction of unwanted fermentations.
• -Increased fecal mass, which facilitates evacuation, increase the satiety index of food.
• - Enrichment of the intestinal flora with useful microorganisms with prebiotic function
• -Strengthening of the wall of the entire digestive tract
• -Prevention of colon cancer and gastric ulcer.

3
Fiber and lots of water

A diet rich in fibers helps regulate intestinal transit and prevent both blood hyperflow and weakened tissues that cause hemorrhoids. Therefore, the diet should not miss whole grains and lots of fruit and vegetables, always accompanied by plenty of water - at least 2 liters a day. That's right, fibers need water to swell and develop their functions. Assuming a lot of fiber without the proper supply of water could cause the opposite effect. The foods richest in fibers are legumes, broccoli, artichokes, almonds, wholemeal flours and oats.

Also the use of food fiber integrators can help enormously, although not all fiber integrators are suitable for hemorrhoids. In fact, they are currently marketed in various types, which can be divided into soluble fibers and insoluble fibers.

The soluble fibers create a gel inside the intestine that slows down the emptying and, at the same time, reduces the absorption of carbohydrates and lipids, decreasing the levels of cholesterol in the blood and the risk of cardiovascular diseases. Insoluble fibers, on the other hand, absorb large amounts of water, thus increasing the volume of the feces and making their consistency softer. This facilitates and regularizes the evacuation and that type of fibers is useful to prevent stigma and hemorrhoids.

4
Among the insoluble fibers we remember:

Bran: rich in insoluble fibers, absorbs water up to 400% of its weight. The integration of bran accompanied by at least two liters of water is indicated in case of constipation, irritable bowel disease, diverticular disease, diabetes, dyslipidemia, overweight and obesity, as it improves intestinal transit, offers a feeling of fullness and reduces the absorption of fats and cholesterol. The drawbacks can be bloating and abdominal swelling and an impoverishment of vitamins and mineral salts.

Rubber karaya is the gummy secret that leaves the trunk and branches of some plant species native to the mountainous areas of India and Pakistan. Karaya gum is usually used as a mass laxative in the treatment of constipation but is contraindicated in case of intestinal irritation.

Zaragatona: is a mucilage that when in contact with water expands to increase 25 times its own weight and softens the fecal bolus, favoring evacuation and reducing constipation. In addition, it has prebiotic effects to improve immune defenses and is useful even in case of diarrhea, as it manages to absorb excess fluids and regularize the intestine.

Due to this regularizing effect on intestinal transit and the consistency of faeces, psyllium is also useful in case of colitis and irritable bowel and its lubricating effect makes it ideal also in case of hemorrhoids and anal fissures.

Glucomannan: it is a suitable fiber to reduce the corporeal weight, since it generates a soft gelatinous mass in the intestine that reduces the absorption of fats and sugars. Very useful in the diet of diabetics, it is suitable in case of constipation thanks to its sanitizing and regulating action.

In case of hemorrhoids, dietary fiber integrators based on Zaragatona are the most suitable because they resolve constipation in a delicate way, especially in people with irritated bowel, as in the case of hemorrhoids, thanks to its emollient action and anti-inflammatory on the intestinal mucous membranes.

5
Do physical exercise and control body weight.

Leading an active life helps to prevent the appearance of hemorrhoids since it strengthens the abdominal muscles and promotes intestinal transit. In addition, it helps control body weight, which can increase abdominal pressure if it is too high, with the consequent increased risk of hemorrhoids.

It is not necessary to become athletes, due to the fact that even practicing some sport at the agonistic level can be considered a cause of hemorrhoids. It is enough to do light physical activity for at least 20 minutes a day, such as taking a walk or a light run, swimming or stretching gently.

You can also do exercises to strengthen the pelvic floor, the set of muscles and ligaments located at the base of the abdomen, with the aim of preventing the risk of prolapse of hemorrhoids. The most effective exercise is to contract the muscles around the anus and vagina, as if the stool or urine stream had to be interrupted.

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How to prevent and treat hemorrhoids in pregnancy

It is a taboo health problem for many women, however, it is best to talk openly about it to know what they are, why they are more common in pregnancy , how to prevent them and how to treat them. To hide them only means that physical pain is accompanied by psychological anguish.



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Hemorrhoids are the result of excessive pressure on the anus so they generally occur in cases of constipation by causing the veins and anal tissues to swell. During pregnancy there is a conjunction of different elements that promotes the appearance of hemorrhoids, also popularly known as piles , as there is a constant pressure on the perineum and constipation is more common. In addition, during labor is pressure on the anus multiplies exponentially and progesterone makes the tissues more flexible, also those of the venous walls, making it easier to widen. The symptoms are pain, itching and bleeding in the rectal area causing great discomfort and discomfort in those who suffer.

To prevent them there are two main tips:

•     Strengthen the perineum . Perform exercises daily to help strengthen your perineal area. Those known as Kegel exercises favor circulation. Your midwife can give you the guidelines to perform these exercises properly and achieve the result you are looking for.
•     Avoid constipation Of course, the weight of the baby pressing on the perineum is something you can not avoid, but you can avoid constipation as much as possible. Follow a balanced diet, rich in fiber, perform soft sports, brisk walking daily is enough to promote bowel movements. And, of course, keep well hydrated for what, in addition to drinking water, can incorporate into your diet soups, gazpachos, infusions or natural juices.

Treatment

During pregnancy it is not recommended to use all topical treatments so it is a little harder to get the desired relief . Hence the paramount importance of prevention. However, it is not always achieved. If this is your case, to begin with, extreme hygienic measures and try not to spend a lot of time sitting or standing, to relieve pressure as much as possible.

After the evacuations it is better to wash with warm water than to use the traditional toilet paper. Seat washes can provide relief, as well as apply cold or alternate cold and heat. And do not hold it when you feel like going to the bathroom. It is also interesting to wear breathable cotton underwear and, in general, comfortable clothes that do not tighten. And, of course, it's embarrassing and ask your doctor what type of calming or treatment you can use.

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How to prevent hemorrhoids

Hemorrhoids are a very common problem in the population, especially among women. Both its technical name and the most popular of almorrana have the same origin: the first comes from the terms heme (blood) and rrhois, flow; and the second of previous derivations haima, blood, and the word to flow. In both cases, the meaning is blood flow and it is very uncomfortable and painful to the sufferer. That is why we can take some actions to try to prevent hemorrhoids.



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You may also be interested: What are the causes of hemorrhoids?

Steps to follow:

1

First, it should be noted that those who must take more measures to prevent hemorrhoids will be those with a direct history , since there is a very strong family component. So, genetics takes a very important value in the appearance of piles, so if you know in advance that your parents have suffered this condition, it will be essential that you take action on the matter as soon as possible.

2

Likewise, another of the factors that most affect the fact of suffering piles or hemorrhoids is constipation . And is that exerting exertion to evacuate will cause excessive pressure on the blood vessels of the anal area, such as hard feces irritate this duct. Therefore, it will be very important to follow a proper diet rich in fiber to regulate intestinal transit, as well as to follow these tips on how to treat constipation.

3

Also, sedentary lifestyle also greatly influences the appearance of hemorrhoids or piles, either by spending many hours sitting or even standing. This is why it will be necessary to exercise regularly and avoid spending many hours in the same position.

If your profession forces you to do this, you should move your legs and get up every so often to avoid excessive pressure on the anal area that occurs when sitting so many hours, and on the contrary in those who spend the day standing.

4

Even so, people who already have hemorrhoids or have a high chance of suffering from them should not do too much physical activity . For example, they should not lift objects that are too heavy or carry out activities such as cycling or riding, as this will increase the pressure and only worsen the condition.

It is therefore to activate blood circulation with gentle activities such as swimming, walking, yoga, etc. You can expand this information in our article about what exercises you can do if you have hemorrhoids.


5

In turn, overweight and obesity also increase the possibility of hemorrhoids appearing because the pressure on the pelvic floor is increased. This fact is directly related to other factors that we have already mentioned, such as the fact of following an incorrect diet or sedentary lifestyle habits. Therefore, it will be very important to maintain our proper weight and prevent hemorrhoids.

6

However, when it is too late to prevent the appearance of piles or hemorrhoids, you must know how to treat hemorrhoids to reduce their effects and pain.

In the same way, we also suggest you consult this article about how to cure hemorrhoids with home remedies in order to alleviate the discomfort they cause and get rid of them.


This article is merely informative, in a HOW we do not have the power to prescribe any medical treatment or make any kind of diagnosis. We invite you to go to a doctor in case of presenting any type of condition or discomfort.

If you want to read more articles similar to How to prevent hemorrhoids , we recommend you to enter our category of diseases and side effects .

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How to avoid hemorrhoids

Chewable tablets for prevention and treatment

The rhythm of current reality and the inevitable tensions of each day, whether you want it or not, affect mood and health. Routine, stress, poor nutrition in fibers and proteins, sedentary lifestyle, environmental factors, alter your quality of life and may even cause high-impact diseases in the body .

Among them, hemorrhoids are highlighted by pain, itching, and the discomfort they generate in all those who suffer from it. They can originate as a result of a condition of constipation, due to the effort of evacuating, obesity, pregnancy, eating very spicy foods, working long hours on foot, postponing evacuation, chronic diarrhea, etc.



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When the pressure on the blood vessels around the anus increases, the venous tissue expands and also becomes inflamed. The piles , as they are popularly known, can be internal, external and sometimes produce bleeding . They can be presented at any time, and they feel when you go to the bathroom or when you eat very seasoned foods.

As to avoid its appearance , it is recommended: maintain good body hygiene, eat more fruits and vegetables, drink at least two liters of water per day, perform physical activity and avoid fat and spicy.

It is a problem that can be smoothed and even controlled by a health professional . It is not about self-medicating but about finding a trained doctor to face the issue from the administration of adequate medicines, especially those that privilege in their composition medicinal plants, such as Ruscus Aculeatus . This is how Nikzon was born: science, technology and innovation united in order to alleviate the symptoms and manifestations of this invasive pathology of complementary prescription. Two chewable tablets are suggested accompanying the meals and according to the testimonies: it works because it relieves hemorrhoidal varicose veins, especially if it has the support of a diet rich in fibers and more water is drunk.

This drug is contraindicated for children under eighteen years of age, pregnant women, patients with renal insufficiency.

Constipation, why does it occur?

For obstruction of the colon or rectum, anal fissures, depression, spinal cord injury, dementia, muscle weakness, diabetes, pregnancy, thyroid, menopause, an unbalanced diet, etc.

A practice quite repeated and harmful, has to do with the fact of enduring the desire to go to the bathroom. The pressure on the colon containing a load that should be expelled causes the hardening of the stool and its consequences, which if not treated immediately can cause serious damage to the psychophysical state of the human being.

A situation that can be overcome with the consumption of bananas, apples, cereals, legumes, nuts, stimulants of good intestinal transit .

As to take into account, a banana provides the twelve percent fiber needed by the organism for its satisfactory operation.

It is not complicated, but requires the conviction of facing the disease. Modifying habits and nutrition are two fundamental aspects to achieve little by little with medical monitoring, the desired improvement.

As for the recommended physical activities for those suffering from hemorrhoids, they excel: swimming, stretching, walking, yoga, weight training, running and jogging, etc.

An opportunity to get reacquainted with movement , the outdoors, visits to parks, squares and ... why not? with the gym. From the purpose of developing a routine tailored to your preferences and needs. Balance, well-being, beauty, and attitude go hand in hand and as we usually say: it's never too late for a change of rudder, to pamper yourself, and enjoy this magnificent journey that is life.

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How to avoid hemorrhoids and their discomfort in summer

The arrival of summer and high temperatures favor the predisposition to suffer from hemorrhoids , since heat is a vasodilator factor: This pathology involves the inflammation and dilatation of the pads formed by the blood vessels that are located around the rectal channel and that cause the appearance of this condition. Hemorrhoids affect the quality of life of those who suffer from them by being very annoying and painful, as well as being very frequent among the adult population, since it is estimated that between 30 and 50% have suffered them at some time in their lives.



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In addition, changes in the rhythms and eating habits of the summer season favor the development of pathologies of the intestinal tract . In this line, another of the main cause of hemorrhoids at this time of year is constipation. Other factors that predispose to suffer from this condition are genetic inheritance , overweight and sedentary lifestyle . It also increases its appearance during pregnancy and childbirth.

The symptoms associated with this condition depend on each case, although among the most common are pain, bleeding and pruritus. To improve the symptomatology, there are a series of recommendations related to diet, hygiene and exercise.

Most patients can improve the discomfort with certain hygienic-dietary measures. Therefore, to promote intestinal transit, it is advisable to take a diet rich in natural fibers and plenty of fluids and avoid irritating and vasodilating substances such as spicy, spices, alcohol, excess salt, chocolate, acids or coffee.

Another measure to relieve the sensation of itching and local inflammation are the contrast baths, alternating cold and warm water . These are effective, along with proper local hygiene .

Likewise, it is advisable to regularly perform aerobic exercise, such as running, swimming or doing pilates , since it improves circulation and venous tone as well as intestinal transit. The intensity must match the physical condition and age and it is advisable to avoid certain practices such as cycling or horse riding, which are contraindicated, because they are activities in which the affected area is subjected to pressure which can cause more pain and inflammation.

Additionally, homeopathy is effective in relieving the symptoms of hemorrhoids in both ointment and suppository. The advantage of homeopathic medicines is that no relevant side effects associated with their use have been described and, due to their compatibility with other treatments, they are recommended to all types of patients, even in pregnant women. Homeopathic medicines offer a global effectiveness with an appropriate combination and avoid the appearance of local adverse effects such as allergic reactions, skin irritation and itching in the area and palpitations.

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HEMORRHOIDS - Symptoms and treatment

Hemorrhoids are dilated and inflamed veins in the anus and rectum, which can cause pain, itching and anal bleeding

Hemorrhoids (piles) are dilated and inflamed veins in the anus and rectum, which can cause pain, itching and anal bleeding. In this text we will address the causes, symptoms and treatment of hemorrhoids.

What are hemorrhoids?

The terminal part of the digestive tract is composed of the rectum, the anal canal and the anus itself. As in any other part of our body, this region is vascularized by arteries and veins that are called hemorrhoidal arteries and veins.



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Most of our veins contain valves that help the blood to always follow in the same direction, preventing its return even when it is against the natural course of gravity. For example, the blood in the veins of the leg always runs against gravity; Thanks to the valves, it manages to climb without being stopped in the legs. When the veins get sick and their valves stop working, varicose veins appear, tortuous veins in which the blood becomes congested.

Unlike the veins of the rest of the body, the hemorrhoidal veins do not have valves to prevent stagnation of blood. Therefore, any increase in pressure in these veins leads to congestion. Hemorrhoids are like varices of hemorrhoidal veins. As in any varicose vein, the arrested blood increases the risk of thrombosis and inflammation of the veins.

Therefore, hemorrhoids are dilations of the veins of the rectum and anus, which can be accompanied by inflammation, thrombosis and bleeding.

Hemorrhoids are classified into:

• - Internal hemorrhoids : when they occur in the rectum.
• - External hemorrhoids : when they occur in the anus or at the end of the anal canal.

External and internal hemorrhoids

Internal hemorrhoids are classified into four grades:

•     Hemorrhoids grade I: do not prolapse through the anus.
•     Hemorrhoids grade II: prolapsed through the anus during the evacuation, but do not return to their original position spontaneously.
•     Hemorrhoids grade III: prolapsan through the anus and its reduction is only achieved manually.
•     Hemorrhoids grade IV: they are prolapsed through the anus and its reduction is not possible.

Internal grade I hemorrhoids are not visible and grade II hemorrhoids usually go unnoticed by patients, since no one can see the anus when defecating. As the rectum and anal canal have little enervation, this type of hemorrhoids usually does not cause pain.

External hemorrhoids are easily identified and often become inflamed causing pain and / or itching (itching).

Causes of hemorrhoids

Hemorrhoids are a very common disorder. It is estimated that more than half of the population over 50 years of age suffers from hemorrhoids in varying degrees.

The main risk factors are:

•     Intestinal constipation (constipation)
•     Effort to evacuate.
•     Obesity.
•     Chronic diarrhea.
•     Hold stools often, avoiding defecation whenever there is desire.
•     Diet poor in fibers.
•     Pregnancy.
•     Anal sex
•     Family history of hemorrhoids.
•     Smoking
•     Cirrhosis and portal hypertension.
•     To remain long periods seated in the toilet (there are those who think that the own design of the toilet propitiates the formation of hemorrhoids).

The habit of stooping crouching, very common in the Middle East and Asia, is associated with a lower incidence of hemorrhoids. Apparently, sitting down, as most of us usually do, can increase the incidence of hemorrhoids.

Regardless of the risk factors, hemorrhoids are formed when there is an increase in pressure in the hemorrhoidal veins or weakness in the tissues of the wall of the anus, responsible for supporting them.

Symptoms of hemorrhoids

Hemorrhoids can be symptomatic or not. As previously mentioned, inmates tend to be less symptomatic. The only indicative sign of its existence may be the presence of blood around the stool when evacuating.

Bleeding from hemorrhoids typically occurs as a small amount of living blood that remains around the stool. Sometimes, the patient may notice droplets of blood in the toilet after the evacuation is completed. It is common to have blood on the toilet paper after cleaning.

Internal hemorrhoids can cause pain if a thrombosis occurs or when the chronic effort to evacuate causes the prolapse of the hemorrhoid outward into the anal canal. Internal hemorrhoids grade III and IV may be associated with fecal incontinence and the presence of a mucous shift, which causes irritation and anal itching.

External hemorrhoids are usually symptomatic. They are associated with bleeding and pain when evacuating and when sitting. In cases of thrombosis of the hemorrhoid, the pain can be intense. Pruritus is another common symptom. External hemorrhoids are always visible and palpable.

Despite being a common cause of rectal bleeding, it is important not to assume that bleeding is due to hemorrhoids without first consulting a doctor. Several diseases, such as anal fissure, rectal cancer, diverticular disease and infections can also manifest with blood in the stool. In addition, nothing prevents the patient from having hemorrhoids and another disease that is also accompanied by anal bleeding, such as cancer, for example. Therefore, all anal bleeding should be evaluated by a doctor, preferably a proctologist.

Bleeding from hemorrhoids is usually mild, but, if frequent, can lead to anemia.

To see images of hemorrhoids, visit the following link: IMAGES OF HEMORRHOIDS .

Can hemorrhoids become cancer?

DO NOT. HEMORRHOIDS DO NOT BECOME CANCER. However, the symptoms can be similar to intestinal tumors, mainly in cancers of the rectum and anus. Therefore, it is important to establish the differential diagnosis, especially in people older than 50 years. Reinforcing the recommendation: all anal bleeding should be evaluated by a doctor.

Diagnosis of hemorrhoids

In external hemorrhoids, the physical examination is sufficient for the diagnosis. In the internal ones, it is necessary to perform the digital rectal examination and, in case of doubt, the anoscopy (a mini endoscopy where the rectum is visualized by video).

In long-term patients with bleeding from the rectum, although the presence of hemorrhoids has been identified, it is convenient to perform a colonoscopy to rule out other causes. Since hemorrhoids are very common at these ages, nothing prevents the patient from having a second cause for bleeding, such as a bowel cancer or a diverticulum.

Treatment of hemorrhoids

During crises, sitz baths with warm water can provide relief against acute symptoms. In pregnant women we suggest warm moist compresses. You should also avoid cleaning the anus with toilet paper, giving preference to the bidet or jets of warm water.

People with intestinal constipation (constipation) are prescribed laxatives to decrease the need to exercise strength when evacuating.

Ointments and creams can be used against hemorrhoids, since they serve as a lubricant for the passage of stool and, generally, they contain anesthetics in their formula. The relief is only temporary and these creams should not be used indefinitely without medical guidance. Suppositories with corticosteroids are another option when there is a lot of pain or itching, however it is a treatment that should not be used for more than a week due to possible side effects.

A diet rich in fiber decreases the incidence of bleeding and can also relieve itching.

Although avoiding spicy foods is a famous recommendation, there is no evidence that spicy worsens symptoms. This must be evaluated individually.

In small hemorrhoids with thrombi, treatment can be done in a doctor's office with a small incision, under local anesthesia, to remove clots. This is enough for the relief of symptoms.

In more severe cases, elastic ligature may be necessary. A gum is inserted into the base of the hemorrhoids, causing strangulation and necrosis of the hemorrhoids. After a few days, the hemorrhoid "falls", and exits itself by the anus next to the elastic. It is a technique that can be applied in the proctologist's own office. It is usually painless and often anesthesia is not even used.

Another option is sclerotherapy. It consists in the injection of a chemical solution that causes the necrosis of the hemorrhoids. A third option is laser coagulation. Of the three techniques, the elastic ligature is the one with the best results.

If the minimally invasive techniques have no effect, or if the hemorrhoid is very large, the treatment should be performed with traditional surgery, called hemorrhoidectomy.

A new treatment option for hemorrhoids is Doppler-guided transanal hemorrhoidal dearterialization (THD), a technique created in 1995 and perfected over the last few years. The technique involves inserting a small Doppler (ultrasound) device into the anus to identify the hemorrhoidal arteries; Through a small needle, these arteries are saturated so that they reduce the blood flow that reaches the regions where hemorrhoids exist. When less blood comes, the pressure inside the hemorrhoids decreases, so that they "dry up".

The THD technique has no cuts and the risk of bleeding is very low. The postoperative period is less painful than in the techniques with cuts, and there is a low rate of reoccurrence of hemorrhoids. The recovery time is shorter and the patient returns to normal activities in 48 hours. The procedure is carried out with local anesthesia and mild sedation.

THD is a relatively new method and there are still no studies comparing its long-term efficacy with older techniques, however, the trend is that it becomes the method of choice in the treatment of hemorrhoids.

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Treatments and How to prevent Hemorrhoids

Hemorrhoids are swollen and inflamed veins in the anus and lower rectum. Hemorrhoids "come out" due to straining during defecation or increased pressure in these veins during pregnancy. Hemorrhoids can be located inside the rectum (internal hemorrhoids), or they can develop under the skin around the anus (external hemorrhoids).

Hemorrhoids is a fairly common disease. Half of adults over 50 have had to deal with the itching, discomfort and bleeding that may indicate the presence of hemorrhoids.



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Fortunately, there are many effective options available to treat hemorrhoids. Most people can get relief from symptoms by using home treatments and making lifestyle changes.

The most common causes of hemorrhoids are:

•     Pregnancy
•     Obesity
•     Low fiber diets
•     Difficulty and excessive exertion when defecating

The most common symptoms of hemorrhoids are:

•     Remains of blood in the stool
•     Swelling and itching in the area of ​​anus
•     Pain and discomfort in the anal area
•     In case of external hemorrhoids they may have a lump resembling a cluster of grapes in the anal area very sensitive to touch and painful

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How to prevent hemorrhoids

It may not be a very fun topic to deal with, but hemorrhoids have become commonplace in our lives. They are a normal feature of our antimony, we all have them, but they become a problem when they start to itch, hurt or bleed. Fortunately, there are a large number of simple alternatives that help avoid this terrible hemorrhoid symptoms .

At Clinic Internacional , we share simple strategies that will help you prevent the pain caused by hemorrhoids from affecting your day to day.



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Eat more fiber

Hemorrhoids are frequent in people suffering from constipation. One of the easiest and natural ways to be more regular in our bowel movements is to increase fiber intake, either in your diet or through supplements. It may generate flatulence, but it is a small price to pay for the benefits it generates. Try to consume 25 to 30 grams of fiber a day. Some foods rich in this plant component include:

•     Legumes: peas, lentils, black beans and beans.
•     Whole grains: barley, bran, cereals, oats and brown rice.
•     Vegetables: lettuce, broccoli and artichoke.
•     Fruits: pear, apple, banana and raspberry.

Take more water

This strategy is one of the simplest and cheapest, but only some do it. In addition to having a healthy diet based on fiber, drinking enough water helps prevent constipation and decrease tension. Drinking 6 to 8 glasses of water a day not only makes your digestive system work fluidly, it also benefits your entire body.

You have been exercising regularly

Physical activity can help keep your colon more regular. However, performing activities that increase abdominal tension can lead to the formation of hemorrhoids. Keeping you active reduces the time you are sitting and puts pressure on the veins of your lower rectum. If you have a history with problematic hemorrhoids you may want to avoid lifting too much weight or other strenuous activities. Opt for routine exercises such as yoga, swimming or just go for a walk.

Be careful with laxatives

Laxatives can help you while you choose the right ones. The safest are those that work with your body, compared to those that stimulate a normal physiological activity. Some laxatives work by stimulating the intestinal contraction to move the contents. Osmotic laxatives that increase the amount of water in the intestines and reduce constipation are recommended.

Do not hold the desire

When you have to go, you have to go. This is the simplest way to avoid hemorrhoids. If you listen to your body when it tells you what it needs, the chances of having a problem decrease. If you listen to the people who shout at you, why not listen to your own body? When you wait to go at the moment you think is right, success will be less close and the effort will be greater.

Avoid making too much effort

The effort and increased pressure in the veins of your rectum is one of the most common causes of pain and bleeding from hemorrhoids. Other situations can also cause constipation, such as heavy lifting, chronic coughing or even pregnancy. If you have problems with hemorrhoids, you should be aware of the tension you are putting in your gut.

In International Clinic we have the specialty of Gastroenterology , where you can treat various problems of the digestive system and associated organs. If you want to book an appointment, you can do so through our Online Appointments section.

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How to prevent hemorrhoids

Hemorrhoids are a problem that can be prevented, especially with the change of some habits that help relieve the pressure of the venous network in the last section of the colon and rectum. Check the following recommendations:



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Feeding to prevent hemorrhoids

Among the changes in your eating habits in order to prevent this very uncomfortable problem, are:

•     Maintain a diet high in fiber.
•     Consume fruits, legumes and vegetables with peel, as possible.
•     Drink plenty of fluids to avoid constipation.
•     Decrease salt intake, because it promotes fluid retention and, therefore, causes venous congestion.
•     Reduce the intake of alcohol, as it impairs blood circulation, hinders digestion and irritates the stomach and intestines.
•     Moderate the consumption of certain foods and irritating substances, such as spicy, spices, vinegar, fat, coffee, among others.

Exercising helps reduce risk

Perform some physical activity or moderate sport on a regular basis, such as walking or swimming, tones the muscles, activates circulation and helps improve intestinal transit, reducing the possibility of suffering from hemorrhoids.

However, certain sports are not advisable, such as: cycling, horse riding, motorcycling and in general, those that entail great efforts (to increase the pressure on the anorectal area). Or, sports that involve excessive loads of weight like weights.

Also, it is advisable to try not to stand or sit for long periods of time.

Advice when you go to the bathroom

The following guidelines can help you prevent irritation and inflammation in the rectal area to help reduce the risk of hemorrhoids:

•     Avoid efforts when defecating.
•     Use soft toilet paper.
•     Use wet wipes or damp toilet paper.
•     Avoid holding yourself or delaying the time to go to the bathroom when the need arises.
•     Do not spend too much time sitting on the toilet.

Maintain an adequate weight

Overweight and obesity favor the inflammation of hemorrhoids due to the increase in pressure inside the abdomen, which compresses the veins in the rectum and around the anus, which is why it is very important to try to maintain the proper weight.

Wear comfortable clothing

The use of very tight or tight clothing such as tight belts, pants with tight seams or tubular girdles, exert pressure on the abdomen causing inadequate blood circulation.

The use of synthetic fiber underwear, or thong type models, is not recommended either, as they could cause inflammation of the anal area.

Remember that Nikzon® in chewable, rich-tasting tablets is indicated as an aid in the treatment of hemorrhoids and you can also take it as a prevention guideline.

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How hemorrhoids are prevented?

Although it is a taboo subject, hemorrhoids are quite frequent. These are swollen veins in the rectum or anus, caused by an increase in pressure in the veins of that area. They cause pain, itching and bleeding. But there are simple lifestyle changes that can avoid them. Know them.

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What is the origin
One of the main causes is the effort to evacuate. It happens if you are constipated or if you have diarrhea. It can also happen if you sit on the toilet for too long. Sometimes they are caused by obesity, lifting heavy objects or by an activity that causes tension, reports the American Academy of Family Physicians.



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Why they come out and how hemorrhoids are prevented - How to avoid them?

How to avoid them?
Almost everyone has hemorrhoids at some time. However, to avoid having to suffer its annoying consequences, Dr. Massarat Zutshi of Cleveland Clinic, reveals 6 forms of care to prevent them that are within your reach:
Home remedies for hemorrhoids

Why they come out and how hemorrhoids are prevented

1. Go to the bathroom when you need
This sounds like common sense advice, but many people ignore it. If you delay in using the bathroom, your stool can harden and dry in the intestine, which makes it more difficult to evacuate. If you struggle to defecate, the risk of developing hemorrhoids increases.
Everything is a matter of measure
But be careful, do not force a bowel movement when you do not need it. Excessive effort increases the pressure on the venous pads, which leads to hemorrhoids. In particular, the effort can turn internal hemorrhoids into external hemorrhoids.
How to deflate them?
Why they come out and how hemorrhoids are prevented.

2. The bathroom is not a reading room
Think of your time in the bathroom as a necessity, not as a prolonged escape. If your bathroom has many magazines or books available, consider taking them elsewhere. Do not bring your phone to the toilet area, do not explore Facebook, Instagram, Snapchat, Twitter or participate in games.

The more time you spend on the toilet, the more likely you are to exert yourself to defecate. In addition, the sitting position increases stress on the anal blood vessels. Both factors increase the risk of hemorrhoids.
Why they come out and how hemorrhoids are prevented - 3. Change your diet

3. Change your diet
To prevent hemorrhoids, stools should be soft and slip easily. You can achieve the correct consistency by making smart diet choices and drinking plenty of water to avoid dehydration.

Eat more fiber and drink water
Fiber can help you avoid constipation, a risk factor for hemorrhoids. If you are constipated, try to get more fiber by consuming green vegetables, fruits and whole grains 100%. If necessary, ask your doctor about taking fiber supplements, but start trying to get it through the diet. Drink plenty of water along with the fiber.

Foods with a lot of fiber
Why they come out and how hemorrhoids are prevented - 4. Listen to your body

4. Listen to your body
And so you can avoid the foods that irritate your intestines. For some people, lactose in dairy products is irritating. For others, it is gluten or too many refined foods.

5. Get moving
Exercise helps improve or prevent many intestinal and digestive problems, including hemorrhoids. When you are sedentary, everything slows down, to your intestines. Walking, running, anything goes: become active. If you have hemorrhoids, avoid weightlifting squats or similar movements with weights that increase abdominal pressure.
Why they come out and how hemorrhoids are prevented - 6. Visit your doctor

6. Visit your doctor
If you have symptoms of hemorrhoids, consult a doctor and evaluate your problem. Not all treatment options are surgical, and you may need tests to rule out other diseases. But keep in mind that there are simple lifestyle changes that can prevent this problem.

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Tips to prevent and treat hemorrhoids

The most frequent symptoms are a slight bleeding after the deposition, pain in the anal area and the appearance of a slight lump.

The Spanish Society of Community Pharmacy (SEFAC) has developed a set of recommendations to the population on hemorrhoids, a disorder that affects between 10 and 25 percent of the adult population, without differences between sexes.

The origin of hemorrhoidal disease, commonly known as hemorrhoids or, in colloquial language, piles, is the alteration of vascular structures (blood vessels) located in the anus. This alteration manifests in the form of bleeding, itching, pain and swelling of the affected area, and its most common cause is excessive exertion during defecation.



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Depending on the affected vascular area, we could talk about internal, external or mixed hemorrhoids. Normally hemorrhoidal disease is not considered a serious pathology, so it can be treated at home with hygienic-dietary measures and pharmacological treatment. However, in some cases it could become complicated, which would require even a surgical intervention. Be that as it may, there are preventive measures and treatments that help to reduce the symptoms of hemorrhoids.

recommendations

1. The main preventive measure of this pathology is to avoid excessive efforts during defecation.

2. Both to prevent and to treat hemorrhoids, it is recommended that you avoid as much as possible the constipation, maintaining a diet rich in fiber (vegetables, fried, cereals ...) and ingesting plenty of liquid (1,5-2 liters of water per day).

3. Try to take "black" fruits with some frequency, such as blackberries, plums or grapes, as they contain flavonoids, which act as protectors of the blood vessels.

4. If the diet is not enough to prevent constipation that can cause hemorrhoids, it would be convenient to associate a natural fiber; consult your pharmacist and he can tell you all the possible options.

5. If you have hemorrhoids, it is convenient that you do not exert pressure with the paper when cleaning after defecation; in this case the use of hygienic or washed wipes is recommended.

6. Avoid as much as possible the spicy foods, as well as the consumption of alcohol, as it would act as a vasodilator, worsening the symptoms.

7. It can also be helpful to perform physical exercise, and above all you should not spend long periods sitting or standing, without moving.

8. Try to do sitz baths, with warm water, for ten or fifteen minutes a day, two or three times a day, or apply ice packs to the affected area. This will help you avoid the venous dilation associated with this pathology.

9. In addition to the hygienic-dietetic measures, there are pharmacological treatments that can be of great help, such as ointments or antihemorrhoidal suppositories. Check with your pharmacist, who will tell you which would be the best in each case.

10. If the hygienic-dietetic measures have not been useful, it is important that you consult with the doctor, since there are non-surgical treatments such as sclerosing injections or the placement of rubber bands that could be very effective in some cases. In the most extreme, the doctor will assess if surgery should be removed.

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Prevention and natural treatment of hemorrhoids

It is a very common condition. Generically, the result of increased pressure in the anus.

Hemorrhoids originate due to a swelling developed in the veins of the anus , or the lower part of the rectum. It is a very common condition. Generically, the result of increased pressure in the anus.

It may arise more frequently during pregnancy, as well as during childbirth or due to constipation. The swelling in the veins and anal tissues originates due to an excess of pressure. This tissue can bleed, usually during bowel movements.

Hemorrhoids tend to appear more easily after age 40. Similarly, as mentioned above, they are also common in pregnant women.



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The specialist doctor, the coloproctologist, is the best person to give a diagnosis and indicate the best treatment. Also, medical treatments can be complemented with simple and highly effective natural therapies.

If you have hemorrhoids

What are your causes?

Hemorrhoidal veins are normal to dilate. This is how they fulfill their function of closing the year. The problem is caused, as explained, they swell.

Its appearance is considered easy to warn. It is usually accompanied by a burning sensation in the rectum, a sharp pain, a continuous discomfort is felt in the anus. You also have to take into account the possibility of some bleeding when you evacuate.

The main causes that give rise to the appearance of hemorrhoids are the following;

•     Poor nutrition or hereditary factors.
•     Maintain a sedentary lifestyle
•     Habitual constipation or diarrhea.
•     Make a lot of pressure or spend a lot of time sitting on the toilet.
•     During pregnancy or because of obesity .
•     Lift a lot of weight.

How to prevent hemorrhoids?

First, it is advisable to avoid sedentary lifestyle. Walk one hour a day, practice some exercise that promotes your circulation. In the same way, it is a good option to make the effort to maintain an adequate body weight.

Also, it will be advisable to drink at least 2 liters of water a day . Thus, avoid very seasoned, spicy and fatty foods. Increase in your diet the consumption of fiber , fruits, vegetables, wholemeal bread.

In addition, experts recommend going to the bathroom when the body asks for it . It is not good to withstand the desire, nor force the situation too much. Finally, avoid spending too much time sitting in the cup.

How to treat my hemorrhoids to live better?

In addition to having a treatment indicated by a specialist, it is possible to combine the same with some natural remedies . Among others, we recommend the following.

External treatment

To relieve your stinging it is advisable to take cold water baths in the bidet for 10 or 15 minutes, especially after evacuating.

In addition, it is possible to make a product called Castaño de Indias. This is ideal to stop small bleeds and reduce inflammation, helps improve circulation. It is obtained in suppositories in pharmacies or through an infusion, which later, we will apply to a compress. To take three or four leaves of the horse chestnut, boil them in water and moisten the compress to apply a few minutes in the rectal area.

Similarly, blueberries are a very good option to help improve circulation and reduce inflammation. Simply cook 70 grams of blueberries per liter of water. We let it cool and apply it also to a compress. We will see the relief immediately.

It may interest you: How to overcome constipation if you already follow a healthy diet

External treatment

To carry out a treatment of external characteristics, the following options can be taken into account.

•     Plantain. One of the best plants to help treat hemorrhoids.
•     Lima: It has vitamin C, which along with its flavonoids acts on the arteries to improve its elasticity and prevent spills of veins and capillaries. Drinking your juice once a day improves your treatment and helps prevent.
•     Alfalfa: Contains vitamin K, which also helps prevent bleeding. To take it we can take a cup of alfalfa sprouts, very clean, and mix them with half chopped cucumber to take them after the blender.

Hemorrhoids are a common condition that should not cause serious consequences in the person. Anyway, it is important to go to a specialist to get a specific diagnosis and recommend the best solution for each person.

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How to prevent hemorrhoids?

It is estimated that approximately 50% of the population suffered from hemorrhoids at some point in their lives. Dr. Daniel Baetti , member of the General Surgery and Coloproctology Services , provides information to prevent its appearance.

Hemorrhoids are dilatations and inflammations of the veins of the rectum and anus. It is estimated that approximately 50% of the population suffered this pathology at some point in their lives. Particularly, after the age of 40, its appearance is more common, with bleeding after evacuation being the main symptom.



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    "It is estimated that 50% of the population suffered hemorrhoids at some point in their lives."

Tips to prevent hemorrhoids

• Maintain a diet rich in fibers, through vegetables and fruits. Where possible, eliminate those foods that are abundant in fats, flours and spicy foods. Establishing a balanced diet allows reducing the chances of constipation and diarrhea, which are associated with the appearance of hemorrhoids.

    "By establishing a balanced diet, the chances of constipation and diarrhea, associated with the appearance of hemorrhoids, decrease."

• Good hydration: The ideal is to drink no less than 2.5 liters of water per day.

• Avoid sedentary lifestyle: It is recommended to exercise or walk constantly.

• Do not exert much force when defecating. Also, keep doing prolonged efforts, no more than five minutes.

• Correct anal hygiene after evacuation, with the use of water and drying well.

    "After the age of 40, the appearance of hemorrhoids is more common, with bleeding after evacuation being the main symptom"

Before the appearance of any symptom, it is recommended to consult a Coloproctology specialist as soon as possible. Going to the consultation is extremely necessary to establish an adequate diagnosis and treatment and on time.

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The best way to prevent hemorrhoids

Forget about these painful annoyances forever.

Reviewing Facebook without stopping is a great way to spend time while sitting on the toilet, but it can become a nuisance in the back: people who read on the toilet are more likely to develop hemorrhoids .

This is because hemorrhoids (which are normal vascular structures that we all have in the anal canal) can enlarge and cause pain when pressed against the connective tissue that normally keeps them in place, explains Dr. Anish Sheth, a gastroenterologist at the University Medical Center of Princeton University in New Jersey.



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Sitting in the toilet for a long time tense, irritates and inflames these connective tissues, says Dr. Sheth. The same happens when you are constipated or if you sit in the same position on the desk or in the car.

Some men may even experience hemorrhoids from carrying too much weight in the gym, Sheth says. Active the same abdominal muscles when evacuating, which can stretch the tissue around the anus .

If you do any of this, it is very possible that you experience hemorrhoids . In fact, about 75% of people will suffer at some point in their life, according to the National Institute of Health of the United States.

THERE ARE TWO TYPES OF HEMORRHOIDS

1. External hemorrhoids , located under the skin around your anus and can form small hard lumps. They can cause bleeding, painful swelling and itching.

2. Internal hemorrhoids are located in the rectum, the final part of your large intestine, and usually are not painful. However, they can cause bleeding that you will notice in your stool, on paper when cleaning or in the toilet after evacuating.

The chances of getting hemorrhoids increase with age, Sheth adds. The connective tissue that lines your anal canal weakens with age, making it easier for your blood vessels to bulge when irritated.

HOW TO TREAT HEMORRHOIDS
The good news: they are easy to deal with.

Your first choice should be creams, ointments or over-the-counter suppositories that contain hydrocortisone . This medicine reduces inflammation, pain and itching.

"If your symptoms do not go away within a week, make an appointment with your doctor," says Dr. Gina Sam, director of Gastrointestinal Motility at Mount Sinai Hospital.

"You may need a medication that contains a combination of hydrocortisone and lidocaine to control swelling and pain," he adds.

Does the pain persist?

Ask your doctor to refer you to a gastroenterologist or a proctologist.

The specialist can treat severe cases or any complication, such as a blood clot, persistent bleeding, or a prolapse (an internal hemorrhoid that pushes your anus outward).

In this case, you may have to undergo a surgical procedure to decrease the hemorrhoid .

HOW TO AVOID THE HEMORRHOIDS RETURN

To prevent them from coming back, take care of the causes, says Dr. Sam.

Constipation : Eat more fiber and drink more water. Try to consume at least 25 grams of fiber per day from oats, prunes, fruits, vegetables and grains, says Sheth.

A lot of sitting time : if you are one of those who spend hours sitting at the desk, get up every 20 minutes to avoid pressure at the same point.

Take your phone out of the bathroom. Do not you sit in the toilet longer than necessary? Says Sheth.

The weights : you do not need to stop doing squats or dead weights, but you may need to lower the weight if the symptoms are recurrent, concludes Sheth.

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How to prevent and treat hemorrhoids

Key points

•     Despite being a very common ailment, many of the people affected do not consult the specialist for modesty
•     According to Dr. Aurora Garre, Cinfa's medical advisor, bad eating habits are the main risk factor for this problem

Although a large part of the population suffers from hemorrhoids at some point in their lives, this disease often causes a modesty that prevents affected people from speaking openly about it. Instead of going to the doctor, patients with mild discomfort tend to self-medication, which makes it difficult to effectively treat the symptoms. Likewise, due to this circumstance, the real incidence of this pathology among the population is unknown.



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In general, hemorrhoidal disease affects adults between 25 and 60 years old and is more common among men. As Aurora Garre, Cinfa's medical advisor explains, "what we commonly call hemorrhoids or hemorrhoids are venous structures located in the anal canal and that, for different reasons, expand and inflame, they can be internal or external, and of greater or smaller size "
Symptoms vary depending on the degree of severity. Thus, Dr. Garre notes that, "in the first stages, hemorrhoids cause more or less mild discomfort such as itching, inflammation of the skin, burning, pain or small bleeding associated with bowel movements. Fleshy, they go out and stay out of the sphincter most of the day, which can be very painful, "he adds.
Avoid constipation, priority

"Genetic inheritance, the over-abdominal effort caused by pregnancy and advanced age are risk factors for this disease, however, the most frequent cause is constipation, since the effort made during defecation increases the pressure on hemorrhoids" , says the expert. Also incorrect eating habits or negative routines of the individual can cause or accelerate this condition: "The sedentary lifestyle, the intake of spices, fat, spicy or alcohol and overweight increase the likelihood of hemorrhoids," recalls the consultant.

Consequently, although specific creams and suppositories help reduce inflammation or itching, prevention plays a key role in preventing and alleviating various discomforts. "The priority is to avoid constipation," says the doctor, "so that regular physical exercise, a balanced diet and drinking fluids is crucial, thus ensuring a better stool routine, more regular and smooth. adequate dietary and hygienic habits, people suffering from this pathology will improve their quality of life, "he concludes.
Decalogue of tips to prevent and treat hemorrhoids:

•     Lose shame. Affected people should consult the doctor as soon as possible to make an accurate diagnosis of their condition and determine the appropriate treatment. Only in advanced stages and with severe symptoms is surgery necessary.
•     No hurry, but no pause . In order to avoid overexertion, it is important to adopt healthy habits in the bathroom, such as avoiding suppressing the desire to defecate or staying too long in the toilet.
•     Fiber, a great ally. Since the objective to avoid constipation and hardening of the stool is to perform at least one stool a day, people prone to hemorrhoids should increase the daily amount of fiber they ingest, adding to their daily diet whole-grain products, fresh fruits ( if possible, with the skin) and vegetables.
•     Products 'prohibited' . It is crucial to avoid spicy foods, fats and spices, as well as foods that can produce gases, such as legumes. And, always with the aim of fighting against constipation, the consumption of rice, sugars, caramels and cured cheeses should be moderated, which harden the stools, making it difficult to expel them.
•     Drink plenty of fluids. At least two liters per day are recommended, since proper hydration favors digestion and evacuation. Water, infusions, juices, vegetable broths ... everyone is welcome.
•     Fight against a sedentary lifestyle. Incorporating a little physical exercise into our daily habits is also very effective in facilitating intestinal transit: walking, running or swimming are excellent options.
•     Quilt the seat and rest by walking. In the case that the work forces to be a long time sitting, to relieve the pressure on the area, it may be advisable to use a small cushion or pillow on the chair. Likewise, our body will appreciate that we rest from this position dedicating a few minutes each hour to walk.
•     Take care of anal hygiene. You should avoid scratching the hemorrhoids and, after going to the bathroom, clean the area with warm water and a neutral soap. The excess of washing can make disappear the natural fatty mantle of the anal skin, reason why it can be recommendable to use an antihemorrhoidal ointment or vaseline to avoid the irritations. Also natural remedies such as compresses with chamomile can be beneficial.
•     Creams and suppositories. People who suffer at the time of evacuation can find relief in the use of anti-inflammatory pomades and suppositories. Although these are sold without a prescription, they should not be used without medical supervision and, in any case, their use should not be prolonged more than a week, since they often contain cortisone. You can consult the pharmacist about it.
•     Resort to natural anesthetics . If the pain is very intense, there is always the option of relieving it with warm-cold sequences: ice or cold packs should be applied and then alternated with hot sitz baths.

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How to prevent hemorrhoids: say no to piles

Having piles is a common problem that, if you have not suffered at some point, you may develop it at some point in your life. To prevent hemorrhoids it is important to take some measures, either so that they do not reappear or to avoid their first appearance. Unfortunately, there is no measure that guarantees you 100% that you will not suffer from piles, but they will help you to be less prone to suffer your discomfort.

Remedies to prevent hemorrhoids

To prevent hemorrhoids you have to know what is producing them. When we exert too much pressure on the anal area, the small blood vessels in the final part of the rectum and anus can dilate . This causes pain, but also itching, stinging, irritation and even bleeding from hemorrhoids.



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There are many daily gestures that cause more pressure in the area of ​​the piles that they can withstand. For example, the effort to defecate with constipation , when the stools are harder and more compact, makes the hemorrhoids more prone to dilation. Overweight people and pregnant women can also suffer from hemorrhoidal disease. Being sedentary or spending a lot of time standing or sitting are also common causes of the appearance or worsening of hemorrhoids.

To prevent all these discomforts, it is necessary to make a healthy change in the routine. They are simple actions that will make you less likely to develop hemorrhoids or, once you have already suffered them, have less pain. Take note of the following tips .


1 Feeding to prevent hemorrhoids

Having a varied diet, in which there is a sufficient amount of fruit and vegetables, is essential to feel good. You should eat foods that give you a lot of fiber and vitamin K , which will help you fight against constipation.

Take apples, artichokes, whole grains, legumes such as lentils, oatmeal, broccoli, nuts ... Your fiber will make it less expensive to go to the bathroom and, therefore, your hemorrhoids will suffer less. In case of suffering from hemorrhoids, very spicy foods and refined products (above all sugars and cereals) are also discouraged.

As in the treatment that is followed to eliminate hemorrhoids , in prevention it is also important to drink a lot of water to improve traffic.

2 Never be hungry

It is important not to delay bath time . When you feel the need to go to the toilet, do not hesitate to do so, because if you delay the stools accumulate becoming drier and that will make the force you have to exercise to expel it is greater. The more force you have to do, the more likely you are to bleed and that your piles suffer.

Also, it is not convenient to force the hemorrhoids by holding a large amount of stool, as this will increase the weight they have to bear directly.

3 Reduce the time in the bathroom

The time spent in the toilet can also be counterproductive. Long periods of time sitting on the toilet will cause you to exert more pressure in the anal area and, therefore, that the inflammation of your piles persists. For that reason, however much we like to go to the bathroom with a cell phone or a book, it is advisable to go without any distraction to reduce the time we are on the toilet.

If you want your hemorrhoids to suffer less while, you must change the position in which you sit on the toilet. Experts recommend raising your feet on a small step so that your knees are close to your chest. From 90 degrees, your knees should flex to approximately 35 degrees.

Consejos para prevenir las hemorroides o almorranas

4 Keep your weight

Another handicap for hemorrhoids is weight, since hemorrhoidal disease is one of the complications that obesity can cause. Being overweight can cause inflamed hemorrhoids because more pressure is exerted on the anal area. In part and over distances, it is also this extra pressure that causes pregnant women to have more problems with hemorrhoids. The extra kilos make the pelvic floor have to support more weight.

For hemorrhoids and for the rest of the health problems that obesity can cause, patients are recommended to see a doctor to recover their health. Your doctor will recommend the best diet to lose weight or, if necessary, design a treatment to make you feel better.

5 Do daily exercise

Sport is always recommended, but for hemorrhoids even more. Performing aerobic exercise such as walking for about half an hour each day will help you facilitate the removal of stool and maintain an ideal weight. In addition, you will have greater well-being since sedentary lifestyle is one of the great scourges of our current lifestyle.

If, despite these prevention tips, you can not avoid getting piles, you can go to your regular doctor's office . This will study your case and, if deemed appropriate, will recommend that you go to the proctologist, the specialist doctor in the colon, rectum and anus.

In any case, not all types of hemorrhoids need medical treatment, depending on the degree to which they are, in which the I is the least dangerous and the IV the most serious. The milder piles are well controlled with pharmacy medications such as ointments or home remedies such as ice or sitz baths. However, the more serious ones may need to be removed by surgery.

Many people do not feel comfortable talking about their hemorrhoids but your experience can help a lot of other people who are suffering from them right now. Tell us in the comments your remedies to prevent hemorrhoids.