Painful and embarrassing, no one wants to talk about hemorrhoids. The simple truth is once these swollen veins become a problem people can’t sit back and ignore it.

“It’s because it’s thrombosed, in other words that’s a fancy word for it, it has a small clot. It distends the skin and it becomes real painful,” says Lee Memorial Health System general surgeon Dr. Steve Moenning.

Now there’s a new, less-invasive treatment that makes these bleeding blood vessels disappear. Where surgery used to be the only option, the FDA approved a bipolar device that destroys the troublemaker.

“We still have to put the patient to sleep, but bipolar is a fancy way of saying energy goes from one part of the device to another,” says Dr. Moenning.

This procedure required is one session and patients go home the same day. Compared to traditional surgery, which cuts out the offending clot leaving patients with an uncomfortable healing process. The bipolar method is cutting-edge treatment with no cutting.

“It shrinks the blood flow into the hemorrhoid, which then shrinks the internal hemorrhoids. It doesn’t extend deeper to involve the muscle tissue. So there’s no surgery in terms of cutting out the tissue. There’s no sewing up,” says Dr. Moenning.

The procedure is quick and relief is almost immediate.

“It’s phenomenal. We can get rid of the internal hemorrhoids and frequently shrink the external hemorrhoids in a painless fashion,” says Dr. Moenning.

More serious cases may still require surgery, but this technique is sapping the strength out of most hemorrhoids.

View More Health Matters video segments at leememorial.org/healthmatters/

Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

Visit leememorial.org

Hemorrhoids Signs & Symptoms | Internal vs. External Hemorrhoid Symptoms | Hemorrhoidal Disease

Hemorrhoidal disease involving issues with internal and external hemorrhoids is a very common condition affecting upwards of ¾ of the general population at some point in their lives. There are a variety of signs and symptoms and these differ depending on whether internal or external hemorrhoids are to blame. In this lesson, we discuss the signs and symptoms of hemorrhoids including the differences between internal and external hemorrhoids and why these signs and symptoms occur.

I hope you find this lesson helpful! If you do, please consider liking, subscribing and clicking the notification bell to help support the channel and stay up-to-date on future lessons.

JJ

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Medical Terminology – The Basics – Lesson 1:

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Fatty Acid Synthesis Pathway:

Wnt/B Catenin Signaling Pathway:

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Lesson on the Purine Synthesis and Salvage Pathway:

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DISCLAIMER: This video is for educational purposes only and information in this lesson SHOULD NOT be used for medical purposes alone. Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.
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Guest General Surgeon discusses hemorrhoids on this episode.
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Here is a link to the cereal additive discussed by Dr Callan.

https://www.allbran.ca/en_CA/products/buds-cereal.html?gclid=CjwKCAjw3_KIBhA2EiwAaAAlilsj279rgzUJYdx7uWQNVI93v-Q-R2hc1S9rF1Tnac83X-xmMFyrWxoCzLcQAvD_BwE

Here is a link to a general article about flavonoids.

https://www.healthline.com/health/what-are-flavonoids-everything-you-need-to-know

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Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the Video.

General information is not medical advice
The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practise medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
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Hemorrhoids or Piles. This video is on treatment, cream, symptoms, causes and how to get rid of hemorrhoids or piles.

Hemorrhoids, also known as piles, are swellings containing enlarged blood vessels found inside or around the bottom (the rectum and anus). In this video were looking at treatment and prevention I hope my tips help.

WHAT ARE HEMORRHOIDS:
Hemorrhoids, or piles, are abnormal swellings of the vascular mucosal anal cushions around the anus. In many cases, hemorrhoids don’t cause symptoms and some people don’t even realise they have them.

But when symptoms do occur, they may include:

• Bleeding after passing a stool – the blood is usually bright red
itchy bottom
• A lump hanging down outside of the anus, which may need to be pushed back in after passing a stool
• A mucus discharge after passing a stool
• Soreness, redness and swelling around your anus

Hemorrhoids aren’t usually painful, unless their blood supply slows down or is interrupted.

HEMORRHOID CAUSES:
The exact cause of hemorrhoids is unclear, but they’re associated with increased pressure in the blood vessels in and around your anus.

This pressure can cause the blood vessels in your back passage to become swollen and inflamed.

Many cases are thought to be caused by too much straining on the toilet as a result of prolonged constipation. This is often caused by a lack of fibre in a person’s diet.

Chronic (long-term) diarrhoea can also make you more vulnerable to getting hemorrhoids.

Other factors that might increase your risk of developing hemorrhoids include:

• Being overweight or obese
• Age – as you get older, your body’s supporting tissues get weaker, increasing your risk of hemorrhoids
• Being pregnant – this can place increased pressure on your pelvic blood vessels, causing them to enlarge
• Family history of hemorrhoids
• Regularly lifting heavy objects
• A persistent cough or repeated vomiting
• Sitting down long periods of time

PREVENTING AND TREATING HEMRRHOIDS:
Hemorrhoid symptoms often settle down after a few days without needing treatment. Hemorrhoids that occur during pregnancy often get better after giving birth.

Making lifestyle changes to reduce the strain on the blood vessels in and around your anus is often recommended.

These can include:
• Gradually increasing the amount of fibre in your diet – good sources of fibre include fruit, vegetables, wholegrain rice, wholewheat pasta and bread, pulses and beans, seeds, nuts and oats
• Drinking plenty of fluid – particularly water, but avoiding or cutting down on caffeine and alcohol
• Not delaying going to the toilet – ignoring the urge to empty your bowels can make your stools harder and drier, which can lead to straining when you do go to the toilet
• Avoiding medication that causes constipation – such as painkillers that contain codeine
losing weight if you’re overweight. Link to my constipation video – https://www.youtube.com/watch?v=q9ofHdvvdvM
• Exercising regularly – this can help prevent constipation and help you lose weight

These measures can also reduce the risk of hemorrhoids returning or even developing in the first place.

Hemorrhoid creams, ointments and suppositories are available from pharmacies without a prescription. Generally speaking you want it to contain a local anaesthetic for example lidocaine to help numb the pain in the area in combination with a steroid for example hydrocortisone to help reduce swelling. It’s best to speak to your pharmacist about this so they can make sure it’s safe and suitable for you to use.

These treatments should only be used for 5-7 days and are best used after a bowel motion so it stays in the right area for longer.

USEFUL LINKS:
More information on hemorrhoids and treatments,
https://www.nhs.uk/conditions/piles-haemorrhoids/
https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/

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ABOUT ME:
Prescribing Media Pharmacist | Extreme Optimist | Bringing Science Through New Videos Every Week – Monday 4PM(GMT).

I’m a British – Persian – Iranian prescribing media pharmacist who loves science, making videos and helping people. I work in both GP surgeries and community pharmacy.

DISCLAIMER:
This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Abraham The Pharmacist has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.
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The most common remedies for hemorrhoids do not offer effective pain relief. Donut hole pillows and ointments can do more harm than good.

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