Hemorrhoids Etiology
Hemorrhoids have plagued humankind since time immemorial, yet many misunderstandings regarding hemorrhoidal complaints and disease still exist. Many laypersons and clinicians do not understand the anorectal area and the common diseases associated with it. Up to one third of the 10 million people in the United States with hemorrhoids seek medical treatment.
The number of hemorrhoidectomies performed in hospitals is declining. A peak of 117 hemorrhoidectomies per 100,000 people was reached in 1974; this rate declined to 37 hemorrhoidectomies per 100,000 people in 1987. Obviously, outpatient and office treatment of hemorrhoids account for some of this decline.
Hemorrhoids plague all age groups, although they occur most often in individuals aged 46-65 years. Hemorrhoidal complaints are usually not associated with other medical conditions or diseases. However, patients with the following diseases and conditions have an increased risk of hemorrhoidal complaints.
Inflammatory bowel disease and hemorrhoidal problems occur frequently. Unusual hemorrhoidal presentations and findings should alert the clinician to the potential of inflammatory bowel disease. Ulcerative colitis and Crohn disease are associated with hemorrhoids. Pregnancy is associated with many anorectal problems.
Hemorrhoids are not varicosities; they are clusters of vascular tissue, smooth muscle and connective tissue lined by the normal epithelium of the anal canal. Hemorrhoids are present in utero and persist through normal adult life. Evidence indicates that hemorrhoidal bleeding is arterial and not venous. This evidence is supported by the bright red color and arterial pH of the blood.
Hemorrhoids are categorized into internal and external hemorrhoids. These categories are anatomically separated by the dentate (pectinate) line. External hemorrhoids are hemorrhoids covered by squamous epithelium, whereas internal hemorrhoids are lined with columnar epithelium.
Similarly, external hemorrhoids are innervated by cutaneous nerves that supply the perianal area. These nerves include the pudendal nerve and the sacral plexus. Internal hemorrhoids are not supplied by somatic sensory nerves and therefore cannot cause pain. At the level of the dentate line, internal hemorrhoids are anchored to the underlying muscle by the mucosal suspensory ligament.
Internal hemorrhoids have 3 main cushions, which are situated in the left lateral, right posterior, and right anterior areas of the anal canal. Minor tufts can be found between the major cushions. External hemorrhoidal veins are found circumferentially under the anoderm; they can cause trouble anywhere around the circumference of the anus.
Treat hemorrhoids only when the patient complains of them. The old adage that it is hard to make an asymptomatic patient better applies here. No matter how bad the hemorrhoids look to the practitioner, they should not be treated unless they bother the patient. Care must be taken to ensure that symptoms are not caused by other perianal conditions (eg, fissure, fistula, infectious disease, inflammatory bowel disease, parasites).
Obviously, treating hemorrhoids will not help those problems. Frequently, a thorough history can eliminate the above conditions. Inflammatory bowel diseases (eg, ulcerative colitis, Crohn disease) need to be ruled out as the cause of symptoms. Human immunodeficiency virus (HIV) infection and other immunosuppressive diseases also can alter treatment plans.
If any natural material is applied to the rectum, it will quickly absorb into the bloodstream and have a direct effect on the central nervous system. This can be of great benefit when proper organic medicinal extracts are used. With this in mind, and to provide the most potent treatment, HemorrhoidCure has been formulated from strictly certified organic medicinal plant extracts.
HemorrhoidCure has a therapeutic effect to reverse hemorrhoids and prevent relapse unlike any other cures for hemorrhoids. Due to its astringent properties and the fact that it is well tolerated by rectal tissue, hemorrhoids are quickly eliminated by this treatment. The result is a highly effective cure for hemorrhoids, which does not irritate rectal tissue and strengthens immune functionality.
In order to provide the greatest and safest hemorrhoid cures, HemorrhoidCure is formulated from the most potent medicinal plants of the highest quality, which are harvested by hand under the most stringent procedures. We truly place the highest value on the quality and effectiveness of our products for hemorrhoids. CURED therefore guarantees that HemorrhoidCure delivers the greatest therapeutic effect for eradicating hemorrhoids quickly.
If you are in need of a truly effective, pure, and natural hemorrhoid treatment, HemorrhoidCure represents a very trusted and safe method to reverse the condition. We are very proud to offer this highly acclaimed product to the general public. To learn more, please go to http://www.bcured.net.
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Article Tags:
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Most doctors agree that low-fiber diets cause small-caliber stools, which result in straining during defecation. Pregnancy and abnormally high tension of the internal sphincter muscle can also cause hemorrhoidal problems. Prolonged sitting on a toilet is believed to cause a relative venous return problem in the perianal area. Straining and constipation have long been thought of as culprits in the formation of hemorrhoids.
Many hemorrhoidal symptoms resolve only when they are treated with dietary alterations. Many patients see improvement or complete resolution of their symptoms with the above conservative measures. The adverse effects of these treatments have a direct relationship to whether patients relay persistent or recurrent complaints to the clinician or return for further treatment. An alternative hemorrhoid cure made of a natural anti-hemmorhoid agent is now available to the public.
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