Hemorrhoids medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
For many people, hemorrhoids are mild and temporary conditions that heal spontaneously or by the same measures recommended for prevention. There is no medicine that will cure hemorrhoids, but local treatments such as warm sitz baths, using a bidet, extendable showerhead, cold compress, or topical analgesic (such as Nupercainal), can provide temporary relief. Consistent use of medicated creams during the early stages of a hemorrhoid flare-up will also provide relief and may stave off further development and irritation. However, creams containing steroid preparations weaken the skin and may contribute to further flare-ups. Keep the area clean and dry, with some lubrication provided by hemorrhoidal creams or a lubricant. Ointment or suppositories such as Proctosedyl [1][2] and Faktu [3] can also relieve the symptoms.
Natural treatments
Some people claim to have successfully applied natural procedures for treatment or reversal of chronic conditions. These procedures largely echo the prevention measures. However, self-care measures, including herbal or "natural" remedies, should not be undertaken without medical consent to avoid possible drug interactions. They include:
- Diet-The condition is caused by overeating and by simply dieting for a week (or more), the hemorrhoids will self-heal. No other treatment will be required.
- Reducing regional pressure in such ways as improving posture and muscle tone, or in severe cases, undergoing a profound psychophysical reeducation, by a method such as the Alexander Technique.
- Taking herbs and dietary supplements that strengthen vein walls, such as butcher's broom, horse chestnut, bromelain, and Japanese pagoda tree extracts. Drinking 99% pure aloe juice can also relieve itching and swelling.
- Topical application of natural astringents and soothing agents, such as Witch hazel (astringent), cranesbill, aloe vera, and honey
- Drinking chamomile tea several times a day
- Eating fiber-rich bulking agents such as plantain and Psyllium seed husks to help create soft stool that is easy to pass to lessen the irritation of existing hemorrhoids.
- Using the squatting position for bowel movements.[4]
The combination of internal and external remedies is particularly recommended, e.g. witch-hazel suppositories combined with frequent cups of strong chamomile tea.[5]
Oral dietary supplementation can help to treat and prevent many complications of hemorrhoids, and natural botanicals such as Butchers Broom, Horse Chestnut, and bioflavonoids can be an effective addition to hemorrhoid treatment.[6]
Butcher's Broom
Butcher’s broom extract, or Ruscus aculeatus, contains ruscogenins that have anti-inflammatory and vasoconstrictor effects. Supplementation with Butcher’s Broom helps tighten and strengthen veins. Butcher’s broom has traditionally been used to treat venous problems including hemorrhoids and varicose veins.[7][8][9]
Horse Chestnut
Horse chestnut extract, or Aesculus hippocastanum, contains a saponin known as aescin, that has anti-inflammatory, anti-edema, and venotonic actions. Aescin improves tone in vein walls, thereby strengthening the support structure of the vein. Double blind studies have shown that supplementation with horse chestnut helps relieve the pain and swelling associated with chronic venous insufficiency.[10][11]
Bilberry Bioflavonoid
Bilberry extract, or Vaccinium myrtillus, is an anthocyanoside bioflavonoid. Supplementation with this potent flavonoid protects and maintains venous strength and function.[7][12]
Enema
This Practice is used to clean the rectum. While it is a simple procedure, it can be complicated by hemorrhoids, so in such cases, it should be done by a doctor. In an enema, water is injected into the rectum and then flushed out, cleaning the area.
References
- ↑ http://www.netdoctor.co.uk/medicines/100002157.html
- ↑ http://www.medbroadcast.com/drug_info_details.asp?brand_name_id=946
- ↑ http://www.vghks.gov.tw/ph/%E8%99%95%E6%96%B9%E9%9B%86/drug/faktu.htm
- ↑ Christine Dimmer, Brian Martin, Noeline Reeves and Frances Sullivan (1996). "Squatting for the Prevention of Hemorrhoids". Townsend Letter for Doctors & Patients (159): 66–70. Unknown parameter
|month=ignored (help) - ↑ K. Kraft and C. Hobbs, Pocket Guide to Herbal Medicine. New York: Thieme.
- ↑ MacKay D (2001). "Hemorrhoids and varicose veins: a review of treatment options" (PDF). Altern Med Rev. 6 (2): 126–40. PMID 11302778.
- ↑ 7.0 7.1 Pizzorno JE and Murray MT, eds., ed. (1998). Encyclopedia of Natural Medicine (revised 2nd edition ed.). CA: Prima Publishing. p. 829.
- ↑ Rudofsky G (1989). "[Improving venous tone and capillary sealing. Effect of a combination of Ruscus extract and hesperidine methyl chalcone in healthy probands in heat stress]". Fortschr. Med. (in German). 107 (19): 52, 55–8. PMID 2668140.
- ↑ Cappelli R, Nicora M, Di Perri T (1988). "Use of extract of Ruscus aculeatus in venous disease in the lower limbs". Drugs Exp Clin Res. 14 (4): 277–83. PMID 3048951.
- ↑ Pittler MH, Ernst E (1998). "Horse-chestnut seed extract for chronic venous insufficiency. A criteria-based systematic review". Arch Dermatol. 134 (11): 1356–60. PMID 9828868.
- ↑ Diehm C, Trampisch HJ, Lange S, Schmidt C (1996). "Comparison of leg compression stocking and oral horse-chestnut seed extract therapy in patients with chronic venous insufficiency". Lancet. 347 (8997): 292–4. PMID 8569363.
- ↑ Murray MT. (1996). Encyclopedia of Nutritional Supplements. NY: Three Rivers Press. p. 326.