ALL ABOUT HEMORRHOID & HEMORRHOIDS |
Hemorrhoids: A bad widespread but difficult to cure
Hemorrhoids or piles are one of the most common health disorders, to the point that most of the people has suffered at some point in their lives. Despite being a condition considered banal, can be very annoying and painful. Basically consist of a dilated blood vessels found in the rectal ampulla and leading to the anus, that is, the hemorrhoidal veins. These veins, like those of the lower extremities, can dilate from many sources, thus losing the ability to return the blood flowing through them. Thus, they form varicose cords and nodules that may be internal. If hemorrhoids are formed in the interior are called internal and when they go outside of the anus are called external.Factors favoring appearance of hemorrhoids
Most veins are provided with small valves that prevent blood running down the action of gravity. But hemorrhoidal veins do not have these valves, so that the blood is more difficult to climb the venous system. When increasing the internal pressure, blood tends to move more slowly, builds up and causes dilation of the walls of these veins. Therefore, all conditions that increase intra-abdominal pressure lead to the development of this condition: pregnancy, which often also causes varicose veins in the lower extremities is a common cause. Also, obesity, particularly truncal (with large abdomens), or activities that require long hours standing or sitting most of the time favor local congestion. Also, certain foods and spices, spicy and alcoholic beverages promote the dilation of the veins. Constipation is also a common cause of hemorrhoids.The treatment of hemorrhoids begins with diet and hygiene measures:
* Exclude from the diet of irritant and vasodilator: spicy, spices, alcohol, excess salt, chocolate and coffee too much acid.* Try to make a good intestinal regulation to prevent constipation.
* If you are external (or internal are externalized), use very soft toilet paper or, better yet, make cleaning the bidet with cold tap water (which is vasoconstrictor, ie, contracts blood vessels) and acid soap.
* Bypass the abdomen, pushing brands, increase the internal pressure and impede venous return
* Avoid being overweight.
* Do not play sports such as cycling or horseback riding and to refrain from long trips by car.
* You should exercise regularly, it improves circulation and venous tone. If your job requires prolonged sitting or standing still, move around from time to time.
* In the case of internal hemorrhoids, you can apply products like ruscus, rutin, diosmin or horse chestnut, which can be administered orally, but they really are not very effective.
* There are products that are marketed as ointments that are administered cannula or suppositories, and contain any of the above-mentioned products also contain steroids in small proportion, associated with local anesthetics and emollients (they talk about the hardships), which has a marked anti-inflammatory effect and relieves the discomfort. Usually applied two or three times a day.
Both the local and the general treatment relieved, but they do not definitively cure the disease. Many times you have to get used to living with the disease and keep it under control and without triggering any inconvenience. For this it is essential to implement measures appropriate dietary hygiene. In the case of very large and painful hemorrhoids that cause organ prolapse, bleed or suffer thrombi often must resort to more or less aggressive treatments, from sclerotherapy (ligation by placing an elastic ring at the base of the hemorrhoid package), cryotherapy hemorrhoidal application of infrared or hemorrhoidectomy (removal of the hemorrhoidal veins.) Sometimes, they can bring a definitive cure, but it is also common over time hemorrhoids from reappearing, as are the veins that can be re-dilate.
The bleeding, the main symptom
The main symptom of internal hemorrhoids is bleeding. Amount is usually small, bright red, and comes at the end of defecation. If the expansions are important, the bleeding is more substantial. When these go abroad internal hemorrhoids bleed more easily (which in medical terms is known as prolapasar). At such times, even by the simple touch of lingerie or efforts can even lead to bleeding. Prolapse may occur when efforts, such as defecation, fits of coughing or physical exertion. Initially resolves spontaneously, but slowly starts to become more frequent and require manual reduction. If they continue to progress and its size increases, there comes a time when virtually are always outside. Your manual reduction then becomes impossible. In these circumstances, in addition to bleed easily, there is a very troublesome mucus.The sitting for long periods, sweating, and efforts are poorly tolerated. The most important complication and the pain is actually producing the dilated vein thrombosis. The blood contained within it solidifies (a thrombus), so that the table can be very painful, so much that needs immediate attention. It is what is commonly called hemorrhoids attack and motivates the medical consultation. People with uncomplicated hemorrhoids do not usually see a doctor and choose to treat themselves. It is common for hemorrhoids divert attention to other intestinal diseases. Therefore, when bleeding or other symptoms anorectal, you should see a doctor to rule out other conditions that offer similar symptoms. It is the only way to confirm that it is indeed hemorrhoids and thus provide adequate treatment.
Diet to alleviate the discomfort of hemorrhoids
Its purpose is to improve vascular tone and preventing constipation to reduce pain and inflammation of the area. The monitoring of a high fiber diet is crucial to improve vascular tone and stop constipation, a reaction that is compounded by hemorrhoids. A condition as common as uncomfortable. It is described as a lump of blood vessels that supply the year. When they expand and enlarge, causing local discomfort accompanied by pain, itching or bleeding at the time of defecation. As a solution, diet and dietary supplements using herbal extracts and antioxidants with anti-inflammatory substances are intended to improve blood circulation and the decrease in inflammation. With these dietary care is not deleted, but significantly relieved pain.Diet influences the microcirculation of the blood and vascular tone, conditioning the development of hemorrhoids. In addition, food is also implicated in susceptibility to intestinal ailments, including constipation. This condition, whether temporary or chronic hemorrhoids favors or worse, if provided. The increased intake of fiber is useful to smooth bowel movements and relieve constipation, thus reducing straining, which is a great relief in these cases. In the "Guide to Clinical Practice Management of patients with rectal bleeding (updated in 2007), conducted by the Spanish Association of Gastroenterology, the Spanish Society of Family Medicine and Community and the Iberoamerican Cochrane Centre, within the" Program of Development of Clinical Practice Guidelines in Gastroenterology from the Primary Health Care Specialist, "proposes a diet high in fiber in patients with hemorrhoidal symptoms.
Any increase in fiber intake should be accompanied by an increase in water consumption. Laxative diet is to consume more than 25 grams of fiber recommended. This means giving preference to the plants, eat vegetables several times a week and choose cereals and derivatives integrals (rice, couscous, bread, pasta) versus refined. Nevertheless, perhaps the supply of fiber in the diet is insufficient to achieve a therapeutic effect in the treatment of hemorrhoids and that is necessary to take supplements of fiber.
Effective fiber supplements
Fiber supplements study its origin, composition and properties, its action in gastrointestinal functions and their usefulness in disorders and diseases (functional bowel disease, diverticulosis, polyps and other conditions.) In the systematic review of randomized placebo-controlled clinical trials (RCTs) conducted the authors to develop the above guide, found that these supplements are effective in the treatment of symptoms in patients with hemorrhoids. The review found that these supplements laxatives halved the persistence of symptoms (47%) and bleeding episodes (50%). However, improvements in other variables such as pain, itching, and prolapse were not significant. The fastest results were obtained at six weeks of starting the dietary treatment, and the later, by three months. In making this recommendation, the patient should be warned that any increase in fiber intake should be accompanied by an increase in water consumption.Also, avoid the use of laxatives can cause diarrhea and worsen symptoms. Only be used when increasing the volume of feces, such as bran, wheat, oats, flax seeds or herbal supplements rich in soluble fiber as the "Plantago ovata. These are used as additional fiber in the diet, rather than as substitutes for whole foods.
Wheat bran. It is pure insoluble fiber which has the peculiarity of increasing the rate of stool through the intestine. Your continued use during a season is very effective for the treatment of constipation, hemorrhoids and anal fissures. This laxative supplement can be added to yogurt, milk, the smoothie, mix it with breakfast cereal or use it as an ingredient to make cakes and other homemade cakes. Do not exceed recommended 30 grams of wheat bran as the excess fiber is counterproductive, is associated with flatulence, abdominal pain and bloating.
Oat bran. It differs from the previous one because it is composed of water-soluble fiber, capable of increasing the weight and size of stool, due to water retention. This leads to less effort to defecate and relief of pain associated with hemorrhoids. You can use the same wheat bran.
Antioxidant and anti-inflammatory
Antioxidants have a dual role in improving hemorrhoids. On the one hand, protect against free radicals, substances that cause aging and deterioration of the walls of arteries and veins. On the other, improve venous tone by its vasoconstrictor and anti-inflammatory action by decreasing the release of prostaglandins (inflammatory substances).In a meta-analysis on the use of flavonoids (a type of antioxidant) in the treatment of hemorrhoids was found to reduce consumption by over 50% of cases the persistence or worsening of symptoms in less severe hemorrhoids ( Grade I and II). The flavonoid-based product used and most effective is the combination diosmin (90%), obtained from Citrus aurantium (bitter orange or) with hesperidin (10%), a flavonoid abundant in citrus fruits in general (lemons, oranges , bitter orange).
ANTI-INFLAMMATORY PLANTS
Several botanical extracts have been shown to improve microcirculation, capillary flow and vascular tone. Oral supplementation with "Aesculus hippocastanum (horse chestnut)," Ruscus aculeatus (butcher's broom), "Centella asiatica", "Hamamelis virginiana (witch hazel) and bioflavonoids relieve pain of hemorrhoids, varicose veins also, and prevent its complications. A recent study reports the potential benefit in the treatment of hemorrhoids of a dietary supplement based extract French maritime pine bark (Pycnogenol). The consumption for 7 days (300 mg extract the first four days, and 150 mg, the last three) reduced pain around the anus and bleeding in patients with external hemorrhoids. The authors suggest that plant flavonoids may be responsible for the beneficial effects, although it should be noted that these findings are the result of one investigation.The combination of purifying plants such as dandelion, milk thistle and tormentilla potentilla or has a double function. The first two plants serve to cleanse the blood of waste substances and the last, for its particular concentration of tannins, to shrink the affected area. Its use for some time and the circumstances of health, may be contraindicated, so always be taken under medical prescription.
Diet and blood circulation: Diet influences the circulation
Prevent conditions that result from poor circulation and relieves some of their annoying symptoms. Varicose veins, hemorrhoids and even cellulite and heaviness and swelling of the legs are more or less troublesome disorders, although in most cases are not serious, affecting the lives of who suffers. All of them are caused by various reasons but have one common denominator: poor blood circulation. And the diet plays an important role both in preventing these disorders and in relieving the painful symptoms.The circulatory system
To understand how diet may influence the blood circulation, making it more or less smooth, preventing or alleviating the symptoms disorders resulting from poor blood circulation should know briefly the role of the circulatory system. The circulatory system consists of the heart, arteries, veins, capillaries and blood, and is responsible for providing oxygen and nutrients to the cells through the blood. The heart pumps oxygenated blood from the lungs and pushes through the arteries and capillaries to cells throughout the body. After reaching the cells, the blood returns to the heart through the veins and is oxygenated in the lungs again. Therefore, anything that obstructs the passage of blood through the arteries or veins causes a disturbance in the bloodstream. Arteriosclerosis due to deposition of cholesterol, fat and waste substances from the blood is the most common cause of arterial blockage, and if not treated early can cause a heart attack. If blood is very thick, clots can form that prevent the normal circulation, which can lead to thrombosis. Poor venous circulation disorders can also cause less serious but annoying as varicose veins, hemorrhoids and cellulite.Tips to improve circulation
* Lie with legs up a few minutes each day.* Lying on the left side of the body to sleep.
* Sleeping with legs slightly elevated (using a cushion or small pillow under your feet).
* Heat is not an ally of the movement, causes vasodilation of the capillaries, which can cause more swelling, heaviness, tiredness and pain. Therefore are not suitable saunas or hot baths. We recommend showering with warm water and finish with a blast of cold water in the legs.
* Exercise activate the movement: walking, walking on tiptoes, squat, swim, run, moving the legs while sitting.
* Massage feet and legs always from the bottom up, from ankle to thigh.
* Use comfortable clothes, socks and stockings that do not oppress, shoes, etc.
Food and Nutrient blood flow recommended Why? What foods contain it? What ration necessary?
Fiber Promotes intestinal transit and defecation without effort. This does not increase abdominal pressure and weaken the walls of veins and wall of the colon, there is less risk of constipation, varicose veins and hemorrhoids. Dried fruit (prunes, etc.), nuts, legumes, vegetables, fresh fruit and whole grains. Wheat bran or oatmeal.
Take 3 pieces of fruit, a salad and some vegetables (as a starter or side of the second) each day. Choose whole grain foods: bread, pasta, rice ... Include in your daily diet a serving of nuts or dried (five a handful of nuts or other nuts). Antioxidants protect against free radicals, substances that cause aging and deterioration of the walls of arteries and veins. Conducive to good condition of blood vessels, have anti-inflammatory and vasoconstrictor. Plants in general. The richest: avocados, berries (blackberries, strawberries, raspberries, blueberries), general cabbage, carrots, citrus, grapes, onions, spinach and tomatoes. Potassium helps to eliminate water, which is beneficial if you have swollen legs or fluid retention. Dried fruits, nuts, wheat germ, legumes, and vegetables, fruits, whole grains, fish and meat. Polyunsaturated fatty acids reduce cholesterol and blood triglycerides, preventing atherosclerosis.
They make blood more fluid, its viscosity decreases and act as antiplatelet therapy, reducing the risk of forming thrombi or clots. Seed oils (sunflower, corn, soy), vegetable margarine, nuts (especially walnuts and almonds), fish liver oil blue of cod. Combine the olive oil diet and seeds. Usually include a serving of nuts (a handful are 20-30 g). Take fatty fish at least 2 times a week. Water facilitates the elimination of toxins and purifying the blood, causing blood is more fluid. Without the proper amount of water the velocity of blood decreases. Water, juices, smoothies, soups, soups, teas ... Greater diuretic power plants: dandelion, tea ..., with the advice of a professional. Drink 6 to 8 glasses of water (can also be juices or similar) every day.
Nutrients discouraged Why? What foods should be reduced?
Sodium Excess sodium (salt component) retains liquid which forces the heart, liver and kidneys to work beyond their capabilities. This excess is related to circulatory disorders and fluid retention and worsen the swelling in the legs. Salt and salty foods: canned all kinds of chips and the like, on soups, sauces, olives, pickles, breads, pastries, biscuits, sausages, cheeses, meats and fish, salted or smoked, precooked.Excess saturated fat saturated fat tends to increase the levels of plasma triglycerides and cholesterol, which promotes atherosclerosis and increases blood viscosity, and this can cause thrombosis. Butter, cream, sausages, bacon, industrial bakery, convenience.
In addition there are foods whose composition favor the dilated blood vessels, worsening of hemorrhoids and varicose veins, or hinder the work of clearing the blood that makes the liver, and this does not improve cellulite: hot or spicy foods spices, alcohol, chocolate, coffee and sweets.