Many patients experience complications related to hemorrhoids. They include stenosis, bleeding, infection, recurrence, nonhealing wounds, and fistula formation. Urinary retention is directly related to the anesthetic technique used and to the perioperative fluids administered. Limiting fluids and the routine use of local anesthesia can reduce urinary retention to less than 5%.
Accurately classifying a patient’s symptoms and the relation of the symptoms to internal and external hemorrhoids is important. Internal hemorrhoid symptoms often respond to increased fiber and liquid intake and to avoidance of straining and prolonged toilet sitting. Nonoperative therapy works well for symptoms that persist despite the use of conservative therapy.
Procedure for prolapsing hemorrhoids (PPH) is an alternative for treating internal hemorrhoids that have not been amenable to conservative or nonoperative approaches. Short- and medium-term results are excellent. Patients with minimal external tags and large internal hemorrhoids are easily treated with PPH and skin tag excision. Operative resection is sometimes required to control the symptoms of internal hemorrhoids.
External hemorrhoid symptoms are generally divided into problems with acute thrombosis and hygiene/skin tag complaints. The former respond well to office excision (not enucleation), while operative resection is reserved for the latter. Remember that therapy is directed solely at the symptoms, not at aesthetics.
When performed well, operative hemorrhoidectomy should have a 2-5% recurrence rate. Nonoperative techniques, such as rubber band ligation, produce recurrence rates of 30-50% within 5-10 years. However, these recurrences can usually be addressed with further nonoperative treatments. Long-term results from PPH are unavailable at this time.
The major controversies regarding the treatment of hemorrhoids center on the indications for treatment and the choice of operative versus nonoperative therapy. Most experienced surgeons are using office-based nonoperative therapies and are relying less on operative hemorrhoidectomy than they previously were.
In the United States, rubber band ligation (compared with injection sclerotherapy) is the mainstay of conservative treatment. PPH, which has been gaining increasing favor in the United States, provides an excellent alternative to operative hemorrhoidectomy for patients with minimal external disease and large internal hemorrhoids.
Laser surgery and conventional surgical and scalpel techniques are commonly used as hemorrhoid cures. Yet there are many myths associated with hemorrhoids. The cure options have touted a cure for hemorrhoids that is painless or involves decreased pain and shortened healing times. They claim that there are advantages, though there are no documented studies to support these claims.
Topical application of HemorrhoidBalm-Rx treats the problem on a cutaneous level utilizing the powerful forces of its monoterpenes. These micro particles provide the most rapid absorption; they enter cell membranes with incredible swiftness and have a direct antispasmodic and analgesic effect against piles.
Studies of medicinal plant extracts in HemorrhoidBalm-Rx have the demonstrated ability to improve venous circulation, penetrating into all dermal layers providing a direct action for the treatment of hemorrhoids. The lipophilic characteristic of the extracts in HemorrhoidBalm-Rx allow them to penetrate deeply. They circulate through the skin and into the system.
HemorrhoidBalm-Rx not only has a direct astringent effect against piles but provides systemic support as well. The first property we investigated to treat hemorrhoids is the levels of influence of specific botanical extracts to safely and effectively contract hemorrhoidal tissue topically. Scientific studies were conducted on our products for hemorrhoids treatment and the immediacy of effect.
We identified and combined a very specific group of plant extracts which have extremely high levels of anti hemorrhoid activity, deliver an immediate effect, and are tolerable to healthy skin tissue.The resulting treatment, HemorrhoidBalm-Rx, provides rapid action to shrink and eliminate hemorrhoids. Results are usually experienced the same day of application. To learn more, please go to http://www.naturespharma.org.