What are hemorrhoids (Bawaseer)?
Hemorrhoids are also known as “piles”, are varietal dilatations of hemorrhoid venous plexuses. Piles meaning in Urdu is bwasir. Bwaseer in English is also called hemorrhoids. Bawaseer, meaning in English, is piles or hemorrhoids. It is estimated that 50% population over the age of 50 years has minimal or significant hemorrhoids. Hemorrhoids are vascular cushions or tissues that aid in fecal continence. There are two types of hemorrhoids.
- Internal hemorrhoids
- External hemorrhoids
Now everyone has these vascular cushions or tissues. The problem arises when these vascular cushions or tissues become problematic. Suppose they become enlarged or irritated. People can experience what we call hemorrhoid disease.
So, hemorrhoids or Bawaseer are present in the anal canal. They’re supported by a muscle known as the tribe’s muscle. They only cause a problem when there are signs and symptoms if they become irritated or enlarged. It’s estimated that almost three-quarters of adults will suffer from hemorrhoid disease.
Hemorrhoids (bawaseer) are swellings of the anal cushions. These are abnormal dilatations of the vessels within the anal canal. These can lead to discomfort, itching, mucus discharge, and quite frequently rectal bleeding. If the hemorrhoids become large, they can prolapse from the bottom and need manual reduction.
What is the difference between Internal & External hemorrhoids?
- Its origin is thus above the dentate line (above the anorectal line).
- It’s dilated superior hemorrhoid complex.
- In this case, the disease is painless.
- Its origin is thus below the dentate line (below the anorectal line).
- It’s dilated inferior hemorrhoid complex.
- In this case, the disease is painful.
Signs and symptoms (Bwaseer ki Alamat):
The signs and symptoms related to hemorrhoid disease or issues of the internal-external hemorrhoids. Its notes that 40% of patients with hemorrhoid disease are symptomless, which means they don’t experience any symptoms. So, they could have had issues with their hemorrhoids in the past, but presently, they don’t have any symptoms. So 40% of patients will have no symptoms at all.
Internal Hemorrhoids signs and symptoms:
Now let’s first talk about the signs and symptoms of internal hemorrhoids.
1. Bright red blood per rectum:
The first and the most critical sign or symptom we’re going to see with internal hemorrhoids is bright red blood per rectum. It is a widespread symptom. We see it at the end of a bowel movement. After a bowel movement, we can often see bright red blood in the toilet and toilet paper.
2. The sensation of rectal fullness:
Another significant symptom of internal hemorrhoids is a sensation of what we call rectal fullness. It is more of a sensation of prolapse of tissue. So, if an internal hemorrhoid becomes so enlarged and it moves or changes location. A patient can sense this. They can feel a sensation of rectal fullness. This is due to the prolapse of internal hemorrhoids or multiple internal hemorrhoids. And patients often describe feeling like they’re sitting on something.
3. Mucus discharge:
Some other signs and symptoms of internal hemorrhoids include mucus discharge. So, this is also due to the prolapse of internal hemorrhoids. So, again if that internal hemorrhoid becomes so enlarged and it changes position, then it prolapses. It can interfere with a patient’s ability to have normal fecal continence. So, they can have some mucous discharge. The mucus may be present at the end of a bowel movement. Like bright red blood and found in the toilet or toilet paper.
Another symptom of internal hemorrhoids is incontinence. Due to the prolapse of internal hemorrhoids. It interferes with the patient’s ability to have normal fecal continence. Often the incontinence is very mild, although it can be more problematic for some patients. It causes irritation and difficulty with hygiene. It can cause significant decreases in quality of life. So even though it’s maybe mild. It can lead to issues with the quality of life.
Some other signs and symptoms of internal hemorrhoids include pleuritic. So, pruritus is a sensation of itching. It is again due to prolapse of internal hemorrhoid or irritation and or incontinence. So, suppose there’s irritation of hemorrhoid. In that case, if there’s some incontinence or mucus discharge, it can lead to irritation of surrounding tissue. It will cause some sensation of itching.
We can also see pain issues, but what, please take away from this is that internal hemorrhoids are often painless. So, no pain at all.
What is classically described with internal hemorrhoids? It is a bright red blood practicum that is painless. So, bright red blood rectum that is painless. If a person does experience pain, then it’s more often caused by a thrombosed internal hemorrhoid. It means a clot formed in that internal hemorrhoid. It can cause pain to occur.
Some other sensations that a patient may have with internal hemorrhoids include burning and other discomforts. But again, what I want you to take away is that most often, internal hemorrhoids are painless. We often see bright red blood per rectum.
Sign and Symptoms of External Hemorrhoids:
The signs and symptoms of external hemorrhoids are following.
1. Visible mass can appear larger:
Because the external hemorrhoid is below the dentate line, so there is a perianal mass or swelling. So, it’s often a visible mass, and it looks like a firm nodule that is purple in coloration. What can be noted is that this purple firm nodule can increase in size over time. So, as the external hemorrhoid increases in size. It becomes more problematic that visible mass can appear more prominent and more significant over time.
Another significant symptom of external hemorrhoids is pain. This pain with regards to external hemorrhoids is more likely to be sudden and severe. It’s more likely to occur when an external hemorrhoid has become thrombosed. So, when a clot forms in that external hemorrhoid, that perianal swelling or visible mass is tender to touch. So, it might not have been tender to touch before he might have been able to see it. But later on, if there’s a clot that forms in that hemorrhoid, it becomes tender to touch later.
External hemorrhoids are more likely to cause pain. Its pain is more likely to be severe than internal hemorrhoids. The irritation of those external hemorrhoids can lead to the activation of perianal innervations. So, those perianal innervations are more closely located near the external hemorrhoids. So, they’re more likely to become activated and cause pain.
Another sign of external hemorrhoids is bleeding. It is often from an ulcerated external hemorrhoid. So, that hemorrhoid that is on the outside that visible mass can become ulcerated. It can lead to some bleeding. An ulcerated external hemorrhoid occurs if that external hemorrhoid has become thrombosed.
What is the difference between bleeding in external hemorrhoids and bleeding in internal hemorrhoids?
The difference is that the bleeding in external hemorrhoids is darker in coloration. So, darker blood and often you can see clots bleeding in external hemorrhoids. It is more likely to be from an ulcerated external hemorrhoid. It’s more likely to be darker in coloration with visible clots.
Another symptom of external hemorrhoids is pruritic. So, again that sensation of itching. It is due to surrounding irritation from external hemorrhoid itself.
5. External skin tags:
Another sign with external hemorrhoids that we don’t see with internal hemorrhoids is external skin tags. So, these external skin tags are painless. They are often a sign of previous hemorrhoid disease and edema. If there had been some issue with the hemorrhoid disease in the past. There’s some swelling in that area that has now resolved. It can lead to external skin tags. But even though I mentioned that they are often a sign of previous hemorrhoid disease. They may also be a sign of Fischer disease or anal fissures.
Treatments of Hemorrhoids (Bwaseer ka ilaj):
Suppose you have hemorrhoids or Bawasir. Initial treatments should be conservative. These include changing your diet to avoid constipation. Make sure you’re well-hydrated, taking good volumes of water, and take good volumes of soluble fiber.
If these treatments don’t work, your GP can prescribe topical treatments that might help with irritation or discomfort. However, if there are prolapsing lumps and the conservative treatments don’t work, it’s compulsory to see a specialist. A colorectal surgeon might be able to offer you definitive treatment.
There is a range of treatments depending on the severity of your hemorrhoids. There are simple office treatments such as banding of the hemorrhoids. If this does not work, it may compulsory to perform a formal operation under a general anesthetic. These include a haemorrhoidal artery ligation with recto anal repair. If there is a sizeable prolapsing lump, the gold standard of treatment is a full hemohemorrhoidal.
Some causes and tips to remove Hemorrhoids (bawaseer):
No one may want to talk about hemorrhoids, but about 40% of people have them. It’s one of those embarrassing medical conditions that patients are afraid to talk to their doctor about.
There are other six causes and tips to help treat hemorrhoids (bawaseer) at first on your own at home. A hemorrhoid is inflamed blood vessel protrusions either on the inside of the rectum or bulging on the outside. Although it’s less common. There are other conditions, and some of them may be more serious that can mimic hemorrhoid symptoms.
Tip number one stool softeners. Constipation is the number one cause of hemorrhoid (bawasir). The last thing you want is to have to strain when you have a hemorrhoid flare. It’s not pleasant to consider over-the-counter stool softeners. It includes decussate sodium or Kool-Aid up to 250 milligrams once daily. It’s not a laxative, and it can be long-term. If needed, better yet, increase your intake of natural stool softeners in your diet like prunes and pears.
Tip number two laxatives. If you are constipated, let’s say you have hardened or less frequent stools. If you have a feeling of incomplete removal, an osmotic laxative rather than a stimulant one. Since it simply pulls the water into the stool and then softens it. Polyethylene glycol can be taken up to two times a day until the stool is soft.
3. In adult people:
Tip number three increased fiber typical adults need a minimum of five servings of fruits and veggies. A day or 25 to 35 grams a day consider higher fiber foods. These include prunes plums, apricots, raisins, peas, broccoli, and beans. If you’re unable to consume enough fiber, then fiber supplements may be necessary. This includes psyllium, Metamucil. Start small and increase it slowly to avoid side effects. Look for 100% whole wheat bread, use brown rice instead of white, and avoid simple sugars like sweet sodas and white bread.
4. Less water intake:
Tip number four drink more water. If you’re constipated, increasing fluid intake can help prevent heart and stool. Avoid caffeine and alcohol, which are diuretics that are drying.
5. Less physical activities:
Increases your physical activity. This helps get the gut moving to consider 30 minutes of exercise on most days of the week.
6. Side effects of the steroid creams tox pads and warm packs:
Last but not least, tip number 6 over-the-counter hemorrhoid treatment. Now over-the-counter hemorrhoids rectal topical that contain hydrocortisone. It is steroid-like in preparation-h but honestly, the generics will work just as fine. So, no need to spend more. It can help shrink up the hemorrhoids. But should not be used longer than a week to avoid thinning the rectal skin. It is one of the side effects of steroid creams tox pads and warm packs. Two to three times a day can also help soothe and relax the discomfort.
What foods and beverages you should eat? And what foods and beverages you should not eat?
This section is entirely on the best foods and beverages to eat in the foods. Beverages you should avoid to help improve symptoms of hemorrhoids. It helps reduce your risk of getting hemorrhoids in the first place.
1. Intake foods that contain high fiber:
The foods are following for hemorrhoid patients. So, the first foods or the first category of foods I want to talk to you about here include high fiber foods. The evidence is demonstrating that high fiber is beneficial with hemorrhoids.
So, high fiber diets or foods with high fiber are essential. If you have hemorrhoids, increased fiber consumption. It has been demonstrated to reduce symptoms involving hemorrhoids. So, this can reduce symptoms of internal and external hemorrhoids.
The goal you want here for high fiber intake is at least 30 grams of fiber per day. Now you might see some sources saying 25 to 35, so at least 25 grams, but I’ll say here at least 30 grams of fiber per day.
- Sources of fiber:
Now, what are some excellent sources of fiber? So, some good sources or good foods with many fibers in them include nuts like almonds. You can get high fiber from beans, lentils, peas, whole-grain foods, vegetables like broccoli, and fruit. So, again high fiber intake is essential. It can help to reduce the chances of constipation. It leading to the development of hemorrhoids and worsening symptoms and difficulty of hemorrhoids.
2. Increase your water consumption:
If you have hemorrhoids or bawasir is you should increase your water consumption. The reason you want to do this is that the water acts along with the increased fiber consumption. It helps reduce the chances of constipation which increases your risk of developing hemorrhoids. Reduces your risk of symptoms and difficulty of hemorrhoids. It along with preventing or reducing the chances of constipation. Water consumption aids in gastric motility as well.
3. Role of fiber food and water:
So, again foods containing high fiber essential. If you have hemorrhoids or bawaseer, you want to aim for at least 30 grams of fiber per day. It reduces the risk of developing hemorrhoids in the first place. It reduces the risk of symptoms and difficulty involving hemorrhoids.
We can find high fiber in nuts, beans, lentils, peas, whole-grain foods like whole-wheat bread vegetables like broccoli and fruit. Then you want to have increased water consumption and fiber intake because it acts along with the fiber. It helps aid in gastric motility and the prevention of constipation. Those are the two essential categories of foods and beverages you want to consume if you have hemorrhoids. It helps reduce the chances of getting hemorrhoids and reduces the symptoms of hemorrhoids.
The Things you should avoid in Hemorrhoids or Bawaseer:
If you have hemorrhoids, the following several foods and beverages are things you want to avoid. Because they can worsen symptoms of hemorrhoids.
1. Avoid alcohol:
One of the first categories of beverages you should avoid. If you have hemorrhoids or Bawasir includes alcohol. The evidence for this comes from the article entitled etiology of thrombosed external hemorrhoids. So, alcohol consumption is related to an increase in internal hemorrhoids and external hemorrhoids.
So, as you increase your consumption of alcohol. The risk of developing internal hemorrhoids and having thrombosed external hemorrhoids increases as well. It increases with the amount of alcohol you consume. So, it’s best to limit or avoid alcohol consumption in general, especially if you have hemorrhoids.
2. Avoid caffeine:
Now another category of beverages you should avoid. If you have hemorrhoids or bawaseer includes caffeine. The reason you want to avoid caffeine is that caffeine may act as a digestive stimulant. Because caffeine may act as a digestive stimulant, it can increase the frequency of bowel movements.
So, if you have an increased frequency of bowel movements, it can reduce the time between each bowel movement. It reducing the time for adequate healing of hemorrhoids. So, each bowel movement can irritate hemorrhoids. If you have an increased frequency of bowel movements, it can lead to an increase in hemorrhoids. You get this reduced time for adequate healing of hemorrhoids. So, it’s essential to limit and reduce or avoid caffeine consumption. If you want to improve your symptoms of hemorrhoids.
Is Surgery (bawaseer ka operation) is compulsory?
Hemorrhoids (bawaseer) can be treated in several different ways. The first way is by lifestyle advice. Then the second method is by treatments that can be administered in the outpatient setting. Then in terms of Surgery. For some patients, surgery (Bawaseer ka operation) will be advised depending on the symptoms.
The response to these more conservative measures. In terms of lifestyle advice, many patients’ symptoms will improve on adopting a more high fiber diet. They avoiding straining on the toilet. They adding more fluid to their diet will often take away some of the symptoms of early hemorrhoids.
Some patients will use over-the-counter remedies. But, whilst this might improve the symptoms. They sometimes won’t get rid of the condition. Such that patients will often present to their GP or a specialist. Because these simple methods haven’t worked.
In the outpatient setting, we can do simple techniques like injecting the hemorrhoids, for those on the inside. Slightly larger and prolapsing hemorrhoids (bawasir) can be treated by banding. It will only treat the internal components of hemorrhoids but will often improve the symptoms.
Repeated injections or bandings are often feasible. But, some patients will either present or progress to develop hemorrhoids that may need surgical therapy ( Bwaseer Operation). You can divide Surgery into Surgery that cuts the hemorrhoids away.
It stitches them back inside, or staple them back in place. I tend to favor fixed external hemorrhoids cutting them away. For hemorrhoids to reduce internally. They can be managed by stitching them back inside and tying off the arterial supply technique known as THD. Using the combination of these techniques, we can usually obtain a fantastic result for most patients.
From this article, you can get complete information about piles or bawaseer. You can get information about signs, symptoms, causes, and treatments of bawaseer. This article will help in your hemorrhoids disease recognition and its treatment.