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<p>One essential component of good health is regular waste elimination from the body every day, ideally between 5:00 AM and 7:00 AM, which is when the large intestine works to expel waste. However, some individuals face irregular bowel movements, experiencing constipation or diarrhea, often straining during this process. They may overlook the fact that these seemingly minor issues can accumulate and lead to the onset of &#8220;hemorrhoids,&#8221; a serious condition that should not be ignored.</p>
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<h2><span style="color: #00826a;">Hemorrhoids: The Nightmare for Those Who Push Too Hard</span></h2>
<p>Hemorrhoids occur when the anal cushions—tissues that help the anal canal expand during bowel movements and keep the anal opening closed under normal conditions—prolapse below their normal position and swell, failing to return to normal after a bowel movement. This can result in bleeding during defecation or the presence of lumps at the anal opening. Dr. Narsara Wiyapipat, a specialist in laparoscopic surgery at Phyathai 3 Hospital, explains that while the exact causes of this condition are unclear, it often stems from pressure or strain in the abdominal or thoracic cavities. This pressure is typically due to &#8220;straining&#8221; among individuals who struggle with bowel movements or constipation. Additionally, patients with emphysema can also experience increased pressure in the thoracic cavity.</p>
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<h2><span style="color: #00826a;">What Are Hemorrhoids?</span></h2>
<p>The anus is the final part of the digestive tract, connecting to the large intestine and opening to the outside of the body. It measures about 4 centimeters in length and is divided into two sections by a line called the dentate line. The part above this line, known as the anal canal, lacks pain-sensitive nerves. Surrounding the anal canal are tissues called cushions, which contain blood vessels and muscle.</p>
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<h2><span style="color: #00826a;">Hemorrhoids can be categorized into two main types:</span></h2>
<p>Internal Hemorrhoids: These develop when excessive straining during bowel movements increases pressure, causing the cushions to protrude beyond their normal position. Internal hemorrhoids can be classified into four grades based on how far they protrude.</p>
<p>External Hemorrhoids: In addition to internal hemorrhoids, external hemorrhoids form below the dentate line at the anal opening. This area has pain-sensitive nerves, making external hemorrhoids particularly uncomfortable. As the cushions protrude, they push down on the surrounding blood vessels and tissue, forming noticeable lumps at the anal opening.</p>
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<h2><span style="color: #00826a;">What Causes Hemorrhoids?</span></h2>
<p>Several factors can contribute to the development of hemorrhoids:</p>
<ul>
<li><span style="font-size: 1rem;">Chronic Constipation: Straining during difficult bowel movements puts pressure on the anal cushions.</span></li>
<li><span style="font-size: 1rem;">Frequent Diarrhea: Regularly passing loose stools can irritate the anal area.</span></li>
<li><span style="font-size: 1rem;">Straining During Bowel Movements: Trying hard to expel stool can increase pressure on the anal cushions.</span></li>
<li><span style="font-size: 1rem;">Prolonged Sitting on the Toilet: Engaging in activities like reading while on the toilet can lead to extended pressure.</span></li>
<li><span style="font-size: 1rem;">Overuse of Laxatives or Enemas: Relying on these can disrupt normal bowel function.</span></li>
<li><span style="font-size: 1rem;">Pregnancy: The growing uterus can put pressure on the rectal area, making bowel movements difficult.</span></li>
<li><span style="font-size: 1rem;">Liver Cirrhosis: This condition can cause blood to back up in the rectal veins, leading to swelling.</span></li>
<li><span style="font-size: 1rem;">Aging: As muscles weaken with age, cushions may begin to sag and protrude from the anus.</span></li>
<li><span style="font-size: 1rem;">Genetic Predisposition: Individuals with a family history of hemorrhoids are at a higher risk of developing the condition.</span></li>
</ul>
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<h2><span style="color: #00826a;">Prolonged Sitting and Hemorrhoids: What You Need to Know</span></h2>
<p><strong>A Single Long Visit to the Bathroom Can Feel Like Ten</strong><br />
The development of hemorrhoids is often linked to our daily habits. Many people may not realize that sitting on the toilet for extended periods—whether reading or scrolling on their phones—can lead to significant issues. For some, this can mean straining multiple times during a single bathroom visit, effectively equal to going to the restroom ten times! Additionally, bodily conditions, such as pregnancy (which can complicate bowel movements) and liver diseases (which can lead to swollen veins), also play a role.</p>
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<h2><span style="color: #00826a;"><strong>Risky Eating Habits: Are You at Risk for Hemorrhoids?</strong></span></h2>
<p>Certain dietary choices can increase your likelihood of developing hemorrhoids:</p>
<ul>
<li><span style="font-size: 1rem;">Insufficient Water Intake: Our bodies are about 70% water. Not drinking enough can lead to constipation as the intestines absorb water back into the body, resulting in waste buildup. This can lead to complications like hemorrhoids.</span></li>
<li><span style="font-size: 1rem;">High Meat Consumption: Meat lacks the fiber found in fruits and vegetables, slowing down digestion. This can result in fermentation and bacteria buildup, contributing to constipation.</span></li>
<li><span style="font-size: 1rem;">Excessive Caffeine: If your coffee or tea consumption leads to less frequent bowel movements, consider cutting back. Caffeine and tannins can cause constipation in some individuals.</span></li>
<li><span style="font-size: 1rem;">Spicy and Sour Foods: These can irritate the stomach and intestines, leading to digestive problems that may result in hemorrhoids.</span></li>
</ul>
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<h2><span style="color: #00826a;">When to See a Doctor: Warning Signs of Hemorrhoids</span></h2>
<p>If you experience any of the following symptoms, it’s crucial to consult a healthcare professional:</p>
<ul>
<li><span style="font-size: 1rem;">Blood in your stool or after a bowel movement</span></li>
<li><span style="font-size: 1rem;">A lump or swelling near the anus during bowel movements</span></li>
<li><span style="font-size: 1rem;">Moisture or itching around the anal area</span></li>
<li><span style="font-size: 1rem;">Inflammation and pain around the anus</span></li>
<li><span style="font-size: 1rem;">A noticeable lump when palpating the anal area</span></li>
</ul>
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<h2><span style="color: #00826a;">Understanding Blood in Stool: A Key Symptom</span></h2>
<p>One of the most alarming signs that might indicate hemorrhoids is blood in the stool. This can manifest as blood droplets after a bowel movement or blood mixed in with the stool, resulting in a distinct red color. However, it&#8217;s important to note that blood in the stool can signal various conditions, not just hemorrhoids. Therefore, seeking prompt medical attention is essential for accurate diagnosis and effective treatment.</p>
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<h2><span style="color: #00826a;">How Blood Appears in Hemorrhoid Cases</span></h2>
<p>Blood during bowel movements is a primary symptom of hemorrhoids, typically caused by the strain associated with constipation or diarrhea. This straining leads to swollen veins in the anal area, creating hemorrhoids. If inflamed hemorrhoids protrude outside the body, they can cause significant discomfort during daily activities. After a bowel movement, patients may notice blood droplets or stains on toilet paper. Symptoms can vary: some may experience no pain, while others endure discomfort and itching around the anus, making bowel movements difficult.</p>
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<h2><span style="color: #00826a;">What to Do When You Experience Blood in Your Stool</span></h2>
<p>If you notice blood in your stool, it’s important to provide detailed information to your healthcare provider. Don’t feel embarrassed about a rectal exam—it’s a critical part of diagnosing your condition.</p>
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<h2><span style="color: #00826a;">Don’t Delay Seeking Help</span></h2>
<p>If you have rectal bleeding or abnormal bowel movements, see a doctor as soon as possible. This is especially important if you experience bleeding on the same day. Early consultation can lead to better outcomes for those with abnormalities.</p>
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<h2><span style="color: #00826a;">What Can You Expect from Your Healthcare Team?</span></h2>
<p>Your doctor and nursing staff will:</p>
<ul>
<li><span style="font-size: 1rem;">Take a Detailed History: They will ask about your symptoms and medical history.</span></li>
<li><span style="font-size: 1rem;">Conduct a Thorough Physical Exam: This includes a rectal examination to identify the source of bleeding and determine whether hemorrhoids are involved.</span></li>
<li><span style="font-size: 1rem;">C heck for Blood in Your Stool: This can help pinpoint the cause of your symptoms.</span></li>
<li><span style="font-size: 1rem;">Order Blood Tests: Additional tests may be necessary based on your condition.</span></li>
<li><span style="font-size: 1rem;">Discuss Further Testing: If the cause of bleeding is unclear, your doctor may recommend a colonoscopy or imaging tests to examine your intestines.</span></li>
</ul>
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<h2><span style="color: #00826a;">Assessing Hemorrhoids with a Proctoscope</span></h2>
<p>Hemorrhoids come in different stages, and understanding the severity is crucial for treatment. A proctoscope is a device used to examine the rectal area closely. By determining the severity, your doctor can develop an appropriate treatment plan.</p>
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<h2><span style="color: #00826a;">The Importance of Getting Checked</span></h2>
<p>Getting a thorough evaluation is beneficial not just for assessing hemorrhoids but also for ruling out other serious conditions, such as colon cancer, which may also cause bleeding.</p>
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<h2><span style="color: #00826a;">Understanding Your Hemorrhoids: What Stage Are You In?</span></h2>
<p>Hemorrhoids can be classified into two types:<br />
Internal Hemorrhoids: Located above the dentate line, these are covered by rectal mucosa and typically don’t cause pain. They can be further categorized into four stages:<br />
Stage 1: Bleeding occurs after bowel movements, but hemorrhoids remain internal.<br />
Stage 2: Hemorrhoids protrude during bowel movements but retract on their own.<br />
Stage 3: Hemorrhoids protrude and require manual retraction.<br />
Stage 4: Hemorrhoids are permanently protruding and cannot be retracted.</p>
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<h2><span style="color: #00826a;">How Long Does It Take for Hemorrhoids to Develop?</span></h2>
<p>The progression of hemorrhoids can vary widely among individuals. For example, a person with stage 2 hemorrhoids may experience a sudden increase in severity to stage 3 due to straining.</p>
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<h2><span style="color: #00826a;">Treatment Options Based on Severity</span></h2>
<p>Stages 1-2 (Mild Symptoms): Surgery is often unnecessary. Treatment may involve dietary changes to increase fiber intake, drinking plenty of water, and avoiding prolonged sitting while using the toilet. Mild laxatives or injection therapies may also be recommended to reduce hemorrhoid size.<br />
Stages 3-4 (Severe Symptoms): Surgical intervention is required. Various techniques are available, including rubber band ligation, stapling, or traditional surgical methods.</p>
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<h2><span style="color: #00826a;">Surgical Options for Hemorrhoids</span></h2>
<p>There are several surgical methods to treat hemorrhoids:<br />
&#8211; Traditional Surgery: Involves incisions with electric cautery, suitable for larger or inflamed external hemorrhoids.<br />
&#8211; Stapling Technique: Often used for internal hemorrhoids, especially when multiple hemorrhoids are present.<br />
&#8211; Ultrasound-Guided Techniques: Identify blood vessels feeding the hemorrhoids, allowing for targeted treatment.<br />
&#8211; Laser Surgery: A newer option, though it may take longer and results can take up to two years to manifest.</p>
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<h2><span style="color: #00826a;">The Benefits of Automated Surgical Techniques</span></h2>
<p>The use of automated suturing devices during surgery can significantly reduce postoperative pain. This technique operates above the pain-sensitive anal area, leading to a more comfortable recovery.</p>
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<h2><span style="color: #00826a;">What to Expect Post-Surgery</span></h2>
<ul>
<li>Recovery Time: Patients can often go home the same day, but staying overnight for observation may be beneficial.</li>
<li>Risk of Recurrence: While rare, hemorrhoids can return after surgery. Adjusting lifestyle habits is essential to minimize this risk.</li>
</ul>
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<h2><span style="color: #00826a;">Monitoring Your Bowel Movements</span></h2>
<p>After surgery, pay attention to your bowel habits:</p>
<ul>
<li>Constipation: If you haven’t had a bowel movement in over two days, consider a mild laxative.</li>
<li>Frequent Bowel Movements: If you find yourself needing to go too often post-surgery, consult your doctor.</li>
</ul>
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<h2><span style="color: #00826a;">When to Seek Medical Attention After Surgery</span></h2>
<p>If you experience any of the following, contact your healthcare provider immediately:</p>
<p>Large amounts of blood clots without substantial stool output.<br />
Severe pain, fever, or increased drainage from the surgical site.<br />
High fever of unknown origin and lethargy.</p>


One essential component of good health is regular waste elimination from the body every day, ideally between 5:00 AM and 7:00 AM, which is when the large intestine works to expel waste. However, some individuals face irregular bowel movements, experiencing constipation or diarrhea, often straining during this process. They may overlook the fact that these seemingly minor issues can accumulate and lead to the onset of "hemorrhoids," a serious condition that should not be ignored.

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Hemorrhoids: A Condition Often Caused by Lifestyle Choices

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