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	<title>Comments for Bleeding Hemorrhoids</title>
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		<title>Comment on What Are Hemorrhoids?  How Do We Prevent And Treat Them? by heartbroken</title>
		<link>http://www.niagarajuniorc.com/bleeding-piles/what-are-hemorrhoids-how-do-we-prevent-and-treat-them/comment-page-1#comment-26</link>
		<dc:creator>heartbroken</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:37:59 +0000</pubDate>
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		<description>The best way to prevent hemorrhoids is to keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs. Exercise, including walking, and increased fiber in the diet help reduce constipation and straining by producing stools that are softer and easier to pass. 

...tub baths several times a day in plain, warm water for about 10 minutes
...application of a hemorroidal cream or suppository to the affected area for a limited time


Preventing the recurrence of hemorrhoids will require relieving the pressure and straining of constipation. Doctors will often recommend increasing fiber and fluids in the diet. Eating the right amount of fiber and drinking six to eight glasses of fluid (not alcohol) result in softer, bulkier stools. A softer stool makes emptying the bowels easier and lessens the pressure on hemorrhoids caused by straining. Eliminating straining also helps prevent the hemorrhoids from protruding.

Good sources of fiber are fruits, vegetables, and whole grains. In addition, doctors may suggest a bulk stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;http://digestive.niddk.nih.gov/ddiseases/pubs/hemorrhoids/#treatment</description>
		<content:encoded><![CDATA[<p>The best way to prevent hemorrhoids is to keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs. Exercise, including walking, and increased fiber in the diet help reduce constipation and straining by producing stools that are softer and easier to pass. </p>
<p>&#8230;tub baths several times a day in plain, warm water for about 10 minutes<br />
&#8230;application of a hemorroidal cream or suppository to the affected area for a limited time</p>
<p>Preventing the recurrence of hemorrhoids will require relieving the pressure and straining of constipation. Doctors will often recommend increasing fiber and fluids in the diet. Eating the right amount of fiber and drinking six to eight glasses of fluid (not alcohol) result in softer, bulkier stools. A softer stool makes emptying the bowels easier and lessens the pressure on hemorrhoids caused by straining. Eliminating straining also helps prevent the hemorrhoids from protruding.</p>
<p>Good sources of fiber are fruits, vegetables, and whole grains. In addition, doctors may suggest a bulk stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).<br /><b>References : </b><br /><a href="http://digestive.niddk.nih.gov/ddiseases/pubs/hemorrhoids/#treatment" rel="nofollow">http://digestive.niddk.nih.gov/ddiseases/pubs/hemorrhoids/#treatment</a></p>
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		<title>Comment on Piles – Home Remedies for Piles by rajan n</title>
		<link>http://www.niagarajuniorc.com/bleeding-piles/piles-%e2%80%93-home-remedies-for-piles/comment-page-1#comment-11</link>
		<dc:creator>rajan n</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:37:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-piles/piles-%e2%80%93-home-remedies-for-piles#comment-11</guid>
		<description>eat triphala powder&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>eat triphala powder<br /><b>References : </b></p>
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		<title>Comment on What Are Hemorrhoids?  How Do We Prevent And Treat Them? by a2222nath</title>
		<link>http://www.niagarajuniorc.com/bleeding-piles/what-are-hemorrhoids-how-do-we-prevent-and-treat-them/comment-page-1#comment-25</link>
		<dc:creator>a2222nath</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:35:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-piles/what-are-hemorrhoids-how-do-we-prevent-and-treat-them#comment-25</guid>
		<description>The best treatment of haemorrhoids is prevention.

The diet should be modified to increase fibre and bulk. This may be achieved using pharmacological bulking agents.

This approach may also prevent deterioration in patients who already have piles.

The time spent defecating should be minimised.
Bulk-forming laxative agents include:


bran 
ispaghula husk 
methylcellulose 
sterculia granules 
Bulk-forming laxatives:



have been shown to decrease abdominal pain and improve stool consistency 
bulk-forming laxatives they are only required if dietary fibre cannot be increased sufficiently - an effective bulk-forming preparation is unprocessed wheat bran (taken with food or fruit juice) 
not appropriate for acute relief, as they may take several days to work, but they are a good option for long-term control 
bulk-formng agents increase stool bulk. The increased stool bulk then stimulates peristalsis. Clearly to prevent obstruction, fluid intake must be maintained 
it is essential to drink adequate amounts of fluid when using bulk-forming laxatives to avoid intestinal obstruction. 
flatulence and abdominal distension are the most common side effects. 
Bulk forming laxatives are contraindicated in patients with existing bowel obstruction or faecal impaction.
Laxatives are agents which promote bowel evacuation.

They may be overused and abused. In excess, they may cause diarrhoea, dehydration, hypokalaemia, atonic bowel and weight loss.
Most authors agree that low-fiber diets cause small-caliber stools, which result in straining with defecation. This increased pressure causes engorgement of the hemorrhoids, possibly by interfering with venous return. Pregnancy and abnormally high tension of the internal sphincter muscle can also cause hemorrhoidal problems, presumably by means of the same mechanism. Decreased venous return is thought of as the mechanism of action. Prolonged sitting on a toilet (eg, while reading) is believed to cause a relative venous return problem in the perianal area (a tourniquet effect), resulting in enlarged hemorrhoids. Aging causes weakening of the support structures, which facilitates prolapse. Weakening of support structures can occur as early as the third decade of life. 

Straining and constipation have long been thought of as culprits in the formation of hemorrhoids. This may or may not be true. Patients who report hemorrhoids have a canal-resting tone that is higher than normal. Of interest, the resting tone is lower after hemorrhoidectomy than before. This change in the resting tone is the mechanism of action of Lord dilatation, which is most commonly performed in the United Kingdom. 

Pregnancy clearly predisposes women to symptoms from hemorrhoids, although the etiology is unknown. Notably, most patients revert to their previously asymptomatic state after delivery. The relationship between pregnancy and hemorrhoids lends credence to hormonal changes or direct pressure as the culprit. 

Portal hypertension has often been mentioned in conjunction with hemorrhoids. Hemorrhoidal symptoms do not occur more frequently in patients with portal hypertension than in those without. Massive bleeding from hemorrhoids in these patients is unusual. Bleeding is very often complicated by coagulopathy. If bleeding is found, direct suture ligation of the offending column is suggested. 

Anorectal varices are common in patients with portal hypertension. Varices occur in the mid rectum, at connections between the portal system and the middle and inferior rectal veins. Varices occur more frequently in patients who are noncirrhotic, and they rarely bleed. Treatment is usually directed at the underlying portal hypertension. Emergent control of bleeding can be obtained with suture ligation. Portosystemic shunts and, more recently, transjugular intrahepatic portosystemic shunts (TIPS) have been used to control hypertension and, thus, the bleeding.

Attention to regular and soft bowel movements is important. Bulk agents (eg, psyllium seed) and oral fluids are important. Bathing in tubs for comfort and hygiene is part of the routine. Judicious narcotic administration relieves pain&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>The best treatment of haemorrhoids is prevention.</p>
<p>The diet should be modified to increase fibre and bulk. This may be achieved using pharmacological bulking agents.</p>
<p>This approach may also prevent deterioration in patients who already have piles.</p>
<p>The time spent defecating should be minimised.<br />
Bulk-forming laxative agents include:</p>
<p>bran<br />
ispaghula husk<br />
methylcellulose<br />
sterculia granules<br />
Bulk-forming laxatives:</p>
<p>have been shown to decrease abdominal pain and improve stool consistency<br />
bulk-forming laxatives they are only required if dietary fibre cannot be increased sufficiently &#8211; an effective bulk-forming preparation is unprocessed wheat bran (taken with food or fruit juice)<br />
not appropriate for acute relief, as they may take several days to work, but they are a good option for long-term control<br />
bulk-formng agents increase stool bulk. The increased stool bulk then stimulates peristalsis. Clearly to prevent obstruction, fluid intake must be maintained<br />
it is essential to drink adequate amounts of fluid when using bulk-forming laxatives to avoid intestinal obstruction.<br />
flatulence and abdominal distension are the most common side effects.<br />
Bulk forming laxatives are contraindicated in patients with existing bowel obstruction or faecal impaction.<br />
Laxatives are agents which promote bowel evacuation.</p>
<p>They may be overused and abused. In excess, they may cause diarrhoea, dehydration, hypokalaemia, atonic bowel and weight loss.<br />
Most authors agree that low-fiber diets cause small-caliber stools, which result in straining with defecation. This increased pressure causes engorgement of the hemorrhoids, possibly by interfering with venous return. Pregnancy and abnormally high tension of the internal sphincter muscle can also cause hemorrhoidal problems, presumably by means of the same mechanism. Decreased venous return is thought of as the mechanism of action. Prolonged sitting on a toilet (eg, while reading) is believed to cause a relative venous return problem in the perianal area (a tourniquet effect), resulting in enlarged hemorrhoids. Aging causes weakening of the support structures, which facilitates prolapse. Weakening of support structures can occur as early as the third decade of life. </p>
<p>Straining and constipation have long been thought of as culprits in the formation of hemorrhoids. This may or may not be true. Patients who report hemorrhoids have a canal-resting tone that is higher than normal. Of interest, the resting tone is lower after hemorrhoidectomy than before. This change in the resting tone is the mechanism of action of Lord dilatation, which is most commonly performed in the United Kingdom. </p>
<p>Pregnancy clearly predisposes women to symptoms from hemorrhoids, although the etiology is unknown. Notably, most patients revert to their previously asymptomatic state after delivery. The relationship between pregnancy and hemorrhoids lends credence to hormonal changes or direct pressure as the culprit. </p>
<p>Portal hypertension has often been mentioned in conjunction with hemorrhoids. Hemorrhoidal symptoms do not occur more frequently in patients with portal hypertension than in those without. Massive bleeding from hemorrhoids in these patients is unusual. Bleeding is very often complicated by coagulopathy. If bleeding is found, direct suture ligation of the offending column is suggested. </p>
<p>Anorectal varices are common in patients with portal hypertension. Varices occur in the mid rectum, at connections between the portal system and the middle and inferior rectal veins. Varices occur more frequently in patients who are noncirrhotic, and they rarely bleed. Treatment is usually directed at the underlying portal hypertension. Emergent control of bleeding can be obtained with suture ligation. Portosystemic shunts and, more recently, transjugular intrahepatic portosystemic shunts (TIPS) have been used to control hypertension and, thus, the bleeding.</p>
<p>Attention to regular and soft bowel movements is important. Bulk agents (eg, psyllium seed) and oral fluids are important. Bathing in tubs for comfort and hygiene is part of the routine. Judicious narcotic administration relieves pain<br /><b>References : </b></p>
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		<title>Comment on Piles – Home Remedies for Piles by swagat_j</title>
		<link>http://www.niagarajuniorc.com/bleeding-piles/piles-%e2%80%93-home-remedies-for-piles/comment-page-1#comment-10</link>
		<dc:creator>swagat_j</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:35:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-piles/piles-%e2%80%93-home-remedies-for-piles#comment-10</guid>
		<description>first eat food time to time no chages in time if eat 1 pm in morning then every day same 1 pm in night 9  then 9 
second thing drink , tobbaco and chillies is best friend of piles so if take this thing leave it and take every day tomato,bit,carrot 1 glass mixed juice drink water 3 to 5 liters in a day take more water if its possible and take every night sonamukhi paan 4 to 6  its get u in any hearble shop and durwa that ganpati pooja we need durwa graas that graas juice also best  do this thing realy u blees me and another way is surrgery&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>first eat food time to time no chages in time if eat 1 pm in morning then every day same 1 pm in night 9  then 9<br />
second thing drink , tobbaco and chillies is best friend of piles so if take this thing leave it and take every day tomato,bit,carrot 1 glass mixed juice drink water 3 to 5 liters in a day take more water if its possible and take every night sonamukhi paan 4 to 6  its get u in any hearble shop and durwa that ganpati pooja we need durwa graas that graas juice also best  do this thing realy u blees me and another way is surrgery<br /><b>References : </b></p>
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		<title>Comment on Diarrhea As Cause of Hemorrhoids by menysch</title>
		<link>http://www.niagarajuniorc.com/bleeding-hemorrhoids/diarrhea-as-cause-of-hemorrhoids/comment-page-1#comment-43</link>
		<dc:creator>menysch</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:33:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-hemorrhoids/diarrhea-as-cause-of-hemorrhoids#comment-43</guid>
		<description>A one time diarrhea is not causing hemorrhoids however, if your hemorrhoids were in development diarrhea could have irritate and made them flare-up faster.

Get Rue Care Oil - it not only shrink the hemorrhoids and  strengthen the veins. but has also calming, beneficial effect on skin. Diarrhea likes to leave irritated skin and ingredients in Rue Care Oil are calming it.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;www.ruecareoil.com
www.natural-health-cure.com</description>
		<content:encoded><![CDATA[<p>A one time diarrhea is not causing hemorrhoids however, if your hemorrhoids were in development diarrhea could have irritate and made them flare-up faster.</p>
<p>Get Rue Care Oil &#8211; it not only shrink the hemorrhoids and  strengthen the veins. but has also calming, beneficial effect on skin. Diarrhea likes to leave irritated skin and ingredients in Rue Care Oil are calming it.<br /><b>References : </b><br /><a href="http://www.ruecareoil.com" rel="nofollow">http://www.ruecareoil.com</a><br />
<a href="http://www.natural-health-cure.com" rel="nofollow">http://www.natural-health-cure.com</a></p>
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		<title>Comment on What Are Hemorrhoids?  How Do We Prevent And Treat Them? by fiorisyl</title>
		<link>http://www.niagarajuniorc.com/bleeding-piles/what-are-hemorrhoids-how-do-we-prevent-and-treat-them/comment-page-1#comment-24</link>
		<dc:creator>fiorisyl</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:33:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-piles/what-are-hemorrhoids-how-do-we-prevent-and-treat-them#comment-24</guid>
		<description>To prevent hemorrhoids, prevent constipation. Eat whole grains,fruits vegetables and drink lots of water. Walking is good too. I treat hemorrhoids with a medication called Anusol and aloe vera is also soothing. Some people use witch hazel and there are towelettes called Tucks which are also soothing.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>To prevent hemorrhoids, prevent constipation. Eat whole grains,fruits vegetables and drink lots of water. Walking is good too. I treat hemorrhoids with a medication called Anusol and aloe vera is also soothing. Some people use witch hazel and there are towelettes called Tucks which are also soothing.<br /><b>References : </b></p>
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		<title>Comment on Piles – Home Remedies for Piles by I XLR-8</title>
		<link>http://www.niagarajuniorc.com/bleeding-piles/piles-%e2%80%93-home-remedies-for-piles/comment-page-1#comment-9</link>
		<dc:creator>I XLR-8</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:33:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-piles/piles-%e2%80%93-home-remedies-for-piles#comment-9</guid>
		<description>none&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>none<br /><b>References : </b></p>
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		<title>Comment on Diarrhea As Cause of Hemorrhoids by ?mybabyboy?</title>
		<link>http://www.niagarajuniorc.com/bleeding-hemorrhoids/diarrhea-as-cause-of-hemorrhoids/comment-page-1#comment-42</link>
		<dc:creator>?mybabyboy?</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:31:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-hemorrhoids/diarrhea-as-cause-of-hemorrhoids#comment-42</guid>
		<description>The acid from diarrhea can irritate them. Anything out of the ordinary down there can. Sorry. Use Tucks Pads and hemorrhoid cream it&#039;s well worth it. Buy generic it&#039;s the same.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>The acid from diarrhea can irritate them. Anything out of the ordinary down there can. Sorry. Use Tucks Pads and hemorrhoid cream it&#8217;s well worth it. Buy generic it&#8217;s the same.<br /><b>References : </b></p>
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		<title>Comment on Symptoms Of Hemorrhoids by Bobi</title>
		<link>http://www.niagarajuniorc.com/bleeding-hemorrhoids/symptoms-of-hemorrhoids/comment-page-1#comment-32</link>
		<dc:creator>Bobi</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:31:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-hemorrhoids/symptoms-of-hemorrhoids#comment-32</guid>
		<description>- Rectal itching

- Soft lump that can be felt at the opening of the anus

- Irregular/incomplete bowel movements

- Small amount of blood seen in the stool or on the tissue paper after wiping the rectal area&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;http://great-home-remedies.info/hemorrhoids-home-remedies/</description>
		<content:encoded><![CDATA[<p>- Rectal itching</p>
<p>- Soft lump that can be felt at the opening of the anus</p>
<p>- Irregular/incomplete bowel movements</p>
<p>- Small amount of blood seen in the stool or on the tissue paper after wiping the rectal area<br /><b>References : </b><br /><a href="http://great-home-remedies.info/hemorrhoids-home-remedies/" rel="nofollow">http://great-home-remedies.info/hemorrhoids-home-remedies/</a></p>
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		<title>Comment on What Are Hemorrhoids?  How Do We Prevent And Treat Them? by diva eva</title>
		<link>http://www.niagarajuniorc.com/bleeding-piles/what-are-hemorrhoids-how-do-we-prevent-and-treat-them/comment-page-1#comment-23</link>
		<dc:creator>diva eva</dc:creator>
		<pubDate>Thu, 07 Jan 2010 23:31:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.niagarajuniorc.com/bleeding-piles/what-are-hemorrhoids-how-do-we-prevent-and-treat-them#comment-23</guid>
		<description>eat fruit on a regular basis&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>eat fruit on a regular basis<br /><b>References : </b></p>
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