How To Get Rid Of Hemorrhoids

About this video

• Video Title: How To Get Rid Of Hemorrhoids
• Channel: Talking With Docs
• Speakers: Dr. Paul Zazel, Dr. Brad Weining, Dr. John Chewac
• Duration: 00:18:58

Overview

This video features a discussion with Dr. John Chewac, a general and cardiovascular surgeon, about hemorrhoids. The speakers explain what hemorrhoids are, their causes, how they are diagnosed, and various treatment options ranging from lifestyle changes and supplements to surgical interventions. The video aims to educate viewers on hemorrhoidal disease and encourage them to seek medical advice without embarrassment.

Key takeaways

• Definition and Function of Hemorrhoids: Hemorrhoids are vascular cushions in the anal canal that play a role in maintaining continence and hygiene by helping to keep the anus closed. They have both vascular and mechanical functions.
• Internal vs. External Hemorrhoids: The key difference lies in their location relative to the dentate line. Internal hemorrhoids are above this line and have visceral innervation (less pain sensitivity), while external hemorrhoids are below the line and are covered by anoderm, making them more sensitive to pain, pressure, and temperature.
• Symptoms and Diagnosis: Symptoms can include feeling a lump, bleeding (typically bright red blood), and pain. Diagnosis involves a medical history, physical examination (including a digital rectal exam), and potentially anoscopy to assess the stage of internal hemorrhoids, which range from stage 1 (no bulge) to stage 4 (irreducible prolapse).
• Treatment Options: Initial management focuses on conservative measures like a high-fiber diet, adequate fluid intake, exercise, and topical treatments. Supplements like micronized purified flavonoid fractions and horse chestnut are discussed for vein health. For more severe cases, procedures like banding (for internal hemorrhoids above the dentate line) or surgical interventions such as thrombectomy or hemorrhoidectomy may be necessary.
• Prevention and Lifestyle: Key preventative measures include maintaining a high-fiber diet, staying hydrated, avoiding prolonged sitting on the toilet, using aids like the Squatty Potty to improve bowel evacuation posture, gentle wiping techniques (wet wipes or bidets), and sitz baths. Reducing rectal pressure is a primary goal.
• Importance of Medical Consultation: Viewers are strongly encouraged not to be embarrassed about seeking medical help for hemorrhoids, as they are common and often treatable. However, persistent bleeding should always be investigated to rule out more serious conditions like cancer.