Hemorrhoids (Piles), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Just 1 week ago my sister in law consulted a doctor about a protrusion in the anus and bleeding in the feces when she passed motion for a few months,
She was told that she had a rectal prolapse and surgery to remove the rectal prolapse.
She decided to consult me about her medical problem.
I examined her and found that there is a small protrusion from the anus which looked more like a prolapsed hemorrhoid rather than a rectal prolapse.
There were 3 small protrusions from the anus rather than a whole mucosal lining of the rectum that show concentric rings of mucosa protruding through the anus.
There was some blood on the protrusions that are typical of bleeding swollen blood vessels that are typically hemorrhoids or piles.
Hemorrhoids are swollen blood vessels that are present usually at the three o’clock, seven o’clock and eleven o’clock of the anal openings.
I reassured her because hemorrhoids are easier to treat than rectal prolapse.
I applied local anesthesia and pushed back her protrusion.
After this I inserted a suppository that will help to shrink the hemorrhoids.
She was told to avoid straining at her bowel movements and avoid constipation.
In all cases of bowel movement the squatting position to pass motions is the best where passing feces is concerned.
Regular bowel habits in the morning or at fixed times of the day will also help.
Avoid sitting on hot seats or areas like spas.
Drink more water and do more walking especially after food to help the digestion.
Take more fruits, vegetables and fibers that will help to improve the bowel movement,
Most importantly if there is bleeding a colonoscopy examination is always helpful to exclude any tumors, polyps.
Any hemorrhoids or polyps found can be removed at the same time.
New methods of treatments using Doppler guided hemorrhoid artery ligation and hemorrhoid lift are least painful.
The Rafaelo procedure uses needle to emit radio-frequency energy to shrink piles
Hemorrhoids or piles are medical disorders that are distended veins inside the anus which are swollen and inflamed.
Hemorrhoids are either inside the anus (internal) or the skin around the anus (external).
Hemorrhoids are swollen blood vessels in the anus or lower portion of the rectum.
They have many arteries and veins.
Hemorrhoids may be inside or outside the body.
There are 2 types of hemorrhoids:
1. Internal hemorrhoids occur just inside the anus, at the beginning of the rectum.
When they are bigger they may fall outside (prolapse).
The most common problem with internal hemorrhoids is bleeding during bowel movements.
2. External hemorrhoids occur outside the anus.
They can result in difficulty cleaning the region after a bowel motion.
If there is a blood clot forming in an external hemorrhoid, it can be very painful (thrombosed external hemorrhoid).
Hemorrhoids are very common (75%).
They result from increased pressure on the anus.
This pressure may happen during pregnancy, childbirth, and due to constipation.
The pressure causes the normal anal pads to form swellings.
These blood vessel swellings can bleed, frequently during bowel movements.
Hemorrhoids may be caused by:
1. Straining to pass the stool out of anus
2. Constipation
3. Sitting for long periods of time, especially on the toilet
4. Pregnancy,
5. Aging,
6. Chronic constipation or diarrhea
The most frequent symptom of internal hemorrhoids is
1. Painless Bleeding from the anus.
Bright red blood may be observed covering the stool, on toilet paper, or dripping from the anus into the toilet bowl.
2. There may be pain too particularly if the stool is hard.
Diagnosis of hemorrhoids:
Anal exam
Colonoscopy
Treatment of hemorrhoids:
Suppository or cream
Tub baths
Removal of piles
TABLE OF CONTENT
Introduction
Chapter 1 Hem
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Hemorrhoids (Piles), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Hemorrhoids
(Piles),
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Hemorrhoids, Diagnosis, Treatment and Related Conditions or in vernacular terms
(What You need to treat Hemorrhoids)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://ken-med.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Hemorrhoids
Just 1 week ago my sister in law consulted a doctor about a protrusion in the anus and bleeding in the feces when she passed motion for a few months,
She was told that she had a rectal prolapse and surgery to remove the rectal prolapse.
She decided to consult me about her medical problem.
I examined her and found that there is a small protrusion from the anus which looked more like a prolapsed hemorrhoid rather than a rectal prolapse.
There were 3 small protrusions from the anus rather than a whole mucosal lining of the rectum that show concentric rings of mucosa protruding through the anus.
There was some blood on the protrusions that are typical of bleeding swollen blood vessels that are typically hemorrhoids or piles.
Hemorrhoids are swollen blood vessels that are present usually at the three o’clock, seven o’clock and eleven o’clock of the anal openings.
The protrusions in the anus of my sister-in-law appeared typically in these 3 areas.
The appearance of the protruded swelling was not typical of rectal prolapse,
I reassured her because hemorrhoids are easier to treat than rectal prolapse.
I applied local anesthesia and pushed back her protrusion.
After this I inserted a suppository that will help to shrink the hemorrhoids.
She was told to avoid straining at her bowel movements and avoid constipation.
In all cases of bowel movement the squatting position to pass motions is the best where passing feces is concerned.
1. Regular bowel habits in the morning or at fixed times of the day will also help.
2. Avoid sitting on hot seats or areas like spas.
3. Drink more water and do more walking especially after