If you have any of the following symptoms you are probably suffering from Hemorrhoids- Piles.
1. Bleeding from the anus :
- after defecation (passing stool)
- during defecation
- during and after defecation
usually without pain but in some conditions with pain.
4. Protrusion of a mass from the anal canal (can be felt digitally).
To prevent hemorrhoids or Hemorrhoidal flare-ups:
Eat high-fiber foods.
Fiber (roughage) is the part of plant food that is not digested. It stays in your gut and is passed in the stools (faeces). Fiber adds bulk to the stools. This helps your bowels to work well, and helps to prevent some bowel and anal conditions.
Why is fibre important?
Stools (sometimes called faeces or motions) are usually soft and easy to pass if you eat enough fibre, and drink enough fluid. A diet with plenty of fibre will help to:
- Prevent constipation.
- Prevent diverticulosis (a common bowel condition).
- Prevent hemorrhoids (piles) and anal fissure (a painful condition of the anus).
- Reduce weight. Fiber is filling but not fattening as it has no calories and is not digested.
- Possibly reduce the risk of developing bowel cancer.
30 grams of fiber per day is recommended. However, the average person in the UK eats only about 20 grams of fiber each day.
High fiber foods include the following
- Whole meal or whole-wheat bread and biscuits.
- Whole meal flour used for baking and cooking.
- Fruit, vegetables, and nuts.
- Whole-grain breakfast cereals such as All Bran, Bran Flakes, Weetabix, Shredded Wheat, muesli, etc.
- Brown rice, and whole meal spaghetti and other whole meal pasta
A simple thing like changing your regular breakfast cereal can make a big difference.
You may need to take extra fibre supplements if you have constipation or other bowel problems. Several are available. You can buy them at pharmacies or health food shops.
- Unprocessed bran is the most common (and cheapest) fibre supplement. If you take bran, it is best to build up the amount gradually. Start with 2 teaspoons a day, and double the amount every 5 days until you reach about about 1-3 tablespoons per day. You can sprinkle bran on breakfast cereals, or mix it with fruit juices, milk, stews, soups, crumbles, pastries, scones, etc
- Some people find bran unpalatable, and you may want to try other fibre supplements such as ispaghula husk or methylcellulose. Ispaghula husk is also gluten-free.
- Have lots to drink when you eat a high fibre diet or fibre supplements. Drink at least 2 litres (about 8-10 cups) per day. You may find that if you eat more fibre, you may have some bloating and wind at first. This is often temporary. As your bowel becomes used to extra fibre, the bloating or wind tends to settle over a few weeks.
- Eat more fruits, vegetables and grains. Doing so softens the stool and increases its bulk, which will help lessen the straining that can cause hemorrhoids.
Drink plenty of liquids.
How much water and other fluids should you drink daily ? The National Research Council (NRC) uses a sliding scale of 1 milliliter (ml) of water for every calorie burned. This scale is not for women who are pregnant or breast-feeding, infants, children and older adults who are unhealthy. The NRC says the average man — who burns about 2,900 calories daily — needs 2,900 ml, or about 12 cups, of water each day. The average woman — who burns 2,200 calories daily — needs about 2,200 ml, or about 9 cups, of water each day. For your own calculations: One measuring cup (8 fluid ounces) of water equals 236 ml. But these cups don’t have to be filled with water. Solid food contains water. In an average diet, food provides about 3 to 4 cups of water each day. Men, because they generally are bigger and have more lean muscle tissue, on average need more water each day than women do.
Try fiber supplements
Over-the-counter products such as Metamucil and Citrucel can help keep stools soft and regular. Check with your doctor about using stool softeners. If you use fiber supplements, be sure to drink at least 8 to 10 glasses of water or other fluids every day. Otherwise, fiber supplements can cause constipation or make constipation worse. Add fiber to your diet slowly to avoid problems with gas
- Stay active to reduce pressure on veins, which can occur with long periods of standing or sitting, and to help prevent constipation. Exercise can also help you lose excess weight.
- Avoid long periods of standing or sitting. If you must sit for long periods, don’t use an inflatable doughnut cushion to pad your chair. It can increase the pressure on the veins in the anus.
- Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
- Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, your stool could become dry and be harder to pass.
Self – Care
You can temporarily relieve the mild pain, swelling and inflammation of most Hemorrhoidal flare-ups with the following self-care measures :
- Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a topical numbing agent.
- Keep the anal area clean. Bathe (preferably) or shower daily to cleanse the skin around your anus gently with warm water. Soap isn’t necessary and may aggravate the problem. Gently drying the area with a hair dryer after bathing can minimize moisture, which can cause irritation.
- Soak in a warm bath several times daily
- Apply ice packs or cold compresses on the anus for 10 minutes up to four times a day.
- If a hemorrhoid has prolapsed, gently push the hemorrhoid back into the anal canal.
- Use a sitz bath with warm water. A sitz bath fits over the toilet. You can get one at a medical supply store or some pharmacies.
- Use moist towelettes or wet toilet paper after a bowel movement instead of dry toilet paper
- These self-care measures may relieve the symptoms, but they won’t make the hemorrhoid disappear. See your doctor if you don’t get relief in a few days.