Advice by Proxim - Ralph Mokbel


First of all, haemorrhoids are a group of veins located in the anus, directly under the mucosa that covers the lower portion of the rectum and anus. They act just like a rubber washer would in a water tap to allow the evacuation of stools. Haemorrhoids can swell and become painful after an important local pressure or effort. Many conditions promote this reaction:

a) constipation and the effort that ensues to defecate
b) diarrhea
c) sitting or standing for long periods of time
d) obesity
e) lifting heavy weights
f) pregnancy and giving birth

Haemorrhoids symptoms vary according to the fact that they are either internal or external. When they are internal, the internal mucosa, being deprived of sensitive nervous fibres, you are unable to see or feel them, but they may still bleed. You can then notice them because of the blood traces they leave on the toilet paper or in the toilet. You may also experience a sensation of heaviness in your rectum after passing a stool. However, when they are external, they are painful. Being irritated, they cause tingling, itching and may bleed as well.

Fortunately, there are many ways to prevent this anoying problem. In most cases, a simple change in your lifestyle is enough to prevent them:

a) eat fibre-rich foods
b) drink plenty of liquids
c) avoid constipating foods
d) try fibre supplements (ex:Metamucil)
e) exercise
f) avoid sitting or standing for long periods of time
g) avoid sitting on the toilet for too long
h) avoid pushing too hard when defecating
g) defecate as soon as you feel the need.

Always keep in mind, whenever you have any questions, your local pharmacist is there to help...


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