Hemorrhoids treatment and prevention - Natural treatment for internal and external vein swelling
November 21 2015 by
Ray Sahelian, M.D.

Hemorrhoids are a very common problem caused by enlarged and swollen veins in the anus or rectum. They appear when blood vessels of the hemorrhoidal plexus, which is found in the lower rectum, become enlarged. The condition has become more widespread recently as people spend more time seated at work and generally follow a less active and healthy lifestyle. About 10 million Americans suffer from hemorrhoids.

Cause of hemorrhoids
They are often caused by straining during bowel movements, especially with constipation. Pregnancy, lack of exercise, immobility, age, certain medical conditions, and medications are among other causes of constipation and hemorrhoids.

Natural treatment for hemorrhoids
You can reduce your chances by eating more fiber, drinking plenty of water, and exercise. If you are constipated, try prunes or drink prune juice. Consider the following natural supplements. Psyllium is a great fiber that can soften stools and ease symptoms of hemorrhoids, and is sold as a supplement. Chia seeds and flax seeds are also helpful to soften stools. Another option is a natural supplement called Daflon which has a flavonoid called diosmin.

What do you recommend for internal and external hemorroids?
   Psyllium is a fiber that can be very helpful. You can also try flax seeds and chia seeds.

Tech Coloproctol. 2015. Flavonoids mixture (diosmin, troxerutin, hesperidin) in the treatment of acute hemorrhoidal disease: a prospective, randomized, triple-blind, controlled trial. Flavonoids mixture (diosmin, troxerutin, hesperidin) in the treatment of acute hemorrhoidal disease: a prospective, randomized, triple-blind, controlled trial.  The role of a mixture of phlebotonics in the treatment of acute hemorrhoid crisis is investigated to test their efficacy.METHODS:One hundred and thirty-four consecutive patients with an acute hemorrhoidal crisis recruited in five colorectal units entered the study. Sixty-six of them were randomized to receive a mixture of diosmin, troxerutin and hesperidin (group A), and 68 a placebo (group B). The main symptoms, the use of oral painkillers and the Bristol scale score were recorded at each scheduled visit and compared using both Student's t test for independent samples and the ANOVA models for repeated measures. The presence of edema, prolapse and thrombosis were also recorded and compared using the Chi-square test. Furthermore, the trend of proportions during the time of the evaluations was assessed by the Chi-square test for linear trend. Pain, bleeding and the proportion of patients who reported persistence of edema and thrombosis decreased significantly after 12 days of treatment in group A. After 6 days, the number of paracetamol tablets taken by patients in group A was significantly lower than the amount of flavonoid mixture. The use of a mixture of diosmin, troxerutin and hesperidin is a safe and effective mean of managing symptoms of acute hemorrhoidal disease. Furthermore, in patients receiving treatment, there was faster control and lower persistence of edema and thrombosis.

Pharmacogn Mag. 2013. Clinical Evaluation of Commiphora Mukul, a Botanical resin, in the Management of Hemorrhoids: A randomized controlled trial. Hemorrhoids complaint is one of the most common problems in most society, especially in Asian countries. Current drug treatment protocols cannot cure the disease, and they are palliative. According to Persian traditional medicine, Commiphora Mukul (CM) resin is a medication choice. This randomized study was undertaken to evaluate the efficacy and safety of crude CM resin compared to a combination of lactolose and anti-hemorrhoid (LandA) in patients with uncomplicated hemorrhoids grade 1 and 2. This trial was carried out on 99 patients with hemorrhoids, in Ghaem and Imam Reaza Hospitals of the Mashhad University of Medical Sciences, Iran. They randomly received CM 3 g/d for 4 weeks (as study group) or LandA (Lactolose syrup in laxative dose for 1 month and anti-hemorrhoid suppository daily for 10 days) as control group. Subjective and objectives variables including painful defecation, flatulence, constipation, gastro-esophageal reflux (GER), dyspepsia, proctorrhagia, anal protrusion, and colonoscopic grading were assessed before, immediately after, and 4 weeks after the treatment period. An intent-to-treat analysis was used. Safety was assessed with evaluation of clinical adverse effects by common toxicity criteria version 4.0. Forty-nine patients were assigned randomly to receive LandA and 50 to receive CM. After 4 weeks, flatulence, dyspepsia, GER, and colonoscopic grading scores significantly decreased in study group, whereas in control group constipation, painful defecation, and proctorrhagia showed better but not significant improvement. After 4-weak follow-up, the rate of constipation, and proctorrhagia also showed significantly improvement in study group. Constipation and proctorrhagia in control group recurred significantly in 4-week follow-up than after the treatment, whereas this recurrence in test group was not seen.

Hemorrhoid symptom
They typically cause pain, itching, and sometimes bleeding. External hemorrhoids often cause symptoms of pain and itching when irritated. Internal hemorrhoids are usually painless but can cause bleeding. Hemorrhoids can cause bright red rectal bleeding, but bleeding can be caused by other conditions, not just hemorrhoids. Colon and rectal cancer can also cause rectal bleeding.
   Other hemorrhoid symptoms include mucus drainage. A blood clot that forms within a hemorrhoid, called a thrombosed hemorrhoid. This can be very painful.

Traditional hemorrhoid treatment
Hemorrhoids can usually be treated with topical medications. In severe cases, such as those that bleed and protrude outside of the anus, hemorrhoid surgery is required.

Curr Gastroenterol Rep. 2013 July. Approach to hemorrhoids. Hemorrhoids are a very common anorectal disorder defined as the symptomatic enlargement and abnormally downward displacement of anal cushions. The current pathophysiologies include the degenerative change of supportive tissue within the anal cushions, vascular hyperplasia, and hyperperfusion of hemorrhoidal plexus. Low-grade hemorrhoids are easily and effectively treated with dietary and lifestyle modification, medical intervention, and some office-based procedures. An operation is usually indicated in symptomatic high-grade and/or complicated hemorrhoids. Whilst hemorrhoidectomy has been the mainstay of surgical treatment, more recently other approaches have been employed including Ligasure hemorrhoidectomy, stapled hemorrhoidopexy, and doppler-guided hemorrhoidal artery ligation. Post-procedural pain and disease recurrence remain the most challenging problems.

Additional links
Cissus quadrangularis, a medicinal plant indigenous to Asia and Africa, is used for many ailments, especially for the treatment of hemorrhoids.

Questions
I have noticed that hemorroids tend to bleed after eating cocoa (and after drinking red wine) Is that a good thing ... or not? I read this on a web page, "Eating dark chocolate, or taking a cocoa supplement, which have plenty of flavonoids, improves healthy blood flow. Chocolate improves the function of blood vessels, allowing them to dilate, thereby preventing the formation of potentially damaging clots."
   Cacao, cocoa, red wine, have potential blood thinning potential. As to whether bleeding hemorroids is a good thing or not has to be evaluated on a case by case basis.

I'm contacting you because recently I've heard about a supplement called Hem-eez which claims to promote cardio-vascular health and help in the treatment of hemorrhoids. I've read some of the Hem-eez testimonials which are highly supportive, but I'd be interested in learning what you know about it, as well as any side effects that may be associated with it.
    I am not familiar with this product.

I am from India. While searching internet i came across one supplement called, Rutin 500mg. My Mother is a diabetic. Age 56. Pure Vegetarian. Unfortunately , she is suffering with Hemorrhoids. The same has been confirmed by doctors after due colonoscopy test. Would like to know whether usage of rutin is helpful as I'm trying to avoid operation at this stage.
   A. Very little has been studied in regards to treatment of hemorrhoids and the supplement rutin so it is not easy to predict effectiveness.