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HAEMORRHOIDS
What is it?
Haemorrhoids or piles are inflamed varicose veins in or around the anus.
Symptoms: Rectal itching and pain, Rectal bleeding, Painful blue-purple lumps inside or outside the anus, Uncomfortable, painful bowel movements, Prolapsed haemarrhoids (those which protrude outside the anus) often produce mucus discharge and itching.
Causes: Constipation. Pregnancy
Treatment in the home: Follow a high-fibre diet, Drink plenty of fluid, Exercise regularly, use haemorrhoidal creams or suppositories to reduce swelling and pain. If an attack is particularly severe, stay in bed and take painkillers in recommended doses. An ice pack can provide great relief.
Possible complications: Anemia and possible thrombosis in prolapsed haemorrhoid.
When to consult a doctor: If the bleeding or pain is severe or persist.
What the doctor may do: Examine you to exclude other possible causes of bleeding. Prescribe an ointment and suppositories containing corticosteroids and a local anaesthetic. Prescribe bulk-forming laxatives if constipation is a problem. Recommend surgery and usually refer you top a surgeon if bleeding and pain are very troublesome and do not respond to the above measures. The surgical procedure to be followed will depend on the severity of the problem.

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