The St. Kitts-Nevis Observer
Click for Basseterre, Saint Kitts and Nevis Forecast
No. 767 • July 10, 2009
 
SKN Observer
HEALTH
HOW DO YOU KNOW IF YOU HAVE HEMORRHOIDS... OR SOMETHING SERIOUS?
BY DR. MIRANDA FELLOWS
 
Hemorrhoids aren’t a pleasant subject and can be embarrassing to discuss -- even with your healthcare specialist. But they are quite a common problem in both men and women. In fact, according to the National Institute of Diabetes and Digestive and Kidney Diseases (a branch of the National Institutes of Health), it’s estimated about half the people in the U.S. will have hemorrhoids by age 50.

This isn’t surprising given the typical Western diet coupled with lifestyles, which often include too much stress and too little physical exercise. Hemorrhoids aren’t exclusively a condition of the modern Western world; however they are rarely seen in more primitive, less industrialized countries. What is a Hemorrhoid, Exactly? Hemorrhoids are veins in the wall in your rectum and anus that have become twisted, swollen and inflamed. They can form either internally or externally, and the resulting lumps can cause pain and bleeding. _ If you have a hemorrhoid inside your anus, above the junction of your rectum and anus, you have an internal hemorrhoid.

If your hemorrhoids are below this junction and under the skin around the anus, they are considered to be external. Both types of hemorrhoids may remain in your anus or protrude outside it. How Hemorrhoids Form Hemorrhoids are most often created by an increase in pressure, usually from straining to have a bowel movement. Hemorrhoids are common in people with chronic digestive disturbances – especially constipation. They are also seen in the elderly, and during pregnancy. If you’re pregnant, the additional pressure your growing baby places on your uterus can result in hemorrhoids.

Childbirth can increase the problem, but fortunately, most hemorrhoids caused by pregnancy resolve after delivery. Another common cause of hemorrhoids is obesity, because when you are overweight, your body simply does not have enough of the forces to generate proper elimination through your intestine. How Do You Know if You Have a Hemorrhoid? If you have hemorrhoids you may or may not experience symptoms, and with proper care, most symptoms disappear within a few days. The most common sign of an internal hemorrhoid is the presence of bright red blood, usually noticeable on toilet paper or in the toilet bowl. It’s possible for an internal hemorrhoid to protrude through your anus, however, in which case you’ll probably experience some irritation and pain. If your hemorrhoids are external, your symptoms can include swelling or a lump (blood clot) around your anus.

These are referred to as thrombosed external hemorrhoids, and can be quite painful. Depending on your toilet habits, you can aggravate your problem, causing additional irritation, bleeding and itching. (Drainage from hemorrhoids can also cause itching.) If you suffer from hemorrhoids, it’s important not to strain to have a bowel movement. Excessive rubbing or cleaning of the area can also exacerbate your problem. Other conditions with symptoms that can mimic those of hemorrhoids are anal abscesses, anal fissures and fistulas, and non-specific itching or irritation (commonly termed pruritus ani). A Word of Caution About Rectal Bleeding If you have bleeding you suspect is hemorrhoid-related, I recommend you consult your doctor or other medical specialist – especially if it’s a new symptom for you. Bleeding from the rectum can be a sign of other, more serious conditions, including corectal cancer, especially if you’re elderly. As mentioned above, bright red blood is most often a sign of hemorrhoids, but any new or sudden signs of bleeding should be investigated, regardless of your age. nterestingly, vitamin D is one of the best ways to reduce your risk of colon cancer.

Optimizing your vitamin D levels may reduce your risk by up to 80%. So make sure you get your vitamin D levels checked, and strive to maintain your levels around 60 ng/ml throughout the year as a powerful preventative measure. Preventing Hemorrhoids in the First Place is the Goal Hemorrhoids are most often the result of straining due to constipation. Constipation is frequently caused by improper diet, lack of exercise, inadequate intake of water, and stress. Other contributors include laxative abuse, irritable bowel syndrome, and hypothyroidism. These simple steps can help prevent constipation:

1. Eat fiber-rich foods. Vegetables are great sources of fiber. Ideally you’ll want to eat those recommended for your individual metabolic type. Consuming a wide variety of vegetable fiber will provide the bulk needed for your stool to pass comfortably through your intestines. If you need extra fiber, I suggest whole organic flaxseeds. Grind them in a coffee grinder and add one or two tablespoons to your food.

You can also try organic psyllium, which helps alleviate both constipation and diarrhea. I recommend avoiding any type of non-organic psyllium, such as Metamucil. Proceed slowly if you’re not used to getting much fiber in your diet, as you may experience some bloating and gas as your digestive system gets accustomed to the added fiber.

2. Consider eating fresh oranges for the flavonoids they contain. Flavonoids are powerful phytochemicals, which promote the health of your veins. You might also consider adding coconut oil to your diet. South Pacific tropical islanders are known to consume at least half the fat in their diets from coconuts, with the result that many typical Western illnesses and conditions -- including hemorrhoids -- are uncommon. My personal recommendation is Pure Virgin Coconut Oil.

3. Drink plenty of pure water-- either clean spring water or water filtered by reverse osmosis. Using your thirst as an indication to drink water is not always enough. I recommend starting the day with 2 glasses of water and then 4Oz every subsequent waking hour. The color of your urine can act as a guide for whether you’re adequately hydrated. Your urine should be a light yellow color. If it is dark yellow, you’re likely not drinking enough water. (A bright yellow color is usually the result of vitamin B2, found in most multi-vitamins.) Adequate fiber and water create softer stools. A softer stool moves more easily through your colon and lessens the need for straining.

4. Exercise regularly to keep your digestive tract stimulated.

5. Take a high-quality probiotic. Balancing your gut bacteria will not only
help your constipation, but your overall health as well. 6. Get control of your emotional stress. I highly recommend tools such as meridian tapping techniques to help alleviate emotional stressors that contribute to constipation.

It can also help you reduce and eliminate painful episodes of hemorrhoid flare-ups. Another option few people are aware of is using a squat toilet. I went to Dubai on the way to Australia a few years ago and was greatly surprised to find a hole in the tilled floor where the toilet ‘should’ be. When you use a toilet like that, your body will be in the position it was designed to be in when you’re having a bowel movement... SQUATING! When you sit on a regular toilet, you lose a lot of the force that helps with elimination. Now, I’m not suggesting you cut a hole in your bathroom floor; there are other devices you can put around your toilet that will somewhat simulate that squatting position, to help you eliminate with greater ease. For more information don’t hesitate to call Carib Wellness on 469 2147 or 466 9355, and allow us to assist your journey toward optimal health and wellbeing!
 
 
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