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    A Simple Guide to Hemorrhoids and Anal Diseases
    A Simple Guide to Hemorrhoids and Anal Diseases
    A Simple Guide to Hemorrhoids and Anal Diseases
    Ebook38 pages21 minutes

    A Simple Guide to Hemorrhoids and Anal Diseases

    By Kenneth Kee

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    About this ebook

    Hemorrhoids or piles are distended veins inside the anus which are swollen and inflamed.

    Hemorrhoids are either inside the anus (internal) or under the skin around the anus (external).

    What is the cause of hemorrhoids?

    Hemorrhoids usually result from straining to pass the stool out of anus.

    Other contributing factors include pregnancy, aging, chronic constipation or diarrhea.

    What are the symptoms of hemorrhoids?

    The most common symptom of internal hemorrhoids is

    1, bleeding from the anus.

    Bright red blood may be seen covering the stool, on toilet paper, or dripping from the anus into the toilet bowl.

    2. There may be pain too especially if the stool is hard.

    This could be due to the hard stools pressing on the swollen piles or due to a tear in the inner lining of the anus.

    3. A painful swelling or a hard lump around the anus may occur when a blood clot forms.

    This condition is known as a thrombosed hemorrhoid.

    4. In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation
    with bleeding and/or itching.

    How common are hemorrhoids?

    Hemorrhoids are very common in both men and women.

    About half of the population have hemorrhoids by age 50.

    Hemorrhoids are also common among pregnant women.

    The pressure of the fetus in the abdomen, as well as hormonal changes, causes the
    hemorrhoid vessels to enlarge.

    For most women, however, hemorrhoids caused by pregnancy are temporary.

    How are hemorrhoids diagnosed?

    1. A thorough examination and proper diagnosis by the doctor is important any time
    bleeding from the rectum or blood in the stool occurs.

    Bleeding may also be a symptom of other digestive diseases, including colorectal cancer.

    The doctor will examine the anus and rectum to look for swollen blood vessels that indicate
    hemorrhoids and will also perform a digital rectal exam with a gloved, lubricated finger to
    feel for abnormalities.

    Closer evaluation of the rectum for hemorrhoids requires an exam with a proctoscope,
    useful for more completely examining the entire rectum.

    2. To rule out other causes of gastrointestinal bleeding, the doctor may examine the
    rectum and the entire colon with colonoscopy.

    Colonoscopy is a diagnostic procedure that also involves the use of lighted, flexible tube
    inserted through the rectum.

    What is the treatment of hemorrhoids?

    a. Medical treatment of hemorrhoids is aimed initially at relieving symptoms.

    Measures to reduce symptoms include:

    1. Tub baths several times a day in plain, warm water for about 10 minutes

    2. application of a hemorroidal cream or suppository to the affected area.

    3. medicines such as daflon to shrink the swollen blood vessel.

    b. surgical treatment:
    A number of methods may be used to remove or reduce the size of internal hemorrhoids.

    These techniques include

    1. Rubber band ligation. A rubber band is placed around the base of the hemorrhoid
    inside the rectum.
    The band cuts off circulation, and the hemorrhoid withers away within a few days.

    2. Sclerotherapy. A chemical solution is injected around the blood vessel to shrink
    the hemorrhoid.

    3. Laser coagulation. A special device is used to burn hemorrhoidal tissue.

    4. Hemorrhoidectomy. Occasionally, extensive or severe internal or external hemorrhoids
    may require removal by surgery known as hemorrhoidectomy.

    5. A new method is the Longo technique.
    It involves using a circular stapling device which removes a ring of tissue in the lower
    anus pulling the enlarged piles up within the anus.

    The staples also interrupt the blood supply to the piles

    TABLE OF CONTENT

    Chapter 1
    Hemorrhoids

    Chapter 2
    Anal Fistula

    Chapter 3
    Anorectal Abscess and Anal Fissure

    Chapter 4
    Constipatio

    LanguageEnglish
    PublisherKenneth Kee
    Release dateNov 12, 2012
    ISBN9781301360840
    A Simple Guide to Hemorrhoids and Anal Diseases
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      A Simple Guide to Hemorrhoids and Anal Diseases - Kenneth Kee

      A

      Simple

      Guide

      to

      Hemorrhoids

      And

      Anal Diseases

      by

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2012 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      to my wife Dorothy

      and my children

      and Kelvin

      This book describes the Hemorrhoids and other Anal Diseases which are seen in some of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Chapter 1

      Hemorrhoids

      What are Hemorrhoids?

      Hemorrhoids or piles are distended veins inside the anus which are swollen and inflamed.

      Hemorrhoids are either inside the anus (internal) or under the skin around the anus (external).

      What is the cause of Hemorrhoids?

      Hemorrhoids usually result from straining to pass the stool out of anus.

      Other contributing factors include pregnancy, aging, chronic constipation or diarrhea.

      What are the symptoms of hemorrhoids?

      The most common symptom of internal hemorrhoids is

      1. Bleeding from the anus.

      Bright red blood may be seen covering

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