When you first start to suffer from hemroids it can be difficult
to understand exactly what is going on. After all, it's not as though most
people study that area of the body without a good cause. However, once you've
got hemroids it is rather important to find out as much as you can. First and
foremost,
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to eliminate the underlying cause of hemroids, you must understand enough about
anatomy to figure out what the most likely culprit is.
The first point is
that everyone has hemorrhoidal cushions. They're a natural part of everyone's
body. The reason they exist is to cushion the anorectal canal both from the
tearing of passing stools and from the natural twisting and torque the body goes
through. They also serve as the alert method for needing to pass stools. These
cushions of tissue are rich with elastic veins that expand and contract as
needed. These veins also drain below the hemorrhoidal cushions out to the
exterior of the body, perhaps to pick up speed before going back up to the
heart. However, like a rubber band, these veins can be stretched so far that
they can't contract again. They will usually give way at a weak point in the
vein wall, which develops into a hemroid. Over time, that stretch point gets
bigger and drags more surrounding tissue with it, making the hemroid
grow.
Internal hemroids are specifically
defined as hemroids that start above the dentate line. The dentate line is a
line of demarcation within the anorectal canal that serves as the transition
from external skin tissue to internal intestinal tissue. So, internal hemroids
are hemroids that originate from intestinal tissue. Because of this specific
definition, they are still defined as internal hemroids even if they start to
protrude from the body. Levels of protrusion are defined as "stages". A stage I
internal hemroid doesn't protrude from the body at all. Stage II internal
hemroids protrude only during downward muscle strain such as bowel movements and
retract on their own once the strain stops. Stage III internal hemroids protrude
during bowel movements,
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but will stay back in when manually pushed. Stage IV hemroids protrude all the
time and will slip out after being pushed back in.
External hemroids are
a whole different kettle of fish, so to speak. They originate below the dentate
line,
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means they start from external skin. They don't progress in stages like internal
hemroids, but they do generally hurt a whole lot more. That's because there
aren't many nerves up in intestinal tissue, but there's a dense band of them
right after external skin starts up. Most external hemroids sit right on that
dense band of nerves. In addition, skin is not nearly so stretchable or
malleable as intestinal tissue, which means it's more likely to inflame quickly.
No matter what kind of hemroid you've got, it's generally going to be
unpleasant to deal with. Long term lifestyle changes are integral to any
meaningful plan of hemroid treatment. You need to understand hemroids as much as
possible so you can make those changes that are most important to you and your
particular health conditions.