Observations placeholder
Haemerrhoids and wholegrains
Identifier
005623
Type of Spiritual Experience
Background
Hemorrhoids, also called piles, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed; the unqualified term "hemorrhoid" is often used to refer to the disease
A description of the experience
[Medical treatment of haemorrhoidal disease]. Article in French] Senéjoux A. Institut de proctologie Léopold-Bellan, groupe hospitalier Paris Saint-Joseph, 75015 Paris, France. asenejoux@hpsj.fr
Usually, medical treatment alone is indicated as first treatment. It is estimated that only 10% of patients will need surgical treatment.
Classical recommendations toward suppression of spices, alcohol, tobacco, and coffee... are not founded on scientific proofs.
Usage of cold and hot sitz baths are sometimes advocated; it is no more validated by medical evidence.
Bowel regularisation (prescription of fibres) is efficacious on haemorrhoidal symptoms in nearly 50% of patients. Non-steroidal anti-inflammatory drugs are probably the most efficacious for pain and oedema in external thrombosis.
Copyright © 2011. Published by Elsevier Masson SAS.
PMID: 21917413