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Hemorrhoids (US English) or haemorrhoids (Commonwealth English), are normal vascular structures in the anal canal which help with stool control. They become pathological or known as piles when swollen or inflamed. In their physiological state they act as cushions composed of arterio-venous channels and connective tissue that aid the passage of stool. The symptoms of pathological hemorrhoids depend on the type present. Internal hemorrhoids usually present with painless rectal bleeding while external hemorrhoids present with pain in the area of the anus.
Recommended treatment consists of increasing fiber intake, oral fluids to maintain hydration, NSAID analgesics, sitz baths, and rest. Surgery is reserved for those who fail to improve following these measures.
Classification
There are two types of hemorrhoids, external and internal, which are differentiated via their position with respect to the dentate line.
External
External hemorrhoids are those that occur outside the anal verge (the distal end of the anal canal). Specifically they are varicosities of the veins draining the territory of the inferior rectal arteries, which are branches of the internal pudendal artery. They are sometimes painful, and often accompanied by swelling and irritation. Itching, although often thought to be a symptom of external hemorrhoids, is more commonly due to skin irritation. External hemorrhoids are prone to thrombosis: if the vein ruptures and/or a blood clot develops, the hemorrhoid becomes a thrombosed hemorrhoid.
Internal
Internal hemorrhoids are those that occur inside the rectum. Specifically they are varicosities of veins draining the territory of branches of the superior rectal arteries. As this area lacks pain receptors, internal hemorrhoids are usually not painful and most people are not aware that they have them. Internal hemorrhoids, however, may bleed when irritated. Untreated internal hemorrhoids can lead to two severe forms of hemorrhoids: prolapsed and strangulated hemorrhoids. Prolapsed hemorrhoids are internal hemorrhoids that are so distended that they are pushed outside the anus. If the anal sphincter muscle goes into spasm and traps a prolapsed hemorrhoid outside the anal opening, the supply of blood is cut off, and the hemorrhoid becomes a strangulated hemorrhoid.
Internal hemorrhoids can be further graded by the degree of prolapse.
Grade I: No prolapse.
Grade II: Prolapse upon defecation but spontaneously reduce.
Grade III: Prolapse upon defecation and must be manually reduced.
Grade IV: Prolapsed and cannot be manually reduced.
Internal hemorrhoids can be further graded by the degree of prolapse. http://bacsitructuyen.edu.vn
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ReplyDeleteAlthough therapy has become more tolerable and once daily FDC tables have made it easier to adhere to prescribed treatment, it still requires that patients take their medication regularly to achieve sustained viral suppression. When treatment adherence is inadequate and replication is therefore not suppressed, But dr itua promised and fulfilled his promised to me as he said I will share his work to people that are suffering from Infertility, Herpes, Hepatitis A/B, Fibroid, HIV/ Aids, Alzheimer's disease, Arthritis, Copd, Diabetes, Liver/Kidney Inflamotry, Fibromyalgia, Parkinson's disease,Hpv,Weak Erection, I have read a lot of testimony online from Jesus McKinney,Achima Abelard and Tara Omar on how dr itua heal them with his herbal medicine I contacted him on Email drituaherbalcenter@gmail.com then we talk on whatsapp +2348149277967 he gave me instruction on how to drink it for two weeks then after drinking it for two weeks I went for test then I find out I was cured of HIV, I thank him allot i also send him some money for appreciation, Contact this great herbal doctor if you are a sick person.
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ReplyDeleteLaser treatment is an effective method of treating piles. Best laser treatment for piles is provided by Dr. Atul Patil in his Vithai Piles Clinic in Pune.
I never thought i would be HIV negative again after been diagnosed in 2017, i have tried everything possible in life from one doctor to another, one hospital to another, series of tests, different kinds of medication, i had already lost hope until i meet Great Dr. OSAGIE online testimonies, a specialist in herbal medication from Africa, i contacted him (drosagiesolutiontemple@gmail.com OR
ReplyDeleteDROSAGIESOULTIONTEMPLE@YAHOO.COM) and he prepared HIV herbal medication for me which i took for 7days and now i am completely cured. i want to use this medium to express my gratitude to him for saving my life and curing me from HIV, for taking away all my pains and sorrows, I''m indeed grateful and i am so happy I''m now HIV negative. i will continue to tell the good news of your great works to everyone, if you have HIV or other disease contact him, Email: his email: (drosagiesolutiontemple@gmail.com OR
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DOCTOR OSAGIE CAN AS WELL HELP THE FOLLOWING PROBLEMS
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4 IF YOU WANT YOUR EX LOVER BACK SPELL
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6 LOW SPERM COUNT SPELL
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I never thought i would be HIV negative again after been diagnosed in 2017, i have tried everything possible in life from one doctor to another, one hospital to another, series of tests, different kinds of medication, i had already lost hope until i meet Great Dr. OSAGIE online testimonies, a specialist in herbal medication from Africa, i contacted him (drosagiesolutiontemple@gmail.com OR
ReplyDeleteDROSAGIESOULTIONTEMPLE@YAHOO.COM) and he prepared HIV herbal medication for me which i took for 14days and now i am completely cured. i want to use this medium to express my gratitude to him for saving my life and curing me from HIV, for taking away all my pains and sorrows, I''m indeed grateful and i am so happy I''m now HIV negative. i will continue to tell the good news of your great works to everyone, if you have HIV or other disease contact him, Email: his email: (drosagiesolutiontemple@gmail.com OR
DROSAGIESOULTIONTEMPLE@YAHOO.COM ) or Whatsapp number: +2347030465649
DOCTOR OSAGIE CAN AS WELL HELP THE FOLLOWING PROBLEMS
1. HIV/AIDS SPELL
2. HERPES CURE OF KIND
3. CANCER SPELL
4 IF YOU WANT YOUR EX LOVER BACK SPELL
5 IF YOU NEED A BABY SPELL him to solve
6 LOW SPERM COUNT SPELL
get all your problem solve. No problem is too big for him to solve.
I Never believed i was ever going to be HSV FREE again, DR.Ehiaguna has given me reasons to be happy, i was HSV positive for 2 years and all the means and medicine i tried for treatment was not helpful to me, but when i came on the Internet i saw great testimony about DR.Ehiaguna on how he was able to cure someone from HSV 2, this person said great things about this man, and advice we contact him for any Disease problem that DR.Ehiaguna can be of help, well i decided to give him a try, he requested for my information which i sent to him, and he told me he was going to prepare for me a healing portion, which he wanted me to take for days, and after which i should go back to the hospital for check up, well after taking all the treatment sent to me by DR.Ehiahuna , i went back to the Hospital for check up, and now i have been confirmed HSV NEGATIVE, friends you can reach DR.Ehiaguna on any treatment of any Disease cos i saw many testimony of different disease like, HEPATITIS,HIV AIDS,EPILEPSY, CANCER,CFS he is the one only one i can show you all up to, reach him on drehiaguna@gmail.com or whatsApp him now +2348073908953. quick contact him for help and you can just quickly drop your number on your first mail as i did for easily conversation
ReplyDeleteMy health was horrible before I decided to try the Protocol Of taking Dr Ebhota herbal mixture. I felt there was no hope for my health and I was doubtful to try the Protocol thinking it wouldn’t work because I have visited so many hospital but same result. However, I was convinced by my friend to try the herbal medicine because I wanted to get rid of HPV/WART. The herbal mixture that was given to me was really quick and easy to take, and since I have be taking it for less than 3 days I have less outbreak. But within one week i was fully cured from WART/HPV. The herbal medicine really work and I will like to share this great herb doctor contact with you all email him drebhotasolution@gmail.com or whatsapp +2348089535482. Pls try and help yourself out of warts completely today. he also c My health was horrible before I decided to try the Protocol Of taking Dr Ebhota herbal mixture. I felt there was no hope for my health and I was doubtful to try the Protocol thinking it wouldn’t work because I have visited so many hospital but same result. However, I was convinced by my friend to try the herbal medicine because I wanted to get rid of HPV/WART. The herbal mixture that was given to me was really quick and easy to take, and since I have be taking it for less than 3 days I have less outbreak. But within one week i was fully cured from WART/HPV. The herbal medicine really work and I will like to share this great herb doctor contact with you all email him drebhotasolution@gmail.com o r whatsapp +2348089535482. Pls try and help yourself out of warts completely today. he ure DIABETIES ULCAL CANCER etc.He also told me that he has solution for the flowing.1 Cancer cure2 Diabetes cure3 Ringing ear4 Herpes cure5 Warts cure6 HPV cure7 Get your ex back8 Pregnancy herbal medicine9 Prostate enlargement10 Hepatitis B11 Disability12 Kidney problem Etc.
ReplyDeleteINALLY FREE FROM HERPES VIRUS.
ReplyDeletewhat a miracle i never believe there is cure because my doctor tested me herpes positive and she told me there is no cure, i’m very happy today that i’m having a free life without this herpes virus, i can remember some months ago when i was crying all through the night and day that i can’t get cured from this herpes, i found this herbal man called Dr sunny on internet when i was doing research on cure for shingle i contacted him to found out if i can get help from this herpes virus, i was so surprise when he told me that he have the herbs cure to it and he sent me the herbal in less down 5 days i was so happy when i get someone giving me hope that he can cured me i took the herbal for just 2 weeks, when i went for test after taking the herbal i found out that i am cured i was so happy and surprise, i want to use this opportunity to inform you that there is cured to herpes virus you can also contact him for his help as soon as possible so that you can get rid of this herpes once and for all you can reach him through this email: drsunnyna@gmail.com or whatsApp him on +2348077875210 You can also contact him on any disease and virus in this he all have the herbal cure to it.
1 HIV/AIDS
2 HERPES
3 CANCER
4 ALS
5 HEPATITIS
6 DIABETES
7 LOVE SPELL
8 INFECTIONS
9 HIGN BLOOD PRESSURE,.....
THANKS TO DR SUNNY FOE THE GOOD WORK IN LIFE YOU BLESS.....
Good day to you all from the United States,I have been suffering from (HERPES) disease for the last eight years and have had constant pain, especially in my private parts. During the first year,I had faith in God that i would be healed someday.This disease started circulate all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (Hepatitis B diabetes) by this Man Dr ehiaguna and she also gave the email address of this man and advise me to contact him for any sickness that he would be of help, so i wrote to Dr ehiaguna telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man, few weeks later i started experiencing changes all over me as Dr ehiaguna assured me ,after some time i went to my doctor to confirmed if i have be finally healed, behold it was TRUE, email Dr ehiaguna on : (drehiaguna@gmail.com ) whatsapp him : +2348073908953 And He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer ETC
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ReplyDeleteI started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!
ReplyDeleteI want to write a little testimony about the good work of doctor ehiaguna who cured me from Hsv 1 and 2 for just 2 week with his herbal medicine, I never believe I can be normal again and have a good life like others I always regretted the day I got diagnose with the virus, I was lost of hope when my doctor told me there is no cure for it but I keep thinking and thinking about my future, if I can have kids of my own well I am so grateful for my helper who get me cured with his herbal medicine, I go online in search of anything that can help me because I can’t deal with it forever so I found this Dr ehiaguna email on a Facebook of someone who was cured by him I quickly contact him for help and explain all my pain to him, he told me not to worry about it there is cure for real, I never believe until he send me the herbal medicine when I order for it and I have it within 4 days that is how I took the medicine for 2 week and the following week I go for test just to confirm I was 100% cured from this sickness what a miracle in my life I am so happy right now, you can also get in contact with him if you have such sickness through drehiaguna@gmail.com and also WhatsApp him +2348073908953. he can also help with this following sickness DIABETES CURE/EPILESY/HPV/CURE/LUPUS/HEPATITIS
ReplyDeleteI'm so Happy to write this article because I know it will help a lot of people who are suffering from Herpes. I am here to testify about the wonderful and most safe cure for herpes . I was positive to the deadly Virus called herpes and I lost hope completely because I was rejected even by my closest friends. I searched online to know and inquire about a cure for herpes and I saw testimony online on how Herbalist called Dr Osamu who cured so many people from Herpes virus and other similar diseases. I decided to contact the great herbalist because I know that nature has the power to heal everything. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural roots and herbs. After 2 days of contacting him, he told me that the cure is ready and he sent it to me via UPS and it got to me after 4 days. I used the medicine as he instructed (morning and evening ) and I got cured. it's really like a dream but I'm so happy that's the reason i decided to also add more comment of Him so that more people can be saved just like me and if you need his help, contact him via Email: dr.osamuherbalremedy@gmail.com or WhatsApp:+2349012406016
ReplyDeleteMy name is Isi Voorhees from the United Kingdom. I am here to share my experience on how I got cured from genital Herpes through the help of Dr oosa who uses his roots and herbs to cure my Herpes. I am healthy and strong once again. All thanks to you Dr oosa may you live long to continue the good work you started, as many of you out there looking for a solution to your herpes problems kindly contact dr oosa doctoroosaherbalhome@gmail.com or whatsapp +2349134261364
ReplyDeletenote: dr oosa also cure cure the following
1 Disability
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3 Ringing ear
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6 HPV cure
7 Get your ex back asap
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10 herpes cure
11 cancer cure
Dr. Ehimare has really made me so much believe in him by getting me cured of Herpes with his herbal medicine. I have been a Herpes virus patient for some time now, I have been running here and there looking for help/cure but none could help. I ran into a testimony by someone who testified how she was cured of a terrible disease by Dr. Ehimare, so I decided to contact the herbal doctor. I explained to him, and he said he can cure me. We started the process and he prepared herbs and sent them to me in my country and gave me directions on how I am to use them. I followed his directions and now To God be the glory he could cure me with his herbal mixture. I really appreciate you Dr. Ehimare for bringing back happiness to my life again. thanks you so much friends that has join me to thank Dr. Ehimare for what he has actually done for me i pray to you all for a good life and property, his contact. Email address drehimare3@gmail.com , via whats-app +1 (267) 691-1087 Thanks Dr. Ehimare for your help in my life and family... and most especially to you Dr. THANKS.
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I want to use this opportunity to thank Dr Akhimien for the great work he has done for me and my cousin's sister, I was cured from herpes virus through his herbal remedy and my cousin's sister was also cured from HERPES. This is a great testimony for what Dr Akhimien Has done for me and my entire generation. I’m giving this testimony so that those of you out there can contact him while he keeps saving my relatives. Send him a Dm and get better health totally. Contact him via WhatsApp +2349133157031 or Email address: drakhiniemodion@gmail.com you can also reach him on his website https://www.facebook.com/Drakhiniem/
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