The  article presents a full  review of hemorrhoids treatment with  reference to  general practice setting.

the  estimation is  that 50% of the people suffer from  hemorrhoids by the age of 50 .

patients often regard   the condition as  a single simple disease, this is not so.

Hemorrhoids responding when  using  self-treatment are usually very  mild and only  self-limiting and normal hemorrhoids  heal without medication.

There are several  non pharmacological methodes  to deal with  hemorrhoids.

ther is an  encouragment  to sit in a warm bath of water or sitz baths for 15 minutes,aprox  three to four times each  day, and to cleanse the area with mild, unscented soap and water after using the toilet.

in  case of a Serious hemorrhoids condition it may require rubber band ligation, cryotherapy, hemorrhoidectomy,  infrared photocoagulation,sclerotherapy, bipolar diathermy or laser therapy.most important in tretment of hemorrhoids is the aspect of prevention.

Take the  following measures in order to help prevent hemorrhoids and  also to help the shrinking of less severe cases:

Not postponing the urge to defecate;helps to Avoid constipation

Eating a balanced, high-fiber diet;

to drink plenty of water, fluids;

also Exercise; and

Avoid excessive pressure and straining during **********.

There are several  over-the-counter (OTC) pharmacologic agents for the management of hemorrhoids symptoms

including  , protectants, local anesthetics,astringents, hydrocortisone and antipruritics, keratolytics,

Most  of the hemorrhoidal symptoms should resolve within afew days to a week  of treatment with the available  OTC products.

in case that the symptoms are not resolved, a physician should be consulted beacuse of a threat of other, more serious, conditions.

Off -the -counter (OTC) Hemorrhoids Products

Local Anesthetics

Benzocaine

Benzyl alcohol

Dibucaine

Dyclonine

Lidocaine

Pramoxine

Tetracaine

Vasoconstrictors

Ephedrine sulfate

Epinephrine

Phenylephrine HCl

Astringents

Calamine

Hamamelis water (witch hazel)

Zinc oxide

Keratolytics

Alcloxa

Resorcinol

ProtectantsAluminum hydroxide gel Calamine Cocoa butter Cod liver oil Glycerin Shark liver oil White petrolatumHard fatKaolinLanolinMineral oilPetrolatumTopical starch KeratolyticsAlcloxa Resorcinol

the best way to deal with hemorrhids is to change the sitting posture

bu useing a squatting device

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