History of Hemorrhoid | Minneapolis & St Paul

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As early as 2250 BC hemorrhoids have been recorded in literature to some extent. It would probably be safe to say that it is one of the oldest ailments known to people. The Egyptians were the first people who medically recorded the remedies for hemorrhoids. They used a poultice of dried acacia leaves with a linen bandage to heal protrusions and inflammations of venous material. A Greek physician named Hippocrates also wrote about hemorrhoids describing it as bile or phlegm which is determined to be the veins in the rectum. He treated the anal protusions very crudely avocating pulling the tissue off with the finger tips, or pulling the veins upward, while someone puts a hot iron to the hemorrhoid and burns it off. The first recorded endoscopy (use of speculum to inspect the rectum)can also be credited to Hippocrates. Even the bible has records of hemorrhoids in the earliest times from the Old Testament Book of Samuel 5:9 Philistines, “punished with emerods” and Samuel 5:12, “People who moved the Ark to Ekron were punished with emerods”.

One of the earliest known hemorrhoid treatments was with the aloe vera plant. Dioscorides, a Roman physician started using that to treat inflamed hemorrhoids. Then approximately 130-200 AD a Roman physician named Emperor Marcus Aurelius (Galen) prescribed ointment, laxatives, and leeches for hemorrhoids treatment. During the same time period in India, the use of clamp and cautery was used to get rid of hemorrhoids and control bleeding.

Between the 5th and 10th Century, Byzantine physicians used thread to ligate the base of the hemorrhoid and then followed by its amputation.

In 1935, Doctors E.T.C. Milligan and C. Naughton Morgan further studied the excision and ligation methods, which later became the gold standard in hemorrhoidectomy.

In the 1960s, banding of larger hemorrhoids was introduced with rubber band ligation.

In the 1970s, cryotheraphy, diathermy, and laser cauteries were developed for treatment.

In the 1990s, Stapled Hemorrhoidopexy, also known as Procedure for Prolapse & Hemorrhoids (PPH) was first described by an Italian surgeon – Dr. Antonio Longo, and since then has been widely adopted to treat the grade 3 and 4 hemorrhoids. Moreover, Another non surgical procedure, called Infra-red coagulation (IRC) was developed to treat the early stage of hemorrhoids.

Management of Thrombosed External Hemorrhoid in Minnesota

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It is not uncommon for patients in the Minneapolis and St. Paul areas to call our clinic and ask for immediate help because they have painful bulging in the rectum. Through phone triages, we know they develop the thromobosed external hemorrhoid. We accommodate their visits and help to relieve their pain the same day.

Thrombosed external hemorrhoid is a common problem in Minnesota. It is usually a complication from the underlying disease – internal hemorrhoids. It occurs outside the anal verge when one or more varicose hemorrhoidal veins rupture and blood clots develop. Typical symptoms of thrombosed external hemorrhoids are sudden onset with severe rectal pain and tender bluish swelling in the anus.

The differential diagnosis of rectal pain includes anorectal abscess, anal fissure, and rectal pain due to spasm of anal sphincters.

These hemorrhoids are typically treated with either incision to remove the clot or with external hemorrhoidectomy. Simply draining the clot usually relieves the pain immediately, but it may not work well if multiple thromboses exist as it can also lead to recurrence, so it is better for patients with multiple thromboses to completely excise the thrombosed hemorrhoids.

If anyone in the Minneapolis and St Paul areas develops the sudden onset of severe rectal pain, please call us immediately. We will accommodate to your urgent medical needs.

Severity of Hemorrhoids | Minnesota

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Initial symptoms of hemorrhoids are insidious and mild with occasional rectal itching, irritating or bleeding. Most people in the Minnesota don’t actively seek medical care in this stage. Treatment for hemorrhoids with mild discomfort involves steps that you can take on your own, such as lifestyle modifications and over-the counter (OTC) hemorrhoid creams; these OTC products contain ingredients, such as witch hazel or hydrocortisone that can relieve mild pain and itching, at least temporarily. Make sure you don’t use an OTC cream or other product for more than a few days, you should stop using it once the symptoms improve. These products can cause side effects, such as skin rash, inflammation and skin thinning.

With the worsening of hemorrhoids, symptoms occur more frequently, and then medical interventions and even surgical procedures are necessary. hemorrhoid treatments in the Minneapolis and St. Paul areas depend on the severity of hemorrhoids. If hemorrhoids are treated early, more invasive surgical procedures can be avoided later.

The severity of hemorrhoids is classified based on the prolapse.
Grade 1: the hemorrhoids remain completely inside rectum, although symptoms may continue.
Grade 2: the hemorrhoids prolapse during defecation and they spontaneously return inside rectum on their own.
Grade 3: the hemorrhoids prolapse during defecation. They return inside rectum only by manually pushing them in.
Grade 4: the hemorrhoids are permanently prolapsed and stay outside rectum and cannot be manually pushed back inside.

Hemorrhoid Prevention Guide (Part 2) | Minnesota

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There are many ways to prevent hemorrhoids or slow down the progression of hemorrhoids in Minnesota. One of the best ways to prevent hemorrhoids is to keep your stools soft, so they pass easily.

To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow this guide (part 2):

  • Weight Reduction Obese patients in Minneapolis are 2-4 times more likely to develop hemorrhoids than the average patients, so weight loss may help to reduce the recurrence.
  • Treat the Underlying Diseases: People with other medical problems, such as liver cirrhosis with portal hypertension, cardiovascular diseases, and abdominal tumors are more likely to develop hemorrhoids. The treatment of these underlying medical diseases is important to prevent hemorrhoids.
  • Shower after Bowel Movement: You may program your bowel movement in the way that you always try to have bowel movements right before your regular shower. For example, if you are a morning person, you go to toilet first before you take a shower, so the anus is always clean without residual feces. Residual feces are irritable to the skin around anus. If you starting having recurrent symptoms, then a daily Sitz bath helps a lot to relieve the symptoms.
  • Early Treatment: Finally, once the hemorrhoids come back, you should immediately request an experienced practitioner in Minnesota to treat it. The earlier treated, the better the result. One Stop Medical Center serves the entire Twin Cities and offers the comprehensive hemorrhoids treatment in both Edina and Shoreview offices.