
Ken asks…
What causes hemorrhoids and why do they make you bleed from bottom?
And do they give you tummy upset and how long do they last?

Doctor Salins answers:
Hi Laura,
A good question,where there is no one direct answer believe me I have 17 doctors in my family (that means when I ask a question I get 17 different answers)
Okay Laura jokes aside hemorrhoids are normally caused by a multitude of things occurring at the same time.Like your daily diet not containing enough fiber.Women should try to eat at least 21 to 25 grams of fiber a day.
WHICH TYPE
Insoluble fiber is the type of dietary fiber found in high-fiber foods like whole grains, nuts, wheat bran and vegetables. Insoluble fiber does not dissolve in water so it helps to move material through the colon faster by increasing the bulk of the stool. This can be very helpful to people who suffer from constipation
Soluble fiber is also found in many high-fiber foods like oats, citrus fruits, apples, barley, psyllium, flax seeds and beans. Soluble fiber absorbs water, which helps to soften stools making them easier to eliminate from the body.
Not drinking enough water coke limo etc don’t count this can lead to constipation along with diet.
The main cause of constipation can be found in a person’s diet. Fiber is essential to digestive health as well as drinking enough water or fluids and by that I mean between 2.6-3.7 pints per day and in warmer climes a little more.
Another simple thing is lack of exercise our bodies need it,regular exercise can also keep your bowels functioning normally.Even if it is going for a 30-45 minute fast walk 5 times a week.
This brings on nicely to the second part of your question “why do they make you bleed from bottom?”
Your bottom particularly at your anus open is covered in a fine web of veins which you normally do not see.If you place a strain on these veins they literally start to bulge and if your constipated your stool is hard and it scrapes these bulging points in your veins opening them up and they bleed.
A lot of women get hemorrhoids from pregnancy because of th straining during giving birth.Lifting up heavy objects places a strain on you.If you are well over weight you have placed an additional strain on your body combine that with any of the above factors an bingo hemorrhoids.
Getting rid of them fast you need to know what you are doing and ignore all the powders and potions you get from the drug store they just cost you too much money in the end.To be fair to the stuff from the drug store it does offer short term relief but thats about it
Look below in the source area there is the best natural treatment available.

Maria asks…
What causes Hemorrhoids and how do they treat them?
I’ve notice drops of blood in the toilet, should I be concerned?

Doctor Salins answers:
Hemorrhoids are dilated (enlarged) veins which occur in and around the anus and rectum. They may be external (outside the anus) or internal and slip to the outside. In both of these instances, the hemorrhoids can be felt and seen as lumps or knots. Hemorrhoids also may remain inside the rectum and so cannot be felt or seen. These are called internal hemorrhoids.
A common cause of hemorrhoids is simply the standing position, in which all the blood above the rectum exerts pressure on the rectal and anal areas. Other conditions which contribute to hemorrhoids are: poor bowel habits, constipation, diarrhea, pregnancy, obesity, and especially frequent straining when having a bowel movement.
Hemorrhoids can ooze fresh red blood, whether located externally or internally. External hemorrhoids often cause dripping of blood from the anus while sitting on the toilet. The blood might also be seen as soiling of the underwear. Internal hemorrhoids that bleed may produce fresh blood in the stool.
To treat:
Keep the anal area clean, using a mild soap and gentle dabbing after a bowel movement Avoid vigorous rubbing of the area.
Keep the anus and hemorrhoids as dry as possible, using talcum powder and a pad of soft tissue to absorb moisture.
Eat a diet high in fiber (bran) and roughage. Fiber and bran retain water in the stool, producing soft, bulky stools which are easier to pass and reduce the tendency to develop hemorrhoids. Bulking agents, such as Metamucil, Effersyllium, Konsyl, Citrucel, and Per Diem Fiber, are available in drug stores. These also come in less expensive generic versions.
Avoid straining when having a bowel movement.
When thrombosis, pain, and tenderness occur, a 10 to 20 minute hot tub bath two to four times daily brings heat to the area, provides relief from the pain, and promotes healing. This is called a hot Sitz bath.
To prevent:
Eat plenty of fiber, bran, or roughage, or use a bulking
agent to maintain regular, soft bowel movements.
Do not delay or try to prevent a bowel movement when
the urge is present.
Exercise, especially aerobic, may help produce more
regular bowel movements.
Drink plenty of liquids and eat regularly scheduled meals.
Keep the area around the anus clean and dry.
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