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Taking Charge of Your Health


Hi everybody! Welcome to The Zen
Palace of Healing. Today’s lesson we’re actually going to learn about
hemorrhoids. Something that is very crucial to a lot of people that they get
later in life. But before we go on I just like to remind you to subscribe and like
the video, so you can get more updates for upcoming videos in the following
days. Alright, so without further ado, Let’s get started. Hemorrhoids
(AKA Piles–more of a common name that we know of) It actually comes from
the Greek time “Haimorrhoides.” I guess that’s how it is pronounced : Haimo means “Bleeding” and “Rhoides” means veins So that’s where it comes from. That’s what
the actual definition of hemorrhoids comes from. That’s just a bit of a fun fact.
Alright, so let’s get started more to the science behind. Pathophysiology: what
is really going on. The definition of a hemorrhoid is basically a venous
dilation from increased pressure in two areas: Superior Hemorrhoidal Plexus and Inferior Hemorrhoidal Plexus. Before
we get into where are these plexus are, which by the way; plexus is another name for NET of veins I’m going to talk a little bit about
what congestion: Venous congestion Normally as we know right here:
We have blood that goes from artery to veins. (Blood) is being transferred so when
blood comes from arteries, it means that the heart pushes the
blood into the rest of the body for oxygen The oxygen is delivered to the
tissues and then the tissues give out carbon dioxide, and the veins carry
that blood with more carbon dioxide back to the lungs; where the lungs can oxygenate again. The cycle just (repeats) again.
However, with congestion what’s going on is that the movement of blood becomes
stagnant That’s what congestion means: Stagnant.
As you can see in this little picture here. The veins are getting, what they
call “dilated,” they’re getting bigger they’re getting stagnant. The blood is
not moving as much as it should and There are various reasons as to why that
may be; but that is the actual Pathophysiology, that is what’s going on
in these hemorrhoidal plexus. OK? Let’s get moving to what are
these plexi. Alright, so first of all let’s talk a little bit about of the
anatomy. This is more in the anatomy of the large intestines.
The large intestine goes to an ascending colon, transverse colon, and
then descending colon. Later it becomes sigmoid colon –>the rectum and the anus, which is where feces come out. Here I’m gonna stop…
Let’s try again, so here is an R for the rectum and then here is gonna be the
anus (A letter). And then you see these little indentations right here. This is what’s called the
“Dentate line” That’s the separation between
Rectum & Anus and anus and that’s what’s gonna tell us
whether the hemorrhoids are gonna be either internal or external okay so
another way dentate it’s just another it’s the Latin root for tooth because
they look like tooth tooth mark Asians tooth marks right here so internal
hemorrhoids are gonna happen in this complex of veins they’re gonna get
congestion and they’re gonna get large and they’re gonna come out of the anus
with external hemorrhoids the flexes are already out here in the anus region
below the dentate line so you’re gonna be able to see an external hemorrhoid a
lot sooner than an internal one. Anatomy: this is more of the
side view so we looked before at a frontal view And this is more of a Sagittal view or
more of a side view. we’re gonna do is circle this one right
here and this we’re gonna have you learn that this is the internal plexus
and this out here it’s gonna be the External hemorrhoid plexus
oh and by the way I forgot to mention that these veins, these plexi, go to the
rectal vein and the pudendal veins and then back to the iliac (veins) and then
right here between the internal and external you’re gonna have the dentate
line. That’s what makes the difference between an internal
hemorrhoid and an external hemorrhoid. So I hope that makes sense now let’s get
to the clinical signs and symptoms: What you may be experiencing. For external
hemorrhoids; this is easier to see and it’s easier to feel. What you’re gonna
feel actually are gonna be three things: First
a mass is usually a flesh color mass then you’re gonna have pain. You could
have either pain will either be pulsating pain or a sharp pain like
needles are being inserted and then you’re gonna have bleeding. It’s usually
not that much but you’re gonna notice that after you have a bowel movement. Keep an eye on that internal hemorrhoids However as I have a picture right here we’re gonna chat a little bit about what they each do. What
are the different stages so normal this is what we already talked about the
rectum and the anus and then right here the dentate line okay internal
hemorrhoids Stage one notice that the dentate line is below the internal
plexus okay so signs and symptoms for stage one
is really asymptomatic. You don’t really feel them. It’s gonna be
difficult to know whether you’re having stage 1 hemorrhoids or not internal
hemorrhoids but with stage 3, I’m sorry stage 2 through 4 you’re gonna have something
called a “Prolapse” Prolapse means a drop down; means
that this little plexi just drops out of the anus in all these stages but
the difference in stage 2 3 & 4 is the following: stage 2: Internal Plexi
drop after you have a bowel movement but then they retract again. They go up to
its original place again without doing anything
stage 3 however they drop but it won’t go back by itself
Instead you have to use
your hands or another helper I mean (advice. I’m sorry) tool to bring
back the hemorrhoids but when it comes to stage 4 it’s gonna fall off the internal plexus And there’s nothing that’s gonna
bring it back so that’s when it’s more about critical and it’s gonna look more
of an external hemorrhoid so differential diagnosis: what other
things could it be so because it’s a mass we as doctors we
always have to rule out cancer we always have to make sure what what kind of mass
is it and we have to refer for cancer we have to think in the back of our minds
fanciful theory on issue or a polyp which is another growth but it’s more
benign whereas cancer is malignant and again polyps can become cancers too just
like benign cancers can become malignant if they aren’t treated so recto it could
be a rectal cancer which means about the dentate line anal cancer if
they love the things in line even I have an anal fissure
that’s another diagnosis that’s another possibility meaning an injury in the
anus let me just put that there injury and impacted feces this comes
with chronic constipation and what impacted feces needs is that the poop
the feces they’re getting stuck there they’re so hard like rocks but they’re
not coming off of the rectum so that is also another serious condition that
needs to be addressed as well so sequelae what happens if it’s untreated
what if the samurais are not being treated well these are the risks whether
it could happen later you can have an infection which means you’re going to
have more inflammation and gonna lead to more problems and more issues ulceration
meaning that they can break they can have more injury they can bleed more and
incontinence you’re not going to be able to have bowel movements as often as you
like to in fact about more friends may be very very infrequent so work up what
will a doctor do on a visit first of course is going to ask you the questions
on your clinical symptoms pretty much what we went over about the signs and
symptoms of the mass the pain and the blood after a bowel movement and of
course other things that are necessary to know rectal examination as you can
see right there is inserting the doctor is going to send his fingers into your
into the anus and feel the area to see where the mass is so that will tell the
doctor whether it’s more internal external or
could be something else and by the way I’m just gonna write a little bit of a
blue here just to show that it is wearing gloves and why that picture is
not wearing gloves it’s not cool and in Oscar P so the NA step is this little
device that’s also inserted into the anus and it’s about 10 centimeters and
that will give a good visual of the anus and a little bit of director so enough
to see whether the hemorrhoids are internal or external so conventional
treatments so first thing that the doctor may recommend is cryotherapy
which is a type of cold laser therapy that’s gonna shrink and reduce the size
of the hemorrhoids sclerotic injection that is a type of solution that they
knew the hemorrhoids with and Seurat and nuclear rods
well it’s clear roses it’s another word for narrowing so it makes the hemorrhoid
it’s narrowed the veins narrow so they can be retracted and it can help and you
can go back to its original position if you’re having internal hemorrhoids the
doctor may do a rubber ligation which means it’s gonna put a rubber band
around the hemorrhoids and that will shrink the outside components the
outside veins of the inflammation or IR photocoagulation which is another device
to help shrink the hemorrhoids and reduce the inflammation also the doctor
may address to avoid constipation avoid straining when doing number two avoid
prolonged sitting and increase fiber intake so
naturopathic treatments a doctor whether naturopathic doctor will do so he’ll
definitely address lifestyle modification because that is the biggest
thing that needs to be addressed first of all more fiber more fluids and
something that we call it sits back where it’s like this sitting device sort
of a sauna that only covers the covers your whole body excluding your head other treatments more from the plant
world it’s going to be something called horse chestnut or in Latin as
philosophers Castano so indications like why will you use this the natural path
will know that there’s weakness in the connective tissue connective tissue is
what means are made of so it means are weak it means the connective tissue is
weight that’s why the botanicals of horse chestnut will be indicated for
this America Lee however hemorrhoids are gonna be more with the symptoms of
burning in the anus with chills up and down another plant that’s been shown to
help would be hemorrhoids is something for which his own or hamamelis
virginiana which is kind of popular here in the East Coast i–listen Pennsylvania where I am so
pathetically horse-chestnut is gonna have the indications is gonna be
hemorrhoids with weight and fullness and rectal prolapse mean a stability meaning
weakness in the veins with relax and fall tissues so kind of similar to horse
chestnut homeopathic me hemorrhoids I’m gonna bleed profusely and soreness
so that’s gonna be the homeopathic one and this is a picture of the witch hazel all right so something different on it
from a different perspective more from a Eastern oriental medicine like Tibetan
Ayurveda in Chinese they might address hemorrhoids to be coming from liver a
liver issue hence I put the liver right here so in
this medicines the liver what I understand is she makes the blood
it purifies the blood and of course if the blood is it’s not clean there’s just
gonna be issues in the arteries and the veins and you’re not gonna have enough
nutrition for all the different tissues similarly in this medicines I always do
come from a labor issue so what they recommend is to avoid hot and sour foods
because they aggravate the liver limit spices and oils again because those are
having hot foods and hemorrhoids is more of a hot conditions and inflammation so
you’re gonna aggravate it with them eat more rice with vegetables vegetables oil
are always a good thing to have in the diet for any kind of inflammation
lentils obviously for the source of fiber and Mitra and I believe that’s
actually to help would be a circulation and the blood itself so that’s just
another way to look at it for real treatments of the piles now this mind-body medicine I added this
more from my understanding of how memories
capi you can do something about your hemorrhoids even right this moment to
try just controlling your breath and do this technique so what it is
you’re gonna do is just lay down go outside take a deep breath and then I
want you to do five four breaths then imagine for the the throat area online
going all the way to the rectum right here gonna make it on the back and then
here’s roughly the area of the rectum so as you breathe in deeply I want you to
take deep fold abdominal breaths five times and then just imagine this line
and that should help at least ease some of the pain and hopefully some of the
information as well as in the hemorrhoids okay so that concludes our
presented the presentation on hemorrhoids and I hope you have a better
understanding of what they are and what you can do about them if you have
further questions on how to treat hemorrhoids how to use natural
treatments and how we can help you with your condition please don’t forget to
email me on the description below made one thank you and until next time and
don’t forget to subscribe for more updates thank you bye bye

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