There is no single cause of hemorrhoids. Most often though, hemorrhoids are caused by too much pressure on the anal canal. This can be due to:
- Chronic (ongoing) constipation
- Straining during bowel movements
- Pregnancy and childbirth
- Sitting too long on the toilet
- Strenuous exercise or heavy lifting
Hemorrhoids are a specialized complex of soft tissue and blood vessels. Everyone is born with this complex which we believe was helpful in passage of BM’s in ancient humans. Today however they are considered mostly vestigial (like the appendix). There are some investigators who do believe that normal hemorrhoids still help to withhold and somewhat control BM even though we know that this is the primary function of the anal musculature (sphincter). The abnormal hemorrhoid complex produces different
symptoms and problems depending on location.
Since hemorrhoid enlargement is typically related to a sort of “backpressure” from the inside out, we can better understand how abnormal outside or “external” hemorrhoids are caused from the inside or “internal” hemorrhoids. This is why successful treatment of abnormal hemorrhoids primarily depends on reducing the blood flow to the internal hemorrhoids. Once the internal hemorrhoids are adequately treated, the external hemorrhoids will usually respond as well. Typical symptoms of problematic external hemorrhoids include the sudden development of a “marble”-like structure with associated discomfort. This is what is known as an external thrombotic hemorrhoid. This condition is usually self-limited and resolves within a couple of weeks’ time. Excision is reserved for cases where there is significant pain.
Recurrence is common until the internal hemorrhoids are treated since the broken vessel causing the clot comes from too much pressure internally. The other more difficult to treat condition affecting the external hemorrhoids is chronic recurrent swelling causing small and large tags over time. In other words the blood vessels become swollen and continue to stretch out the overlying skin unless the internal hemorrhoids causing pressure to the external hemorrhoids are treated early enough. Internal hemorrhoids do prolapse or fall out which is frequently mistaken as external hemorrhoids. In fact, these hemorrhoids actually belong up inside. The prolapse can be treated if caught early enough, by reducing the circulation to the internal hemorrhoids. This can allow reduction in size so the prolapsing internal hemorrhoids to recede back into the anus.
Other common symptoms of internal hemorrhoids include bright red rectal bleeding, and itching. Complications of internal hemorrhoids include anal narrowing, tears (fissures), proctitis (inflammation), and even infections (if the anal glands become blocked). Internal hemorrhoids can even trigger bowel habit changes and irritability since the nervous system will misinterpret signals being sent from the anus and rectum. In other words, the brain cannot tell the difference between large hemorrhoids and feces within the rectal vault causing many changes to occur in the gastrointestinal tract.
Anal tears are one of the most common causes of anorectal pain. Tears are often associated with trauma, e.g., passage of a hard stool, but can also occur during bouts of diarrhea, childbirth, or ulceration of a hemorrhoid. The most common symptom of an anal tear is pain at bowel movement, which can be quite severe and last for some time.
Anal fissures are tears which develop inflammation located in the lining of the distal anal canal, usually along the middle back and are produced when acute anal tears do not heal. The exact causes of anal fissures remain unknown, however Dr. Cutler has hypothesized that fissures are a symptom of another condition such as proctospasm, hemorrhoids, irritable bowel or any other condition causing too few or too many bowel movements which cause an environment which prohibit tears from otherwise healing.
Chronic anal fissures have not been typically responsive to conservative medical therapy, and therefore current treatments are frequently directed at surgical techniques. Healing occurs following surgery in many cases however, a large number of people experience significant pain and some incontinence (weakened muscle) following the surgical procedure.
The Doctor Butler’s formulated therapy was physician developed from years of practical application and testing. At Doctor Butler’s, we have recognized a medical need for effective, non-surgical treatments of hemorrhoids, fissures, and other conditions requiring a topical (body surface) therapy. We have discovered compositions which interact together particularly in connection with treatment of these anorectal disorders as well as in wound healing. Ingredients which provide reduction of swelling and are synergistically designed to: Reduce Discomfort, Promote Healing, Protect, Improve Circulation, and promote Antimicrobial Activity (against bacteria, fungus and virus).
Some of the theories applied in the creation of this product can be referred to as “traditional” medicine. At Doctor Butler’s we sought input from “Eastern” or Chinese Medical Practitioners, to obtain even greater, more effective products. Using powerful, natural herbs with mineral & essential amino acids, we were able to “Bio-enhance” the products making them the strongest available over the counter
Irritable Bowel Syndrome
Irritable Bowel Syndrome or IBS is by definition a group of symptoms related to constipation and diarrhea of an unknown cause.
This is to be differentiated from bowel disorders caused by identifiable problems such as lactose intolerance, milk allergy, diverticulosis, celiac disease, colitis, thyroid disorders and others.
What Dr. Cutler has found is that many rectal disorders contribute to bowel irritability since it is difficult for the nervous system to differentiate between a BM and other rectal issues such as larger hemorrhoids, proctospasm, irritations, etc., all of which can cause increased peristalsis (or increased bowel mobility). Regardless of the cause, this increase in bowel motility will cause multiple daily bowel movements and create an acidic environment causing the underlying cause of the problem to get even worse.
Therefore, it is very important to reduce ano-rectal swelling and irritation as well as avoiding irritants such as caffeine, milk and excessive alcohol from the diet. It is also important to consider temporary use of an over the counter medication designed to reduce the frequency of BM’s until Doctor Butler’s can effectively reduce the irritation and swelling from its source.
Optimizing Your Treatment Of Hemorrhoids & Fissures
Some of the theories applied in the creation of this product can be referred to as “traditional” medicine. At Doctor Butler’s we sought input from “Eastern” or Chinese Medical Practitioners, to obtain even greater, more effective products. Using powerful, natural herbs with minerals & essential amino acids, we were able to ”Bio-enhance” the products making them the strongest available over the counter.
Doctor Butler’s 7 step plan to “Leave The Pain Behind”
1. Apply Doctor Butler’s Hemorrhoid & Fissure Ointment to help soothe, protect and reduce swollen tissue and other symptoms associated with anorectal disorders. I personally recommend applying it internally (and externally as necessary) before and after bowel movements and again at bedtime, up to 3 times daily.
2. Drink 6-8 glasses of water daily and follow a high fiber diet which includes whole wheat cereals, bran, fruits and vegetables. Try to avoid spicy foods, nuts, seeds, corn, popcorn, caffeine, milk and alcohol.
3. Use a “psyllium” bulking agent available at grocery stores.
4. Drink 2 Tablespoons of mineral oil daily as a lubricant (for 2 weeks only since it has been known to decrease vitamin absorption when taken long term).
5. Between applications of Doctor Butler’s Hemorrhoid & Fissure Ointment, the following options should be considered for specific conditions to “Leave the Pain Behind”
A. If you have external hemorrhoids, soak cotton balls in comfortably warm witch hazel and apply for 15 minutes 3 to 4 times daily. For quick temporary relief from pain, apply a small amount of ointment containing menthol.
B. For external irritation use a zinc oxide ointment and oatmeal “sitz” baths.
6. If using a wipe, it is beneficial to apply a thin layer of Doctor Butler’s Hemorrhoid & Fissure Ointment to the wipe. We recommend using Doctor Butler’s Organic Soothing Wipes which are Pure, Natural & Chemical Free. Visit www.Doctorbutlers.com/wipes for pricing and availability.
7. If symptoms continue to persist, mix Doctor Butler’s Hemorrhoid & Fissure Ointment with an over the counter antibiotic ointment. Insert using a gloved finger.
A. If irritation occurs, reduce the amount of Doctor Butler’s Hemorrhoid & Fissure Ointment being applied. If condition becomes worse, discontinue use.
B. More than 2 bowel movements a day can be a symptom of irritability which can create a high level of acidity. This can affect the ability for the body to heal itself. Avoid caffeine, milk and excessive alcohol. Using an over the counter “anti-diarrhea” medication may reduce the frequency of bowel movements on a temporary basis.
Long standing external hemorrhoids represent skin which has been stretched over time. It’s a problem for some people since there is extra skin in the area which causes difficulty for proper hygiene. Doctor Butlers applied internally will shrink internal blood vessels which actually cause external flare ups to begin. While Doctor Butler’s will prevent further progression in most cases, the only way eliminate chronic long standing stretched out skin is by removing it. Starting with Doctor Butlers when someone first notices symptoms will, in most cases, prevent this from occurring since tissue which becomes swollen and stays swollen becomes stretched out. Skin which is swollen from underlying dilated blood vessels will go back to normal, but only if treated early enough.
*For external and/or intrarectal use *Do not exceed recommended dose unless directed by a doctor. *Ask a doctor before use if you have: Allergies to any of the components of this product. Difficulty in urination due to enlargement of the Prostate, Diabetes, Heart Disease, High Blood Pressure, Thyroid Disease Presently taking a prescription for high blood pressure, or depression
Helps relieve the anorectal symptoms associated with hemorrhoids (pain, soreness, burning, itching). Temporarily reduces the swelling associated with irritated hemorrhoidal tissue and other anorectal disorders.
Lidocaine USP 4.0% Analgesic (pain relief), Phenylephrine HCl 0.25% (vasoconstrictor)Inactive Ingredients: Algae Extract, Aloe Vera Oil, Ascorbic Acid, Calendula Oil, Cholecalciferol, Ginseng Extract, Gotu Kola Extract, Horse Chestnut Extract, Hyaluronic Acid, Hydrocortisone USP, Lysine HCl, Methylparaben, Mineral Oil, Octyldodecanol, PEG-8 Dimethicone, Petrolatum, Pomegranate Extract, Propylene Glycol, Propylparaben, Pyridoxine HCl, Retinyl Palmitate, Silica, Sodium Propoxyhydroxypropyl Thiosulfate Silica, Stearic Acid, Tocopheryl Acetate, Zea Mays (Corn) Oil, Zinc Oxide
Adults apply to the affected area up to 3 times daily. Clean affected area with mild soap and warm water, rinse thoroughly, and then gently dry (pat or blot with tissue or soft cloth before use). The ointment can be applied using a gloved finger or finger cot. To use dispensing applicator, open tube seal with top of cap, attach applicator to tube, lubricate well, gently insert part way into anus and squeeze tube to deliver medication. Cleanse applicator with an alcohol soaked cotton ball. Apply Doctor Butler’s to soothe, protect, and reduce swollen tissue.
Actual product packaging and materials may contain more and different information than what is shown on our website. We recommend that you do not rely solely on the information presented and that you always read labels, warnings, and directions before using or consuming a product.
While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists. Actual product packaging and materials may contain more and/or different information than that shown on our Web site. We recommend that you do not solely rely on the information presented and that you always read labels, warnings, and directions before using or consuming a product. For additional information about a product, please contact the manufacturer. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. You should not use this information as self-diagnosis or for treating a health problem or disease. Contact your health-care provider immediately if you suspect that you have a medical problem. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease or health condition.
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Developed by a Board Certified Proctologist, this ointment protects and soothes with Bio-Enhanced Healing using organic herbs, minerals, and amino acids. Doctor Butlers Hemorrhoid & Fissure Ointment is actual medicine that meets FDA approval and contains ingredients which have been proven safe & effective; as well as the assurance of rigorous quality control standards.