Saturday, 28 May 2016 00:00

Treatments for Hemorrhoids

What are the advances in hemorrhoids treatment?

Due to this reputation of being a painful operation, advances in hemorrhoid surgery have focused on making it less painful.  One such operation is stapled hemorrhoidectomy. Using a specially-designed, single-use stapler instrument (which was modified from the staplers used to reconnect intestines during major abdominal surgery), the hemorrhoids are excised and the anus repaired from the inside, something which is difficult to do with traditional surgery.  The end result is that the surgical wound is inside, and no wound is visible outside the anus. Scientific studies have proven that this is less painful than traditional surgery, although with a small recurrence rate.

Another advanced surgical technique is Transanal Hemorrhoidal Dearterialization (THD).  Using a doppler ultrasound, the blood vessel supplying the hemorrhoid is identified and ligated with stitches.  Deprived of its blood supply, the hemorrhoid then shrinks and shrivels.   Again there is no wound outside and is therefore almost painless.  However, because it is a new technique, not very many studies evaluating its long-term effectiveness have come out.

 All surgical procedures for hemorrhoids, whether traditional or innovative, may sometimes develop complications such as bleeding, infection and stricture. It is important therefore when seeking treatment, to see an expert in anal diseases.

The term hemorrhoids are associated with the symptoms when this part of the body becomes enlarged, inflamed, thrombosed or prolapsed.

Many people have them without suffering from any symptoms, and therefore these may be safely left alone. Treatment is usually required for those whose hemorrhoidal symptoms such as excruciating throbbing pain affect quality of life and daily living. There are many traditional remedies and non-surgical treatments for hemorrhoids. However, if none of these work, surgical procedures may be required as a last resort.

How do hemorrhoids look and feel?

Hemorrhoidal cushions are skin, vascular and soft tissues that line the anal canal, playing a small role in defecation and continence.  Everyone has them, although with our daily travails of straining and movement, they do change over time, becoming more lax or loose as we age. 

Hemorrhoidal disease occurs when these changes result in bothersome symptoms such as bleeding, prolapsed, or pain.  Almost everyone may develop symptoms at some point in their life, but these are not life-threatening, and may be safely observed. Treatment is usually required for those whose hemorrhoidal symptoms impact on quality of life and daily living.

What are the symptoms of hemorrhoids? 

Bleeding from hemorrhoids is usually bright red, often dripping into the toilet bowl, or noticed when wiping. The stools themselves are normal looking, indicating that the bleeding is originating only from the anorectal area.  Sludge of dark blood and stool mixed thoroughly together is usually from a source within the small and large intestines and not hemorrhoids. Hemorrhoidal bleeding is painless, and this differentiates it from anal fissures, which is also a very common anal condition that presents with similar bright red bleeding during defecation, but with anal pain.

Hemorrhoids only become painful when they thrombosed or incarcerated.  Thrombosed hemorrhoids occur when blood clots within the hemorrhoids, causing very obvious swelling and pain.  While surgery for this may be effective during the first 4 days of the attack, if left alone the swelling and pain gradually subside and disappear after 2 weeks.  Usually this occurs just once or twice in a person’s lifetime, and it is uncommon to have repeated episodes of thrombosis. 

Doctors often classify patients as to having either external or internal hemorrhoids.  External hemorrhoids are located just outside the anus, and hence are always visible on routine inspection.  Many people have them without suffering from any symptoms, and therefore these may be safely left alone.  Sometimes external hemorrhoids may make cleaning difficult, allowing sweat and anal discharge to hide between folds, resulting in anal itching.

Internal hemorrhoids arise from inside the anus and are therefore only visible when, because of excessive laxity, they protrude outside.  This condition is called prolapsed, and usually occurs during defecation.  When internal hemorrhoids prolapsed they may either slip back inside on their own, or require manipulation by the person for it goes back in.  When the prolapsed hemorrhoids cannot be returned, they become trapped outside, resulting in pain and swelling.  This scenario is called incarcerated hemorrhoids.

What are the forms of treatment for hemorrhoids– surgical and non-surgical?

Hemorrhoids only require treatment when there are symptoms.  And the type of treatment depends on the severity of symptoms.  Mild symptoms may be managed just by eating a lot of fiber and taking in bulk laxatives such as psyllium to improve the consistency of stools and ease bowel movement.  Some over-the-counter creams may provide symptomatic relief.

Non-surgical and almost painless treatments for hemorrhoids include injection sclerotherapy, infrared photocoagulation (often mislabeled as “laser treatment”), and rubber band ligation, any of which can be done safely in the clinic as an out-patient procedure.  In scientific studies comparing these methods, rubber band ligation was found to be the most effective and cheap, which is why it is the most common non-surgical procedure for hemorrhoids in the world today.

Non-surgical treatment is often ineffective for large, incarcerated or thrombosed hemorrhoids.  Surgery is usually recommended in these situations, and also when non-surgical treatment has failed to relieve symptoms.  Traditional surgery requires cutting out the hemorrhoid using a variety of instruments such as scissors, knives, cautery, and ultrasonic dissectors. Unfortunately, any wound created in the outer skin of the anus results in often Sever post-operative pain, which is responsible for the reputation of hemorrhoid surgery being one of the most painful of operations.

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2nd Floor Podium Building, The Medical City

Contact Us: 988-1000 local 7789

 

Tuesday, 22 March 2016 00:00

S & L Fine Foods

What's New
  • Angus Pure and Natural
    Angus Pure and NaturalWe at A.G.D. are happy to introduce to you the most awarded beef in Australia, Angus Pure and Natural by T & R Pastoral. You can be assured that Angus Pure is free from growth hormones, antibiotics and Genetically Modified Organisms (GMO’s) and is a completely 100% pure and natural “as nature intended.”
  The secret to providing consistently beautiful tasting beef…
     
     
     
     
  • Morelli Pasta with Wheat Germ
    Morelli Pasta with Wheat GermPasta with Wheat Germ is one of the most unique and healthy kinds of pasta. The secret lies in the Wheat Germ that is combined with the best semolina.   It has high level of Vitamin E, which is an antioxidant, and Vitamin D, that prevents cardiovascular disease, high blood pressure and high level of cholesterol. Those who have tried Pasta…
     
     
     
     
  • La Fiammante
    La Fiammante  New, Enriched Italian Tomatoes Tomatoes being one of the essential ingredients in Italian cuisine, we believe that quality is of paramount importance and our range of La Fiammante tomato products offers both quality and consistency throughout the entire range. We take natural tomatoes from the region of “Puglia” and process them in Buccino (SA). From the foothills overlooked by Mount…
Monday, 23 June 2014 00:00

Places in Palawan

 

  1. Puerto PrincesaSubterranean River National Park–The Park is located in the Saint Paul mountain range and the entrance to the underground park is just a short hike from Sabang. This is said to be one of the longest underground river in the world.
  2. El Nido– This is one of the most beautiful places in the whole Philippinesand it’s a great best to dive and snorkel, island hop or just to relax and lie comfortably on the beach.
  3. Honda Bay– is just a 30 minutes’ drive from Puerto Princesa. Honda Bay is a must go to place too if you’re in Palawan. Island hopping is a popular activity in Honda bay among foreign and local tourists alike
  4. Coron– Coron is another gorgeous destination in Northern Palawan. A lot of foreign and local visitors frequently go here because of the direct flight that it has withManila. It’s a great place to explore a variety of island and to snorkel and dive to see sunken ships. Coron is also home to a variety of colourful marine life which makes snorkelling and diving in Coron so much fun.
  5. Sabang– This beach village is the nearest place to the Puerto Princesa Subterranean River National Park so if you’re going there, you’ll surely pass through this town. The beach here is quiet and beautiful and it’s a great place to relax after your day tour to the underground river. You can also explore the nearby mangrove forest and learn about the ecosystem that it supports.
  6. Batac Tribal Community– An indigenous group of people in Palawan that dwells in the river valley just north of the provincial capital. Some say that there are only less than 500 of them left and these people are slowly disappearing.
  7. Puerto De Sta. Isabel– also called theTaytayPort is one of the historical places to see in Palawan. The fort was used as a military station during the Spanish Era. The fort was built under the order of the Augustinian Recollect Fathers in 1667.
  8. Port Barton– a quiet and beautiful fishing village, you can see here white sand beaches and a lot of beautiful sceneries and attractions. There are some restaurants here too and the place just has a laidback and relaxing atmosphere, activities are island hopping, snorkelling, swimming and a lot more. When you visit port Barton, be sure to check out the Pamoayan Falls as well.
  9. Tabon Cave– The cave is located in the southern part of Palawan and labelled as the “Cradle of Civilisation” of the Philippines. This is where archaeologists found a skull cap and other remains of what they believed as the oldest inhabitants in the country.
  10. Calauit Island– Calauit island will come up as a surprise to everyone because the main feature of this island is the collection of African animals such as giraffes, zebras and gazelles among others that are roaming freely in the wild. This is in response to an international effort to help save the animals in Kenya during the 70’s. Eight species arrived in Calauit in 1977 which include; impalas, giraffes, zebras, bushbucks, waterbucks, gazelles, elands, and topis. From then on, the animals proliferated and existed in this island together with some local species. This island is now a wildlife sanctuary.
Monday, 23 June 2014 00:00

Activities at Boracay

 

Massage

Next to the Titay Theater Restaurant in Manggayad Vibes Shiatsu Center and Fausto's Shiatsu Massage will take care of you. For about P200 an hour well-trained, licensed blind masseurs will provide acupressure and reflexion zone massages. These professional massages should not be compared with the ones available at the beach for P150.    

 

Boat Trips

An unhurried trip around island by outrigger boat can be arranged a about P500. A day trip, including the nearby Carabao Island with its equally beautiful white sand beaches - Still unspoiled by tourism - would cost a bit more. Their skilful artisans on Carabao who not build snazzy paraw (a small, fast outrigger sailboat given to capsizing), but also mastered the art of sailing them well. Now and then, boat trips to interesting snorkeling areas are available, for example with the MB Blue Dolphin, which costs P150 per person for four hours.

 

Diving

A diving trip, including one dive, the boat and equipment, will cost you P600; day courses cost P7500. The equipment at the different dive shops is of varying quality; it's worthwhile making a comparison and paying particular attention that the equipment is new. For further information, check with Aqualife Diving Center, Aquarius Diving, Asia Divers, Beach Life Diving Center, Boracay Scuba Diving School, Calypso Diving, Far East Scuba Diving Institute, Lapu-Lapu Diving, Nautilus Ocean Deep Diver Training Center, Dive Center and Victory Divers.

         

Horseback Riding

A one hour ride, with a guide if necessary, costs about P350 at the

Boracay Horse Riding Stables (tel: 288 3311), balabag, near Friday's. Riding lessons are available.

 

Sailing

On White Beach you can hire a paraw. It costs P100 an hour, or P500 per day. 

    

Snorkelling

There are good snorkeling at Ilig-Iligan Beach in the north-east and at little Crocodile Island just off the Southeast coast. But beware of the strong currents that can often be encountered on the east coast of Boracay. Especially off Crocodile Island and Laurel Island the undertow has been known to put the wind up even strong swimmers. Laurel Island offers a unique attraction for snorkelers. Through an opening in the rocky floor, an iron ladder leads to a partly flooded cave. The cave is open to the sea, and fish and coral can be observed.

 

Windsurfing

It costs between P220 and P250 an hour to rent a board. One-week courses cost around P2000. Rental and courses are available at the restaurant Zur kleinen Kneipe and elsewhere. There are other companies on Bulabog Beach on the east of the island, which is also the venue every January for The Boracay Funboard Cup, one of the leading windsurf competitions in Asia.

Monday, 23 June 2014 00:00

People in Boracay

 

The first settlers of Boracay in Panay are called Negritos or Atis. Panay are then called "Land of the Atis"  These Negritos are the indeginuous people of the Philippines and they farmed and fished in Boracay for centuries.


During the 1940s and 1950s, the Boracaynons or the people of boracay, depended largely on fishing and coconut plantation. Copra, the dried meat of coconut, was traded to businessmen from Aklan in exchange for rice and other goods and commodities.

During the 1960s and 1970s, Boracay became popular among families from Panay. When a German writer published a book about the Philippines in 1978, describing boracay history and the beautiful island in details, the island was introduced to the world. This mark the beginning of tourist "boom" with tourist. 

Cheap Boracay Package at Arwana Hotel for only P3,050

Low Season: June 1 to December 15 = 3050
High Season: December 16 to May 31 = 3350
Super peak Season: December 26 to Jan 2, Holy week (Holy Wednesday to Black Saturday) = 4050

3 Days and @ Nights Hotel Accommodation in Arwana Hotel

ROOM RATE INCLUSIONS:
*Welcome Drink
*Safety Deposit Box
*Hot & Cold Shower
*24 Hours Security
*Cable Television
*Bathroom Amenities
*Fully Air conditioned Room
*Wireless internet Access
*Roundtrip transfer via Kalibo
 
Minimum of 2 pax

 

Cheap Boracay Package at Bamboo Beach Resort For Only P3,050

Low Season (June 1 – October 31) = 3,050
High Season (November 1 – May 31) =
 4,050
Super Peak (Dec. 20 – Jan. 5, Chinese New Year, Holy week) =
 4,550


3 Days and 2 Nights Hotel Accommodation in BAMBOO BEACH RESORT

INCLUSIONS:


*Air-conditioned
*1 Queen-size Bed
*21” cable TV
*Mini Refrigerator
*Dresser/Wardrobe Drawer
*private T & B with H/C Shower
*Verandah with Tea Set.
*Roundtrip transfer via Kalibo
*Minimum of 2 pax

Cheap Boracay Package at Fat Jimmy’s Resort for only P2,500

Peak Season ( December 16   to  May 31 ) = 3,800
Low Season ( June 1    to   December 15 ) = 2,500

3 Days and 2 Nights Hotel Accommodation in Fat Jimmy’s Resort

INCLUSIONS:

*With aircon
*Hot/cold shower
*Roundtrip transfer via Kalibo

Minimum of 2 pax

 

 

Cheap Boracay Package at BORACAY HAVEN RESORT P3,800

LOW SEASON (June to November) = 3,800PEAK SEASON (December to May) = 4,600SUPER PEAK SEASON (Dec. 19 to Jan. 5, Holy Week & Chinese New Year) = 5,400


3 Days and 2 Nights Hotel Accommodation in Boracay Haven Resort

INCLUSIONS:

*With FREE Continental Breakfast
*Hot & Cold Shower
*Rate inclusive of VAT
*Cable TV
*No service charge
*Wireless Internet Access (WIFI)
*24-hour Standby Power Generator
*Minibar
*Safety Deposit Box
*Roundtrip transfer via Kalibo
*Minimum of 2 pax

 

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