[postlink]https://home-cures-for-hemorrhoids.blogspot.com/2010/02/new-hemorrhoid-treatment.html[/postlink]http://www.youtube.com/watch?v=0KwCWEoDWvkendofvid
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Have the patient perform a valsalva maneuver as you provide traction on the skin of the buttocks, to evert the anus. Examine the posterior mucosa for anal fissures. After the topical anesthesia has taken effect, complete the digital rectal exam, looking for internal hemorrhoids and evidence of rectal abscesses or other masses. If topical mucosal anesthetic does not give enough relief to permit examination, follow with subcutaneous injection of 10ml of 1% lidocaine with epinephrine or bupivacaine for extended pain relief. If topical anesthetics on the rectal mucosa help control the pain, provide for more of the same, perhaps also with some added corticosteroid for anti-inflammatory effect (anusol-hc cream).
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New Hemorrhoid Treatment Video
Have the patient perform a valsalva maneuver as you provide traction on the skin of the buttocks, to evert the anus. Examine the posterior mucosa for anal fissures. After the topical anesthesia has taken effect, complete the digital rectal exam, looking for internal hemorrhoids and evidence of rectal abscesses or other masses. If topical mucosal anesthetic does not give enough relief to permit examination, follow with subcutaneous injection of 10ml of 1% lidocaine with epinephrine or bupivacaine for extended pain relief. If topical anesthetics on the rectal mucosa help control the pain, provide for more of the same, perhaps also with some added corticosteroid for anti-inflammatory effect (anusol-hc cream).
Click here for more new hemorrhoid treatment information.
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