Ask PHN: HEMORRHOIDS

By M. Ali
From PHN Issue 53, Summer 2023

Dear Prison Health News,
I was wondering if you could do an article on the topic of hemorrhoids. Some points of interest might be:
What causes hemorrhoids?
Is bleeding a common occurrence?
What are the treatments for them?

Sincerely, Pete B.

Dear Pete B.,

What are hemorrhoids?
Hemorrhoids are swollen veins that can develop inside the rectum and around the anus. There are two types of hemorrhoids: external hemorrhoids, which occur beneath the skin around the anus, and internal hemorrhoids, which occur inside the rectum. The symptoms depend on the type of hemorrhoid.

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Ask PHN: Hernias

By Olivia Duffield
From PHN Issue 51, Winter 2023

Dear Prison Health News,
Intestinal hernias is a topic you could write an article on. Some points you could cover:
· What causes a hernia?
· How common are they?
· Other than discomfort, are they a problem if there are no complications?
· How often do complications occur?
· Is it possible (or safe) to live indefinitely with a hernia?

– Jon Tillman

Dear Mr. Tillman,
Thank you for this excellent suggestion. Hernias occur because of a tear or a weak spot in the tissue surrounding an organ. The muscle and tendons of the abdominal wall from the ribs to the top of the legs form a corset that holds the intestines in place. Some places in this corset tend to be weaker than others, and those places are typical sites of hernias. Inguinal (groin) hernias are the most common type. Researchers estimate that about 27% of men and 3% of women will develop an inguinal hernia at some point in their lives (NIDDK).

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