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Hemorrhoid No More™ by Jessica Wright

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| H e m o r r h o i d N o M o r e | B y J e s s i c a W r i g h t Page 3

Disclaimer

While all attempts have been made to verify information provided in this

publication, neither the Author nor the Publisher assumes any responsibility for errors, omissions or contrary interpretations of the subject matter herein. Any perceived slights of specific persons, peoples or organizations are unintentional. The Author neither makes nor attempts to make any diagnosis or cure or prevent any disease.

This publication is an informational product based on my own experience and research, has not been evaluated by either the FDA or the medical profession and is not aimed to replace any advice you may receive from your medical practitioner. The Author and Publisher assume no responsibility or liability whatsoever on the behalf of any purchaser or reader of these materials. The author is not a doctor, nor does she claim to be. Please consult your primary care physician before beginning any program of nutrition, exercise, or remedy. By consulting your primary care physician, you will have a better opportunity to understand and address your particular symptoms and situation in the most effective ways possible.

As always, before applying any treatment or attempting anything mentioned in this book, or if you are in doubt, you should consult your physician and use your best judgment. If you fail to do so, you are acting at your own risk. You, the buyer or reader of this book, alone assume all risk for anything you may learn from this book. HemorrhoidNoMore.com, Higher Ways Publishing INC, the publisher and Jessica Wright are not liable or responsible for any increase in severity of your hemorrhoids or for any health problem you may encounter should you give up medical treatment.

By choosing to use the information made available on the Hemorrhoid No More website and in this book, you agree to indemnify, defend, and hold harmless Higher Ways Publishing Inc. and HemorrhoidNoMore.com from all claims (whether valid or invalid), suits, judgment, proceedings, losses, damages, costs and expenses, of any nature whatsoever (including reasonable attorney's fees) for which Higher Ways Publishing Inc. and HemorrhoidNoMore.com may become liable resulting from the use or misuse of any products sold through the

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Introduction ... 9

Why Hemorrhoids Are Nothing to ... 9

Be Ashamed Of ... 9

What This Book Is About ... 10

How to Find the Information You Need ... 11

Why I Wrote This Book: My Story ... 13

Chapter One: ... 15

Everything You Need to Know About Hemorrhoids... 15

What Are Hemorrhoids? ... 15

Types of Hemorrhoids ... 16

Grade One: ... 17

Grade Two: ... 17

Grade Three: ... 17

Grade Four: ... 17

The Difference Between A Fissure and a Hemorrhoid ... 18

Is Constipation Causing Your Hemorrhoids? ... 19

Tip # 1: ... 22

Tip # 2: ... 22

Tip # 3: ... 22

What’s Causing Your Hemorrhoids ... 22

Dietary Choices, Over-Acidity and Sluggish Digestion ... 23

Candida Albicans Overgrowth ... 24

Auto-Intoxification ... 25

Being Too Fat (obesity) ... 26

Not Moving Enough (exercise) ... 26

Pregnancy ... 26

Holding It (postponing a bowel movement) ... 26

Straining ... 27

Constipation ... 27

Diarrhea ... 27

Diseases and Illness ... 27

Stress and Inadequate Sleep ... 28

Your Family Tree (genetics) ... 29

Chapter Two: ... 30

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Internal Hemorrhoids ... 31

External Hemorrhoids ... 32

Diagnosis and Prognosis ... 32

A Digital Rectal Exam ... 33

The Anoscope ... 34

The Proctoscope ... 34

A Sigmoidoscopy ... 34

A Colonoscopy ... 34

Ruling Out Other Conditions ... 35

Anorectal Abscess ... 36

Fissures ... 36

Polyps ... 36

Cancer ... 37

Sexually Transmitted Diseases (STD’s) ... 37

Check Your Stools First! ... 38

Color ... 38

Form ... 39

Texture ... 39

Size ... 39

Proper Evacuation ... 40

Are You At Risk for Hemorrhoids? ... 40

Irregular Bowel Movements. ... 40

Extra pressure on the rectum. ... 41

Poor blood flow/circulation. ... 41

Anal Sex. ... 41

A Poor Diet. ... 41

What Can Help (Treatment Options) ... 41

Easing the Pain – Fast! ... 42

Help for Severe Hemorrhoids ... 42

Sclerotherapy ... 43

Infrared Coagulation ... 43

Banding ... 43

Cryotherpay ... 43

Surgery to the Rescue ... 44

Medicines That Can Work ... 44

Chapter Three: ... 47

48 Hours to Relief ... 47

A Quick Fix Treatment Plan ... 47

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Hemorrhoid Compress ... 47

Cranberry/Cheese Cloth Compress ... 48

Cold-Water Baths ... 48

Onion and Garlic Suppository ... 48

Geranium and Lavender Oils ... 49

Hemorrhoid Wash ... 49

Echinacea Treatment ... 49

Salves and Ointments ... 50

Zinc Oxide Cream ... 50

Comfrey Herbal Salve ... 50

Flowers of Sulfur Vaseline ... 50

Veri-Gone Salve ... 51

Vitamin E ... 51

Ghees-Turmeric Salve ... 51

Salves and Treatments for Specific Symptoms ... 52

To relieve burning and itching ... 52

To ease inflammation ... 52

To alleviate hemorrhoid bleeding ... 53

The Crystal Remedy ... 54

Chapter Four: ... 55

The 5-Step Holistic Plan for Getting Rid of Your Hemorrhoids ... 55

Step One: Dietary Changes and Digestion Optimization ... 56

Dietary Principle #1: Lowering Fat and Cholesterol ... 56

Dietary Principle #2: Increasing Fiber ... 57

Dietary Principle #3: Reducing Spice Content ... 59

Dietary Principle #4: Reducing Dairy Consumption, Lactose and

Fructose ... 59

Dietary Principle #5: Reducing Gas-Forming Foods ... 61

Dietary Principle #6: Low Calories ... 62

Dietary Principle #7: Minimizing Toxic Foods and Foods That Feed

Candida (Anti Yeast Foods) ... 62

Dietary Principle #8: Consuming Lots of Cleansing Foods ... 67

Dietary Principle #9: Maintaining Healthy Alkaline-Acid Balance .. 73

Dietary Principle #10: Optimizing Digestion by Adopting Correct

Eating Habits ... 79

Enzymes ... 82

The Hemorrhoid Diet ... 83

Breakfast: The Most Important Meal of the Day ... 84

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Step Two: Basic Supplementation For Hemorrhoids and Related G.I

Disorders ... 87

Why Do We Need Supplementary Vitamins and Minerals? ... 87

Herbal Supplements for Treating Hemorrhoids ... 97

Aloe Vera ... 97

Bromelain ... 98

Butcher’s Broom ... 98

Calendula ... 98

Collinsonia Root ... 99

Cranesbill ... 99

Dandelion ... 99

Horse Chestnut ... 99

Horsetail ...100

Japanese Pagoda Tree ...100

Mint ...100

Ginger ...100

Pilewort ...101

Plantain ...101

Psyllium ...101

Witch Hazel ...101

Yam ...102

Traditional Chinese Medicine to the Rescue ...102

Cold Compresses ...103

Fu Fang Jing Wash ...103

By Zhon Yi Qi Wan ...103

Horse Chestnut ...104

Bananas ...104

Fargelin ...104

Step Three: Internal Cleansing ...106

Why Cleanse? ...106

Cleansing and Hemorrhoids ...107

What Is Fasting? ...107

Why Should You Fast? ...108

Types Of Fasting ...109

General Fasting Guidelines ...110

Three-Day Juice Cleanse ...114

The Holy Grail Of The Hemorrhoids No More™ Juicing Plan ...115

During The Juice Cleanse ...122

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Preventing Re-Absorption of Toxins into the Blood Stream ...127

Psyllium, Flaxseeds and Bentonite Shakes ...130

Getting Rid Of Parasites – One-Week Program ...133

Step Four: Kill Candida and Flood Your System With Probiotics ...135

5-Steps to Building A Candida-Free Environment ...135

Anti-Candida Supplements...138

Replenishing And Re-Colonizing Friendly Bacteria ...141

Step Five: Relaxation, Training, Message and Lifestyle Changes ...145

Stress Control ...145

Reducing Stress ...146

Control Your Anger ...148

Meditation And Correct Breathing ...149

Meditation Through Breathing ...152

Breathing Exercises ...153

Meditation Through Imagination ...154

Meditation Through Mantra ...154

Stress Control Through Mind Techniques ...156

Sleep Optimization Plan ...162

My Sleep Optimization Plan ...163

Exercising for Colon Health ...165

Straining and Toilet Training ...166

Tummy Massage ...168

Thermotherapy ...169

Posture ...169

Appendix I: ...171

Alternative Medical Treatments for Hemorrhoids ...171

Homeopathy ...171

Acupuncture ...172

Yoga ...173

Inversion Therapy ...174

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I stood in the pharmacy aisle, staring at the package. Dare I pick it up and bravely head toward the counter? For just a split second I thought about stuffing it into my jacket and walking out the door. But what would be more embarrassing -- getting caught buying Preparation H or getting caught stealing it? I could see the headlines now: Local health writer turns research into crime!

I had hit a new low and I knew it. The problem wasn’t money. I certainly had enough cash on hand to make this important purchase. The problem was more complicated than that: I was embarrassed to admit that I not only had

hemorrhoids, but I was suffering with them and needed relief -- fast!

Why are we so ashamed to admit that yes, we have hemorrhoids? Nearly half of the population will suffer with hemorrhoids at some point of their lives, so why do we feel the need to hide our affliction?

Hemorrhoids are more common than you might think. Sit in a roomful of strangers and look around. Now consider this startling fact: nearly 80% of the

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people around you have had some sort of colon rectal issue – including

hemorrhoids – at some point in their lives. Unfortunately, most of them suffer in silence. That is a lot of people hiding a big pain in the butt – literally!

Hemorrhoids may be a subject not easily talked about, but that doesn’t mean they are not causing a lot of unnecessary suffering. Why tolerate the pain and discomfort of hemorrhoids when there is help available? Don’t let

embarrassment or shame keep you from finding the relief you need and deserve.

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When you picked up this book you may have thought that it was about finding relief for your hemorrhoids. Well, it isn’t! Yes, we will discuss practical ways to find relief, but this book offers more than some temporary relief. Instead of using a cream or lotion to ease the discomfort you feel, wouldn’t you rather put an end to your suffering once and for all?

The Hemorrhoids Book is designed to help you figure out the cause of your

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Organized in an easy-to-read; easy-to-follow format, The Hemorrhoids Book is divided into five main sections, offering important information and practical help regarding every aspect of hemorrhoid diagnosis, prevention and treatment.

In Section One you will learn everything you need to know about hemorrhoids -- and a few things you probably never wanted to know! This section will explain what hemorrhoids are (and aren’t); the differences between a hemorrhoid and a fissure; the lessons to be learned from constipation and the main causes for your discomfort.

Once you understand hemorrhoids more, section two will cover conventional treatments and surgery by delving into the signs and symptoms of external and internal hemorrhoids; risk factors; diagnostic procedures; medications and more.

For those who want to take care of their hemorrhoids on their own – or can not wait for a doctor to prescribe the right relief, Section Three will offer a 48-hour quick fix that outlines a variety of recipes for hemorrhoid care including several fast-acting ointments and cures that can be used at home.

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Taking the quick-fix option a step further, Section Four offers an intensive 3-step holistic approach to freeing yourself of hemorrhoids and constipation.

• Step One talks about the dietary changes that can be used to optimize digestions and keep hemorrhoids at bay.

• Step Two discusses herbal and vitamin relief as well as the ways Traditional Chinese Medicine can be used to help the body treat hemorrhoids on its own more naturally.

• Step Three explains the importance of cleansing and detoxifying the liver in order to cure your hemorrhoids for good.

• Step Four shows you exactly how to get rid of Candida infection and the importance of flooding your system with probiotics.

In addition to these important treatment options, step five will also include discussions on the following:

a. using stress control as a hemorrhoid preventer b. the importance of exercise

c. getting enough sleep

d. the dangers of straining and tips of training your body to use the toilet properly

e. implementing tummy massage f. Thermotherapy

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h. habits to avoid

Of course, no discussion on hemorrhoid treatment would be complete without covering these important topics in Section Four:

• Homeopathy • Acupuncture • Yoga

• Inversion Therapy

To ensure that you have all of the information you need to treat your

hemorrhoids, we have also included a Glossary and Links & Resources Section in the back of the book for you to use.

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With so many topics to write about, why choose something as difficult and embarrassing as hemorrhoids? Simple. I know how it feels to suffer from this painful condition and I wanted to put my research ability and my personal

experience together to write a book that could help myself and others finally find relief. So I set out on a journey to discover anything (and everything) that I could related to hemorrhoids. While looking for my own relief I discovered much, much

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more. I found a real cure. No, not just something to alleviate my symptoms for awhile, but an honest to goodness way to rid myself of hemorrhoids forever.

Now I’m going to share my newfound knowledge with you! If you are ready to leave behind the pain, discomfort and embarrassment of hemorrhoids than turn the page. There’s no time to lose. Relief is waiting!

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If you have picked up this book, the odds are good that you either suffer from hemorrhoids yourself, or you are intimately close to someone who does and are ready to end the cycle of pain and suffering they can cause. Before we can discuss the natural ways in which you can cure your hemorrhoids, it is important to understand what they are and what causes them.

I know, I know, some of your reading this book may find a detailed chapter on the makings of a hemorrhoid rather distasteful. But trust me when I say, the more you understand what they are (and aren’t), the better prepared you will be to find the hemorrhoid treatment that will work best for you.

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When you think of hemorrhoids, you may think they are some strange and disgusting growth inside your anal cavity. That assumption would be completely false. Not really a growth at all, hemorrhoids are simply the veins inside of the rectum. Everyone has them. As a matter of fact, we have a lot of them!

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The hemorrhoidal plexus is the place in the rectum where this intricate weave of veins connect together in a sort of web, keeping the blood flow constant between that area and the rest of the body.

The veins inside of the rectal opening are called internal hemorrhoidal veins; while the ones located outside of the rectal opening are called external

hemorrhoidal veins. The odds are that you never even noticed that these veins existed, until they became inflamed, causing the problem most people refer to as “hemorrhoids.”

The same kind of varicose veins we see protruding from the skin in our legs, hemorrhoids are merely protruding internal or external veins that have become irritated and inflamed due to a specific cause. When severe, they can cause intense pain, stinging and even bleeding and must be dealt with. Even a minor case of hemorrhoids, however, should not be ignored. They are a sign that something in the body is not working properly and needs your attention.

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Although they may feel similar, not every hemorrhoid is alike. First, there are internal and external ones. Internal hemorrhoids are enlarged veins which protrude (or prolapse) out of the opening of the anus. They usually hurt and can even bleed.

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External hemorrhoids usually do not hurt, but can cause some bleeding, itching and even a bit of discharge. On occasion, a blood clot can develop within the vein, which feels like a hard marble in and around the anus. This is caused a thrombosed hemorrhoid and can be extremely painful. Depending on their severity, a thrombosed hemorrhoid may need to be removed surgically.

Within these two hemorrhoidal groups are several classifications or grades of severity for hemorrhoids. They include:

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this is the least painful and problematic of all hemorrhoid

grades. Symptoms include a slight enlargement of the hemorrhoidal veins, with the possibility of some slight bleeding.

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during this stage of hemorrhoidal growth, hemorrhoids

prolapse during straining, but recede on their own.

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a more complicated and painful type of hemorrhoid, in

grade the vein prolepses and must be manually pushed back in. Bleeding usually occurs.

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the most painful of all hemorrhoids, grade four’s are so

large they are always noticeably protruding from the anus and bleed frequently. They are also very painful.

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Most of us confuse fissures with hemorrhoids. After all, they both cause pain and discomfort in the same bodily region and can result in rectal bleeding. It is

important, however, to understand that they are not the same thing.

As we have already discussed, a hemorrhoid is a varicose vein in or around the rectum. A fissure is a small tear in the hemorrhoid (vein) or the actual intestinal wall. This is what causes the bleeding that is experienced with fissures.

Although they are not dangerous in and of themselves, fissures can be a sign of a more serious problem and should be looked at by your doctor.

Some common causes for fissures include: • constipation or hardened stool

• poor digestion ( which causes foods and waste travelling through the intestine to become acidic)

• Crohn’s Disease

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Constipation is the #1 cause of hemorrhoids, making it vitally important to learn what causes those stools so hard to pass in order to alleviate a whole host of symptoms.

Maybe you have never thought of constipation as a real problem. Let me assure you that it is! Left untreated, constipation can lead to a variety of problems

ranging from a simple upset stomach and some bloating to rheumatoid arthritis, a lowered immune system, colitis, diverticulitis and even appendicitis.

Every time you eat, your body produces a certain amount of waste. Left inside the colon for too long, this waste material becomes a breeding ground for bacteria, which can lead to illness and afflictions such as:

• chronic headaches • bad breath

• dizziness • nausea • mouth ulcers • lower back pain • Hemorrhoids • insomnia • varicose veins

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• acne

Being constipated is a signal from your body that your digestive system is not working properly. Maybe it is a temporary problem, or maybe it is chronic. Either way it is important to listen to what your body is telling you and take action.

Most of us know the common symptoms of mild constipation (bloating, stomach distention and basic malaise), but did you also know that constipation can cause these other symptoms?

• low appetite (or cravings for certain foods) • muscle aches and headaches

• a dry mouth • malnutrition • low blood sugar • mood swings

• And of course, hemorrhoids!

While these are the most common symptoms of irregular constipation, some people are constipated so often that they do not even recognize its signs. To determine if you may suffer from chronic constipation, ask yourself these important questions:

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2. Do I have less than 1-3 bowel movements per day? 3. Are my stools hard?

4. Are my stools of an irregular shape?

5. Is the amount of my excretion very small compared to the amount of food I eat?

If you answered yes to one or more of the questions above, you may suffer from chronic constipation. To obtain optimal colon health, most experts agree that most people should have between 1-2 soft bowel movements per day. If not, there may be a problem.

Not getting rid of the toxins sitting in your colon can wreak havoc on your health and well-being. So be sure to take your symptoms seriously. Your well being may depend on it.

So what causes constipation? It is almost always a patient’s diet. Without

enough fiber and roughage (you know the stuff found in fresh fruits and veggies), the body is unable to keep things moving through the intestines fast enough to flush the colon properly.

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High fiber foods help to absorb more water within the body, which

acts as a stimulant to our natural plumbing. Eating more low-starch foods, carbohydrates and natural food products can all help to lubricate your pipes and keep toxins and bacteria from building up in your colon.

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Moist foods move more quickly through the intestines and colon than dry foods. Eating things that are either already moist, or are designed to absorb water in the body can help keep you regular.

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Add some oil to your diet. Believe it or not, ingesting some sort of

food oil on a regular basis can help lubricate your system and keep in running smoothly.

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Certainly, constipation is a big reason for many of the hemorrhoid outbreaks in the world, but it is not the only cause for this painful condition. Here are 10 of the most common causes of hemorrhoids and other colon-related problems:

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D

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Stools become hard and difficult to pass when you don’t eat enough fiber and roughage. This can cause hemorrhoids. Therefore, it is very important to eat a well-balanced diet rich in fresh fruits and vegetables. Drinking lots of water too is important to keeping bowel movements regular enough to avoid hemorrhoids. A diet high in refined carbohydrates, processed and toxic foods and low in fresh fruits and vegetables affects biochemical processes within the cells, worsens digestion and interferes with the natural toxic elimination process. Furthermore, it also feeds Candida infection, which thrives on refined carbohydrates such as sugar, white flour and white rice and can lead to Hemorrhoids since its

overgrowth causes fermentation in the colon and constipation.

Lack of nutrition is another factor. Our body needs to obtain about 40 essential vitamins, minerals and nutrients to enable the cells in ourbodies to fully function and remain healthy. These nutrients mostly come from our diet since the body cannot produce them by itself. When we eat more processed foods and less foods with high nutritional value, the immune system declines. With a weakened defense system, we make it easier for Candida to multiply and aggravate

digestive problems and hemorrhoids.

Over-acidity in the digestive system, usually due to a diet high in acidic foods, is another major factor. A state of over-acidity causes the blood to become sludgy and thick, creating the ideal environment for Candida overgrowth (more on the acid-alkaline balance later), making the stomach content more acidic, which in turn causes more damage when it contacts the lining of the intestines.

When our digestion is optimized, it helps in expulsion of yeasts and bacteria. When our digestive system is sluggish due to several factors discussed in later chapters, undigested food and rotten food particles that circle the blood stream

(23)

| H e m o r r h o i d N o M o r e | B y J e s s i c a W r i g h t Page 24

and are stored in the digestive tract will accelerate many disease symptoms including Candida and Hemorrhoids.

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Hemorrhoids originate in the colon. It’s also the result of years and years of a fungal yeast infection that builds up in the colon. When Candida albicans turn from yeast to fungi, they depress the immune system and produce more than 79 distinct toxins that may be responsible for many of the symptoms that Candida sufferers have including hemorrhoids. When Candida gets out of control, it breaks through the intestinal walls and travels throughout the body. It can attach itself to the genital areas, the mouth and the anus among many other parts of the body.

The following is a simple and easy-to-use home test for Candida:

First thing in the morning and on an empty stomach (no food or liquids allowed), find a clear glass and fill it with mineral or reverse osmosis water. Next, work out a generous amount of saliva and spit into the glass.

Leave the glass of water aside for a period of up to an hour. If you have a mild case of Candida yeast infection, you will see strings in the form of legs that travel down into the water. If you have a systematic advanced case of Candida yeast infection, you will see your saliva sink to the bottom of the glass.

Bear in mind that most people fail the test. I have failed it big time when I first applied this self-diagnosis test. Only in rare cases or after you have eliminated your Candida will the saliva remain floating on the water.

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A

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Our constant exposure to thousands of toxins on a daily basis through the food that we eat, the air that we breathe, the drugs that we take and the poor quality of our water supply all lead to toxic buildup in the blood, lymph, kidneys and colon. This leads to short-term and long-term health conditions. Among them are hemorrhoids.

You can take thousands of herbs, supplements and over-the-counters to combat your hemorrhoids, but without cleansing your internal system and your digestive tract in particular, it will be like painting a rusty car, and you will never get rid of hemorrhoids.

The root of all Western afflictions is “auto-intoxification” caused by a huge amount of undigested food and dead fecal matter trapped inside your intestinal tract, along with a potentially sluggish digestive system. As mentioned earlier, poor digestion is one of the main hemorrhoids contributing factors along with other ailments.

By the time you have cleansed your internal system, your detoxification process and your immune system will vastly improve, and your digestion will become enhanced. You will feel more energetic and healthier, and conditions such as hemorrhoids will become a thing of the past.

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B

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Here is one more reason to keep your weight in check – carrying extra pelvic and abdominal weight can put pressure on the pelvic veins which can cause

hemorrhoids.

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Being sedentary; sitting for long periods of time at a desk -- or even standing all day in the same basic position -- can cause your muscles to lose much of their elasticity, which can in turn make it harder to pass stools properly.

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It is not at all uncommon for a woman to experience hemorrhoids throughout pregnancy, especially during the last trimester when the extra weight of her uterus begins to bear down on veins in the rectum.

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If you are in the habit of holding your bowel movements for any reason you may be setting yourself up for hemorrhoids. While it is okay to hold off on a bowel

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movement once in awhile, doing so regularly can cause backed up fecal matter to harden which can create pressure in the muscles and veins in and around the anus.

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Straining due to constipation or hardened stools can (and will) cause rectal swelling, which can eventually lead to tears in the hemorrhoidal veins, thus causing hemorrhoids.

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st

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pa

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As discussed, constipation (or irregular bowel movements), can cause swelling of muscles and veins in and around the anus, that, when torn, by straining and passing of hard stools can cause hemorrhoids.

D

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Although diarrhea is loose and easy to pass, it is often quite acidic which can also cause swelling of the veins in the rectum.

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se

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s

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nd

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There are several diseases and ailments which can cause hemorrhoids. Here are just a few:

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colon rectal cancer

intestinal tumors

heart ailments

irritable bowel syndrome

colitis

liver disease

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Stress invoked either by inadequate sleep, emotional issues, anxiety or pressure in your daily routine have been scientifically proven to trigger digestive problems, weaken the immune system and encourage Candida overgrowth (because the body releases a hormone called cortisol, making your body defenseless against Candida), which can contribute to Hemorrhoids.

Stress also elevates blood sugar levels that feed Candida cells and changes our bacterial internal environment in the gut as it decreases the friendly bacteria and allows Candida to take over, resulting in the aggravation of Hemorrhoids.

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Y

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Some people are simply born with weak veins. Those with weak veins are more susceptible to hemorrhoids, especially in combination with other risk factors such as standing or sitting a lot.

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| H e m o r r h o i d N o M o r e | B y J e s s i c a W r i g h t Page 30

C

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:

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You think that you have hemorrhoids, but you aren’t completely sure – and you certainly don’t want to ask anyone you know about it! Lucky for you we have a complete list of the signs and symptoms of hemorrhoids for you.

Keep in mind that the most common symptoms of hemorrhoids sometimes mimic more serious afflictions like rectal cancer, abscesses, intestinal disease and liver ailments. That is why it is very important to have your doctor verify any

suspicions you may of hemorrhoids.

So, what are the symptoms that most hemorrhoid sufferers experience? Here are the most common:

• bleeding • itching • irritation • pain • swelling • a mucus discharge

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| H e m o r r h o i d N o M o r e | B y J e s s i c a W r i g h t Page 31

• extreme discomfort when defecating • protrusion of soft tissue from the anus

As we already mentioned, there are two basic types of hemorrhoids: internal and external. Let’s take a closer look at each (figuratively, that is):

I

I

n

n

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Most of the time internal hemorrhoids are not painful at all. Some people do not even know they have them until they notice blood in their stools and go to the doctor to investigate its cause.

Caused by the swelling of the small veins inside of the anus, internal

hemorrhoids usually stay inside the rectal cavity, but may protrude if they get large enough. This can be very painful. Once they protrude from the anus, the muscles there may tighten, actually strangling it, which is excruciating. Since blood flow can be inhibited, prompt medical treatment is necessary to avoid further physical damage.

The symptoms of an internal hemorrhoid are: • bright red streaks of blood in your stools • extreme itching

• a mucus-like discharge from the rectum • bulging tissues from the anus

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• extreme pain (as in the case of a strangulated hemorrhoid)

E

E

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As its name suggests, an external hemorrhoid is found outside of the anal canal. It appears much like a hard lump that seems to pop out of the anus. This is due to the clotting of blood within the inflamed veins.

The symptoms of an external hemorrhoid include: • severe pain in and around the anus

• extreme itching • rectal swelling

• the appearance of a purple or bluish lump protruding from the anus • a burning sensation

• bleeding

D

D

i

i

a

a

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g

n

n

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s

s

i

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s

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d

d

P

P

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r

o

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g

g

n

n

o

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s

s

i

i

s

s

Although extremely common, hemorrhoids should never be taken lightly. Most resolve themselves over time; but some may be a cause for concern and need to be dealt with by a medical expert.

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A serious hemorrhoidal outbreak may cause more than some itching and

discomfort. In some cases intestinal bleeding may occur. This usually presents itself with maroon, black or tarry looking stools. Dizziness and even fainting may also occur, especially with more extensive bleeding. In the most severe cases, hemorrhoids can be an indicator of a more serious problem like colon cancer or intestinal issues.

When in doubt about the severity of your hemorrhoids, seek help. You can see your family doctor, a gastroenterologist or a proctologist for a complete exam and diagnosis.

How are hemorrhoids diagnosed? In the vast majority of cases it takes little else than a physical exam to confirm hemorrhoids and devise a treatment plan. In some cases, especially when other medical conditions are suspected, one or more of the following diagnostic tests may be required.

A

A

D

D

i

i

g

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R

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E

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x

x

a

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m

m

The most common form of hemorrhoid diagnosis, the digital rectal exam is performed in the doctor’s office using a gloved and lubricated finger to check for rectal abnormalities or hemorrhoid growths.

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T

T

h

h

e

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A

A

n

n

o

o

s

s

c

c

o

o

p

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When a better look is needed, the doctor may choose to bring out an anoscope (a lighted tube that is inserted into the anus) for a more thorough look of the rectal area. Usually done in the doctor’s office, this simple procedure may be a bit embarrassing, but doesn’t cause much (if any) discomfort.

T

T

h

h

e

e

P

P

r

r

o

o

c

c

t

t

o

o

s

s

c

c

o

o

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e

If a detailed look of the rectum is needed, a proctoscope may be used. This allows the physician to see the entire rectum and what may be growing inside of it.

A

A

S

S

i

i

g

g

m

m

o

o

i

i

d

d

o

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s

s

c

c

o

o

p

p

y

y

Also performed in a doctor’s office, the sigmoidoscopy involves the insertion of a long tube into the rectum with a light and camera attached. This allows the doctor to view the lower part of the colon.

A

A

C

C

o

o

l

l

o

o

n

n

o

o

s

s

c

c

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p

p

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If a more severe issue is suspected, than the doctor may order a colonoscopy, which is performed in a hospital setting under some type of anesthesia. This

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