Share Tweet 62 Views no discussions Share HealthLifestyle Hemorrhoids by: – February 24, 2011 Sharing is caring! Share DefinitionHemorrhoids are painful, swollen veins in the lower portion of the rectum or anus.Alternative NamesRectal lump; Piles; Lump in the rectumCauses, incidence, and risk factorsThis condition is very common, especially during pregnancy and after childbirth. Hemorrhoids result from increased pressure in the veins of the anus. The pressure causes the veins to bulge and expand, making them painful, particularly when you are sitting.The most common cause is straining during bowel movements. Hemorrhoids may result from constipation, sitting for long periods of time, and anal infections. In some cases they may be caused by other diseases, such as liver cirrhosis.Internal hemorrhoids occur just inside the anus, at the beginning of the rectum. External hemorrhoids occur at the anal opening and may hang outside the anus.SymptomsSymptoms of hemorrhoids include:Anal itchingAnal ache or pain, especially while sittingBright red blood on toilet tissue, stool, or in the toilet bowlPain during bowel movementsOne or more hard tender lumps near the anusSigns and testsA doctor can often diagnose hemorrhoids simply by examining the rectal area. If necessary, tests that may help diagnose the problem include:Stool guaiac (shows the presence of blood)SigmoidoscopyAnoscopyTreatmentOver-the-counter corticosteroid creams can reduce pain and swelling. Hemorrhoid creams with lidocaine can reduce pain. Witch hazel (applied with cotton swabs) can reduce itching. Other steps for anal itching include:Wear cotton undergarments.Avoid toilet tissue with perfumes or colors.Try not to scratch the area.Sitz baths can help you to feel better. Sit in warm water for 10 to 15 minutes. Stool softeners help reduce straining and constipation.For cases that don’t respond to home treatments, a surgeon or gastroenterologist can apply heat treatment, called infrared coagulation, to shrink internal hemorrhoids. This may help avoid surgery. Surgery that may be done to treat hemorrhoids includes rubber band ligation or surgical hemorrhoidectomy. These procedures are generally used for patients with severe pain or bleeding who have not responded to other therapy.Expectations (prognosis)Most treatments are effective, but to prevent the hemorrhoids from coming back, you will need to maintain a high-fiber diet and drink plenty of fluids.ComplicationsThe blood in the enlarged veins may form clots, and the tissue surrounding the hemorrhoids can die. Hemorrhoids with clots generally require surgical removal.Severe bleeding may also occur. Iron deficiency anemia can result from prolonged loss of blood. Significant bleeding from hemorrhoids is unusual, however.Calling your health care providerCall for an appointment with your health care provider if hemorrhoid symptoms do not improve with home treatment. You should also be seen if you have rectal bleeding. Your provider may want to check for other, more serious causes of the bleeding, especially if you have never bled from hemorrhoids before.Call 911 if blood loss is significant or if you feel dizzy, lightheaded, or faint.PreventionAvoid straining during bowel movements. You can help prevent hemorrhoids by preventing constipation. Drink plenty of fluids, at least eight glasses per day. Eat a high-fiber diet of fruits, vegetables, whole grains. Consider fiber supplements.
The free agency period has affected our 2020 fantasy defense rankings, but unlike the offensive positions, it’s more difficult to quantify the overall impact around the league. There might be a big name who changes teams, like DeForest Buckner going from San Francisco to Indianapolis, but the totality of a team’s moves is what really matters. Moreover, a run-stuffer might greatly improve a defense in real life, but the fantasy impact could be minimal compared to a big-play defensive back or a pass-rusher. It isn’t until after the draft — and after some veterans get signed later in the offseason (something that doesn’t happen as often with relevant skill players) — that we really know which D/STs should move up a tier and now qualify as sleepers heading into fantasy football draft season. Obviously, the upper tier of our 2020 rankings closely mirrors what happened last season. That’s rarely how it works in the fantasy world, though it’s tough to predict a big upswing in takeaways (especially with fumble recoveries) and it’s impossible to predict a significant change in D/ST touchdowns. That said, we can give the benefit of the doubt to talented defenses with with proven pass-rushers and playmakers. It’s clear some teams are making big pushes to add talent on the defensive side of the ball this offseason, with the Chargers (Linval Joseph, Chris Harris, and, ostensibly, Derwin James) making some notable moves that vaulted them into the top 10. Teams like the Raiders (Maliek Collins, Eli Apple, Carl Nassib, Corey Littleton, Nick Kwiatkoski) and Bengals (DJ Reader, Trae Waynes, Vonn Bell, Mackensie Alexander) are suddenly on the radar as sleepers after a flurry of offseason acquisitions.Again, it’s tough to say just how much of an impact all these moves will make, but few saw the 49ers going from bottom-feeder to elite D/ST in the span of one season last year, so it’s important to pay attention to every move. For now, this is how we see D/STs stacking up, but there’s still a lot of offseason to go, so check back for updates!2020 Fantasy Football Defense RankingsRankTeam1New England Patriots2San Francisco 49ers3Pittsburgh Steelers4Chicago Bears5Baltimore Ravens6Buffalo Bills7Minnesota Vikings8Kansas City Chiefs9Los Angeles Chargers10New Orleans Saints11Denver Broncos12Los Angeles Rams13Philadelphia Eagles14Tennessee Titans15Indianapolis Colts16Houston Texans17Seattle Seahawks18Green Bay Packers19Jacksonville Jaguars20Oakland Raiders21New York Jets22Dallas Cowboys23Tampa Bay Buccaneers24Cincinnati Bengals25Cleveland Browns26Carolina Panthers27Washington Redskins28Atlanta Falcons29Detroit Lions30Miami Dolphins31New York Giants32Arizona Cardinals 2020 FANTASY RANKINGS:Quarterback | Running back | Wide receiver | Tight end | Kicker
Submitted by Adopt-A-Pet of SheltonBrandy is a beautiful black lab mix. She is about 2 years old, has been spayed and is up-to-date on her vaccinations. Brandy is a very shy young girl who is still adjusting to life at the kennel. She is slowly getting comfortable with the volunteers who spend time with her taking her for walks and hanging out with her so she can learn to relax around them.Her perfect home would be with someone who is calm and confident. She will do best in a quiet home without a lot of stress from other animals or young kids. She will make a wonderful companion if you can give her time to get comfortable with you so she can show you what a sweet, loving girl she can be.We have many great dogs and always need volunteers. To see all our current dogs, visit www.adoptapet-wa.org, our Facebook at “Adopt-A-Pet of Shelton Washington” or at the shelter on Jensen Road in Shelton. Our contact information is [email protected] or 360-432-3091. Facebook0Tweet0Pin0
Facebook103Tweet0Pin0Submitted by Madi Murphy for Capital LakefairOn Thursday, July 18 at 7:00 p.m., we gather to celebrate our young women who represent Capital Lakefair throughout the Pacific Northwest.Capital Lakefair and the royalty court give back to the community each year. They participate in a variety of community-building events including organizations like the Hands On Children’s Museum, The Little Red Schoolhouse Project, Olympia’s Pie Fest, Special Library readings, and Thurston County’s Lifeskills Prom. They travel to numerous festivals and events throughout Washington, Oregon and Canada and visit many of the local service clubs to share their platform and their personal mission as future leaders in our community.Come meet the women who represent our local high schools at this year’s Capital Lakefair Royalty Night and celebrate all of their accomplishments and efforts. This year’s royalty are:Queen Emma Waldon from North Thurston High SchoolPrincess Bridgette Byerly from River Ridge High SchoolPrincess Eleanor Kim from Black Hills High SchoolPrincess Ruby Roebuck from Avanti High SchoolPrincess Cassidy Walchak- Sloan from Olympia High SchoolThey will be honored on the Main Stage at Capitol Lake. For more information visit Capital Lakefair’s website.