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Many anorectal problems, including fissures, fistulae, abscesses, or irritation and itching, also called pruritus ani, have similar symptoms and are incorrectly referred to as hemorrhoids. Hemorrhoids usually are not dangerous or life threatening. In most cases, hemorrhoidal symptoms will go away within a few days. Although many people have hemorrhoids, not all experience symptoms. The most common symptom of internal hemorrhoids is bright red blood covering the stool, on toilet paper, or in the toilet bowl. However, an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful. This is known as a protruding hemorrhoid. Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus that results when a blood clot forms. This condition is known as a thrombosed external hemorrhoid. In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms. Draining mucus may also cause itching. How common are hemorrhoids? Hemorrhoids are common in both men and women. About half of the population has hemorrhoids by age 50. Hemorrhoids are also common among pregnant women. The pressure of the fetus on the abdomen, as well as hormonal changes, cause the hemorrhoidal vessels to enlarge. These vessels are also placed under severe pressure during childbirth. For most women, however, hemorrhoids caused by pregnancy are a temporary problem. How are hemorrhoids diagnosed? A thorough evaluation and proper diagnosis by the doctor is important any time bleeding from the rectum or blood in the stool occurs. Bleeding may also be a symptom of other digestive diseases, including colorectal cancer. The doctor will examine the anus and rectum to look for swollen blood vessels that indicate hemorrhoids and will also perform a digital rectal exam with a gloved, lubricated finger to feel for abnormalities. Closer evaluation of the rectum for hemorrhoids requires an exam with an anoscope, a hollow, lighted tube useful for viewing internal hemorrhoids, or a proctoscope, useful for more completely examining the entire rectum. - Listing Details

The Independent Living Center of the North Shore and Cape Ann Inc. (ILCNSCA) is a service and advocacy center run by and for people with disabilities. ILCNSCA supports the struggle of people who have all types of disabilities to live independently and participate fully in community life. - Listing Details

Daar ligt ze dan, vrijwillig geblinddoekt in bed. Afwachtend op wat er gaat komen. Om de sfeer behaaglijk te maken zet ik muziek op. Een nummer van Metallica leek me wel gepast voor de situatie, ‘Nothing else matters’. Vervolgens stak ik een stokje wierook aan. ‘Rozengeur en Wodka lime’ een aangename zoetzure geur. Aan de sfeer zal het niet liggen, hier heb ik wel ervaring in. Om het avontuur spannend op te bouwen begin ik met een wellustige massage. Met mijn warme handen begin ik met haar onderbenen zachtjes te masseren. Ze ligt comfortabel op haar buik en voel dat ze bij elke aanraking steeds meer ontspant. Terwijl zij langzaam wegdroomt voel ik de Cialis al werken, m’n penis wordt bijna masseer-gereedschap. Even wegstoppen dat ding. “Denk aan vieze dingen dacht ik, bah, doucheputjes, rottende komkommers! Denk aan die geur”. De erectie is om zeep geholpen dankzij deze mentaal moordende ervaring. “Wees geduldig mijn penis. Dat jij door die Cialis echte bloedtoevoer aankan betekent niet dat jij de baas bent. Ik ben de baas! Dus stop met opstijgen”. Oke, koppie erbij houden. Je bent aan het masseren. Terwijl ik niet aan seks probeer te denken, wat moeilijk is als je dit prachtig lichaam mag aanschouwen en betasten, ligt zij in een diepe trance. - Listing Details