A pain in the rear

Everyone is born with the blood vessels that underlie hemorrhoids, but they may become problematic when they enlarge. Half of people have symptoms by age 50 that include pain, itching, swelling, and bleeding. Home remedies such as pain relievers, topical creams and ointments, sitz baths, and cold compresses don’t eradicate hemorrhoids. In-office procedures can cut off blood supply to internal hemorrhoids, allowing them to fall off. Surgery is the only definitive treatment option for external hemorrhoids visible at the anus.

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Managing the unthinkable

One in 10 Americans ages 65 and older has dementia. The condition is likely to progress slowly, offering couples the opportunity to adopt coping strategies that can smooth their path. Early on, you can consider treatment that may temporarily improve memory and thinking problems. People whose partners have been diagnosed should get informed about dementia, attend doctor’s visits, take over certain tasks, keep routines, update legal documents, and join a support group.

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Pressure shift

People often need several medications to adequately control high blood pressure. Doctors factor in more than age, sex, and race when deciding which of the 200-plus available blood pressure drugs might work for a person. Doctors also consider diet, activity levels, reproductive history, and other chronic conditions and medications. Consistent blood pressure control can be challenging, and doctors can collaborate with patients to minimize side effects common to blood pressure medications, such as dizziness and lightheadedness.

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Healthy gut, healthy heart

The gut is home to trillions of microbes, collectively known as the gut microbiota, which help with digestion, manufacture certain nutrients, and release various substances that have wide-ranging health effects, including on cardiovascular health. As diet plays a significant role in the composition of the gut microbiota, people’s diet can indirectly affect heart health. Following a plant-based diet that emphasizes less red meat and more fiber can support the gut and its heart-healthy benefits.

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