Hemorrhoids – the most common in proctology vascular disease in which the expanded cavernous (cavernous) bodies in the terminal rectum. Many people do not attach importance to his symptoms, thus bringing the process to the complications.
Hemorrhoids in women usually occurs during pregnancy and childbirth. Hemorrhoids during pregnancy are quite difficult to treat because most drugs can adversely affect fetal development. Therefore, women are recommended to visit a proctologist at the planning stage of pregnancy.
It is customary to distinguish the following types of hemorrhoids:
- External hemorrhoids
- Internal hemorrhoids.
Outer (External) Hemorrhoids
The outward manifestation of hemorrhoids is the presence of varicose veins (hemorrhoids), which are located outside the anus. External hemorrhoids appear near the anus.
Enlargement and inflammation of hemorrhoids is due to blood congestion in the pelvis and in particular in cavernous bodies of anal canal.
With the appearance of a blood clot in the external hemorrhoid node swelling develops, and the person begins to feel pain. Cases can feel a hemorrhoid as a large, dense “bump”, covered with thin, sensitive skin.
Improper nutrition, sedentary lifestyle, heavy physical exertion and stagnation of venous blood in the rectum may receive a complication of acute thrombosis (the so-called “Thrombosed hemorrhoids”).
The blood at the outer (external) hemorrhoids (hemorrhoidal thrombosis) occurs when the skin over hemorrhoidal node becomes thinner, and the clot breaks out in the form of a clot, then you may receive a red blood.
Symptoms of External Hemorrhoids
In this type of disease are the following symptoms of hemorrhoids:
- protrusion of the pineal gland forms around the anus;
- hemorrhoids, varying in size and location, which are easily palpated patients and increases with straining during bowel movements;
- pain and bleeding during bowel movements;
- unpleasant burning and itching in the anus;
- piercing pain at rest, after stool, when walking, coughing and sneezing (in the development of hemorrhoidal thrombosis);
- severe pain at the touch hemorrhoids (hemorrhoids increase in size, swell, turn blue).
For internal hemorrhoids the patient appear hemorrhoids, which are visually virtually invisible. They are located under the mucous membrane of the rectum (i.e., within the anal canal in the place of its transition into the rectum), due to the protrusion of the walls of blood vessels. Usually internal hemorrhoids are painless.
Symptoms of hemorrhoids of this type at the initial stage – is a little spotting, which can be found on toilet paper after bowel movement.
In this form of the disease also can occur Hemorrhoidal thrombosis.
Symptoms of Internal Hemorrhoids
For internal hemorrhoids is characterized by the following features:
- bleeding after defecation;
- pain during and / or after defecation;
- a feeling of incomplete emptying of the intestine;
- prolapsed hemorrhoid;
- the appearance of lesions;
- a feeling of discomfort and itching in the anus, etc.
Hemorrhoidal thrombosis drop down hemorrhoids symptoms running hemorrhoids. Don’t allow the situation to complications, do not self-medicate! If there was at least one of the symptoms of periodontal disease, immediately contact a doctor-coloproctologist! In the early stages of hemorrhoids are treated for 1 day with the help of minimally invasive methods
Stage of Hemorrhoids:
- Stage 1 is determined by the discharge of blood from the anus without loss of hemorrhoids;
- Stage 2 is characterized by prolapsed hemorrhoid self reposition into the anal canal (with bleeding or without);
- Stage 3 characterized by recurrent prolapse with the need for manual repositioning in the anal canal (with bleeding or without it);
- Stage 4 is characterized by constant prolapsed hemorrhoid along with the mucosa of the rectum and inability to reposition the anal canal (with bleeding or without it).
|1||Bleeding from the anus, discomfort||Hemorrhoids do not fall out of the anal canal. Vascular pattern of the mucosa is enhanced.|
|2||Bleeding, prolapse, itching, mucous discharge||Nodes drop out, but self-reduce into the anal canal.|
|3||Bleeding, prolapse, anal itching, mucus discharge||Prolapsed hemorrhoid requires manual benefits for their reposition in the anus.|
|4||Bleeding, permanent loss of nodes, itching, discomfort, urinary sphincter, pain||Permanent hair loss and the inability to reposition the hemorrhoids|
The question arises, what is the purpose of the developed classification of hemorrhoids? The answer is simple: in order to determine further tactics of treatment.
Today in medical practice are widespread, minimally invasive techniques of hemorrhoid treatment, used in the outpatient setting and in the hospital. These include infrared photocoagulationsclerotherapy ligation of hemorrhoids latex rings ligation of hemorrhoidal vessels under the control of ultrasound Doppler and others. The use of minimally invasive techniques in an outpatient setting contributes to the successful treatment of most patients with hemorrhoids.
In the later stages of the disease the operation is performed (Hemorrhoidectomy), aimed at radical removal of the three main collectors of the cavernous tissue, which is the basis of hemorrhoids.
Treatment of Hemorrhoids
- Hemorrhoids 1 stage shown: conservative treatment, infrared photocoagulation,sclerotherapy.
- Hemorrhoids 2 stage shown: conservative treatment, infrared photocoagulation,sclerotherapy, ligation with latex rings, suture ligation, combined methods.
- Hemorrhoids 3 stage shown: ligation of latex rings, transanal resection of the mucosa by the method of Longo, combined methods, surgical treatment (hemorrhoidectomy).
- Hemorrhoids 4 stage surgical treatment (hemorrhoidectomy).
Many people believe that the current choice of drugs can cure hemorrhoids, besting only medical treatment, but it is misleading. Today in the drugstore you can offer a lot of drugs (ointments, suppositories, tablets), which only temporarily eliminate certain symptoms. After their application, may occur some relief, but patients “with experience” know that it’s temporary, until the next exacerbation.