Hemorrhoids: Causes, symptoms, treatment

No one has never heard of hemorrhoids.It is used by all those who are not lazy, even those who have nothing to do with medicine.

The term "hemorrhoids" comes from two Greek words -"Haem"("Blood") and"RHOOS"("Bleed").

This concept is vague, because not all bleeding is a consequence of hemorrhoids, and it does not always cause blood.In this case, the concept of Viking's rise buttons, consistent with the concept of more broader of Muslim hemorrhoids - swelling, flatulence occurs in a trash.

Description of the problem

Hemorrhoids are specially formed under the rectum.In the structure, they are a puppet of venous vessels.They are placed inside and outside the mucous membrane.From the location of these forms, hemorrhoids have internal and external properties.

These puppets perform a protective function: the rectum protection from the uncontrolled of liquid and gas, and also completely closed the anus.According to statistics, 20 % of adults have this disease.And it is this disease that is the cause of the campaign for experts.

Contribute to the occurrence and development of the disease

Hemorrhoids are only normal with a pair of parks.In case of heavy or prolonged physical efforts, these ligaments may be torn.In the case of violating the integrity of the ligament, hemorrhoids are filled with blood.The consequence of this is their loss and bleeding.

Vienna, supplying normal blood flow from the mucosa, forced.Blood began to stagnate.

Factors stimulating the growth of hemorrhoids

The pathology itself does not arise like that, itself.It occurs and the development is affected by a number of factors:

1. Genetic factors (in nodes and veins of hemorrhoids without valve providing blood flow out).
2. Increase the pressure in the vein.
3. Trolley in the work of the intestine (constipation, diarrhea), often go to the toilet.
4. Pregnancy, childbirth, strengthening clinics of the disease.
5. A sedentary lifestyle, standing position for a long time.
6. Some sports and occupations.
7. Characteristics of nutrition (alcohol, spicy food).But this contributes more to worse, not developing.

Pay attention!Even in the presence of bleeding from the anal canal, one cannot talk about the manifestation of hemorrhoids.To confirm the diagnosis, the analysis and rectal testing are necessary:

• Colonoscopy.
• Endoscopy.
• Industry endoscopy.

Bleeding and nodes can occur with intestinal inflammation and in malignant components.

Hemorrhoids: Symptoms and classification

Location of buttons:

• Outside.
• Interior.
• Blended.

First see- The expansion of the venous vessels below the gear line of the rectum.This species is characterized by appropriate manifestations, the presence of discomfort in the rectum.With this type of pathology, severe pain is characterized.

The second view- The expansion of hemorrhoids is below the line.Hemorrhoids are divided into 1, 2, 3 and 4 degrees (the severity of the disease depends on the severity of the nodes).There is also acute and chronic hemorrhoids, arising from a disease.

Chronic hemorrhoids

Clinical images:

• Periodically, blood is released from the anus.
• Lost puppets inside the mucosa.
• Itching and burning in the anus.
• Discharge from the rectum.

Symptoms of chronic hemorrhoids

Bleeding

This is the most frequent symptom of this disease occurs in 10 % of patients.According to statistics, the most frequent appearance is when the intestine is empty.Expressions may be intense and not very, and essential.The color of discharge is bright red, in the form of a spray (occurs in a strangling), or - at the end of drum (in the form of drops).If, after the previous drum in the anus, the blood remains, next in the sequel, it will appear with a shadow or cluster.

70-80 % of clinical manifestations of hemorrhoids.With constipation and diarrhea, drinking alcohol, spicy food and heavy physical efforts, bleeding also occurs.The consequence of this is anemia.

The manifestation of anal bleeding is not always a sign of this disease.It can occur in other intestinal diseases.If it occurs in people over 40-45 years old, then you must consult a doctor.In addition, in its case in people who tend to cancer, a visit to the doctor is mandatory.

For diseases that may bleed:

• Excess bags of the colon.
• Crohn's disease.
• The malignant tumors of the rectum.
• Polyps of the intestine.

If you notice the discharge from the anus, consult a specialist and conduct the necessary and large intestinal tests.

The protruding of the vein puppet

This symptom has occurred during the stage of a long process of the disease.First, it occurs with the devastation of the intestine.Moreover, symptoms appear with a tightening.If the pathology is acute, then fall without effort.Separate independent sets in 2 stages.In 3 stages, they are manually adjusted by reducing the sound of the anus.They completely fall out in 4 stages.

Anal pain

Bleeding is not the only reason for an expert.And this is not necessarily hemorrhoids.Anal pain syndrome can occur during the acute phase of the disease.Reason:

• Constipation.
• Visit the toilet regularly.
• Anal fissures.
• Plrombosis of nodes.

If the treatment is done incorrectly, the anal crack will go into the chronic phase.

Rinse

The nature of discharge in this disease is water or mucus.Reward is the result of losing buttons.With bleeding, pay attention to mucus secretions.Typically, they are when the nodes or mucosa fall.Other reasons are Neoplasms (Polyp Villous, Tumor).

Itching in the anus

These symptoms, such as itching in the anus, as well as anal discomfort, occurs with the dysfunction of the colon.They occur, as a rule, in the late stage of the disease.

Classify

1 phase- The veins do not fall out.The bright red of blood is released.

2 phase- The falling buttons are self -adjusted (with or without blood release).

3 phase- The buttons fall out in stages, and get better by hand.

4 phase- The rectal newspaper and mucous membrane began to fall out continuously.Handmit reduction becomes impossible.

Acute hemorrhoids

It usually occurs with seriousness in the chronic period.The most frequent manifestations:

• The outer buttons with the appearance of thrombosis.
• Enhancing the internal communication plexus.

If the thrombosis occurs, the buttons are compressed and increased in size.A serious pain syndrome occurs in the anus open area.

Treatment of acute hemorrhoids

At the stage of thrombosis, thrombosis can be removed (removing thrombosis and eliminating thrombosis).Activities are conducted under local anesthesia.Duration - a few minutes.After the surgery, the pain immediately began to decrease.

When the hemorrhoids inside fall, the phenomenon of swelling and inflammation occurs.Surgical intervention is contraindicated due to possible complications.Therapy:

• The use of ointment and candle.
• Medicine.

If you notice the manifestations in the time, the time of the acute phase will drop to a week.If the pathology is not treated for a long time, purulent inflammation may occur.

3 stages of the disease in acute course

1. The appearance of blood clots in the internal and external vein plexus.There is no inflammation.
2. The presence of blood clots in nodes, with the presence of inflammation.
3. In the context of the above signs, subcutaneous tissue inflammation develops.Complications occur - bleeding, inflammation.

How to treat hemorrhoids in chronic phase

Hemorrhoids are a serious, uncomfortable, but reference disease.There are enough treatments to eliminate it.The continuous treatment system is improved.Each method has no doubts, advantages and disadvantages.And they are used depending on the phase.The following factors affect the use of a specific method:

• The process of the disease.
• The nature of discharge.
• The age of the patient.
• Bleeding frequency.

The difficulty lies in many methods based on the same treatment indicator and the optimal choice becomes not easy.In this case, you must combine the necessary methods.According to classification, 3 types of treatment are distinguished:

1. Circumspect.
2. Small invasive.
3. Work.

Hemorrhoids at the first level

Losing buttons with blood release or not:

• Mandatory normalization of nutrition (with high fiber ratio).
• Take medicine to reduce inflammation and expand venous veins.
• Rectal candles, ointments for external use to worsen.

Hemorrhoids of level II

Self -distribution of affected buttons:

• Fixed of Node Berorrhoidal with Latex ring.
• Introducing a sclerotic.
• The tie of the arteries carries blood to the inflamed buttons.
• Multi -electric.
• Cut off the external and internal buttons.

Hemorrhoids of level III

Manual reduction:

• The use of latex.
• Sclerotic therapy.
• Land the arteries.
• Multi -electric.
• Cut off.

Hemorrhoids of level IV

The impossible reduction of buttons: Remove inflamed buttons with a special device.

The stage of development of hemorrhoids

Not all methods are suitable for treating hemorrhoids in one case or another.The final solution affects the exact way of external and internal puppets.If the pathology is the prevailing button - inside, you can do without surgery.The methods described above.

Before the final diagnosis, the patient needs to be tested completely.The first thing to do is the rectal and the large intestine.First of all, this applies to patients over 45 years old, with a genetic tendency for cancer, because hemorrhoids can have diseases simultaneously:

• The malignant tumor of the rectum.
• Polyps.

In addition, the symptoms (or rather the severity of it), the size of the nodes and the situation affecting the selection of a specific treatment.

With the weakness of the symptoms, it is rare, it is better to choose conservative therapy.The first and important thing that it is to adjust nutrition, eliminate constipation and pressure during the intestinal drum process.The diet must contain a sufficient amount of water, because constipation often occurs with lack of liquid, which is why the intestine is forced to suck it from the feces.

To facilitate this condition, the following is important:

• The common ingredient in the diet is fiber.
• Periodic amount of laxative.
• The appointment of Phlebotropes for patients.

Conservative therapy is mainly used in the severe acute process of the disease.Another treatment is contraindicated.If the disease is in stage 1 and 2, other methods also contraindicent.What is included in conservative treatment:

• Special diet.
• Slasping.
• Rectal candles, ointments.
• Phlebotropic medicine.

Each patient is prescribed by a diet.The main goal is to normalize a chair.Typically, one of the main stimulus factors is accurate constipation or diarrhea.Diet for this disease is strictly prohibited:

• Sharp.
• Salt.
• Grilled meat.
• Ale.

Diary implies additional exams.That is the result of exams that affect the adjustment of diet and treatment.If the patient is easily constipated, a special diet is recommended for him.The list of products and other shades can be viewed in a special part.For a laxative effect, recommendations:

• Dried apricot.
• Pruning.
• Dried apricot.
• Figs.

If the diet does not eliminate the stagnant effect in the intestine, the use of laxative begins.Now it will not be difficult to find them: Just go to any pharmacy and ask.Do not take them yourself.The dosage and brand of the drug depends on the following factors:

• Personal characteristics of the body.
• Simultaneous disease.
• Year old.
• The doctor's decision.

Until the last treatment was prescribed, the doctor prescribed 1 tbsp of patients.l.Vaseline oil (2-3 times a day).

Basically in treating pathology

But the memorable thing is that there is no ointment and other drugs will save you completely from the problem.They only temporarily eliminate symptoms, and no more.Conservative therapy will not be effective if the vein puppets fall frequently: Only thorough treatments will help here.

In addition, when prescribing the dosage forms of the drug, certain factors are taken into account.For example, rectal candles are not suitable for patients with significant pain syndrome.In this case, ointment is more appropriate.In some cases, the combination is acceptable.

There is no need to list the entire list of drugs from this pathology, because it is very large.Determined factors are personal characteristics of the body and patients with personal complaints.

What affects the choice of ointment or candle:

• Acute hemorrhoids with thrombosis.
• Inflammation.

At the same time, anesthetic, anti -inflammatory drugs reduced edema.It is necessary to use such drugs for a certain period of time, as they contain hormones and do not cause inflammation.

The use of phlebotropic is a prerequisite for drug treatment.

Small intrusion treatment

Sclerotic therapy

This is a method in which a special solution is taken into the area of hemorrhoids - sclerosis.With the appropriate government, the operation does not cause pain.Local anesthesia is not used.The duration does not exceed 10 minutes.Hospitalization is not necessary.After checking in, you can continue to lead the same way of life.Within two days in the anus, uncomfortable feelings are possible.This method is used in a pathology in the chronic phase (blood released, the puppets are not protruding).This method is rarely used, because the operation is quite complicated, and with the exact use of the drug, mucosal necrosis is possible.As a rule, the calm period after manipulation is about 3-7 years.

Infrared blood clotting

The method that if the radiation affects the inflamed areas.With it, hemorrhoids began to die.After manipulating, you can lead the previous lifestyle.The pain of pain is possible for two days.The AI method is used at 1 and 2 stages of pathology, in which the size of small websites.The calm time is 3-7 years, without serious complications.

Fixed with Latex

This procedure is the most common among all other methods.Her plus point:

• Low cost.
• A series of instructions.
• Lack of complications.

The key point is the Latex ring applied to the area of the site.This is done using ligaments.Due to the pressure of the ring, he began to die and refuse.Quick manipulation in proceeding (3-5 minutes), simple, actually painless.After tightening, you can lead the previous lifestyle.The pain of pain is possible for two days.The tie is shown in the stage 1-3 of the pathology.There is almost no complications.Sometimes there is blood discharge when the loop leaves.Except for procedures - Only one website is deleted in 1 session, the following operation can only be a few weeks.

Landing

The close tapes allows you to find the localization of all arteries that provide inflamed and tape areas.In this method, local anesthesia is used.Perform procedures with an Anoscope with a knot.Due to the clothing of the arteries, the inflamed areas disappear.The time of the procedure is about half an hour.The feeling of pain is almost not observed.Pain is possible within two days and the temperature increases.You can lead the same way of life.This method is used on all stages of the pathology.

Advantage:

• Lack of mop tissue.
• Reduce rehabilitation time.
• Handling 1 time.
• A longer period of time (5-10 years).

Disadvantages:

1. The procedure is longer than others.
2. Pain.
3. High cost.

Surgical intervention

Milligan-Morgan activities

This surgical intervention is related to external and internal swelling, with their next change.Applicable on all stages of the disease.Shades:

• Body anesthesia.
• Demand for boarding hospital 3-5 daily.
• Reduce efficiency within 10-15 days.
• A long time of recovery - about 1 month.
• The manipulation time is about half an hour.

The advantage is that this is the only and thorough treatment.Time calm up to 12 years, recurrence repeat can only be in 15-30 % of cases.Feeling of pain for 2-4 days.We need a painkiller.The long recovery time, as well as the appearance of scars and reduced the sound of the anal sphincter.

Professor Longo

This method is associated with cutting the mucous membrane of the rectum.It is done using a special pin.The losing positions are insolvent and blood flow decreases.Expressed by pathology in all stages.Shades:

• Body anesthesia.
• Hospitalized in the hospital for 2-4 days.
• The recovery time is 3-5 days.

The advantages of the procedure are similar to hemorrhoids, the small severity of the pain;Recovery is fast, without complications.Except for high costs (due to the use of a pin).

Conclusion

The methods described in the article are not the only methods that hemorrhoids are treated.Cold pressure is also used.But this method is not too popular, because there is uncontrolled from the anus, the exposure depth is not controlled.

Patients themselves have the right to decide whether or not to see a doctor or not.Of course, it is worth paying attention to the frequency of bleeding and pain, because the release of blood often causes anemia.If not, hemorrhoids are not many life.But it is worth warning that the sooner you will consult your doctor, the better.Therefore, you will avoid a more thorough treatment and improve your life.

Remember that only an expert expert can help solve this problem.If you notice the following signs:

• Periodic anal bleeding.
• Itching and burning in the anus.
• The feeling of discomfort and pain - immediately contact a ProcT specialist!There is no case that does not give itself!