What is Hemorrhoids?

hemorrhoids are enlarged or swollen veins in the lower rectum. The most common symptoms of hemorrhoids are rectal bleeding, itching and pain.

Hemorrhoids can be outside the anus or inside the rectum. The dentate line divides the anal canal into two parts. Internal hemorrhoids originate above the dentate line. External hemorrhoids originate below the dentate line.

Hemorrhoids occur in both men and women.

hemorrhoids Although it does not usually cause serious health problems, it is seriously annoying and disturbing. Fortunately, hemorrhoid treatments are available and can usually minimize the bothersome symptoms.

What Are the Symptoms of Hemorrhoids?

HemorrhoidsIt is more common in older people, those with diarrhea or a pelvic tumor, during or after pregnancy, and people who sit for long periods of time and/or strain (strain) to have a bowel movement.

Symptoms of hemorrhoids can include:

  • Painless rectal bleeding

  • Anal itching or pain

  • swollen tissue around the anus,

  • Leakage of stool or difficulty clearing after a bowel movement.

While hemorrhoids are one of the most common causes of rectal bleeding, there are other, more serious causes. It is not possible to know what is causing the rectal bleeding unless it is examined.

If you see bleeding after defecation, contact your general surgeon.

  • Itching: Hemorrhoids usually cause itching and irritation of the skin around the anus.

  • Pain: Hemorrhoids can become painful. If you experience severe pain, contact a general surgeon immediately as this could be a sign of a serious problem.

Hemorrhoid Diagnosis

To diagnose hemorrhoids Your doctor will examine your rectum and anus. If there is bleeding, your doctor may look inside the anus (called anoscopy) or colon (sigmoidoscopy or colonoscopy).

One of the most important steps is to avoid constipation (hard or infrequent stools). Hard stools can cause rectal bleeding and/or a tear in the anus called anal fissure.

Additionally, straining to defecate can worsen existing hemorrhoids and increase the risk of developing new hemorrhoids.

Hemorrhoids, Fiber supplements

Increasing fiber in your diet is one of the best ways to soften your stool. Fiber is found in fruits and vegetables. The recommended amount of dietary fiber is 20 to 35 grams per day.

Hemorrhoids, Laxatives

If increased fiber isn’t relieving your constipation, you can try a laxative. Many people worry about taking laxatives regularly, fearing that they will not be able to have a bowel movement if the laxative is discontinued. Laxatives are “non-addictive” and using laxatives will not increase your risk of future constipation.

Hemorrhoids, Hot Sitting Baths

hemorrhoid sitz bath Soak the rectal area in warm water for 10 to 15 minutes, two to three times a day. Do not add soap, bubble bath or other additives to the water. Bathing works by improving blood flow and relaxing the muscle around the anus called the internal anal sphincter.

Minimally Invasive Treatment

If you have bothersome hemorrhoids after taking conservative measures, you may want to consider a minimally invasive procedure.

Rubber band ligation: Rubber band ligation is the most commonly used procedure. It relieves symptoms in most patients.

Rubber bands or rings are placed around the base of the internal hemorrhoid. As the blood flow is restricted, the hemorrhoid shrinks and degenerates within a few days. Many patients report a feeling of “tension” after the procedure, which can be improved with warm sitz baths. Patients are encouraged to use fiber supplements to prevent constipation.

Delayed bleeding can occur when the rubber band falls off, usually two to four days after the procedure. In some cases, a raw and painful area develops five to seven days after the procedure. Other less common complications of rubber band ligation include severe pain, thrombosis of other hemorrhoids, and localized infection or inflammation (abscess).

Laser, infrared or bipolar coagulation:These methods include the use of laser or infrared light or heat to destroy internal hemorrhoids.

sclerotherapyDuring surgery, a chemical solution is injected into the hemorrhoidal tissue, causing the tissue to break down and form a scar.

Hemorrhoid Surgery

If symptoms of hemorrhoids (such as bleeding, pain or sagging) persist despite medical treatments, hemorrhoid surgerymay also be required.

Surgical treatment options for hemorrhoidsThese include hemorrhoidectomy (surgically removing excess hemorrhoidal tissue), which works for both internal and external hemorrhoids, and other procedures that only work for internal hemorrhoids (for example, stapled hemorrhoidopexy and hemorrhoidal artery ligation).

hemorrhoid surgeryYour doctor can help you determine the best procedure for you.

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