Hemorrhoids are swollen veins in the lower rectum. Internal hemorrhoids are usually painless, but tend to bleed. External hemorrhoids can cause pain. Hemorrhoids HEM-uh-roids, also referred to as piles, are swollen veins in the anus and lower rectum, similar to varicose veins. Hemorrhoids have a number of causes, although often the cause is unknown. They can result from tension during bowel movements or increased pressure on these veins during pregnancy.
Treatments using lasers, freezing probes or electric current electrocoagulation are not proven. Elastic ligature is still the standard treatment. Some internal hemorrhoids are removed by tying them with rubber bands in an outpatient procedure called an elastic ligature. The instrument used ligator consists of clamps surrounded by a cylinder with ¼ inch ¼ inch rubber bands placed at one end.
Such as sclerotherapy, elastic ligation and infrared coagulation. Sclerotherapy is a procedure that involves injecting a chemical the sclerosing agent into a vein to destroy it. The sclerosing agent is used to damage the innermost lining of the vessel, resulting in a clot that blocks blood flow into the vein. Over time, the vessel turns into scar tissue and disappears. In 2010, a group of 338 Japanese medical institutions reported good results for sclerotherapy using aluminum and potassium sulfate and tannic acid ALTA.
They cause pain occasionally followed by necrosis and ulceration. Most painful, thrombosed, ulcerated or non-ulcerated haemorrhoids are seen at the anus and rectum examinations. Anoscopy is essential in the evaluation of painless or bleeding hemorrhoids. Rectal bleeding should be attributed to haemorrhoids only after the exclusion of more severe conditions eg, Sigmoidoscopy or colonoscopy.
Bleeding is quite common with a swollen external hemorrhoid. Swollen internal hemorrhoids can come out of the anus and can then be considered soft pieces of tissue. They are protruding or prolapsed hemorrhoids. Larger haemorrhoids may give the impression that something is pushing against the anus, which can make the session very uncomfortable. Hemorrhoids are classified by grade, which is based on their severity The most common symptom of hemorrhoids is anal bleeding, and the main complaints include a mass perianal that goes beyond the anus and anal discharge.
Talk to your health care provider if haemorrhoids are still a problem after 1 to 2 weeks. To prevent the hemorrhoids from coming back, eat a high fiber diet and drink plenty of fluids. This is especially important if you often have haemorrhoids. The blood in the enlarged veins can form clots, and the tissue surrounding the hemorrhoids can die. Hemorrhoids with clots usually require surgical removal.
The exact cause of the hemorrhoids is unclear, but they are associated with increased pressure in the blood vessels in and around the anus. This pressure can inflate and ignite the blood vessels in your spine. It is thought that many cases are caused by over-straining on the toilet as a result of prolonged constipation. This is often caused by a lack of fiber in a person's diet. Chronic long-term diarrhea can also make you more vulnerable to haemorrhoids.
You can have both at the same time. Internal hemorrhoids do not usually cause pain or discomfort, unlike external hemorrhoids. However, internal hemorrhoids can pass the anus prolapsed hemorrhoids and become painful. In some cases, a transfer clot thrombosis mayform in the vein, making the hemorrhoid more painful. In severe cases, these hemorrhoids require surgery. Your doctor can often diagnose external haemorrhoids with a physical exam.
Most patients do not find them useful , GruThat said. If you're looking for quick symptom relief, draw a hot bath, she says. Soaking the area can help soothe some irritation. Wiping with hamamil can also help, she says. In rare cases, severe haemorrhoids must be removed. Doctors use a number of different techniques, including ligature which uses rubber bands to "tuff" a hemorrhoid until the fall, stapling, infrared light treatment and, as a last resort, surgery.
Haemorrhoids can be ligated painlessly by injecting Local anaesthesia in submucosal plane.