Some people may have simultaneous symptomatic versions of both. If the pain is present, the condition is more likely to be an anal fissure or an external hemorrhoid rather than an internal hemorrhoid. Internal hemorrhoids come from above the dentine line. They are covered by the cylindrical epithelium, which has no receivers of pain. They were classified in 1985 in four categories according to the degree of prolapse External hemorrhoids occur below the dentate or pectineal line.
Inner haemorrhoids are usually painless and become apparent because they cause bleeding with bowel movement. Sometimes, internal hemorrhoids prolapse or protrude outside the anus. If so, you may see them or feel them as damp pads of skin that are pinker than the surrounding area. Prolapsed hemorrhoids can hurt because the anus is dense with nerves sensitive to pain. Prolapsed hemorrhoids usually recede in the rectum on their own.
Hemorrhoids can become fat, bleed and tender. There is no single cause for hemorrhoidal symptoms, but some factors may play a role The secluded lifestyles also seem to coincide with this condition. A physical examination of the anus usually confirms a diagnosis of external hemorrhoids because they are easily visualized. A digital examination of the lower rectum can confirm the structure of the muscles and often locate polyps and / or tumors.
In addition, your doctor is used to taking care of this kind of problem, which is very common. If you seem to have enlarged hemorrhoids, the doctor will probably recommend a proctoscopy. During a proctoscopy, a short tube with light and a lens will be used to examine the membranes lining the rectum. This will allow your doctor to see the enlarged hemorrhoids and determine their size. Again, this procedure is usually painless.
Sometimes, prolapse hemorrhoids, or swell and swell outside the anal sphincter. Then you may be able to see them as wet bumps that are pinker than the surrounding area. And they are more likely to hurt, often when you poop. Prolapsular hemorrhoids usually come back on their own. Even if they do not, they can often be put back in place smoothly. A blood clot can form in an external hemorrhoid, making it purple or blue.
Your doctor can simply examine your rectum with a gloved finger. Or your doctor can use a short litter to look inside the rectum. Rectal bleeding may be a sign of a more serious problem, sas cancer of the colon, rectal or anal. So, if the first exam does not show a clear cause of your problems, your doctor may use a lighted telescope sigmoidoscope to look at the lower third of your heart. Or your doctor may use another type of scope colonoscope to examine the entire colon to check for other causes of bleeding.
Although hemorrhoids can be uncomfortable and painfull, they are easily treated and very evitable. As hemorrhoids generally worsen over time, doctors suggest that they should be treated as soon as they appear. Here are some key points about hemorrhoids. More details and supporting information are in the main article. In the majority of cases, simple measures will relieve symptoms while hemorrhoids will improve without treatment.
During pregnancy, the progesterone relaxes the walls of your veins, allowing them to swell more easily. Progesterone also contributes to constipation by slowing down your intestinal tract. Hemorrhoids are particularly common in the third quarter. Some women get them for the first time during their pregnancy. And if you have them before pregnancy, you're more likely to have them again now.
The pain usually goes away in a few days. After 4 or 5 days, the pain of cutting and draining the hemorrhoid is usually worse than the pain of the clot. Many people who have hemorrhoids find symptom relief through home treatment. If medical treatment is necessary, fixation procedures are the most used nonsurgical treatments. Fixing procedures are only for internal hemorrhoids. Not all doctors have the experience or the equipment to do all types of fixation procedures.
Less painful techniques are being studied, such as the Doppler-guided hemorrhoidal arteryligature, in which the hemorrhoidal arteries are identified using ultrasound and ligated with a suture, thereby reducing the blood supply for the hemorrhoids. Another technique is called circumferential stapled hemorrhoidopopy, in which a circular surgical stapler is used. This technique causes less pain after the procedure, but it can lead to a higher complication rate than conventional surgical hemorrhoidectomy, and hemorrhoids may re-occur. be.
Alternatively, stapled hemorrhoidectomy uses a staple gun to control hemorrhagic hemorrhoids. It is usually reserved for prolapsed internal hemorrhoids. After non-surgical treatment, hemorrhoids return about 50% of the time, while surgery reduces this rate to only 5%. There is no consensus on the best procedure 9. Prevention through diet and lifestyle is the most effective option for controlling hemorrhoids.
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