If you feel the pain and discomfort of hemorrhoids, you are not alone. About 50% of Americans will have hemorrhoids at some point in their lives. Often, when these people ask for help from a doctor, they really need it. But that does not mean you need hemorrhoid surgery. In fact, surgical treatment is inappropriate for most hemorrhoids, especially when you take into account the inherent risks, pain and downtime. Treatment is necessary, however, because your hemorrhoids will come back without it, and they will get worse over time. Today, the most common treatment is elastic ligature or hemorrhoidal bands. In fact, even if the bandage is not a surgical procedure at all, it is the most common "surgical" procedure for hemorrhoids. About 50 million haemorrhoid banding procedures are performed each year. Ligation treats over 95% of all hemorrhoids.
Internal hemorrhoids can cause bleeding, and / or can fall from the anal canal, requiring a person to push them back into the bowels after bowel movements. External hemorrhoids can become swollen and painful. Although these problems are generally not serious or life-threatening, bleeding, in particular, requires careful evaluation to determine whether the blood comes from a hemorrhoid or another, more serious problem, such as cancer, polyps or intestinal inflammation.
Sclerotherapy, where hemorrhoids are injected with chemicals to reduce them, is the oldest therapy. Infrared or electrocoagulation targets the hemorrhoid by burning it and allowing it to detach. It is less effective than banding and generally requires more treatment. However, it also has much less postoperative pain and fewer complications. Surgical removal or stapling of the hemorrhoids may be necessary if the internal hemorrhoids have prolapsed or are very large, according to the Journal published in the Journal of American College of Surgeons.
Fixation procedures include the attachment of hemorrhoids with a rubber band elastic ligature or the use of heat, lasers or electrical current to create scar tissue coagulation therapy. Fixing procedures can only be performed on internal hemorrhoids. Surgical removal of hemorrhoids hemorrhoidectomy can be used for large internal hemorrhoids, when several small hemorrhoids are present, or when others are present. treatments did not control the bleeding.
Sometimes blood can accumulate in an external hemorrhoid and form a clot thrombus that can cause severe pain, swelling, inflammation and a hard mass near the anus. Bleeding during bowel movements is the most common sign of hemorrhoids. Your doctor may do a physical exam and perform other tests to confirm the hemorrhoids and rule out more serious illnesses. Speak also to your doctor if you know that you have haemorrhoids and that they cause pain, bleed frequently or excessively, or do not improve with home remedies.
I have tried everything to cope with it Metamucil, Miralax, outrageous amounts of fiber through the beans, exercise, sleep I am scrupulously clean and use a bidet to thoroughly clean the water after each bowel movement. They are a pretty permanent part of my body at this stage. I had some rubber ligatures, but it hurt me and did not improve the overall situation. My colorectal surgeon also said that I was just shy of the miserable limit that would show that I could benefit from the most recent surgeries.
Over-the-counter remedies, such as fecal softeners and anti-inflammatory ointments, can provide short-term local relief from the discomfort, pain and bleeding caused by hemorrhoids. external ones. People can also eat more fiber, drink more water and avoid straining while they go to the bathroom, Husain said. These measures often help the enlarged hemorrhoids to disappear from themselves, he says.
External hemorrhoids can become irritated and coagulate under the skin, causing a hard and painful mass. This is called a thrombosed or coagulated hemorrhoid. Your doctor can tell you if you have hemorrhoids by learning about your past health and doing a physical exam. You may not need many tests early on, especially if you are under 50 and your doctor thinks that your rectal bleeding is caused by hemorrhoids.
Hemorrhoids are swollen veins in the rectum or anus. The type of hemorrhoid you have depended on where it occurs. If you have a hemorrhoid, you can feel a soft mass on the edge of your anus. You can also see blood on the toilet paper or in the toilet after a bowel movement. You can feel some decadence in this area. Or you may feel pain. The pain is more likely to occur after a bowel movement or intense activity.
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.
A sitz bath can help reduce inflammation of the hemorrhoids. Completely drying the anal area after each sitz bath is important to minimize the moisture that irritates the skin surrounding the anus. Stool softeners may help, but once the hemorrhoids are present, even liquid stools can cause inflammation and an infection of the anus. Your healthcare professional and pharmacist are good resources to discuss the use of fecal solids as a treatment for hemorrhoids.
Although they usually lack the pain often associated with their external counterparts, they are more likely to bleed. In fact, blood on toilet paper during a bowel movement is sometimes the only symptom of internal hemorrhoids. Unfortunately, however, they can also become so inflamed that they prolapse through the anus causing more serious symptoms. When protrusion occurs, intense decay often follows a condition known as pruritus ani.
The mass is caused by a blood clot, causing a blue-violet color. Because bleeding can be a symptom of cancer in the colon or rectum, a colonoscopymay need to be done before treating your hemorrhoids. This is a diagnostic procedure that uses a lighted and flexible tube inserted through the rectum. If you have a history of cancer, if you are over 50, or if you have other symptoms or risk factors, this test can detect colorectal cancer when it is small.
Haemorrhoids can be ligated painlessly by injecting Local anaesthesia in submucosal plane.