External hemorrhoids can also cause intermittent swelling, irritation and mild discomfort, especially after a period of diarrhea or constipation. For thrombosis of an external hemorrhoid, a painful bulge or firm mass suddenly appears at the edge of the anus. The mass may have a blue or purple hue. He can unload the blood. Intense pain is not a typical symptom of hemorrhoids except for thrombosis of an external hemorrhoid.
They are not composed of arteries or veins, but of blood vessels called sinusoes, connective tissue and smooth muscle. The sinusoids do not have muscle tissue in their walls, as do veins. This set of blood vessels is known as the hemorrhoidal plexus. Hemorrhoids are important for continence. They contribute to 15-20% of resting anal resting pressure and protect the internal and external anal sphincter muscles during stool passage.
Therefore, it is important that all symptoms are studied by a physician specially trained to treat diseases of the colon and rectum. Do not rely on over-the-counter medications or other self-treatments. See a colorectal surgeon first so that your symptoms can be properly assessed and an effective treatment prescribed.How are the hemorrhoids treated? Benign symptoms can be relieved frequently by increasing the amount of fiber eg, fruits, vegetables, breads and cereals and fluids in the diet.
Drinking plenty of water to reduce the risk of developing constipation Exercise regularly Take care not to tire too much when sitting on the toilet Stay within the safety limits of the alcohol consumption. This means that you should not consume more than one alcoholic beverage per day for women and people over 65, or more than two drinks a day for men. For these recommendations, a drink refers to a glass of wine, a glass of alcohol or a standard beer.
Surgery for hemorrhoids goes back to antiquity. The ancient Greeks, Romans and Indians have all described the surgeries used to relieve the pain and discomfort of enlarged hemorrhoids. These procedures greatly improved in the 13th century and surgical treatments accelerated further in the 19th century. During a hemorrhoidectomy, internal hemorrhoids and external hemorrhoids are severed.
Pregnant women are also more susceptible to hemorrhoid problems because of the weight of the baby and childbirth. About 25 to 35% of pregnant women are affected in the third trimester, according to estimates of two studies conducted in France. Being overweight, or standing or lifting too much can also aggravate hemorrhoids. People with swollen hemorrhoids do not necessarily feel pain, although they may have bleeding, anal swelling and discomfort.
Hemorrhoids are very common and at the age of 50, almost half of Americans have hemorrhoids. Nearly 5% of the US population 15 million people has sought medical care for symptomatic haemorrhoids. Many more have problems withemorrhoids, but never seek formal medical care. External haemorrhoids are dilated veins covered by the skin near the anal opening. They can be felt like bumps or bumps near the outside of the anus, and become painful when they are swollen with blood.
A number of preventative measures are recommended, including avoiding stress, avoiding constipation and diarrhea by eating a diet rich in fiber and drinking plenty of fluids. or taking fiber supplements, and exercising enough Spend less time trying to deceive, avoid reading while in the bathroom, and lose weight for overweight people and avoid lifting heavy objects are also recommended 18.
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.
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