Hemorrhoids: Reasons, Symptoms, Treatment

There is no such person who has never heard the word "hemorrhoids".Used by anyone who has nothing to do with drugs, or even with drugs.

The term "hemorrhoid" itself comes from two Greeks -"Ham"("Blood") and"Rhoos"("bleeding").

The concept is unequivocal, because every bleeding is not the result of hemorrhoids and does not always cause blood.In this case, the concept of "hemorroidal nods" is suitable for "hemorrhoids" - swelling, swelling during the rubbish, swelling.

Description of the problem

Hemorrhoids are a special anal formation located under the rectum.In the structure, they are a plexus of venous veins.They are located inside and out of the mucous membrane.It is divided into hemorrhoids of domestic and foreign nature from the location of these formations.

These plexuses themselves are protective function: Protect the rectum from liquid feces and dencilation of gas and completely close the anal channel.According to statistics, 20% of adults suffer from this disease.This is the disease that is the cause of the campaign.

Contributing to the formation and development of the disease

Hemorrhoids are normal with only one pair of parks.In case of severe or long-term physical power, these ligaments can be torn.When the integrity of the ligaments violated, hemorrhoids are full of blood.The result is their loss and bleeding.

Vienna is squeezed by providing normal blood flow from mucosa.The blood begins to stand.

Factors who provoke the development of hemorrhoids

The pathology itself does not arise.Its developed and the development is affected by several factors:

1. Hereditary factor (no bloodshed in hemorrhoidal nodes and veins).
2. Increased pressure on the veins.
3. Frequently visit the carts in the work of the intestines (constipation, diarrhea), to the toilet.
4. Increases pregnancy, delivery, the clinic of the disease.
5. Foot style, standing position for a long time.
6. Some sports and occupations.
7. Features of nutrition (alcohol, spicy food).However, it contributes more, not to develop more.

Pay attention!It is impossible to talk about the manifestation of hemorrhoids with the participation of bleeding from the anal channel.The analysis and examination of the rectum is necessary to confirm the diagnosis:

• Colonoscopy.
• Anoscopia.
• Sectoroscopy.

Bed and junctions can occur in inflammation of the intestines and in malignant compounds.

Hemorrhoids: Symptoms and Classification

Location of nodes:

• The external.
• The interior.
• Mixed.

The first landscape- Expansion of venous ships located below the gear line of the rectum.This type of edematous manifestations are characterized by the fact of concern in the rectum.This type of pathology is characterized by severe pain.

Second sight- Hemorrhoids themselves are also located below the line.Hemorrhoids are divided into 1, 2, 3 and 4 degrees (the severity of the disease depends on the severity of the nodes).There are sharp and chronic hemorrhoids arising from a disease.

Chronic hemorrhoids

Clinical picture:

• Periodically released from blood anus.
• Loss of plexus inside the mucosa.
• Bake in itch and anus.
• Discharge from the rectum.

Symptoms of chronic hemorrhoids

Intestinal bleeding

This is the most common symptom with this disease that occurred in 10% of this disease.According to statistics, the case is most often occurring, when the intestinal is empty.The aggression is intense and not much and can be episodic in nature.The color of the discharge is in the form of "spray" (occurs with the throat) or - in the form of the discharge (in the form of drops).If the blood left after the previous anus, it will come out with darkness or cluster next to the next side.

70-80% of clinical manifestations of hemorrhoids.With constipation and diarrhea, alcohol, spicy foods and heavy physical effort, the intake of bleeding.The result is the formation of anemia.

The manifestation of anal bleeding is not always a sign of this disease.May occur in other diseases of the intestine.If it happens in people ages 40-45, you must consult a doctor.In addition, people who include oncology are required to visit a doctor.

Bleeding from which diseases may occur:

• The colon's diverticase.
• Crohn's disease.
• Malignant neoplasm of the rectum.
• Polyps of intestines.

If you see the discharge from the anus, consult a program with a program and take the necessary examinations of the direct and large intestine.

Protrusions of venous plexus

This symptom is already occurring in a long period of disease.The first occurs with the destruction of the intestines.In addition, the symptom appears with a throat.If the pathological is sharp, it falls without effort.Independently divided into 2 stages.In 3 stages, manually regulated due to reduction in the tone of anal muscles.They fall in full 4 stages.

Anal pain

Bleeding is not the only reason for coming to a specialist.And this is definitely not hemorrhoids.The pain syndrome in the anus may occur in a sharp stage of the disease.Reasons:

• Constipation.
• Visit the toilet frequently.
• Anal crack.
• Plomoseosis of nodes.

If treatment is misleaded, the anal crack will enter chronic stage.

Bowel discharge

The nature of discharge in this disease is watered or mucous.Arises as a result of episodic loss of nodes.Note the cant, with bleeding and mucous secretion.They are the most, when nodes or mucosa falls.Other reasons are neoplasms (villages, tumors).

Itching in anus

These symptoms, as well as anal concerns in the anus, occur with the colon's dysfunction.Occurs as a rule in the late stage of the disease.

Classification

1 phase- Venous plexia does not fall.The red color of the blood released.

2 Stages- Fallen knots are fixed (with or without blood freedom).

3 Stages- Knotts fall episodically and get better by hand.

4 Stages- The newspaper and mucous membrane of the rectum begin to fall.Manual decrease becomes impossible.

Sharp hemorrhoids

This usually happens with sharpening in a chronic stage.Most often manifestations:

• External nodes with the formation of thrombosis.
• Damage of internal thrombed plexus.

If the thrombosis occurs, the junctions are compressed and increased in size.It is as if a violent pain syndrome occurs in the opening area.

Treatment of acute hemorrhoids

In the phase of the thrombosis, the trombeectomy is possible (a thrombus node and the extraction of thrombus).The operation is carried out under local anesthesia.Duration - a few minutes.After the operation, the pain immediately begins to decline.

Inner hemorrhoidal nods form swollen events and inflammation.Surgical intervention is contraindicated due to possible complications.Therapy:

• Ointment and use of the candle.
• Pills.

If you see manifestations in time, the duration of a sharply reduces to a week.If the pathology is not treated for a long time, the ugly inflammation can occur.

3 phases of the disease in the acute course

1. The appearance of blood clots in domestic and external venous plexuses.There is no inflammation.
2. Having blood clots, the presence of nodes with inflammation.
3. Against the background of the above marks, the subcutaneous tissue is developing inflammation.Complications occur - bleeding, ugly inflammation.

How to treat hemorrhoids in a chronic stage

Hemorrhoids are heavy, unpleasant, but reference disease.There are enough treatment methods to remove it.The treatment system is constantly improving.Each method has no doubt, advantages and cons.And they are used depending on the phase.The following factors affect the use of a certain methodology:

• The course of the disease.
• The character of discharge.
• The patient's age.
• The frequency of bleeding.

The difficulty is that many methods are based on the same instructions for treatment and the optimal choice.In this case, you need to combine the necessary methods.According to classification, 3 types of treatment are different:

1. Conservative.
2. Small invasive.
3. Operation.

First-class hemorrhoids

Loss of nodes with blood release:

• Mandatory normalization of nutrition (with a high fiber percentage).
• To take medication reducing inflammation and expansion of vanous ships.
• Rectal candles, ointments for external use for sharpening.

Hemorrhoids of grade II

Self-affected nodes.

• Hemorrhoidal node correction with a latex ring.
• Application of sclerosant.
• The work of bloodshed by brought blood to the nodes addressed.
• Electrococoagulation.
• The extension of external and internal nodes.

III grade hemorrhoids

Hand reduction:

• The use of latex rings.
• Sclerotherapy.
• The descent of the veins.
• Electrococoagulation.
• Twins.

Hemorrhoids of IV degree

Impossible discount of knots: To remove inflammatory nodes with a special device.

Stages of development of hemorrhoids

Each method is not suitable for the treatment of hemorrhoids or in another.The final solution affects how external and domestic plexuses are related.If pathological nodes - if it dominates the inside, you can do it without surgery.Methods are described above.

Before a recent diagnosis, the patient needs a full examination.The first thing to do is to explore the rectum and the large intestine.First of all, this applies to patients with 45 years and older, because of the hemorrhoids, because hemorrhoids may have positive diseases:

• The malignant tumor of the rectum.
• Polyps.

It also affects the choice of symptoms (rather than the rate of violence), the size and episode of nodes.

It is better to choose conservative therapy with a rare loss with a weak severity of symptoms.The first and important thing the submitted is to remove constipation and pressure during the emptying of the nutrition.The diet should contain a sufficient amount of water, because constipation often occurs with liquid deficiency, so the intestines are forced to suck him from feces.

The following is important to facilitate this situation:

• The dominated component fiber in the diet.
• Periodic setting of laxatives.
• Assignment of balloonbotropes to the patient.

Conservative therapy is mainly used during a sharp escalation of the disease.Other treatments are contraindicated.If the disease is in the 1st and 2th stage, other methods are also contraindicated.What is conservative treatment includes:

• Special diet.
• Slasping drugs.
• Rectal candles, ointments.
• Flebotropic drugs.

Each patient is determined by the diet.The main goal is to normalize a chair.Often, one of the factors that provoke the main thing is accurate constipation or diarrhea.The diet for this disease is firm:

• Sharp.
• Salt.
• Roast.
• Alcohol.

Diarye provides additional exams.The result of examinations affecting the correction of diet and treatment.If the patient is tending to constipation, a special diet is recommended.The list of products and other nuances can be viewed in a special part.Recommended for a laxative effect:

• Dried apricots.
• Plum.
• Dried apricots.
• Symmetrical

If the diet does not eliminate the impact of the intestines, the use of laxatives begins.Now you will not be difficult to find them: just go to any pharmacy and ask.Don't take them yourself.The dose and brand of the drug depends on the following factors:

• Individual features of the body.
• Sever diseases.
• Age.
• Doctor's decisions.

Until the last treatment is appointed, the doctor presents the patient 1 tablespoon.l.Vaseline oil (2-3 times a day).

Basic in the treatment of pathology

But it's worth remembering, because no ointment and other drugs will save you completely from the problem.They only temporarily eliminate symptoms and no longer have.Conservative therapy, if venous plexios fall on a regular basis, only radical treatment methods will help here.

In addition, certain factors are taken into account when determining the dosage forms of the drug.For example, rectangular candles are not suitable for patients with pronounced pain syndrome.In this case, the ointment is preferred.In some cases, the compounds are acceptable.

It is not necessary to list all medications from this pathology, because it does not need to list this pathology.The determination factor is the individual characteristics of the body and the patient's individual complaints.

What affects the choice of ointment or candle:

• Sharp hemorrhoids with thrombosis.
• Inflammation.

At the same time, anesthesia, relaxing edema, is assigned to anti-inflammatory drugs.It is necessary to use such drugs for a certain period of time because they are not anti -inflamatic anti -inflamatics.

Phlebotropic use is a condition for drug therapy.

Small -invasive treatment

Sclerotherapy

This is a method of specifying a special solitude to the sclerosant area of hemorrhoidal nods.Manipulation with correct management does not cause pain.No local anesthesia is used.The term is not more than 10 minutes.It is not necessary to accommodate the hospital.After the procedure you can continue to lead the same lifestyle.It is possible to worry about two days in the anus.This method is used in a pathology in a chronic stage (blood is released, plexus does not exit).This method is rarely used because manipulation is quite complicated and the mucosa necrosis is possible by proper management of the drug.As a rule, the term of soilization after manipulation is about 3-7 years.

Infrared clotting

Method if radiation moves in inflammatory areas.With this, hemorroidal tissue gradually begins to die.You can lead the previous lifestyle after manipulations.Painful feelings are two days.AI method is used in 1 and 2 phase of pathology where the size of the sites are small.The quiet period is 3-7 years, without serious complications.

Fixing with latex rings

This procedure is most common among all other methods.Its pluses:

• Low price.
• It is a wide sign.
• Lack of risk of complications.

The bottom line is the application of latex ring to the site area.This is done using a ligator.Begins to die and reject according to the pressure of the ring.Fast manipulation (3-5 minutes), simple, practically painless.After Ligat, you can lead the previous lifestyle.Painful feelings are two days.The policy method is shown in 1-3 phase of pathology.There are almost no complication.Sometimes there is bloodshed when the ring leaves.Only 1 site for 1 session of the procedure - 1 site is removed, the following manipulation is only possible in a few weeks.

The landing of the veins

The Proximately Ligation method allows you to find localization of all vessels that provide inflammatory areas and find them in the bandage.This method uses local anesthesia.Perform the procedure with an anososcope with a knot.Inflammatory areas disappear as a result of the dressing of the arteries.The term of the procedure is about half an hour.The feelings of pain are almost not observed.The pain is possible for two days and increased temperature.You can handle the same lifestyle.This method is used in all stages of pathology.

Pros:

• Lack of deleting tissues.
• Reduce the period of rehabilitation.
• Processing 1 times.
• A longer calm (5-10 years).

Cons:

1. The procedure is longer than others.
2. Pain.
3. High price.

Surgical intervention

Milligan-Morgan's operation

This method of this method of surgery covers the abilitence of external and internal swelling with its subsequent wraps.Apply to all stages of the disease.Nuances:

• General anesthesia.
• There is a need for 3-5 daily stationary hospitals.
• Reducing performance within 10-15 days.
• A long recovery period - about 1 month.
• The manipulation period is about half an hour.

The advantages are that this is the only and radical method of therapy.In 12 years, repeated relapses are possible only in 15-30% of cases.Smart feelings for 2-4 days.We need an analgesic.The recovery period is long, as well as the cases of reduction in scars and anal sphincter tones.

Professor Longo

This method contains to cut the mucous membrane of the rectangle.Realized using a special stapler.Sites loses the probability of protrusion and reduces blood flow.Was shown by pathological at all stages.Nuances:

• General anesthesia.
• For 2-4 days in the hospital in the hospital.
• The recovery period is 3-5 days.

The advantages of the procedure are similar to hemorrhoidctomy, small pain;Recovery is fast, there are no complication.Negative expense (due to a stapler use).

Opinion

The methods described in the article are not the only one that hemorrhoids are treated.Cryotherapy is also used.However, this method is not so widespread, because the disbelief of discharge from the anus is not controlled.

The patient itself has the right to decide to ask you to do not do.Of course, the frequency of bleeding and pain is worth noting the frequency, because the spread of blood is often caused by anemia.Otherwise, hemorrhoids are not very life.But it's worth notifying how quickly a doctor consult, it will be so good.So you will avoid a more radical treatment method and improve your life.

Remember that only one program can help solve this problem.If you see the following marks:

• Periodic anal bleeding.
• Bake in itch and anus.
• A feeling of anxiety and pain - immediately contact a programmark!No cases not.