Hemorrhoids: Causes, Symptoms, Treatment

There is no such person who never heard the word "hemorrhoids".Not everyone who is not lazy, not even those who have nothing to do with medicine.

The term "only hemorrhoids" comes from two Greek words -"HEEM"("Blood") and"Rhoos"("bleeding").

The concept is ambiguous, because it is not every bleeding consequence of hemorrhoids, not always causes blood.In this case, the concept of "hemorrhoid nodes" is suitable for the wider concept of "hemorrhoids" - swelling, blazing that occurs during the trash.

Description of the problem

Hemorrhoids are special anal formations that are under the rectum.There are plexus venous containers in the structure.They are inside and out of the mucosa.From the location of these formations, interior and external nation hemorrhoids are divided.

These plexes are performed by the protective function: protects the rectum from incontinence of liquid feces and gases, and also fully close anal channel.According to statistics, 20% of adults suffer from this disease.And that is exactly the disease that is the cause of the campaign specialist.

Which contributes to the appearance and development of disease

Hemorrhoids are normal only with a couple of parks.In case of severe or extended physical effort, these ligaments can be torn.In the event of infringement of the integrity of ligaments, hemorrhoids are flooded with blood.The consequence is their loss and bleeding.

Vienna, providing a normal spill of blood from mucosa, become squeezed.Blood begins to stagnate.

Factors cause hemorrhoid development

The pathology itself does not occur so, itself.It happened and development affects several factors:

1. The hereditary factor (in hemorrhoid node and veins there are no valves that ensure blood drain).
2. Increased pressure in veins.
3. Trolleys in the hose work (prison, diarrhea), frequent visits to the toilet.
4. Pregnancy, delivery, improvement of the disease clinic.
5. The sedentary lifestyle, stands the position of a longer period.
6. Some sports and profession.
7. Features of nutrition (alcohol, spicy food).But this contributes more to deterioration, not developing.

Pay attention!Even in the presence of bleeding from the anal channel, it cannot be discussed about the manifestation of hemorrhoids.To confirm the diagnosis, analysis and testing of the rectum are needed:

• Colonoscopy.
• Anoscopy.
• Sector.

Bleeding and nodes can appear with inflammation of the hose and in malignant formations.

Hemorrhoids: Symptoms and classification

Location of nodes:

• Exterior.
• Interior.
• Mixed.

First sight- spreading a venous container located under the transmission line of the rectum.This type is characterized by edematous events, the presence of discomfort in the rectum.This type of pathology is characterized by strong pain.

Another view- The spread of the hemorrhoids themselves below the line.Hemorrhoids are divided into 1, 2, 3 and 4 degrees (weight of the disease depends on the weight of the nodes).There are also acute and chronic hemorrhoids arising from one disease.

Chronic hemorrhoids

Clinical picture:

• Periodic blood is released from the anus.
• Loss of plexus inside the mucosa.
• Itching and burning in the anus.
• Discharge from the rectum.

Symptoms of chronic hemorrhoids

Intestinal bleeding

This is the most common symptom with this disease occurred in 10% of patients.According to statistics, the most common phenomenon is when the intestines are empty.Events can be intense and not really, and they are epitadic in nature.The discharge color is a sparkle, in the form of "spray" (occurs with the task) or - at the end of the discharge (in the form of a drop).If, after the previous discharge in the anus, blood remained, next in the next will come out with a dark or cluster.

70-80% of cases - clinical manifestations of hemorrhoids.In addition to constipation and diarrhea, the intake of alcohol, spicy food and severe physical efforts, the bleeding occurs.The consequence of the appearance of anemia.

Anal bleeding manifestation is not always a sign of this disease.May occur in other bowel diseases.If it appears in people over 40-45 years, then you must be consulted with a doctor.Also, in the event that in people with a predisposition for oncology, he needs a visit to the doctor.

For which diseases may the bleeding occur:

• Diverticulose of colon.
• Crohn's disease.
• Malignant neoplasm rectum.
• Hose polyps.

If you notice discharge from the anus, contact a proctologist and perform the necessary direct and colon examinations.

Protection of venous plexes

This symptom occurs already in the long-flow phase of the disease.It appears first with bowel devastation.Furthermore, the symptom appears with the task.If pathology is acute, then it turns out effortlessly.Sharing independently in 2 stages.In 3 phases, they manually adapt to the reduction of anal muscle tons.They turn out completely in 4 phases.

Anal pain

Bleeding is not the only reason that is reached by an expert.And that is not necessarily hemorrhoids.Raw material in the anus can occur in the acute phase of the disease.Reasons:

• Prison.
• Frequent visits to the toilet.
• Anal crack.
• Plumbosis of nodes.

If treatment is made wrong, anal crack will enter the chronic phase.

Guts

The nature of discharge in this disease is watery or mucosa.Occur as a result of episodic loss of nodes.With the bleeding, pay attention to the mucous membrane.Are most often when nodes or mucosa fall.Other reasons are neoplasms (Viluto Milija, tumor).

Itchy in the anus

These symptoms, such as the itchy in the anus, as well as anal discomfort, occur with dessert dysfunction.They occur, as a rule, in the late stage of the disease.

Classification

1 stage- Venous plexuses don't turn out.Scarlet color of released blood.

2 phase- Filled nodes adapt alone (with or without blood release).

3 phase- Nodes fall out episodic and be better handed.

4 phase- The newspaper and mucosa of the rectum begin to disintegrate constantly.Manual reduction becomes impossible.

Acute hemorrhoids

It is usually occurring with deterioration in a chronic phase.The most common manifestations:

• Exterior nodes with the appearance of thrombosis.
• Problems of internal garter plexuses.

If there is a thrombosis, the nodes are compacted and increased in size.Heavy syndrome hurts in an anal opening.

Treatment of acute hemorrhoids

At the phase of thrombosis, amokboectomy is possible (experiment of thrombus node and removing thrombus).The operation is performed under local anesthesia.Duration - a few minutes.After surgery, the pain starts immediately.

When internal hemorrhoid nodes are dropped out, swollen phenomena and inflammation appear.The surgical intervention is contraindicated due to possible complications.Therapy:

• The use of fat and candle.
• Tablets.

If you notice the events in time, the duration of the acute phase is reduced for a week.If pathology is not treated for a long time, gnody inflammation may appear.

3 phases of the disease in an acute course

1. The appearance of blood clots in the internal and external venous plexers.There is no inflammation.
2. The presence of blood clots in nodes, with the presence of inflammation.
3. An inflammation of subcutaneous tissue is developing against the background of the above signs.Complications occur - bleeding, gnody inflammation.

How to treat hemorrhoids in chronic stage

Hemorrhoids are heavy, uncomfortable but reference disease.There is enough treatment method for his elimination.The treatment system is constantly improving.Each method has no doubt, advantages and disadvantages.And used depending on the phase.The following factors affect the use of a particular methodology:

• The course of the disease.
• The nature of discharge.
• Patient's age.
• The frequency of bleeding.

It is the difficulty in the fact that many methods are based on the same treatment indications and choosing optimally becomes simple.In this case you must combine the necessary methods.According to the classification, 3 types of treatments differ:

1. Conservative.
2. Little invasive.
3. Operational.

First degree hemorrhoids

Loss of nodules with blood release or not:

• Mandatory nutritional normalization (with high percentage of fiber).
• Getting drugs that reduce inflammation and spread of venous vessels.
• Rectal candles, fats for external use for worsening.

Hemorrhoids II degree

Self-affected nodes:

• Fixation of hemorrhoid node with latex ring.
• The introduction of sclerosant.
• League of the arteries by bringing the blood to inflammation of the nodes.
• Electrical agulating.
• Exceeding about external and internal nodes.

Hemorrhoids III degree

Manual reduction:

• Use of latex rings.
• Sclerotherapy.
• Artery landing.
• Electrical agulating.
• Excision.

Hemorrhoids IV degree

Unable to reduce nodes: Removing inflamed nodes with a separate device.

Hemorrhoid development phases

Not every method is suitable for treating hemorrhoids in one case or another.The final solution affects how exactly external and internal plexuses are correlated.If the pathology prevails with nodes - inside, then you can do without surgery.The methods are described above.

Before executing the final diagnosis, the patient needs a complete review.The first thing to do is examine the rectum and colon.First of all, this applies to patients over 45 years old, with hereditary predisposition for oncology, because with hemorrhoids can also be of simultaneous diseases:

• Malignant tumor rectum.
• Polyps.

Also, symptoms (or better said, the degree of its weight), the size of nodes and episodes affect the choice of a certain treatment method.

With weak weight symptoms, rare loss, it is better to choose conservative therapy.First and it is important that it is intended for the nutritional correction, elimination of closure and pressure while emptying the hose.The diet should contain a sufficient amount of water, because the prison often occurs with a lack of liquid, which is why the guts are forced to suck it from the feces.

To facilitate this condition, the following is important:

• The prevailing component in the diet is fibers.
• Periodic laxative entry.
• Appointment of phlebotrope of the patient.

Conservative therapy is mainly used during an acute deterioration of the disease.Another treatment is contraindicated.If the disease is in 1. And 2. phase, and other methods are also contraindicated.What is involved in a conservative treatment:

• Special nutrition.
• Drugs for glowing.
• Rectal candles, fats.
• Flebotropic medications.

Each patient prescribes a diet.The main goal is the normalization of the chair.Often one of the main provocative factors is a precise prison or diarrhea.Diet for this disease categorically prohibits:

• Sharp.
• Salt.
• Oven.
• Alcohol.

Diary implies additional examinations.The result is the test that affects the correction of diet and treatment.If the patient is prone to constipation, a special diet is recommended.The list of products and other shades can be viewed in a separate section.For a laxative, it is recommended:

• Dried apricots.
• Plone.
• Dried apricots.
• Sl.

If a diet does not eliminate the steady effect in the intestines, the use of laxatives begins.Now they won't be hard to find: just go to any pharmacy and ask.Don't take them yourself.Dosing and brand of drugs depend on the following factors:

• Individual body characteristics.
• Simultaneous diseases.
• Age.
• Decisions of the doctor.

Until the final treatment is prescribed, the doctor prescribes the patient 1 tablespoon.l.Vaseline oil (2-3 times a day).

Basic in the treatment of pathology

But it is worth remembering that there will be no fully saving you fat and other medications.They only temporarily remove symptoms and more.Conservative therapy will be inefficient if the venous plexuses regularly falls: here will help only radical treatment methods here.

Also, when prescribing the forms of drug dosing, certain factors are taken into account.For example, rectal candles are not suitable for patients with expressed pain syndrome.In this case, the fat is more desirable.In some cases, combinations are acceptable.

There is no need to specify the entire list of medicines from this pathology, because it is very large.Defining the factors are individual characteristics of the body and the patient's personal complaints.

What affects the choice of fat or candle:

• Acute hemorrhoids with thrombosis.
• Inflammation.

At the same time, anesthetics, anti-machines for medicines that relieved Edem.It is necessary to use such drugs for a period of time, because they contain hormones and anti-studio non-asterists.

The use of flebotropne is a prerequisite for drug therapy.

Small-Invasive treatment

Sclerotherapy

This is a method in which the special solution is introduced in the area of hemorous nodes - sclerosant.With an appropriate administration, manipulation does not cause pain.Local anesthesia is not used.Duration is no more than 10 minutes.Hospitalization is not required.After the procedure, you can continue to lead the same way of life.Unable sensation is possible within two days in the anus.This method is used in the pathology in the chronic phase (blood is released, plexuses do not protrude).This method is rarely used, because manipulation is quite complicated, and with the correct application of the medicine is a possible mucosa.As a rule, a period of peaceful after manipulation is about 3-7 years.

Infrared coagulation

The method by which radiation works on inflamed areas.Along with him, hemorrhoid tissue begins to gradually die.After manipulation, you can lead the previous lifestyle.A painful sensation is possible for two days.AI method is used on 13 and 2 phases of pathology, where the size of the site is small.A quiet period is 3-7 years, without serious complications.

Fixation with Latex rings

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

• Low price.
• Wide range of indications.
• A lack of risk of complications.

The lower line is that the latex ring is applied to the site area.This is done using a league.Due to the pressure of the ring, it begins to die and reject.Manipulation of fast implementation (3-5 minutes), simple, practical painless.After investment, you can lead the previous lifestyle.A painful sensation is possible for two days.The rope method is shown in 1-3 pathology phase.There is almost no complications.Sometimes there is blood emptying when the ring goes.Minus procedure - Only 1 place is removed for 1 session, the following manipulation is only possible after a few weeks.

Artery landing

The proximal ligation method allows you to find the localization of all arteries that deliver inflamed surfaces and turn them.Local anesthesia is used in this method.Execute the procedure with an anoscope with a knot.As a result of the dressing of the arteries, the inflamed areas disappear.The duration of the procedure is about half an hour.Bol sensations are almost not observed.Pain is possible within two days, and an increase in temperature.You can lead the same lifestyle.This method is used at all phases of pathology.

Pros:

• Lack of deletion tissue.
• Reducing the remediation deadline.
• Processing 1 time.
• Longer period of calm (5-10 years).

Cons:

1. The procedure is longer compared to others.
2. Pain.
3. High cost.

Surgical intervention

Work Milligan-Morgan

This method of surgical intervention involves excise external and internal swelling, with their subsequent topping.Apply to all phases of the disease.Shades:

• General anesthesia.
• Need for 3-5 daily hospital hospitalizations.
• Reduced performance within 10-15 days.
• Long recovery period - about 1 month.
• The duration of manipulation is about half an hour.

The advantages are that this is the only and radical way of therapy.A quiet period is up to 12 years, repeated relapses are possible only in 15-30% of cases.Consual pain sensation in 2-4 days.We need analgesics.The recovery period is debt, as well as the occurrence of scars and reduce the tone of anal sphincter.

Professor Longo

This method involves shortening the mucosa of the rectum.Performed using a special staple.Places lose the ability to protrude, and blood flow is reduced.Showed pathology at all phases.Shades:

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

The advantages of the procedure are similar to the hemorrhoid, the low weight of pain;Recovery is fast, no complications.Minus - in high costs (due to the use of staples).

Conclusion

The methods described in the article are not the only ones treated with hemorrhoids.Cryotherapy is also used.But this method is not so widespread, as there is incontinence of discharge from the anus, the depth of exposure is not controlled.

The patient himself has the right to decide whether to see a doctor or not.Of course, it is worth paying attention to the frequency of bleeding and pain, because often the blood release causes anemia.Otherwise, hemorrhoids are not exactly like lives.But it is worth warning you to advise yourself with a doctor, the better.Therefore, you will avoid a more radical way to treat and improve life.

Remember that only a proctologist can help solve this problem.If you notice the following characters:

• Periodic anal bleeding.
• Itching and burning in the anus.
• Sensation of discomfort and pain - Contact the Proctor!In no case not only to embarrass!