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The most significant risk factor of a hemorrhoids is your heredity.
It means, that if your parents were ill with a hemorrhoids and you
have certain "chance" to receive this unpleasant disease.
In many cases the hemorrhoids arises along with presence of a
varicose phlebectasia standing and a platypodia. It occurs because
all these diseases have one nature - delicacy of a connecting tissue
which "keeps" veins, does not allow to them to lose the form.
Besides the genetic reasons, the hemorrhoids arises at the people
too loving a spicy food in which it is a lot of pepper and other
seasonings; alcoholics also often suffer from a hemorrhoids.
Known enough risk factors of a hemorrhoids - an inactive way of
life, a constant finding in a sitting position. Therefore the people
working as sellers, managers, programmers suffer from a
hemorrhoids etc.
It means, that if your parents were ill with a hemorrhoids and you
have certain "chance" to receive this unpleasant disease.
In many cases the hemorrhoids arises along with presence of a
varicose phlebectasia standing and a platypodia. It occurs because
all these diseases have one nature -
Besides the genetic reasons, the hemorrhoids arises at the people
too loving a spicy food in which it is a lot of pepper and other
seasonings; alcoholics also often suffer from a hemorrhoids.
Known enough risk factors of a hemorrhoids -
working as sellers, managers, programmers suffer from a
hemorrhoids etc.
There are three degrees of acute hemorrhoid:
- First degree is characterized by the hemorrhoidal thrombosis without inflammation of piles. Palpation
of piles is painful. Perianal skin is slightly redness. The character complaints are sense of burning and itch,
which increase during bowel movement.
- Second degree is characterized by addition of inflammation. There are more manifest edema and redness
of perianal area. Palpation and digital examination are very painful. Patients usually complain about strong
pains in Back pass canal, which increases in sitting position and when they are walking.
-
of piles is painful. Perianal skin is slightly redness. The character complaints are sense of burning and itch,
which increase during bowel movement.
-
of perianal area. Palpation and digital examination are very painful. Patients usually complain about strong
pains in Back pass canal, which increases in sitting position and when they are walking.
- Third degree is characterized by inflammation of the tissue around hemorrhoids, all Back pass is
swelling. Palpation of piles is very painful. Thrombosed internal purple hemorrhoids covered by fibrin are
prolapsed from Back pass canal. If treatment was not carried out on time can appear necrosis of hemorrhoids.
Mucous membrane, which covering cavernous bodies, ulcerate, becomes black with fibrin stratifications. In
some neglected cases, hemorrhoidal thrombosis can be complicated by Back pass abscess (difficult
complication).
swelling. Palpation of piles is very painful. Thrombosed internal purple hemorrhoids covered by fibrin are
prolapsed from Back pass canal. If treatment was not carried out on time can appear necrosis of hemorrhoids.
Mucous membrane, which covering cavernous bodies, ulcerate, becomes black with fibrin stratifications. In
some neglected cases, hemorrhoidal thrombosis can be complicated by Back pass abscess (difficult
complication).
The most common signs of chronic hemorrhoids are discomfort, itch in an Back pass channel (they are
related to the irritation of inferior part of Back pass canal and perianal skin by intestinal mucus), bleeding
during and after bowel movement, prolapse of internal piles.
Classification of hemorrhoids based on level of their dilatation and prolapse
1. No prolapse.
2. The prolapse spontaneously re-enters the canal when straining stops.
3. The prolapse does not spontaneously return into the Back pass canal, and has to be pushed back in.
4. Permanente prolaps, recurring after attempts to push it back in.
Diagnostic of hemorrhoids.
Diagnostic of hemorrhoids is not difficult. Usually diagnosis of hemorrhoidal disease requires only inspection
and physical examination.
During physical examination there is important to evaluate the level of hemorrhoidal prolapse, the possibility
to return them into the Back pass canal, skin around canal, signs of bleeding. The next examination is
rectosigmoidoscopy (that makes it possible to examine mucous membrane of rectum and sigmoid bowel to
exclude oncology diseases).
Differential diagnosis of hemorrhoids:
- Back pass fissure (also can be bleeding and pain in Back pass canal);
- Rectal prolapse (circular prolaps in area);
- Rectal cancer (bleeding also occurs).
The treatment of hemorrhoids.
The treatment of acute hemorrhoids depends on stage of disease. Only patients with third degree of acute
hemorrhoid should be operated (we perform hemorrhoidectomy).
For first and second degrees of acute hemorrhoids, we indicate medical treatment.
1. To eliminate pain conditional by thrombosis and acute Back pass fissure we use analgesics by systemic
route and local medications, which consist a combination of anti-inflammatories and analgesics (Posterisan,
Posterisan forte).
2. There is necessary to prescribe phlebotonic drugs.
3. In case of bleeding, we use suppositories with adrenalin and local haemostatic treatment.
Conservative treatment of hemorrhoids supplies temporal effect, and risk of recurrence is quite high. That is
why when escalation is healed we recommend one of microinvasive techniques or operation that depends on
the stage of hemorrhoid.
For chronic hemorrhoids (first and second stages), conservative treatment mostly is effective, but often this
treatment is required for them during all there life. High-fiber diet, refusal of alcohol and spicy food, regulation
of bowel movement, prophylaxis of trauma of this area, washing after defecation, suppositories and ointments
help patients with hemorrhoid practically avoid discomfort. Conservative treatment of chronic hemorrhoids
includes phlebotonic drugs, suppositories with anti-inflammatory and analgesic, microenema with medications.
There is necessary to admit that any treatment of hemorrhoid can be not high effective if other gastrointestinal
diseases, first of all, of large bowel, that patient have, are not treated. There is important to treat concomitant
colitis and eliminate constipation (Forlax).
If patient has first- or second- degree- hemorrhoids, but escalation and bleeding occurs often there is possible
to perform microinvasive techniques.
For treatment of first-degree- hemorrhoids in our department we use infrared coagulation.
For treatment of second-degree- hemorrhoids , we apply infrared coagulation, Rubber band ligation of
hemorrhoidal piles, Transanal hemorrhoidal dearterialisation (THD).
For treatment of third-degree- hemorrhoids , we apply rubber bang ligation, Transanal hemorrhoidal
dearterialisation (THD).
For treatment of fourth -degree- hemorrhoids , we apply Transanal hemorrhoidal dearterialisation (THD),
Longo operation and operations (Milligan-Morgan, Parks, Waithead methods).
Diagnostic of hemorrhoids is not difficult. Usually diagnosis of hemorrhoidal disease requires only inspection
and physical examination.
During physical examination there is important to evaluate the level of hemorrhoidal prolapse, the possibility
to return them into the Back pass canal, skin around canal, signs of bleeding. The next examination is
rectosigmoidoscopy (that makes it possible to examine mucous membrane of rectum and sigmoid bowel to
exclude oncology diseases).
Differential diagnosis of hemorrhoids:
-
The treatment of hemorrhoids.
The treatment of acute hemorrhoids depends on stage of disease. Only patients with third degree of acute
hemorrhoid should be operated (we perform hemorrhoidectomy).
For first and second degrees of acute hemorrhoids, we indicate medical treatment.
1. To eliminate pain conditional by thrombosis and acute Back pass fissure we use analgesics by systemic
route and local medications, which consist a combination of anti-
2. There is necessary to prescribe phlebotonic drugs.
3. In case of bleeding, we use suppositories with adrenalin and local haemostatic treatment.
Conservative treatment of hemorrhoids supplies temporal effect, and risk of recurrence is quite high. That is
why when escalation is healed we recommend one of microinvasive techniques or operation that depends on
the stage of hemorrhoid.
For chronic hemorrhoids (first and second stages), conservative treatment mostly is effective, but often this
treatment is required for them during all there life. High-
help patients with hemorrhoid practically avoid discomfort. Conservative treatment of chronic hemorrhoids
includes phlebotonic drugs, suppositories with anti-
diseases, first of all, of large bowel, that patient have, are not treated. There is important to treat concomitant
colitis and eliminate constipation (Forlax).
If patient has first-
For treatment of first-
For treatment of second-
hemorrhoidal piles, Transanal hemorrhoidal dearterialisation (THD).
For treatment of third-
dearterialisation (THD).
For treatment of fourth -
Longo operation and operations (Milligan-
However, the hemorrhoids can arise because of the opposite reason - constantly intensive exercise stress.
If at the person constant constipations, at it high chances to be ill with a hemorrhoids. As you have
understood to avoid disease by a hemorrhoids, it is necessary to exclude all above-named risk factors of a
hemorrhoids
whenever possible.
understood to avoid disease by a hemorrhoids, it is necessary to exclude all above-
whenever possible.
The reasons of occurrence of a hemorrhoids