Hemorrhoids

Hemorrhoids
Hemorrhoids are varicose veins around the anus, internal hemorrhoids are varicose veins that surround the rectum and when it expands, protuzioneaza from outside the anus. We do not know the exact cause of the development of hemorrhoids, they are usually painless and patients can suffer them back into the anus impige without complications. Under certain conditions, hemorrhoids may ulcerate, bleed or irritate: Trauma of labor- Pregnancy or obesity- Repeated efforts, chronic constipation or defecation -Anal sex. External hemorrhoids are varicose veins located beneath the skin on the outside anusului.Acestia are frequently painful and occur when a blood clot blocks a vein. Hemorrhoids determine the blocking of blood cheguri veins, medically called thrombotic hemorrhoid requires immediate treatment. Hemorrhoids Treatment can be performed at home, except for the thrombotic, including: warm baths, hydrocortisone cream and relaxare.Interventiile surgery may be necessary if severe symptoms and complications: sclerotherapy, hemorrhoidectomy, infrared coagulation, ligation.
Causes Hemorrhoids are caused by repeated pressure on the anal muscle and vasculature: -Defecation difficult, forced -Chronic constipation -Chronic diarrhea -Pregnancy obesity -Cirrhosis Infibre-poor diet and dehydration -Lack of exercise, old age.

Signs and symptoms External hemorrhoids usually appear as painful around anusului.Cauza prominent is the formation of a blood clot in the veins afectate.Sunt uncomfortable, but only if they break singereaza. Internal hemorrhoids are characterized by hemoragie.Singele may occur on the toilet seat or toilet paper, not mixed with domestic acesta.Hemoroizii can be painful and may extend outside their anusului.Evolutia can be divided into three stages: -Stage I: hemorrhoids remain inside the anus all the time -StadiulII: hemorrhoids outwardly from bowel movements, but reintroduced themselves -Stage III hemorrhoids are always outside. Symptoms may include: -Felt pain and pressure in the anal canal -Itching and cracks around the anus -Blood on underwear, toilet seat, toilet paper. Complications that can occur are: Bleeding hemorrhoids, ulceration and infection Pain-producing-strangulation and necrosis.

Diagnosis Diagnosis includes a patient history and physical examination. The differential diagnosis includes diseases that cause anal hemorahie also: -Fissures, anal, rectal cancer -Anal fistulas and abscesses -Diabetes or cirrhosis -Infected pilonidal cyst. Laboratory diagnosis includes: -Colonoscopy -Anoscope -Sigmoidoscopy.

Treatment Symptomatic treatment includes warm baths to relax muscles and laxatives: Docusate, psylium, unguiente with local anesthetic: lidocaine. Pain can be treated with NSAIDs. Surgical techniques used include: Rubber-band ligation has hemorrhoidal intrarectal to stop circulation -Sclerotherapy injections with phenol-5% vegetable oil -Infrared photocoagulation Hemorrhoidectomy-to-case can not be subject to other processes.