Hemorrhoids
Hemorrhoids treatment and symptoms
Hemorrhoids Hemorrhoids (Hemorrhoids) are defined as a health condition represented by swelling and inflammation of the veins around the opening
The anus or the lower part of the rectum is one of the health problems that commonly occurs between men and women, and the reality is that hemorrhoids are classified into two types. The first is known as internal hemorrhoids, and the second type is known as the external hemorrhoid. hemorrhoids), and the internal hemorrhoid is that which appears in the lining layer of the anus or the lower rectum, and the external hemorrhoid appears under the skin in the part surrounding the anus, and there are some cases in which internal hemorrhoids are connected to the external, [1] [2] and what is worth noting is that Hemorrhoids is a problem To a certain extent, the public health [3], based on the results of the study conducted by the National Center for Biotechnology Information in 2011, shows that the proportion of people with hemorrhoids is estimated at 4.4% of the total population of the world. The ratio is specifically represented for people with symptomatic hemorrhoid. [4] The degrees of hemorrhoids The hemorrhoids are divided according to the severity of the severity into four degrees, which can be shown as follows: [5] First degree: Hemorrhoids in this case are located on the dentate line known as the comb line, and do not stand out These hemorrhoids when stress or stretching, b It means that it is not visible from the outside. The second degree: Hemorrhoids protrude when the tension is in the far anal canal to the serrated line, but it recedes automatically. Third degree: Hemorrhoids emerge outside the distal anal canal, so that their position can only be changed manually, and thus these hemorrhoids are visible when examining the anus from the outside. Fourth degree: Hemorrhoids cannot be repositioned in this case, as hemorrhoids always appear. Symptoms of hemorrhoids The nature of the symptoms that appear on people with a hemorrhoid depends on the type of hemorrhoids that it suffers from, and in general the symptoms can be indicated according to the type of hemorrhoids as follows: [6] Symptoms of internal hemorrhoids Internal hemorrhoids are formed in the lining of the rectum as we mentioned above, and because of the lack of nerves in this region Often, the person does not feel any pain and does not feel their presence as well, and the symptoms and signs that may indicate the presence of internal hemorrhoids are the following: [7] The appearance of blood in the stool, and this can be observed by the presence of blood in the toilet or its appearance on the toilet paper after wiping. The appearance of tissue in the form of a pink block is darker than the color of the surrounding skin around the anus, and this mass usually appears when stretching during the removal process, and it is possible to return and enter it to its original location without any interference, even in the absence of entry
The person can push it inward by causing simple pressure, and such a condition is known as Prolapsed Haemorrhoids, and it can be said in general that hemorrhoid prolapse is a more severe and painful condition than internal hemorrhoids. [7] [8] Symptoms of external hemorrhoids These consist Subcutaneous hemorrhoids around the anal area and cause the following symptoms: [6] Itching or discomfort in the anal area. Feeling pain in the area. Bulging around the anal area. Bleeding occurs. Other symptoms appear if a blood clot forms in the external hemorrhoid, and these symptoms are marked by severe pain, marked swelling, as well as inflammation of the region and the appearance of a lump in it. Causes and risk factors for hemorrhoids in general The main reason for the formation of hemorrhoids is the increased pressure created in the veins in the rectum or anus, and among the factors that increase the chance of this happening, we mention the following: [9] [10] Excessive tension or sitting on the toilet For a long time. Chronic constipation or diarrhea. Low nutritional content of fiber. Lack of physical activity and movement overall. Infection with one of the liver diseases and problems. Muscle weakness in the area surrounding the anus, either because of suffering from fecal incontinence, or because of undergoing surgery in the anal area, or as a result of age. Obesity or pregnancy. The diagnosis of hemorrhoids cannot depend on the symptoms and signs previously mentioned to diagnose hemorrhoids categorically. Some of the symptoms mentioned above may be similar to the symptoms of other conditions. This includes the appearance of blood in the stools, as blood can appear in the stools when certain gastrointestinal problems are affected. The other, and therefore it is necessary to go to the specialist doctor to obtain the appropriate evaluation and diagnosis, and often the steps for diagnosing hemorrhoids are as follows: [7] [11] Physical examination: This examination is the examination by the specialist doctor of any signs of hemorrhoid development, including It bulges the veins in the area The bottom. Digital rectam examination: This examination is carried out by the specialist wearing a glove or a laxative application and lubricant and then inserting his finger in the rectum in order to make sure the presence of the hemorrhoid or deny it. Anoscopy, in which a hollow tube accompanied by light is used to be inserted through the anus, thereby revealing the presence of internal hemorrhoids. Proctoscopy: In this type of endoscopy a hollow tube is also used with light, but it gives an image of the entire rectum. Sigmoidoscopy: This examination is performed using a flexible light-assisted telescope to examine
The lower part of the rectum, and with this examination, a sample of colon tissue can be taken for laboratory analysis. Colonoscopy (English: colonoscopy), this examination is carried out using a long flexible colonoscopy to detect the colon, also known as the large intestine, and this type of examination allows the possibility of taking a sample of the tissue in question for laboratory testing, as well as the possibility of adopting it to treat some health problems that are discovered during This examination. Cases that require a doctor's review Although hemorrhoids are considered a health condition that often requires medical intervention, there are a group of cases that require a more important doctor’s review, and from these cases we mention the following: [12] Abnormal bleeding from the anus or from The rectum, although hemorrhoids are considered one of the most common causes of this type of bleeding, there are some other conditions that may cause this hemorrhage, as we mentioned above, including Inflammatory Bowel Disease and some types of tumors, so it is worth not to Neglecting cases where blood appears in Stool. The person concerned has taken any medications that help prevent blood clotting, such as: Apixaban, Rivaroxaban, Dabigatran, and Warfarin. Other symptoms appear alongside anal bleeding, such as feeling light in the head or general weakness; such symptoms may in some cases indicate a large amount of blood loss, which requires immediate medical intervention. Abdominal pain, usually because hemorrhoids do not cause abdominal pain. Hanging hemorrhoid that cannot be pushed back in, putting pressure on the area. Feeling very severe pain, such cases may indicate a blood clot in the external hemorrhoid, which requires immediate medical intervention as well. Treatment of hemorrhoids Some cases of hemorrhoids can heal on their own without the need for any medical intervention, within a few days, and in the meantime, the injured person should take a large portion of rest in addition to the need to avoid exercising any activity that causes pressure or tension on the area, and in a way General It can be said that if a person with hemorrhoids suffers from intermittent anal bleeding from time to time, and such bleeding is minor, the person needs no more than making some lifestyle adjustments, and the advice about these changes will be presented in a separate paragraph below, [ 13] [14] It may be preferred in some of the Simple or even moderate cases of severe severity. Resorting to some treatment options that are sold without a prescription, especially if the hemorrhoid is external. Medicines that are sold without a prescription are in the form of an ointment, cream, or even suppositories placed in the anus, as these treatment options help to Reducing itching, swelling and even pain associated with the hemorrhoid, but it is advised not to use these products for more than one week, and it is worth consulting with the doctor if you do not feel better after taking these medications a week, and it is worth checking with the doctor if these treatment options cause any dryness in the area or a rash . [15] [16] But in Ha Suffering from severe hemorrhoids, the specialist usually resorts to one of the medical procedures, the most important of which follows: [13] Rubber band ligation. This type of medical procedure is often used in cases where the injured person suffers from Internal hemorrhoids accompanied by bleeding or prolapse, and this procedure is carried out by placing the specialist in a rubber band at the base of the hemorrhoid so that this tape causes the stop of the blood supply, and the bound part of the hemorrhoids usually falls
Within a week of applying this procedure, but it is worth noting that this procedure is only valid for a specialist, and others may not try it on their own. [16] Infrared photocoagulation, the doctor uses A specialist is an instrument to shed infrared light on internal hemorrhoids, and the heat emitted by infrared has the ability to form a scar that causes blood supply to the hemorrhoid to be cut and thereby reduce its size. [16] Electrocoagulation, this mechanism is similar to optical coagulation, but The difference is that it is with electric coagulation Shedding electrical signals on internal hemorrhoids, with the aim of creating a scar that causes blood perfusion to be cut off from the hemorrhoid and thus reducing its size as well. [16] Sclerotherapy: The principle of this surgical option is to inject a chemical drug into the hemorrhoid in order to reduce its size, This is in addition to the possibility of using heat, light, or even cooling in order to achieve this. [13] Surgical removal: Surgery is the last line of treatment that is used, in the event of suffering from pain that does not subside or improves, Likewise, in the event hemorrhoids affect the quality of life of the injured person and his ability to Doing his daily activities. Tips for relieving hemorrhoids First of all, it is worth noting that it is possible to prevent hemorrhoids or at least reduce the chance of suffering from them by ensuring adequate drinking of water and exercising regularly, in addition to focusing on foods rich in fiber, [17] As for advice And instructions that help patients with hemorrhoids, especially simple or medium-sized cases, the most important of which can be explained as follows: [18] Using a sitz bath twice to three times a day, for 15-20 minutes at a time, and it is recommended that the water used be a little warm while making sure to Over the hips and buttocks where, as can apply this advice to relieve itching and irritation in the region, and should be careful drying area well Ay after finishing to reduce the chance of irritation. Avoid tightening or overcharging during the removal. Ensure that the area is clean by cleaning it with warm water daily, then drying it by patting it to avoid irritation. Sitting on cushions instead of hard surfaces to avoid the formation of new hemorrhoids in addition to helping to reduce existing bulges.
Hemorrhoids treatment and symptoms
Hemorrhoids Hemorrhoids (Hemorrhoids) are defined as a health condition represented by swelling and inflammation of the veins around the opening
The anus or the lower part of the rectum is one of the health problems that commonly occurs between men and women, and the reality is that hemorrhoids are classified into two types. The first is known as internal hemorrhoids, and the second type is known as the external hemorrhoid. hemorrhoids), and the internal hemorrhoid is that which appears in the lining layer of the anus or the lower rectum, and the external hemorrhoid appears under the skin in the part surrounding the anus, and there are some cases in which internal hemorrhoids are connected to the external, [1] [2] and what is worth noting is that Hemorrhoids is a problem To a certain extent, the public health [3], based on the results of the study conducted by the National Center for Biotechnology Information in 2011, shows that the proportion of people with hemorrhoids is estimated at 4.4% of the total population of the world. The ratio is specifically represented for people with symptomatic hemorrhoid. [4] The degrees of hemorrhoids The hemorrhoids are divided according to the severity of the severity into four degrees, which can be shown as follows: [5] First degree: Hemorrhoids in this case are located on the dentate line known as the comb line, and do not stand out These hemorrhoids when stress or stretching, b It means that it is not visible from the outside. The second degree: Hemorrhoids protrude when the tension is in the far anal canal to the serrated line, but it recedes automatically. Third degree: Hemorrhoids emerge outside the distal anal canal, so that their position can only be changed manually, and thus these hemorrhoids are visible when examining the anus from the outside. Fourth degree: Hemorrhoids cannot be repositioned in this case, as hemorrhoids always appear. Symptoms of hemorrhoids The nature of the symptoms that appear on people with a hemorrhoid depends on the type of hemorrhoids that it suffers from, and in general the symptoms can be indicated according to the type of hemorrhoids as follows: [6] Symptoms of internal hemorrhoids Internal hemorrhoids are formed in the lining of the rectum as we mentioned above, and because of the lack of nerves in this region Often, the person does not feel any pain and does not feel their presence as well, and the symptoms and signs that may indicate the presence of internal hemorrhoids are the following: [7] The appearance of blood in the stool, and this can be observed by the presence of blood in the toilet or its appearance on the toilet paper after wiping. The appearance of tissue in the form of a pink block is darker than the color of the surrounding skin around the anus, and this mass usually appears when stretching during the removal process, and it is possible to return and enter it to its original location without any interference, even in the absence of entry
The person can push it inward by causing simple pressure, and such a condition is known as Prolapsed Haemorrhoids, and it can be said in general that hemorrhoid prolapse is a more severe and painful condition than internal hemorrhoids. [7] [8] Symptoms of external hemorrhoids These consist Subcutaneous hemorrhoids around the anal area and cause the following symptoms: [6] Itching or discomfort in the anal area. Feeling pain in the area. Bulging around the anal area. Bleeding occurs. Other symptoms appear if a blood clot forms in the external hemorrhoid, and these symptoms are marked by severe pain, marked swelling, as well as inflammation of the region and the appearance of a lump in it. Causes and risk factors for hemorrhoids in general The main reason for the formation of hemorrhoids is the increased pressure created in the veins in the rectum or anus, and among the factors that increase the chance of this happening, we mention the following: [9] [10] Excessive tension or sitting on the toilet For a long time. Chronic constipation or diarrhea. Low nutritional content of fiber. Lack of physical activity and movement overall. Infection with one of the liver diseases and problems. Muscle weakness in the area surrounding the anus, either because of suffering from fecal incontinence, or because of undergoing surgery in the anal area, or as a result of age. Obesity or pregnancy. The diagnosis of hemorrhoids cannot depend on the symptoms and signs previously mentioned to diagnose hemorrhoids categorically. Some of the symptoms mentioned above may be similar to the symptoms of other conditions. This includes the appearance of blood in the stools, as blood can appear in the stools when certain gastrointestinal problems are affected. The other, and therefore it is necessary to go to the specialist doctor to obtain the appropriate evaluation and diagnosis, and often the steps for diagnosing hemorrhoids are as follows: [7] [11] Physical examination: This examination is the examination by the specialist doctor of any signs of hemorrhoid development, including It bulges the veins in the area The bottom. Digital rectam examination: This examination is carried out by the specialist wearing a glove or a laxative application and lubricant and then inserting his finger in the rectum in order to make sure the presence of the hemorrhoid or deny it. Anoscopy, in which a hollow tube accompanied by light is used to be inserted through the anus, thereby revealing the presence of internal hemorrhoids. Proctoscopy: In this type of endoscopy a hollow tube is also used with light, but it gives an image of the entire rectum. Sigmoidoscopy: This examination is performed using a flexible light-assisted telescope to examine
The lower part of the rectum, and with this examination, a sample of colon tissue can be taken for laboratory analysis. Colonoscopy (English: colonoscopy), this examination is carried out using a long flexible colonoscopy to detect the colon, also known as the large intestine, and this type of examination allows the possibility of taking a sample of the tissue in question for laboratory testing, as well as the possibility of adopting it to treat some health problems that are discovered during This examination. Cases that require a doctor's review Although hemorrhoids are considered a health condition that often requires medical intervention, there are a group of cases that require a more important doctor’s review, and from these cases we mention the following: [12] Abnormal bleeding from the anus or from The rectum, although hemorrhoids are considered one of the most common causes of this type of bleeding, there are some other conditions that may cause this hemorrhage, as we mentioned above, including Inflammatory Bowel Disease and some types of tumors, so it is worth not to Neglecting cases where blood appears in Stool. The person concerned has taken any medications that help prevent blood clotting, such as: Apixaban, Rivaroxaban, Dabigatran, and Warfarin. Other symptoms appear alongside anal bleeding, such as feeling light in the head or general weakness; such symptoms may in some cases indicate a large amount of blood loss, which requires immediate medical intervention. Abdominal pain, usually because hemorrhoids do not cause abdominal pain. Hanging hemorrhoid that cannot be pushed back in, putting pressure on the area. Feeling very severe pain, such cases may indicate a blood clot in the external hemorrhoid, which requires immediate medical intervention as well. Treatment of hemorrhoids Some cases of hemorrhoids can heal on their own without the need for any medical intervention, within a few days, and in the meantime, the injured person should take a large portion of rest in addition to the need to avoid exercising any activity that causes pressure or tension on the area, and in a way General It can be said that if a person with hemorrhoids suffers from intermittent anal bleeding from time to time, and such bleeding is minor, the person needs no more than making some lifestyle adjustments, and the advice about these changes will be presented in a separate paragraph below, [ 13] [14] It may be preferred in some of the Simple or even moderate cases of severe severity. Resorting to some treatment options that are sold without a prescription, especially if the hemorrhoid is external. Medicines that are sold without a prescription are in the form of an ointment, cream, or even suppositories placed in the anus, as these treatment options help to Reducing itching, swelling and even pain associated with the hemorrhoid, but it is advised not to use these products for more than one week, and it is worth consulting with the doctor if you do not feel better after taking these medications a week, and it is worth checking with the doctor if these treatment options cause any dryness in the area or a rash . [15] [16] But in Ha Suffering from severe hemorrhoids, the specialist usually resorts to one of the medical procedures, the most important of which follows: [13] Rubber band ligation. This type of medical procedure is often used in cases where the injured person suffers from Internal hemorrhoids accompanied by bleeding or prolapse, and this procedure is carried out by placing the specialist in a rubber band at the base of the hemorrhoid so that this tape causes the stop of the blood supply, and the bound part of the hemorrhoids usually falls
Within a week of applying this procedure, but it is worth noting that this procedure is only valid for a specialist, and others may not try it on their own. [16] Infrared photocoagulation, the doctor uses A specialist is an instrument to shed infrared light on internal hemorrhoids, and the heat emitted by infrared has the ability to form a scar that causes blood supply to the hemorrhoid to be cut and thereby reduce its size. [16] Electrocoagulation, this mechanism is similar to optical coagulation, but The difference is that it is with electric coagulation Shedding electrical signals on internal hemorrhoids, with the aim of creating a scar that causes blood perfusion to be cut off from the hemorrhoid and thus reducing its size as well. [16] Sclerotherapy: The principle of this surgical option is to inject a chemical drug into the hemorrhoid in order to reduce its size, This is in addition to the possibility of using heat, light, or even cooling in order to achieve this. [13] Surgical removal: Surgery is the last line of treatment that is used, in the event of suffering from pain that does not subside or improves, Likewise, in the event hemorrhoids affect the quality of life of the injured person and his ability to Doing his daily activities. Tips for relieving hemorrhoids First of all, it is worth noting that it is possible to prevent hemorrhoids or at least reduce the chance of suffering from them by ensuring adequate drinking of water and exercising regularly, in addition to focusing on foods rich in fiber, [17] As for advice And instructions that help patients with hemorrhoids, especially simple or medium-sized cases, the most important of which can be explained as follows: [18] Using a sitz bath twice to three times a day, for 15-20 minutes at a time, and it is recommended that the water used be a little warm while making sure to Over the hips and buttocks where, as can apply this advice to relieve itching and irritation in the region, and should be careful drying area well Ay after finishing to reduce the chance of irritation. Avoid tightening or overcharging during the removal. Ensure that the area is clean by cleaning it with warm water daily, then drying it by patting it to avoid irritation. Sitting on cushions instead of hard surfaces to avoid the formation of new hemorrhoids in addition to helping to reduce existing bulges.
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