Hemorrhoids are varicose veins of the lower division of submucosal colon. Hemorrhoids are external and internal. In developed countries, approximately 50% of people have enlarged hemorrhoids. Half of them have some symptoms of the disease, and only one in two is needed the treatment. Sedentary lifestyle, diseases of endocrine system, the process of aging, obesity and poor diet, and alcohol abuse contribute to the emergence of hemorrhoids.
- Minor bleeding during defecation (blood in the toilet bowl or on the toilet paper).
- Sometimes pain during defecation, sometimes extending throughout the rectum.
- Moisture and severe itching in the anus, which appear after a bowel movement, as well as at night.
Hemorrhoids develop in congenital or acquired weakness of the venous wall due to difficulty of venous outflow (eg, as a result of the tumor, pregnancy, accumulation of solid stool with persistent constipation, etc.). Tendency to the disease may be hereditary, that is passed from parents to children. Hemorrhoids are often accompanied with an expansion of veins. Chronic bronchitis or painful cough, which is a consequence of smoking, lead to an increase in abdominal pressure, which also contributes to hemorrhoids.
Special soothing candles and antispasmodics may offer relief in the presence of hemorrhoids. When internal hemorrhoids prolapse of the anus, surgery is necessary.
It is important to lead an active life, eating a diet rich in fiber and regular stools. If it is necessary, use painkillers.
If you have symptoms of hemorrhoids, you should visit the proctologist. Typically, patients have resorted to the help of the doctor’s too late, because people are embarrassed of this disease. But the sooner you see a doctor, the better. Treatment is mainly outpatient.
Proctologist selects the method of treatment depending on the stage of the disease. The smaller piles, the more effective treatment (often it is only medication). If the nodes are formed recently, doctors prescribe a candle or not very painful procedures to remove nodes. In severe cases, surgery is necessary, during which internal hemorrhoids and part of the rectal mucosa are removed.
The first signs of hemorrhoids include itching and burning during and after stool. These symptoms may disappear, but the blood vessels are dilated. As the disease progresses mucus serving in the anus can cause eczema. The presence of internal hemorrhoids is accompanied by a dull ache. In more complex cases, hemorrhoids fall after defecation, walking or strong cough. At loss of internal nodes, their infringement and swelling occurs, which causes a sharp pain.
Hemorrhoids are not a major health risk. If it occurs during pregnancy, after childbirth often disappears.
In most cases, blood in the stool indicates the presence of hemorrhoids. But if it is seen in people over 50, it may be the first symptom of colorectal cancer. In any case it is necessary to establish the diagnosis.