What are Hemorrhoids?
Hemorrhoids are basically large blood vessels within the rectum. There are two different of hemorrhoids — one, internal hemorrhoids, and one other, external hemorrhoids. The external hemorrhoids are the kind of hemorrhoids that actually hang outside the anus. The internal hemorrhoids are the ones that are inside the anus. Both of them can cause a lot of pain, and both of them can cause bleeding.
Most common cause of hemorrhoids and hemorrhoidal pain is constipation. Basically, hemorrhoids are a cluster of blood vessels within the rectum, and their main function is, basically, to keep the anus closed, so that you don’t spill any stool out, and basically, keep the contents within the rectum encased. People who’ve chronic constipation can intermittently engorge those blood vessels, and if they strain, they can tear those blood vessels and cause bleeding, that’s what a lot of people will complain about when they have hemorrhoids, hemorrhoidal pain or hemorrhoidal bleeding.
The most common symptoms of both internal and external haemorrhoids (piles) include:
• Bleeding during bowel movements. You might see streaks of bright red blood on toilet paper after you strain to have a bowel movement.
• Rectal pain. It may be painful to clean the anal area
• With internal hemorrhoids, you may see bright red streaks of blood on toilet paper or bright red blood in the toilet bowl after you have a normal bowel movement. You may see blood on the surface of the stool.
• Internal hemorrhoids often are small, swollen veins in the wall of the anal canal. But they can be large, sagging veins that bulge out of the anus all the time. They can be painful if they bulge out and are squeezed by the anal muscles. They may be very painful if the blood supply to the hemorrhoid is cut off. If bulge out, you also may see mucus on the toilet paper or stool.
• External hemorrhoids can get irritated and clot under the skin, causing a hard painful lump. This is called a thrombosed, or clotted, hemorrhoid.
The treatment of piles or haemorrhoids depends on the severity of the symptoms. If the symptoms are mild, the patient is advised rest, suppositories and fibre rich diet and stool softeners to avoid constipation. The patients are also prescribed local application of corticosteroid and lidocaine creams to reduce pain and swelling. Sitting in a tub with warm water (Sitz bath) also provides relief in such cases
If the above conservative measures fail to alleviate the pain, then the following surgical measures are considered:
Surgical haemorrhoidectomy is a similar procedure. It can be done when the number of haemorrhoids is less. The procedure is done under local anaesthesia. The surgeon inserts an instrument called anoscope into the anal canal. The instrument winds a rubber band at the base of the haemorrhoid. The blood supply to the haemorrhoid is cut causing it to shrink and fall off within a week's time. 1-2 haemorrhoids can be treated at a time. For more haemorrhoids, either the procedure is done under general anaesthesia or repeated as above at intervals of 4-6 weeks
Rubber band ligation Is another benign condition that affects the uterus. It is the second leading reason for hysterectomies. It occurs when endometrial tissue (the inside lining of the uterus) begins to grow on the outside of the uterus and on nearby organs. This condition may cause painful menstrual periods, abnormal vaginal bleeding and loss of fertility.
Stapled hemorrhoidectomy might be the newest surgical way of treating hemorrhoids, and contains quickly end up being the treating choice for third-degree hemorrhoids. Stapled hemorrhoidectomy is really a misnomer because the surgery doesn't take away the hemorrhoids but, rather, the unusually lax and extended hemorrhoidal supporting tissue which has permitted the hemorrhoids to prolapse downward. For stapled hemorrhoidectomy, a circular, hollow tube is introduced to the anal canal. Through this tube, a suture is positioned, basically woven, circumferentially inside the anal canal above the interior hemorrhoids. The ends from the suture are presented from the anus with the hollow tube.
The stapler is a non-reusable instrument having a circular stapling device at the conclusion, is positioned with the first hollow tube and also the ends from the suture are pulled. Pulling the suture pulls the extended hemorrhoidal supporting tissue to the jaws from the stapler. The hemorrhoidal cushions are retracted up to their normal position inside the anal canal. The stapler then is fired. When it fires, the stapler reduces the circumferential ring of broadened hemorrhoidal tissue trapped inside the stapler and also at the same time frame staples together top of the minimizing edges from the cut tissue.