What is hemorrhoids?

Hemorrhoids refers to the bulge or blistering of the vein. The end of the colon And the edge of the anus.

Divided into 2 types

Internal type: Occurs over anus. Usually, it does not appear to be fuzzy, usually not painful.

External Type: Occurs at the anus, the crease of the anal margin is visible. And painful

Cause

 I do not know the exact cause of the disease. But often it is related to many factors such as.

- Hereditary found that the child of the father or mother with this disease. There will be a higher chance than the guests.

- Disorders at the extremity of the colon. And anal opening The blood vessels.

- standing or sitting Contact for a long time.

- Patients with cirrhosis Or high blood pressure in the veins of the liver.

- constipation and the shooting of stools for a long time. Long-term or long-term hemorrhoids help accelerate the hemorrhoids.

- Diarrhea regularly.

Symptom

- There is blood red in the anus. During or after defecation There may also be blood clotting feces.

- The meat or meatballs protruding out when defecating. The first stage can be retracted into the anus. But if it is more. The protrusions will not shrink.

- Anal inflammation, including swelling, pain or burning sensation.

- Anal itching. And there may be skin rash. Because of the protruding anus, wet humidity. And not easy to clean.

Hemorrhoids are divided into 4 stages.

Stage 1: If the head is hemorrhoids. Stay in the anal hole all the time. (Both in normal time And if the lung is defecated, but the end of the anus to the anus. Especially at constipation time.

Stage 2: Hemorrhoids emerged from the anus. Feces Which can be retracted.

Stage 3: Hemorrhoids emerge when stools, coughs, sneezing, or heavy lifting. Hemorrhoids can not be retracted. May need to push back to push it.

Stage 4: Since the hemorrhoids emerged outside. And is fastened to the spleen, causing swelling or inflammation, so it can not be pushed back.

Medical treatment

If the symptoms are less bleeding at the time of constipation. Correct by doing it correctly. By rectifying constipation, including eating more waste such as vegetables and fruits and drinking water at least 8 glasses a day, etc. In addition, some patients may need to use laxatives.

If there is a lot of bleeding time to defecate. Or hemorrhoids emerged at the time of defecation (term 1,2). There are ways such as injection into the hemorrhoids. Rubber band Hijacking Infrared illumination There are medications such as antibiotics. And reduce the bulge of the anus. Or use an injection directly into the anus. Or use the above methods together.

For hemorrhoids, the 3,4 stage is the indication for surgery, which works best.

Surgery Hemorrhoids relief from the hemorrhoids of 3,4, but may be repeated if the constipation is regular in the postoperative period. So how can cured of hemorrhoids. Adaptive Behavior Change Eliminate the most common cause of this disease as described below.

Preparing for surgery

- Prepare the skin. The nurse will shave the anus.

- General body cleansing by shampooing To clean the mouth and teeth.

- The nurse will garden feces. To clean the colon.

- No food and water after midnight before surgery.

- Sleep well enough.

- Store valuables and dentures before going to the operating room.

- Urinating before going to the operating room. To make bladder empty.

Behavioral Surgery

-lay down