Blood vessels, located in the anal canal, can suffer from the same problems as any other vein. Simply, here, also happens, varices (expansion, protrusion of veins to the formation of the knives). The root cause - the weakness of the venous wall. Usually, people suffering from hemorrhoids, predisposition of their disease, but "turned on", are indigenous predisposition, but with the participation of a number of infectious factors.
According to the placement of external or internal allocation of hemorrhoids (often found both forms, and talking about the type of disease).
Signs of internal hemorrhoids
In internal hemorrhoids, there are three stages that are different in their clinical manifestations.
Initially - the rectum of hemorrhoids is made, but its detection and its presence can only be three times during an examination. Even during long attempts during the defecation action, without being outdoors. Signs of their disease in this case can be very indistinct. The maximum that can be interfered with a person - an easy and inexplicable discomfort, sometimes an understanding of the presence of something foreign into the rectum. Roller on the toilet paper rarely appears, but it can still be. When you see this, it should be a mandatory symptom to consult a doctor-proctologist. The slight bleeding of the anus can be a sign, and other diseases, including more dangerous, such as colon cancer.
In the second phase, the larger nodes increase, they increase in size, by narrowing the Lumen the rectum. It causes pain during defecation. Discomfort from "foreign body presence" becomes more pronounced. When there are inflamed nodes, the pain may cause skin irritation. The disease has a spotting effect, which is becoming more abundant. Sometimes you can see not only the red mark on the toilet paper, but the blood drops in the stool. In cases where the hemorrhoids are located near the sphincter, they can fall outdoors, but after some time have withdrawn.
In the third stage pain stronger stomach mucosa becomes stronger, ulcerate and crack and regular bleed can cause anemia. Instead of nesting installations easily visible to any increase in physical activity, they are reduced by hand.
Internal hemorrhoids can be complicated by intense inflammation of the rectum, purulent fistulas, thrombosis or infringement node - each of the states has strong pain and requires immediate treatment.
The causes of internal hemorrhoids
The emergence of the problem can be stimulated as too much weights, and sedentary work, during which blood vessels are systematic compression. It happens that in the risk group not only does the power of sports enthusiasts, but also information workers, office workers, car drivers.
Internal hemorrhoids often appear in pregnancy women - in this period the vessels located in the pelvic area are under pressure.
Regular eating of alcohol is a prejudice to intestinal motility, resulting in changes to the venous walls.
The causes of internal hemorrhoids occupy spicy dishes include an important place to irritate the mucous membranes of the digestive tract, and the love of "heavy" dishes, causing constipation. Research shows that the diet of people diagnosed with possible hemorrhoids, which is called hardly balanced - the love of sandwiches, fast food and mainly a diet of protein as well as a lack of vegetable dishes and fresh fruits.
Diagnosis of internal hemorrhoids
Since the complaints in the early stages of the disease are obscure enough, the lead role in the internal hemorrhoids diagnosis is the ownership of hardware survey methods.
- manipulation, in which the proctologist has the opportunity to examine the walls of the rectum up to 14 cm deep. Anoscopy - keying at its proctologist has the ability to examine rectal wall and 14 cm deep. It is made using a special device (anoscope), which is introduced smoothly into the anus - The procedure is as easy, as fast as possible, a complete certainty diagnosis. Usually anoscopy is completed not only to distinguish internal hemorrhoids from other diseases of the rectum, but also after the treatment - to evaluate the dynamics. Contraindication with the manipulation is considered to be severe to the dysfunction of the disease - in this case due to the grand swelling procedure can be painful. It requires no special preparation - just before the normal cleansing enema test.
- with the help of a special device the doctor has the opportunity not only to visually assess the condition of the rectum (up to 25 cm in depth), but also to take biological material for analysis. Using a special instrument doctor is not only for visual evaluation of the condition of the rectum (25 cm in depth), but also for sampling of biological material for analysis - sigmoidoscopy. These cases are of particular significance when necessary to confirm or deny the oncology suspicion. Where sigmoidoscopy is necessary for pre-deployment training, including a special diet (called "maloshlakovuyu"), and thorough cleansing of the colon with the help of some enemas. The procedure is almost painless (it can be uncomfortable except in the acute phase of internal hemorrhoids) and completely safe (even pre-school children are allowed). The contraindication is only for profuse bleeding manipulation from the rectum.
- (Radiography using a contrast medium) or a colonoscopy (this study can be used not only for diagnosis, but also for minor surgical manipulations - for example, for cauterization of bleeding). Also, barium enema (x-rays using contrasting materials) or colonoscopy (- for example, bleeding to cauterize, use this study not only to diagnose, but also for small surgical procedures) completed in some cases.
- hemorrhoids are well defined by feel. In addition to the method of applying finger examination hardware - well-defined hemorrhoids by touch. The biggest drawback - the disability to palpation colon sections distant, so in this way you can make sure you only have the nodes that are located near the sphincter.
How to treat internal hemorrhoids?
Doctor Treatment chooses a degree of disease, condition and the main objective patient complaint. That early disease shows conservative methods. Generally recommended patients are a combination of drugs that have a tonic effect on the vascular wall (Phlebodia, Detraleks, Vazoket) and include methods designed to stop unpleasant symptoms.
When the internal hemorrhoid is more convenient to use a rectal suppository. hormonal or non-steroidal anti-inflammatory drugs (suppositories based on hydrocortisone or indomethacin) that are used to combat inflammation. Prevent thrombosis, help with troksevazin or heparin candles.
To treat internal hemorrhoids often prescribe drugs based on bioactive natural substances. For example, pain relief can be used with belladonna extract candles, such as antiseptic sea buckthorn oil used or calendula, and stimulating regeneration of damaged tissues Propolis will be fine.
In that case, if conservative measures do not work, interfere with surgical intervention.1. Infrared photocoagulation is carried out by local anesthesia and does not require the hospital.
In this mode, the affected area is treated with light waves of the infrared spectrum, leading to the retirement of blood supply and drying node. The disadvantage is the method of the blood clot risk of the cauterization site.
2. LaTeX ligation rings apply to the second (third) phase of the internal hemorrhoids.
An outlet procedure is performed using anoscope. The bottom line is that hemorrhoids are crushed with a special LaTeX ring, resulting in the problem solving itself - broken power nodules with blood, and they just die. Effective and the procedure is cheap, but it's pretty painful and long - in one session, you can handle only one node.
3. According to the evidence of using sclerotherapy, laser photocoagulation, cryotherapy. However, the most effective and drastic way of solving the problem is to consider hemorrhoidectomy - eliminating hemorrhoids traditional surgical method.
Traditional treatments and ban
To never meet with hemorrhoids (or a relapse after avoiding successful treatment) Your lifestyle should be reviewed. For example, exercise - jogging, swimming or special physiotherapy. Think about food - to increase the share in the diet of vegetables, fruits, grains, drink enough fluids, avoid alcohol, hot spices and dishes based on starch.
Sometimes, how to prevent healers of hemorrhoids folk recommend a steam bath. In fact, the only "training" is only the people who have so far no problems. If the internal (or external) nodes, steam treatments can be triggered by aggravation - to bleeding.
But a fall of castor oil means that the "grandmother" pursuit really benefits those with bowel movement problems. Slice aluminum pulp introduced into the anus, anti-inflammatory and analgesic effect. The same result will help microclysters with soup, chamomile, calendula to achieve.
But should first be consulted with their doctor - that the use of public money contrary to officially prescribed treatment will not prove.
