The diet should be rich in fiber they affect the quality of the chairs, which should be soft, viscous and regular.
The method of discharge is also very important: sitting on the VC does not have to be short, with too much effort, but neither desirable nor too long.
Division into piles according to the size of internal hemorrhoids are divided into four phases:
1- piles have been increased and there in the anal canal;
2- slightly larger piles, which after falling below the dentate line the intestine, but are returning shortly thereafter;
3- Even more piles that after a bowel or other efforts turns out to be easier and harder to come back (and often must be returned by hand or take a long time to get back to you)
4- piles prolapse who are all the time. out, and reposition efforts are usually unsuccessful
How does it look review?
Viewing starts a conversation with the patient, followed by conventional surgical abdomen. Then ask the patient to one of the two most commonly used position statement: on the left side with your knees slightly bent (The Sims position), or knee-elbow position. The doctor first checks the sea. Then follows digital-rectal examination the doctor, gloves soaked in some lubricants (Vaseline, glycerine or some anesthetic gels), introduced index finger in the anal canal and examined. Do Anoscope or rectoscope instruments called Anoscope (length 10 cm) or rectoscope (15-20 cm), which is controlled by the eye and the light is introduced into the anal canal in the region a better view.
Drugs for hemorrhoids
Treatment depends on the stage of the disease. The first stage does not require any treatment if there is no bleeding, the other three require medical treatment with associated changes in diet and hygienic lifestyle.
In the initial stage may be conservative, ie. Hormone treatment.
There are a number of drugs from the group ve not on a commonly prescribed. These are mainly products based on medicinal plants (eg. Red orange, Ginkgo biloba). It is a pill that is taken at the stage of acute exacerbation, patients respond well to them, they soothe discomfort and stop the bleeding.
On the market are also present many of the current preparations and ointments, creams and gels. There are a large number of these products, from the folk balm, those dominated by heparin as an active ingredient for breaking up thrombus those who have anesthetic that reduces pain, corticosteroids, which reduce inflammation, to a combined where there are more substances together.
Neither preparations should not be taken on their own, but in consultation with your doctor.
There are interventions that work and more outpatient surgical procedures are performed under general anesthesia and require a longer hospital stay.
Most ambulatory methods (working with the second and third stages and aim to prevent blood flow to the hemorrhoids) are:
– Sclerotherapy (injection of sclerosing agents in the root of hemorrhoids, leading to the closing of blood vessels hemorrhoids that reduces and disappears);
– Tying with rubber bands (special instrument will be placed around the neck of hemorrhoids Eraser)
– Cryosurgery (freezing piles)
– Photo-coagulation (IC causes coagulation in blood vessels hemorrhoids).
In the fourth phase, the solution is to prevent the flow of blood in it, but then there are excess mucous membranes protruding out. In such situations, a solution has so far been two methods:
– Hemorrhoidectomy, usually Sveti Marko method in the forties of the 20th century)
– Longo procedure or stay plov ana hemorrhoidectomy, which is a safe region, and interrupts the blood supply and without raising mucous membranes. This intervention is used in practice for fifteen years.
The revolution in the treatment of hemorrhoids
A revolutionary procedure for the treatment of hemorrhoids called DG -HAL (Doppler Guided haemorrhoidal artery ligation – Doppler-guided hemorrhoid artery binding). The first method described Professor Morinaga in Japan 1995 simple but ingenious solutions with the help of Ami HAL camera checks the exact place of hemorrhoids artery and allows its precise binding. The procedure is completely safe and because, because it works in, painless zone (about 5 cm above the dentate line, and sensitive about 1.5 cm), which allows it to operate in conditions of local anesthesia as an outpatient procedure.
alone should not be treated. you need to go to the doctor. an overview of the most important. My experience is that 60% of patients who came for hemorrhoids, in fact, did not have hemorrhoids, but one of the other diseases in this region: anal (cracks on the border of mucous membranes and skin), abscesses, itching in the anal canal, polyps and adenomas (benign growths that may have a malignant potential) and not so rare cancer of the anal region.
There are many factors why hemorrhoids occur. These include:
– Diet: Diet low in fiber
– Method defecation
– Age (years with the number of cases increases)
– All conditions for increased pressure in the abdomen: pregnancy, childbirth, chronic cough, chronic constipation