Diagnosis, Treatment And Operation Of Hemorrhoids. Hemorrhoids can be easily diagnosed by doctors by checking the back of your body to look for swelling of the blood vessels.
If you have hemorrhoids, a doctor will examine the location, size, and propose a treatment plan based on the severity of the hemorrhoids hemorrhoids or suffered.
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| Diagnosis, Treatment And Operation Of Hemorrhoids |
Doctors can evaluate symptoms happened to find out the possibility of more serious problems. Some of the conditions that affect the anus and colon can cause bleeding,itching, and discomfort. Many people who experience these symptoms thought suffers from hemorrhoids, when in fact it is not.
Some people feel reluctant to see a doctor. You do not need to feel embarrassed, all physicians are already familiar in dealing with this common disease. You just need to tell the symptoms and the pain you feel. For example, You experience weight loss, changes in the pattern of bowel movements, or if shit became dark and sticky.
Examination of the Rectal Plug or a Digital Rectal Examination
The outside of the anus is checked the doctor to see if there are hemorrhoids. Chances are the doctor will also perform the inspection plug anal or digital rectal examination (DRE). Examination of the rectal plug is done to check the condition of the organs and other structures in the pelvis or lower part of the colon.
In the procedure of this examination, the doctor will wear gloves and use a lubricant.The doctor wears the fingers to check whether there are abnormalities in the rectum.This inspection should not be painful, but you may feel a little uncomfortable. Pluganal examination in General does not take more than five minutes.
Proktoskopi Examination Procedure
Advanced examination wear proktoskop may be required. Proktoskopi is an examination through the rectum wearing binoculars iron or special plastic called proktoskop. Proktoskop is a small hollow pipe with a light and camera on the end and inserted into the anus. The rectum is a muscular funnel with a length of approx. 20 cm long connecting the colon with rectum. Dirt, the contents of the stomach, and gas is expelled from the body through the anus.
With this procedure, the doctor can see the entire channel of the anus or the last part of the colon that is the rectum. It is likely the doctor will take tissue samples from the inside of the rectum to be examined in the laboratory. Sampling network is referred to by the term biopsy.
Classification Of Hemorrhoids
After the examination of the rectal plug or proktoskopi, the doctor can figure out the types of hemorrhoids suffered. The two main types of hemorrhoids are internal hemorrhoids and external hemorrhoids.
Internal hemorrhoids usually are minor swelling in the blood vessels that are on the wall of the rectum. But it could also be a large vessel, to the protruding from the anus.If it is to come out of the anus and rectum muscles pressed, this condition can be very painful. What's more, if the blood flow towards the hemorrhoids are stopped.
External hemorrhoids are hemorrhoids that appear near the anus hole. Hemorrhoids this can be very itchy and lumpy under the skin. This led to a harsh and painful bumps.
The doctor will be greatly helped if knowing the size and type of hemorrhoids you have. Thus the doctor can determine the best hemorrhoids treatment. Hemorrhoids can be classified further depends on the size and level of severity:
- Level one: small swellings that appear in the wall of the anus and is not visible on the outside of the anus.
- Second level: the larger the swelling out of the anus when you defecate and sign in again with your own finished urinating.
- Third level: one or more small bumps that hangs from the anus and can be encouraged to sign in again.
- Level four: the big bumps that hangs from the anus and can not be pushed back.
Hemorrhoids Treatment
Hemorrhoids often disappears on its own within a few days, but there are many treatments for alleviating itching and discomfort. Making simple dietary changes and do not straining the time of defecation, usually recommended by doctors as initial treatment.
Sometimes it takes a more invasive treatment. This treatment depends on the location of hemorrhoids. If hemorrhoids be above, below, or on the line (the line). The line is a line on the wall of the anal hole that separates the area from the area that is capable of not being able to feel the pain. Without handling operations on hemorrhoids would be very painful if hemorrhoids grow at or below the line. Because the nerves in the area were able to detect pain. If this happens, surgery would be well advised to do hemorrhoids.
Dietary changes and Introspective
If hemorrhoids caused by constipation, you should make an effort in order to make the stool soft and you could throw a big water on a regular basis. The goal so you don't straining when disposing of the water is great. To do that, you can increase your intake of fiber in Your food menu. Some good sources of fiber are whole grain breads, cereals, fruits, and vegetables.
You should also drink plenty of water and avoid the consumption of caffeinated drinks like tea, coffee, and soda. Follow some of the suggestions here when you go to the toilet:
- Gently pat the area of the buttocks, not wipe.
- After defecating, use a soft tissue or use special baby wipes to clean the area of the buttocks. Do not wear your toilet paper dry and rough-textured.
- Avoid straining when defecating, this habit can worsen hemorrhoids.
The recommended type of treatment
Medications that can be bought oles freely
A wide range of creams, ointments, and medication is available at drug stores suppositoria without requiring a prescription. Suppositoria is a type of medicine that is inserted directly into the anus. Similar medicines can be used to relieve swelling or discomfort is felt.Do not use drugs over more than one week, unless the doctors who recommend it.These products can cause side effects such as rashes and inflammation. Any kind of treatment should be combined with a good diet and remain introspective. There is noevidence of a treatment which is more effective. Ask your doctor or pharmacist about the product that suits you.Don't forget to read the deployment guides for each drug before wearing ormengonsumsinya. It is not advisable to wear more than one medicinal products concurrently.Usage of corticosteroid creams
If you have inflammation or inflammation in or around the anus, the doctor will suggest the use of corticosteroid creams. Do not use this cream more than seven consecutive days. These creams can make the skin around the anus is thinning and exacerbate the irritation.Pain relief medications
Paracetamol as one medication pain reliever, can help relieve the pain of hemorrhoids.Avoid similar pain reliever drug codeine. This medicine can cause and worsen constipation.Products containing local anesthetic may also be advised doctors to treat hemorrhoids. For example, oles treatment which can be purchased directly, andshould only be used a few days. The drug can make the skin so the brush is moresensitive. These drugs could help some people who experience a very painful hemorrhoids. Ask a doctor before taking these drugs.The use of a laxative or purgative
If you experience constipation, doctors will prescribe laxative or purgative. This type of treatment will help streamline the process of defecation.
Handling Hemorrhoids Without Surgery
If dietary changes and treatment not results, doctors will refer to a specialist. A specialist can ascertain whether you suffer from hemorrhoids and suggest a proper handling.
If hemorrhoids are found above the line, the procedure without operations such as binding or skleroterapi will be suggested.
The binding of hemorrhoids
This involves binding the elastic rope tied firmly on the Foundation of the hemorrhoids to cut off blood flow. Without blood flow, hemorrhoids will regardless a week after undergoing this treatment.This binding process is a daily procedure. This process does not require for anesthesia and patients can return to normal activities the next day. Discomfort and soreness will probably appear for one or two days. Ordinary pain reliever drug quite effective to cope with this pain. If necessary, the doctor will prescribe medication with doses that are much more powerful.You may not realize when hemorrhoids already regardless. Will usually be aside when you defecate. If you notice any mucous or slime on the seven days after the binding procedure, means of hemorrhoids is already disconnected. After doing the binding, there will be a little bit of blood on the toilet paper. It's a normal thing, but thereshould only be a little bleeding. If you spend a lot of bright red blood or blood clots, immediately go to the nearest emergency unit.Ulcer or sores may appear on the site of binding. Ulcers usually heal on its ownwithout treatment. To know more, consult the doctor.Skleroterapi injections
Treatment with the term skleroterapi may be used as a substitute for the binding of hemorrhoids. On the process of skleroterapi, chemical solution injected into the veins in the anus. This will eliminate the pain by making nerve endings become numb(numbing) on the site of injection. This also makes the network eventually harden and hemorrhoids formed a wound. After about one and a half months, the size of hemorrhoids will shrink or shrinks.After injecting, avoid tiresome exercise throughout the day. You may feel temporary soreness or a slight bleed. You should be able to resume normal activities, including work, the day after injection of skleroterapi.Coagulation with infrared
Infrared coagulation is sometimes also used to treat hemorrhoids. In the process, a device that emits infrared light is used to burn the tissues of hemorrhoids. This step also serves to cut off blood flow.In addition to the infrared, the same procedure can also be done wearing an electric current. This method is known as diatermi or electrotherapy for hemorrhoids.
Though most hemorrhoids can be handled by the method described above, there are 10% of all patients who end up having to hemorrhoids underwent surgery.
Hemorrhoid Surgery
The operation will be recommended if treatment and other handling for hemorrhoids has been tried and didn't work. The operation can also be done ifhaemorrhoids is not suitable for treatment without surgery. There are many surgical procedure for hemorrhoids.
Hemoroidektomi
Hemoroidektomi is the surgical removal of hemorrhoids. Usually done with Generalanesthesia. You will be asleep and not feel the pain at the moment of adoption.Conventional Hemoroidektomi involves the opening of the anus. This serves to cut thehemorrhoids. You need to leave more or less seven days to recover.Surgery will be conducted on the network in the vicinity of haemorrhoids. The blood vessels swell in the hemorrhoids will be bound to prevent bleeding. After that,haemorrhoids is lifted. Areas of operation may be sewn closed or left open. Medical gauze cloth used to cover the wound.You will feel the aches and pains after the surgery or even weeks afterwards. But this can be overcome with pain relief medication. Consult physician if pain persists. The likelihood of hemorrhoids again after hemoroidektomi is 5%. This figure is lower than the handling of hemorrhoids without surgery.To reduce the risk of reappearance hemorrhoids, increased intake of fiber in the diet is very important.Transanal haemorrhoidal dearterialisation or THD
Transanal haemorrhoidal dearterialisation is surgery to reduce blood flow to Your hemorrhoids. Is usually done with the public for anesthesia. This procedure involves inserting an Checker tool Doppler ultrasonography of small-sized into the anus. This tool produces sound waves, the wave is what helps the surgeon to find the location ofa swollen blood vessels in and around Your anus. These blood vessels supplying blood to Your hemorrhoids.Each blood vessel sewn so that blood flow to the hemorrhoids are decided. This process makes the shrink hemorrhoids or shrink a few days afterwards. According to this procedure can also be done to reduce hemorrhoids hanging outside the anus.THD is a proven cost-effective alternative operations other than hemoroidektomi. THD cause pain less than hemoroidektomi so that satisfaction of the sufferer who underwent this procedure any higher. Most people who undergo a THD could return to his daily activities faster than those who underwent another surgical procedure in the handling of hemorrhoids.There is a small risk of the occurrence of bleeding and pain when defecating after this procedure, but these symptoms will improve in a few weeks.Stapled hemorrhoidopexy
Also known as the stapling. This is another option in addition to the conventional hemoroidektomi. This procedure is done to treat hemorrhoids that hangs outside the anus. This step is done with the public for anesthesia, but the procedure is rarely performed because of the risk of serious complications.At the time of the operation, part of the anorektum or the last part of the colon will be clipped or staple. That way, the possibility of hemorrhoids to hang outside the anus becomes smaller. In addition, the supply of blood to hemorrhoids are also reduced.This resulted in shrinking hemorrhoids.Clamping procedure recovery time is faster than hemoroidektomi. You can also return to work more quickly, which is about seven days after the execution of the operation.This procedure is also likely to be not too painful. But after clamping it, more patients undergoing hemorrhoids that hangs outside the anus when compared after operation hemoroidektomi.There is a slight complication that can also occur after this operation. The complications that occur as the appearance of vaginal fistula on women. Fistula is a channel that formed between the anus and the vagina hole. Another complication was perforation or hole in the rectum.
Other treatments like surgery with freezing and surgery that uses laser beams are also available. Consult the doctor to know more about how this treatment.
The Risks That Could Arise Post-operation Hemorrhoids
Complications can arise after surgery hemorrhoids, but the risk of the emergence of a serious condition is quite small. The following are some of the risks that may occur:
- Loss of control in disposing of large water
- Fistula ani. A small channel that appears between the anus and the surface of the skin near the anus.
- Retention of urine. Difficulty in emptying the bladder.
- Stenosis or narrowing of the anus hole. The highest risk of emergence of stenosis are hemorrhoids in the wall hole circle the anus.
- The bleeding or remove blood clots while defecating. Usually appears more or less seven days after surgery.
- The infection. This risk the appearance of abscess or pus pile. You will be given antibiotics to reduce the risk of infection.
The above problems can be overcome by treatment or follow-up operations. Ask the risk that may occur on the surgeon, before you choose to perform the operation.
You should immediately seek medical assistance as soon as possible, if the following symptoms appear in post operation:
- Increased severe pain or swelling around the anus.
- Have trouble urinating.
- Excessive bleeding.
- Fever
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