Hemorrhoids - treatment

Apr 7, 2012 , MUDr. Ján Podhorec

hemoroidy-lecba-2.jpg - kopie
hemoroidy-lecba-2.jpg - kopie
Hemorrhoids are a disease where the venous plexus of the rectum enlarges. The treatment of hemorrhoids requires careful observance of procedural measures and specialized techniques. The treatment of hemorrhoids by the doctor is then performed by sclerotherapy, using a laser or surgical means. In the treatment of hemorrhoids it is true that the sooner you come to the doctor, the easier is the treatment.

Treatment of hemorrhoids

Hemorrhoids are a nodular enlargement of the veins in the lower part of the rectum and the anal canal. It is a very common disease that affects about 70% of people over the age of thirty years and more often affects men. Hemorrhoids can affect also younger people. People usually visit a doctor only when the problems are unbearable, or fear of a more serious disease such as colon cancer.

Causes of hemorrhoids

The nature of hemorrhoid formation is the accumulation of blood in the vascular plexus, which is placed around the perimeter of the colon before the opening to the surface. The changes are similar to those seen in the case of varicose veins. However, in the early, uncomplicated stages the affected person may have no symptoms.

Symptoms of hemorrhoids

In the initial stage of the development of hemorrhoids a person may not feel any discomfort. Depending on whether they are internal or external, we differentiate the present symptoms.

  • Internal hemorrhoids are formed by the enlargement of veins under the mucous membrane in the walls of the rectum, usually due to increased intra-abdominal pressure. This happens for example during pregnancy, obesity, while pushing the stool or coughing. These hemorrhoids are often accompanied with bleeding during defecation or right after. It is usually accompanied with relief. Usually after defecation the surface of the stool is covered by rich red blood. External hemorrhoids are located on the outer surface of the anus. They have the form of a pouch-like enlarged vessel; they are soft, painless and visible to the naked eye. Since the blood coagulates due to blocked blood flow when pushing the stool, the hemorrhoid begins to be painful and interfering.

Treatment of hemorrhoids

Hemorrhoids are not life-threatening. But it has a problem that reduces the quality of life. The treatment of hemorrhoids can be conservative or surgical.

Conservative treatment of hemorrhoids

Conservative treatment of hemorrhoids includes mainly changes in lifestyle. To some extent, proper lifestyle can prevent hemorrhoids or at least delay them. Specifically, plenty of exercise, good hygiene and ultimately proper and regular diet containing plenty of fiber and fluids, which should prevent constipation. It is also possible to use different painkilling preparations, like various soothing ointments and suppositories. Effective are also sitz baths of oak bark. Sometimes it is also recommended to use drugs affecting the venous wall, the so-called vasoprotectives.

Surgical treatment of hemorrhoids

Surgical treatment is chosen for patients with advanced hemorrhoids. Some treatments are outpatient, but others require surgery in an operating room.

  • Outpatient procedures are those that do not require hospitalization of a patient. Outpatient treatment of hemorrhoids does not require anesthesia, which means that after the procedure the patient can go home immediately. The outpatient treatment of hemorrhoids uses a device called Hemoron that is suitable for all stages of hemorrhoids. This method involves the introduction of two electrodes to the hemorrhoid in which the high frequency current coagulates blood in the hemorrhoid and the involved vein. Also a so-called Barron ligation method can be used, where you put a rubber band around the base of the hemorrhoid, which gradually contracts and the hemorrhoid gradually necrotizes and falls of.
  • Surgical treatment of hemorrhoids is a bigger procedure that requires general anesthesia, so the patients are asleep. Since it is a surgery, the patient must also undergo certain preoperative examinations, which are advised by a physician. During surgery hemorrhoids are completely removed.
  • The postoperative care involves administration of painkillers, to improve healing and softening of the stools and recommended are sitz baths and frequent showering of the rectum.


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