Hemorrhoids and Treatment
You are not helpless for hemorrhoids and its treatment!
Hemorrhoids are enlarged vascular balls in the upper part of the anal canal. It is actually a connective tissue disease. It is popularly known as hemorrhoids or mayasil. It is divided into internal and external hemorrhoids. Over time, the enlarged vein balls that settle in the anal canal with the underlying causes protrude out of the anus.
What causes hemorrhoids?
Changes in bowel habit (constipation, diarrhea)
Pregnancy and childbirth
sedentary life
Some sporting activities (horse riding, cycling)
Various occupational groups (drivers, pilots)
alcohol habit
Tumors located in the pelvic region, formation of ascites in the abdomen
Colon cancer
Working at a desk for a long time (banking computer operator)
What are the symptoms of hemorrhoids (hemorrhoids) disease?
Rectal bleeding (fresh red bleeding from the rectum)
Pain
Palpable swelling in the anus
discharge, feeling of wetness in the rectum
Itching
Anal fissure, perianal fistula, perianal abscess and thrombosis are other diseases seen in patients who apply with these complaints. Pain is a very late finding in internal hemorrhoids.
HOW IS DIAGNOSED?
The anal examination performed after listening carefully to the complaints of the patient who applied to the physician with these complaints is usually sufficient for the diagnosis in young patients. Rectoscopy is recommended for patients presenting with the complaint of rectal bleeding. Colonoscopic examination is recommended in all patients aged 40 years or older who present with constipation and are found to have hemorrhoids on anal examination. It should always be ruled out that there is no underlying large bowel tumor. It should be noted that hemorrhoids alone can be a symptom of colon cancer.
GRADES OF HEMOROIDS
1st degree hemorrhoids: Bleeding is the most important complaint. Hemorrhoids are detected during rectoscopy. 2nd degree hemorrhoids: Complaints of bleeding and itching are seen. It is detected during anal examination with straining. 3rd degree hemorrhoids: It is applied with complaints of bleeding, itching and wetness in the anus. On anal examination, prolapsed hemorrhoids are seen outside the anus. It can be sent inside with inspection. Grade 4 hemorrhoids: Complaints of bleeding, itching, discharge and pain are seen. On examination, swellings that cannot be reduced inside are detected.
Hemorrhoid treatment methods
Regulation of bowel functions, elimination of underlying constipation,
Focusing on foods rich in fiber in the diet, increasing daily water intake, drinking 1.5-2 liters of water on average,
Local creams and pomades,
Surgical treatment:
Comepa ADL METHOD
Hemorrhoidectomy operation with the classical surgical method is performed under general anesthesia. The average length of stay in the hospital is one day.
Laser treatment (Nd-fat laser technique is performed under general anesthesia and the operation time is 5-15 minutes. It is the method with the least postoperative pain. The time to return to work is shorter. It is applied to hemorrhoids up to the third degree.