how is hemorrhoid surgery performed - Hemorrhoids and Enlarged Rectal Veins
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Hemorrhoids and Enlarged Rectal Veins

Hemorrhoids, in the rectum, occur when the veins are not returning enough blood back to the heart. When this happens, the vein walls do not receive enough oxygen and release a substance into the blood that causes them swell and become inflamed. This swelling weakens them and their more likely to break when they are rubbed, like during a bowel movement.


If hemorrhoids don't bother you, they should be left alone. But if they cause pain, bleed, itch or protrude, they have to be treated. This is especially true with chronic cases which can lead to corrtplications.

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 It may take years before hemorrhoids become apparent and symptoms develop. The person only becomes aware of them when there is blood on the toilet paper or bloody feces. This often occurs with an internal hemorrhoid which can be felt as a soft lump. This type usually returns into the rectum or can be pushed back in with a finger.

Other common symptoms are itching and burning during and after bowel movements. This is caused by mucus and feces that stick to the bulging hemorrhoid and irritate the anal opening.

Bleeding showing up in your stools or dripping into the toilet water Itching on the outside of the rectum Pain in the rectum area and during a bowel movement

Another procedure is the rubber hand ligation. This is the most famous non-surgical external hemorrhoids treatment since this can be applicable to both small and medium sizes of hemorrhoids. In rubber band ligation procedure, a rubber band is being wrapped around the sac-like protrusion. The rubber band will serve as an instrument that will restrict the flow of blood circulation in the affected area. Lack of blood flow in the hemorrhoids will help in its shrinking, and then, to its eventual healing.

"There are three complications of hemorrhoids. If they always bleed, the patient may lose a lot of blood and become anemic. Another problem is prolapse which is what happens when an internal hemorrhoid protrudes from the anus and can't be pushed back. This can cause a lot of discomfort and pain. A third compli??cation is thrombosis which occurs with external hemor??rhoids. A blood clot forms within the veins, it hardens, and the patient experiences excruciating pain," Corpus said.

Pregnancy itself does not cause hemorrhoids but it may hasten their development. This is caused by hormones in the woman's body that dilate blood vessels more easily. The same goes for women with many children and those who regularly use laxatives and enemas.

If you have these problems, how are they treated? What are your options? Find out in the third part of this series.


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Just in case there is no pain or discomfort, how do you know you have hemorrhoids? In most cases, there is bleeding and any blood in the stools or toilet tissue should immediately be referred to a doctor so he can diagnose the condition. You need to have this checked to rule out the possibility of intestinal bleeding as sometimes, this is a symptom of colon cancer. A doctor normally would put you through a physical examination which involves probing the area with his gloved hand. This, while being a bit uncomfortable, maybe embarrassing, is not painful as doctors use lubrication on their gloves. He might ask to you go in for further tests like examination with an anoscope or a proctoscope, which are basically instruments meant to view the swelling more clearly. If he suspects that the bleeding could be due to problems in the intestine, he might ask you to go through a colonoscopy or a sigmoidoscopy. Here, tubes are inserted into the intestine through the rectum in order to view the whole colon, or just the lower part of the colon as the case may be.

Hemorrhoids have two types: the internal and the external hemorrhoids. Unlike internal hemorrhoids that have grown inside the anal canal, external hemorrhoids occur outside of the anal verge. This sac-like protrusion found outside the anus is often characterized by itchiness (pruritus ani), pain, irritation and swelling.

Who else are susceptible to hemorrhoids? These include those who frequently lift heavy objects, people who stand or sit a lot, and obese individuals.

Just be aware of any growth in the rectum, bleeding during a bowel movement, and a change in your stools color. Then take action to take care of these changes.

If you're constipated, you're probably having a difficult time having a bowel movement. And when you do, your stools are usually small, hard, and dry. If you have to push and strain or sit on the toilet for 10-15 minutes, then expect to have hemorrhoids at some point. Two to three minutes is all you normally need to have a natural bowel movement.

Pain in the rectum area, when you sit Soft bulging area in the rectum or anus that give you a sensation that something is there See your doctor if your hemorrhoids are painful, have excess bleeding, or stools have change in color from medium brown to dark brown or black.

Hemorrhoids as such are not harmful. Sometimes, it comes on with age. If it is a problem that is due to constipation, the hemorrhoids shrink back to normal once the problem is taken care of. Pregnancy very often causes this condition. The pressure that is exerted on the rectum by the growing fetus usually causes the blood vessels to swell. In most cases, the condition subsides shortly after the baby is born.

- altering the diet to incorporate fiber-enriched foods that can loosen stools and prevent constipation. A change in the diet also includes avoidance from meaty and processed foods. It also entails the inclusion of water intake. At least eight glasses of water per day should be consumed in order to sustain the smooth flow of digestion and easy defecation.

"When one complains of rectal bleeding, the physi??cian has to determine its exact cause. Hemorrhoids are the most common cause of this symptom but it can also be due to rectal polyps or rectal cancer. So a complete evaluation is in order," Corpus said.

External hemorrhoids are almost always painful since they stretch the sensitive skin of the anus. This type can be felt as a firm, rounded mass and the pain subsides only when the clot softens after a few days.

 
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hemorrhoids treatment


One of the best treatment for external hemorrhoids is surgery or what is known as hemorrhoidectomy. In this surgical procedure, the swollen tissue is being scraped off using a scalpel. Patient who undergo this kind of treatment is being given an anesthesia (local or general - depending on the state of the victim). Based on testimonies of people who have undergone this kind of treatment, hemorrhoidectomy has a longer-effect despite the intense pain that was felt after the operation. Surgery is always being recommended to large-sized hemorrhoids that have already complicated to the point that it already causes so much discomfort and pain to the patient.

There are many treatments for external hemorrhoids. Some people are still more comfortable doing the "natural" method in treating hemorrhoids, while there are others who rely on the latest sophisticated equipment that the society has now in treating hemorrhoids.

Sclerotherapy is also another possible treatment for external hemorrhoids. A certain chemical solution is being injected to the affected area which help in the shrinking of the hemorrhoids.

Over 85% of the population has hemorrhoids. Hemorrhoids are a sign that fecal matter is not passing through your colon like it should. Simple hemorrhoids are not dangerous to your health, but hemorrhoids that have been building for a while will cause you some discomfort, such as, Mucus discharge

If your stools are hard, you have a higher chance of breaking a swelling vein. For this reason getting your stools softer is one step in clearing your hemorrhoids. You can do this by eating a diet and using remedies that help relieve constipation. Hemorrhoids, which are enlarged or swelling, can exist,

Laser beam is also another treatment option for external hemorrhoids. Laser is also deemed by many as the fastest treatment among other treatments for hemorrhoids in terms of conducting the treatment procedure. Laser treatment is applicable to small and medium sizes of hemorrhoids.

Normally, tissues that bulge and protrude outside the anus is considered as external hemorrhoids; however, there are some instances wherein internal hemorrhoids, due to its worst state, have grown terribly to the point that it protrudes until outside the anal canal (this is also known as prolapsed internal hemorrhoids).

- wearing of comfortable under wears. Avoid wearing tight-fitting under wears because this will give no room for your external hemorrhoids and might increase pressure towards it, causing more pain.

To obtain an accurate diagnosis, the physician can examine the anal area with an endoscope (a short lighted tube-like instrument) or a proctosigmoidoscope (a longer instrument that enables the doctor to see the lower portion of the large intestine). This is important since bleeding may signal the presence of other diseases like colorectal cancer which kills thousands of people yearly.

On the inside just above the muscle that closes the anus and into to the rectum. They are near the surface of the rectum mucus membrane. On the outside, they occur on the skin that surround the anus and protrude or hang outward.

- take lukewarm baths everyday. Sitting on a tub half-filled with warm water will help reduces swelling and gives relief from pain and itchiness.

The mere act of sitting on the toilet bowl for pro-longed periods - even if you just read there - can make you vulnerable to hemorrhoids. The problem may also be inherited and tends to run in families. "As you know, 90 percent of varicose veins are inherited. The problem is genetic. It's caused by weakened valves and vein walls. When you inherit that tendency, there's not much you can do. That's true with hemorrhoids," said Dr. Ed T. Corpus Jr., a general and vascular surgeon at the Vein Care Clinic at Ferosa Condominium in Manila.

Why do blood vessels in the anus and lower rectum swell up and cause this condition? This could be due to a variety of reasons from aging and constipation to pregnancy and a displaced uterus. The swelling could be right inside the anus or just outside, under the skin. Sometimes, there are absolutely no symptoms. Sometimes, it can swell up a lot and be painful. This happens with an internal hemorrhoid when it swells up and protrudes outside the rectum. It could happen with an external one when there is a hard lump or clot formed under the skin outside. Whether it is a protruding internal hemorrhoid or a thrombosed internal one, it can be quite uncomfortable and medical attention should be sought at once.

Treating external hemorrhoids is not limited, however, to medical procedures alone. Natural means of healing and prevention can also be applied which includes:

Not all anal irritations are hemorrhoids. Some could be fissures, some could be an abscess or fistula, some could be just an itch. Hemorrhoids could occur inside the anus or just outside. All they are, happen to be blood vessels in this area that swell up. Though they are not dangerous, they could be uncomfortable or painful.

In a way, hemorrhoids can be considered varicose veins of the rectum. Just like varicose veins in the legs, the rectum veins become enlarged and come to the skin surface and bulge out. Hemorrhoids occur when you are constipated for long periods, sit for long hours, lift heavy items, or are pregnant.

Almost half the people all over the world experience this problem by the time they hit fifty. However, in many cases, it is just a benign condition that does not really affect normal, everyday life. One should try and keep constipation at bay so that there is no straining and pressure on the anus. A diet that includes fruits and vegetables helps as it contains fiber. So does regular exercise. It would be better not to control the urge to empty one's bowels and not to sit too long in the toilet.


Wright Wright

 
 
     
 
 





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