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How does hemorrhoids occur?
Please give me full information about hemorrhoids. About how it arises, symptoms and treatment.
Thank you for your answer.
About hemorrhoids or hemorrhoids
Hemorrhoids are dilatations of the rectal veins that bulge into the area of the anus in the form of nodules. Many causes and causes of the disease are divided into 2 groups:
1. Congenital peculiar structure of the rectum, posterior outlet and their venous system.
2. Subsequent adverse effects of endo- and exocrine factors.
According to modern clinical views, hemorrhoids should be considered as a variety of pathological processes in hemorrhoidal nodes (bleeding, collapse of internal nodes, thrombosis, inflammation, necrosis and purulence of external nodes, etc.). More than 10% of adults with hemorrhoids get sick. Based on the data in the literature, the following theories that explain the origin of hemorrhoids can be cited:
1. The theory of congenital insufficiency of the venous system of the anorectal area;
2. Mechanical theory - it is said that there are varicose changes in hemorrhoidal veins due to increased venous pressure;
3. Tumor theory - according to him, hemorrhoids are tumors;
4. Infection theory;
In some diseases, such as hypertension, heart-lung disease, instability in the large circle of blood circulation can also lead to the development of hemorrhoids. In such cases, hemorrhoids become one of the symptoms of the underlying disease and cannot be treated surgically (unless there are complications!).
Clinical course and forms
Hemorrhoids begin with a period of signaling symptoms (unpleasant sensation in the area of the anal opening, slight shrinkage). This period can last from a few months to several years. Later bleeding occurs and, in some cases, anemia may develop in a long-lasting hemorrhoid. Chronic hemorrhoids are accompanied by pain in the area of the anal opening (during defecation and when the diet is disturbed). In the next period, the internal hemorrhoidal nodules fall out. Triad of symptoms in hemorrhoids: nodule (swelling), pain and bleeding.
There are 4 stages in the fall of internal hemorrhoids:
1. The nodes fall off during tension and then straighten independently.
2. Knots fall during tension, but are not corrected independently.
3. The nodules fall off while walking and are not corrected until the patient corrects himself.
4. The knots always fall off and fall off again even after straightening.
Hemorrhoidal node thrombosis is accompanied by severe pain in the anal area. In some cases, inflammation of the hemorrhoidal nodes is accompanied by swelling of the anal area and necrosis of the nodes.
There are 3 severe degrees of acute hemorrhoids:
Grade I - external hemorrhoidal nodules are not very large in size, in a dense elastic state, they are located below the dentate line, painful on palpation. The skin of the anal area is slightly red. Patient complaints are burning pain and itching during exertion.
Grade II - more developed edema, redness in most parts of the perianal area. Severe pain when palpating this area and examining the rectum with a finger. Patients complain of severe pain in the area of the anal opening, especially when walking and sitting.
Grade III - the tissue around the anal opening is covered with an “inflamed tumor”. This area is severely painful on palpation, so it is not possible to examine the rectum with a finger. In the area of the anal opening, internal hemorrhoidal nodules are visible, falling from the anal canal, dark red or bluish-red color. If not treated in time, the nodes can become necrotic.
Treatment of hemorrhoids
Hemorrhoids should be treated conservatively in the early stages, including the act of defecation and the normalization of stool consistency through diet. It is necessary to follow a hygienic regime, after the act of defecation can be cleansed or take a shower. Acute hemorrhoids are also treated conservatively: microbials, suppositories, warm baths with weak manganese. In severe pain, cold, analgesics, and then a warm compress are applied to the interstitial area first. Magnetotherapy also helps well in thrombosis of hemorrhoidal nodes. Micro-grains made with fish oil and «vishnevsky» have a good effect.
Hemorrhoid surgery is currently the most effective surgical methods - Milligan-Morgan hemorrhoidectomy and variant I, II modifications of this operation (proctology ITI). (According to the literature)
Circumstances leading to the operation:
1. Hemorrhoidal bleeding that cannot be stopped with conservative treatment, an increase in the level of anemia.
2. Presence of large hemorrhoidal nodules, violation of the act of defecation, frequent bleeding, inflammation.
3. Slight or permanent fall of the nodes, which violates hygiene, causes pain and other inconveniences.
It is also possible to eliminate (alleviate) the disease in the early stages of hemorrhoids by using the following folk remedies:
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It is beneficial to drink two grams of sedan oil three times a day for two to three months, even if it is rubbed into the mouth of the colon.
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It is recommended to consume or rub externally in the above method to remove the hardness of the crust.
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ZulukIt is dried by mixing it with an equal amount of aloe vera and applying it to the hemorrhoidal wound. If this is repeated 5 to 8 times, the disease is relieved.
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