Hemorrhoids can be a true discomfort, but there is a way to treat them! Before everything else, you need to change your lifestyle and nutrition. Make sure that you increase the daily intake of fibre (cereals, fruits and vegetables) and this will help you improve your stool and make it more frequent and watery.
The way to empty your intestines is to spend as shortest time on the toilet as possible, and to do as little pushes as you can.
The ways of treatment can vary. What once was the first haemorrhoid stage is today a normal condition.
The line dividing the intestinal mucous from the anal region, separates the hemorrhoids into two groups: inner (behind the line) and outer (under the line) hemorrhoids.
Hemorrhoids were once known as expansion of the anal canal. In the last 15 years, the term has been redefined and today they are explained as vascular cushions full of blood vessels (arteries, veins and capillary).
According to Goligher, there are 4 types of hemorrhoids:
First degree Hemorrhoids: enlarged hemorrhoids growing in the anal canal.
Second degree Hemorrhoids: slightly larger hemorrhoids forming under the division line, and keep on reappearing.
Third degree Hemorrhoids: even larger type which come out after the stool more easily that the other ones and are unlikely to go back, unless pushed with a finger.
Fourth degree Hemorrhoids: appear constantly on the surface and are not subjected to repositioning.
Doctor’s appointment guide
When you are getting checked, the doctor will initially talk to you and then perform a typical surgical procedure inside your stomach. You may be positioned in two ways: on your left hip and slightly bent knees or the knee-elbow position. Then, the doctor inspects visually and afterwards a digital rectal examination follows: by using the index finger which is previously lubricated, the doctor enters the anal canal. Occasionally, an anoscopy or a rectoscopy is necessary- this includes instruments which are inserted into the anus in order to light up the area and notice any further problems.
The Hemorrhoids treatment depends on the disease’s stadium. The first stadium does not demand any treatment unless bleeding occurs, while the remaining three stadiums demand instant treatment and a complete change in nutrition and hygiene.
The first stadium is generally treated with meds.
There are several remedies which help with Hemorrhoids treatment. Alongside these, natural herbs can also help (blood oranges, ginkgo biloba). These are mainly prescribed in the form of pills but can also be taken as teas or raw and will certainly stop the bleeding.
There are also many creams and unconfirmed treatments on the market, but do not treat yourselves- always consult your doctor first!
There are certain interventions which are done in the E.R. and some who are done in the O.R. by using general anesthesia and hospitalization.
The most popular E.R. methods, done in the 2nd and 3rd stadium and intended for stopping the blood flow, are:
– Injection sclerotherapy (injecting a sclerosing dose directly into the Hemorrhoid’s root in order to shut down the Hemorrhoid blood vessels and shrink its size).
– Rubber band ligation: tightening the Hemorrhoid base in order to dry it out and seize blood flow.
– Cryosurgery: freezing Hemorrhoids.
– Infrared photocoagulation: encouraging coagulation in the Hemorrhoid blood vessels by using infrared light.
The fourth stadium can be a little complicated due to the extra mucous membrane forming around the Hemorrhoid. For this, there are two options:
– LASER hemorrhoidectomy: The hemorrhoid is vaporized with the help of the St. Mark’s method.
– Stapled hemorrhoidopexy: painless mucous removal and blood flow seizing inside the hemorrhoid.
Revolutionizing the Hemorrhoid treatment
The brand new and revolutionary Hemorrhoid treatment is known as DG HAL (Doppler Guided Hemorrhoidal Artery Ligation. It was first introduced in 1995, by professor Morinaga form Japan and it is performed like this: This procedure aims at deartherialization of the internal hemorrhoidal plexus by ligation of the terminal branches of the superior rectal artery detected using a special proctoscope and ultrasound system. The procedure is genuinely painless and is done under local anaesthesia.
Never treat hemorrhoids on your own!
A doctor’s examination is essential when dealing with hemorrhoids. It is necessary to first get checked and then get diagnosed. There is nothing shameful in admitting you have hemorrhoids. Many people suffer from it and it demands a serious treatment.
There are many factors which may cause hemorrhoids:
– Poor and fibreless nutrition
– Defecation irregularities
– Age (as you get older, the risk factors are bigger)
– Hereditary factors
– All stomach enlargements: pregnancy, birth, chronic cough chronic constipation, etc.