Hemorrhoids symptoms, causes and treatment of hemorrhoids 18 ways !!

hemorrhoids

Hemorrhoids (Hemorrhoids or Piles) is a condition in which the veins are available on the nature of the common man in the anal area due to bulging blister (s) as the head known as the "pile" and the crack of the blood vessel walls in. strain to defecate He was bleeding occasionally. Often with symptoms of constipation or diarrhea occurred more frequently. Usually not severe or dangerous and may be annoying or persistent chronic anxiety.

The pile may have only a single-head or multi-head time. If the veins beneath the skin, mouth, anus are called "external hemorrhoids" (External Hemorrhoids), which can be seen from the outside. If the deep veins are known as "internal hemorrhoids" (Internal hemorrhoids), which is detected using a laparoscope gut directly.

Piles By itself it is not a serious disease. Usually do not cause the death. But may be chronic at any site if they can not control the causes are different by only a minority that needs to be treated with a surgical procedure. And even if it had been undergoing treatment for hemorrhoids. It may be the new head of hemorrhoids. Cause bleeding again

• Both internal and external hemorrhoids may appear different, but in many cases it was found that symptoms of both types.
• Hemorrhoid disease is common. Often cause early symptoms of defecation is fresh blood in the US found. Patients with this disease is approximately 5% of the total adult population. It is found in the group aged between 45-65 years, but may be found in children and in adults over the age of each other as well. Depending on the cause is. (Some believe reports At least 50 percent of the American population is symptomatic hemorrhoids in one life. And about 50 percent when it is back again. Whether male or female, it is the rate of this disease as well.)
• Many people feel embarrassed to hemorrhoids. More often than going to the doctor when it is so much which can not be cured with medication.

The causes of hemorrhoids

Causes and risk factors of the disease, hemorrhoids are veins beneath the skin and mucous membranes in the anus swell swelled head. Because the pressure in the veins from various causes including.

1. Eating foods that are low in fiber.
2. Chronic Constipation The need to expedite defecate regularly The force will increase the pressure And / or cause injury to the vascular tissue. As a result, an aneurysm, or blood knot easily.
3. Diarrhea, chronic diarrhea Defecation often strong force will increase the pressure. And / or cause injury to the vascular tissue as well.
4. People-to-strainFaeces like strainFaeces as hard or lumpy stools, trying to get the last out.
5. The force defecation prolonged Playing from a cell phone or reading a book while driving stool for a long time to sit, stand or walk for long periods of time because it will cause pressure on the vascular tissue. This adds pressure And / or cause injury to the vascular tissue.
6. Like the use of laxatives or excessive garden stool.
7. Pregnancy The weight of the fetus is pressing down on the vascular tissue. The blood flow to the heart is reduced. The congestion in the veins and arteries caused by swelling.
8. Overweight (obesity) is the pressure in the abdomen and pelvis soared. The blood clot in the blood vessel tissue, as well as pregnant women.
9. Age (seniors) the elderly are often the degeneration of cells, including impairment of vascular tissues. Aneurysm easily than normal.
10. Anal intercourse. This will cause the press or squeeze upon injury to the vascular tissue of this disease. Cause blood to clot in blood vessels. The aneurysm was easy.
11. Chronic cough Increased pressure in the abdomen.
12. The disease is not congenital valve (Valve) Intravenous tissue in the arteries, which helps circulation. Resulted in severe congestion within the blood vessels. The aneurysm was easy.
13. The disease occurs in conjunction with other reasons already mentioned. Hemorrhoids may also be associated with other diseases such as abdominal tumor in the abdomen (such as uterine fibroids. Ovarian cysts or tumors), colon cancer. (May cause symptoms of hemorrhoids so if the bleeding for more than one week, or in people older than 40 years should be encouraged to go to the hospital just to be safe), prostate, liver (due. the high pressure in the hepatic vein. Which affects the veins of the anus), and so on.
14. The cause is unknown, or it may be caused by genetics. It was found that those with a family history of hemorrhoids. This is likely to be higher than normal.

Types of hemorrhoids

The interface of the colon, rectum and open source outside the body. A length of about 4 cm and was divided into two parts, called the circumference. "The nerve" or "horizontal seam between the end of the intestine to the anus" (Dentate Line or Pectinate Line) that is above the nerve to call "the hole anus" (Anal canal), which will no nerves get. pain to raise the walls of the hole anus normal. But there will be a lump bulging out around it. Also known as a "cushion" (Cushion), which is inside the blood vessels and muscles.

1. External hemorrhoids (External hemorrhoids) is covered with a layer of skin. Occurred in the area under the line of nerves (Pectinate Line), which would have the nerve to get hurt the party called "mouth, anus" (Anal margin) when the cushion from the hole anus scroll down until you reach the mouth. anus It pushes the blood and tissues of the mouth, anus, scroll down and push off to the side into a lump at the anus mouth. 
   
   
   
2. Internal hemorrhoids (Internal hemorrhoids) are covered by the intestinal lining. Occurred in the area over the nerve (Pectinate Line) or the hole anus. There is no pain nerves to raise the walls of the hole anus normal. The hemorrhoids are not usually painful. And who are most often not even aware that their attention is. If incurable, it can be two types of hemorrhoids are lumps protruding anus (Prolapsed hemorrhoids) or strangulation. (Strangulated hemorrhoids) if the anal sphincter contraction and squeeze cube pile as ischemia. Hemorrhoids will become aggressive. 
   
   
   
   In addition, internal hemorrhoids can also be divided according to the severity of the disease is the fourth term.
   • Phase one artery aneurysms. There was also inside the anus and rectum. And no pile emerged. (Can be treated by medication. Or injected into the bleed).
   • Phase two pile Evert emerged at the mouth, anus while defecating. But the emergence of this back into the anus after defecation complete. (Can be used to shoot a rubber band or head bishop of hemorrhoids that have emerged. This leaves wither and fall off the pile itself).
   • Phase 3 will not be able to pile back into the anus after defecation have done. But can also use your finger to push it back into the anus.
   • Phase four will pile back into the anus does not. And are pending at the mouth of the anus. Even a finger to push up. At this stage the patient is in pain and need to see a doctor immediately. The pile will rot die from lack of blood.(For the 3-4 can be treated with surgical procedures in general). 
     

Symptoms of hemorrhoids

1. The symptoms of external hemorrhoids is
   • A polyp dark pink from the mouth, anus with constipation or diarrhea. Patients with pain, swelling, pain and irritation. (If not cause thrombosis. It may not be too much trouble).
   • If a blood clot occurs in a coronary artery aneurysms that can cause pain, swelling, severe pain (but often found bleeding from a polyp) that usually disappear within 2-3 days, although the pain was over. swelling disappears, it may take at least 2-3 weeks, when recovered and may still have a lump of skin remaining. If the pile is large, it may cause irritation or itching around the mouth, anus, too.
2. Symptoms of internal hemorrhoids is
   • There are many symptoms of rectal bleeding. Without feeling any pain. Which will take place during or after defecation complete. Blood came out, it would look as bright red blood. Remove contaminated with feces Or has blood dripping down the toilet. And that may have blood on toilet paper. (Blood clot will come out in the shower stool. Private cube stools to its normal color, no mucus and blood flow usually stops on its own) that these symptoms will look at any site if there is bleeding or chronic. Can cause anemia as a consequence.
   • In a very Blood vessels to swell more Making pile protruding outside the mouth, anus. Or as a lump soft Evert emerged. In such conditions, which are causing pain or pain in the anus. (If the blood clots clogging up.Hemorrhoids become solid Or cause cell death leads to pain), and may cause itching and symptoms of fecal incontinence is not as well.

Diagnosis of hemorrhoids

Doctors can diagnose hemorrhoids by a history of symptoms. Physical examination By the lump around the anus. (It may feel a soft lump tarnished the mouth, anus) and endoscopic examination of the rectum and colon directly. But in some cases, biopsy for examination by pathologists. To distinguish from cancer

FYI: The end of the colon and rectum something. May have similar symptoms May make a mistake, such as ulcers, hemorrhoids periodontal lesions penetrate through the rectal cancer. Varicose veins in the rectal itching and bleeding may also occur as a cause of colon cancer. In cases where the disease colitis, inflammatory bowel disease of unknown cause, colon, bladder disease. And disorders of the blood vessels And for other conditions that can cause tumors in the mouth, anus, it has several skin polyps, warts, anal, polyps, rectal slide, the inflated anal area, varicose veins around the rectum with. anus It is caused by high blood pressure in the blood vessels increases. May show signs similar to hemorrhoids. It is a condition one separately.

Side effects of hemorrhoids.

• When anemia, bleeding from the vascular tissue and chronic ongoing. Sometimes the bleeding and could not stop. Can cause anemia. The need to seek medical help immediately. (For bleeding and cause anemia. Rather rare The symptoms are bleeding so much that he died a little to big. So do not worry about it too much).
• Fecal incontinence is not caused This is because the vascular tissue acts to shut the mouth of the anal sphincter during defecation yet. But when the aneurysm Oral, anal sphincter is not completely closed. The cause of fecal incontinence is not followed.
• The infection can cause an abscess or pus in the anal area.
• When Evert vascular tissue outside the anus in the four causes blood vessels to ischemic necrosis of the tissue and the blood vessels. This will result in a lot of pain. In this case, a state of emergency should immediately see a doctor as well.

How to cure hemorrhoids

• Palliative treatments may include behavioral modification, use daily to reduce the risk of increased pressure in the vascular tissue that causes hemorrhoids. And the use of drugs, which are commonly used in the case of hemorrhoids. Without serious cause
  1. Follow your doctor's instructions, such as paint pile of intravaginal drugs or pills of the doctor ordered.
  2. Avoid constipation or diarrhea frequently patients should eat fruits and vegetables that are high in fiber, such as to apples, guava, papaya and eating fiber supplements.To prevent constipation And drink a lot of water at least 8-10 glasses a day to keep the stool soft and easily excreted. If constipation is to eat more cathartic laxatives such as magnesium, salts, EP, LP, fiber additives.
  3. Training for a bowel movement and does not hold strainFaeces.
  4. Avoid sitting for long periods of time, including ways to take a stand, walk and sit for a long time.
  5. Do not try to train strainFaeces
  6. Avoid eating spicy foods. Including alcoholic beverages of all kinds. Because hemorrhoids more.
  7. In people who are overweight. Should find a way to lose weight properly and avoid heavy lifting.
  8. When feces or urine completed Rinse with warm water or a water butt to keep clean. No need to use soap But if you want to use soap It should be soft soap to reduce irritation of the hemorrhoids are swollen or inflamed it. (Should not be cleaned with a stiff paper. But should use a damp Or use toilet paper instead of wet).
  9. If you pile it outside. Then put the glove fingers coated soap to lubricate. Then push the head back This helps a great extent. But if that does not work To go to the doctor
  10. If itching ointment to reduce itching associated with.
  11. If the pain is due to inflammation, pain pills. Sit in warm water for a period of 15-30 minutes 2-3 times a day to relieve pain and swelling. And suppository hemorrhoids By suppository 2-3 times a day before breakfast and after defecation complete. Until symptoms subside This usually takes about 10 days.
  12. When a lump, swelling out the bottom. Can use cold compresses. This approach may help reduce the swelling down some.
  13. If bleeding for more than one week, or a missing or found in people over the age of 40 or over, or suspected of having the disease as well. You should go to the hospital. The doctor may use a laparoscope rectum. (Proctoscopy) if suspected colon cancer. You may have to park a colon X-ray powder barium (Barium enema) or by endoscopic examination of the colon. (Colonoscopy) 
      When bleeding Use a clean towel and press firmly into the bottom. But if the bleeding has not stopped. Should seek medical help immediately 
      If the anemia drugs should maintain blood 3 times a day (1 tablet).
  14. Doctor visits regularly. And should seek prior appointment when the symptoms from the original. Or when the anxiety symptoms are. Or when symptoms get worse when bleeding does not stop butt. Or when the hemorrhoids back into the rectum can be. (Do not try to exert too much pressure pile. It will pile more injuries and swelling).
• Surgical treatment (If using a palliative treatment to be ineffective) depending on the severity of the disease indications and the doctor's discretion.
  1. Injections in the head, hemorrhoids. Intravenous drug will atrophy and pile collapsed. Hemorrhoids often used in two ways that are convenient, safe, no pain. Doctors usually strikes injected once a week for about 3-5 times can be cured by about 60-70%.
  2. The treatment method uses rubber bands (Rubber band ligation) or shoot a rubber band or head bishop of the tumors emerge. This ensures that the head of hemorrhoids wither and fall off within 5-7 days is good in the second period, especially when the pile is large. Patients often have no pain If the rubber band too close to the nerve line. Will result in severe pain immediately.
  3. Tissue destruction by burning A remedy for hemorrhoids with Phase 2, but is not yet widespread. Typically, doctors only used when other methods do not work. That there are many ways to burn tissue with the use of electric shocks, radiation, infrared, laser surgery, surgery with the use of cooling, etc. (tissue destruction by infrared light may be an alternative. if the disease is in the range of 1-2 to 3-4 comeback recurrence rates are high).
  4. Hemorrhoid Surgery It is very often the case in the 3-4 range or when a blood clot. Or there is a lack of blood hemorrhoids. In fact, hemorrhoids, surgery is not scary. And pain during surgery Because doctors to provide anesthesia or spinal anesthesia before. After surgery, patients may have some pain. But it's not much at all. And can be suspended by eating painkillers. Lay recuperating in the hospital for 3-4 days, then returned home. As I said, this is a traditional remedy, but today showed. Patients can be operated by local anesthesia at arm's rectum only. Does not require any special equipment, but may be associated with an injection or taking pain medication prior to surgery. This will allow patients to recover faster. Very little pain or no pain at all. More importantly, it is not necessary to stay at the hospital. And can return home within 1-2 hours after surgery. The way that it is. Using special equipment, such as Ligasure or Harmonic scalpel to cut the hemorrhoids each position without using silk sutures. Or sutures of 1-2, and the other way is to use editing tools lining the intestinal-type sewing machine or automatic (Stapled haemorrhoidopexy), a hemorrhoid surgery and stitches to the wound at the same time automatically. Patients lose less blood during surgery. Often used in cases where the patient has multiple tumors (at least three positions).

Caution : the use of hemorrhoids bite is not recommended. It can cause serious complications, such as gangrene or anal atresia.

How to prevent hemorrhoids

1. The best defense is. Stool is hard and passed easily. By eating fruits and vegetables that are high in fiber to avoid constipation too.
2. Drink plenty of water at least 8-10 glasses a day to keep the stool soft and easily excreted.
3. Toilet Training for a time No fecal incontinence (By default, when the body feels pain, diarrhea).
4. Avoid sitting for long periods accelerates defecation (to take as little as possible, while taking full bloom. And avoid playing mobile games and books available for excretion).
5. Be careful not to cause diarrhea, diarrhea or persistent diarrhea.
6. In people who are overweight (obese) should find a way to lose weight properly. And avoid heavy lifting.
7. Exercise enough The body is always trying to movement, such as walking.

References

1. Textbooks Syndrome 2. " hemorrhoids (Hemorrhoids) ". (. Dr. Surakiart. Asha supporters image). Pages 551-553.
2. Doctor Dot Com. " Hemorrhoids (Hemorrhoids or Piles) ". (Prof. Emeritus Dr.. Chompootrip Piboon Krai). [Online]. Accessible from: haamor.com. [04 June 2016].
3. Department of SurgerySiriraj Hospital. " Hemorrhoid surgery does not hurt. (Or less pain) . "(Prof. Dr. Dr.. Fruit that time. Shield glory MD). [Online]. Accessible from: www.si.mahidol.ac.th. [05 June 2016].

Illustration : www.medicalnewstoday.com, www.ami.at, wikipedia.org (by Pachacamac33, Dr. K.-H. Günther, Klinikum Main Spessart, Lohr am Main), hemorrhoid.center.