What are Hemorrhoids?
Hemorrhoids are enlarged ball veins that form under the layer (mucosa) covering the inner wall of the anal canal (breech), along with the connective tissue around it. The same complaints are found in the family of most hemorrhoid patients (hereditary structure).
Usually, advancing age, frequent constipation or diarrhea, balls in this area as a result of straining while performing great ablution lead to an increase in pressure in the veins and cause the surrounding connective tissue to relax. In other words, it leads to hemorrhoidal disease.
Hemorrhoids are common in pregnant women. This is due to both hormonal changes and the fact that the growing uterus puts pressure on the legs to rotate and flow.
It is seen more often in those who frequently consume foods rich in alcohol, fermented and acidic drinks, pickles and spices.
Hemorrhoidal disease is common in those who stand or sit for a long time (executive disease).
What are the Symptoms of Hemorrhoids?
Bleeding: This is the most common symptom. With great ablution comes light red colored blood.
Pain: It is especially observed in hemorrhoids and hemorrhoid breasts with clots formed in them (thrombosed hemorrhoids).
Itch
Combustion
Feeling of discharge and wetness
Are There Any Complications of Hemorrhoids?
Anemia due to bleeding (Anemia)
Inflammation and fever
The formation of a blood clot in the breast and the associated severe pain, the breast becomes unable to be pushed back, it is appropriate to consult a doctor immediately.
Diagnosis of Hemorrhoids
Finger examination is usually sufficient in the diagnosis of hemorrhoids. In some cases, anoscopic and rectoscopic examination may be required.
Attention! Hemorrhoids are the most common of the diseases of the perianal region and do not turn into cancer. However, it is more rarely found in this region:
Anal cancer,
Malignant (cancer) or benign tumors of the large intestine (polyps),
Rectal prolapse (herniation of the intestine from the breech outward),
Perianal abscess,
Ulcerative colitis
differential diagnosis from diseases such as should be made with caution.
In every case where necessary;
Colonoscopy,
Colon film,
Examination and diagnostic methods such as tumor markers should be applied.
Treatment of hemorrhoids (medical or interventional) should be carried out after a definitive diagnosis.
Methods of Treatment of Hemorrhoids
The methods used in the treatment vary according to the degree of hemorrhoidal disease.
- Medical Treatment:
- and 2. it is applied to those who have severe hemorrhoidal disease.
Avoiding frequent constipation or diarrhea
Drinking 1.5-2 liters of water a day and a diet with pulp
Warm sitting bath after defecation (except in inflammatory conditions) - Drug treatment:
Suppositories, creams and tablets
- Sclerotherapy (astringent therapy):
Hemorrhoids are the application of a vasodilating agent to the breasts with a needle. The breast disappears as a result of the contraction of the veins.
1.ve 2nd. it is applied to hemorrhoids of degree.
Anesthesia is not required. Local anesthesia is recommended.
The average attempt time is less than 3 minutes.
The patient can be discharged on the same day.
- Infrared Coagulation:
It is incorrectly known as laser therapy. It is a method of etching the truth with infrared light.
- degree can be applied to hemorrhoids.
Anesthesia is not required. Local anesthesia is recommended.
The average attempt time is less than 3 minutes.
The patient can be discharged on the same day.
Bandligation (binding method):
A rubber ring is attached to the neck of the hemorrhoid breast, allowing the breast to dry out and fall out.
- in the degree and elected 3. it is suitable for grade hemorrhoids.
Anesthesia is not required. Local anesthesia is recommended.
The average attempt time is less than 3 minutes.
The patient can be discharged on the same day.
Longo method (punching Method):
It is performed only with an instrument developed for hemorrhoid surgeries. The tool is for single use. It shortens the operation time and the postoperative pain will be less.
- the degree gives good results in hemorrhoids. There should be no diseases such as fissures, fistulas associated with hemorrhoids.
Local anesthesia may be sufficient. General anesthesia is recommended.
The average attempt time is less than 10 minutes.
The duration of hospitalization is 1 night.
The Ligasure Method:
It is one of the newest academically accepted methods. It glues the fibers in the tissue together using fusion energy at low temperature. It provides the possibility of bloodless, seamless surgery. It has advantages such as shorter operation time and very little postoperative pain.
- and 4.it is used for grade hemorrhoids.
Local anesthesia may be sufficient. General anesthesia is recommended.
The average attempt time is less than 10 minutes.
The duration of hospitalization is 1 night.
Surgical Methods:
Surgical instruments such as scalpel, electro cautery and laser are used in the surgery.
He has previously had unsuccessful surgery and relapsed in cases of hemorrhoids and complications 3.ve 4th. it is used for hemorrhoids.
General anesthesia is recommended.
The average attempt time is less than 15 minutes.
The duration of hospitalization is 1 night.
Success in the treatment of hemorrhoids patients is ensured by the correct diagnosis and the selection of the appropriate method for this.