Hemorrhoids and Treatment

Hemorrhoids are not a disease and are an organ found in everyone. It is located in the last part of the anus. It has two tasks. One of these is that it supports defecation and gas retention. The other is that it helps defecation. It contains blood vessels, muscle and connective tissue.

Hemorrhoid disease occurs when hemorrhoids prolapse as a result of dilation of the vessels. It is colloquially known as hemorrhoids.

Causes of hemorrhoid disease;

• Inadequate water consumption

• Consumption of fibrous food being low

• Staying on the toilet for a long time

• Straining for a long time

• Diarrhea and long-lasting constipation

• Pregnancy or birth

• Sitting for long periods of time

Symptoms of hemorrhoid disease;

• Bleeding: It is the most common symptom. While it can be seen in the form of drips in the toilet, it can also be seen on toilet paper during cleaning. If bleeding is severe, it may cause anemia.

• Wetness at the anal edge

• Itching

• palpable swelling

• Pain: Pain may occur if clotting occurs in external hemorrhoids.

•     Listening to the patient's complaints is the most important thing in diagnosis. It forms one of the points. Another important point is the anal examination performed by physicians specialized in this field.

•     Types;

•     Internal and external depending on their location It is divided into two. Internal hemorrhoids present more frequently. Internal hemorrhoids are divided into 4 stages.

• Stage 1 Hemorrhoids: Patients do not cause much complaint. Bleeding may occur, but no sagging is observed. It is detected by examination and, when necessary, by rectoscopy.

• Stage 2 Hemorrhoids: Hemorrhoids come out with straining and come back in on their own. Bleeding, itching and dirt around the anus may be observed.

• Stage 3 Hemorrhoids: Hemorrhoids that come out with straining can only be pushed into place by hand. Bleeding, itching and contamination around the anus may occur.

• Stage 4 Hemorrhoids: Hemorrhoids that come out of the anus cannot be replaced with any intervention. Bleeding, itching, and rarely pain may occur.

• External Hemorrhoid: It is a type of hemorrhoid that is located on the outside of the anus and manifests itself with swelling. If it thromboses (clots), urgent intervention may be required.

 

Medical Treatment:     

• It is especially used in the treatment of Stage 1 hemorrhoids.

• Fluid intake, fiber-rich foods, hot water sitz baths

• Various creams    

Hemorrhoid Surgery with the Classical Method:

• Especially the treatment of external and thrombosed hemorrhoids is performed with the classical method.

• Its application has decreased due to complications in the treatment of internal hemorrhoids.

Treatment with Laser:

• It is used in the treatment of stage 2-3 hemorrhoids.

• The procedure takes approximately 10 minutes.

• It is done locally. General or spinal anesthesia is not applied.

• There are no incisions or stitches.

• There is no gas leakage or fecal incontinence that can be seen in the classical method.

• Patients are discharged 15 minutes after the procedure.

Hemorrhoid Artery Ligation (HAL) with Doppler:

• It is used in the treatment of Stage 3-4 hemorrhoids.

• It is a method of ligating the hemorrhoid artery with the help of Doppler USG.

• The procedure takes approximately 15 minutes.

• The procedure is performed with general anesthesia.

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