With the correct terminology, the hemorrhoidal cushions, which are anatomically present in every human being in the anal canal, where the intestinal system ends, swell, sag, and become susceptible to bleeding due to various reasons (trauma, etc.). It is when it becomes diseased.
CLASSIFICATION
It is generally divided into two groups as internal hemorrhoidal disease and external hemorrhoidal disease. Internal
Hemorrhoidal diseases are simply divided into 4 groups.
1. These stages cannot be seen by straining and are only detected by examination inside the canal.
2. The stage is visible from the outside with straining. After the straining, they are spontaneously pulled in.
3. The stage is visible from the outside with straining. After the straining, they do not spontaneously withdraw
4. They are outside the continuous canal during the phase.
MARKERS OF HEMORRHOIDAL DISEASE
The most obvious complaint of the patients is after the need to go to the toilet is met; It is the observation of bright red bleeding on the stool, toilet paper or toilet tiles. Other complaints may vary depending on the level of hemorrhoids affected by the disease. Pain, difficulty sitting, burning sensation,
and feeling of pressure are other symptoms
THE MOST IMPORTANT CAUSES
frequent periods of constipation and diarrhea
low-fiber diet habits
wrong toilet habits
pregnancy
decreased bowel movements
obesity
p>• genetic
• old age
HOW OFTEN IS IT SEEN
It is a very common disease. Studies have found that the probability of every person encountering hemorrhoidal disease throughout their lives is 75% (1). Although it is seen in all age groups, it is especially seen in the middle age group with an active business and social life. It is a group of diseases that are common during pregnancy
.
Baker H. Hemorrhoids. In: Longe JL, ed. Gale Encyclopedia of Medicine. 3rd ed. Detroit: Galley; 2006: 1766–1769.
HOW TO DIAGNOSE
Correct diagnosis before the treatment of hemorrhoidal disease is important in the treatment
.
In particular, patients do not want to be examined and Since the doctor is not experienced in this regard,
patients may be misdiagnosed.
Anal fissure and other anorectal diseases (polyp, abscess, etc.), which usually cause similar symptoms
It is confused and therefore patients cannot reach the correct result with the wrong treatment.
First of all, visual examination followed by digital examination with gel are the most important steps. The pathology is fully revealed with the anoscope and LED
light source. The important thing here is to prove that the source of bleeding is
hemorrhoidal disease. For this reason, colonoscopy should not be forgotten to rule out possible malignant diseases, especially over the age of 40.
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