Hemorrhoid Disease and Treatment:
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HEMORRHOIDS: It is a natural part of our body
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Hemorrhoids; It consists of mucosa, submucosal fibroelastic connective tissue, smooth muscles and blood vessels.
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Hemorrhoids close the anal canal in the form of 3 pillows.
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Hemorrhoids; They help to maintain liquid, solid and gas continence.
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At least 50% of the society consults a doctor with complaints of hemorrhoids at some point in their lives.
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It is most common in the age group between 45-65, but it can be seen at all ages.
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Multiple factors play a role in the emergence of the disease.
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The destruction of the supporting tissues over time is the factor that triggers the disease.
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Over time, the structures that support hemorrhoids weaken (after the age of 30).
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Hemorrhoids are displaced downwards from their normal location.
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By being pressured by the feces, blockage in the vessels, bleeding and other symptoms begin to appear
FACTORS CAUSING THE OCCURRENCE OF HEMORRHOID DISEASE
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Eating habits (low fiber foods),
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Toilet habits (straining, staying in the toilet for a long time),
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Constipation/diarrhea,
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Genetic (familial) factors?
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Gender? There is no gender difference except during pregnancy.
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Age (20 >.75< rare) (most commonly 45-65 years)
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Pregnancy
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Occupation (vehicle drivers, pilots, horse riders, etc.)
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Standing for long periods
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Eating habit of spicy, irritating foods
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Obesity (being overweight)
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Alcohol
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Colitis, prostate hypertrophy, heart disease failure, cirrhosis, large intra-abdominal tumors, etc.
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Physical activity deficiency
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DEGREES OF HEMORRHOIDS:
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Internal hemorrhoids; I,II,III,IV degree
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External hemorrhoids,
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Mixed type,
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Hemorrhoids The degree of complaints may not be the same as the doctor's doctor
What are the symptoms of hemorrhoid disease?
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Bleeding ; during or after defecation, bright red in color, drops or large amounts.
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Pain; Internal Hemorrhoids are generally painless, but they may become painful when thrombus develops in the future.
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palpable mass-fullness sensation,
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Discharge,
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Itching,
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Thrombosis; clot formation, then ulceration
What are the treatments for hemorrhoid disease?
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Prevention - preventive precautions,
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The disease is TRUE!!! diagnosis,
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Appropriate treatment option!!!
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BY TALKING TO THE PATIENT AND ACCORDING TO THE PATIENT AND THE DEGREE OF THE DISEASE, THE MOST APPROPRIATE OPTION SHOULD BE EVALUATED.
Internal hemorrhoid treatment methods:
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Medical treatment
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Sclerotherapy
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Band ligation
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Cryotherapy
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Infrared coagulation
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Laser coagulation-excision
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Stapler hemorrhoidopexy (Longo method)
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Surgical hemorrhoidectomy
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Hemorrhoidal artery ligation
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Direct current electrotherapy
Complications of surgical procedures in the treatment of hemorrhoids:
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Abscess 0%
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Fistula 0.4%
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Anal fissure 0.2%
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Anal stenosis 1.0%
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Incontinence 0.4%
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Skin prolapse 6.0%
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Urinary retention 10.0%
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Serious bleeding 1%
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