Hemorrhoids Disease
How are hemorrhoids treated? Hemorrhoid (Hemorrhoid) Disease Treatment
Treatment of hemorrhoid disease varies according to the location (internal - external), severity (degree), severity of the patient's complaints, effects on daily quality of life, and general health status of the patient (advanced age, additional disease, pregnancy, etc.).
Treatment should be done in accordance with the doctor's recommendations. Sometimes it may be necessary to perform some tests for differential diagnosis before starting treatment. Except for severe hemorrhoids in very advanced stages, non-operative and outpatient treatment is possible. Less than 10% of all hemorrhoid patients require surgical treatment. The methods used in the treatment of the disease are briefly discussed below. First, general treatment principles will be explained. Then, treatment of internal and external hemorrhoid - hemorrhoid disease will be discussed separately.
Conservative Treatment
Preventive treatment is very important in the treatment of both internal and external hemorrhoid - hemorrhoids. The patient should first be informed about the hemorrhoidal vessels and their functions. Then, treatment methods are mentioned according to the severity of the disease.
Some recommendations are made to the patient. With these conservative (protective) recommendations, many patients recover without the need for any intervention or surgery.
Regulation of defecation habit
Regular defecation habit is important for treatment. Avoidance of prolonged sitting in the toilet (smoking, reading a newspaper, etc.) and excessive strains reduces tension and pressure in the hemorrhoidal vessels and thus prevents hemorrhoids from coming out of the rectum.
Ensuring Hygienic Conditions
After defecation, the breech area should be cleaned without irritation.
Pushing Outward Hemorrhoid Nozzles
Hemorrhoidal swellings (breasts and pouches) coming out of the rectum during defecation should be pushed back again. Otherwise, the remaining hemorrhoidal breasts may cause pain, bleeding and inflammation.
Regulation of Diet
Increasing the proportion of fiber (pulp) foods in foods and acquiring regular defecation habits may help to treat the disease. Increasing the amount of fruit and vegetables in meals and adding bran powder on the dishes can help improve the defecation habit. Another important issue is drinking enough water. Drink at least 8-10 large glasses of water per day. (If there is disease that restricts water intake, consult your doctor.) Fruit juice, coffee, tea do not replace water.
Pulp (Fiber) Foods in Hemorrhoid Disease (Foods)
Living Room
Sitting for 10 minutes in warm water several times a day reduces the symptoms (symptoms, complaints). After the sitting bath, the breech area should not be left wet, but should be kept dry. With this treatment, even in the most severe hemorrhoids, pain is reduced in 2-7 days and hard swelling around the breech regresses within 4-6 weeks.
Sitting Bath in Hemorrhoids (Hemorrhoid)
Rest
Rest is important in painful period. Especially lying down will relax the breech area.
Cream - Pomade Applications
There are many pomades used in the treatment of hemorrhoidal disease. Your doctor may recommend a pomade depending on the condition of the disease.
Phlebotropic drugs (drugs that tighten loosening hemorrhoidal vascular networks)
There are drugs that control the blood flow of the vessels in the breech region and prevent over-swelling and facilitate the normalization of hemorrhoidal disease in a short time. These drugs should be used under the supervision of a doctor.
Treatment of Internal Hemorrhoidal Disease
The treatment of internal hemorrhoid disease (internal hemorrhoid) is done according to the degree of the disease. The conservative methods described above are very important. In addition, some methods can be applied according to the degree of the disease and the patient's complaint. These interventional methods are outpatient (non-hospitalized) interventions that can be performed during the patient's polyclinic examination.
Internal Hemorrhoids (Internal Hemorrhoids) Treatment
Interventional Methods
New-onset first-degree hemorrhoidal disease (hemorrhoids) can be treated only by observing conservative methods. If you protect yourself, you can prevent further exacerbation of hemorrhoidal disease (hemorrhoids).
Grade 2 and 3 hemorrhoids can also be improved by the conservative methods described above (with medical treatments), or interventional methods can be used for hemorrhoids that do not improve or recur despite treatment;
Rubber Banding (BandLigration)
Used in the treatment of internal hemorrhoids. It is applied on hemorrhoid pouches that hang out and bleed. Binding of the hemorrhoid pouches from the roots is a very good method. It is a simple application and can be done in outpatient conditions. Hemorrhoids and patches fall spontaneously within a few days and the wound heals within a week or two. After this application, some patients may experience discomfort and bleeding.
BandLigation in the Treatment of Internal Hemorrhoids
BandLigation in the Treatment of Internal Hemorrhoids
Injection (Sclerotherapy)
It is used in the treatment of internal hemorrhoids that do not come out of the rectum and cause bleeding complaints. A liquid (phenol solution) is injected into the hemorrhoidal vessels. Thus, bleeding can be prevented and vascular dilation and outward sagging can be prevented.
Sclerotherapy in the Treatment of Internal Hemorrhoids
Sclerotherapy in the Treatment of Internal Hemorrhoids
Heat Coagulation (Burning of Vascular Network)
It is used in the treatment of internal hemorrhoids that do not come out of the rectum and cause bleeding complaints. With the help of a light source, the application of heat on the hemorrhoidal vessels causing the complaint is prevented and the hemorrhoidal breasts (packs) are reduced.
Heat Coagulation in the Treatment of Internal Hemorrhoids
Heat Treatment in the Treatment of Internal Hemorrhoids - Infrared Coagulation
These last two methods are painless and neither of them has superiority to each other.
After all three treatments above, mild to moderate blunt pain may occur. There may be a feeling of going to the toilet after these treatments. Pain may be felt again after the procedure. The doctor may give you a painkiller medication used orally. Aspirin should not be used within the first week as it will increase bleeding. Instead, analgesics with active ingredient acetaminophen (paracetamol) or ibuprofen may be used. Locally acting anesthetic (pain relieving) pomades may also be useful in relieving pain. A 10-15 minute warm-water bath can provide relaxation.
All three treatment methods treat one or two hemorrhoidal vessels at a time. The same procedure may be required several times at intervals of 3-5 weeks.
Surgical Treatment of Internal Hemorrhoidal Disease
Surgery may be required in patients who do not pass or recur with the treatment methods described above. Surgical treatment gives more effective and lasting results. In experienced and competent hands (experts) the chance of success is high; The rate of side effects (complications) is low.
Regional or general anesthesia (narcosis) is required for the patient to be comfortable during surgery. Often hospitalization may be required after surgery. Preoperative bowel cleansing and some tests may be requested.
Below is a brief description of common surgical procedures;
hemorrhoidectomy
Pouches causing bleeding and hanging out of the rectum, ie palpable breasts, are surgically removed or fixed into the rectum. It is the best method for the treatment of hemorrhoids (hemorrhoids) disease that does not respond to long-term and conservative methods. Hemorrhoidectomy is the process of removing the diseased hemorrhoid breast (pakesinin) that causes the complaints. Hemorrhoidectomy, anesthesia (narcosis) and may require hospitalization.
Closed Hemorrhoidectomy in the Treatment of Internal Hemorrhoids
Closed Hemorrhoidectomy in the Treatment of Internal Hemorrhoids
Longo (Stapler Hemorrhoidopexy)
Hemorrhoids (hemorrhoids) nozzles can be removed by an open or closed surgical method, or the same process can be done with a special device called stapler. This method is more painless than the open surgical method and allows patients to return to their old active work and daily life in a short time.
Stapler Hemorrhoidectomy in the Treatment of Internal Hemorrhoids
Stapler Hemorrhoidectomy in the Treatment of Internal Hemorrhoids
Treatment of External Hemorrhoidal Disease
In addition to conservative treatments, if the patient's complaints are severe, thrombosed hemorrhoids (external hemorrhoids) are large, there has been a similar thrombosis before, if there are signs of bleeding or inflammation in the thrombosed breast (pachyderm), and surgery should be performed with medication. must.
In this case, the external (external) hemorrhoid breast (pakesinin) to remove the clot (thrombectomy) or the removal of the external hemorrhoid completely diseased (hemorrhoidectomy) surgery can be done. Under local or general anesthesia, the hemorrhoid breast (external thrombosed hemorrhoid pakesine) can be intervened.
The Role of Laser in Hemorrhoid Treatment
The use of laser in the treatment of hemorrhoids is controversial. There is a disadvantage of increasing costs. In medicine, laser is used successfully in the treatment of brain and eye diseases. Hemorrhoids, commonly known as lasers, are actually coagulation with heat (IRC). Hemorrhoids are rarely treated with real laser.
Considerations After Hemorrhoids (Hemorrhoids - Hemorrhoids) Treatment
The first toilet after surgery may be bloody. Sometimes this can take a week. If it lasts more than a week, you should consult your doctor.
It is appropriate for the patient to rest for the rest of the day. Excessive activity may increase complaints. After surgery, some bleeding is normal.
Pain may be felt again after anesthesia. The doctor can give you an oral pain medication.
Aspirin should not be used for the first week as it will increase bleeding. Instead, analgesics with active ingredient acetaminophen (paracetamol) or ibuprofen may be used.
Aspirin should not be used immediately after hemorrhoid surgery
Locally effective anesthetic pomades (pain relief creams) may also be useful in relieving pain.
After 12-24 hours the dressing is turned on and a sitting bath is made in warm water. If it is painful to remove the dressing, the dressing opens after sitting in warm water. If the wound is still bleeding, cover it with a dressing and consult a doctor. A warm sitting bath is enough for 10 minutes twice a day. After sitting bath, it is necessary to dry thoroughly around the breech. Towels or hair dryers can be used. However, care should be taken not to expose this region to extreme heat.
The wound will heal in 2-4 weeks. Itching, bleeding or discharge is not considered too much. Hygiene of the anal area is important. It should be cleaned after each defecation. After 7-14 days it is necessary to be examined for wound control.
If you have constipation, consult your doctor. Do not force the breech area, especially in case of constipation. Drink plenty of water to avoid constipation, plenty of vegetables and fruits, fiber (pulp) to eat foods.
Nutrition and Fiber (Pulp) Foods After Hemorrhoids (Hemorrhoids) Surgery
Take care to go to the toilet at the same time every day. Do not sit on the toilet unless your toilet needs is compressed.
Side Effects of Hemorrhoid (Hemorrhoid) Surgery (Complications)
Surgical treatment can be performed safely in hemorrhoids. However, rare side effects (risks and complications) may occur.
Some of them belong to surgery (surgical treatment) and some belong to anesthesia. Those who belong to the anesthesia can be learned by talking to the anesthesiologist.
Complications that may develop due to surgery (surgical treatment) are as follows;
Pain and stinging may occur during defecation in the postoperative period.
There may be inflammatory discharge from the wound site.
Bleeding may occur during or after surgery. This may require re-operation due to bleeding.
Rarely, breech (anal canal) may occur after surgery. In this case, difficulty in defecation of the patient is observed.
Postoperative defecation habits may change and stool control mechanisms may deteriorate. Improvement is observed over time.
Hemorrhoid disease may recur after surgical treatment. To prevent it from recurring, high fiber (pulp) foods and plenty of water should be consumed and also should be preferred not to sit in the toilet for a long time.
Conditions to be considered after surgery;
Pain that has not subsided for three days
Increased pain days after treatment
Sensitivity in the breech (anal) area
Fever, chills
Difficulty urinating
Constipation (3 days inability to go to the toilet)
Diarrhea (more than 3 liquid toilets per 24 hours)
Increased bleeding
Inflammatory discharge in the breech - development of abscess
If you have one or more of the problems listed above, contact your doctor immediately.
How to Prevent Complaints of Hemorrhoidal Disease?
To take the necessary measures to prevent constipation
Consume plenty of pulp (fiber) food (information about pulp diet is given below)
Drink plenty of water (8-10 glasses per day)
When there is a need for defecation, defecation without postponement (postponement may result in further stiffening of the stool and therefore more strain)
Not spending a lot of time in the toilet (sitting and straining for a long time increases complaints)
Regular physical activity (exercise)
Pay attention to post-toilet anal area (breech) cleaning and not to remain damp wet (excessive cleaning will irritate the skin in this area)
Do Hemorrhoids Cause Cancer?
No.There is no relationship between hemorrhoidal disease (hemorrhoids) and cancer. However, the signs and symptoms of cancer are similar to those of hemorrhoid disease.
Since symptoms of hemorrhoids resemble symptoms of large intestine (colon) cancers and other digestive system diseases, they should first be evaluated by a doctor. Therefore, every breech site problem does not mean hemorrhoids. Differential diagnosis is very important. Medications used by others or medicines that are well supplied from pharmacies without medical supervision may cause time loss.
Hemorrhoids in pregnancy - Hemorrhoids in pregnancy
Pregnancy is a period in which both varicose veins and hemorrhoids increase due to increased pressure in the vessels for the mother. In particular, this pressure on blood vessels that carry dirty blood from the lower part of the body to the heart slows down the blood flow. As a result, the vessels expand and the hemorrhoids are facilitated.
Hemorrhoids in pregnancy - Hemorrhoids in pregnancy
Constipation and prolonged sitting in the toilet, which is another common complaint during pregnancy, may cause the development of hemorrhoids.
In addition, high levels of progesterone hormone secreted during pregnancy causes relaxation of the veins. In addition, this situation facilitates the formation of hemorrhoids during pregnancy.
What to Remember in Hemorrhoid Disease
Hemorrhoids can be seen in 50% of people.
Bleeding during defecation, palpable swelling (breasts) and pain during defecation are the most common symptoms.
According to the stage of the disease, there are preventive and interventional methods that can be applied. Your doctor will decide which method is right for you.
Complaints of hemorrhoid disease can be prevented. Your doctor will help you with this.
Any symptoms should be consulted without delay.
13AXX
Preparation H Women’s Flushable Medicated Hemorrhoid Wipes, Burning and Itching Relief with Cucumber, Aloe, Vitamin E, Shea Butter and Chamomile, Package (48 Count)
