Hemorrhoids

DEPT.OF MINIMALLY INVASIVE SURGERY & BARIATRIC SURGERY

1. What are Hemorrhoids (piles)?
Hemorrhoids are swollen blood vessels in or around the anus rectum, and the hemorrhoidal veins are located in the lowest part of the rectum and the anus. Sometimes they swell so that the veins walls become stretched, thin ,and aggravated by bowel movements,Hemorrihoids,are classified into two general categories : internal and external.
2. What is the cause behind Hemorrhoids?
Straining during bowel Movements is a primary cause; this tendency to strain is triggered by a low fiber diet resulting in constipation .pregnancy, childbirth, heavy lifting and obesity increase the risk of hemorrhoids. Prolonged standing or sitting, loss of muscle tone due to old age, an episiotomy or rectal surgery can lead to hemorrhoids. Digestive problems such as diarrhea and constipation of alcohol and caffeine are also triggers.
3. What are the symptoms of hemorrhoids?
Anal bleeding and pain of any sort is alarming and should be evaluated, as it can indicate a life –threatening condition, such as colorectal cancer, However, Hemorrhoids are the main cause of anal bleeding and are rarely dangerous, but a definite diagnosis from your doctor is essential. Bright red blood on the toilet paper, the stool ,or in the toilet bowl after a bowel movements, pain especially during bowel movements, anal itching ,mucus discharge from the anus,swelling or a hard lump near the anus area are symptoms of Hemorrhoids.
4. Who are at risk of getting Hemorrhoids
Anyone at any age can be affected by Hemorrihoids.They are very common, with about 50% of people experiencing them at some time in their life. However, they are usually more common in elderly people and during pregnancy .Researchers are not certain what causes Hemorrhoids “Weak” Veins – may be inherited .The Pressure can be caused by obesity. Pregnancy, standing or sitting for long periods, straining on the toilet; coughing, sneezing, vomiting. and holding your breath while straining to do physical labor, Diet plays a pivotal role in causing –and preventing - Hemorrhoids.
5. How to prevent Hemorrhoids?
A high-fiber diet that includes fresh fruits, vegetables, and whole-grain breads and cereals is recommended .Consuming Psyllium fiber supplements can also increase fiber intake. Drink plenty of water .Don’t strain during bowel movements or stay on the toilet longer than necessary .Exercise regularly. Do not take laxatives, except bulk-forming laxatives other forms of laxatives can cause diarrhea, which can worsen Hemorrhoids.
6. How to diagnose Hemorrhoids?
Patient history and examination of the anus and rectum are necessary .A doctor may detect internal Hemorrhoids with a special scope.Sigmoidoscopy or Colonoscopy may be ordered.
7. How To Treat Hemorrhoids
Wash the anal area gently but thoroughly after each bowel movement, using a soft tissue and warm water .To dry, dab the area with a soft cloth, For external Hermorrhoids, apply an ice compress .Frequent warm baths can relieve mild symptoms of pain and itching.
Anesthetic ointment and topical ( such as hydrocortisone) may be tied off using a rubber band ( rubber band ligation).To help relives pain analgesics can be used .In severe cases surgical removal (Hemorrhoidectomy) may be necessary. Surgical methods involve Banding, Laser ligation of Hemorrhoids. Harmonic ligation and stapler’s ligation.
8. When should a Doctor be consulted in the case of Hemorrhoids?
Any sign of rectal bleeding should be evaluated by a physician .if other symptoms do not improves with home treatment; see our team of renowned surgeons in the field of Minimal Access Surgery who will conduct procedures for Hemorrhoid removal.