Haemorrhoids are swollen veins in the anus and lower rectum and resemble varicose veins. Commonly called piles, haemorrhoids can be internal and develop inside the rectum, or external – under the skin around the anus.
Internal haemorrhoids are made up of small hemorrhoidal vessels and a part of the blood supply to the anus. External haemorrhoids are veins. In their normal state, we are not aware of them at all, but sometimes they develop problems.
Problems with internal haemorrhoids are referred to as “internal haemorrhoidal disease.” The patient may develop symptoms occasionally or the problems could be chronic and long-term.
Problems with external haemorrhoids develop when a blood clot forms in one of the veins at the opening of the anus. This condition is called a thrombosed external haemorrhoid. The patient develops a firm external lump, often accompanied by anal pain and bleeding between bowel movements.
Research shows that nearly three of four adults develop haemorrhoidal problems from time to time.
The risk of hemorrhoids increases with:
1- Age as tissues that support veins in the rectum and anus area become weak and stretch.
2-Pregnancy: also increases the risk of haemorrhoidal problems as the increased weight in the uterus puts pressure on the anal region.
4-Increase pressure intrabdomen like(chronic cough, straining,…).
The symptoms of external haemorrhoids include itching or irritation in the anal region, pain and discomfort, swelling around the anus and bleeding. Patients often experience rectal bleeding, usually bright red blood, during and sometimes between bowel movements. Anal pain may be felt during or after bowel movements. There may be a prolapse or bulging of the internal haemorrhoids during bowel movements. This condition may get corrected on its own or may need to be pushed back.
If you suffer from internal haemorrhoids then straining or irritation during bowel movements can lead to painless bleeding – with bright red blood. You could also get a prolapsed or protruding haemorrhoid that pushes through the anal opening and causes pain and irritation.
Causes of hemorrhoidal problems:
An increase in the pressure in the lower rectum may be caused by a number of different factors and can lead to haemorrhoidal problems. Possible causes include:
Diagnosis of haemorrhoids
If you suffer any symptoms of haemorrhoids you should consult a specialist Dr. Khaldoun Ghareb and get proper diagnosis. You cannot assume that rectal bleeding is due to haemorrhoids as there are other conditions that cause the same symptom and may need to be ruled out. If you have large amounts of rectal bleeding or feel faint, you should seek emergency care.
When you meet the physician, the diagnosis will start with a physical exam. The doctor may use a lubricated gloved finger or an instrument to examine the anus. Instruments called anoscope or proctoscope may be used in order to view the condition.
Your doctor may recommend additional tests for rule out other conditions. These tests could include:
Prevention of haemorrhoids
You can reduce your chances of getting haemorrhoidal problems and also manage your symptoms if any by following these practices:
Patients whose symptoms do not reduce with home treatment it and preventive measures may require specific interventions. The recommended treatment depends on the size of the haemorrhoids and the severity of the symptoms.
A thrombosed external haemorrhoid usually does not need surgery. As the blood clot dissolves, it shrinks. The doctor may decide to remove the clot or cut the thrombosed external haemorrhoid completely. This is a minor procedure and is usually performed in the office.
Other treatment options for haemorrhoids include:
Advantages of doppler treatment:
No stay in hospital
Early go back to work
If you are a family member are experiencing symptoms of haemorrhoids visit Dr. Khaldoun Ghareb clinic to solve your problem.
Sunday to Thursday 9.00 AM – 6.00 PM
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