Hemorrhoids and their Treatments
Hemorrhoids or piles are classified as dilatation of radicals of rectal veins within the anal canal. Unlike the arteries vein, they are weaker with thinner walls. There is three rectal veins namely superior, middle and inferior rectal veins. Any obstructions or increase of pressure in these veins can predispose the disorder. In medical terms, they are classified to two categories: external and internal.
External are those seen outside the anal opening and is covered by skin. It is black or brown in color. This type tend to quite painful due to rich nerve supply in this area.
Internal type is those found inside the anal canal and internal to the anal opening. It is covered by mucous membrane and is red or purple in color. These types are painless.
Some times internal and external piles occurred in same individual.
Factors responsible for hemorrhoids:
1) This is a hereditary disease.
2) Hemorrhoids are seen only in animals maintain an erect posture. This is due to congestion in the rectal veins due to the effect of gravity.
3) It is common in individuals having chronic constipation. Those who have a habit of visiting the toilet due to frequent urge for stool may develop them in future.
4) Hemorrhoids are common in those who take excess of chicken, prawns, spicy food, etc. Those who take vegetables and fibrous food are rarely affected.
5) Some ladies get hemorrhoids during pregnancy due to compression of rectal veins by the uterus.
6) Cancerous lesions in the rectum can obstruct blood flow and result in hemorrhoids.
The signs and symptoms of hemorrhoids are:
1) Pain:
Pain is common in external hemorrhoids which will be worse while straining at stool.
2) Bleeding:
Bleeding comes in splashes while pressing for stool.
3) Protruding mass:
In external type the swelling can be felt around the anal openings. In case of internal, initially it can not be felt. When the disease progresses the piles protrude during stool and will go inside automatically. When the condition becomes worse the protruded piles will not go back in to the anus.
4) In some cases there will be discharge of mucus with itching around the anal orifice.
Initially it is treated on the basis of symptoms. Constipation should be treated. If there is anaemia iron should be give. Homoeopathic medicines can give good results.
1) The thrombosed external hemorrhoid is excised under local anesthesia.
2) Sclerosant injection therapy can reduce their sizes.
3) Rubber band ligation around the neck of hemorrhoids is useful in some cases.
4) Cryosurgery is very effective.
5) Anal dilatation can reduce constipation and pain.
6) Haemorrhoidectomy is the surgical method of removal.
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