Hemorrhoids - causes

The causes of hemorrhoids are not fully understood, they are extensive and independent of age, they are promoted by a sedentary, inactive lifestyle, insufficient fiber in the diet and too little fluids. The risk group for the problem includes pregnant women, people struggling with obesity, constipation, smokers, and the largest group of people at risk are people over 50.

Hemorrhoids – symptoms

• bleeding from the rectum (occurs most often during defecation)
• itching
• baking
• mucous discharge
• prolapse of hemorrhoids outside the anal canal
• pain – this is a symptom of an already advanced disease

When to see a specialist*

Even the slightest bleeding should prompt us to visit a specialist; untreated hemorrhoidal disease can lead to serious illnesses such as diseases of the large intestine, rectum and anus, and even cancer.

The course of the consultation

During a medical consultation, the proctologist will interview the patient, perform a general examination, and an examination of the anus. If necessary, he will order additional tests. The tests listed do not require special preparation, they last a short time, the patient may feel some discomfort, but not pain. After performing the examination and collecting the necessary information, the doctor may suggest conservative or surgical treatment.

Conservative treatment

Diet

You should switch to a diet rich in fiber and drink at least 2 liters of water a day. This action is supposed to prevent constipation.

Lifestyle

Your doctor may recommend quitting smoking, exercising, limiting alcohol, and losing weight.

Hygiene recommendations

Wearing appropriate underwear, taking care of intimate hygiene, the proctologist will present detailed procedures at home.

Sit-ins

Sitz baths, or so-called herbal baths.

Medicines

All medical products should be prescribed by a physician, as some preparations may be harmful or even exacerbate the course of the disease.

Surgical treatment

In the Surgery Clinic, a closed hemorrhoidectomy is performed using the Ferguson method. The operation consists of the preparation of the hemorrhoid with the hypertrophied marginal fold, underpinning the vascular pedicle, ligating the hemorrhoid on both sides and cutting it off, and the primary dressing of the wound with a continuous absorbable suture. In this variant, the wound is closed. It is believed that the method has gained the approval of doctors because the postoperative period is more comfortable, less painful, and the wounds heal faster. The procedure is performed with the assistance of an anesthesiologist, who together with the patient determines the method of anesthesia. Immediately after the procedure, pain and bleeding may occur from the operated area. The patient leaves the Clinic after one day, with postoperative recommendations, and at the designated time appears for check-ups.

Hemorrhoids, or piles, are a normal anatomical structure of the anal canal; blood-filled cushions seal the anal canal and, together with the sphincter muscles, control excretion. Hemorrhoidal disease is inflammation of piles, when the piles stretch beyond their limits and fill with blood, but do not empty themselves completely. The condition painfully affects the comfort of staying on the toilet.