Hemorrhoids are a collection of connective tissue, arteries and veins that can form around the anus or in the rectum. Symptoms of hemorrhoids range from benign, such as itching, to severe, such as bleeding or debilitating pain. Your doctor can usually treat your hemorrhoids symptoms nonoperatively. In very few cases, surgery may be necessary. No matter how serious your symptoms are, seek treatment from a colon and rectal specialist, a doctor formerly known as a rectologist. Usually, treatment may include only conservative measures, such as fecal softeners and topical steroids, such as betamethasone, potent steroids or other forms of topical steroids. The most severe hemorrhoids may require surgical treatment.
Hemorrhoids can be external hemorrhoids, internal hemorrhoids, large and small hemorrhoids. External hemorrhoids are located inside and outside the anal canal. Internal hemorrhoids are located in the high position of the anal canal, which is more prone to bleeding. They can produce slight anal secretions and cause severe itching. When it comes to hemorrhoids, size is not always important. Small haemorrhoids can cause major problems, and large haemorrhoids may not cause problems at all. What matters is the severity of your symptoms. Hemorrhoids sometimes prolapse or protrude outside the anal canal. Prolapsed hemorrhoids can be painful, but sometimes they subside without any treatment. When the hemorrhoids expand and coagulate, thrombotic hemorrhoids will form. Thrombotic hemorrhoids can cause severe pain and bleeding as swollen veins break through the skin. Non-thrombotic external hemorrhoids can also cause bleeding, pain or anal itching.
Most hemorrhoids are treated by filling the stool with fibers or synthetic fillers. Your doctor may advise you to eat more high-fiber foods, such as vegetables, fruits, beans and beans. Synthetic bulking agents are sold over the counter in pharmacies or markets. These simple interventions help to eliminate the stimulus of hard stool on the anus.
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Local steroids, such as betamethasone, are used under the guidance of doctors to relieve the anal region by reducing inflammation. Prescription ointments can quickly relieve pain, but these drugs cannot be used for long periods because long-term use can weaken or irritate the anal skin.
When the smallest intervention fails, your doctor may try more aggressive treatment, such as surgical hemorrhoidectomy or hemorrhoidectomy; circumcision, a procedure in which the doctor prevents hemorrhoids from bleeding with rubber bands; sclerotherapy or injection therapy, including injection of diluted phenol (a chemical solution) around the hemorrhoids. In the treatment of prolapse and hemorrhoids, PPH, the doctor uses a suture device to partially remove and reposition the hemorrhoid tissue. It is important to make sure that your symptoms are not caused by more serious diseases, such as anal cancer. Benign problems, such as anal fissures, can mimic hemorrhoid symptoms, but treatment is very different from fissures. Don't be afraid to see a doctor. Colorectal specialists can diagnose your problems quickly, gently and skillfully.
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