The haemorrhoidal pathology is widespread in the population, unfortunately it is often underestimated by the patient due to an unjustified sense of shame or embarrassment

Haemorrhoids are soft, highly vascularised pads located at the end of the rectum and their presence contributes to the maintenance of continence.

Inflammation of external haemorrhoids can affect men and women of different ages, for a variety of reasons.

Haemorrhoid disease is multifactorial, i.e. caused by a combination of several causes

Unbalanced, low-fibre diet with low water intake: if the diet is unbalanced and low in fibre, the intestines cannot function properly.

This results in altered bowel movements (constipation/diarrhoea) that are irritating for the haemorrhoidal plexus.

There are also foods that have an irritating effect on the external haemorrhoids – such as sausages, alcohol, chocolate, spices and spicy foods – and can therefore trigger venous dilation and act as triggers.

Risk Factors

• Chronic constipation.
• Pregnancy: this occurs due to both the increased pelvic pressure associated with the presence of the foetus and the hormonal changes associated with pregnancy itself.
• Lifestyle habits: sedentary lifestyle, tobacco smoking and practising certain sports, such as horse riding or cycling; obesity and being overweight.
• Medications – in particular: contraceptives and laxatives;Habits of sitting on the sanitary vessel for a long time, e.g. reading;
• Defecation that is too hasty or postponed for various reasons;
• Personal and family predisposition to vessel fragility and a tendency to varicose veins, also in other body districts.

CLASSIFICATION OF HAEMORRHOID SYNDROME

HEMORRHOIDES I° GRADE: very common in the population, they NEVER descend from the dentate line during pontication

HEMORRHOID II: the pads descend from the serrated line and return spontaneously

GRADE III HEMORRHOID: the bearings descend from the toothed line during ponzamento and only return through digital manoeuvres

HEMORROIDES IV° GRADE: the pads remain fixed on the outside of the anal canal often have an external fibrotic component which prevents them from rising.

COMPLICATIONS:

• External or internal haemorrhoidal thrombosis (always painful)
• Bleeding (there is often emission of bright red blood with or without defecation)
• Perianal pain sometimes felt as a sense of weight

The diagnosis must always be made by the proctology specialist and is performed through a proctological examination.

MEDICAL THERAPY IN HAEMORRHOID SYNDROME

In milder cases, the doctor may indicate the local application of medication, which can relieve the symptoms of external haemorrhoids.

The most commonly used medicines are:

• Cortisonics: in the form of an ointment, they have the effect of alleviating inflammation and oedema.
• Local anaesthetics, such as lidocaine, help relieve burning, pain and itching.
• Some doctors may also prescribe phleboprotectants, to be taken cyclically by mouth.
• Anal hygiene: keep the perineum constantly washed with mild soaps; very hot baths worsen blood flow and thus haemorrhoids.
• Diet: maintain regular intestinal activity, giving priority in the diet to foods that facilitate intestinal progression, or supplementing with non-absorbable fibre

SURGICAL THERAPY

Open haemorrhoidectomy according to Milligan-Morgan

Haemorrhoidectomy with CIRCULAR STAPLER in mucohaemorrhoidal prolapse.

It is by far the most painless surgical technique currently available to the proctologist, however, if there is no proper surgical indication, the short-term recurrence rate is 20 %.

Haemorrhoidectomy according to Parks

Closed haemorrhoidectomy according to Ferguson

Read Also

Emergency Live Even More…Live: Download The New Free App Of Your Newspaper For IOS And Android

Haemorrhoids: Causes, Symptoms And Treatment

Raising The Bar For Pediatric Trauma Care: Analysis And Solutions In The US

Pinworms Infestation: How To Treat A Paediatric Patient With Enterobiasis (Oxyuriasis)

Intestinal Infections: How Is Dientamoeba Fragilis Infection Contracted?

Gastrointestinal Disorders Caused By NSAIDs: What They Are, What Problems They Cause

Intestinal Virus: What To Eat And How To Treat Gastroenteritis

What Is Proctalgia Fugax? Symptoms, Causes And Treatment

Internal And External Haemorrhoids: Causes, Symptoms And Remedies

Haemorrhoids: The Newest Tests And Treatments To Treat Them

What Is The Difference Between Haemorrhoids And Fissures?

Complications Of Haemorrhoids: Simple And Oedematous External Thrombosis

Source

Medici a domicilio