surgery for hemorrhoids - Medical Diagnosis -treating Hemorrhoids - How to Choose the Least Painful and Most Suitable Option
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Medical Diagnosis -treating Hemorrhoids - How to Choose the Least Painful and Most Suitable Option

Treating hemorrhoids - how to choose the least painful and most suitable option After consulting various specialists, each recommending his own pet method of treatment, a hemorrhoid sufferer gets online medical advice for choosing the least painful and most suitable treatment option.


Although countless numbers of people may experience a hemorrhoid, not all will experience symptoms. Here are a few noticeable symptoms of a hemorrhoid:

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 Online Doctor Consultation - Medical Questions: 1) Will any of the techniques mentioned provide a definitive solution to the medical problem?

Some other symptoms of piles are pain and discomfort after opening the bowels1 and a feeling that the bowels have not completely emptied. Still, there are conditions besides piles that could cause anal bleeding. If this happens for more than six weeks it is best to seek medical advice.

Those are just a couple of symptoms associated with the different types of hemorrhoids. You can also produce symptoms by excessive straining, scratching or rubbing the anus or around it. This can cause irritation that could set of a chain of events that would bring symptoms of developing a hemorrhoid.

2. Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus that results when a blood clot forms. This condition is known as a thrombosed external hemorrhoid.

Warm tub or sitz baths several times a day in plain, warm water for about 10 minutes. This will help soothe the irritated region. It can be a bit painful when first getting into the bath.

2) If so, which of the previously specified techniques can be considered best in terms of least sufferance during and post surgery? And which technique would allow the patient to return to normal activity (including non-competitive sports) the quickest?

Rubber-band ligation: complications are infrequent with rubber-band ligation. Pain is usually mild and can be managed with analgesics. Return to work can be immediately or the day after treatment. The results of rubber-band ligation have been excellent with patient satisfaction of 80 to 91%. It must be emphasized that optimal treatment consist of 2-4 sessions with at least two weeks interval and depends on the number of hemorrhoids to be treated.

If your doctor is unable to determine the cause of the hemorrhoids, he ore she has the option of performing a sigmoidoscopy or colonoscopy. In this procedure, your doctor inserts a hollow tube (similar to the proctoscope) into your rectum and colon. In this manner he or she can examine not only the frontal area of the rectum, but into the intestinal area as well. This same tool is what doctors use to diagnose bleeding and discomfort not related to hemorrhoids.

Options of treatment Cryotherapy: (the option the patient mentioned he was leaning toward) this is a painful procedure, frequently associated with a profuse discharge and at least a week off work. Only about 50% of patients are well satisfied with the treatment. In terms of morbidity and time off work it is slightly better than hemorrhoidectomy, but the long term results are less predictable. It has more complications than does rubber-band ligation. Most proctologists have abandoned this technique.

If you have been experiencing rectal bleeding and discomfort and think that you may have hemorrhoids, you may want to have your symptoms checked out by a doctor. Knowing what to expect of your visit can help you to feel more comfortable during your examination. Also, by understanding what will occur, you will be better prepared to get the help that you need for your hemorrhoids.

Conclusion: according to the information provided by the patient the most suitable technique of treatment is stapled hemorrhoidectomy since it is most effective and less painful than Milligan-Morgan operation. Rubber-band ligation, though excellent, is not indicated in this case. The rectal polyp should be excised in any case.

It is not uncommon for people to get hemorrhoids. It is said that around half of the population will get a hemorrhoid by age 50. Women becoming pregnant are a higher target for getting hemorrhoids. What happens here is the fetus is the abdomen causing pressure. This along with hormonal changes can cause the hemorrhoid vessels to get bigger. These vessels are exposed to extremely high pressure during the birth. Most of the hemorrhoids forming during a pregnancy are said to be very temporary problems.

If you ever think that you may have a hemorrhoid you will need to make sure. There are a variety of other things that can be mistaken for a hemorrhoid. Some of these are fissures, fistulae, and/or abscesses. These tend to cause a lot of itching and irritation and therefore can be mistaken for a hemorrhoid.

Hemorrhoids are really just blood vessels. There is more to it than just that though. Hemorrhoids are blood vessels that usually become swollen. They become swollen because these blood vessels are around the anus region and your lower rectum and they will stretch because of pressure to the region. When this happens, you have produced a hemorrhoid. People increase this pressure and swelling usually from straining when they are trying to release a bowel movement. Some of the other biggest factors in getting hemorrhoids are pregnancy, inheritance through heredity, aging, and constipation. You can usually have hemorrhoids one of two ways-internal or external. Internal hemorrhoids are located within the anus whereas external hemorrhoids come from the skin around the anus.

Now if the above does not work, then you should not waste any time to seeing if you will need surgical treatment. Surgical treatments are widely used to shrink and eliminate the hemorrhoidal tissue. But do not worry because the doctors normally give anesthesia. There are a number of treatments use including: rubber band litigation, Sclerotherapy, electric or laser heat, and hemorrhoidectomy. Knowing which treatment is for you will vary depending on what type of hemorrhoid you have and the symptoms showing for it.

One of the tools that doctors will often use when examining for hemorrhoids is a proctoscope. This is a hollow tube with a light on it. It is inserted into the rectum and allows the doctor to more easily see any problems in that area. This instrument is most often used if internal hemorrhoids are suspected. Your doctor will be able to examine the lining of the rectum, determine if there is anything unusual or abnormal on the lining of the rectum, and determine if these abnormalities are hemorrhoids.

The first thing to consider is that is important to get a proper diagnoses. Even if you are certain that you have hemorrhoids, even if it is not the first time that you have had them, you should still see your physician and be examined. There are several other digestive disorders that could be contributing to the problem -- some of them serious. Rectal bleeding can even be due to cancer, so it is important that you get it checked out.

The expert??s opinion First of all I must emphasis that I have some doubt concerning the medical diagnosis and that some important details are missing. The medical report did not describe the physical rectal examination regarding the external anal component. This is important for choosing the best surgical technique and I will assume that there is no external component.

 
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1. Rubber band ligation; 2. Milligan-Morgan technique; 3. Cryotherapy; 4. Stapler. The patient specified that each specialist consulted only practices the technique that he personally deems most efficient. The problem raised, therefore, is that each specialist believes his technique (stapler, cryotherapy, ligation, etc.) to be the best, strongly advising against other techniques (without, however, clarifying the reasons for this). Purely based on acquaintances' experiences with the treatment, and the excellent results obtained, the patient would tend towards opting for cryotherapy (which would appear to be the least invasive, cheapest, and simplest technique, as it is generally carried out as an outpatient, with no particular preparation or hospital stay required).

After being diagnosed with 'hemorrhoidal pathology" (3rd degree hemorrhoids, polyp in the anal canal), the 37 year-old male patient consulted various medical services and specialists, who each suggested different medical treatment methods:

5. Vitamin C 6. Witch hazel Diet for piles Piles are closely connected to constipation and this is why diet can make a good impact in clearing up piles. Your diet should include lots of fiber. This is to be found in whole grains, vegetables and fruit. See that you have loads of mineral water and stop having spicy foods. Psyllium husks supplements are good since they are high in fiber and help get rid of constipation. Softer stools help empty the bowels easier and decreases the pressure on piles caused by straining. Also wheatgrass juice, it is found, abets better digestion. Besides, green juices provide easy assimilation of nutrients particularly in cases of poor digestion or immuno-suppression.

It is better to avoid highly refined foods such as white, rice, white bread, pastries, cakes, pies. Also steer clear of alcohol, since it is known to contribute to small, dry stools. Lastly keep away from acid forming foods like sugar, animal protein, dairy, and coffee.

The first thing your doctor will do is examine the anus and the rectal area. He or she will look for swollen blood vessels. These are a major symptom of hemorrhoids. Your physician will check for lumps in the skin close to the anus. He or she will then will then use a lubricated glove to examine you internally. Your physician will feel for lumps or abnormalities along the wall of the rectum. These lumps and abnormalities can be signs of hemorrhoids.

Piles, as they are commonly called hemorrhoids are swollen varicose veins in the anus or rectum. Piles are usually the result of exerting pressure during bowel movements, pregnancy or obesity.

Stapled hemorrhoidectomy: This is relatively a new technique and is in practice for ten years. In all aspects it is an operation and must take place in the hospital. Patients report on less post operative pain compared to Milligan-Morgan operation and hospital stay is usually 1 day. The success rate is about the same as the former but there is one exception: the stapler technique is not effective for treatment of Hemorrhoids with an external component.

Well, now that you know what hemorrhoids are and what the symptoms can be it is now time to cover how to treat them. If you ever do develop a hemorrhoid you probably should see a doctor. If not though here are some medical treatments aimed at relieving the symptoms:

Causes of Piles 1. Piles can be hereditary with innate weakness of the vein walls. 2. In men, as a result of erect posture high pressure is created in rectal veins.

The following supplements may help if you are suffering from Haemorrhoids (piles). 1. Extracts of horse chestnut 2. Flavonoids 3. Gotu kola 4. Psyllium

Symptoms of piles Typical symptoms of piles include inflamed, painful lump or swelling in the region of the anus. Oftentimes this causes bleeding, leaving blood in the stools, in the toilet bowl or on the toilet paper. Other symptoms might include mucous discharge, itching and a distressing dragging sensation during bowel movement. When going through these symptoms it is best to get a medical examination to rule out other more serious digestive conditions.

Ice packs to help reduce swelling. This is just a pretty common approach to any type of swelling. Application of a hemorrhoid cream or suppository to the affected area for a limited time.

Hemorrhoids can be one of the most irritating and sometimes painful problems people will face in their lifetime. They are also referred to as "disgusting". Yes, they can be disgusting to deal with, but if you have them then they are still a problem in need of being dealt with. Here is a basic overview of hemorrhoids.

Easing piles naturally Keep the affected area clean, clean with water only (no perfumed soap) after every bowel motion and pat dry with a clean soft tissue, this should help with itching.

1. Bright red blood covering the stool. You could also see this blood on toilet paper. This is mainly a symptom of an internal hemorrhoid. It is noted though that an internal hemorrhoid can begin to protrude through the anus region towards the outside of the body. It will then become very irritating and painful. You can also refer to this type as a protruding hemorrhoid.

3. Exerting pressure due to constipation and over purgation. 4. Dysentery could worsen latent hemorrhoids. 5. Piles is also common among pregnant women.

Milligan-Morgan operation: This is one of the most frequent techniques practiced. The operation is usually performed under general anesthesia, but spinal anesthesia can be used. The long term results are over 90% patient satisfaction. Pain is considered to be the main reason that patients resist the operation. It is evident that pain experienced after the operation is patient dependent. Hospital stay is about 1-2 days, but return to work is not for at least two weeks.

Prevention of the recurrence of hemorrhoids is aimed at changing conditions associated with the pressure and straining of constipation. A lot of doctors will recommend that you increase the amount of fiber that you intake. This will help you have softer stools. Proper fluids will also come highly recommended. When you have a softer stool, you are able to empty your bowels a lot easier and with less strain. Reducing the straining is your best chance of reducing the risk of getting a protruding hemorrhoid.


If you have been experiencing symptoms of hemorrhoids, it is important to be examined by a physician to determine that there is not a larger problem. By knowing the cause of your problem, you can treat the bleeding and discomfort and get on with your life. Hemorrhoids don't have to interfere with your life if you seek treatment now.


 
 
     
 
 





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