Treatments for hemorrhoids

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Treatments for hemorrhoids | Colon and Rectal Specialist

MANILA, Philippines - Hemorrhoids are actually present in all individuals
whether healthy or not. They are the vascular cushions which surround the general
area of the rectum and anus.



The term hemorrhoids is associated with
the symptoms when this part of the body becomes enlarged, inflamed, thrombosed
or prolapsed.



Many people have them without suffering
from any symptoms, and therefore these may be safely left alone. Treatment
is usually required for those whose hemorrhoidal symptoms such as excruciating
throbbing pain affect quality of life and daily living. 



There are many traditional remedies and
non-surgical treatments for hemorrhoids. However, if none of these work,
surgical procedures may be required as a last resort.





How do hemorrhoids look and feel?





Hemorrhoidal cushions are skin,
vascular and soft tissues that line the anal canal, playing a small role in
defecation and continence.  Everyone has them, although with our daily
travails of straining and movement, they do change over time, becoming more lax
or loose as we age. 



Hemorrhoidal disease occurs when these
changes result in bothersome symptoms such as bleeding, prolapsed, or
pain.  Almost everyone may develop symptoms at some point in their life,
but these are not life-threatening, and may be safely observed. Treatment is
usually required for those whose hemorrhoidal symptoms impact on quality of
life and daily living.



What are the
symptoms of hemorrhoids? 



Bleeding from
hemorrhoids is usually bright red, often dripping into the toilet bowl, or
noticed when wiping. The stools themselves are normal looking, indicating that
the bleeding is originating only from the anorectal area.  Sludge of dark
blood and stool mixed thoroughly together is usually from a source within the
small and large intestines and not hemorrhoids. Hemorrhoidal bleeding is
painless, and this differentiates it from anal fissures, which is also a very
common anal condition that presents with similar bright red bleeding during
defecation, but with anal pain.



Hemorrhoids only
become painful when they thrombosed or incarcerated.  Thrombosed
hemorrhoids occur when blood clots within the hemorrhoids, causing very obvious
swelling and pain.  While surgery for this may be effective during the
first 4 days of the attack, if left alone the swelling and pain gradually
subside and disappear after 2 weeks.  Usually this occurs just once or
twice in a person’s lifetime, and it is uncommon to have repeated episodes of
thrombosis. 



Doctors often
classify patients as to having either external or internal hemorrhoids. 
External hemorrhoids are located just outside the anus, and hence are always
visible on routine inspection.  Many people have them without suffering
from any symptoms, and therefore these may be safely left alone. 
Sometimes external hemorrhoids may make cleaning difficult, allowing sweat and
anal discharge to hide between folds, resulting in anal itching.



Internal
hemorrhoids arise from inside the anus and are therefore only visible when,
because of excessive laxity, they protrude outside.  This condition is
called prolapsed, and usually occurs during defecation.  When internal
hemorrhoids prolapsed they may either slip back inside on their own, or require
manipulation by the person for it goes back in.  When the prolapsed
hemorrhoids cannot be returned, they become trapped outside, resulting in pain
and swelling.  This scenario is called incarcerated hemorrhoids.



What are the forms of treatment for hemorrhoids– surgical and
non-surgical?



Hemorrhoids only
require treatment when there are symptoms.  And the type of treatment
depends on the severity of symptoms.  Mild symptoms may be managed just by
eating a lot of fiber and taking in bulk laxatives such as psyllium to improve
the consistency of stools and ease bowel movement.  Some over-the-counter
creams may provide symptomatic relief.



Non-surgical and
almost painless treatments for hemorrhoids include injection sclerotherapy, infrared
photocoagulation (often mislabeled as “laser treatment”), and rubber band
ligation, any of which can be done safely in the clinic as an out-patient
procedure.  In scientific studies comparing these methods, rubber band
ligation was found to be the most effective and cheap, which is why it is the
most common non-surgical procedure for hemorrhoids in the world today.



Non-surgical
treatment is often ineffective for large, incarcerated or thrombosed
hemorrhoids.  Surgery is usually recommended in these situations, and also
when non-surgical treatment has failed to relieve symptoms.  Traditional
surgery requires cutting out the hemorrhoid using a variety of instruments such
as scissors, knives, cautery, and ultrasonic dissectors. Unfortunately, any wound
created in the outer skin of the anus results in often Sever post-operative
pain, which is responsible for the reputation of hemorrhoid surgery being one
of the most painful of operations.









One misconception about surgery for hemorrhoids is
that it can cause fecal incontinence, or the inability to control farting or
defecation.  Again this is not true. Properly done hemorrhoid surgery,
using any of the techniques discussed previously, does not entail cutting or
injuring the anal muscles.  Therefore no complication such as incontinence
should develop. 



Another misconception about hemorrhoid treatment is
the use of lasers.  A true LASER is defined as Light Amplification by
Stimulated Emission of Radiation, and in medical applications is used as a very
fine, and precise cutting instrument (such as when in ophthalmology).  The
technology is very expensive, and therefore using a true laser for hemorrhoid
surgery makes the procedure quite prohibitive



There are other misconceptions in the public about
hemorrhoid treatment. Unfortunately this is propagated by many false claims and
unscrupulous practices.  Hemorrhoids are a very common condition that is
often bothersome, sometimes very painful, but never life-threatening.  All
symptoms must be evaluated by a doctor to make sure one truly has hemorrhoids.
There are a variety of surgical and non-surgical options, and these should
always be discussed first with an expert prior to making a decision on
treatment.



* Note: This information is not intended as a
substitute for professional medical advice. For any inquiries please Visitor
calls your specialists.



What are the advances in hemorrhoids treatment?







·         What are the advances in hemorrhoids
treatment?




Due to this
reputation of being a painful operation, advances in hemorrhoid surgery have
focused on making it less painful.  One such operationis stapled
hemorrhoidectomy. Using a specially-designed, single-use stapler instrument
(which was modified from the staplers used to reconnect intestines during major
abdominal surgery), the hemorrhoids are excised and the anus repaired from the
inside, something which is difficult to do with traditional surgery.  The
end result is that the surgical wound is inside, and no wound is visible
outside the anus. Scientific studies have proven that this is less painful than
traditional surgery, although with a small recurrence rate.



Stapled
Hemorrhoidectomy                  
       



Transarterial
Hemorrhoidal Dearte rialization (THD)



Another advanced
surgical technique is Transarterial Hemorrhoidal Dearterialization (THD). 
Using a Doppler ultrasound, the blood vessel supplying the hemorrhoid is
identified and ligated with stitches.  Deprived of its blood supply, the
hemorrhoid then shrinks and shrivels.   Again there is no wound
outside and is therefore almost painless.  However, because it is a new
technique, not very many studies evaluating its long-term effectiveness have
come out.



All surgical
procedures for hemorrhoids, whether traditional or innovative, may sometimes
develop complications such as bleeding, infection and stricture. It is
important therefore when seeking treatment, to see an expert in anal diseases.



Call
us: (632) 9881000 or (632) 6356789 ext. 7789



Email
at: 
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Address:
2nd Floor, Podium
Building, the Medical City, Ortigas Avenue, Pasig City, Metro Manila



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Treatment for Hemorrhoids ,
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