What about piles or hemorrhoids?

What do you know about hemorrhoids? ================================================ Hemorrhoids may be caused by many reasons, but the cause is often unknown. According to medical experts, at the end of the anal canal, there is a circular smooth muscle around which many veins can be seen. These veins play an important role in helping the circular smooth muscle expand and contract. Varicose veins of the perineum are called hemorrhoids... As you know, varicose veins are also referred to the expansion, dilation and twisting of the veins... Blood that contains oxygen and nutrients reaches the cells of the perineum through the arteries, and unfiltered blood returns to the heart, because it is one of the reasons that the blood returns to the heart through the veins. It becomes the twisting of the veins, which causes varicose veins of the anal veins or hemorrhoids.... **Why do hemorrhoids happen?** It is not possible to determine the exact cause of hemorrhoids, but having constipation or long-term diarrhea can be one of the most common causes of this disease. In fact, any reason that prevents the return of blood from the anal vein causes hemorrhoids. Among these reasons, we can mention obesity. This disease can be referred to standing or sitting for a long time, a diet lacking in fiber, anal sex, aging, tearing of the anus during childbirth... Hereditary and genetic factors do not play much role in the development of hemorrhoids, but several people in one family may have it due to the high prevalence of this disease and similar diseases... Hemorrhoids are classified based on the place of formation or its grading... This disease is divided into two types, internal hemorrhoids and external hemorrhoids, according to the place of formation. It is divided.... According to the classification of hemorrhoids by degrees, the disease is defined in four degrees.... Internal hemorrhoids occur when the end part of the wall of the bulb is enlarged and often becomes enlarged in the wall of the vein and becomes hemorrhoids.. a lot of bleeding... a person suffering from this disease feels burning and severe pain during defecation along with bleeding... the doctor prescribes a variety of anti-constipation drugs, anti-hemorrhoids and topical ointments for these patients... does.... **external hemorrhoids** If there are small bags and the protrusion of the external part of the anus muscle, external hemorrhoids are diagnosed. - ### *Hemorrhoids of the first degree** This type of hemorrhoid is the beginning of the disease and is very common.... Due to long-term constipation and the stomach not working properly, a person may experience bleeding.... Early attention and the use of ointments and laxatives prevent the occurrence of this type of disease.... Otherwise, first-degree hemorrhoids will turn into second-degree hemorrhoids... In this stage of the disease, in addition to bleeding, cysts appear around the anus, which gradually enlarge if things such as high pressure are not observed. If this level of the disease is not treated with the prescribed ointments and laxatives, the disease will enter the third stage.. Hand.... In this stage, there is bleeding, pain and severe itching in the affected person.... The patient who has reached this stage of hemorrhoids does not feel completely empty after defecation and constantly thinks that he has to sit on the toilet, which causes more pressure and should be avoided.. Treatment This degree of hemorrhoids is the removal of the fourth degree.... When the patient enters this stage of the disease, he feels a mass around the anus that does not return even with hand pressure, and it is called prolapse. The treatment of this degree of the disease requires surgery. Discharges around the anus and sensitivity in it, thin and abnormal stools, as well as a feeling of dissatisfaction after defecation. Although all people can get this disease and almost more than half of people over 50 years of age experience this disease, some people think they have hemorrhoids when they see another complication... If a person has hemorrhoids, they may have this condition several times because the inflammation and swelling weakens the vessel wall and increases the possibility of re-swelling. He takes a history and if the type of hemorrhoids is external, he performs a physical examination, but to diagnose internal hemorrhoids, other tests must be done. To check internal hemorrhoids, the doctor notices the abnormal growth of hemorrhoids by examining with his finger, but in most cases, due to the soft tissue of the hemorrhoid, he may not be able to touch it and must use other slow diagnostic methods. Inflamed veins. There is a sigmoidoscope which, in addition to the rectum, also shows the end part of the large intestine on the left side, which is called the sigmoid. In choosing the method of hemorrhoid treatment, its location and severity are very important. Second Medicines, ointments, home treatment and diet changes are among the important methods in the treatment of hemorrhoids. But as the disease worsens, the treatment methods become more difficult, so the doctor may recommend various surgical methods. Coagulation... But another method that a small percentage of sufferers need is hemorrhoidectomy surgery or traditional hemorrhoid removal.. Preparation ** Rectal bleeding can be caused by diseases such as colon cancer, anal cancer, or hemorrhoids, which should be diagnosed by a doctor.. The doctor diagnoses the disease by performing various examinations and the tests he prescribes.. So whenever the bleeding is accompanied by anal pain and severe muscle fatigue, or the color of the stool is necessary to see and see a stool, he changes it.. Excessive bleeding is considered an emergency to see a doctor.. You may be asked questions about how painful the symptoms are, diet, normal bowel habits and changes in them, family history of hemorrhoids and the presence He should ask for bleeding... he must have the correct knowledge in the field of diagnosis and recognition of anal diseases and be able to use the best and latest treatment methods in the field of treatment and have a good history.... Hemorrhoids?** Since hemorrhoids progress if not treated in the early stages and require more complex treatments, it is very important to use effective drugs in the treatment. In order to prevent the progression of the disease and remove swelling, there are drugs, mainly anti-hemorrhoid ointments, creams, and suppositories, which are prepared weekly without the need for a skin prescription. Moisture in the hemorrhoid area makes it easier to expel feces.... Some of these drugs may have side effects, for example, anti-hemorrhoid suppositories used in addition to headache, increased heart rate, headache, and increased blood pressure increase blood pressure. Kurd....Using natural apple cider vinegar can be effective to eliminate inflammation in the hemorrhoids area....Rutin is a substance that is found in oranges, grapefruit, cashews, cashews and homemade tea.. For hemorrhoids....Continuous and regular use of coconut oil in the swollen area can also cause the destruction of mountain elm. is. A plant called witch hazel, which has anti-inflammatory properties, is recommended to reduce swelling, itching and pain in hemorrhoids. It can be used for hemorrhoids, but you should be careful of sensitivity to this plant because some people are allergic to its gel.. One of the home remedies that reduce the pain and burning sensation of hemorrhoids is to use a warm water bath. muscle The anus rises and as a result defecation becomes easier... **Using laxatives in the treatment of hemorrhoids and its effects on the body** Laxatives are drugs that are prescribed by the doctor to treat hemorrhoids.. These drugs facilitate the process of emptying the intestines.. If you take too many of these drugs, the body is no longer able to respond to it and constipation occurs again.. Of course, it must be said that the body does not get used to all the nerves and only some of these drugs are laxatives. such as milk of magnesium and lactulose syrup, which do not form a habit... There are also laxatives that increase the volume of stools, among them herbal medicines such as mucilium and psyllium. It is not recommended to always use the same type of laxative medicine. The swelling is closed... With this operation, the doctor cuts off the blood flow to the vein and after about a week to ten days, the vein shrinks and falls.. The patient may not notice the hemorrhoids falling out because it usually happens with defecation... The bandage is closed on an outpatient basis.. The bandage has little pain that can be solved with painkillers... But this procedure may have unpleasant side effects such as bleeding a few days after the operation... **Injection or sclerotherapy** In this method of treating hemorrhoids, by injecting a chemical solution into the anal veins, the nerve endings of the neurons are numbed and the pain is greatly reduced.. In fact, this injection improves the pain by paralyzing the muscles of the body.... After a period of four to six weeks, hemorrhoids should not be done after heavy daily exercise.. Next day activities.... A little pain and bleeding after the injection is nothing to worry about. When the hemorrhoid disease is in an advanced stage and treatment with drugs and home methods is not possible, surgery is the only way.. According to the doctor, laser surgery can be used, which is one of the fast and definitive methods of hemorrhoid treatment and is clearly easier than traditional surgery.. Laser surgery does not require anesthesia and is performed on an outpatient basis and while asleep during the operation.. Laser therapy uses a special device that emits laser light. It burns and cuts off the blood supply to it.. Hemorrhoid treatment is becoming very common due to its many advantages.... The pain and bleeding after surgery in laser surgery is much less than traditional surgery.... Another advantage of this outpatient method is no need for anesthesia and internal dressing.... Faster start of the patient's activity after laser surgery is another advantage compared to traditional surgery.. The wounds caused by laser surgery are done much earlier than traditional surgery.... ### **hemorrhoidectomy or traditional hemorrhoid surgery** If the hemorrhoid is very large and does not return to its original state with conventional treatments, the surgeon removes the inflamed tissue with an operation that requires anesthesia or spinal anesthesia.. The recovery period in this surgery to remove the hemorrhoid is long and unpleasant, but this treatment method can be very effective. The patients experience after the operation are: difficulty in emptying the bladder, urinary infection, fecal incontinence, etc. This method of hemorrhoid surgery has different types.... In some cases, hemorrhoids, hemorrhoids, hemorrhoids, hemorrhoids, hemorrhoids, hemorrhoids are removed and remain in place. Use stitches or perform surgery with a stapler-like device called a stapler.... These surgeries require hospitalization after the operation, and the type of anesthesia or anesthesia is performed with the diagnosis of the anesthesiologist.... ### **Is there a possibility of recurrence and return of hemorrhoids?** The type of treatment of this disease can be effective in its recurrence... If the care instructions after surgery are followed correctly, the probability of the disease returning is greatly reduced... Observing tips such as changing the diet after surgery, especially traditional surgery, is very important in preventing the recurrence of the disease. With special and careful care after the operation, you don't have to worry about the recurrence of the disease anymore... Constipation after the operation, you must try to eliminate it so that the disease does not recur... It must be said that there is a recurrence of the disease, exercise and physical activities cause regular bowel movements and prevent constipation, so with the permission of the surgeon, you can do it after the operation... But heavy exercises such as weight lifting, which **you have to force yourself to do them again to increase the disease.. Will it prevent hemorrhoids?** If the stool is not always normal and hard, the possibility of hemorrhoids is greatly reduced. For this purpose, six to eight glasses of water or any other drink should be consumed daily, as well as a diet rich in fiber such as vegetables, fruits and whole grains. You must act quickly because if the bowel movements are lost, the feces remain in the intestine and dry, and the exit of hard feces may cause damage to the anal veins and cause hemorrhoids. Weight gain are the factors that cause hemorrhoids.. Standing and sitting for a long time in a fixed place, including the toilet, can put a lot of pressure on the anal veins and cause hemorrhoids, so standing and sitting for a long time in a fixed position should be avoided.... If the above-mentioned things are followed correctly, the occurrence of hemorrhoids can be largely prevented, and the occurrence of hemorrhoids should be largely avoided for performing heavy sports activities. strengthen By strengthening these muscles, the problems and disorders of the anus and reproductive system are reduced... By doing it, the consumption of painkillers is also reduced... ### **Prevalence rate of hemorrhoids in different people and ages** There are no clear and clear statistics of the prevalence of this disease, but it is one of the diseases that has a high prevalence.... Based on the prevalence of the disease according to age, although hemorrhoids may occur in childhood, i.e. 4 or 5 years old, it is more common in people over 50 years old. After the age of 50, there is a possibility of weakening the hemorrhoids due to the increased possibility of weakening the hemorrhoids. Its occurrence is very high in pregnant women.... People's weight is also effective in the occurrence of this disease, so that in obese and heavy people, the weight is more than in people who have a balanced weight... reaching the need for surgery... ### **hemorrhoid complications** In most cases, if the disease is mild and followed up with the appearance of the first symptoms, it does not have many complications... But if the treatment is not done on time, it may lead to unfortunate and irreparable complications... As a result of the bleeding that occurs in this disease, especially in its internal type, the possibility of anemia and iron deficiency in the patient is very high. slow.. vessels or damage to the rectal mucosa... Another very rare event that may occur during surgery is damage to the control nerves of the anal valve, leading to fecal incontinence.. Allergy to some topical drugs such as ointments is also a side effect of treatment that causes itching and redness.. Women... ### **Hemorrhoids during pregnancy and the problems caused by it?** During pregnancy, due to the enlargement of the uterus, the pelvic veins and the large inferior vena cava are under a lot of pressure. The inferior vena cava is one of the large veins on the right side of the body that returns blood from the lower body to the heart. It is common that this disease itself causes or aggravates the third hemorrhoid in triple hemorrhoids. have been There is a possibility of recurrence.... Women who strictly observe the treatment and prevention of constipation do not need serious treatment and get better in a short time after giving birth.... ### **What role does diet play in hemorrhoids?** Normally, people eat three meals a day and defecate once.. Depending on their diet, the stool can be dry and abnormal or soft and normal. Absorption of more water from them and as a result causes dry stools and constipation.. Constipation damages the anal wall over time and after continuous bleeding leads to growth and protrusion, which indicates the progress of the disease.. **What is the difference between fissure and hemorrhoids?** Many people think that hemorrhoids and fissures are both the same disease, while this is not the case and these two diseases are different... In addition to the appearance difference, these two diseases also have different signs and symptoms... Anal fissure is a wound that occurs in the anus and is caused by scratching or cracking. They experience that the main cause is the problem of defecation caused by the relaxation of the pelvic muscles during pregnancy.. It is different.. The presence of pain in hemorrhoids is often continuous, while fissure pain is very uncomfortable during defecation and to treat severe diseases and burning at home.. Remedies can be used.. Although treatment is easier in fissure disease. and refuses to go to the doctor.. In other words, it cannot be said that hemorrhoids become cancerous, but cancer manifests itself as hemorrhoids.. That is why it is necessary to pay attention to the symptoms that appear in order to prevent the possibility of cancer progression if possible.. Cancer and its control is faster.... It is possible for a patient to have hemorrhoids and cancer at the same time and it does not negate the presence of the other.... Some of the symptoms of these two diseases are similar, including bleeding that It is seen in both cancer and hemorrhoids... contents at a glance** Hemorrhoids disease is a common disease in women and men, especially over the age of 50, which in most cases can be easily treated with home remedies and simple medicines, and in a few cases, surgery is needed.... But the treatment should start from the very early stages of the disease so as not to lead to more problems.... He prevented this disease... **\*Gastroenterologist in Mashhad\***