Hemorrhoids (piles) are vascular structures in the anal canal. Hemorrhoids are classified as two types:
Internal hemorrhoids - these are located inside the anus usually present with painless bright red rectal bleeding.
External hemorrhoids- these are found outside the anus and cause lumps to protrude through the anus. The symptoms are painful sensations and swelling in the anal area.
There are many ways to remove hemorrhoids depending on the your doctor's approach. The 2 most common ones are; hemorrhoidectomies and hemorrhoid stapling. A hemorrhoidectomy is the most effective and complete way to treat severe or recurring hemorrhoids. Most people have some pain after the procedure, which medications can relieve. Soaking in a warm bath also might help.
A hemorrhoidectomy is usually performed as a definitive cure for patients with hemorrhoids that wish to have them removed.
A hemorrhoidectoy is the most definitive cure for hemorrhoids. -Main benefits include relief of pain, bleeding, discharge, and itching.
Complications can include temporary difficulty emptying your bladder, which can result in urinary tract infections. This complication occurs mainly after spinal anesthesia.
A hemorrhoidectomy is typically done in a doctor's office, clinic, or surgical center. You may receive either a local anesthesia, a spinal block, or general anesthesia. There are different ways to perform the procedure, depending on your condition. In a typical hemorrhoidectomy, a surgeon makes small incisions around the hemorrhoids. A knife, scissors, or cautery pencil (a high-heat instrument) is then used to remove the hemorrhoids. Sometimes, it's possible to staple a hemorrhoid or put a rubber band around it to block its blood flow. This causes the hemorrhoid to shrink.
You may need to stop taking drugs such as aspirin, Advil (ibuprofen), Aleve (naproxen), oral anticoagulants such as Coumadin (warfarin), Eliquis (apixaban), and Xarelto (rivaroxaban), or Plavix (clopidogrel bisulfate) several days before your procedure. Also, let your doctor know if you smoke before having a hemorrhoidectomy. Smoking can make it harder for your body to heal. You may be told not to eat or drink anything for 6 to 12 hours before the procedure.
You'll probably be able to go home the same day as your procedure. It is recommended that you someone else drive you home. Pain after hemorrhoid surgery is common. Your doctor will prescribe you some medication to help relieve discomfort. Your doctor may also recommend that you take a sitz bath, which involves sitting in a shallow bath of warm water for 15 to 20 minutes. This helps keep the area clean and increases blood flow to the region. Ask your doctor how often you should do this. Complete recovery usually takes about two weeks. After the procedure, you should try to make diet and lifestyle changes so that your hemorrhoids don't return. These may include: -Consuming a diet rich in fiber -Drinking more water -Avoiding straining during a bowel movement -Exercising often -Avoiding long periods of sitting
Potential risks of a hemorrhoidectomy include:
-Problems passing urine due to pain
What's the difference between internal and external hemorrhoids?
1. Internal hemorrhoids are those that are quite up the rectum that you can't usually see or feel them. They don't generally hurt because you have few pain-sensing nerves there. Symptoms of internal hemorrhoids include: -Blood with feces, on toilet paper after you wipe, or in the toilet bowl -Tissue that bulges outside your anal opening (prolapse). This may hurt, often when you defecate. You might be able to see prolapsed hemorrhoids as moist bumps that are pinker than the surrounding area. These usually go back inside on their own. Even if they don't, they can often be gently pushed back into place.
2. External hemorrhoids can be found under the skin around the anus. External hemorrhoids are painful because there are many pain-sensing nerves around there. Symptoms of external hemorrhoids include; pain, bleeding, swelling and itching.
How are internal hemorrhoids diagnosed?
There are several ways for the doctor to diagnose internal hemorrhoids, these include the following: -Anoscopy - Your doctor uses a short plastic tube called an anoscope to look into your anal canal. -Sigmoidoscopy -Your doctor looks into your lower colon with a flexible lighted tube called a sigmoidoscope. They can also use the tube to take a bit of tissue for tests. -Colonoscopy - Your doctor looks at all of your large intestine with a long, flexible tube called a colonoscope. They can also take tissue samples or treat other problems they find.
What are some non-surgical methods that can be used to treat hemorroids?
Increasing the amount of fiber in your diet from fruits, vegetables and grains has been shown to reduce the onset of hemorroids. Warm sitz baths for 20-30 minutes a day will also make you feel better. The doctor will also prescribe you some medication to help with the pain.