4 Simple Treatments For Internal Haemorrhoids

4 Simple Treatments For Internal Haemorrhoids

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Almost everyone suffers from haemorrhoids at some time in their lives. The symptoms include bleeding, prolapsing tissue, fullness after defecation, and pain. Bleeding can mimic or mask the diagnosis of cancer and must be thoroughly evaluated.

Internal hemorrhoids can be treated by mainly natural methods and simple outpatient surgeries. The main reason why outpatient minor surgeries can be used to treat internal piles is because there are no sensory nerve fibres above the dentate (pectinate) line in the anus, which is at the squamomucosal junction. Internal haemorrhoids arise above this line, so they can be treated without an anaesthetic.

External haemorrhoids develop below the dentate line and are exquisitely sensitive. Little preparation is needed for the treatment of internal haemorrhoids, but an enema will make them easier to see as well as making the procedure more aesthetically acceptable.

Haemorrhoids are graded by the degree of prolapse, and this grading determines the most appropriate methods of treatment. First degree haemorrhoids are merely visible vessels, second degree lesions prolapse with defecation but return spontaneously, third degree lesions prolapse and require manual replacement, and fourth degree lesions remain prolapsed out of the anal canal despite attempts to reduce them.

Simple outpatient minor surgical procedures that are used to treat internal hemorrhoids includes the following: infrared coagulation, radiofrequency coagulation, direct current coagulation, rubber band ligation, sclerotherapy, cryosurgery.

Scalpel major surgery in the form of hemorrhoidectomy is generally reserved for advanced fourth degree haemorrhoids.

1-Sclerotherapy: It is usually indicated only in first and second degree lesions but it is not popular in the United States mainly because of the frequency and severity of complications and the technical difficulties of proper placement of the sclerosant. Some patients have been reported to have become permanently impotent after sclerotherapy for their haemorrhoids.

2-Cryotherapy: This is little used nowadays because it causes profuse and prolonged discharge, it also leads to the development of complications such as excessive sloughing and sphincter injury, the outcome of the procedure also leads to poor results.

3-Rubber band ligation: The least expensive and possibly the most widely used equipment is a rubber band ligator. This is suitable for first to third degree haemorrhoids. The bands are easy to apply, but the treatment can cause severe pain if the bands are placed too low, and there is a small risk of perineal sepsis, which can, very rarely, be fatal.

4-The infrared coagulator is gaining rapid acceptance for outpatient treatment of internal first and second degree haemorrhoids and some third degree ones. A special bulb provides high intensity infrared light that coagulates vessels and tethers the mucosa to subcutaneous tissues. Generally only one section of the haemorrhoids is treated per visit. Patients generally have two to four areas that need treatment and so have to return several times at monthly intervals until all have been controlled.

Infrared coagulation is quick (10-15 minutes a visit), effective, and painless, and patients can return to work immediately or the next day. Eighty per cent of patients treated by this method are reported to be free of symptoms at three months.

Whatever treatment is used, postoperative management is the same, you might need to be on non-steroidal anti-inflammatory pain relieving drugs to control any discomfort and more importantly you will need to be placed on high fiber hemorrhoid diet to keep your stools soft and free from constipation.


About the Author:
So you are invited to www.hemroidsolution.blogspot.com to discover the best kind of hemorrhoid diets to keep your stools soft and free from constipation. Finally, click here
to discover how you can treat hemorrhoids without surgery.



Article Originally Published On: http://www.articlesnatch.com


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