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Almost everyone suffers from hemorrhoids at some time in their lives. The symptoms of this disease include bleeding, prolapsing tissues, fullness after defecation, and pain. Bleeding through the anus 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. Internal hemorrhoids arise above this line so they can be treated without anesthesia. External hemorrhoids develop below the dentate line and are exquisitely sensitive. Little preparation is needed for the treatment of internal hemorrhoids but an enema will make them easier to see as well as make the procedure more aesthetically acceptable. Hemorrhoids are graded by the degree of prolapse and this grading determines the most appropriate method of treatment. First degree hemorrhoids are not usually visible externally; 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 include the following: infrared coagulation, radiofrequency coagulation, direct current coagulation, rubber band ligation, sclerotherapy and cryosurgery. Major surgery in the form of hemorrhoidectomy is generally reserved for advanced fourth degree hemorrhoids. The following simple surgical procedures can be used to treat internal piles: 1-Sclerotherapy: It can be used to treat only first and second degree lesions but it is not popular in the United States mainly because of the frequency and severity of complications. There are also some technical difficulties that are involved in the proper placement of the sclerosant; it has been reported that some patients have become permanently impotent after using sclerotherapy for their hemorrhoids. 2-Cryotherapy: This procedure is hardly 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 often 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 hemorrhoids. The bands are easy to apply but the treatment can cause severe pain if the bands are placed too low. There is also a small risk of perineal sepsis which is rarely ever fatal. 4-Infrared coagulation: The infrared coagulator is gaining rapid acceptance for outpatient treatment of first and second degree internal hemorrhoids and some third degree ones. A special bulb provides high intensity infrared light that coagulates vessels and tethers the mucosa to the subcutaneous tissues. Generally only one section of the hemorrhoids is treated per visit. Patients generally have two to four areas that need treatment and so they have to return several times at monthly intervals until all have been controlled. Infrared coagulation is quick (10-15 minutes per visit), effective, painless, and patients can return to work immediately or at most by the next day. Eighty percent 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. So, you are invited to http://hemorrhoids-solution.blogspot.com to discover the best kind of hemorrhoid diets to keep your stools soft and free from constipation.
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internal hemorrhoids, Rubber band ligation, hemorrhoidectomy, internal piles,
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