Hemorrhoids or hemorrhoid is a disease or disorder where blood vessels to widen and swell shutters bearing more than it should so interfere with valve function.
Genetic factors [descent] is an important factor in hemorrhoids, but without any trigger factors, less likely to suffer from hemorrhoids.
In day-to-day activities, these factors trigger hemorrhoids include:
- Straining to defecate due to difficulty
- Too long time sitting or squatting in a small room
- Intra-abdominal pressure [for example pressure due to cough]
- Stress that causes muscle tension anal
- Fatigue that causes muscle tension anal
- Changes in hormones during pregnancy
- Pressure fetus during pregnancy
Symptom.
Hemorrhoids are not hurt and the pain is not the main symptoms of hemorrhoids. Therefore Hemorrhoids are often not realized by the sufferer.
The initial symptoms of Hemorrhoids are often overlooked include symptoms of itching around the anus, sometimes out of fluid from the anus, fresh bleeding from the anus when the chapter, sometimes out bumps while chapter .
Based on anatomical location, hemorrhoids can be divided into two [two] of hemorrhoids in [Hemorrhoid internal] and external hemorrhoids [Hemorrhoid externa].
Hemorrhoids in [Hemorrhoid internal] lies above the linea dentata which do not contain sensitive nerves so that pain is also almost non-existent.
External hemorrhoids [Hemorrhoid externa] situated on the mouth and anus is very sensitive area because there are many blood vessels are located here. In patients with external hemorrhoids, blood clotting occurs due to pushing too hard or diarrhea [defecate, defecation] or due to fatigue. Generally within 1-2 weeks, the swelling that occurs will be smaller. But the former swelling will not be able to return to normal. For pregnant women, can be found swelling of the plexus hemorrhoidalis externa.
4 The degree of severity of Hemorrhoids
In hemorrhoids in, there are four degrees of severity are:
Degrees 1: Swelling is still small and not visible from the outside. To know this swelling, the patient should diteropong. The most prominent symptom in patients with first-degree hemorrhoids is bleeding during bowel movement and no pain.
- Degree 2: Hemorrhoids defecate out of time but go straight back after they finish.
- Degree 3: Hemorrhoids long re-entry or must be assisted with a finger.
- Degree 4: Hemorrhoids are always out again although it can be inserted and not sick.
Treatment.
Basically, as long as patients are not bothered by the symptoms or problems they experienced the special treatment is not necessary. However, if the Persistent bleeding during defecation, the action must be done to stop the bleeding. Another indication of the need for treatment of hemorrhoids is when patients feel disturbed in carrying out daily activities. For first-degree hemorrhoids, conservative treatment such as drug taking, ointment, suppository can still be done. Besides lifestyle changes such as the consumption of fiber foods, lots of water consumption and mild exercise [at patients who often sat] is also recommended. These changes are intended to be a current chapter and faeces [excrement] is not hard.
In second-degree hemorrhoids, conservative treatment usually does not give a satisfactory result. For second-degree hemorrhoids cure the non-operative measures necessary in order to reduce hemorrhoids. Several alternative non-operative measures among others, binding with a special rubber [rubber band ligation], injections, Infra Red coagulation [IRC], Doppler Guided Hemorrhoidal Artery Ligation [DGHAL]. Overall non-operative measures can be conducted so as not to require outpatient treatment in a hospital inpatient.
While in the third and fourth degree hemorrhoids, best treatment is by way of operation. For hemorrhoids that are in one part, as an alternative, second-degree hemorrhoids sometimes actions can still be performed even in some cases must be executed in stages. To ensure the best treatment will be done in consultation with your doctor. Type of operations performed to solve hemorrhoids grade 3 and 4 are operating manually, by cutting and sewing the edge of incision and operating with PPH [Procedure for Hemorrhoids Prolapsing] where the hemorrhoids are cut and sewn together with a special instrument [Staple]. In the PPH operation with much reduced pain but the loss is the price is relatively expensive. The end result of both types of operations are the same.
Prevention.
To prevent possible recurrence of hemorrhoids, it is advisable to change lifestyles with the consumption of fibrous foods, drink plenty of water, avoid foods that stimulate [spicy, containing yeast, containing alcohol, etc.], do not push too much and exercise in patients whose job requires for a lot of sitting and doing the chapter if there is urgency for the chapter
Hemorrhoids and Cancer.
Symptoms of hemorrhoids and cancer are sometimes almost identical. However, the piles will never become cancerous. For that thing to watch out for is if there is bleeding in the rectum. Consult a doctor to find out the source of bleeding that can be treated as early as possible.
