Hemorrhoids. OHHHH it Burns Mike Parenteau. Soooo Angry. Pathophysiology. Hemorrhoids are varicosities (dilated veins) that may occur outside the anal sphincter. Can be external or internal Most common health problem in humans. Seen in ages 20 to 50 years old. Etiology Factors.
OHHHH it Burns
Untreated internal hemorrhoids can lead to two severe forms of hemorrhoids: prolapsed and strangulated hemorrhoids.
There is no medicine that will cure hemorrhoids, but local treatments such as warm sitz baths, using a bidet, extendable showerhead, cold compress, or topical analgesic (such as Nupercainal), can provide temporary relief. Consistent use of medicated creams (such as Anusol) during the early stages of a hemorrhoid flare-up will also provide relief and may stave off further development and irritation. Keep the area clean and dry, with some lubrication provided by hemorrhoidal creams. Suppositories are of little help since all of the symptoms come from the external tissues and not in the rectum where the suppository is placed.
Stapled Hemorrhoidectomy: Also called the procedure for prolapse and hemorrhoids, it is designed to resect soft tissue proximal to the dentate line, which disrupts the blood flow to the hemorrhoids. It is generally less painful than complete removal of hemorrhoids and also allows for faster recovery times. It's meant for hemorrhoids that fall out or bleed and is not helpful for painful outside conditions.
Enema: This Practice is only used to clean the rectum in some cases and only done by an M.D. Water is injected into the rectum and then flushed out cleaning the area.
Doppler Guided Hemorrhoidal Artery Ligation : The only evidence based surgery for all grades of hemorrhoids. It does not involve cutting tissues or even a stay at the hospital; patients are usually back to work on the same day. Best treatment for bleeding piles, as the bleeding stops immediately.
Rubber band ligation