This is an automatically translated article.
The article is professionally consulted by Master, Doctor Nguyen Thai Binh - Gastroenterologist - Department of General Surgery - Vinmec Ha Long International General Hospital. The doctor has more than 20 years of experience working in the specialty of abdominal surgery.Hemorrhoids are formed by dilating and bulging veins in the anus. External hemorrhoids are when the hemorrhoids are located outside the dentate line, whereas when the hemorrhoids are inside the dentate line, they are called internal hemorrhoids. People are divided into internal hemorrhoids mainly because each type of hemorrhoids has different treatment methods.
1. Signs to recognize hemorrhoids
Hemorrhoids are very common. Nearly three out of four adults will develop hemorrhoids from time to time. Sometimes they cause no symptoms, but sometimes they cause itching, discomfort, and bleeding. Signs and symptoms of hemorrhoids may include:Painless bleeding with bowel movements - a small amount of bright red blood may be seen on the toilet tissue or in the toilet bowl during defecation Itching or irritation anal area Pain, discomfort, swelling around the anus A lump near the anus, which can be sensitive or painful.
2. Hemorrhoids can be cured if detected and treated early
The cause of hemorrhoids is mostly due to increased abdominal pressure: chronic cough, chronic constipation, frequent diarrhea, sitting for a long time due to the nature of work, ... in addition, it can also be due to stress. or the venous plexus in the anorectal region is too dilated, causing hemorrhoids.
Patients with many risk factors, even though there are no symptoms of hemorrhoids, should also go for hemorrhoid screening for early detection and definitive treatment of hemorrhoids. Patients with symptoms of suspected hemorrhoids or hemorrhoids that have been detected must be examined and treated early because if left for a long time, it will be difficult to completely cure, the disease recurs or has many complications. Therefore, if detected early and treated promptly, hemorrhoids can be cured.
3. Treatment methods for hemorrhoids
Treatment methods for hemorrhoids include:The most commonly applied surgical methods and procedures: sclerotherapy, elastic band ligation, burning, hemorrhoidectomy, Longo surgery... External hemorrhoids surgery to remove hemorrhoids. The surgical method of hemorrhoidectomy follows certain principles such as removing each hemorrhoid along with the upper mucosal skin, preserving the underlying internal sphincter. After cutting, the wound edges can be sutured closed or left open. The suture closes vertically for small hemorrhoids and for large hemorrhoids or ring hemorrhoids, the suture is closed horizontally.
Medical treatments: People often use ointments or ointments to apply to the affected area with local effects. These drugs have active ingredients to relieve pain, reduce itching, antiseptic, and anti-inflammatory, but only alleviate the symptoms, not completely treat the cause.
Ligation of hemorrhoids with elastic band: Using a rubber ring, insert into the neck of the hemorrhoid, tighten it so that blood does not reach the hemorrhoid, the hemorrhoid will atrophy and fall off by itself.
Hemorrhoid sclerotherapy: Currently, the method of sclerotherapy for hemorrhoids is performed by many medical facilities across the country with different drugs and sclerotherapy techniques. However, for severe internal hemorrhoids and mucosal prolapse, external hemorrhoids or mixed hemorrhoids, ring hemorrhoids, because of fear of patients suffering from injection pain or having other complications such as bleeding after injection, prolapsed hemorrhoids should not be indicated. determined. Usually indicated to use ligation, cutting or surgical methods, but from each method, there may be different inadequacies.
The treatment method for hemorrhoids injection is simple, safe and almost no complications. Avoiding the patient's pain, blood loss and hospital stay, and especially not having to take time off work during the treatment period and not having to face the complications that the cutting and surgical methods often bring.
Hemorrhoidectomy: For severe hemorrhoids grade III, IV. People use surgical methods to remove hemorrhoids. Famous and popular is the Milligan-Morgan method at St-Mark's Hospital (UK), in which the hemorrhoid is cut and the stalk is sutured. If the hemorrhoid is ring, the extra hemorrhoid must be cut, but it must be cut under the mucosa to avoid anal narrowing later.
Or method Ferguson, Mazier etc. Surgical treatment is the most thorough, highly effective and less recurrent method. Surgery can cure all types of hemorrhoids, but the anus concentrates a lot of nerves, so hemorrhoid surgery is very painful.
Phẫu thuật cắt trĩ là lựa chọn điều trị triệt để đối với trĩ ngoại hoặc trĩ độ III, IV
4. Screening and treatment of hemorrhoids in Vinmec?
Currently, Vinmec International General Hospital deploys the Hemorrhoid Examination and Diagnosis Package. When using the hemorrhoid examination and diagnosis package, customers will be examined, endoscopy, ... to detect the disease and give appropriate treatment.Target users: Customers of all ages with more or less risk factors for disease such as:
Standing a lot, sitting for a long time, sedentary due to the nature of work Chronic constipation, having to strain when having a bowel Many People who are in the process of having diarrhea can make the condition worse. Patients with other diseases such as irritable bowel syndrome, increased intra-abdominal pressure, anorectal tumors and surrounding areas are also at risk for hemorrhoids. Pregnant and postpartum women The package of examination and diagnosis of hemorrhoids has a full range of services such as: Examination and consultation with a specialist in Gastroenterology; anorectal endoscopy with rigid bronchoscope; Anal recording. Hemorrhoids with many different types and in different degrees. Therefore, early detection and treatment can be very effective.
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