Hemorrhoids, also known as hemorrhoids or yeast; It is a common disease characterized by sagging and squeezing bleeding of the pillows in the anal canal. Its main cause is prolonged constipation. It also has a hereditary (familial) feature. It is thought that the main reason is the mistakes in defecation (great ablution) habits and straining.
Mistakes frequently expressed by hemorrhoid patients:
Forcing oneself to defecate at an unnatural time and rhythm
Facing the craving for first and natural ejaculation in the morning
Forcing a full ejaculation for a long time and straining can be listed as …
Hemorrhoids are a very common disease in the community.
There are 2 types, internal hemorrhoids and external hemorrhoids.
Internal hemorrhoids are usually painless; External hemorrhoids are painful.
If the blood clots in an external hemorrhoid, “thrombosed hemorrhoids” occur and cause very severe pain.
The most common complaints are rectal bleeding, rectal nipple formation, sometimes discharge and itching.
Diagnosis is made by anal examination and rectoscopy (looking into the anal canal with a lighted device).
The best treatment for hemorrhoids is prevention.
Regular diet (wholegrain bread, plenty of fruit, vegetables and water)
Avoiding irritants (spices, alcohol, pickles)
Regular toilet habits
Do not strain too much
No heavy lifting…
It is necessary to pay attention to points such as: On the other hand, no significant relationship could be found between smoking, alcohol, excessive coffee consumption and obesity (obesity) with the development of hemorrhoidal disease.
As a result, the duty of the physician is to teach the patients the discipline of defecation and to get rid of the wrong habits, by supporting them with a diet with pulp when necessary.
In addition to these recommendations, stool softeners, local pain relief creams and sitz baths are the medical methods of hemorrhoid treatment. Diet and hot application are proven methods. In addition to these, although the relationship between pregnancy, heavy exercise, sitting and standing for a long time and the development of hemorrhoids is controversial, it is thought that these events may exacerbate hemorrhoid symptoms.
The accepted view about the fiber diet application is that the diet is necessary in the treatment of hemorrhoidal disease and contributes to the recovery, but it is supported by other treatment methods. That is, diet application alone is not the solution for the treatment of hemorrhoidal disease.
Other therapeutic modalities are “sclerotherapy” (needle drying), “band ligation” and surgery. The most appropriate method should be decided by the patient and the physician together.
Due to the fact that hemorrhoidal disease is an extremely common disease, spontaneous remissions (spontaneous recovery) can occur, its superficial nature and does not cause life-threatening results, every physician tries to treat this patient group within the available means.
It should be noted that rectal bleeding is an important complaint. As it can be a symptom of hemorrhoidal disease; It should be kept in mind that it may also be a symptom of life-threatening diseases, especially bowel cancer, or other diseases such as anal tear, and a physician should be consulted as soon as possible.
TREATMENT:
Do not use creams, suppositories, etc., based on hearsay information. These wrong and ineffective methods will make your treatment even more difficult.
Hemorrhoidal disease is an extremely easily and definitively treatable disease. For this, consult a proctology (anorectal diseases) unit and specialist physicians.
METHODS WE APPLIED IN THE TREATMENT OF HEMOROIDAL DISEASE
In the first stage, it is necessary to make a definitive diagnosis of the disease and to determine its stage. In order not to miss or exclude a more important pathology such as cancer or colitis underlying these symptoms, some endoscopic examinations are almost always mandatory.
After the diagnosis of hemorrhoidal disease is confirmed, the treatment to be applied depends on the stage of the disease. In most early-stage cases (stage 1-2); Some dietary recommendations, correction of defecation habits, some herbal supplements and/or some medications are treated.
Preoperative hemorrhoidal disease Hemorrhoidectomy with ultrasonic dissector
In more advanced stages (stage 2-3), some anoscopic interventions are applied to fix the sagging hemorrhoidal tissues and destroy the disease. These interventions are performed on an outpatient basis (without hospitalization), just like endoscopy. When desiccant injection (injection sclerotherapy), band ligation and infrared laser application methods are applied skillfully, the treatment success is high, they are completely painless and the necessity of surgery in many cases is excluded.
In very advanced cases (stage 4) and in the presence of combined internal and external hemorrhoids, surgical treatment may be required. We use some new technologies that have been developed in recent years, because this region surgery is painful. .
Success rate and patient comfort are extremely high after the operations performed using ultrasonic dissector or PPH stapler.
