Definition :
Hemorrhoids (hemorrhoids) is swelling of the tissue containing veins (veins) and is located in the wall of the rectum and anus. The anus is a hole at the end of the digestive tract where waste (feces, dirt) out of the body. The rectum is part of the gastrointestinal tract above the anus, where stool is stored before it is excreted through the anus. Hemorrhoids may become inflamed, causing blood clots (thrombus), bleeding or will enlarge and bulge out. Hemorrhoids that remain in the rectum are called internal hemorrhoids (hemorrhoids) and hemorrhoid is out of the anus are called external hemorrhoids (external hemorrhoids).
Cause :
Hemorrhoids can occur due to repeated stretching during bowel movements and constipation (difficulty in bowel movements, constipation) can make peregangannya worse. Liver disease causes an increase in blood pressure in the portal vein and sometimes causes the formation of hemorrhoids.
Symptoms :
Hemorrhoids can bleed, especially after a bowel movement, so the stool contains blood or there was blood on the towel / bathroom tissue. His blood can make the toilet water turned red. But the amount of blood is usually a bit and hemorrhoids rarely cause severe blood loss or anemia. Protruding hemorrhoid may need to be re-entered by hand slowly or it could be entry by itself.
Hemorrhoids may swell and become painful when the surface is exposed to friction or if the blood clot formed therein. Sometimes hemorrhoids can remove the mucus and cause a feeling that there is not yet released the contents of the rectum. Itching in the anus (pruritus ani) are not symptoms of hemorrhoids. The itching can occur because it is difficult to maintain cleanliness in the area that feels this pain.
Diagnosis
Diagnosis of hemorrhoids are swollen and painful established based on examination results in the anus and rectum. For a more serious condition, such as tumors, can be assisted with anoscopy and sigmoidoscopy examination.
Treatment :
Usually, hemorrhoids do not require treatment unless it causes symptoms. Medicine or a stool softener can reduce constipation psilium and stretching that accompanies it. Injection sclerotherapy penderit given to bleeding hemorrhoids. With this injection, the vein is replaced by scar tissue.
Hemorrhoids are large and do not react to injection sclerotherapy, tied with rubber bands. This way, the so-called rubber band ligation, causes a hemorrhoid to wither and drop out without pain. The treatment is performed with an interval of 2 weeks or more. It may take 3-6 treatments. Hemorrhoids can also be destroyed using a laser (laser destruction), infrared light (infrared photocoagulation) or with an electric current (electrocoagulation). Surgery may be used when other treatments fail.
When the hemorrhoid with a blood clot causes pain, it can be treated by:- Sat soaking in warm water- Local anesthetic ointments- Compression with a hazelnut.
Pain and swelling will usually decrease a few moments later, and the clot disappeared after 4-6 weeks. Another option is to cut the vein and remove the clot, which would immediately reduce the pain
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