1 Clinical picture of the disease

As with all other diseases, the earlier you can recognize hemorrhoids, the faster you will get rid of this juicy problem. To understand, that at you a hemorrhoids, it is possible on presence of feeling of a dyscomfort during a defecation. In a normal state, the patient may not feel itching and burning. Some patients experience pain in the anus and perineal region. Sometimes the pain increases with sitting and walking. A characteristic sign that the rectum is an inflammatory process is a feeling of constant burning and itching in the anus. Over time, there are bruises and impurities of blood in the feces. If the inflammation continues, then severe blood loss is possible. In the advanced stage of hemorrhoids, hemorrhoids fall out.

To determine the presence of hemorrhoids, you should answer positively to such questions:

1. you are constipated?
2. Do you need more than 5 minutes to empty your bowel?
3. Have you observed red marks on toilet paper after defecation?
4. When palpating, do you feel a compaction in the anus area?
5. Do you have a sense of a foreign object in the anal passage?
6. Are you prone to varicose veins?

It is with the above symptoms that hemorrhoids begin, of course, if a hemorrhoidal cone already appears, then the diagnosis will be obvious. In modern society there is a certain pattern - not to talk about such problems. It is for this reason that patients simply hesitate to seek help and begin treatment on their own. This should not be done, you can further worsen the situation, and without operational intervention you will not be able to manage.

2 Classification and characteristics of the disease

Hemorrhoids are a common disease, it affects 3 people out of 10. It is equally common in both men and women. Most people are susceptible to this disease, leading a sedentary and sedentary lifestyle. Weakening of the strength of the connection of the anal canal to its walls and loss of elasticity of the connective tissue in men occurs with age, and in women after childbirth. In this case, the hemorrhoidal nodes fall out. According to their appearance, the severity of the disease and the degree of its development are determined. There are 4 stages of hemorrhoids, each of them has certain symptoms, according to which informed patients and doctors understand the severity of this or that situation.

In the first stage, hemorrhoids do not cause significant discomfort, so it goes unnoticed and the patient does not consult a doctor. At the second stage, itching and burning sensations in the perineum are already felt. Blood appears in the feces. In the second stage, frequent constipation occurs, and you need to stiffen during defecation. The prolapse of hemorrhoids is not yet occurring, but the compaction in the anus is already taking place. During the lifting of the weight, the patient can feel a feeling of fullness in the gut and a desire to visit the toilet. Traces of blood can be found on the underwear at rest. It is important to note that the constant feeling of a foreign object in the anus can not be a hemorrhoids, but talking about the formation of a tumor, therefore it is important to undergo an examination as early as possible in order to exclude oncology.

In the third stage, hemorrhoids are already falling out. It is not difficult to notice them, because part of the rectum is coming out. At this stage, it is still amenable to manual adjustments, in what is the difference from the 4th stage. The feeling of pain becomes very strong, the patient can not sit evenly. Constant itching prevents you from concentrating and doing your usual things. Sometimes the patient may have fever. It is important to note that in addition to blood secretions in the feces, mucus may be present. This point already indicates that a pathological process develops in the direct or sympathetic one.

3 The danger of the fourth stage

The fourth stage is the heaviest and it can be treated only surgically. Drug medications to return the lump to the place is no longer possible, so you should immediately contact your doctor. In the fourth stage, severe blood loss can lead to anemia, fainting and frequent fever. The intensity of hemorrhage depends on the severity of the disease and the individual characteristics of the human body. It is known that hemorrhages intensify if the diet is disturbed. The inflammatory process in the anus can be complicated by necrosis, large swelling of the perineum and incontinence of the sphincter.

The peculiarity of hemorrhoids is that it is characterized by long-term remissions.

The patient can erroneously calculate that he has already recovered, but under the influence of certain factors, the hemorrhoidal lump will appear again.

Excrete and acute course of hemorrhoids, which is also divided into:

• thrombosis without inflammation;
• thrombosis with inflammation;
• thrombosis with inflammation of the subcutaneous tissue.

Thrombosis without inflammation is characteristic of chronic hemorrhoids, it manifests itself in the prolapse of hemorrhoids, which is not complicated by the inflammatory process. Patients may note a slight reddening in the anus, and the cone itself has a tight elastic consistency of a small size.

Thrombosis with inflammation is characterized by significant edema in the anus and strong redness. Cones are painful when touched. Acute pain and tingling is felt even when walking. With inflammation of the subcutaneous tissue, palpation of the hemorrhoidal nodes is impossible, because when touched, the pain is so strong that a person can lose consciousness. At visual inspection, purple bruises, severe puffiness, and cyanotic skin in some areas can be noted. At this stage of hemorrhoids, the doctor needs to hurry, because you can get a complication in the form of purulent pancreatitis and necrosis. With necrosis, the dropped hemorrhoidal nodes begin to turn black, and they need to be removed in a hospital. In no case should you try to direct yourself blue or already blackened cones. You can get blood poison if they burst.

4 Useful for diagnosis information

I would also like to mention the topic of anal fringe that can remain after hemorrhoids. These are small areas of the skin that remain outside after the hemorrhoid lump resolves. Previously, these pieces of skin were filled with blood, but due to proper treatment, the edema subsided, and the skin sagged, and it could not be fixed. Such a phenomenon does not carry any danger to man and is only a cosmetic defect. The patient can contact a plastic surgeon to remove it.

Often people who first encounter hemorrhoids, take these fimbriae for the hemorrhoids themselves. These skin processes are not painful and do not swell, so there is no point in treating them without special need. The only thing is the observance of the rules of personal hygiene, as feces may remain in the fringes, and if hygiene is not respected, the inflammatory process re-develops if an infection gets.

In a healthy active person, hemorrhoids develop extremely rarely. There is a certain category of people that is more susceptible to this disease. Among the factors provoking the development of hemorrhoids can be noted the following:

• smoking;
• alcohol abuse;
• obesity;
• lack of fiber in food;
• prolonged cough;
• diseases of the liver and gastrointestinal tract;
• hereditary factor;
• varicose veins.

It is a mistake to believe that hemorrhoids appear lightning fast, it can develop for several years. This point once again confirms the advisability of preventive medical examinations.

How to understand that you have hemorrhoids, now you know, and blush more, asking friends, do not have to. With the slightest symptoms, you can start treatment with folk methods or medications that are sold without a prescription in each pharmacy, but first visit the doctor!