Many people perceive hemorrhoids as a delicate disease, which is not customary to talk about. Many who have experienced this disease do not even know which doctor heals hemorrhoids. People postpone the visit to the doctor and instead begin to engage in self-medication. Today it is enough to go to any pharmacy and ask for any remedy for hemorrhoids, you will be offered a variety of drugs in a different price segment. The Internet is also full of articles about the treatment of this delicate disease at home. However, doctors do not recommend self-treatment, only an expert will put an accurate diagnosis and prescribe a therapy.
At the first complaints in the anal area, you should contact the hospital. In this case, a very timely question arises, which doctor treats hemorrhoids? All diseases associated with the rectum are treated by a proctologist or coloproctologist, everything is curled from a medical institution. The proctologist specializes in diseases associated with the rectum, and hemorrhoids are just in his specialization. The coloproctologist is a narrower specialization, and, as a rule, he is not in the district polyclinics. The coloproctologist differs from the proctologist in that his duties include the treatment of all diseases of the large intestine, and the functional duties of the proctologist include only the rectum. In small communities where the position of the proctologist is not available, the patient with such complaints should contact the following doctors:
- To the district therapist if the disease is chronic;
- Surgeon if there is an acute form of hemorrhoids;
- To the phlebologist. One of the causes of hemorrhoids is venous expansion of the veins of the large intestine;
- To the nutritionist. Correctly selected diet will avoid problems with stool, and this is an important factor in the treatment of rectum disease.
Preparation for examination with the proctologist
After the problem is solved, to which doctor to go, it is necessary to prepare for the reception of the proctologist. The time can not be stretched in this case, the earlier the diagnosis is carried out, the sooner the cure will come. It is necessary to prepare for the fact that the doctor will conduct an examination. Therefore, the day before the doctor's visit, you need to revise your diet, in the evening and early in the morning you need to empty the intestine. It is best to do this with enema.
At the reception, the attending physician will ask a few questions about the diet, the nature of the work, how often the patient engages in sports, about the presence of bad habits. Also for the doctor it will be useful to find information about relatives suffering from varicose veins. A direct examination should not be feared, the doctor will not cause any pain.
As noted by proctologists with many years of experience, patients with an acute form of the disease, especially during the period of exacerbation, most often come to the reception. It is more difficult to treat and diagnose in this case. This is due to the fact that examination with additional tools is impossible, they can cause pain and harm the rectum. Many patients, after eliminating the symptoms of exacerbation, do not rush to re-admission to the doctor, thereby transferring their disease to the category of chronic ones.
Causes of hemorrhoids
Most people, not knowing to which doctor to treat hemorrhoids, delay the first treatment to the doctor until the disease begins to cause great discomfort. The first signals for a visit to the doctor are:
- Discomfort in the anal region. Initially, unpleasant sensations appear only when you visit the toilet, and as the disease progresses, discomfort is present all the time. It seems to a person the presence of a foreign body in the rectum, it is concerned with the constant itching. After some time, unpleasant symptoms can disappear, and the patient seems to have disappeared by itself. However, this is not so, after a while the symptoms return in an already more complicated form. If you immediately contact a doctor who treats hemorrhoids with such complaints, the disease can be defeated as soon as possible.
- Bleeding. These are more serious symptoms of the disease. Blood usually appears after defecation. To exclude the presence of other diseases of the rectum( the appearance of a malignant tumor, ulcers, etc.), it is necessary to visit the proctologist.
- Continuous pain in the sphincter area. With acute form of hemorrhoids, on the rectum there is swelling and inflammation. Pain occurs when sitting on a chair, after lifting weights.
The occurrence of hemorrhoids most often occurs by exposure to the following causes:
- Frequent constipation. In the event of this problem, you should pay attention to the diet, the amount of clean water used;
- Pregnancy, childbirth becomes a frequent cause of hemorrhoids;
- Sedentary work, sedentary lifestyle. Stagnation of blood in the lower part of the trunk can provoke the appearance of hemorrhoids. A small gymnastics in the middle of the working day will be a good prevention for the onset of the disease;
- Large physical exertion, weight lifting badly affects the condition of the large intestine.
Every person has signs of hemorrhoids that are strictly individual, so do not look for your symptoms on the Internet and medical references, but it is better to see a doctor.
Treatment
Proctologist treats hemorrhoids in men and women using the same methods. Despite the fact that the disease in the representatives of both sexes can appear for various reasons, the methods of therapy depend on the stage of the disease.
After the examination of the patient, the proctologist appoints a course of treatment. If the disease is at an early stage, conservative treatment is used. It includes the use of phlebotonics, which are aimed at increasing the tone of the vein of the rectum. After taking these drugs, blood flow on the damaged tissues improves. All kinds of candles and ointment can remove inflammation, eliminate pain syndrome.
As practice shows, drug treatment only removes the symptoms of the disease and brings short-lived relief. To defeat the disease completely, it is necessary to act on the hemorrhoids until they atrophy. This can be done with the help of physiotherapy, sclerosing drugs, etc.
Unlike European countries, where about 20% of surgical intervention with hemorrhoids occurs, more than 70% of patients in our country undergo surgical treatment. In specialized clinics this operation is put on stream.
The operation is prescribed in the case of unceasing hemorrhoidal bleeding and frequent prolapsus of nodes. The beginning of the rectum is a very sensitive area, so after a patient's operation, the seams are disturbed for some time. Surgical intervention is carried out by the Longo method, in which the part of the intestine with the hemorrhoidal veins is removed. After the operation, the repeated occurrence of hemorrhoids is extremely rare. The operation can be performed using a surgical scalpel, laser or electrocoagulation. The choice of intervention depends on the availability of equipment in the hospital and the financial situation of the patient.
