1 The essence of the problem
At its core, hemorrhoids are the inflammation of the hemorrhoidal veins in the end part of the rectum in the immediate vicinity of the anus. This inflammation forms a swelling in the form of a pouch( a hemorrhoidal node) from the distended stenotic tissues of the vessels. Bloating is formed when the weak sections of the venous wall expand under the influence of an increased blood supply, most often as a result of thrombosis or spasm.
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In a normal( latent) state, these pouches form an empty folded contents. However, when certain factors influence, blood stasis occurs in the vein. The blood mass fills the hemorrhoidal sac, and creates in it an excessive internal pressure. This period characterizes the exacerbation of hemorrhoids, bloating begins to increase in size under the influence of internal pressure, closing the lumen of the rectum.
There are 2 main types of hemorrhoidal manifestations: internal hemorrhoids due to swelling located in the depth of the rectum, and an external type, in which the sac is located directly in the anus, comes to the surface and is visually visible.
During stool, the stool mass meets on its way an obstacle in the form of a hemorrhoidal node. To ensure the progress of the stool, strained defecation is performed, and the feces receive an additional mechanical impulse. Moving past the swelling, he carries it along with him, which sometimes causes a phenomenon when the internal hemorrhoids fall out through the anus. This phenomenon was called prolapse. In addition, contact with the shell of the bag is damaged, which causes bleeding of varying intensity. Hemorrhoids cause bleeding without defecation, when a pressure sufficient to damage the membrane is created inside.
The most characteristic symptoms of hemorrhoids: sensation of a foreign object at the end of the rectum, itching in the anus, pain syndrome during defecation, small blood markings on toilet paper( at the initial stage of the disease).If the necessary measures are not taken, the symptoms become more serious, namely, blistering, bleeding( with bleeding not only during defecation), pain syndrome, manifested during defecation and walking, physical exertion, redness and symptomsinflammatory process.
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2 Pathology
Pathology proceeds without significant blood release only at the initial stage. Blood signs in this period are noted only on toilet paper or in the form of small blood veins in the hard stool. Guilt becomes strained stool( especially with constipation), in which feces cause minor mechanical damage to the hemorrhoids. Spontaneous bleeding with hemorrhoids in the initial stage does not occur.
The progression of the disease and the transition to chronic course changes the clinical picture. Prolonged process causes thrombosis and stagnant phenomena in the blood vessels, external and internal hemorrhoids intensify, the nodes increase in size and are in a swollen state. In such conditions, hemorrhoids are already being intensified. The following are the main causes of bleeding:
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- Venous thrombosis. There is an excessive pressure in the nodes as a result of a large supply of blood, which even with small physical exertion leads to ruptures of the thin stenotic tissues, and blood flows from the sac until the pressure decreases.
- During defecation a dense fecal mass damages the inflamed internal formations and leads to bleeding.
- In the process of prolapse of hemorrhoids, they are clamped with a sphincter, and the blood mass breaks out of the cavity.
- The use of aggressive products. Alcohol, spicy food, toxins, other aggressive components, getting into the stagnant area, corrode the tissues of the shell, which leads to the breakthrough of the blood mass, which is under the influence of internal pressure.
- Drinking alcohol. Bleeding during hemorrhoids is markedly increased during defecation after excessive intake of alcohol on the eve.
3 Symptoms of
In the initial phase of development of pathology, small blood extractions in themselves do not pose a risk to human health, but are a characteristic feature of hemorrhoids, which must be started to be treated in a timely manner. At this stage, the question of the method of treating the disease does not cause great difficulties.
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The problem in which bleeding and loss is a constant phenomenon is much more difficult to solve. If the hemorrhoids hemorrhoids to an intensive degree, then the solution will have to be looked for quickly. It is generally believed that the loss of blood in the volume of more than 50 ml per day the human body is not able to compensate without the risk of pathologies. There is a high probability of anemia. When anemic lesions manifest such symptoms as general weakness, pale skin, dizziness. A large and prolonged loss of blood in combination with an inflammatory process can produce paraproctitis and fistula of the rectum.
4 Treatment of
Questions about how to treat hemorrhoids with blood, what to do if this happens should always be agreed with your doctor. Treatment of internal hemorrhoids with bleeding depends on its intensity, duration and frequency of manifestation. The most acute question is when the blood flows and does not stop, and there was a prolapse. In this case, you need to call a doctor and provide first aid for stopping the blood. In the chronic course of the disease, bleeding is treated conservatively. In extreme cases, when the blood does not stop, and prolapse is not corrected, surgical intervention is performed.
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5 First aid
What if the hemorrhoids are covered? With a significant rupture of the hemorrhoids, severe bleeding occurs. Prior to the arrival of a doctor, first aid should be provided to stop the blood flow and stabilize a person's condition.
Emergency measures include the setting of an ice pack, the introduction of haemostatic drugs and the use of local hemostatics.
The aim of cold exposure is to rapidly narrow the blood vessel, reduce the permeability of the vessel walls and reduce the pain syndrome by reducing the sensitivity of the pain receptor. The most simple compress is a bandage, folded in several layers and moistened with cold water. Even better, if there is a ready-made broth or infusion of medicinal plants in the refrigerator( oak bark, calendula, chemist's chamomile).Such formulations( in addition to the hemostatic effect) will also provide anti-inflammatory effects.
In case the internal hemorrhoids are destroyed, it is necessary to use an ice candle. It is made as follows. The paper cylinder is curled, it is filled with water and placed in the freezer. The greatest effect is achieved by freezing not just water, but a medicinal broth. When using an internal ice pack, use caution in the presence of kidney or bladder disease. It should be remembered that when exposed to cold, they can become aggravated.
Cold therapy should be fixed with hemostatic drugs of systemic action. Most often, drugs are taken in the form of tablets, but with severe manifestations of pathology, intramuscular or intravenous injection is recommended. The most common drugs are Etamsilate, Dicinon, Vikasol.
After the first stages of treatment, it is recommended to apply local hemostatics, which will eliminate the risk of recurrence of bleeding. One of the most effective local remedies of this nature is the haemostatic collagen sponge. The standard sponge has the form of a porous plate impregnated with furacilin and boric acid. It is gently inserted into the lumen of the rectum and left there. Gradually, it dissolves itself. In the absence of a sponge, anti-inflammatory ointments Venobene, Troxevasin, Levomekol, heparin ointment or Vishnevsky ointment are applied.
6 Chronic form
In case of chronic hemorrhoids with small bleeding, do not let the disease run its course and cause extreme aggravation. Treatment of chronic forms is carried out with the help of rectal suppositories with internal swelling and ointments with external type of disease. Widespread use of funds based on natural medicinal compounds, for example, candles based on propolis, homeopathic candles made from natural ingredients( for example, tea tree oil) with a healing effect, methyluracil suppositories against inflammation, Procto-Glivenol with the action directly on the vessels to restore themtissues.
Detrale is recommended against stagnant processes and for vascular strengthening. This medicine, after ingestion, quickly resolves, and the presence of such components as diosmin and hesperidin normalizes the metabolic process. To treat the acute stage of the disease is also prescribed drug Troxevasin, which anesthetizes, relieves itching, eliminates bleeding with hemorrhoids. Healing effect is achieved by using sea buckthorn oil and candles on its basis. Perfectly proven candles Aurobin with D-panthenol in its composition.
7 Food Optimization
In the treatment of acute and chronic hemorrhoids, an important role is played by the diet. The diet provides for the exclusion of the following products: pasta from high-grade flour, black bread, a row of cereals( rice, oatmeal, semolina, sago), baked goods, sorrel, legumes, sweets( including chocolate), fresh milk, spices,kissel, spicy seasonings, marinades, alcohol, strong coffee.
In the menu you can include a non-tight meat broth, scrambled eggs, porridges on the water with a low oil content, boiled meat, rusks( up to 3-4 pieces per day).It is important to provide a plentiful drink, it is best to use sweetened tea( up to 1.5 liters per day), tincture of Senna, licorice or yarrow( overnight), boiled water in increased volume.
Bleeding during hemorrhoidal exacerbation can be a very dangerous pathology. With abundant blood allocation, emergency measures must be taken. In case of chronic small discharge, the disease should not be started, but the appropriate treatment should be carried out as directed by the doctor.
- 1 The essence of the problem
- 2 Pathology
- 3 Symptoms
- 4 Treatment
- 5 First aid
- 6 Chronic form
- 7 Food optimization
Bleeding in hemorrhoids: what to do? This question sounds quite often given the prevalence of the disease. Bleeding in hemorrhoids, unfortunately, is a common symptom of pathology, unless effective measures for treatment are taken. Why bleeding hemorrhoids( focus of inflammation) and what to treat? These questions are answered differently, due to the corresponding reasons. It should be understood that hemorrhoidal bleeding refers to quite dangerous phenomena, and if the blood is severe, urgent measures must be taken. It is best to entrust the solution of the problem( how to treat hemorrhoids) to the doctor, neglected pathology with apparent simplicity can lead to the operating table.
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