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What are hemorrhoids?
Hemorrhoids are good for you. This is a cushion at the entrance to the anus (where poop comes out). Hemorrhoids help regulate intestinal control. As with healthy veins and varicose veins, when they become dilated or engorged, they can cause problems. Typical symptoms are rectal bleeding, pressure, bulging tissue, pain with bowel movements, or constant pain that makes it difficult to even sit or walk. In this discussion, we will use the term “hemorrhoids” to mean abnormal hemorrhoids.
What causes hemorrhoids?
Like many medical conditions, the cause of hemorrhoids is genetic. However, risk factors include pregnancy, heavy lifting (at work or the gym), constipation, sitting on the toilet for long periods of time (even if you’re not straining), obesity, and low core muscle tone. But even if you eat right, exercise, and don’t become constipated, you can still develop hemorrhoids that are sore, swollen, itchy, or painful.
How are hemorrhoids treated?
Mild hemorrhoids may be observed, with symptoms appearing only every few months or years. Treatment is required if symptoms are frequent, severe, or persistent. The treatment prescribed depends on your individual symptoms.
Itching can be caused by a skin infection, fissures (breaks in the skin), or acid seepage due to the anal sphincter not closing properly. Treatments include antibiotics for bacteria, antifungals for yeast, or skin barriers such as diaper rash creams and sitz baths.
Anal spasms and anal fissures have traditionally been treated in the operating room under general anesthesia with a sphincterotomy or by cutting the internal anal sphincter muscle and “snapping” it open. This is still practiced in many centers. Spasticity of reflex and smooth muscles can be treated with ointments containing muscle relaxants, injections into the muscles (local anesthetics, very low doses of steroids, Botox® (onabotulinumtoxinA), pelvic floor physical therapy). can.
Engorged internal hemorrhoids can cause bleeding, pressure, and internal anal sphincter dysfunction with acid seepage, itching, and burning. Muscle spasms block blood flow, causing painful external hemorrhoids. Internal hemorrhoids can be treated with surgery, infrared therapy, injections of sclerosing agents, or banding. Surgery or total hemorrhoidectomy carries the risk of serious bleeding, infection, or the development of a fistula, which is an abnormal hole between two organs. There is a 20-30% chance of losing bowel control after surgery. Banding of internal hemorrhoids is simple, safe, comfortable and the most effective treatment compared to infrared coagulation and sclerosing agent injections.
Banding, which is performed in an office setting, involves applying a numbing gel and then inserting a thin tube about an inch into the anal canal. Gentle suction is applied to draw excess internal hemorrhoid tissue into the tube. A small rubber band is then removed around the base of the hemorrhoid, making it an essentially painless procedure. Within a few days to a week, the excess hemorrhoid tissue will deflate and pass out with your bowel movements. Banding is 95% successful and results are long-lasting.
advanced hemorrhoid center
10250 N. 92nd Street, Suite 216
scottsdale
(480) 359-2290
AdvancedHemorrhoidCenters.com