Hemorrhoids
Proctology Hemorrhoids (HEM-uh-roids), also called piles, are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids).
Symptoms
These are under the skin around your anus. Signs and symptoms might include:
- Itching or irritation in your anal region
- Pain or discomfort
- Swelling around your anus
- Bleeding
- Internal hemorrhoids
Internal hemorrhoids lie inside the rectum. You usually can't see or feel them, and they rarely cause discomfort.
But straining or irritation when passing stool can cause:
- Painless bleeding during bowel movements. You might notice small amounts of bright red blood on your toilet tissue or in the toilet.
- A hemorrhoid to push through the anal opening (prolapsed or protruding hemorrhoid), resulting in pain and irritation.
Therapy
1. Conservative methods are used at the beginning of the disease in stage I-II. The course of treatment consists of the use of candles, ointments, restoration of proper nutrition. Medicines in the form of candles and ointments relieve pain and inflammation, strengthen blood vessel walls. Taking phlebotonic drugs improves blood microcirculation and blood flow, which has a positive effect on venous tone.
2. Surgical methods are physical and chemical local action. The goal is to stop blood circulation in the lump for further atrophy. These include:
- laser removal
- latex ligation (latex rings)
- sclerosis (introduction of sclerosing substance)
