When going to the bathroom turns out to be a problem
Blood-spattered and a lumpy sensation in the region of the anus are two of the main signs of hemorrhoidal disease that distresses many women due to the constipation that produces it. The best way to prevent it is to maintain a healthy lifestyle, by eating fruits and vegetables and practice regular physical activity.
Hemorrhoids are veins located around the anus that all humans have.
When a number of symptoms become evident, these veins give rise to hemorrhoidal disease symptoms. The most common symptoms are bleeding in the stool and some times palpation of painful balls in the anal area, which appears as result of thrombus or clot formation in the external hemorrhoids.
In the view of Dr. Hugo Parada, Coloproctologic at the Santa Maria Clinic in Santiago Chile, the hemorrhoidal disease is more common in women in their reproductive ages and who have had children. The main reasons for of this disorder are constipation and pregnancy. Most of the female population deals with constipation especially after their first pregnancy.
During pregnancy the uterus growspacking together the veins located in the pelvis, which then prevents proper operation, making blood return more slowly and increasing the possibility of bleedings.
Types of hemorrhoids
there are 2 types of hemorrhoids: external and internal.
External Hemorrhoids: Are those developing around the anus and are covered with sensitive skin. Many of them host clots that grow bit by bit and produce pain as they widen the overlying skin when defecating.
Internal hemorrhoids: Are those developing within the rectum and are covered by rectal mucosa. Usually, this type of hemorrhoids bleeds at stool and in some cases, prolapses, i.e. the whole hemorrhoidal package moves out through the anus during defecation. Internal hemorrhoids are classified into grades according to their characteristics and severity:
Grade 1: bleeds rarely.
Grade 2: bleeds and prolapsed hemorrhoids stick out at stool, but reduce spontaneously.
Grade 3: hemorrhoids prolapse and are manually reduced, i.e., the person must enter the hemorrhoidal package inside.
Grade 4: they are always prolapsed and the anus is kept moist at all times. They look like a cauliflower outside the anus and stain underwear with serohematic fluid (serum and blood).
Mixed: internal external hemorrhoids coexist.
Medical hemroids treatment is used in 90% of the people who consult with a doctor and it basically is aimed at finding out the causes that give rise to hemorrhoids. “Firstly, constipation should be avoided. You should also avoid irritating food such as chili, pepper and mustard, cheese and chocolate. Secondly, you should also increase your fruit and vegetables ingestion, drink 2 to 3 liters of water or juice on a daily basis; thirdly stay physically active; and finally, try to defecate daily seeking to avoid staying and sitting too long in the toilet.
Statistics show that 10% of all symptomatic hemorrhoids undergo surgical intervention, especially the internal hemorrhoids grade 3 and 4. At present, two surgical techniques are used.
The classical hemorrhoidectomy: This method consists of the surgical removal of the hemorrhoids package. It is used to deal with mixed cases and when other pathology is associated. This operation has the inconvenience of producing postoperative pain and it takes 3 to 4 weeks to heal, causing significant discomfort to the patient.
Stapled hemorrhoidopexy: aims to fix (staple) the internal hemorrhoids grade 3 and 4 to the rectal wall. The main benefit of this operation is that it does not leave any scars and postoperative pain is mild.
Dr. Hugo Parada concludes that the best hemroids treatment is prevention. And this can be achieved by maintaining and carrying out a healthy lifestyle, which consists of drinking lots of fluids, eat plenty of fruits and vegetables, practice physical exercise and take up the habit to defecate daily without staying too long seated in the toilet.
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