What are Hemorrhoids (also called piles) ?
Hemorrhoids are dilated veins located in the anal canal. In some cases, it cause discomfort, but the most common cases it doesn’t cause dangerous diseases. Hemorrhoids occur as a result of the expansion or enlargement of the veins in the lining of the anus, often occurs as a result of excessive pressure.
Hemorrhoids related to age
All human beings suffer from hemorrhoids at some time in their lives, because hemorrhoids can affect the human body at all ages, however, the percentage of occurrence increases with increasing age, and thus some medical statistics:
- The incidence of piles is increasing in people over 30 years old.
- 50% of people over 50 years old have previously had piles.
How Hemorrhoids start?
Anus liner is a layer of tissue in the anal canal that is filled with blood to help control the movements of the bowel. Therefore, Increased pressure on the veins in the pelvic region results in a large pool of blood, and the veins swell, expand, and the surrounding tissues expand.
Hemorrhoids Types in videos
The shape of external hemorrhoid in images
the shape of internal hemorrhoid in images
Bad defecation habits are the most important causes of haemorrhoids (All are lead to increase pressure on the anus’s veins). Here are some of these habits that should avoid to prevent haemorrhoids:
- Rapid defecation.
- Defecation with excessive pressure.
- Chronic diarrhea.
- Chronic constipation.
Causes make the hemorrhoids worse
- Sitting for long periods.
- Standing for long periods.
- Carrying and lifting heavy loads frequently.
- Holding your breath while lifting heavy objects.
- Bleeding during bowel movements.
- Pain in the anus, anal canal, and rectum.
External Hemorrhoids Symptoms
Video of external hemorrhoids symptoms (with English subtitle)
- Pain around the anus or rectal area.
- Bright red streaks of blood into the toilet, or stain toilet paper or stool.
- Appear as lumps under the skin around the anus due to a burst blood vessel.
Sudden severe pain or burning during defecation, accompanied by a small patch of blood on toilet paper, indicates the presence of an anal fissure more than hemorrhoid.
“Sudden severe pain or burning during defecation, accompanied by a small patch of blood on toilet paper, indicates the presence of an anal fissure more than hemorrhoid. “
Dr. Khaldoun Ghareb
Internal Hemorrhoids Symptoms
Video of Internal hemorrhoids symptoms (with English subtitle)
The most common symptom of internal hemorrhoids is bright red blood streaks on toilet paper or red blood in the toilet after normal defecation and blood seen on the surface of the stool. Sudden severe pain or burning during defecation, accompanied by a small patch of blood on toilet paper, indicates more anal fissure than hemorrhoids.
Other symptoms of internal hemorrhoids
- Itching: itching is the result of frequent leakage of mucus.
- Skin irritation: mucus leaving the anus causes slight skin irritation due to the secretion of large hemorrhoids that hang outside the anus.
- Feeling discomfort: the larger hemorrhoid, the greater the discomfort.
- The constant urge: to defecate even after completing a bowel movement, and that is if hemorrhoid increases in size if it swells in the area that lies directly behind the anus, and the larger hemorrhoid, the greater the feeling of discomfort.
- Pain, Although internal piles do not cause pain, internal piles that hang from inside the anal canal to the outside of the anal opening cause severe pain, especially when the muscles of the anus press on piles.
- Progression to strangulated hemorrhoids; This occurs when the blood flow to the hemorrhoid is cut off, and this results in severe pain and needs immediate treatment.
Internal hemorrhoids degrees or levels:
First-degree internal hemorrhoids:
During this level, internal hemorrhoid protrudes into the anal canal during defecation.
Second-degree internal hemorrhoid:
During this degree, internal hemorrhoid protrudes outside the anal canal during defecation, and then returns to its internal place alone.
Third-degree internal hemorrhoid:
during this degree, internal hemorrhoid protrudes outside the anus when stool comes out, and it must be pushed by a finger until it returns to its place inside.
Fourth-degree internal hemorrhoid:
during this degree, internal hemorrhoid protrudes outside the anus and does not return inside.
The hemorrhoid laser treatment:
Hemorrhoids can be treated with laser procedure, and the laser treatment for hemorrhoids has the following specifications:
- Local anesthesia
- without pain
- The patient leaves the clinic within an hour after the hemorrhoid laser treatment
- The patient can resume his normal life after 24 hours.
Hemorrhoid treatment with Doppler HAL RA or (THD)
Doppler is currently the latest global method for treating hemorrhoids of various degrees, classifications and locations, the following characteristics are what distinguish hemorrhoid treatment with Doppler without pain and without surgery.
The advantages of treating hemorrhoids with Doppler:
- Without cutting, cutting, or stitching
- no pain
- No complications
- High success rate
- The patient leaves the hospital on the same day, and continues his normal life and activity the next day
- Doppler is suitable for treating all degrees of hemorrhoids.
In the following video, Dr. Khaldoon explains in detail about the Doppler technique and its use in treating hemorrhoids, with a detailed explanation of Doppler and the cases of Piles that are treated with it.
Infrared therapy for hemorrhoids CRI:
Infrared coagulation is very common for in-office treatment without entering operating rooms. What distinguishes it is the following:
- Fast cure
- Well tolerated treatment
- A virtually free treatment of complications and problems.
- There are no side effects of the infrared treatment, and the patient comes back to life the same day.
Rubber band hemorrhoid treatment
Strangling the hemorrhoid and allowing it to die and fall off through the ligation technique to treat hemorrhoids
Treating hemorrhoids with a stapler
This method consists mainly of cutting the mucous tissue inside the anus, then placing circular stitches. Here is a list of a number of other methods of treating hemorrhoids
- Sclerotherapy can be used to treat hemorrhoids
- Radiofrequency can treat hemorrhoids using shock waves
- Conventional surgery can treat hemorrhoids using it, where we cut the hemorrhoids surgically and make stitches or leave the wound open.
Image showing internal and external hemorrhoids and then another picture after treatment
Avoiding hemorrhoids is mainly by avoiding constipation, and this is done with the following practical steps:
Drink and Eat the following
- Dِrink Enough fluids daily
- 2 to 4 more glasses of water daily, especially during the morning.
- 1.4 to 2 liters of water and other liquids, such as fruit juices, not beverages that contain caffeine.
- Adopt a diet that contains high amounts of fiber. 20 to 30 grams of fiber per day.
All foods include nutritional information written on them, so it is important to read them, and be aware that there is an amount of dietary fiber supplement and the amount of fiber in each of them. The amount of fiber in your diet should be slowly increased so that the stomach does not upset.
- 2 servings per day of fruits such as apricots, peaches, pears, raisins, figs, prunes, dates, dried fruits, and others at least.
- 3 servings of vegetables a day, such as cooked dried beans, dried peas (legumes), broccoli, or cauliflower, among others, at least.
Whole grains food
- Increased eating of whole grains, Eat:
- Eating bran by eating bran flakes and bran cakes
- Whole wheat like a whole wheat flour biscuit.
- Oatmeal, brown rice, and whole-wheat bread.
- Brown rice, bulgur and white corn, not white rice.
- 6-11 servings of grains (bread, grains, rice, and pasta) every day. For example, 1 slice of bread, half a slice of French baguette, or half a cup of pasta or rice.
- Replace whole wheat bread with white bread.
- Cereal flakes containing bran and add 2 teaspoons of wheat bran (10 ml).
- A popcorn snack without butter and without salt.
- 2 tablespoons (30 ml) of wheat bran by adding it to your cereal or soup. Do this gradually until you can reach two tablespoons per day.
- Mix 2 tablespoons (30 ml) of psyllium seeds with water or juice, then drink it.
Avoid the following
- Foods high in fat and sugar should be avoided.
- Alcoholic beverages and caffeine, which can worsen dehydration should be avoided.
- Do exercise, and you can start walking.
- Relaxing during defecation and training the intestines to defecate at specific times after breakfast, for example.
- Defecation when you feel the need to. The viscera signals when it needs to pass stool; If you ignore the signal, the feeling of needing to have a bowel movement will disappear, and the stools will eventually become dry and difficult to pass.
Health conditions (to know if you are more likely to have hemorrhoids)
- The presence of cases of hemorrhoids in the family medical history
- If you are overweight
- Pregnancy, childbirth and postpartum
- Chronic diarrhea
- Sepsis (inflammation of the anal canal).
- Liver diseases.
- Heart disease
Avoid making hemorrhoids worse
- After defecation, gently clean the anus using white toilet paper, by moistening it with water or an antiseptic substance (such as Balneol). You can also use wet tissues such as baby wipes or others.
- Never rub the anal area. You can spray it with water instead of wiping it with toilet paper. Then, dry it gently with a soft, dry cloth.
- Cleaning should be by using soap that is free of perfume and color dye.
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FAQs about Hemorrhoids
I take a good shower every day, I eat a diet that contains fiber and drink a lot of water, is this enough to prevent hemorrhoids?
I have external hemorrhoids, which a doctor diagnosed for me a while ago and told me that I have to have an operation, but I did not, the pain and blood have completely disappeared. Do I ignore the matter that may make the hemorrhoids develop badly?
Today I saw a one-time amount of blood in my stool. Are these hemorrhoids? If repeated, when should I visit the doctor?
I have removed the hemorrhoids that I have had for several years, but I am experiencing similar pains to what I had previously suffered, can the hemorrhoids return?
Hemorrhoids Treated Cases
Patients who previously been suffering from hemorrhoidal diseases and received treatment at the hands of Dr. Khaldoon, we list to you what they suffered from the symptoms and the treatment that was provided it might be benefit of sharing it