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Health

Types of hemorrhoids

, medical expert
Last reviewed: 20.11.2021
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Hemorrhoids are divided into types. It can be external, internal, combined. Each of the currents of these types of hemorrhoids is special, and they need to be treated in different ways. There is still acute and chronic hemorrhoids. About them - a special conversation.

There is still acute and chronic hemorrhoids

Chronic hemorrhoids

Chronic hemorrhoids are a disease that lasts a long time, but pain, discomfort and itching in the anus do not stop. In this type of disease, hemorrhoids may fall out or they may be inside.

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External hemorrhoids

The nodes of the external hemorrhoids are formed when the lower plexus of the veins in the rectum expands. These nodes are located lower than the cervical line of the rectum. Still these veins are covered by cells of a flat epithelium. These nodes can contain thrombi, which are quite painful - they have blood clots.

When a thrombosis is diagnosed as acute, a person hurts in the anus, sometimes it is a very sharp pain that can not be tolerated. Nodules can be covered with ulcers and they can be bleeding. Then the hemorrhoids are diagnosed as bleeding. In addition, due to thrombi, perianal fimbria may occur. They are in the anus and this they can cause itching and discomfort when defecating. There may also be discharge from the anus.

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How is external hemorrhoids treated?

It is especially hard to treat when clots are found in the anus area, due to which a person can experience severe pain. Then the doctors use surgery and cut the hemorrhoidal nodes surgically.

In order to alleviate pain during surgery, local anesthesia is used. This operation does not require a long recovery, if a person is not prone to lifting weights, you can continue to recover at home, rather than in a hospital.

Internal hemorrhoids

When a person is diagnosed with internal hemorrhoids, it is important to know that the nature of their formation is from the upper veins of the rectum, this is a plexus of veins that swells and forms hemorrhoids. They are also called pillows or cones. Their location is above the line of the tooth, and they are covered with cells of epithelium of cylindrical shape.

Acute hemorrhoids

It occurs if the hemorrhoids were treated incorrectly or not treated at all. If we take into account the fact that only half of men and women turn to a doctor for hemorrhoids, then just the second half is a group of high risk in the occurrence of this disease.

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What are the causes of acute hemorrhoids?

This is a strong or weak bleeding from the anus, pain in the anus, which is especially amplified during defecation, as well as the inability to thrust the dropped nodes into the anus. Symptoms of acute hemorrhoids - also thrombosis of external or internal nodes - hemorrhoids or cushions.

Also, thrombosis is the most common cause of acute hemorrhoids, it can be supplemented by other symptoms. If the patient has a thrombosis, in particular - an acute thrombosis, then the hemorrhoids will also have a sharp current. Then the patient needs immediate medical attention.

When there is acute hemorrhoids, the venous plexuses in the rectum swell, expand, the veins become inflamed, it hurts, the mucous membrane of the rectum can be covered with sores and wound. This also leads to severe pain. At this time, a person has an elevated level of the prostaglandin hormone, which accompanies inflammation.

What contributes to the aggravation of acute hemorrhoids?

When a person develops acute hemorrhoids, it is desirable to avoid factors that contribute to aggravation of this condition. That is - do not lift weights, do not sit for long in one place, do not eat spicy drinks and dishes, do not drink hot and temporarily give up very hot dishes, and avoid alcohol. Do not also strain on defecation, you need to wait until the rectum will make the necessary movements, pushing out the feces.

Three degrees of severity of acute hemorrhoids

Acute hemorrhoids have three degrees of flow. Doctors distinguish them depending on the symptoms and complexity.

The first degree of acute hemorrhoids

At the first degree of acute hemorrhoids, nodes are made as large as peas - they are small. They are also tight, located below the dentate line of the rectum. When these knots are felt by the doctor with his fingers or the person touches them, they are very sore. The skin in front of the anus is far from its usual color and shape - that is, it is hyperimposed. People in the acute form of hemorrhoids at its first degree complain of pain, burning and itching in the anus, which becomes much stronger with the act of defecation.

The second degree of acute hemorrhoids

At the second degree of acute hemorrhoids in man in the anus area - edema and pain, hyperemia of this site. Pain in the anus and next to it is amplified after palpation, if the doctor performs a finger examination of the rectum, it is also very painful, it is not superfluous to carry out local anesthesia. Pain in the anus arises very strong. These pains increase when a person sits or stands or walks a lot.

Third degree of acute hemorrhoids

At the third stage of acute hemorrhoids, a person experiences not only pain in the anus, but a tumor in the anus. This tumor is called inflammatory. When a doctor or the patient touches the knots to the knots, they are very sore. These nodes are purple-blue or red, they are clearly visible to the naked eye. These nodes are covered with fibrin films.

If a person does not receive normal correct treatment with this degree of hemorrhoids, the nodes may melt, ulcers may appear on their mucous membrane, and these ulcers become black. On the nodes there is a plaque of the fibrin layer. With this acute form of hemorrhoids, the nodes can become covered with a severe purulent coating if they are not treated. This disease is called paraproctitis.

Therefore, for any form of acute hemorrhoids, you should immediately consult a doctor for examination and diagnosis.

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