Hemorrhoids are one of the most common diseases. Word «hemorrhoid» translated from Greek language means «bleeding», which directly connected with the most prevalent symptom of this disease – there is blood outflow from anus. Hemorrhoids are equally common among male and female. Frequently females mark acute haemorrhoidal thrombosis; usually it happens during third trimester of pregnancy Read_______ Anorectal abscess signifies inflammation of the fat in one of the spaces surrounding the anorectum. Infection from rectum by anal glands, which are situated in anal crypts of the anal canal penetrate perianal tissue. Crypt abscess always is at the level of the dentate line. The reasons of crypt abscess are different: constipation, hemorrhoids, anal fissure ecc. Anal gland infection is also the principal cause of anal fistulas. Read_______ Anal fissure is a spontaneously appeared linear tear (ulcer) in the anal mucosa. Anal fissure is quite common. Among proctology disease this is one of three the most frequent (11%-15% or 20-23 cases amongst 1000 people). Anal fissures are more prevalent among young and middle- age females. Read_______ Constipation. Now constipation is one of the most common conditions that bring a patient to see a physician in al the world. For example, 2.5 million people with constipation (1.2% in the general population) visit each year doctors and even more numbers try to solve this problem by themselves using laxatives. What is constipation? Constipation is not separate disease. There is symptom of many illness. Read_______ . Ulcerative colitis is chronic recurrent bowel disease, which is based on manifest diffuse non-specific inflammation of the mucosa of the rectum and colon. Read_______ Cron`s colitis is chronic, recurrent, inflammatory disease of unknown etiology that affects the gastrointestinal tract This disease is characterized by skip lesion and transmural inflammation, and it can be affect any segment of the gastrointestinal tract. This illness also has tendency to early, local and system complications. Read_______ Polyps and polyposis syndromes. The definition of polyp is not clear at all. Presently, only epithelial glands excrescence, which rises above mucosa, is called true polyp. Read_______ Rectal cancer. These days rectal cancer without exaggeration is the problem of global degree. Read_______ Colon cancer. Measurement of (CEA) carcinoembryonic antigen, which was found in embryonic cellules of gastrointestinal tract, is another direction in the early detection of colon and rectal cancer. Read_______
Home>> Treatment >> Treatment of hemorrhoids The treatment of hemorrhoids. The treatment of acute hemorrhoids depends on stage of disease. Only patients with third degree of acute hemorrhoid should be operated (we perform hemorrhoidectomy). For first and second degrees of acute hemorrhoids, we indicate medical treatment. 1. To eliminate pain conditional by thrombosis and acute anal fissure we use analgesics by systemic route and local medications, which consist a combination of anti-inflammatories and analgesics (Posterisan, Posterisan forte). 2. There is necessary to prescribe phlebotonic drugs. 3. In case of bleeding, we use suppositories with adrenalin and local haemostatic treatment. Conservative treatment of hemorrhoids supplies temporal effect, and risk of recurrence is quite high. That is why when escalation is healed we recommend one of microinvasive techniques or operation that depends on the stage of hemorrhoid. For chronic hemorrhoids (first and second stages), conservative treatment mostly is effective, but often this treatment is required for them during all there life. High-fiber diet, refusal of alcohol and spicy food, regulation of bowel movement, prophylaxis of trauma of this area, washing after defecation, suppositories and ointments help patients with hemorrhoid practically avoid discomfort. Conservative treatment of chronic hemorrhoids includes phlebotonic drugs, suppositories with anti-inflammatory and analgesic, microenema with medications. There is necessary to admit that any treatment of hemorrhoid can be not high effective if other gastrointestinal diseases, first of all, of large bowel, that patient have, are not treated. There is important to treat concomitant colitis and eliminate constipation (Forlax). If patient has first- or second- degree- hemorrhoids, but escalation and bleeding occurs often there is possible to perform microinvasive techniques. For treatment of first-degree- hemorrhoids in our department we use infrared coagulation. For treatment of second-degree- hemorrhoids, we apply infrared coagulation, Rubber band ligation of hemorrhoidal piles, Transanal hemorrhoidal dearterialisation (THD). For treatment of third-degree- hemorrhoids, we apply rubber bang ligation, Transanal hemorrhoidal dearterialisation (THD). For treatment of fourth-degree- hemorrhoids, we apply Transanal hemorrhoidal dearterialisation (THD), Longo operation and operations (Milligan-Morgan, Parks, Waithead methods).