Hemorrhoids occur from 4.4 percent of patients among the population to 30 percent of patients in the clinical practice. Every year 12 of 1000 patients in the United States of America visit doctors regarding hemorrhoids. Both men and women have this disease; hemorrhoids are more often while growing old till the seventh living decade. Only every third patient, whom clinically shows hemorrhoids, averagely visits doctors.
Hemorrhoids can occur regarding the chronic constipation, diarrhea, long stiffening while evacuating, as well it often becomes clear during pregnancy and childbirth. It is assumed that the changes of anus anatomy and blood-vessels make influence on this disorder.
The hemorrhoid nodes are set over the link of mucous membrane of rectum and anus skin otherwise called ragged line. This anatomic line is clinically very important because the plane epithelium and painful innervation ends within 0.5 - 1.0 cm over ragged line. There is not felt innervation in the rectum of most people over this line. The hemorrhoid nodes of upper part are considered as inner even in the case when they fall outside.
1 - Hemorrhoid nodes stick to the canal of anus, however, it does not fall outside;
2 - Hemorrhoid nodes fall outside while evacuating, however, it unconsciously returns back;
3 - Fallen hemorrhoid nodes can be returned to the place manually;
4 - Hemorrhoid nodes fall fully and did not return to the anus.
Hemorrhoids usually show with bleeding or falling of hemorrhoid nodes. The first symptoms are more rarely defined with the unpleasant senses, pain or itch in the anus.
The inner hemorrhoid nodes are painless, such patients more often visit doctors regarding the begun bleeding or falling. Brightly red blood shows on the toilet paper or drops into water-closet after act of defecation, blood is not mixed with the excrements.
The patients often use the term of hemorrhoids wrongly while describing any shown symptoms in the anus. Therefore, examining the anus, its canal and anal area it is necessary to reject the possibility of anus's tear, fistula, itch of anus, abscess or condyloma.
The last and probably the most important question that needs to be answered whether the patient's symptoms are regarding hemorrhoids or not because if there are hemorrhoid nodes it does not mean anything and if they are, it is not NECESSARY to remove, burn, ligature them.
While quoting the old aphorism I want to say that it is necessary to do what it is needed, and not what you are able and can do. It is fully applied to the treatment of hemorrhoids.
While changing the habits of defecation it is the most important to avoid long stiffening, which as it is considered have influence on the formation of hemorrhoid nodes. The defecation is easier if food is high in fiber (it is necessary to eat wheaten bran, bran bread, plums), and it can be especially effective while treating 1 or 2 hemorrhoid nodes. It also helps medical products whose main component is the industrially processed indigestible plant fiber. To avoid constipation the symptoms of hemorrhoids of greater degree become easier and the possible attacks become rare.
It is important that human being drinks enough water, does not use alcohol and savory dishes. If it is necessary, the laxatives are prescribed. Now there are several appropriate medicines for the long-lasting treatment of constipation. They affect physiologically - increases stool volume and restore normal intestinal motility, do not cause habit.
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