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Hemorrhoids

What is Hemorrhoids?

 The dilatation and swelling of the blood vessels in the breech (anus) is called Hemorrhoids. There may be swollen hands around the anus. Hemorrhoids are also known as “hemorrhoids” or “yeasts”. Hemorrhoids (Basur) disease according to the location of the anus has two forms. They are called internal and external hemorrhoids. Internal hemorrhoids are found in the breech and cover the hemorrhoids over the intestinal mucosa. External hemorrhoids are outside the breech and are covered with skin. What are the causes of hemorrhoids? The most important factor in the development of hemorrhoids is the increase in intra-abdominal pressure. When the intraabdominal pressure increases, blood flow is reduced from the veins in the breech area and blood is pooled in this area. This causes dilation of hemorrhoidal vessels. Standing overtime, constipation, lifting, lifting heavy loads increases intra-abdominal pressure and causes hemorrhoids (hemorrhoids) to develop. Pregnancy also causes hemorrhoids. Sometimes hemorrhoids may develop due to the pressure of a mass in the gut. Another factor is feeding with bitter and spicy food. Nutritional deprivation in the intestinal habits may also cause hemorrhoids. What are the symptoms of Hemorrhoids? The most common symptom of hemorrhoids is bleeding. Most patients complain of bleeding after defecation. This bleeding may also be in the form of droplets after stool, or in the form of dishwashing in toilet paper. In addition, the swelling in the anus is also a sign of hemorrhoids. Sometimes, in internal hemorrhoids, these swellings are lost during rest and disappear after rest. Another symptom is pain. There is pain during sitting or during defecation. Sometimes it is noticeable with itching.

How is Hemorrhoids diagnosed?

In the diagnosis of hemorrhoids, after the patient's history, the most important is physical examination. Finger examination after the breech area is the most important diagnostic method. The appearance of a swollen vein outwards will greatly improve the diagnosis. Sometimes it is an intestinal problem that causes hemorrhoidal disease. The way to detect this is to examine the intestines with the camera, ie to perform a rectoscopy or colonoscopy. Sometimes, our patients come to the outpatient clinic with anal psoriasis wounds, anogenital warts (condylomas), colon polyps, rectal tumors and hemorrhoids. For this reason, a detailed physical examination, examination of the finger and the examination of the intestines should be done with the camera

What is the treatment of hemorrhoids (hemorrhoids)?

In patients with hemorrhoids, protective methods should be recommended. The patient should be able to regulate the stool habits, to walk, not to carry heavy loads, to stay away from bitter and spicy foods, to avoid constipation and not to induce constipation. Medical treatments are then applied. Ointments applied to the breech area, suppositories applied from the rectum and oral pills are used. Surgery is recommended for those who do not benefit from them.

What are Hemorrhoids surgeries?

Surgery is recommended for patients who do not benefit from drug therapies. The enlarged vein is surgically removed by surgery. The process is then terminated by sewing. In addition, the band ligation method, also known as strangulation, is a method commonly used in internal hemorrhoids. The most important advantages are that it does not require anesthesia and can be done in polyclinic conditions