When a patient arrives at the clinic and suspects hemorrhoids, the abdominal surgeon Lea Kyhälä asks about the symptoms in more detail, as there are no simple dressings to treat and treat.
– When I treat my bumps with rubber loops, people may ask how much was left there. There may be an impression that hemorrhoids are like blueberries being collected from there. Really, internal bumps are peaty and bloody mucosal tissue.
External and internal dressing different symptoms
If the buccal tissue bulges under the skin of the anus, there is talk of external bulging. They may be drowsy and may even feel like clear bulges.
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The rectal mucosa has pads that complete the tightness of the anus. They are made up of connective tissue and blood vessels, especially veins. If the veins dilate and the connective tissue becomes loose, internal bumps hidden under the mucosa form.
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Because there is no sensation in the rectal mucosa, there may not be any pain, but there is a feeling of pressure. When defecating, the mucosal surface may rupture and the bleeding tissue will bleed.
However, the line between external and internal bumps is a bit artificial, as they often go hand in hand.
The bowl in red frightens
Blood leaking from the upper intestine, such as the stomach, usually turns feces black and tarry.
The closer to the anus the leak becomes, the brighter it is. Blood coming from the anus can appear as streaks on the toilet paper or stain the water in the toilet bowl red.
– Sometimes the blood spills just fine and the impression can be dramatic, says Lea Kyhälä.
And it is not uncommon for a person to start suffering from a lack of iron due to a long-lasting bleeding spill.
A lookout will find out what it’s all about
Recurrent rectal bleeding is a topic for medical attention, especially if you are over 50 years of age, have a family history of colon tumors, inflammatory bowel disease, or have other intestinal symptoms associated with bleeding.
The doctor examines the anal canal with a short speculum, which is enough gel for anesthesia.
The speculum shows the possible buccal tissue and the condition of the lining of the rest of the intestine.
If there are changes, the entire colon is usually examined, ie a colonoscopy is performed. This is how the extent of the changes is seen.
– Sometimes an inflammatory bowel disease, such as ulcerative colitis, may be present in the background. Often there are other symptoms, such as upset stomach, mucous stools and diarrhea, or general symptoms such as fever, says Lea Kyhälä.
Rubber loop for unnecessary tissue necrosis
Hemorrhoids are treated with rubber loops during the examination. In it, a small part of the gum tissue is sucked inside the suction device and a tight rubber loop is clicked around the suction. One rubber loop makes up a pint of the fingertip.
– The stretched part dies, shrinks and drips off after about a week. At the same time, the dilated vascular tracts scar.
The treatment is effective. Usually three rubber loops are put on at the same time and a couple of three treatments are needed.
Although there is no sensation in the rectum, there may be numbness during the first day.
Actual hemorrhoid surgeries are rarely performed, as recovery from the surgeries is painful and the wounds heal slowly.
Ulcers should also be treated
However, always ask is not dressing, but even hard stools can scratch the ulcer on the skin of the anal canal.
As a result of the ulcer, as a rule, the involuntary sphincter is tense, the blood circulates poorly on the skin and the ulcer cannot heal.
Defecation hurts, may bleed, and the pain will throb after a toilet trip.
– The wound is treated with a cream that relaxes the sphincter. In prolonged cases, relaxing botulinum toxin can be injected into the sphincter.
Anal itching can be caused not only by ulcers and bumps, but also by various skin conditions, infections and tapeworms.
suppositories or ointments containing anesthetics and anticoagulants and anti-inflammatory cortisone may be used for hemorrhoids. However, they do not repair the rectum
Expert: Lea Kyhälä, specialist in gastroenterological surgery, Aava Medical Center and Terveystalo.
This article appeared in Good Health. As a subscriber, you can read all numbers free of charge from the digilehdet.fi service
Source: Hyvä Terveys by www.hyvaterveys.fi.
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