Hemorrhoids eMedicine can be defined as a simulation to the traditional medicine. So we need firstly and before talking about hemorrhoids emedicine minutely, we need first to know what is a hemorrhoid, or what are hemorrhoids?
We have defined before that small hemorrhoid and hemorrhoids are swollen blood vessels in the lower rectum. They are among the most common causes of anal pathology, and subsequently are blamed for virtually any anorectal complaint by patients and medical professionals alike. Hemorrhoids are not varicosities, but they are clusters of vascular tissue such as arteriolar-venular connections, venules and arterioles.
Hemorrhoids have two main types, external hemorrhoids and internal hemorrhoids. But shortly, External hemorrhoids may be very painful unlike the internal hemorrhoids, this pain can be resolved in 2 : 3 days when the swelling may take a few weeks to disappear. And on the other hand we can define internal hemorrhoids as they are Internal hemorrhoids are only painful if they become necrotic or thrombosed, But it usually present with painless. Internal hemorrhoids also presents with rectal bleeding following or during a bowel movement and also present with bright red.
Although hemorrhoids are responsible for a large portion of anorectal complaints, it is important to rule out more serious conditions, such as other causes of gastrointestinal (GI) bleeding, before reflexively attributing symptoms to hemorrhoids. So, we need first to be sure that we are suffering from hemorrhoids with one type of these past types before searching for hemorrhoids emedicine.
In the same context, hemorrhoids are the most disease in the anus and anal canal and these symptoms can range from mildly bothersome, such as pruritus, to quite concerning, such as rectal bleeding.
You may need to see also the following articles for patient education information:
Hemorrhoidal symptoms have historically been treated by application of a hot poker, quackery, voodoo, incantations and dietary modifications. Molten lead has also been described as a treatment. The adverse effects of these treatments have a direct relationship to whether patients relay persistent or recurrent complaints to the clinician or return for further treatment.
Talking about thrombosed external hemorrhoids, Although conservative nonsurgical treatment such as analgesia, warm baths, increased fluid intake, increased dietary fiber and stool softeners. ultimately results in resolution of symptoms for most patients, surgical excision of the thrombosed external hemorrhoid may often be the best treatment. But on the other hand, relative contraindications to ED excision of a thrombosed external hemorrhoid include the like: Known coagulopathy, Portal hypertension, Perianal infection, Inflammatory bowel disease, Anorectal fissure, Allergy to local anesthetic and also any serious systemic illness or comorbidity that would significantly increase the risk of the procedure.
You must keep in mind that pain control is the most important thing for excision of a thrombosed external hemorrhoid. Assurance of adequate local anesthesia is important; at times, procedural sedation may be warranted. Local anesthesia for this procedure is discussed further below.
It is important to have the equipment required for rescue techniques like silver nitrate and suturing equipment in case bleeding occurs that is not controlled by direct pressure. But the required equipment for the procedure includes: Sterile dressing, Absorbable suture, 3-0, Multiple 4 × 4 gauze squares, Iris scissors to cut tissue or packing gauze, Needles, 18-gauge and 25- or 27-gauge, Local anesthetic solution (0.5% bupivacaine or 1% lidocaine with epinephrine), Antiseptic solution with skin swabs, Direct dedicated lighting, Sterile packing gauze, 0.25-in, Adhesive tape, 2-in, Scalpel blade on a handle, No. 11 or No. 15, Small forceps for grasping tissue, Syringe, 5 mL, Sterile drape and Sterile gloves.
For more information you may also need to see hemorrhoidectomy.