Problem with haemorrhoids
I am suffering from haemorrhoids
Haemorrhoids (and associated problems) are classified within a group of diseases known to occur more frequently in developed countries. They consist of enlarged or swollen veins that can form both inside and outside the area of the anus. These vessels are present in all of us from birth, but generally do not bother us. They form a part of the overall system that maintains continence.
What is the cause
If these veins become swollen, health problems may occur. Some of the main reasons for the development of haemorrhoids are difficult and irregular voiding, pregnancy, sedentary employment or a lack of exercise, and a congenital (existing from birth) predisposition associated with poor quality of the venous wall.
How the problem is diagnosed
Hemorrhoids
The main and most common symptom is bleeding from the rectum. This might merely consist of a trace of blood on toilet paper, or even a small, light red coloration of the stool. Sometimes it is possible to feel a lump, or tiny nodules around the anus that may not cause any particular discomfort. Other symptoms can include itching or burning. Sometimes the first sign of haemorrhoids is the related complication of thrombosis. This is felt as severe pain around the rectum and a tangible painful lump around the anus.
How the problem is treated
Both these problems should be managed by a proctologist. There is an initial examination of the rectum which is performed with the patient in a kneeling or gynecological position. A part of this involves the doctor inserting a finger into the rectum of the patient to allow them to assess the problem using the sense of touch. The second standard examination is the performing of an anoscopy. In this case, a special device called an anoscope is inserted into the rectum which allows the doctor to visually examine the rectum.
Treatment will depend on the stage of this condition. The treatment almost always involves medication that strengthens the venous wall. Sometimes this can be treated locally with ointments and suppositories. More advanced stages of the condition require minor local procedures (laser, photocoagulation, the deployment of specialized rubber bands, etc.). More advanced stages of the disease require surgery under a general anesthetic. Depending on the type of operation, this may be an outpatient procedure or one requiring hospitalization.
The risks of surgery
In the vast majority of cases, this procedure can be performed with no further complications. The most common postoperative problem is pain, which can be significantly controlled with the use of medication. In some rare cases, inflammation or delayed healing may occur. Temporary, postoperative swelling is fairly common.
Post-operative care
The most important aspect of care lies in the monitoring of bowel movements, voiding, and appropriate hygiene.
Official sick leave from work
Depending on the nature of the occupation and the chosen method of treatment, sick-leave from work may not even be prescribed at all, or can last up to 2-3 weeks for the most extensive procedures.