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to hemorrhoids include all of the clinical manifestations of pathological changes of hemorrhoids (bleeding, prolapsed internal thrombosis and swelling of the external nodes, necrosis and puaslent melting them, and so forth). Hemorrhoid suffers an average of 118 per 1000 adult population, and its share among the diseases of the rectum is about 40%. The treatment requires up to 20% of patients with pathology of the hemorrhoids. Annually in Russia holds 4600 -4800 thousands of transactions per year for chronic hemorrhoids.

DEVELOPMENT Hemorrhoids MATTERS:
congenital and acquired deficiency of the venous system, and stagnating in the veins of the rectum,
mechanical factors (constipation, inactive lifestyle, nature of work , pregnancy, etc.)
exogenous and endogenous intoxication (alcohol, spicy food, etc.),
infectious agents (phlebitis hemorrhoidal veins, colitis, cryptogenic infection).
value may have other factors.
Sooner or later, an increase of hemorrhoids appear in most people. Possible decreases with age strength of the mucous membrane of the anal canal, with its walls and therefore there is loss of nodes. In cases where a moderate increase of hemorrhoids is determined only by inspection, nomorecomplaints - a condition considered asymptomatic hemorrhoids and disease do not.

DEVELOPMENT OF DISEASE.
Hemorrhoids often begins with a period of precursors. An unpleasant sensation in the anus, itching easy, some difficulty during defecation. This period lasts - from several months to several years. Then there are bleeding during bowel movements of varying intensity - from the traces of blood in the stool to massive bleeding. In some cases, long-existing hemorrhoids may develop anemia, requiring treatment. In addition to bleeding, frequent complaint is the loss of internal hemorrhoids.
disease have isolated two stages: acute (exacerbation), and chronic. In the chronic stage of disease manifestations are minimal, patients retain the ability to work, the use of simple measures can occasionally completely forget about the disease. In the acute stage often requires hospitalization, and adequate treatment for the inflammation subsides and the disease again becomes chronic.

PROVIDES THE FOLLOWING FORM Hemorrhoids.
chronic hemorrhoids.
main manifestations are episodic bleeding, often in the stool. The color of blood is usually red, in the form of "splashes" straining or a few drops at the end of defecation. Perhaps the selection of dark blood and clots when blood remains in the rectum after a bowel movement earlier. Bleeding is usually the first signs of the disease in 5-8 years there is loss of hemorrhoids. First, during defecation, followed by coughing and sneezing, straining, without any tension. At first, the patient can easily reduce a their only volitional contraction. Over time, muscle tone decreases and the nodes have to reduce a hand.
are three types of loss:
I stage nodes out of the anus during bowel movements and reduce a self,
II stage is characterized by the need to reposition the drop-down sites,
III stage nodes fall at the slightest exertion.
Often the disease takes the wave shape with periodic exacerbations and improvements, which is characteristic of chronic recurrent hemorrhoids.
treatment.
treatment, with the refusal of surgical intervention is the prevention of complications - and the infringement of thrombosis nodes.

Hemorrhoids Part BLEEDING
Name "hemorrhoids" is translated as bleeding. Indeed a significant number of patients is the main complaint. The main treatment of this group of patients is that necessarily a complete examination. Under the guise of "bleeding from the rectum, may be hiding a serious illness. Just be sure that there is no other source of bleeding (perform sigmoidoscopy and indications fibrokolonoskopiyu), hold treatment of hemorrhoids.

Acute Hemorrhoid
(strangulated hemorrhoids, thrombosis, hemorrhoids)
Thrombosis hemorrhoids manifested by pains in the anus, and increase compaction piles.
There are three degrees of severity of acute hemorrhoids.
When I grade external hemorrhoids small quantities tugoelasticheskoy consistency, located below the dentate line. On palpation, they are painful. Perianal skin is slightly hyperemic. Typical complaints are a feeling of burning and itching aggravated by defecation. When
II and observed amorepronounced swelling of most of the perianal region, congestion. Palpation of the area and digital rectal investigation sharply painful. Patients complain of severe pain in the anus, especially when walking and sitting.
When all the III degree circle anus busy "inflammatory tumors". Palpation of nodes very painful. In the area of the anus are visible purplish or bluish-purple internal hemorrhoids, covered with fibrin films. In the absence of modern treatment can occur necrosis nodes. The mucous membrane covering them, ulcerate, there are areas of black with a touch of fibrin. In severe cases may develop paraproctitis (severe puaslent complications).
treatment.
Hemorrhoids in the early stages is treated conservatively. Treatment should include:
Local treatment
decrease pain (non-narcotic analgesics)
removal of spasm of the anal sphincter (Izokerit)
Resolution phenomena tomboza (Venobene, Gelpan, Gepatrombin)
Anti-inflammatory dasgs in the phase of active inflammation (Aurobin, Proctosedyl, Ultraprokt, Pasterizan - forte, after reduction of inflammation used BHT)
Krovoostonavlivayuschie dasgs (Beriplast CS Ferakril)
General treatment
Regulation of the frequency of bowel movements (1 - 2 times a day)
normalization of stool consistency (stool should not be too tight or in front of liquid, preferably in the form of "soft sausages"). Regulation of the act of defecation and consistency of stool through the appointment of an appropriate diet containing products with laxative action, including vegetables and fasits.
for constipation appointed hydrophilic colloids (keep water and soften the intestinal contents): Bran, metiltselyulozu, laminarid, flaxseed, fayberlaks.
With rapid chair: tours, rehydron
Treatment of chronic venous insufficiency
(Venoaston, Troxevasin, Glivenol, Detralex, Cyclo 3 Fort)
hygienic mode
Use Rising shower or wash the anus after defecation.
the treatment in the early stages of the onset of the disease - recovery will be much faster and can be life held an outpatient (no hospital admission). In each case, the scheme of your treatment should be discussed with your physician.