Management of Hemorrhoids in young adults - Dr. Nagaraj B. Puttaswamy скачать в хорошем качестве

Management of Hemorrhoids in young adults - Dr. Nagaraj B. Puttaswamy

What we have to understand what is hemorrhoids, they are nothing but the veins which are there in the anal region which are otherwise present in every individual. They are present as cushions in the anal region. They help in the maintenance of the continence of the feces and the flatus, particularly the flatus. So we can control the flatus exit with the help of the hemorrhoidal cushion veins. unfortunately during a long process of our habits of not having a high fiber diet or constipated natural living or sitting in the toilet for a long time, all this give rise to a possibility of hemorrhoids. Hemorrhoids are nothing but a prolapse of the veins which down the anal verge. There are 2 types of hemorrhoids one is the external hemorrhoids and one the internal hemorrhoids. internal hemorrhoids they descend from internal to outside and when they prolapse and the patient tries to sit and tries to strain for a long time, then the pressure inside the vein increases and one of the vein ruptures leading to a significant amount of bleeding. This is an ongoing process. Once the person gets into an erect position after the process of defecation, the compression itself is enough to collapse the vein and stop the bleeding but again when the patients goes to a defecation, this process repeats, There are multiple options available for the treatment of hemorrhoids. We treat when they are symptomatic or when they come with a big prolapsed. We try to treat the hemorrhoids only after the patient has developed hemorrhoids. For more than second or third degree hemorrhoids. They are the right candidates to undergo a surgical procedure. Have been following stapler hemorrhoidectomy for the past years and it has had excellent hemostasis in the patient and the relapse of the hemorrhoid is significantly low, pain management is fantastic. Patient goes into routine activities after 2nd and 3rd day after the surgical procedure. So I feel that stapler hemorrhoidectomy will be the gold standard in the days to come. Conventional hemorrhoidectomy induces significant pain and there are patients who are fainting in the toilet following the surgical procedure after 2 days or 3 days because of the intolerable pain. The disadvantages of the rubber banding or the cryosurgery or the replace related to these procedures are relatively high. Compared to the stapler hemorrhoidectomy, all these procedures stand second only. Stapler hemorrhoidectomy will go a long way.