Hemorrhoids are a common disease. According to statistics, out of a hundred people from its manifestations suffer no less than twelve. Thrombosis, inflammation, pathological expansion and tortuosity of the hemorrhoidal veins, with the formation of nodes near the rectum allow us to establish a diagnosis.
In those cases where the nodes are present, both internal and external - it is already a question of the combined form of hemorrhoids.
Contents of
- What precedes the onset of
- disease Features of the disease
- What will indicate the disease
- Diagnosis
- What will the doctor prescribe?
- Prevention improves well-being
What precedes the onset of
As with any other disease, a combination of different causes is required for the manifestation of combined hemorrhoids.
The following are the main ones:
- permanent constipation;
- alcohol abuse;
- overeating, addiction to fatty and fried foods;
- "sedentary" work, lack of sports loads, outdoor activities;
- load on the body due to excess weight;
- pregnancy and subsequent labor;
- vascular system problems;
- infections, sexually transmitted diseases;
- liver disease;
- one-time( excess) or regular lifting of gravity;
- active sexual relations with frequent anal sex.
Features of the disease
All types of hemorrhoids begin in the same way - hardly noticeable. When the signs "come out", you have to fix the chronic combined hemorrhoids, later it alternates with an acute period.
The feature of the combined form in the acute phase allows simultaneous progression of the symptoms of internal and external nodes, as well as signs typical of chronic and acute form of hemorrhoids.
In some cases, patients experience aggravation of some hemorrhoids and remission of others. The stage of absolute remission is accompanied by a marked decrease or complete relief from the signs of the disease.
What will indicate the disease
Combined hemorrhoids are formed gradually, minor initial manifestations( itching, burning, heaviness near the anus, constipation) are gradually replaced by more serious and unpleasant symptoms:
- mucus, blood discharge from the anal passage;
- inflammation of the hemorrhoids, which gives rise to a sense of the presence of an alien object in the anus;
- dropping hemorrhoids;
- every trip to the toilet is associated with a feeling of pain and burning;
- anal itching;
- occurrence of perianal edema;
- discomfort, sensation of defective emptying, swollen abdomen.
Diagnosis of
You can not start treatment until the diagnosis is confirmed by a specialist.
In the case of combined hemorrhoids, the diagnosis procedure is simple and reliable, but it should be approached with full 
responsibility( most importantly, do not put it off).An operative approach will immediately identify the presence of possible complications or accompanying abnormalities.
It is very important to establish at what stage of development the disease is - 1, 2, 3 and 4 stages of combined hemorrhoids are subject to different treatment.
A patient is examined on a gynecological chair with knees clamped to the stomach, or in the "knees-elbows" position.
External inspection allows fixing external changes:
- the shape of the anus;
- presence of deformations;
- healed tissues;
- available fistulas;
- change in color and skin condition;
- manifestation of external hemorrhoids( degree of prolapse, possibility of correction).
More modern diagnostic methods are also used:
- Finger research of the rectum , allows to determine the condition of anal sphincters, to fix the tone of tension, the force of forced contractions, the threshold of painful sensations. The mucous membrane of the canal is studied.
- The anoscopy of allows a thorough study of up to 12 cm of an anal canal, easily tolerated by patients.
- Barrier stimulation of the pranaal zone checks the anal reflex, the procedure is performed using a probe. The patient is examined for anal fissures.
- All patients with a presumptive diagnosis of hemorrhoids undergo a sigmoidoscopy, in more complex cases an irrigoscopy or a colonoscopy of is prescribed.
- It is advisable to pass ultrasound of the abdominal cavity .The procedure will remove suspicions or confirm the possibility of concomitant diseases of the gastrointestinal tract.
What will the doctor prescribe?
Treatment of combined hemorrhoids is primarily aimed at eliminating the symptoms of the disease and the causes of its provoking.
The specialist prescribes medications to relieve pain, itching, burning. Ointments and suppositories can reduce the inflammation of the hemorrhoids. In all cases, diet therapy is prescribed.
The first( initial) stage of is marked by minor inflammation, the case when it is possible to limit the therapeutic course of treatment. The basis is anti-inflammatory drugs and drugs that improve blood circulation, additionally use strengthening and pain medication.
Prevention improves well-being
Preventative measures reduce the risk of combined hemorrhoids, or alleviate symptoms and prevent possible exacerbations.
The first place on the road to health is a properly selected diet. Meals debug the work of the whole gastrointestinal tract and normalize the process of defecation - pass constipation, excessive tension, regularity is developed in the visit to the toilet.
Timeliness at the beginning of treatment at the first sign of constipation or diarrhea is also passive prevention.
An important role is played by hygienic measures in the anal passage area, soft types of toilet paper( which can be replaced by washing with cool water), rejection of artificial fiber fabrics and return to natural breathable clothes that do not restrict movement will not be superfluous.
With the appearance of the first signs of hemorrhoids, it is preferable to abandon any activity associated with constant lifting of weights. Those who spend most of their time sitting, on the contrary, should increase physical activity( preference is given to swimming, yoga), in extreme cases, make it a norm daily walks in the fresh air.
Combined hemorrhoids occur in men and women equally. Despite not the most pleasant diagnostic procedures - it is necessary to start treatment in a timely manner.
Often this disease is only a screen for much more serious problems( colon cancer, intestinal problems).