Hemorrhoids in the modern world is becoming increasingly widespread, it affects about 30% of the world's population.
And if only recently people of old age have been affected by this disease, now young people also have hemorrhoids.
Sedentary lifestyle, work in a sitting position, unbalanced diet, a lot of physical stress, stress leads to the onset of the disease.
A non-serious attitude towards one's health, constraint, lack of time lead to the fact that a person seeks help from doctors only in case of emergency.
We must not forget that the disease in the early stages can be cured in a minimal period of time and with minimal costs.
Contents of
- Contents of
- The essence of the
- procedure The essence of the
- procedure Indications for the
- study Contraindications and limitations are worth knowing
- Preparing for the
- study The progress of the study is all the way step by step
- Opinion of the "affected"
- Expert opinion
- Alternative diagnostic methods
Diagnostic difficulties
Hemorrhoids- a serious illness leading to dangerous consequences, such as anemia, thrombosis, bleeding, paraproctitis and even the emergence of cancerous tumors. In advanced cases, surgical intervention is required.
In any case, you should immediately call your doctor if the initial signs of hemorrhoids appear, such as:
- bleeding;
- discomfort in the rectum or in the anal area;
- prolapse of hemorrhoids;
- pain;
- mucus;
- itching.
It is often difficult for specialists to determine the cause of problems. Even an experienced doctor can only presume a diagnosis, but can be determined exactly, only when examining a patient.
So, if the external hemorrhoids can be diagnosed during a visual inspection, the internal hemorrhoids can be diagnosed only with the help of special diagnostic procedures.
Intestinal recto-uromanceroscopy is one type of examination that involves the examination of the rectum and distal sigmoid colon.
The essence of the procedure
The procedure is carried out with the help of special devices: a sigmoidoscope and a rectoscope.
With its help, experts perform not only inspection of the problem area, but also receive samples for further research.
The procedure of sigmoidoscopy allows you to accurately consider any changes that have occurred in the intestine, as well as to accurately diagnose.
The purpose of the process is the diagnosis of hemorrhoids, inflammatory processes and other diseases of the rectum and anus.
With this procedure, it is possible to accurately diagnose hemorrhoids and determine its stage, and accordingly assign the required treatment.
In addition, there are diseases that, in their symptoms, resemble hemorrhoids and sigmoidoscopy allows them to be identified.
The study uses tools that allow some endoscopic operations, such as stopping blood, expanding the gut, and others.
Recto-manoscope includes a metal tube, which is equipped with a lighting device and a system for air supply and other components.
The kit includes rectoscope tubes, operating and viewing anoscopes, proctoscope and other elements.
What is a sigmoidoscopy and how it is made:
Indications for the
study Recto-manoscopy can reveal many diseases of the large intestine.
It is usually prescribed by a proctologist or gastroenterologist in the following situations:
- pain syndrome in the anus or navel;
- inflammation and hemorrhoids;
- chronic stool disorders, such as constipation or diarrhea;
- discharge from the anus: blood, pus or mucus;
- suspicion of malignant or benign formations in the rectum;
- taking tissues or cells for diagnosis( biopsy);
- diagnosis;
- diagnosis update;
- before complex intestinal cleaning( hydrocolonoscopy).
Contraindications and limitations - it is worth knowing
Recto-manoscopy has no contraindications. But in some cases this procedure is not carried out or postponed for some time.
These are the following circumstances:
- exacerbation of hemorrhoids;
- inflammatory processes in the rectum or in the pelvic organs;
- trauma to the anus;
- narrowing of the lumen in the anus;
- cracks in the anus;
- strong pain in paraproctitis;
- inflammation in the abdominal region( peritonitis);
- certain cardiac arrhythmias;
- some mental disorders.
Preparing for the
study Before rectoscopy, the bowel should be thoroughly cleaned. This will allow a more detailed examination of its mucosa and achieve qualitative research results.
The study is performed only on an empty stomach. For a day you must start to follow the diet and exclude from your diet: meat dishes, legumes, bakery products, porridges.
You can only drink the night before. In the morning it is not recommended to eat and drink liquid.
It is also necessary to perform cleaning procedures in one of the following ways:
- Cleansing enema .One should be done in the evening before the diagnosis and two more 4-5 hours before the procedure with an interval of about an hour. It is advisable to carry out this type of purification before the appearance of pure water from the anus. A mug of Esmarch( in the common room of an enema) can be bought in all pharmacies. Its volume should be one and a half to two liters. The water used should be of high quality( for drinking) and, if possible, boiled.37-38 degrees is its optimum temperature. Cooler water can cause discomfort and pain, and hot water can be a health hazard.
- Microclysters , which includes laxatives. This procedure will significantly reduce the time of cleaning the intestines. It is necessary to make a few microclysters about an hour before the study.
- With laxative preparations .
In some cases, several cleansing options are used at once.
The progress of the investigation is the whole way step by step
The procedure takes place in a specially equipped office. To carry it out, the patient needs to bare the body from the waist up and down, including underwear, and take the elbow-elbow position( get on all fours) or lie on one side.
Before the beginning of the procedure, a specialist conducts a finger examination.
For easier access to the device, the anal area is lubricated with a special gel or vaseline oil.
After relaxation of the patient, a rectoscope is inserted into the anus( 4 cm to 5 cm) in the anus( its total length is approximately 35 cm).
The obturator is then taken from the rectoscope and an optical device is inserted. After that, the doctor observes the health status on the monitor screen.
In order to smooth the intestinal folds of the intestines, air is pumped. The air is used in small amounts and there is no danger for ruptures of internal organs, but it can cause unpleasant and painful sensations.
After completion of the survey, the rector gets out of the gut.
The procedure is performed in most cases without anesthesia. However, in case of pain and at the insistence of the patient, local anesthesia can be used.
Recto-manoscopy lasts approximately 15 minutes. After this, the patient can immediately go home.
There are almost no complications. In very rare cases, a rectum can occur. But with the due qualification of a doctor, this risk is reduced to a minimum.
How is the sigmoidoscopy performed, carefully the video is very naturalistic:
Opinion of the "affected"
Reviews of people who underwent a sigmoidoscopy for one reason or another.
Since childhood I have been doing weight lifting. About 10 years ago there was a feeling of discomfort in the anus, but I did not pay attention to it.
A few years later, blood began to appear on paper after going to the toilet. However, it was uncomfortable and embarrassing to go to the doctor with such complaints.
The next stage is the appearance of blood not only on toilet paper, but also on underwear, even after weak training.
Suspected that it could be a hemorrhoids, but with the help of an independent examination of the anus it was impossible to feel any cones and knots. And only then did I seek medical help from a doctor. The specialist suggested me a sigmoidoscopy.
After many doubts agreed. I was very lucky with the doctor, he turned out to be not only a high-class specialist, but also a person who approached my problem very delicately. There is nothing wrong with this procedure. It passes very quickly.
The preparation for a sigmoidoscopy is longer. Yes, there were unpleasant feelings. But now I know that I have internal hemorrhoids and go through the appropriate treatment.
Oleg Prasolov, 35 years old, professional sportsman, master of sports, Belgorod
I pass preventive examination at different doctors every year. At my age, it is necessary, because at any time any sore can manifest. Recto-manoscopy is the usual procedure. Unpleasant only the first time.
With the help of this analysis, I recently discovered an initial stage of hemorrhoids. Now I am treating. I am very pleased that the problem was discovered on time and I do not have much trouble with the disease.
Svetlana Ivanovna Sinichkina, 60, retired, Perm
Expert opinion
Today the problem of hemorrhoids is very urgent. This is facilitated by many factors, both physiological and psychological. Early diagnosis of the disease is almost a complete guarantee of recovery and avoidance of serious consequences.
Recto-manoscopy is the optimal procedure for diagnosing hemorrhoids.
Nadezhda Konstantinovna Lukyanova, 49, proctologist of the highest category, Omsk
Alternative diagnostic methods for
There are studies that are very similar in nature to sigmoidoscopy, but at the same time they have some differences that it is better to apply in each case to the attending physician.
Among them:
- Colonoscopy is also directed to the examination of the rectum. However, with its help a fairly extensive area of the intestine is explored, approximately 110-152 cm, while in the case of sigmoidoscopy - only its distal part 62-70 cm. This is almost always enough for the diagnosis of hemorrhoids. Preparation of the organism for colonoscopy should be more thorough, and discomfort more than with sigmoidoscopy.
- Anoscopy - can help to investigate the rectum only to a depth of 14 cm. In some cases, this is clearly not enough to diagnose hemorrhoids.
All three methods have proven themselves well, and are used to recognize various diseases. But, if it is necessary to diagnose hemorrhoids, then sigmoidoscopy is the best option for solving the problem.
The price of the research is acceptable and accessible to all categories of citizens. In public hospitals this procedure is free of charge.
Remember that when a disease occurs, self-medication can cause irreversible effects.