There are two kinds of treatment, ie without surgery and with surgery. Both kinds of ways there are advantages and disadvantages. In the first way to do in order outpatient looking at the way these two patients should be treated as made ​​in a simple pembiusan.Terapi do with laxatives and high fiber diet.

While complex therapies do sclerotherapy, ligation with ties Barron, surgical Krio / frozen, and hemorrhoidektomi.

• Sclerotherapy

Sclerotherapy is the injection of a chemical solution that stimulate, for example, 5% phenol in vegetable oil. The injection is given into the submucosa in the loose areolar tissue in bwah internal hemorrhoids with the intention of causing sterile inflammation which then become fibrotic and scar. Injections made over at the top of the line mucocutaneous with long needle through anuskop. If the injections made in the right place then it will not hurt.

Injection complications are infection, acute prostatitis if entry into the prostate, and hypersensitivity reactions to the drug is injected.

• Ligation with rubber bands / Bunch Barron 

Hemorrhoid large or experienced prolapse can be treated with rubber band ligation according to Barron. With the help anuskop, mucosa above the protruding hemorrhoid clamped and pulled or sucked into the tube Ligator special. Rubber band driven from Ligator and placed tightly around the hemorrhoidalis the mucosal plexus. Necrosis due to ischemia occurred within a few days. Mucosa with rubber going off himself. Fibrosis and scarring will occur at the base of the hemorrhoid. At one time treatment only tied the hemorrhoid complex, while the subsequent ligation performed within two to four weeks.
The main complications of ligation is due to the onset of pain terkenanya mucocutaneous line. Severe pain can be caused by infection, bleeding may occur at Hemorrhoid necrosis, usually seven to ten days.

• Surgery Frozen / Krio

Hemorrhoid can also be frozen by cooling at very low temperatures. Frozen Surgery is not widely used because of the necrotic mucosa difficult to determine the extent. Surgery Krio is more suitable for palliative therapy in inoperable rectal carcinoma.

• Hemorrhoidektomi

Surgical therapy was selected for patients who experience chronic complaints and in patients with degree III or IV hemorrhoids. Surgical therapy can also be performed on patients with recurrent inflammation and anemia were not cured by other therapies are more modest. Patients who undergo IV degree hemorrhoids thrombosis and severe pain can be helped immediately by hemorrhoidektomi.
Principles for the excision hemorrhoidektomi is only possible on the truly excessive. Excision anoderm economically performed on normal skin and does not interfere with the anal sphincter.

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This occurs in pregnant women due to the pressure on the veins hemorrhoid fetal growth (dilation and inflammation of veins (back) in the anus or rectum). Dilation and inflammation caused by hard stool movement and pressure on the blood vessels there. Pregnant women are particularly vulnerable suffer from hemorrhoids due to rising levels of pregnancy hormones that weaken the walls of the veins in the anus. Many pregnant women who suffer from hemorrhoids after 6 months of pregnancy due to increased venous pressure in the pelvic area.

Some women also experience hemorrhoids during childbirth due to the strong pressure of the baby. Complications after delivery also trigger hemorrhoid. For example, the softness of the vagina and the anus often causes mothers to delay defecation, thus causing constipation and hemorrhoids.

Symptoms: sore anus, with itching and bleeding, and there was a bulge in the anus.

Cause:

• Constipation, making bowel movements should push strongly.
• Prolonged sitting, such as working in the office all day.
• Too long standing, can also cause anal stretch.

Overcome with:

• Eating plenty of fiber.
• Drink plenty of water.
• Exercise.
• No straining during bowel movements.

Hmm .. This was also one of the reasons why pregnant women need to implement a healthy lifestyle, is not it? In addition to the health of the fetus or the baby, as well as maintaining the health of the mother during pregnancy disorders.

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Increased venous pressure due to straining (low fiber diet) or hemodynamic changes (during pregnancy) causes chronic dilation of submucosal venous plexus. Found at 3 o'clock position, 7, and 11 in the anal canal.
In addition it is also due to hemorrhoids:

1. Heredity
2. Pregnancy because of hormonal changes
3. Obstipation (constipation / constipation) were chronic.
4. Disease that causes sufferers often straining, for example: benign prostate enlargement or prostate cancer, narrowing of the urinary tract, and often bear children.
5. Emphasis return venous blood flow, such as anal cancer, rectal inflammation, narrowing of the rectum, the increase in portal vein pressure (in the abdominal cavity), liver disease cirrhosis type (contract), heart failure and a swollen spleen.
6. Many sit.
7. Chronic diarrhea.
8. Stretching. This example happens to someone who likes to have sex the anogenital unusual.

SYMPTOMS

1. Rectal bleeding, blood coming out can be a trickle but can also flowing, pink blood, patients usually do not feel sick.
2. Taste prop, after defecation no lump sensation, this condition creates the impression that the process of defecation is not over, so someone pushing stronger, this action makes hemorrhoids worse.
3. Itching, because the part that feels pain in the anus is difficult to clean, the virus is very easy to cause skin infections that trigger itching).

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Hemorrhoid is a widening of the veins in the plexus hemorroidalis is not a pathological condition. Hemorrhoid is the swelling in the anal canal submucosal venous plexus containing, small arteries, and network wide areola.

Hemorrhoid can be experienced by anyone. But often people feel embarrassed or considered not important, less attention to these health problems. In anatomy hemorrhoid is not a disease but a physiological changes that occur in blood vessels in the rectal pads, such as dilation and swelling of blood vessels and surrounding tissue.

Bearing functions as a valve / valve that helps anal muscles hold stool. If there is interference (dam) blood flow, the blood vessels will dilate and swell, a condition called hemorrhoids.

In general, divided into two piles internal hemorrhoid and external hemorrhoid.


1. Internal Hemorrhoid,
swelling occurs in the rectum that can not be seen or touched. This type of swelling is painless because there are few nerves in the rectum area. The sign is known is bleeding during bowel movements. The problem is not so simple anymore, if the internal hemorrhoid is enlarged and out to the lip of the anus that causes pain. Hemorrhoid seen this pink after recovery can enter yourself, but it could also be encouraged to enter.

2. External Hemorrhoid,
attacks the anus, causing pain, soreness, and itching. If pushed out by stool, constipation can lead to clotting (thrombosis), which makes the hemorrhoid blue-purple.

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