Deutsch (DE-CH-AT)English (United Kingdom)Russian (CIS)

Laserklinik DRes Steinert

Wo nach suchen Sie ?

Sie sind hier: Startseite Services Haemorrhoids


Haemorrhoids

„Haemorrhoids- suffering” this definition comprises more or less all sufferings that have something to do with nodular changes in the anus. Actually, it is a matter of widened blood vessels that bulge out of rectum into anal canal, and only in the late stage come to the outside.

There are following types:

Haemorrhoids I. Degree
– pure swellings in the rectum, they can be diagnosed only with the help of a proctoscope.
Haemorrhoids II. Degree
– swellings that get out of place and retreat spontaneously
Haemorrhoids III. Degree
– nodes that prolapse and never spontaneously slip back
Haemorrhoids IV. Degree
– nodes that are permanently located outside (anal prolapse)

Nodes that are located outside or palpable swellings are mostly small haemorrhoids. It can be perianal thrombosis (hardened or inflamed underskin venous nodes) or an anal tag (skin folding as remaining condition of perineal thrombosis or after pregnancy). Still anal tags and perineal thrombosis can be indications of internal haemorrhoids. The complaints can be very similar.
The symptoms can be following: from itching and burning to palpable nodes with the feeling of a foreign body, more or less distinctive bleedings and pains up to incontinence.

 

An active treatment is necessary if there are strong complaints or bleedings.

 

First, conservative treatment will be carried out:
  • Ointments with or without cortison – with or without pain killers (local anaesthetic)
  • Suppositories with or without a gauze tampon

Nutrition consultations:
No spicy food, make sure there is soft bowel movement, drink a lot, no citrus fruit etc, a lot ofmovement, do not seat long on the toilet (more then 3 minutes supports development of haemorrhoids), do not hold back bowel movements (that increases pressure to the sphincter muscles and vessels).


Before haemorrhoids sufferings can be treated, two examinations are obligatory:
  1. rectal-digital examination (palpating of the anus with the finger)
  2. rectoscopy and proctoscopy (endoscopy of analcanal and rectum)
  3. if necessary a complete coloscopy

If a conservative treatment is insuccessful, or the haemorrhoids are too distinctive, there are following possibilities:
  1. Sclerotisation – injecting of aethoxysklerol or almond oil during proctoscopy
  2. Elastic band ligator – ligation of haemorrhoids during proctoscopy
  3. hemorrhoidectomy according to Miligan-Morgan – haemorrhoid surgery under general anaesthesia
  4. stapled hemorrhoidectomy according to Longo – “minimal invasive” haemorrhoid surgery under general anesthesia