Information I have found says that about half of the population over the age of 50 years old have hemorrhoids. Having known several population that have or have had hemorrhoids prompted this article. Hemorrhoids can come to be a qoute that can consequent your daily life, or at least the ability of life.
There are several degrees or types of hemorrhoids. The most base hemorrhoids are:
Internal and External.
Internal
These are the hemorrhoids found above the pectinate or dentate line. This line divides the upper 2/3rds & the lower 1/3rd of the anal canal.
Internal hemorrhoids are normally non-painful. The first signs of internal hemorrhoids may be some blood found on the tissue paper or even on the fecal material or in the stool. Internal hemorrhoids are graded by degrees of prolapse. This grading is Grades I - Iv.
External
These hemorrhoids are the ones found below the dentate line and ordinarily protrude outside the rectal/anal area. They are the ones that normally yield pain and itching.
Reasons For Hemorrhoidectomy:
- Very large internal hemorrhoids
- Internal hemorrhoids that are still causing problems after failure of a surgical or non-surgical treatment. Such as a stapling or rubber band ligation.
- Large external hemorrhoids that are very painful and/or are large enough to originate problems in keeping the anal area clean.
- Previous failed treatments of whether internal or external hemorrhoids.
- The hemorrhoidectomy normally provides better long term results than many of the other procedures.
Success of Hemorrhoidectomy. There is almost a 5% failure. Causing the course to need to be repeated. This does not seem to matter if the course is done with primary surgical tools or with the newer methods such as Cryo or Laser treatment.
There are some claims that laser treatment is less painful and heals faster. However, there is no proof of this to date.
Risks with hemorrhoidectomy include:
Most common
- Pain
- Bleeding
- A wet bottom, (usually from leakage and/or pulling outside tissue up into the rectal area - at the time of surgery.)
- Urinary Retention
- Constipation
Less common
- Blood collecting in the surgical area, a hematoma.
- Loss or poor operate of bladder and/or bowel.
- Infection at the surgical site.
- Bowel obstruction.
- Fecal material becoming trapped at the surgical site in the rectal or anal area.
- Stenosis of the rectal and/or anal area, where the canal becomes smaller.
- Fistula, a tract that forms and allows the duct of fecal material to go into other areas or to come to be trapped and infected.
- Prolapse of the rectum. Basically the rectal tissue protrudes out through the anus.
- And of course all of the problems that arise with major surgical operation and receiving a normal anesthetic.
Hemorrhoidectomy is not recommended for very small hemorrhoids. It is normally reserved for the large hemorrhoids or for those that have failed with other procedures.
A hemorrhoidectomy allows the surgeon to cut away the enlarged tissue that has developed. After he removes the tissue, (the hemorrhoid,) the area will be closed with sutures or stitches.
This is to done to:
- Stop the bleeding.
- Help promote faster healing
What to expect after the surgery.
- Pain, there will be some pain after the surgery, this will be most uncomfortable with the first few bowel movements after surgery. There have been some cases of the patients fainting or passing out with the first few bowel movements.
- Constipation, you may have some constipation. This may be in some cases because the outpatient is afraid of the pain he may have with a bowel movement and so tries to prolong having the bowel movement as long as possible.
- Other causes may be from the trauma to the rectum and anal area and effecting the nerves in that area.
- If you take determined medications, especially narcotics can cause constipation. For that presuppose your physician will normally not designate a narcotic for pain control.
- There can also be some bleeding after surgery. This may be especially true with the first few bowel movements.
- You can tear loose the sutures or stitches if you do to much straining. This may be from lifting or pushing on something or straining when having a bowel movement.
Reasons to call your Doctor
- Excessive bleeding
- Fever especially if greater than 101
- Severe pain not controlled by the pain medication prescribed by your doctor.
- Large whole of swelling in the rectal area.
- And of course at any time you have concerns or questions that need to be answered.
Please Note:
This article is for Information Only. It should Not be considered for determination or treatment of any medical condition.
For any medical problems you must feel your physician or condition Care Professional.
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