Hemorrhoids. One of the main symptoms of this disease is the hemorrhoidal bleeding.
Literature data of recent years have pointed out that the cause of hemorrhoids is a violation of the outflow of blood from the venules of the cavernous bodies, which are located in the wall of the rectum (the largest cluster of notes on 3-7-11 hours on the dial) and is a substrate haemorrhoid. Therefore, if the wall of the cavernous bodies, which is filled with blood directly from the arterial bed is damaged, the stands out of scarlet, oxygen saturation arterial blood.
Bleeding at internal hemorrhoids characterized in that the blood volume, wherein is of a few drops to 100-200 ml per day and with frequent hemorrhage causes the development of anemia. In some cases, hemorrhage may be inkjet and pulsating.
Diagnosis. Under gentle disclosure of the edges of the anus hemorrhoids are defined as swollen formations bluish color, soft-elastic consistency, covered with a mucous membrane. Necessarily carry out the finger, mirroring studies and sigmoidoscopy. Soft hemorrhoids are rarely detected by digital examination, but this study is an important method for the differential diagnosis. When the mirror examination may reveal the bleeding internal hemorrhoids.
Treatment. We must remember that the causes of intestinal bleeding may be tumors (benign and malignant) of rectum and colon. Only after exclusion of these diseases should begin to targeted.
In chronic hemorrhoids, which manifests itself only bleeding internal hemorrhoids without a loss of knots, in the absence of common anorectal thrombosis recommends a hemostatic therapy with Venapro. 10 percent calcium chloride, 5 percent solution of aminocaproic acid as well as with the use of adrenaline suppositories by recipe.
In the absence of contraindications is possible to use an injection of sclerosing agents.
Contraindications to this kind of treatment are diseases of the prostate and hypertension, in which if there is no severe anemia, such bleeding is as would damping. At presence of infectious diseases, inflammatory changes in the walls of the anal canal and rectal mucosa injection of sclerosing agents is contraindicated. Relative contraindications for sclerotherapy are loss of internal hemorrhoids and frequent exacerbation of chronic hemorrhoids, because the presence of these complications are indications for surgical treatment.