Surgical Care Plan for Internal Hemorrhoids and External Hemorrhoids

Hemorrhoids are mainly divided into two types - Internal Hemorrhoids and External Hemorrhoids.

Internal Hemorrhoids

Internal Hemorrhoids are painless in nature;they are usually detected at an advanced state since Internal Hemorrhoids is difficult to notice alone. Early stages of internal hemorrhoids can cause itchiness in the anodermal area. The most common symptom of internal hemorrhoids is bleeding. This can come in a few forms. You may just see the blood on the toilet paper after a bowel movement. This is usually how it begins and how you know you have the piles in the first place. Other symptoms include itching as this type of hemorrhoid leaks mucus that is highly irritating. Discomfort is a common feeling as the bulge from the piles makes one feel the urge to need to have a bowel movement even though they do not.
There are a few ways to decide to treat internal hemorrhoids. The most common, easiest, and cost effective is to use a suppository. These will reduce the swelling and other symptoms to help the piles heal.

Surgical Procedure

If all else fail, surgery would be our last resort. This is a double edged blade in which both sides do damage;damage to your body and to your pocket. Surgical procedures for Hemorrhoids are guaranteed safe and effective; some of these procedures were already being practiced by the English men since the 11th century.

1.) Rubber band ligation
One of the considered office based procedures wherein, rubber bands are tied to an internal hemorrhoid, this will cut off its blood supply and will wither in a few days' time. The withered hemorrhoid then just falls off after 5 - 7 days.

2.)
Cauterization
There is a number of ways to burn hemorrhoids down. Electro cauterizationis often practiced, as well as infrared cauterization.

3.) Sclerotheraphy
This involves injection of Phenol which causes the Hemorrhoid to shrink.


External Hemorrhoids

External Hemorrhoids are fleshy lumps around the rectum. External hemorrhoids are the most painful and irritating type of physical problem any human can have in the rectum and anus area. They occur as a result of anal pressure which dilates the rectal veins. Pressure on the rectal walls affects the muscles which support the hemorroidal vessels. These veins drain blood from the hemorrhoidal cushions further up within the anorectal canal before pushing the blood back towards the heart. Constipation, diarrhea, and sitting too long on the toilet are all common reasons for external hemorrhoids to start. A change in lifestyle habits is the only treatment that will work to cure external hemorrhoids and keep them away for good. The average human adult requires 25 to 30 grams of dietary fiber per day in order to keep everything working properly.

Surgical Procedure

The most commonly used medical methods for treatment of hemorroidal conditions are:

1.) Injection sclerotherapy
This method shrinks the hemorrhoid lumps by causing inflammations and closure of the dilated rectal veins. A special medical solution is injected in the area near the hemorrhoid which provokes the rectal veins reaction.

2.) Rubber band ligation
This method uses a rubber band which is placed at the base of the hemorrhoid. The band stops the blood supply to the affected vein and causes it to dry up and fall of in about a week.

3.) Infrared protocoagulation
This procedure works by directing infrared light to the affected veins of the hemorrhoid. The dilated veins coagulate and as a result the external hemorrhoids shrink because the blood cannot go through the coagulated veins.

4.) Laser coagulation
This method uses an electric current to shrink hemorroidal protrusions. The electricity is emitted by an electrode probe and triggers a chemical reaction which cuts off the blood supply to the infected area.

5.) Hemorroidectomy
This method is a surgical removal of the hemorrhoid groups performed by a cautery devise and a scalpel or by laser. The surgery is recommended for treatment of prolapsed or trombosed external hemorrhoids.