When is hemorrhoid surgery needed?

Currently, hemorrhoids are a fairly common disease, appearing a lot in people who sit a lot such as office workers, computer technicians ... Due to subjective psychology and shame, patients usually only go to the doctor when the disease has passed. heavy. Hemorrhoidectomy should be performed as soon as possible.

So when it is necessary to have hemorrhoidectomy surgery, what are the methods of hemorrhoid removal, please follow the article below of SignsSymptomsList.

What is hemorrhoids?

Hemorrhoids are caused by excessive dilation of one or more veins in the superior hemorrhoidal system, the inferior hemorrhoidal veins, or sometimes both. This phenomenon occurs causing internal hemorrhoids, external hemorrhoids and mixed hemorrhoids.

Hemorrhoids should be treated early

Symptoms of Hemorrhoids

Hemorrhoids often have some characteristic, easy-to-recognize symptoms, such as:

• Bright red blood in the stool. This is often the earliest and most specific symptom. At first, the patient may bleed discreetly, later the blood flows in drops or rays like chicken blood. 
• Pain and swelling in the anal area. There are some cases where there is no pain or mild pain. The cause of the pain is an occlusion or an anal fissure.
• Itching and feeling wet in the anal area due to inflammation of the anal canal.
• With grade 2 or higher internal hemorrhoids , external hemorrhoids, and mixed hemorrhoids, the hemorrhoid may be prolapsed and palpable.

People with hemorrhoids feel a lot of pain when sitting

Causes of hemorrhoids

Hemorrhoids are caused by many factors:

• Constipation or persistent diarrhea.
• Sitting or standing for too long a movement, common in office workers, computer technicians, drivers, tailors, bodybuilders.
• Women who are pregnant or giving birth naturally.
• Bad eating habits such as eating a lot of hot and spicy foods, regularly drinking alcohol, eating less vegetables, etc.

Sitting for too long is a common cause of hemorrhoids

Distinguish types of hemorrhoids

Types of hemorrhoids are often distinguished by the location of the hemorrhoid. Distinguishing the types of hemorrhoids and the extent of the disease will help the doctor orient the appropriate treatment for the patient. There are three types of hemorrhoids: internal hemorrhoids, external hemorrhoids and mixed hemorrhoids.

Internal hemorrhoids

Internal hemorrhoids are caused by excessive dilation of the hemorrhoidal plexus in the anal canal. Therefore, hemorrhoids appear above the dentate line, inside the anal canal. When hemorrhoids are at level 1, newly developed, the hemorrhoids are covered by mucosa, so the prolapse state of hemorrhoids has not been recognized. Hemorrhoids will grow larger and prolapse from grade 3 and are easily confused with external hemorrhoids. When patients defecate, they will see protruding hemorrhoids and blood in the stool.

Internal hemorrhoids are usually classified into 4 grades according to the progression:

• Grade 1 internal hemorrhoids: Newly formed hemorrhoids, the hemorrhoids are small and have not protruded outside the anus. The stool is often bloody, clinging to the surface of the stool or dripping out. 
• 2nd degree internal hemorrhoids: Bleeding in greater amounts. The patient may begin to have signs of pain, swelling, and itching in the anus. Hemorrhoids are larger and protrude out of the anus during defecation but can then retract on their own.
• Grade 3 internal hemorrhoids: The disease is more advanced, people with hemorrhoids feel very uncomfortable, more painful, hemorrhoids are getting bigger and bigger, the mucosa is thickened, dark pink and rough. Hemorrhoids prolapsed out of the anus during defecation but could not retract on their own, had to be inserted into the anus by hand. Even just pushing, coughing, walking, or stooping can cause hemorrhoids to pop out.
• Internal hemorrhoids grade 4: Hemorrhoids protrude out of the anus and cannot be inserted inside the anus. Hemorrhoids can lead to necrosis, causing pain and obstruction of the anus.

External hemorrhoids

External hemorrhoids are caused by excessive dilatation of the hemorrhoidal plexus outside the anal canal. Therefore, hemorrhoids appear below the dentate line, outside the anal canal. Hemorrhoids when they first appear are located under the skin of the anus, when they grow larger, they can be clearly identified with the naked eye. When the patient has a bowel movement, blood will come out before the stool. 

Mixed hemorrhoids

Mixed hemorrhoids is a combination of both types of hemorrhoids above. The internal and external hemorrhoids will join together to form a mixed hemorrhoid. Therefore, when patients with mixed hemorrhoids have both symptoms of internal hemorrhoids and prolapse of external hemorrhoids, patients suffer many inconveniences in daily life. 

Distinguishing the types of hemorrhoids helps the doctor come up with the best treatment method

When is hemorrhoid surgery necessary?

Patients with internal hemorrhoids grade 2 or less, external hemorrhoids or mixed hemorrhoids usually do not need surgery but can take medicine or natural herbs to support treatment.

Hemorrhoidectomy is usually indicated for patients with grade 3 or higher hemorrhoids, large hemorrhoids, acute thrombotic hemorrhoids, and mixed hemorrhoids with large external hemorrhoids that cause bleeding and pain.

Surgical removal of hemorrhoids in the treatment of hemorrhoids is not the only method. They are only the final link in the overall treatment regimen. After removal of hemorrhoids, it is important to restore anal function and treat hemorrhoids to prevent recurrence.

Some medicinal products, functional foods or natural herbs are very effective in improving the symptoms of hemorrhoids. Long-term use of these products will cause the hemorrhoids to shrink gradually and help the hemorrhoidal vein system to be stable, anti-inflammatory, and anti- constipation . Safe herbs such as: Lettuce, Hoa Hoa, Dong Quy, Turmeric... can be used by both pregnant and lactating women.

Hemorrhoid surgery method 

In order to completely treat hemorrhoids, it is necessary to remove all the hemorrhoids. To do this, doctors will use the procedure to cut off the hemorrhoid and ligation of the hemorrhoid veins at the root.

In particular, Longo surgery to cut hemorrhoids brings very good results, safety, short hospital stay and pain relief after surgery. However, the removal of hemorrhoids by this method is still very painful and there may be some complications such as: anal infection, anal stenosis...

The Longo hemorrhoidectomy method is often applied when hemorrhoids need to be removed

To reduce complications of hemorrhoidectomy, bring long-term effectiveness and prevent recurrence, patients should perform at reputable medical facilities, qualified and skilled doctors. 

Thus, surgical removal of hemorrhoids is a safe, effective method and cures the root of the problem. However, after surgery, hemorrhoids can come back. Therefore, everyone should change habits such as not sitting for too long, eating a lot of green vegetables, limiting alcoholic beverages... Hope this article has brought you knowledge about hemorrhoidectomy surgery. Wish everyone good health and don't forget to follow other articles of SignsSymptomsList to update more knowledge.