Hemorrhoids are enlarged lumps in the anus that can cause pain, bleeding, and discomfort.
Treatment includes conservative methods (diet, medications, lifestyle changes) and surgery, such as hemorrhoidectomy, to remove the lumps and relieve symptoms.
The procedure is performed under general or local anesthesia, depending on the physician’s discretion and the patient’s condition. A hemorrhoidectomy involves the removal of the hemorrhoid along with the enlarged marginal fold. The physician makes an incision around the hemorrhoid, then ligates the vascular pedicle and removes the hemorrhoid. The wound is closed with absorbable sutures, ensuring improved postoperative comfort and faster healing.
The causes of hemorrhoids are not fully understood, but they are widespread and age-independent. They are often caused by a sedentary, inactive lifestyle, insufficient dietary fiber, and insufficient fluid intake. Pregnant women, those struggling with obesity, constipation, and smokers are at increased risk, with the largest group at risk being those over 50.
Even the slightest bleeding should prompt us to see a specialist; untreated hemorrhoidal disease can lead to serious illnesses such as diseases of the large intestine, rectum and anus, and even cancer.
During a medical consultation, the proctologist will interview the patient, perform a general examination, and an anal examination. If necessary, additional tests will be ordered. These tests require no special preparation and only take a few moments. The patient may experience some discomfort, but not pain. After completing the examination and gathering the necessary information, the doctor may recommend conservative or surgical treatment.
Diet
You should adopt a high-fiber diet and drink at least 2 liters of water daily. This will help prevent constipation.
Lifestyle
Your doctor may recommend quitting smoking, exercising, limiting alcohol consumption, and losing weight.
Hygiene Recommendations
Wearing appropriate underwear, maintaining intimate hygiene. Your proctologist will provide detailed home remedies.
Sit-in Baths
Nasiadówki czyli tzw. kąpiele ziołowe.
Wszystkie wyroby medyczne powinny zostać zlecone przez lekarza, ponieważ niektóre preparaty mogą być szkodliwe, a nawet zaostrzyć przebieg choroby.
At the Mazan Surgery Clinic, a closed hemorrhoidectomy is performed using the Ferguson method. The procedure involves dissection of the hemorrhoid along with the hypertrophied marginal fold, underpinning the vascular pedicle, ligation of the hemorrhoid on both sides and its removal, and primary wound management with continuous absorbable sutures. In this variant, the wound is closed. This method is believed to have gained acceptance among physicians due to the more comfortable, less painful postoperative period, and faster wound healing. The procedure is performed under the supervision of an anesthesiologist, who, together with the patient, determines the appropriate anesthesia method. Pain and bleeding from the surgical site may occur immediately after the procedure. The patient leaves the clinic after one day with postoperative instructions and returns for follow-up visits at the scheduled time.
The first symptoms of hemorrhoids include itching, burning, and discomfort around the anus, as well as minor bleeding visible on toilet paper. As the condition progresses, pain, swelling, and prolapse of the hemorrhoids may occur. It’s important to see a doctor as soon as possible, especially if symptoms persist for several weeks, worsen, or recurrent bleeding occurs. Early diagnosis allows for more effective and less invasive treatment.
Treatment for hemorrhoids depends on the stage of the disease. In the initial stages, conservative methods such as dietary modification, increasing fiber intake, avoiding constipation, and using ointments or suppositories can be effective. In more advanced cases, minimally invasive techniques such as sclerotherapy, rubber banding (Barron’s method), or laser therapy are used. Surgery is recommended in severe cases when other methods are ineffective or complications occur, such as thrombosis or prolapsed hemorrhoids.
Yes, proper preventative care significantly reduces the risk of developing hemorrhoids. Maintaining a healthy, fiber-rich diet, staying hydrated regularly, and avoiding prolonged sitting and constipation are essential. Physical activity and avoiding excessive straining during bowel movements are also important. Maintaining good anal hygiene and avoiding irritating cleansers is also recommended. Regular visits to a proctologist help detect problems early and prevent complications.