Treatment of disorder
Hemorrhoid is the most common disease amongst anal disorder. Vein distributed to anus is swelled like varicose. There is a boundary called as dentate line between rectum side mucosal and skin. Hemorrhoid developed at orifice side is called as internal hemorrhoid, and at anus side is called as external hemorrhoid.
It is considered that the risk of development is straining by constipation. Other than this, sitting style for longer hours, pregnancy, alcoholic drinking or status where portal vein pressure is increased by compounded liver, become the risk of development.
Internal Hemorrhoid is normally not accompanying any pains. It is mostly noticed when bleeding at bowel motion, or prolapse of hemorrhoid from anus. But when prolapse is left with no care, severe pain occurs with accompanying blood circulation disorder. This stage is called as Incarcerated Hemorrhoid. On the other hand, outer hemorrhoid exists outside of anus, so that it develops blocked blood vessel and accompany with pain.
Hemorrhoid can be diagnosed by digital rectal examination and anoscope test. Clopped external hemorrhoid can be diagnosed by ocular inspection only. For treatment, lifestyle habit, especially defecation habit need to be improved. With having the alimentary therapy or constipation drug, patient try to avoid from constipation. In addition to these therapy, most of hemorrhoid symptoms are improved with using ointment inserted to anus, or suppository.
When symptoms do not improve by these treatment, surgical treatment can be considered. For the surgery, other than ligation resection method (Milligan-Morgan method), which is widely conducted from the past, PPH method which fix hemorrhoid on elevation, or rubber band ligation, are used depend on clinical condition. In 2005, ALTA hardening therapy, in which ambulatory is possible, treatment becomes subject to Health Insurance, so that it is widely spreading out as common treatment.
It is recommended not to constipate on a daily routine basis. In specific, not to hold constipation, to take more water, not to strain too much, and adjust the hardness of constipation using oral medicine. Also, to take balanced eating habit, to refrain from spicy food or alcohol drink, to practice appropriate exercises in daily life and to avoid seated position for longer time, are all effective.