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Haemorrhoids and their treatment


Authors: Z. Adamová
Authors‘ workplace: Primář: MUDr. Jaroslav Sankot ;  Vsetínská nemocnice a. s., Chirurgické oddělení
Published in: Prakt. Lék. 2012; 92(10-12): 543-545
Category: Various Specialization

Overview

Haemorrhoids are one of the most common anorectal problems managed by various physicians, ranging from primary care providers to surgeons. The correct diagnosis followed by an adequate treatment are essential for the patient. This article reviews the aetiology, pathophysiology, clinical presentation and treatment of haemorrhoids, including nonoperative options, out patient-based procedures, and surgical interventions. Although haemorrhoids are a well-known disease, the exact pathophysiology of haemorrhoidal development is poorly understood. The abnormal dilatation and distortion of the vascular channel, together with destructive changes in the supporting connective tissue within the anal cushion is a paramount finding of haemorrhoids. Haemorrhoids are defined as the symptomatic enlargement and distal displacement of the normal anal cushions. The most common symptom of haemorrhoids is rectal bleeding associated with bowel movement. Basic life-style recommendations have been the same for years, but pharmacotherapy and surgical techniques are changing. The aim of this text is to offer an overview about the current possibilities.

Key words:
haemorrhoids, anal bleeding, haemorrhoidectomy


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