Hemorrhoid Prolapse Treatment

According to the World Organization of Public Health, over 10 million people suffer from a form of hemorrhoids. Prolapse hemorrhoids are classified as grade four and are considered irreducible. Varicosities, commonly referred to as prolapse hemorrhoids occurs when tissue containing blood vessels protrudes from the anus, also referred to as thrombosed external hemorrhoid. Thrombosed external hemorrhoids are more common in otherwise healthy adults.

Symptoms

• Individuals with prolapse hemorrhoids may experience extremely painful swelling, as well as bright red blood on the toilet paper or in the toilet. An external lump around the anus my be present.

Causes

• Several factors may contribute to the onset of prolapse hemorrhoids. Constipation, straining during bowel movement, colitis, trichuriasis, cystic fibrosis, and pregnancy are known possible causes.

Diagnosis

• Diagnosis methods include sigmoidoscopy, barium enema, rectal examination and anorectal manometry. Because there are similarities in symptoms between prolapsed hemorrhoids and rectal cancer, perianal hematoma, anal fissure fistula and abscess, other tests my be used for diagnosis

Treatment

• Treatment may include mucosal banding or Baron ligation, a less invasive procedure and preferred method of treatment. An elastic band is tied around the external hemorrhoid. Blood flow is then depleted and bowel movements become less painful.
  Sclerotherapy is a procedure used to shrink the hemorrhoids. Medication is injected into the veins within the hemorrhoid, causing the vein to reduce.
  A more invasive procedure is surgical restoration to remove the hemorrhoids, commonly referred to as hemorrhoidectomy. Hemorrhoidectomy is a surgical procedure used in order to remove the hemorrhoid. This is used as a last resort, as it is considered to be extremely painful during recovery.
  In severe cases, restoration of the rectum, anus or sphincter may be necessary.

Risk

• Certain factors associated with age, prior rectal surgery, weak muscles, chronic constipation, and straining can contribute to the onset of prolapse hemorrhoids.

Prognosis

• Prolapse hemorrhoid is a chronic condition. In most cases, with recommendation from a physician, chronic prolapse hemorrhoids can be managed.

Prevention

• A change in diet, and avoid straining during bowel movement may help prevent hemorrhoids. Additionally, a mild stool softener my be recommended by your doctor.