A little village girl had hemorrhoids and she fell in love, but she was so embarrassed to tell her man because she thought it was a good enough reason for her lover to break up with her. She kept this secret to herself until it began to get so serious and one day she fell while having a discussion with her lover and he rushed her to the hospital.
He was so surprised that she would keep such a serious medical condition away from him just because she was feeling embarrassed. Even if this story was from a home video I watched a few days ago, I still want to write about hemorrhoids today, and I hope you will enjoy reading.
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Hemorrhoid is a naturally occurring cluster of vascular tissues, smooth muscles, and connective tissues laying along the anal canal in three columns, including the lateral, right posterior, and right anterior positions. In some cases, muscular walls are not absent, these clusters may then be considered sinusoids instead of veins or arteries.
Hemorrhoids exist even in individuals that are healthy, they act as cushions surrounding the anastomosis between the super rectal artery and thr superior, middle, and inferior rectal veins. But, when is sliding in the anal canal lining, which proposes the presence of what we now term as "hemorrhoids".
Hemorrhoids occur when the supporting tissues of the anal cushions deteriorates. Hemorrhoids arexthv pathological ter that can be used to describe the abnormal downward displacement of the anal cushions causing venous dilation.
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During histopathological examination of the condition, the changes seen in the anal cushions include, abnormal venous dilation, vascular thrombosis, distortion and ruptured of the afal subepithelial muscle, degenerative process in the collagen fibers and fibroelastic tissues. In d severe situation, a prominent inflammatory reaction which involves the vascular wall, and surrounding connective tissues that has been associated with mucosal, ulceration, thrombosis, and ischemia would be identified.
Millions of people around the world are affected by this problem, representing a a major medical and socioeconomic problem. Even if hemorrhoids are generally considered a common cause of rectal bleeding and anal discomfort, so many people have not really goung out thr true epidemiology of the symptoms, and this is because the option of self-medication is far opted for as to proper medical diagnosis and treatment.
Prolonged straining and constipation are widely believed to also cause hemorrhoids since hard stool and increased intra abdominal pressure could create obstruction of the venous return, leading to engorgement of the hemorrhoidal plexus.
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When hard fecal material is passed, there is an increased shearing force on the anal cushions. However, there are more recent developments of this disorder. Several existing investigating has also not been able to properly demonstrate a significant association between constipation and hemorrhoids. There are also articles that suggest diarrhea to be a risk factor for the presence of hemorrhoids.
Hemorrhoids are classified based on location and degree of prolapse. Experts say it is important to classify hemorrhoids as it helps to choose a good treatment option, it also gives room for the comparison of therapeutic outcomes among them.
There is internal hemorrhoids which originates from the inferior hemorrhoidal venous plexus located below the dentate line and coverrd with squamous epithelium. Internal hemorrhoids are classified further based on appearance, and degree of prolapse, then further classified into:
- First degree hemorrhoids (grade 1) has the anal cushions bleed but without prolapse.
- Second -degre hemorrhoids (grade II) has the cushions prolapse through the anus on straining but reduce spontaneously.
- Third degree hemorrhoids (grade III), in this case, has ancl cushions prolapse through thr anus on straining or exertion, and requires manual replacement into the anal canal.
- Fourth degree hemorrhoids (grade IV) has the prolapse stay out all the time and often irreducible.
There are mixed hemorrhoids which arise both above and below the dentate line.
Wikipedia
Johanson et al, carried out an epidemiologic study in 1990, and the study showed that 10 million people in the United States complained of hemorrhoids amongst both male and female, with more prevalence happening between the age of 45-65 years. Also, it was discovered that, the appearance of hemorrhoids before 20 years was rather a lot unusual.
The cummin appearance of hemorrhoids is often a painless rectal bleeding during bowel movement, sometimes accompanied by blood drip into toilet bowls. The blood is often bright red, but anemia or positive fecal occult blood should be outrightly classified as hemorrhoids until the colon has been evaluated appropriately.
Treating a hemorrhoid condition requires dietary adjustments, lifestyle modification, and even drastic surgery depending on how severe the situation of things are.
Dietary modifications and lifestyles are most often the sort after option for correcting hemorrhoid disease. Lifestyle modifications would include, more intake of oral fluid, limited consumption of fat, regular exercise ans avoiding straining.
More intake of fiber is often recommended also, this would decrease the action of passing hard stool.
Surgery is usually not used until the disease has gotten to an advanced stage, and complications can also come up. However, surgery remains the best option when it gets to this level.
The proper diagnosis of hemorrhoidal disease is dependent on patients history, and careful clinical examination. Assessing the patient would require a digital examination, and anoscopy in the left lateral position.
In addition to this, the perianal area needs to be inspected for anal skin tags, external hemorrhoids, and perianal dermatitis from anal discharge or fecal soiling. During anoscopy, hemorrhoidal size, location, and the severity of the inflammation would be noticed.
For Further Studies
https://pmc.ncbi.nlm.nih.gov/articles/PMC3342598/
https://pmc.ncbi.nlm.nih.gov/articles/PMC4755769/pdf/10-1055-s-0035-1568144.pdf
https://pmc.ncbi.nlm.nih.gov/articles/PMC4755769/
https://www.wjgnet.com/1007-9327/full/v18/i17/2009.htm
https://www.aafp.org/pubs/afp/issues/2018/0201/p172.html
Hi, I am Tobi, a writer, speaker, relationship blogger, and lover of good music. I love making friends and learning from people. If you want to hear me speak about relationships and general life issues, you can find my YouTube channel where you can watch any episode for free, please do not forget to subscribe, friends. I sincerely appreciate every love I get from here, Kindly do well to keep them coming.
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