Even hemorrhoids diagnosis
have been going on for decades, but this common disease is still misunderstood and inappropriately treated. This is because most people don’t fully understand the area and the diseases that are associated with it. More than ten million people in the United States have been diagnosed with hemorrhoids but only a third of them seek medical treatment. The rate of serious hemorrhoids has gone done since its peak in the mid-70’s. The peak age group of people who get hemorrhoids are around 45-65 years in age.
Many things are associated with hemorrhoids like ulcers and Crohn disease. Many women who get hemorrhoids get it because of their pregnancy, although it is undetermined why pregnant women get hemorrhoids. Believe it or not, hemorrhoids are present in healthy individuals; they are present in everyone. The only thing is that when they swell or enlarge they can become quite discomforting and painful. It is when the vascular cushions become enlarged, inflamed, or protruding when they are called hemorrhoids.
Hemorrhoids diagnosis requires a proper history and a detailed physical examination
Most patients with hemorrhoids have symptoms for a long period of time before they seek medical attention. Thus, it is necessary to focus on the following aspects when evaluating for hemorrhoids:
The common ages of patients who develop hemorrhoids are between the ages of 30 and 50. If they are much younger, doctors will usually try to be more careful to exclude any other possibilities such as inflammatory bowel disease, juvenile polyps, polyposis syndromes. However if the patients are more senior, doctor will normally check for any cancer possibilities like carcinoma. Aging also causes hemorrhoids because the tissue inside the rectum begins to deteriorate. The weakening of the tissue can start as early as thirty.
Commonly, hemorrhoids happen in males and females. However, if the patient is pregnant or just has childbirth and is young, there is a high possibility of getting hemorrhoids. The hormonal changed during pregnancy, venous congestion, and increased pelvic pressure in late pregnancy and delivery is some of the contributing factors to the development of hemorrhoids. The good news is once the pregnancy is over, the hemorrhoids tend to improve over the next few months.
Are you frequently straining during your bowel movement? If yes, then it is not surprise for having hemorrhoids problem. The reason is constant pressure from straining causes engorgement and stretching of the vascular anal cushions. Eventually, the supporting connective tissue holding the vascular cushions is overly stretched till broken and the vascular cushions slide downward, presenting as hemorrhoids.
If you are facing severe constipation, it is possible to get hemorrhoid problems too. Again, here you need to strain which aggravate the problem. Your physician may want to check for any low-lying rectal cancer problem too.
Severe diarrhea can cause hemorrhoids also as constant irritation from loose stools will damage the delicate hemorrhoidal veins. Inflammatory bowel disease needs to be checked in this case.
Inadequate intake of water and fiber in diet are prime factors causing piles. Did you take any constipating foods such as cheese and milk? However, you are having diarrhea, then doctor want to know any intake of beer, citrus fruits, lactose intolerance, and caffeine recently.
-Do you spend hours or reading books in your toilet while attempting to defecate?
-Are you an athlete such as weight lifters and tennis players who like to exert yourself to the extreme till burst of muscular activity? This kind of habit can raise the intra-abdominal pressure and cause prolapsed of internal hemorrhoids or thrombosis of external hemorrhoids.
-Are you the kind of person who likes to perform anal intercourse? You need to be checked for other possibilities like abscess, fissure, or ulcers, and to evaluate the immune system first.
-Do sit for long hour frequently due to your job nature?
Usually, these kind of bad habits need to be corrected first before any treatment as some time the problem will go off by itself once the bad habits have been stopped.
f) Previous treatment
Did you have any surgeries on your anus or rectum before?
How about any previous hemorrhoidectomy or sclerotherapy?
Doctor normally will advise these kinds of patients to go for conservative measures such as fiber supplements first or less invasive procedures like rubber bandings if the supplements is still not possible.
g) Medical history
Knowing the medical history of the patient is important as some leukemia or bleeding diathesis patients tend to develop with hemorrhoids. Doctors want to check for any intake of anticoagulants,
nonsteroidal anti-inflammatory drugs or Plavix1 as these can increase hemorrhoids bleeding. If doctor decides to perform surgery, then the patient has to stop ingesting these drugs. Likewise, smoking has to be checked for and stopped before any surgery can be done.
Doctor also wants to know any family history with familial colorectal neoplastic syndromes. This kind syndrome tends to promote development of hemorrhoids as their vein walls or venous valves is fragile.
The diagnosis of hemorrhoids should be reached only after confirming the hemorrhoids on visual and anoscopic examination and only after other sources of anorectal symptoms have been excluded.
Symptoms are divided into external and internal. Internal does not cause pain, but external can cause discomfort, pain, and bleeding. Protruding hemorrhoids can be itchy and bleed. They require medical attention because they are so uncomfortable. Internal hemorrhoids will cause discomfort and will make a person feel pressure around the abdomen and anus.
The pain you may feel from internal hemorrhoids is caused by a spasm in the sphincter. Internal hemorrhoids are mostly painless and have bleeding with bowel movements. When the hemorrhoid puts pressure on the hemorrhoid veins, they tend to break and blood will appear. Internal hemorrhoids can also produce mucus that will keep the area moist and cause the anus to itch, although this is not common.
Most hemorrhoids will only be treated if they cause any discomfort or pain. They will heal, but it may cause some scarring, depending on how serious your condition is. For external hemorrhoids, you may have an extra deposit of skin that will be permanent. If you feel any discomfort or pain, you should seek medical attention and consult your physician. Everyone has hemorrhoids; it’s just a matter of how serious. You may need to consult your doctor if your hemorrhoids seem to be enlarged or blood is located in your stool. Hemorrhoids diagnosis
should not be done by yourself.