Providing important information about hemorrhoids, also known as hemorrhoids among the people, Medical Park Çanakkale Hospital General Surgery Specialist Dr. Fehim Diker said about the methods used in the treatment of hemorrhoids, "Depending on the condition of the disease, treatment methods other than surgery should be preferred first, and if these methods fail, surgical treatment should be applied."
Informing that the definition of hemorrhoidal disease is not very clear, it is difficult to determine its true frequency and prevalence, Medical Park Çanakkale Hospital, Department of General Surgery, Op. Dr. Fehim Diker, “Data based on population research in the literature reported frequency from 58 percent to 86 percent. This disease slightly increases in middle age and its frequency decreases after 65 years of age. It does not show any gender discrimination," he said.
It may occur due to nutritional and occupational conditions.
Stating that hemorrhoids are normal anatomical elements of the human body, they are located at the exit of the anus, they are divided into two regions as internal and external. Dr. Fehim Diker shared the following information: “We can call them pillows. They fill with blood during defecation and protect the anus canal from injury. The main reasons for the growth of hemorrhoids are excessive straining, chronic constipation, diet poor in fiber foods, sitting or standing too much for occupational reasons, obesity, diarrhea, pregnancy and heredity. Increased intra-abdominal pressure may reappear in patients with diseases such as liver cirrhosis.
Underlining that the main complaints of hemorrhoids are the growth of nodules and bleeding, Op. Dr. Fehim Diker, “Bleeding is bright red in color. It takes a long time and sometimes it is excessive and causes anemia. It is usually painless and occurs during and after defecation. Bleeding increases with excessive straining. "Blood can be seen on toilet paper and on the toilet bowl," he said.
Before starting treatment, the digestive system should be evaluated.
Stating that 20 percent of hemorrhoid patients may complain of pain in the future, Op. Dr. Fehim Diker used the following statements: “Hemorrhoid nodules protruding from the anus form a slimy leak and itch. In patients whose main complaint is bleeding, benign or malignant digestive system diseases should be sought before starting treatment. More blood clots occur in external hemorrhoids. In internal hemorrhoids, first of all, there is only bleeding.”
Non-surgical treatment possible
Emphasizing the need for treatment in accordance with the stage of the disease in hemorrhoidal disease, Op. Dr. Fehim Diker continued his words as follows: “The main rule is to ensure that patients have soft stools. For this purpose, a diet rich in fiber foods is recommended. Spices and alcohol that cause damage should be avoided. Patients are ensured to take at least 1.5 liters of fluid per day. It is recommended to go to the toilet at the same time every day. The patient is taught to defecate without straining and to immediately replace the protruding hemorrhoidal nodules. Warm dressing and sitting baths are recommended. Various ointments and suppositories are used. Oral medications are given. It should not be expected that the hemorrhoids will disappear and completely heal with medical treatment. Along with drug treatment, knife-free operations are applied.
Giving important information about the methods that patients can be treated without going under the knife, Op. Dr. Fehim Diker said, “Sclerotherapy, rubber band ligation, infrared photocoagulation, cryotherapy, electrocoagulation, laser therapy and arterial ligation are bladeless operations used in the treatment of hemorrhoids. Generally, such non-surgical methods are performed on an outpatient basis and do not require hospitalization.
The last resort is surgical intervention.
Stating that surgical intervention is applied in cases where other methods fail and in advanced stages of hemorrhoids, Op. Dr. Fehim Diker, “Hemorrhoid nodules are removed with the surgical method and sutures are placed on the veins. Postoperative pain is the most common problem and the most important reason why patients avoid surgery. This problem can be eliminated with post-operative pain relievers and drugs that facilitate defecation. The treatment is continued with warm sitz baths” and ended his words.