The third stage of the disease is already a serious process, in which it is dangerous to delay the visit to the doctor, it can be fraught with complications, so it requires urgent treatment.
- 1 Symptoms of Stage 3 hemorrhoids( stages)
- 2 Treatment of hemorrhoids in 3 stages
- 3 Minimally invasive methods for treating hemorrhoids of grade 3
- 4 Complications of the postoperative period
Symptoms of hemorrhoids of the third degree( stages)
The third stage continues to show symptoms of previous stages of the disease: burning and itching in the anus, pain in the rectum and anus, prolapse of hemorrhoids and bleeding after defecation. At the same time, all the described symptoms noticeably worsen and begin to disturb the patient more and more seriously. So, the patient experiences just an unbearable itch and involuntarily combs the perineum. As a result, scratches and cracks appear near the anus.
It is with hemorrhoids of the third degree that the charact
Also unlike the 2 stages of hemorrhoids, the dropped hemorrhoidal nodes can not self-correct. Now you can change them manually.
There is a possibility of infringement of hemorrhoids or their thrombosis.
Very often, bleeding occurs, not only after emptying the bowels, but also in a calm state. As a result, due to a persistent decrease in hemoglobin, they can lead to anemia.
Treatment of hemorrhoids in the 3rd stage of
At this stage of the disease, drug treatment methods are ineffective. They are used only as concomitant: to relieve pain and itching, to mitigate the process of defecation. However, at this stage, suppositories, ointments, gels and tablets are intended only to relieve symptoms, but do not treat the disease in any way. If you only use them and do not take more radical measures, the disease will move to the next, last stage and lead to serious complications.
Minimally invasive methods for the treatment of grade 3 hemorrhoids
Not all treatment options are effective at this stage of the disease development. This applies to minimally invasive. In general, only two such methods are used.
First of all, this is the ligation of hemorrhoids by latex rings, since hemorrhoids fall out for this stage of hemorrhoids. The method of ligation of hemorrhoids by latex rings is that a latex ring is thrown onto the internal hemorrhoidal node through the anoscope using a ligator. On day 12-14 it is rejected with the latex ligature.
At the site of node rejection, a stump is formed. With an interval between procedures in a couple of weeks, up to five ligations can be carried out. In 16% of patients, one session is sufficient to achieve a good result, and 73% of patients need two ligation sessions before the result is achieved. Contraindication for such a procedure can be acute and chronic paraproctitis, thrombosis of hemorrhoids, anal fissure and other inflammatory processes of the perineum and anal canal.
The second minimally invasive method of treatment in the third stage of hemorrhoids is ligation of hemorrhoidal vessels under the control of ultrasound dopplerometry. Using an anoscope with an ultrasonic sensor, this method allows you to accurately determine the number and location of the terminal branches of the upper hemorrhoidal artery. After determining them, when a sound pulse signal appears with a special needle with polypropylene thread through the window in the anoscope, the hemorrhoidal vessel is stitched and bandaged. For one procedure, they bandage and stitch 4 to 6 blood vessels. After the ligation of the blood vessels, the hemorrhoidal nodes subside and empty. Repeat the procedure if necessary after 14-16 days. This is a fairly effective technique, giving good results in 91% of cases.
In the third stage, it is also possible to use such a non-surgical method of treatment, as desarterization. It consists in bandaging the arteries feeding the hemorrhoidal nodes, as a result of which the buds die off.
Radical methods of treatment of
The most effective at this stage of the disease are surgical treatments for .Such methods are not small and the doctor chooses a specific one depending on the specific features of the disease in each individual case.
So, the proctologist can appoint an internal dressing of hemorrhoids according to the Subbotin method or hemorrhoidectomy. The hemorrhoidectomy can be closed( when the wound surface is sutured) or open( wound suturing is not performed).The fact is that often suturing the wound after excising the node leads to severe pain after the operation. If the wound remains open( if it is small), then after the operation it is enough to inject into the rectum a tampon with a hemostatic agent and an antiseptic. Bleeding quickly stops. However, this method of getting rid of hemorrhoids leaves the patient for two weeks incapacitated.
In case of anus fractures, operations are also performed. Under general anesthesia, the sphincter of the anus is stretched and about three days it is not capable of contractions. In a state of maximum rest, the cracks heal and do not disturb.
Complications of the postoperative period
In the postoperative period, the patient often has very severe pain. For their relief, narcotic analgesics are prescribed.
In men, one of the frequent complications after surgery is a short-term urinary retention. Most often this is manifested if before the operation in the patient there were disorders of the functional state in the prostate gland. In such a situation, one can not do without a bladder catheterization for urinary incontinence.
Sometimes after a hemorrhoidectomy there are bleedings from a rectum. They can be prevented by injecting a tampon with the adrenaline solution into the rectum. It reduces the intensity of the discharge of blood and reduces the lumen of blood vessels. With severe blood loss, hemostatic drugs are injected intramuscularly.