Hemorrhoidal bleeding
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Description:
Damage of hemorrhoidal nodes during defecation leads to emergence of the main symptom of a disease - hemorrhoidal bleeding. Cavernous veins of a rectum at hemorrhoids gradually increase and take a form of the node covered with a mucous membrane on a wide leg; the hemorrhoidal node hangs down in a gleam of a rectum and can drop out of an anus. At infringement of the dropping-out nodes development in them of blood clots and penetration of an infection in an organism is possible.
Symptoms of Hemorrhoidal bleeding:
The availability of blood in Calais connected with hemorrhoids is included into a classical symptom complex of this disease. Such bleeding is observed quite long time, quite often stops temporarily, after conservative treatment.
Plentiful bleedings are a complication of hemorrhoids at which hemoglobin falling quickly reaches up to 50 - 60 g of l, there is a need to take urgent measures.
Usually plentiful constant bleeding is preceded by periodic scanty releases of blood from hemorrhoidal nodes which are connected by locks, disturbance of a diet. These bleedings are not reflected in the general condition of patients. During this period patients remain able-bodied, and bleedings can stop conservative actions.
When there are plentiful hemorrhoidal bleedings, they have arterial character, the general state and secondary anemia arises owing to oppression of compensatory processes in bodies of a hemopoiesis. In this case plentiful bleeding is observed not only at locks, physical tension or in the presence of the contributing factors, but also at a normal chair, walking, the slightest exercise stress etc. Blood scarlet colors, a stream, forms a blood pool on a surface of fecal masses.
In clinic, except hemorrhoidal bleeding symptoms of posthemorrhagic anemia are observed (weakness, dizziness, tachycardia, pains in heart).
Reasons of Hemorrhoidal bleeding:
Hemorrhoidal bleedings result from damage of speakers in a gleam of the proctal channel of internal hemorrhoidal nodes at defecation. There is it in the presence of locks, a strong natuzhivaniye. The thinning of a wall of a hemorrhoidal node which is caused a disease in connection with stagnation of blood and deterioration in blood circulation of a venous wall promotes emergence of the small erosion and anguishes leading to bleeding.
Treatment of Hemorrhoidal bleeding:
a) If the diagnosis is precisely established that the bleeding hemorrhoids with loss of nodes are the reason of posthemorrhagic anemia, in the absence of contraindications operational treatment according to Milligan-Morgan and modification of scientific research institute of a proctology is shown.) If bleeding arose for the first time or arose after the long recurrence, is shown sclerosing therapy or underrunning of the bleeding node.
b) Sclerosing therapy is shown also to the persons having a hypertension is warm - vascular insufficiency and easing because of a serious general illness.
