These hemorrhoids develop inside the rectum and are not usually visible to the naked eye. Internal hemorrhoids generally don't hurt, but they often bleed painlessly.
These hemorrhoids develop under the skin around the outside of the anus. These are the most uncomfortable hemorrhoids and can be itchy or painful, and may feel lumpy. When a blood clot forms within an external hemorrhoid, this is known as a thrombosed hemorrhoid, which can result in severe, ongoing pain.
A gastrointestinal fistula (GIF) is an abnormal opening in your digestive tract that causes gastric fluids to seep through the lining of your stomach or intestines. This can result in infection when these fluids leak into your skin or other organs.
An anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. At times the fissure is deep enough to expose the muscle tissue underneath.
The HAEMORRHOIDAL ARTERY LIGATION method is suitable for treating low to medium grade haemorrhoids, and is extremely effective in addressing the symptoms of haemorrhoidal disease. The ligations serve to reduce the arterial blood supply, causing the haemorrhoidal cushions to shrink back to normal size.RAR (RECTO ANAL REPAIR) method is used to treat the prolpasing hemorrhoids that occur during more advanced stages of the disease. RAR involves one or more mucopexies of prolapsing mucosa, carried out after the hemorrhoidal arteries have been ligated.
Laser surgery, however, is even less invasive. No tissues need to be cut. The affected area is simply treated with laser energy in a precise and focused manner and the problem is solved within a few minutes. Patients can resume their normal lives immediately after surgery.
Radiosurgery, not to be confused with electrosurgery, diathermy, spark-gap circuitry, or electrocautery, uses a very high-frequency radio wave. Unlike electrocautery or diathermy, the electrode used in radiofrequency surgery remains cold. The latter is possible because of the use of the very high-frequency current of 4 MHz, vs the 0.5-1.5 MHz energy used in the electrocautery procedure. In contrast to true cautery, which causes damage similar to third-degree burns, the tissue damage that occurs with radiofrequency surgery is very superficial.
Stapled hemorrhoidectomy is surgical technique for treating hemorrhoids, and is the treatment of choice for third-degree hemorrhoids (hemorrhoids that protrude with straining and can be seen on physical exam outside the anal verge. Persistent or intermittent manual reduction is necessary). Stapled hemorrhoidectomy is a misnomer since the surgery does not remove the hemorrhoids but, rather, the abnormally lax and expanded hemorrhoidal supporting tissue that has allowed the hemorrhoids to prolapse downward.
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