{"id":728,"date":"2022-02-28T12:23:54","date_gmt":"2022-02-28T11:23:54","guid":{"rendered":"https:\/\/www.lyon-chirurgie.fr\/hemorrhoids\/"},"modified":"2022-02-28T12:23:58","modified_gmt":"2022-02-28T11:23:58","slug":"hemorrhoids","status":"publish","type":"page","link":"https:\/\/www.lyon-chirurgie.fr\/en\/hemorrhoids\/","title":{"rendered":"Hemorrhoids"},"content":{"rendered":"[vc_row type=”full_width_background” full_screen_row_position=”middle” bg_image=”602″ bg_position=”center center” bg_repeat=”no-repeat” scene_position=”center” text_color=”light” text_align=”left” top_padding=”5%” bottom_padding=”5%” overlay_strength=”0.3″ shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_link_target=”_self” column_shadow=”none” column_border_radius=”none” width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_column_text]\n
Hemorrhoids affect men and women equally. A third of adults say they have already suffered from a hemorrhoidal problem.<\/p>\n
Only a third of patients who encountered such problems consulted a practitioner.[\/vc_column_text][toggles style=”minimal” accordion=”true”][toggle color=”Default” title=”What is a hemorrhoid?”][vc_column_text]Hemorrhoids are physiological anatomical structures located in the anus. They represent blood lakes that associate with small arterial and venous vessels. For a better understanding, painful venous dilatations are often mentioned. They are present in a normal way in all people from birth.<\/p>\n
When hemorrhoids are located on the lower walls of the rectum or in the anus, they are called internal hemorrhoids. When they are located immediately outside the anus, we talk about external hemorrhoids.[\/vc_column_text][\/toggle][toggle color=”Default” title=”How do hemorrhoids form”][vc_column_text]In the current state of knowledge, we do not know with certainty what triggers a hemorrhoidal crisis. Of the many factors mentioned, few have been the subject of scientific studies. The medical literature often evokes a family background.
\nHowever, the best documented causes revolve around:<\/p>\n
Sitting (sedentary lifestyle) would also be a factor favoring hemorrhoidal flare-ups.<\/p>\n
Drinking plenty of water regularly, having a diet rich in fiber and avoiding spices can help limit the risk of hemorrhoidal crisis.<\/p>\n
Anal intercourse does not trigger hemorrhoidal disease.[\/vc_column_text][\/toggle][toggle color=”Default” title=”Why does a hemorrhoid bleed?”][vc_column_text]One of the common complications of a hemorrhoid is bleeding. In times of inflammation and during defecation, the blood vessels rupture and xthese hemorrhoids can bleed more or less profusely.<\/p>\n
In the event of a crisis, the passage of stool causes dilation of the veins and then bleeding. Some bleeding will remain completely invisible, others will be found on the toilet paper. The most complicated cases can stain the toilet bowl, or even drip.[\/vc_column_text][\/toggle][toggle color=”Default” title=”What are the symptoms of a hemorrhoid?”][vc_column_text]In an early stage, the symptoms of hemorrhoids are discomfort (irritating pain), tightness and\/or anal burning.
\nA hemorrhoidal crisis presents itself in the form of a feeling of heat\/heaviness when passing the stool, or during physical exercise. It usually lasts 2 to 4 days.<\/p>\n
In a later stage, the hemorrhoidal disease evolving for several years can give daily pain. It may happen that the bleeding is heavy, and is the cause of anemia.[\/vc_column_text][\/toggle][toggle color=”Default” title=”What are the complications of a hemorrhoid?”][vc_column_text]Important: hemorrhoidal disease is not a risk factor for colorectal cancer.<\/p>\n
This complication takes the form of a bluish swelling. It sits mainly in the radial folds of the anus and is very quickly accompanied by edema and inflammation of the area. Hemorrhoidal thrombosis causes much more intense pain. It occurs suddenly and disappears naturally after 2 to 3 weeks.
\nThere are two kinds of hemorrhoidal thrombosis:<\/p>\n
A non-painful phenomenon, it can sometimes be impressive. It is a total externalization, intermittently or permanently, of the internal hemorrhoids. Some patients reintegrate their prolapse themselves.
\nAppearing in adulthood, this complication is often chronic. It often occurs in an array of chronic constipation.<\/p>\n
The evolution after hemorrhoidal flare or hemorrhoidal surgery can be the formation of marisques which correspond to cutaneous folds on the anal margin which are not serious. Unsightly, the anal marisques are not painful.[\/vc_column_text][\/toggle][toggle color=”Default” title=”Hemorrhoids: who to consult?”][vc_column_text]75% of patients followed consult a general practitioner while the remaining 25% consult a gastroenterologist.<\/p>\n
In your course of care, first contact your general practitioner who will redirect you. However, it is preferable to consult a gastroenterologist: this doctor specializes in diseases of the digestive tract, stomach and rectum. However, it may be justified to consult a proctologist (medicine or surgery).<\/p>\n
If the diagnosis is confirmed, your doctor will advise you on drug treatments or instrumental treatments.<\/p>\n
In some cases, treatment by surgery will be advised.<\/p>\n
First of all, we strongly advise you to start a high fiber diet.<\/p>\n
Don’t wait too long to see a doctor. On average, the majority of patients consult for the first time 18 months after the onset of the first symptoms.[\/vc_column_text][\/toggle][\/toggles][vc_column_text]\n
Most hemorrhoidal attacks respond favorably to medical treatment (pain medication, anti-inflammatories, laxatives, reminder of lifestyle and dietary rules). Finally, only 15% of patients will be operated, especially after failure of medical or instrumental treatments.<\/p>\n
Your surgeon will be able to suggest the technique that best suits your situation.[\/vc_column_text][toggles style=”default”][toggle color=”Default” title=”Pedicular hemorrhoidectomy, Milligan-Morgan type”][vc_column_text]Hemorrhoidectomy according to Milligan Morgan allows resection of the 3 hemorrhoidal bundles, with ligation of the artery supplying them. This technique is also based on the conservation of mucous bridges which allow good healing. The healing of excision wounds of hemorrhoidal packages may require 4 to 6 weeks.[\/vc_column_text][\/toggle][toggle color=”Default” title=”Haemorrhoidopexy according to Longo”][vc_column_text]Haemorrhoidopexy according to Longo is a more recent technique. It allows a section and a re stapling of the hemorrhoidal packages. They can then be repositioned. This technique has the advantage of not leaving an operative wound, it is also not very painful.[\/vc_column_text][\/toggle][toggle color=”Default” title=”Advantages and disadvantages of surgical treatments”][vc_column_text]Each technique has its advantages and disadvantages:<\/p>\n
Taking into account your history, your hemorrhoidal disease, your surgeon will be able to offer you the intervention that best suits your situation during surgery performed under general anesthesia on an outpatient basis, most of the time.[\/vc_column_text][\/toggle][\/toggles][vc_column_text]\n
He will base his decision on your general state of health, taking into account a benefit\/risk factor.<\/p>\n
He will detail with you the procedure and the risks of surgery for hemorrhoids. This will be an opportunity for you to ask any questions you deem useful. Your surgeon will answer all of your questions.<\/p>\n
Note: a colonoscopy will often be performed to ensure that the bleeding is indeed caused by a hemorrhoidal disease.[\/vc_column_text][\/toggle][toggle color=”Default” title=”The consultation with my anesthesiologist”][vc_column_text]After meeting your surgeon, who has confirmed that your hemorrhoids must be surgically treated, you will meet your anesthesiologist. A specialist doctor, the latter will ensure that anesthesia is possible.<\/p>\n
Communicate to your anesthetist the complete list of the medications you take on a daily basis (including aspirin and medication to thin the blood).[\/vc_column_text][\/toggle][toggle color=”Default” title=”What should I do the day before my hemorrhoid operation?”][vc_column_text]The day before the operation, you must be fasting from midnight. If you take medication on a daily basis, you should discuss this with your surgeon and anesthesiologist. They may want you to take some of your medications the morning of the procedure with a background of water.[\/vc_column_text][\/toggle][toggle color=”Default” title=”Section”][vc_column_text][\/vc_column_text][\/toggle][\/toggles][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"
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