Wednesday 4 July 2012

What are the the signs of hemorrhoids?

 There are two types of nerve fibres in the anal channel, deep nerve fibres (above the dentate line) and somatic nerve fibres (below the dentate line). The somatic (skin) nerve fibres are like the nerve fibres of the epidermis and are capable of detecting suffering.
The deep nerve fibres are like the nerve fibres of the digestive system and do not sense suffering, only stress. Therefore, inner pile flare-ups, which are above the dentate range, usually are pain-free.

As the anal support of an inner pile continues to increase, it grows into the anal channel. It may even take down a portion of the coating of the anal sphincter above, lose its normal anchoring, and project from the butt. This situation is termed as a prolapsing inner pile.

In the anal channel, the pile is exposed to the injury of passing feces, particularly hard feces associated with bowel problems. The injury can cause blood loss and sometimes suffering when feces passes. The anal coating that has been pulled down produces mucous and moistens the butt and the surrounding epidermis. Stool also can flow onto the anal epidermis.

The presence of feces and constant moisture can lead to anal itching (pruritus ani), though itching is not a common symptom of pile flare-ups. The prolapsing pile usually profits into the anal channel or anal sphincter on its own or can be encouraged returning within with a handy, but it prolapses again with the next bm.

Less commonly, the pile projects from the butt and cannot be encouraged returning within, a situation termed as prison time of the pile. Imprisoned pile flare-ups can have their supply of system shut off by the compressing stress of the anal sphincter, and the bloodstream and pillows can die, a situation termed as gangrene. Gangrene needs treatment.

For convenience in explaining the degree of inner pile flare-ups, many health professionals use a rating system:

    First-degree hemorrhoids: Hemorrhoids that hemorrhage but do not prolapse.
    Second-degree hemorrhoids: Hemorrhoids that prolapse and withdraw on their own (with or without bleeding).
    Third-degree hemorrhoids: Hemorrhoids that prolapse but must be encouraged returning in by a handy.
    Fourth-degree hemorrhoids: Hemorrhoids that prolapse and cannot be encouraged returning in.
    Fourth-degree pile flare-ups also include pile flare-ups that are blood loss (containing system clots) or that take much of the coating of the anal sphincter through the butt.

In general, the the signs of exterior pile flare-ups are different than the the signs of inner pile flare-ups.

External pile flare-ups can be felt as grows at the butt, but they usually cause few of the signs that are typical of inner pile flare-ups. This is perhaps, because they are low in the anal channel and have little effect on the function of the butt, particularly the anal sphincter.

Outside pile flare-ups can cause problems, however, when thrombus within them. This is termed as thrombosis. Thrombosis of an exterior pile causes an anal group that is very painful (because the area is supplied by somatic nerves) and often needs treatment.

The blood loss pile may cure with scarring damage and leave a tag of epidermis sticking out from the butt. Occasionally, the tag is large, which can make anal cleanliness (cleaning) difficult or annoy the butt.
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