Preventing Hemorrhoids

To prevent hemorrhoids should observe the following precautions: eat right, hygiene during defecation, not lift weights, limit the use of alcohol and spicy food, do physical exercises Myths about exercise: do not believe   and normalize locomotor activity, take warm sitz baths, in other words - to monitor their health. It is important to remember that any disease is easier to prevent than to long and hard to treat.

Little-known facts about hemorrhoids

• Hemorrhoids are recognized as one of the most common diseases.
• Hemorrhoids suffers most of the world's population, particularly the elderly.
• Most people suffering from hemorrhoids, do not seek help from a doctor and prefer to suffer in silence as shy of the disease.
• Modern medicine offers a painless treatment of hemorrhoids Hemorrhoid treatment - a long, difficult but possible .

Pregnancy and Hemorrhoids

During pregnancy increases the chance of developing hemorrhoids, due to several reasons:

• Under the pressure of the growing uterus swollen legs and veins dilate them.
• During pregnancy, many women suffer from constipation, which can also cause hemorrhoids or lead to its aggravation.
• Elevated levels of progesterone Progesterone - norm and pathology   during pregnancy leads to a loss of elasticity of the venous wall, leading to edema. Progesterone can also cause constipation Constipation - Watch out for food , Which also contributes to hemorrhoids.

Prevention of hemorrhoids in pregnant women

• Eat more foods high in fiber to avoid constipation.
• Drink more water.
• Perform Kegel exercises that strengthen the muscles of the anus and improves blood circulation in the lower pelvis.
• Try to lead an active life.

Types paraproctitis

Abscess - an inflammation of the soft tissues located around the rectum (tissue) associated with the presence of the source of infection in the wall of the rectum. Inflammatory diseases of the fiber, related to other nearby organs have different names. The inflammatory process may be located behind and to the side of the rectum (front, they are located rarely) be subcutaneous, submucosal or deeper.

The causative agent is often the abscess microflora with a predominance of Escherichia coli. The infection gets into the inflamed tissue via the crypt (depressions between the vertical folds of mucous membrane), which opened the mouth of the gland. Hence the inflammatory process advances to paraproctium, spreading it. Infectious agents can penetrate into the tissue and in certain diseases of the rectum (hemorrhoids, fissures, and so on).

Abscess may be acute, chronic recurrent and chronic.

Acute abscess

Acute abscess has characteristic features. There is pain in the perineum, the discomfort during defecation and fever. If the abscess is formed under the skin, then this place is, swelling and redness. At a deeper abscess location of its manifestation it is expressed more sharply, but locally it is difficult to detect. Skin changes in these cases appear later, in the propagation of pus in the subcutaneous tissue. In the propagation of purulent process several cellular spaces can develop pelvic abscess (abscess without surrounding capsules).

Acute abscess can have three outcomes: recovery (if an autopsy ulcer is accompanied by scarring holes in the intestinal wall, which has become a gateway for infection), the development of chronic recurrent abscess or the occurrence of chronic abscess with the formation of a fistula of the rectum.

Chronic recurrent abscess

Chronic recurrent abscess appears periodically acute suppuration arising in paraproctium in the absence of external fistula (output channels out of pus).

The cause of aggravation of the process can not be completely closed defect of the intestinal wall, through which there is a constant presence of infection or tissue latent (dormant) infection. Relapse can occur under the influence of provoking factors (trauma, inflammation of the mucous membrane of the rectum, and so on) when a gentle superficial scar defect in the gut is disturbed and there is reinfection fiber or activation of latent infection. In between relapses possible total elimination of the inflammatory process.

Chronic abscess

Chronic abscess is characterized by the presence of a fistula of the rectum - the channel that runs from the ulcer and has a hole in the wall of the rectum. It meets several sinus tracts and external openings. In chronic paraproctitis in the intestinal wall and cellular spaces found both sites of inflammation and scarring.

For a long time in this disease are the only sign of pus-like discharge Discharges in women when there is cause for concern   of the external opening of the fistula, which may be placed on the skin of the perineum, buttocks, thighs, on the vaginal wall. Any worsening of the disease can lead to the formation of new fistula, purulent cavities and scar tissue in the wall of the rectum.

Treatment paraproctitis

In the early stage of acute abscess, when there are no signs of purulent fusion of fabrics, held anti-inflammatory therapy (antibiotics, microclysters with antibacterial solutions, physiotherapy). Appoint sparing diet with the exception of irritating the gastrointestinal tract of food, medicines, regulatory chair and facilitate defecation. Work is also restorative treatments, including vitamin therapy.

In the presence of an abscess shows the operation which is carried out after cleaning of the colon using an enema. Then, a puncture purulent focus through the skin or rectal mucosa (retrieved pus sent to the laboratory for analysis to refine the pathogen and its sensitivity to antibiotics). The abscess cavity is administered disinfectants. Treatment of recurrent abscess about the so same as the treatment of acute.

Treatment of rectal fistulas are usually operative. In the preoperative period determined microflora discharge from the fistula and its sensitivity to antibiotics Antibiotics - whether they will help you in the foreseeable future? , Washed with sodium fistulous course of antibiotics and antiseptics. For 2-3 days before surgery the skin of the perineum start to process the daily 2% alcoholic solution of iodine. Before the surgery, the intestine is cleaned with an enema, and then occasion of operation excision of the fistula. Methods of surgery may be different, depending on the location and distribution process.

With timely and proper treatment prognosis can be favorable.

  Galina Romanenko