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Hemorrhoids are fed by arteries and drained by veins. The arterial blood supply is based on the superior rectal (hemorrhoidal) artery. Just as veins in the leg weaken and become prominent, hemorrhoidal veins also may become varicose, resulting in internal hemorrhoids or “piles”. Internal hemorrhoids are divided into four grades.
Hemorrhoids are typically diagnosed by physical examination. [6] A visual examination of the anus and surrounding area may diagnose external or prolapsed hemorrhoids. [8] Visual confirmation of internal hemorrhoids, on the other hand, may require anoscopy, insertion of a hollow tube device with a light attached at one end. [5]
The rectal venous plexus consists of an external rectal plexus [4]: 598 [5]: 294 that is situated outside to the muscular wall, [3] [4]: 598 [5]: 294 and an internal rectal plexus [4]: 598 [5]: 294 that is situated in the submucosa [5]: 294 /deep to the mucosa [3] [4]: 598 of the rectum and proximal anal canal [3] at the anorectal junction.
A pile is a slender element cast in the ground or driven into it. Since pile construction as well as the final product are mostly invisible, engineers have often questioned their integrity, i.e. their compliance with project drawings and specifications.
The hemorrhoid will shrink and fibrose within a few days with shriveled hemorrhoidal tissue and band falling off during normal bowel movements - likely without the patient noticing. [ 3 ] Rubber band ligation is a popular procedure for the treatment of hemorrhoids, as it involves a much lower risk of pain than surgical treatments of hemorrhoids ...
The NHS Information Authority (NHSIA) was part of the UK National Health Service (NHS). It was established as a NHS special health authority by an Act of Parliament in April 1999. [ 1 ] Its aim was to deliver IT infrastructure and information solutions to the NHS in England .
Any Qualified Provider (AQP) is a contractual system within the NHS internal market of the English National Health Service. The system was introduced under the Labour administration in 2009/10 under the name "Any Willing Provider" and was accelerated under the coalition Government which formed in 2010. In 2011 the name of the system was changed ...
Tobacco resuscitation kits consisting of a pair of bellows and a tube were provided by the Royal Humane Society of London and placed at various points along the Thames. [93] Furthermore, these enemas came to be employed for headaches, respiratory failure, colds, hernias, abdominal cramps, typhoid fever, and cholera outbreaks.