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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.
Several treatment options and lifestyle practices can make troublesome hemorrhoids go away. ... a rubber-band ligation technique which removes blood flow to internal hemorrhoids, and even surgery ...
Hemorrhoids are amongst the most common anal disorders. Patients may complain of bleeding, prolapse, personal discomfort and minor anal leakage.Where traditional non-surgical measures such as rest, suppositories and dietary advice fail to improve the condition, there is then a choice of further treatments.
However, the long-term benefit is greater in those with grade III hemorrhoids as compared to rubber band ligation. [45] It is the recommended treatment in those with a thrombosed external hemorrhoid if carried out within 24–72 hours. [6] [16] Evidence to support this is weak, however. [28]
“Doctors refer to symptomatic hemorrhoids as either external or internal,” says Mitchell A. Bernstein, M.D., a colon and rectal surgeon and professor of surgery at the NYU Grossman School of ...
He lists anal fissures, which are tears or cuts in the anus, as well as hemorrhoids, which are dilated veins in the rectum or anus that can cause discomfort, itching and even bleeding.
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