Cao tieu tri An Tri Nam from Tam Minh Duong has become increasingly popular in Vietnam for treating internal hemorrhoids
1, 2, 3, 4, external hemorrhoids, dysentery, and a host of other such ailments.
Although bleeding is a common symptom in internal HD, it results from the ulceration of the thrombosed hemorrhoids in external HD.4 External hemorrhoids are often revealed by external inspection.3 Moreover, while external hemorrhoids can be exposed by pulling aside the gluteal muscles, internal hemorrhoids
can be seen via anoscopy.
Colonoscopic band ligtation for internal hemorrhoids
. A tertiary care experience.
Hemorrhoids are mostly classified on the basis of their location: Internal hemorrhoids
, which occur in the lower rectum, are typically painless.
Hemorrhoids may be located inside the rectum (internal hemorrhoids
) or they may develop under the skin around the anus (external hemorrhoids).
For internal hemorrhoids
, stool softeners, 25-30 g of fiber supplements per day, warm sitz baths, avoiding straining during defecation, and not loitering on the toilet are key elements in achieving symptomatic control nonoperatively.
* Internal hemorrhoids
are "cushions" containing arteries and veins that form under the lining of the lower rectum, just above the anus.
Even though subjects with history of hemorrhoids were excluded from the study, it is possible that some subjects might have undiagnosed internal hemorrhoids
. In that case, even if one of the two subjects with positive FOBT had undiagnosed internal hemorrhoids
, the incidence of GI bleeding would have been even lower and the conclusion of the present study would not have changed.
Nonoperative treatment of anal fissures and internal hemorrhoids
is all about encouraging patient adherence.
For example, you may have internal hemorrhoids
that remain in your rectum or that protrude (prolapse) outside your anus but then go back into your rectum.
He had a history of reducible internal hemorrhoids
and was followed for 10 years.
Effectiveness of retrograde endoscopic sclerotherapy (REST) for first and second degree internal hemorrhoids