Enternal Hemorrhoids

[postlink]https://home-cures-for-hemorrhoids.blogspot.com/2010/06/enternal-hemorrhoids.html[/postlink]http://www.youtube.com/watch?v=nGyzZyxMxkkendofvid
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Enternal Hemorrhoids Video


Hemorrhoids are covered by anoderm and perianal skin richly innervated with somatic pain fibers. Diseases affecting the anal canal or the external hemorrhoidal vessels can be extremely painful. External hemorrhoids often develop in healthy young persons and may suddenly become thrombosed. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. The thrombosis is slowly absorbed by the body during the course of several weeks.

A resolving thrombosis may erode through the skin and produce bleeding or drainage. Acutely swollen and tender thrombosed external hemorrhoids can be surgically removed during the first 72 hours after onset. After 72 hours, the discomfort of the procedure often exceeds the relief provided by the surgery. Some patients still chose to undergo late surgery, although they should understand that without surgery the hemorrhoid will eventually become fibrosed and resolve over a period of days to weeks.

An elliptic incision can be made over the thrombosis, and the clot and the entire diseased hemorrhoidal plexus can be removed in one piece. Although the site can be left open, many physicians prefer to place subcutaneous sutures to limit postoperative pain and bleeding. Suturing in this area, historically, has been avoided because of fear of complications, yet the rich vascular network in the anal tissues usually provides for rapid healing.


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