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Precision Medicine
4 May 2021
Popularly known as piles, they are a set of inflamed tissues and veins in the anus and lower rectum that contain blood vessels, connective tissue, muscle, and elastic fibers. They vary in size and can appear in the internal area of the rectum, being the so-called internal hemorrhoids, on the skin around the anus, classified as external hemorrhoids, or when an external hemorrhoid has a clot it is called a thrombosed hemorrhoid.
Risk factors:
External hemorrhoids:
Internal hemorrhoids:
They usually do not show symptoms, however, they can cause:
Thrombosed hemorrhoids:
As blood collects in an external hemorrhoid, a clot or thrombus may form, which can lead to:
If not treated on time, hemorrhoids can become severe and lead to considerable diseases, such as anemia, anal fistula, fecal incontinence, inability to control defecation or infection.
Classification:
Hemorrhoids are classified according to their development in four main phases:
Potential risks:
With age, the risks of developing hemorrhoids are higher, due to the progressive wear and tear of the rectal and anal muscles, which can also occur in pregnancy due to the action of the baby’s weight on the anus muscles.
To detect hemorrhoids, your doctor will perform a physical examination, digital rectal analysis, or use a proctoscope to view the anal region. They can take a small tissue sample to analyze in the laboratory and, if necessary, request a colonoscopy to rule out any disease of the digestive system or the possibility of developing colorectal cancer.
The initial treatment usually consists of changing habits, such as:
They will indicate surgery if considered necessary, the scope of which will depend on your case, the degree of affectation, and progress.
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