Diagnosis of hemorrhoid disease and treatment of hemorrhoid

Hemorrhoid diagnosis

Diagnosis of this disease depends on the symptoms, and on taking a full medical history, including the history of births in women, and previous operations, whether in the gastrointestinal tract, anus, or genital area in women, Crohn's disease, and previous exposure to radiation, especially therapeutic rays for the abdominal area, as well In the case of anal fistula, an endoscopy of the anus, rectum, and sigmoid colon is necessary to obtain information about the strength of the anal valve, and to exclude the presence of other diseases. In the case of anal fistula, it is necessary to determine the location of the internal orifice, the location of the external aperture, and the path between the two apertures.

Among the examinations taken in the case of a pneumatic fistula between the trachea and the esophagus, or between the larynx and the esophagus, is a chest x-ray; Where it is noted that there is an enlargement in the center of the chest, and the presence of infections in the chest at times, as well as from the examinations that indicate: swallowing a substance called barium, which is useful in determining the course of the fistula, and in the case of vesical fistula, from the examinations that indicate an x-ray of the abdomen, which indicates a The presence of an intestinal obstruction leading to a fistula, and among the most important tests: a CT scan, which is useful to identify changes in Crohn's disease and to determine the course of the fistula.

fistula treatment

Fistula treatment is based on surgical treatment. In cases of pneumatic and vesical fistula, the fistula is first cut, and then the organs are patched or connected through surgical sutures and closed, and in the case of anal fistula, sometimes they are first cleaned and expanded, and then a suture is placed in the fistula area that helps heal the fistula area.

References

Norman S. Williams and others, 2008, short practice of surgery, UK, Edward Arnold.
Lorne H. Blackborurne, 2009, Surgical recall, USA, Lippincott Williams and Wilkins.