Hemorrhoidal disease: end the taboo for a more effective management

The proctologists, through their scholarly society, the French National Society of colo-proctology (SNFCP), invite people with hemorrhoidal disease dare to talk to their doctor, as these disorders can be treated more easily their support early.
Philippe Godeberge, mutual Montsouris Institute in Paris (XIV), Secretary General of the SNFCP, therefore reminded, during the press conference in the preamble of colo-proctology convention held at the House of Chemistry in Paris, the clinical examination is "neither painful or embarrassing."

In fact, "Hemorrhoids are physiological structures," he recalled. "As we have a nose which can suffer from colds occasionally level, naturally hemorrhoids which can occur at hemorrhoidal crisis, manifested by symptoms more or less uncomfortable," he downplayed.

These "vascular bundles" located inside the anal canal (internal hemorrhoids) or under the skin of the anus (external hemorrhoids) can indeed become bothersome. Hemorrhoidal disease occurs when the internal hemorrhoids slide outwards increasing volume (causing bleeding) and / or when the external hemorrhoids are a painful outgrowth following the formation of a blood clot (causing permanent pain).

According to Dr. Philippe Godeberge, some symptoms, such as bleeding, pain, perception of size or sensation of prolapse, that is to say, externalizing, are clearly related to hemorrhoidal disease. Other frequently mentioned (itching and oozing) are not necessarily associated with hemorrhoidal disease, but they must alert, he warned.

Indeed, hemorrhoidal disease, which may begin in adolescence but occurs more frequently in children aged 45-65 years adult, gets progressively worse. Thus, for internal hemorrhoids, there are four developmental stages based on the presence or absence of prolapse and the fact whether or not reducible.

And if in the early stages of the drug treatments (creams, suppositories) or instrumental (infrared, sclerotherapy, rubber band ligation) enough, the surgery is necessary for the later stages. However, as hemorrhoidal disease is a benign condition, although painful, the implementation of such treatment shall each be discussed, because it must not aggravate the spontaneous prognosis (for example by increasing the risk of occurrence an incontinence), stressed Dr. Philippe Godeberge.

Hemorrhoidal symptoms affect nearly half of people aged over 50 years. Contrary to popular belief, spicy food, alcohol or abuse extended to the toilet stations (where "we must avoid reading 'War and Peace'," quipped the specialist) or the period of the rules are triggers but not contributing factors in the expression of hemorrhoidal crisis.

Among the risk factors identified include constipation (which can be prevented by a diet rich in fiber and fluid intake of 1.5 liters per day) and vaginal delivery, which involve extensive efforts important. However, contrary to popular belief, or sports (cycling, horseback riding) or professional activity (prolonged sitting), or sexual practices are risk factors, he said.