Prolapsed Hemorrhoids
Hemorrhoids are found on the rectum and they help to regulate the stool. These become a problem or turn into piles when they are swollen or inflamed. Inflamed hemorrhoids may prolapse and can be very painful.
Prolapsed Hemorrhoid
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A prolapsed hemorrhoid is an external hemorrhoid that is pushed out of the rectum
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They may be pushed out during bowel movement and retract when the movement is over
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Since most of these are not painful, most patients are not aware that they exist
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Protruding or prolapsed hemorrhoids can lead to a condition called strangulated hemorrhoid when the piles are trapped by the rectum when it goes into spasm.
Hemorrhoid Classification
There are two hemorrhoid types experienced by patients, they are:
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Internal – These are hemorrhoids that occur inside the rectum. Unlike external hemorrhoids, these are usually pain free because these hemorrhoids are located in areas that do not have pain receptors. It is also these hemorrhoids that can become prolapsed when they become so distended that they are pushed out.
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External – Occurring outside the anal verge, these hemorrhoids can be painful and itchy. Swelling and irritation may also accompany the condition. This type of hemorrhoid is the one most susceptible to a thrombosis.
Hemorrhoid Grading
Here is the grading used to describe the condition of Internal Hemorrhoids.
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I – No Prolapse
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II – Prolapse occurring during defection but retracts without assistance, patient may not even be aware of prolapse
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III – Prolapse with defecation and needs to be manually reinserted or reduced
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IV – Prolapse but cannot be reduced manually
Treating Prolapsed Hemorrhoids
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Elastic Bands – used to cut off the blood flow to a hemorrhoid, when done right the hemorrhoid will fall off in a week or so.
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Cauterty – Cauterization of the hemorrhoid is done with lasers, cryosurgery, infrared radiation, and electrocautery.
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Sclerotherapy – A scelrosing solution or drug is introduced into the hemorrhoid, this causes it to shrivel up and collapse.
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Surgery – If the other methods fail. Surgery is often the next treatment option.