
What are hemorrhoids and when do they appear?
Everyone has hemorrhoids.It is a pad of veins called the superior hemorrhoidal plexus that lies between the rectum and anus.Through this cushioning network (and together with the sphincter) that lies under the mucous membrane of the intestine, we are able to close the exit of the rectum as the erectile tissue fills with blood.When we go to the toilet, they go down, which makes it possible to have a bowel movement.Colloquially, the word hemorrhoids refers to a hemorrhoidal disease in which the veins between the rectum and anus are enlarged like varicose veins and even emerge from the anus.Reasons for this include an unhealthy diet with a lot of alcohol, sugar and coffee.Physical obesity then puts greater pressure on this area, so that it can happen with every bowel movementthat the veins are pushed more and more out of the anus.Symptoms include irritated skin, itching, burning and weeping, and bleeding.
What Are the Different Types of Hemorrhoids?
Four degrees of severity are distinguished for haemorrhoids, which are characterized by how far the veins have moved out of the anal canal.
Severity: In this case, the hemorrhoids cannot yet be felt. It is the mildest form of the condition, in which enlarged veins are only visible with a proctoscopy (anal canal endoscopy).
Degree of severity: Here, the hemorrhoids are already pressed out of the anus under increased pressure, but then pull themselves back into the last section of the digestive tract.
severity. The hemorrhoids show up outside the anal canal when pressure is applied, but they have to be pushed back into the canal.
severity. The most severe degree of suffering is characterized by hemorrhoids that are permanently visible on the outside of the anal canal and cannot be pushed back. In many cases, the mucous membrane of the anal canal is also visible.


How can hemorrhoids be treated?
Depending on the intensity of the haemorrhoids, there are different treatment options, in which different medical specialties come into question.In principle, your family doctor can help.Then gastroenterologists, proctologists and surgeons come into question.
Severity: This often involves sclerotherapy, in which the doctor injects a liquid into the affected area that causes blood flow to decrease and less blood to flow through the vein, eventually causing it to shrink.
Severity: Binding or icing is often used here. Sometimes also at the third degree of severity. The doctor ties off the vessel (so that it is no longer supplied with blood) or he freezes it so that it dies after a while. and 4.
Severity: In this case, the affected vessels must be surgically removed. Either scissors, scalpels or lasers are used for this.
What should I consider when it comes to hygiene and what helps against pain?
When it comes to hygiene and dealing with hemorrhoids in general, it is particularly important to take the time to have a bowel movement.Just take it slow, too much pressure is bad.Ideally, you don't use toilet paper, but warm water to clean your bottom.This saves you sore spots and keeps it hygienically clean (for example with our butt shower), which works like a handy bidet.Against pain
ointments based on aloe vera or witch hazel are recommended.Lidocaine ointments are also available to numb the area.A remedy that you know from the dentist, for example.Certain anal tampons are also available, with which you can only let the ointment work in the anal canal.Depending on the severity.As soon as you realize that you may have problems with hemorrhoids, consult your family doctor!

