Diagnosis Of Internal Hemorrhoids By Proctoscopy Procedure

Diagnosis Of Internal Hemorrhoids By Proctoscopy Procedure . Internal hemorrhoids on inspection will not show any abnormality. During second and third degree hemorrhoid, internal hemorrhoids may be seen only when patient strains and that too transiently and the prolapse disappears after straining is over. During fourth degree on inspection the prolapsed piles can be seen in 3, 7 and 11 O’clock positions.

External hemorrhoid is situated outside the anal orifice and is covered by skin are well visualized. During digital examination one cannot feel an uncomplicated internal pile unless thrombosed.

Proctoscopy Diagnosis Of Hemorrhoids

The proctoscope is introduced as far as possible.

Posted by http://signs-causes-treatment-prevention.blogspot.com Prevention And Detection Of Diseases At An Early Stage When The First Signs To Get The Most Effective Treatment.

The obturator is removed and with an illuminator the inside of the anal canal is visualized.

Through a proctoscope the internal hemorrhoids are well visualized and can be divided into 3 parts-

• Pedicle
• Body of internal hemorrhoid
• Associated external hemorrhoid

Each internal hemorrhoid has a pedicle in the rectum just above the anorectal ring. The pedicle is covered with pale pink mucosa and through it a large tributary of the superior rectal vein can be seen.

After the pedicle, the body of the internal hemorrhoid continues distally and ends at the dentate line. The body is covered by bright red or purple mucous membrane.

Posted by http://signs-causes-treatment-prevention.blogspot.com Prevention And Detection Of Diseases At An Early Stage When The First Signs To Get The Most Effective Treatment.

Associated external hemorrhoid lies between the dentate line and the anal margin and is covered by skin. The blue veins can be seen through the skin. Associated external hemorrhoid is present in long continued cases of internal hemorrhoid.

There are 2 peculiar conditions which are associated with external hemorrhoid.

• Dilatation of the veins at the anal verge is sometimes seen in persons of sedentary life particularly straining.
• Perianal hematoma or the thrombosed external hemorrhoids- a small clot in the perianal subcutaneous tissue can be seen superficial to the corrugator muscle. This condition is due to back pressure on the anal veins consequent upon straining at stool, coughing or lifting heavy weight.
• The condition appears suddenly and is very painful. It may be seen lateral to the anal margin as tense and tender swelling.
• If untreated, it may resolve by itself or may suppurate or may fibrose giving rise to a cutaneous tag or may burst giving rise to bleeding.