**Title: A Comprehensive Guide to Grade 3 Internal Hemorrhoids: Causes, Symptoms, Complications, and Treatment Options with Dr. Karan R. Rawat, Agra’s Premier Gastroenterologist and Proctologist**
**Introduction**
Dr. Karan R. Rawat is a distinguished expert in the fields of gastroenterology and proctology in Agra, renowned for his deep understanding of gastrointestinal and anorectal disorders. He is particularly adept in managing severe internal hemorrhoids, specifically grade 3 internal hemorrhoids. This guide will delve into the causes, symptoms, complications, and effective treatments for grade 3 internal hemorrhoids under Dr. Rawat’s expert care.
**What are Grade 3 Internal Hemorrhoids?**
Internal hemorrhoids are engorged blood vessels within the lower rectum and anus. Unlike their external counterparts, internal hemorrhoids are situated inside the rectum and generally do not cause pain due to the area’s lack of sensitive nerve endings. Hemorrhoids are categorized into four grades, with grade 3 being an advanced stage characterized by hemorrhoids that prolapse outside the anus during bowel movements and need to be manually pushed back inside.
**Causes of Grade 3 Internal Hemorrhoids**
The development of grade 3 internal hemorrhoids can be influenced by several factors:
- **Chronic Constipation:** Persistent straining during bowel movements heightens pressure in the anal and rectal veins.
- **Diet:** Low fiber intake can lead to constipation and, subsequently, hemorrhoids.
- **Aging:** Weakening support tissues around the rectum and anus over time increases prolapse risk.
- **Pregnancy:** The additional abdominal pressure during pregnancy often causes hemorrhoids.
- **Lifestyle:** Long periods of sitting or standing, heavy lifting, and insufficient physical activity can also heighten hemorrhoid risk.
**Symptoms of Grade 3 Internal Hemorrhoids**
Symptoms associated with grade 3 internal hemorrhoids include:
- **Prolapse:** Hemorrhoids that extend beyond the anus during bowel movements.
- **Pain and Discomfort:** Although typically painless, the necessary reinsertion of prolapsed hemorrhoids can cause significant discomfort and pain.
- **Bleeding:** Noticeable bright red blood on toilet paper or in the toilet is a common indication of hemorrhoids.
- **Itching and Irritation:** Resulting from mucus discharge or trapped fecal matter around the prolapsed area.
**Complications of Grade 3 Internal Hemorrhoids**
Untreated grade 3 hemorrhoids can lead to serious complications such as:
- **Strangulation:** Occurs when the hemorrhoid’s blood supply is restricted by anal sphincter pressure.
- **Anemia:** Repeated bleeding may result in anemia.
- **Infection:** The risk of infection increases for exposed hemorrhoidal tissue.
- **Thrombosis:** Blood clots may develop, causing intense pain and inflammation.
**Treatment Options**
Dr. Karan R. Rawat suggests various treatments to manage and alleviate symptoms of grade 3 internal hemorrhoids:
- **Dietary Adjustments:** Enhancing fiber and fluid intake can ease stool softness and reduce straining.
- **Medications:** Relief can be found with the use of over-the-counter ointments and suppositories.
- **Minimally Invasive Procedures:** Options like rubber band ligation or sclerotherapy are often effective.
- **Surgical Options:** Surgical procedures such as hemorrhoidectomy or stapled hemorrhoidopexy may be necessary for severe cases.
**Conclusion**
With proper medical advice and lifestyle modifications, grade 3 internal hemorrhoids can be effectively managed. Dr. Karan R. Rawat’s expertise in gastroenterology and proctology makes him a reliable healthcare provider for those suffering from this painful and uncomfortable condition. For anyone in Agra in need of high-quality hemorrhoid treatment, Dr. Rawat’s clinic represents a hub of advanced and empathetic care.
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