# Internal Hemorrhoids: Fact Checks by Dr. Karan R. Rawat, Laser Surgeon and Gastroenterologist in Agra
Internal hemorrhoids, a common condition affecting millions, can cause significant discomfort and impact daily life. As a renowned Laser Surgeon and Gastroenterologist in Agra, Dr. Karan R. Rawat provides expert insights into understanding, diagnosing, and treating internal hemorrhoids.
## What are Internal Hemorrhoids?
Internal hemorrhoids are swollen blood vessels located inside the rectum. Unlike external hemorrhoids, which are outside the anal canal, internal hemorrhoids are usually painless but can cause bleeding during bowel movements. They are classified into four grades based on severity:
1. **Grade 1**: Hemorrhoids that bleed but do not prolapse.
2. **Grade 2**: Hemorrhoids that prolapse during straining but retract spontaneously.
3. **Grade 3**: Hemorrhoids that prolapse and require manual reduction.
4. **Grade 4**: Hemorrhoids that are prolapsed and cannot be reduced manually.
## Symptoms of Internal Hemorrhoids
Dr. Karan R. Rawat highlights the common symptoms associated with internal hemorrhoids:
- Painless rectal bleeding
- Mucus discharge
- A feeling of incomplete evacuation
- Itching or irritation in the anal region
- Discomfort or pain during bowel movements
## Causes and Risk Factors
Several factors contribute to the development of internal hemorrhoids:
- **Chronic constipation**: Straining during bowel movements increases pressure on the rectal veins.
- **Prolonged sitting**: Spending long periods sitting, especially on the toilet, can exacerbate hemorrhoids.
- **Pregnancy**: Increased pressure on the pelvic veins during pregnancy can lead to hemorrhoids.
- **Obesity**: Excess body weight puts additional pressure on the rectal and anal veins.
- **Low-fiber diet**: A diet lacking in fiber can lead to hard stools and straining.
## Diagnosis
Diagnosing internal hemorrhoids typically involves a physical examination and may include:
- **Digital rectal examination (DRE)**: A doctor inserts a lubricated, gloved finger into the rectum to feel for abnormalities.
- **Anoscopy**: A short, rigid tube (anoscope) is used to examine the anal canal and lower rectum.
- **Sigmoidoscopy**: A flexible tube with a light and camera (sigmoidoscope) is inserted into the rectum to view the lower part of the colon.
## Treatment Options
Dr. Karan R. Rawat emphasizes that treatment depends on the severity of the hemorrhoids:
### Non-Surgical Treatments
1. **Dietary Changes**: Increasing fiber intake through diet or supplements can soften stools and reduce straining.
2. **Topical Treatments**: Over-the-counter creams and suppositories can provide relief from symptoms.
3. **Sclerotherapy**: An injection of a sclerosing agent into the hemorrhoid causes it to shrink.
4. **Rubber Band Ligation**: A small rubber band is placed around the base of the hemorrhoid, cutting off its blood supply, causing it to wither and fall off.
### Surgical Treatments
1. **Hemorrhoidectomy**: Surgical removal of hemorrhoids is considered for severe cases or when other treatments fail.
2. **Stapled Hemorrhoidopexy**: This procedure involves stapling the prolapsed hemorrhoid back into place, cutting off its blood supply.
3. **Laser Surgery**: A minimally invasive option where a laser is used to remove or reduce the hemorrhoid, offering quicker recovery and less pain.
## Prevention Tips
To prevent the recurrence of internal hemorrhoids, Dr. Karan R. Rawat recommends:
- Eating a high-fiber diet
- Drinking plenty of water
- Avoiding straining during bowel movements
- Exercising regularly
- Avoiding prolonged sitting
## When to Seek Treatment
If you experience persistent symptoms or complications such as significant bleeding, pain, or prolapse, it is crucial to seek medical attention. Early diagnosis and treatment can prevent the progression of hemorrhoids and improve quality of life.
## Conclusion
Internal hemorrhoids, while common, can be managed effectively with the right diagnosis and treatment plan. Dr. Karan R. Rawat, with his expertise as a Laser Surgeon and Gastroenterologist in Agra, provides comprehensive care for patients suffering from this condition. For more information or to schedule a consultation, contact Dr. Karan R. Rawat's clinic in Agra today.
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