Hemorrhoids: where do they come from and how to treat them?

Is there a common pathology more taboo than hemorrhoidal crises?

In the program

on Europe 1, Wednesday, doctor Jimmy Mohamed discusses the many aspects related to this disease which can trigger very sharp pain in the anal region.

The GP explains that although these seizures are mostly benign, they can sometimes cause complications.

So do not be afraid to consult a doctor in case of doubt.

What are hemorrhoids?

It is a very frequent reason for consultation in city medicine.

We should also rather talk about hemorrhoidal diseases, since hemorrhoids are present in a normal way in everyone.

These are arteries and veins that are present inside and outside the anal canal.

There are some in the rectum and outside.

When there is a circulation disorder, they swell and hurt.

It is then a hemorrhoidal crisis.

Who is affected by these crises?

It is very common among the population.

It affects both men and women of a rather mature age, between 40 and 65 years old.

There are certain risk factors that can trigger or promote the seizure.

The first, classic, is constipation.

You are constipated and have trouble passing stools, so you will push.

And when you're going to push, you're going to squeeze out the hemorrhoids, hence the pain.

Conversely

, very severe diarrhea can trigger hemorrhoids.

If you cough chronically, as with COPD-type bronchitis, there will be repeated pushing in the anal margin and therefore the hemorrhoids will come out.

It's the same with being overweight, alcohol, and spicy foods.

It also happens to women during pregnancy, especially in late pregnancy.

About 20% of them will suffer, especially after childbirth.

It is linked to hormonal phenomena and constipation.

>> Find all of Sans rendez-vous in replay and podcast here

Is that bad ?

It is estimated that the hemorrhoidal crisis lasts between two and four days.

It is usually not serious, but you shouldn't be afraid to talk to the doctor about it and show your butt.

Patients are often embarrassed when they have hemorrhoids.

However, it is necessary to auscultate the buttocks, for several reasons.

First, we're not sure it's a hemorrhoid.

There may be a tumor in the anal margin or inside.

Just because you think your butt is hurting doesn't mean it has to be a hemorrhoid.

Sometimes there can be complications, even if it goes away on its own in the vast majority of cases.

You may have what is called a thrombosis, which is where the blood is no longer flowing at all.

It makes a big stone.

The only way to get rid of it is to do a small excision and empty the hemorrhoids.

Are there any treatments?

When it is not serious, there are local anti-inflammatory treatments, such as ointments.

Most importantly, constipation is treated when it does.

Often the patient is given laxatives instead.

In some cases, we have to refer the patient to the proctologist who can do something about these hemorrhoids.