The Merck Manual defines hemorrhoids as "varicose veins of the hemorrhoidal plexus, often complicated by inflammation, thrombosis, and bleeding." It has suggested itself, that is a gross oversimplification of the nature of hemorrhoids. A more recent definition, "vascular cushions, consisting of thick submucosa, both venous and arterial blood vessels, smooth muscle cells and elastic connective tissue. "
While everyone has these tissues, there is enlargement, bleeding and swelling, to create the pathology. The intersection for the development of varicose veins and hemorrhoids is the loss of vascular integrity. Given the combined prevalence of Varicose veins and hemorrhoids, venous insufficiency and its manifestations are very often a medical problem that every physician should be prepared to be treated.
As already mentioned, there are variant definitions of the histology of the hemorrhoid tissue, but they are universally classified according to anatomic origin. Internal hemorrhoids consist of: redundant mucosa of the anal canal with the origin above the dentate line. External hemorrhoids are an epithelial component originate, and below the dentate line. Internal Hemorrhoids are further graded based on the extent to which the tissue enters the anal canal.
First stage: The mucosal little incidents, but with heavy presses by the closure of the anal sphincter to be caught. Subsequently, venous congestion occasionally occurs, leading to complaints and / or bleeding. Clinically, there is no obvious external Changes.
Second Grade: With further protrusion of the mucosa, the patient complains of an obvious lump, but this disappears spontaneously and rapidly after defecation, unless thrombosis.
Third stage: In chronic hemorrhoidal disease, which produces persistent enlargement of the anal sphincter and the prolapsing Hemorrhoids protrude with minimal provocation and usually need to manually replace.
Fourth stage: These are usually described as external hemorrhoids and are protruding all the time unless the patient replaces it, lies down, or lift the foot of the bed. These fourth-degree hemorrhoids, the dentate line extends also, and it is a variable external component, consisting of redundant, constant perianal.
Hemorrhoids are in ancient medical writings of every culture, including of that Babylonian, Hindu, Greek, Egyptian, and Hebrew. The word "hemorrhoids" comes from the Greek "hematoma" = Derived blood, and "Rhoose" = flowing, and was originally used by Hippocrates to describe the flow of blood from the veins of the anus to.
Before the 1800s were simply piles of envelope treated bed rest, or, in severe cases, by applying a hot poker. A simpler method was prayer to the patron saint of hemorrhoids suffer, St. Fiacre, an Irish priest who lived in the seventh century. Injection therapy in 1869 by Morgan of Dublin, began with iron persulfate, and was a relief for many who survived the medical treatment of the time.
As late as 1888 the only other recommended treatment (apart from the above) was abstinence from alcohol, sitting in cane chairs and a pint of cold water injected into the rectum after a morning fast. The founding of the Hospital of St. Mark's in 1935 by Fredrick Salmon, recognition for the first ligation of hemorrhoids, marked a turning point in the treatment of hemorrhoids.
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Article Source: ArticlesBase.com - Historical Perspective on Hemorrhoids
