Surgeons usually grade internal hemorrhoids by grades one through four. Grade one internal hemorrhoids are considered normal. Grade two internal hemorrhoids may bleed and protrude in and out of the anus spontaneously. Grade three may also bleed, but unlike grade 2, these need to be pushed back inside the anus manually. Grade four represent hemorrhoids that protrude out of the anus, but can not be reduced manually. Unlike external hemorrhoids, these typically do not cause pain.
Many times hemorrhoids can be treated non-operatively, especially for internal hemorrhoids that are class 1 or 2. Simple measures including avoiding pushing or straining while defecating can help reduce intra-abdominal pressures that may in turn cause hemorrhoids to become engorged and prone to bleeding or prolapsing.
Also try not to read books or newspapers while defecating, which may cause a similar phenomenon. In addition; taking 25-30 grams of fiber daily plus 6-8 glasses of water may cause stools to be more lubricated, easier to pass and help treat early grade internal hemorrhoids.
The Procedure for Prolapsing Hemorrhoids (PPH), uses a technique developed in the early 90's that reduces the prolapse of hemorrhoidal tissue by excising a band of the prolapsed anal mucosa membrane with the use of a circular stapling device. In PPH, the prolapsed tissue is pulled into a device that allows the excess tissue to be removed while the remaining hemorrhoidal tissue is stapled. This restores the hemorrhoidal tissue to its original anatomical position.
For more information on rectal prolapse and hemorrhoids log onto: www.pphinfo.com
The PPH procedure results in faster recovery because the procedure is performed in a section of the anus that has few nerve endings. There is less pain, bleeding, itching, constipation, and incontinence after surgery.
