We free you from your suffering due to haemorrhoidsEveryone has haemorrhoids (also known as piles). These are usually three blood cushions that sit just inside the anus. However, haemorrhoids only become a disease when they are permanently enlarged.
At Schoen Clinic, the stage-appropriate, modern treatment of haemorrhoids is one of our main areas of focus. Our experts in the specialised hospitals are recognised proctologists, who are continuously trained to free you from your haemorrhoids with state-of-the-art methods.
Causes & symptoms
What are haemorrhoids?The word haemorrhoid comes from the Greek and means “flowing blood” (haima = blood, rhein = flowing). Everyone has haemorrhoids: They are usually three blood cushions, which sit just inside the anus. They are normally filled with blood and thus – in addition to the two sphincters – seal the anus like a valve. Doctors talk of fine continence. During a bowel movement, the blood withdraws from the haemorrhoids and the anus opens. However, if the haemorrhoids are permanently enlarged, they can cause symptoms such as pain, itching or bleeding. Proctologists speak of haemorrhoids, while, in common parlance, people say “I have piles”. Only then do the haemorrhoids become a disease. Anyone can be affected, regardless of their age.
Haemorrhoidal conditions can be divided into four stages:
- Stage I: The haemorrhoids are slightly enlarged and can only be seen with the proctoscope.
- Stage II: The haemorrhoids can be palpated as enlarged using a finger. They emerge from the anus during a bowel movement and then recede into the anal canal on their own.
- Stage III: Voluminous nodes are palpated that emerge from the anus during a bowel movement and have to be pressed back in with a finger.
- Stage IV: There are large nodes outside the anus that cannot be pushed back in. This often occurs in connection with a prolapse of the anal mucosa, called anal prolapse.
Anal venous thrombosis
Anal venous thromboses are an independent and completely different clinical picture than “external haemorrhoids” with a different treatment strategy. They result in a sudden, very painful swelling caused by a blood clot.
Causes: How an enlargement of the haemorrhoids occurs.The development of enlarged haemorrhoids is influenced by many factors:
- Significant straining during a bowel movement, caused by a hard bowel movement and chronic constipation.
- Frequent diarrhoea can also lead to an enlargement of the haemorrhoid cushions, as these must constantly retain the liquid stool. This means that the blood cushions are permanently filled, which impairs fine continence.
- Pregnancy, being overweight and sedentary activities also prevent the outflow of blood from the haemorrhoids.
How you can prevent haemorrhoids:
- a healthy, balanced diet with lots of fibre and, to prevent constipation:
- Sufficient fluid intake of around 1.5 litres of water or non-sweetened drinks per day, so that the dietary fibre can swell inside the bowel
- Regular physical exercise
The permanent intake of laxatives is not an alternative to a healthy lifestyle! Please discuss the use of laxatives with your doctor.