Definition. — Division into External and Internal. — Differences between the two Varieties. — External Haemorrhoids. — Pathology, — Inflamed Haemorroids. — Treatment. — Means of Prevention. — Palliative Treatment. — Excision. — Internal Haemorrhoids. — Division into Capillary, Arterial, and Venous. — Description of Capillary Variety, of Venous Variety, of Arterial Variety. — Symptoms of Internal Haemorrhoids. — Strangulation. — Diagnosis. — Treatment of Internal Haemorhoids. — Palliative Treatment. — Constitutional and Local Means of Palliation. — Treatment of Strangulation. — Curative Treatment. — Haemorrhoids Associated with Uterine Disease. — Symptomatic Haemorrhoids. — Radical Cure. — Caustics. — Dangers of Nitric Acid. — Vienna Paste. — Treatment by Carbolic Acid Injections; Cases and Cures. — Advantages of this Treatment. — Treatment by Ligation. — Description of Operation. — Operation with Clamp and Cautery <Callout type="warning" title="Danger">Nitric acid can cause severe burns and should only be used under professional supervision.</Callout>.
Key Takeaways
- Haemorrhoids can be classified as external or internal, each with distinct symptoms and treatments.
- Effective treatment includes palliative measures such as injections and ligation operations.
- Preventative measures are crucial in managing haemorrhoid conditions.
Practical Tips
- Maintain a high-fiber diet to prevent constipation which can exacerbate haemorrhoids.
- Regular exercise helps improve blood circulation, reducing the risk of developing haemorrhoids.
- Avoid prolonged sitting or standing as it increases pressure on the rectal veins.
Warnings & Risks
- Inflamed haemorrhoids require immediate medical attention to prevent complications such as strangulation.
- The use of caustics like nitric acid can be dangerous and should only be used under professional guidance.
Modern Application
While the historical methods described in this chapter are informative, modern medicine offers safer alternatives for treating haemorrhoids. However, understanding these traditional treatments provides valuable context on the evolution of medical practices and underscores the importance of proper sanitation and hygiene.
Frequently Asked Questions
Q: What are the main differences between external and internal haemorrhoids?
External haemorrhoids occur outside the anal sphincter, while internal haemorrhoids develop inside the rectum. External haemorrhoids can become inflamed and painful, whereas internal haemorrhoids may cause bleeding but are often painless.
Q: What is the recommended treatment for strangulated internal haemorrhoids?
Strangulation of internal haemorrhoids requires immediate medical intervention to avoid complications. Treatment options include surgical excision or ligation, which can help alleviate symptoms and prevent further issues.
Q: What are the risks associated with using nitric acid for treating haemorrhoids?
Nitric acid is highly corrosive and can cause severe burns to the skin and mucous membranes. It should only be used under professional supervision due to its dangerous nature.