a. high fibre diet
b. increased water intake
c. encouragng gentle exercise
d. sitz bath 10 to 20 minutes twice aday
e. suppositries and ointments – no known value expect for anaesthetic and astringent affect
f. for prolapsed edematous internal heamorrhoids – gentle reduction local compression (witch hazel) and warm sitz bath.
a) Rubber Band Ligation : safe and effective for 2nd and 3rd degree heamorrhoids. Rubber band is placed snugly around mucosa and heamorrhoidal plexus – ischemic necrosis occurs leading to slough – necrosis – fibrosis
The acutely inflamed prostategland is swollen, tender, and often somewheat asymmetrical.
The gland of chronic prostatitis is variable; it may (1) feel normal, (2) be somewhat enlarged, tender, and boggy, or (3) contain scattered firm areas of fibrosis. and fixation.
Complications : Pain severe enough to remove the band due to low application of the band bleeding may occur at the time of sloughing. Pelvic cellulitis is the other
b) Injection treatment: Effective in Grade 1 & 2. Substances used include phenol, vegetable oil, sodium morrhuate and sodium tetra decyl sulphate. One or two injections are given into the symptomatic quadrant. Injection is done with a special syringe called the Gabriel syringe above the muco cutaneous junction This causes inflamation, fibrosis and scarring.
Complications: include sloughing of mucosa, infection, acute prostatitis and sensitivity reactions to injected material.
c) Cryosurgery: Heamorrhoids can be treated with a cryo probe using CO2 or N20
Complications: include uncontrolled slough of mucosa, foul smelling discharge and delayed wound healing
d) Infrared Photocoagulation: Infrared beam applied to the
e) Bipolar Contact Diathermy (bicap 2 device): may be applied to the base of internal heamorrhoids, coagulating the feeding vessels
f) Galvanic Generator And Probe:
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