Prolapsed Hemorrhoid - What are They and Whats Needed to Effctively Remove Them

Prolapsed hemorrhoid can be defined as a complicated, evolved stage of an internal hemorrhoid. In a prolapsed hemorrhoid, the internal hemorrhoid protrudes outside from the anal sphincter after descending below the pectinate line.

Mostly, this condition is experienced by patients with a predisposition to severe constipation. That is why it is extremely crucial for patients diagnosed with an internal hemorrhoid to avoid constipation and consult their doctor for more instructions. Prolapsed hemorrhoid in itself may not be a major problem but often becomes serious with the increased problems it causes for the patient than it actually would have, had it been a plain regular hemorrhoid.

During the process of evacuation (especially in case of constipated patients having hard feces), packs of internal hemorrhoids are sometimes dragged outside the body through the anus and the anal canal. This results in a prolapsed hemorrhoid condition.

Another factor commonly responsible for this condition includes the fibrous tissue (the one connecting the rectum’s surrounding stricter to the hemorrhoidal veins) losing its consistency. It becomes incapable of holding the veins at their right place, causing them to slide along the anal canal. This condition is associated with high pressure values in the rectum’s venous system. It is more likely to occur in older patients or in patients having a long history of developments of internal hemorrhoids.

In a prolapsed internal hemorrhoid condition, the most painful and important complication is strangulated hemorrhoidal prolapse, also known as thrombophlebitis. In this, the seizure of the external sphincter and rapid growth in the volumes of the prolapsed hemorrhoidal packs results in an impossibility of reduction. This complication, sometimes, cures spontaneously within 2-4 weeks.

At other times, especially when the pressure applied by the anal sphincter cuts down the blood supply to the hemorrhoid, the thrombophlebetis is accompanied with ulceration and gangrene of that prolapsed hemorrhoid. This condition is extremely difficult to cure. Hemorrhoidal thrombosis, in its exceedingly extreme forms, can extend to the perianal spaces, or at the pelvis organs, or to the pelvic veins. It can sometimes produce septic emboli, through portal vein, in the liver and through inferior vena cava, in other organs.

Removal of a prolapsed hemorrhoid can be done with incisions or with a laser. Each of these methods is different from the other and it is the doctor who determines which treatment will best suit the patient. Simple preventive measures, to avoid the pain and discomfort caused by any kind of hemorrhoid, would include consuming fiber, eating a balanced diet, drinking lots of water, and avoid straining during bowel movements.