Often, hemorrhoids affect specialists in certain professions who are associated with great physical exertion or, conversely, with a sedentary lifestyle. The disease can be accompanied by a worsening of the patient’s condition, severe pain and other unpleasant factors that complicate life. Physical labor can aggravate the situation and contribute to the progression of the disease. Accordingly, the question arises: do they give sick leave for hemorrhoids? If the disease passes from an acute form of exacerbation, then the person loses the ability to perform work duties.
Hemorrhoids: what is it?
This disease is a sprain and exhaustion of the venous vessels of the rectum. Pathology can lead to the fact that dystrophy of the connective and muscle tissues occurs, the blood flow is disturbed and, as a result, congestion appears in the small pelvis. Blood ceases to circulate properly through the vessels of the rectum due to the weakening of the walls, blood vessels are filled. Further in these places hemorrhoidal cones appear, causing complications of the process.
Causes of the disease
The disease appears in cases if:
- the emptying process is often difficult;
- there are frequent problems with the intestines (constipation, diarrhea);
- there is excess weight;
- work activities are characterized by high or too low physical activity;
- a woman in or after delivery, when there is a lot of pressure on the rectum of the venous veins during attempts;
- there is a chance of heredity.
Unfortunately, the disease gets younger over the years, for many it appears at a very young age.
Stages of the disease
Hemorrhoids are divided into external and internal. In the first case, the hemorrhoid is located outside the anus. In the second - bleeding appears, cones may fall out of the anus.
This disease has 4 stages:
- At the first stage, hemorrhoidal cones are located inside, they do not fall out. After defecation, a person experiences itching and burning, conceived after spicy, salty foods, alcohol or after long sitting on a hard surface.
- In the second stage, the cones fall out when emptied. And then they return to the place. Often a person delays defecation due to fear of pain.
- In the third stage, it is possible to straighten hemorrhoidal nodes only with your hands. Emptying is accompanied by bleeding and pain.
- In the fourth stage, hemorrhoidal nodes to self-adjust becomes impossible. Health is in great danger, the mucous membrane becomes at risk of infection. Treatment is possible only through surgery.
Is a person sick?
This ailment in the exacerbation phase is able to significantly reduce the quality of life, preventing the patient from fully performing any work. Do patients with hemorrhoids give and where to go? First of all, it is worth visiting a proctologist. There are a number of circumstances on which it depends on how long a person will be officially incapable of work:
- disease in chronic and acute manifestation;
- profession of the patient;
- the effectiveness and methods of treatment (surgical, drug).
With exacerbation of chronic hemorrhoids, the patient experiences a deterioration in the quality of life. In practice, people seek help for whom the last stages of the disease are fixed, when it becomes impossible to solve the problem on their own. This is due, firstly, to the intimacy of the place, and secondly, to the fact that a person does not want to miss work and, thirdly, to fear of pain and unwillingness to undergo examination. Therefore, this category of people cares: “In what cases do hemorrhoids give sick leave?”.
What affects the duration of the hospital
At the initial stages of the ailment, the sick-list is not allowed, due to the fact that disability is not impaired. In this case, the doctor will prescribe treatment, which can be done without interruption from work.
In what cases give sick leave for hemorrhoids? If the disease is of the 3rd and 4th stage, then treatment requires an integrated approach, including not only medication, but also bed rest. It should be understood that at these stages of the disease, hemorrhoidal nodes that have fallen, rectal bleeding, infringement of nodes are accompanied by severe pain and impaired performance. In cases where work is not associated with strong physical exertion, it is still difficult for the patient to move normally, as well as to make the most basic movements. Accordingly, in this position, the patient is treated at home or in the hospital.
Is sick leave for hemorrhoids and for how many days for outpatient treatment? Of course, the doctor prescribes it, and for what period - the exact answer does not exist, because everything will depend on the course of the disease.
On average, with hemorrhoids of 3-4 stages, a sick leave for 7-12 days. It all depends on:
- the condition of the patient;
- stage of the disease;
- concomitant diseases;
- the presence or absence of complications.
Usually this period is enough to relieve acute symptoms, which means that the patient can safely continue his labor activity. If there are no improvements or complications, then a person needs inpatient treatment. There may also be a question about surgery. In this case, the hospital closes and when a patient is assigned to the hospital, a new one opens. It is imperative to warn the attending physician that the patient was previously outpatient. In this case, there will be no problems with documents.
Hemorrhoids during pregnancy
Women in position often suffer from this disease. Do patients receive hemorrhoids during pregnancy? This ailment is considered the most common among pregnant women. This is due to the strong pressure of the enlarged uterus on the venous plexus. Hemorrhoids very often appear after the delivery, when there is a strong pressure on the blood vessels of the baby's head. Another cause of the onset of the disease is frequent constipation.
So, do pregnant women give hemorrhoid sick leave? Of course, under the same conditions as everyone. The duration will also depend on the degree of the disease, the treatment prescribed and the ability to recover.
Disability sheet after surgery
The duration of a person’s stay in a hospital bed after surgery to remove hemorrhoids will depend on several factors. Firstly, the type of operation: emergency, planned. Secondly, the presence of complications or their absence. Third, recovery features.
The rehabilitation period depends on the individual properties of the body, which are responsible for its ability to self-repair: physical fitness, age, chronic diseases, complications.
Does the sick leave after removal of hemorrhoids and for how many days? Such an operation is not considered complex. With a good outcome, the patient is in a hospital for no more than five days. But in the presence of complications: suppuration of postoperative sutures, external or internal bleeding - the stay in the hospital is significantly increased.
Who prolongs the sick leave after surgery
After this operation, the hospital is extended by the proctologist at the place of residence or surgeon, therapist (if the proctologist is absent from this site). Basically, the doctor prescribes outpatient treatment for 10 days. Of course, everything will depend on how quickly a person restores his health, the nature of work is also taken into account. Is hemorrhoid sick leave given to men who are engaged in labor associated with strong physical exertion? A doctor can give up to 14 days of sick leave if the patient’s profession implies:
- lifting of goods;
- heavy physical labor;
- long stay in an upright position.
Even with satisfactory well-being of a person, some work will be contraindicated to him.
In cases where there is no positive dynamics or complications have arisen, only a social commission is entitled to issue a disability certificate. With a positive conclusion in favor of the patient, outpatient treatment is extended for 21 days, sometimes up to 1 month.
Controversial issues
There are times when the doctor refuses to send a person to the sick-list, and the patient is not able to fulfill his labor duties, due to poor health. What to do?
Firstly, upon receipt of a refusal, it is recommended to write a statement addressed to the chief physician of the medical institution with a request to take measures to resolve the situation. On the basis of this, a commission is created to conduct an investigation into this fact and give its opinion. The patient has the right to appeal the decision of the commission to the insurance company.