The summary could be:
This is a video transcript of a proctologist who explains how to treat hemorrhoids without surgery. He talks about the difference between hemorrhoidal thrombosis, which is an acute condition that can resolve itself with some care, and chronic hemorrhoids, which can cause daily symptoms and may require surgery. He gives some tips on how to improve bowel function, avoid trauma to the anal region, use foot support and wet wipes, and apply ointments or flavonoids. He also mentions some in-office treatments such as elastic ligation, infrared coagulation and sclerotherapy, which can help reduce the size of the hemorrhoids. He advises people to seek medical care if they have severe or persistent symptoms and to subscribe to his channel for more information.
Here are the key facts extracted from the text:
1. The text is a transcript of a video about how to treat hemorrhoids without surgery.
2. The text covers two situations: hemorrhoid crisis or thrombosis, and daily symptoms of hemorrhoids.
3. The text suggests some ways to avoid surgery, such as diet, hydration, physical activity, foot support, washing instead of using toilet paper, and in-office treatments like elastic ligation, infrared coagulation, or sclerotherapy.
4. The text warns about the risks and limitations of some treatments, such as ointments, corticosteroids, anticoagulants, and thrombectomy.
5. The text also explains the difference between internal and external hemorrhoids, and how they affect the type of innervation and pain.
6. The text mentions that some cases of hemorrhoids may require surgery, especially grade 3 or 4 hemorrhoids.