Table of contents:
- Why hemorrhoids may appear
- Stages of hemorrhoids
- Hemorrhoid symptoms
- Diagnosis of hemorrhoids
- Risk factors for hemorrhoids
- Complications of hemorrhoids
- When is it time to see a doctor if you suspect hemorrhoids
- Is it possible to cure hemorrhoids quickly and permanently
- How to cure external hemorrhoids
- How to cure internal hemorrhoids
- How to cure hemorrhoids during pregnancy
- Is it possible to cure chronic hemorrhoids with folk remedies
- When drugs for hemorrhoids are effective
- What to do if candles don't work
- Relapse prevention
- What not to do with hemorrhoids
- What happens if hemorrhoids are not treated?
Video: Hemorrhoids treatment in women and men quickly and permanently
2024 Author: James Gerald | [email protected]. Last modified: 2023-12-17 14:00
Hemorrhoids - varicose veins of the rectum, characterized by the formation of hemorrhoids. Both men and women are equally susceptible to this disease. The tactics of treating hemorrhoids depends on several factors - the stage and form of the disease.
Why hemorrhoids may appear
The reasons for the development of hemorrhoids in people of both sexes are somewhat different. The disease in men and women is based on:
- weakening of the muscles of the rectal sphincter and rectum;
- pathology of the venous system in the anus.
The main reasons for the development of the disease in women include:
- inflammatory diseases of the genital organs;
- pathological childbirth;
- pregnancy.
In men, hemorrhoids can form against the background of inflammatory diseases of the bladder and prostate gland.
Common causes that trigger the development of hemorrhoids include:
- hereditary predisposition;
- lack of plant foods in the diet;
- excessive enthusiasm for diets that violate the intestinal microflora;
- digestive problems;
- low physical activity;
- alcoholism;
- power sports;
- anal sex;
- depression;
- low stress resistance.
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Identifying the exact cause of the formation of hemorrhoids will help you choose the most correct treatment tactics.
Stages of hemorrhoids
In total, there are 2 main forms of the disease - acute and chronic. Each of them is characterized by different stages of development.
Acute hemorrhoids develop as follows:
- Stage I - acute thrombus formation of hemorrhoids without signs of inflammation;
- Stage II - the development of inflammation in the nodes;
- Stage III - inflammation and the formation of blood clots in the nodes, the development of necrosis, the spread of inflammatory processes to the perianal skin and subcutaneous tissue.
For the chronic form of hemorrhoids, 4 stages of development are distinguished:
- Stage I - the release of blood along with feces, the nodes are inside the large intestine;
- Stage II - loss of nodes and intensification of other symptoms;
- Stage III - a significant increase in all symptoms;
- Stage IV - prolapse of hemorrhoids along with the rectal mucosa, treatment is possible only with the help of surgical intervention.
The clinical manifestations of the disease are the same in both men and women, therefore, the treatment in patients of both sexes is the same.
Hemorrhoid symptoms
At the initial stages of development, the disease may not manifest itself and proceed secretly. At stage I, there are still no obvious signs of hemorrhoids, since the nodes are still small in size and are located within the colon. Therefore, the patient does not seek medical help.
In order to receive timely treatment, it is important to pay attention to the appearance of the following first symptoms:
- bleeding during bowel movements (sometimes);
- a feeling of moisture in the anus;
- itching in the anus.
At stage II, the disease manifests itself more clearly. The following symptoms appear:
- pain during bowel movements;
- increased itching;
- the appearance of a burning sensation in the anus;
- hemorrhoids become larger and fall out (sometimes);
- bleeding with every act of bowel movement.
At stage II, hemorrhoids still tend to return to the rectum on their own.
At stage III, all of the above symptoms intensify and cause considerable discomfort to the person. The fallen out hemorrhoids are reduced into the intestine only manually, but it is strictly forbidden to do it yourself.
During stage III, there is a high probability of infringement of the nodes and the formation of blood clots in them.
At the final, IV stage, the patient's condition deteriorates significantly. The following symptoms appear:
- pain in the anus both at rest and during movement, aggravated by the act of defecation;
- heavy bleeding, leading to the development of anemia;
- large hemorrhoids outside the anus that cannot be manually adjusted;
- the formation of erosion in the anus;
- watery discharge from the rectum;
- involuntary discharge of feces and gases;
- thrombosis of blood vessels and hemorrhoids of the rectum;
- ulcers on the intestinal mucosa.
At stage IV, the disease is very difficult to treat and often requires surgery.
Diagnosis of hemorrhoids
Most patients seek medical attention only when there are clear signs of the disease. It is important to remember that early diagnosis will help get rid of hemorrhoids forever.
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To make a diagnosis, first of all, you need to contact a therapist, he will determine the need for consultation with narrow specialists - a proctologist, gynecologist, endocrinologist, gastroenterologist, urologist.
The survey includes the following survey methods:
- interviewing a doctor;
- visual inspection of the anus area;
- general analyzes of urine and blood;
- blood chemistry;
- Ultrasound of organs located in the abdominal cavity;
- examination of feces for dysbiosis, the presence of blood and helminths;
- coprogram;
- anoscopy;
- rectal examination.
To clarify the cause of the disease, the doctor may recommend:
- irrigoscopy;
- colonoscopy;
- sigmoidoscopy.
Diagnosis of external hemorrhoids is much easier than internal, since it can be detected already at the initial stages of development by visual examination.
Risk factors for hemorrhoids
Hemorrhoids can appear at any age, regardless of gender. At risk are people who lead a sedentary lifestyle, have low physical fitness and those who are too addicted to strength training.
This disease affects patients with the following problems:
- alcoholism;
- smoking;
- unhealthy diet with an excessive amount of spicy, salty and spicy foods in the diet;
- obesity of any degree;
- a tendency to constipation.
In addition, pregnant women are at risk. Due to fetal pressure, circulatory disorders in the pelvic organs can occur, as a result of which hemorrhoids develop both during gestation and during childbirth.
Complications of hemorrhoids
If left untreated, this condition can lead to serious complications. The most common are:
- Thrombus formation in hemorrhoids, accompanied by severe pain in the abdomen and anus, inflammation in the colon and tissues located near the anus. As the condition worsens, tissue decay may begin, followed by their death.
- With constant and heavy bleeding, the patient may develop anemia, which is accompanied by fainting, heart palpitations and shortness of breath even at rest.
- Perianal dermatitis is one of the most common complications of hemorrhoids, accompanied by severe itching, swelling, pain and redness in the anus.
- Acute paracoptitis - refers to the more rare complications of hemorrhoids. It is characterized by inflammation of the purulent nature of the tissues surrounding the rectum.
Timely diagnosis and properly selected therapy of the disease will help to avoid the development of complications. Self-medication can only aggravate the condition.
When is it time to see a doctor if you suspect hemorrhoids
It is necessary to seek medical advice at the first problems with defecation, when itching, streaks of blood in the feces and even slight painful sensations appear.
Is it possible to cure hemorrhoids quickly and permanently
You can get rid of hemorrhoids forever if you start complex treatment at the I-II stage of the disease. At stages III-IV, surgical intervention is often required, during which hemorrhoids are removed, but there is no guarantee of complete cure in advanced cases.
How to cure external hemorrhoids
For the treatment of external hemorrhoids, complex therapy is used. At the first stages of development, conservative methods are used, including:
- normalization of the diet;
- therapeutic gymnastics;
- systemic drugs;
- external ointments.
To relieve symptoms, the following topical agents are used:
- anti-inflammatory;
- corticosteroids;
- local anesthetics.
For oral administration, drugs containing flavonoids are prescribed. They have the following effects:
- decrease in discharge;
- elimination of itching;
- reduced bleeding;
- elimination of inflammation;
- improved lymphatic drainage;
- decreased capillary permeability;
- improvement of vascular tone.
For the treatment of hemorrhoids, drugs containing calcium dobieselate are used. They are helping:
- reduce inflammation;
- stop the bleeding;
- reduce puffiness;
- improve blood viscosity;
- reduce vascular permeability.
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If conservative treatment is ineffective, then surgery may be indicated.
During the treatment of external hemorrhoids, it is imperative to follow the diet recommended by the attending physician and perform therapeutic exercises.
How to cure internal hemorrhoids
For the treatment of internal hemorrhoids, both non-surgical methods of treatment and surgical intervention are used. Non-surgical methods are conventionally divided into minimally invasive and conservative.
A conservative type of treatment for hemorrhoids involves eliminating symptoms with the following types of drugs:
- pain relievers;
- anti-inflammatory;
- venotonics;
- ointments;
- candles.
It is not recommended to prescribe drugs for yourself on your own, as this can cause the opposite effect.
The minimally invasive method includes the following treatment methods:
- Sclerotherapy of hemorrhoids. Usually used in the early stages of the disease, but may be indicated in the later stages. During the procedure, a sclerosing agent is injected into the anus using a syringe and an anoscope, which has an aseptic effect on the vessels. Most often, 1 procedure is enough, repetition is carried out only in exceptional cases.
- Ligation with latex rings. One of the most popular methods used to treat hemorrhoids. The great advantage of the procedure is its high efficiency and short rehabilitation period. The essence of the method is to squeeze the leg of the hemorrhoid using a special ring. The number of procedures directly depends on the number and size of the nodes.
- Infrared photocoagulation. It is used for hemorrhoids accompanied by severe bleeding. It is used only as part of complex therapy.
- Desarterization of hemorrhoids under Doppler control. An innovative method that is highly efficient and absolutely safe. In addition, the procedure can be performed at any stage of the disease, it is carried out very quickly.
- Ultrasonic sclerotherapy of hemorrhoids. It consists in combining two non-invasive methods, which significantly increases the effectiveness of treatment.
- Laser vaporization of hemorrhoids. During the procedure, the nodes are removed absolutely painlessly and safely. A big plus of the method is the absence of complications and relapses.
Surgical operation, or hemorrhoidectomy, is an outdated method of treating hemorrhoids, but in some domestic clinics it is still used as one of the main ones.
The disadvantages of the operation include:
- long period of rehabilitation;
- long and difficult preparation for the procedure;
- severe pain after removal of the nodes;
- mandatory use of anesthesia;
- great blood loss;
- the appearance of postoperative complications is possible - the formation of fistulas, suppuration and / or divergence of sutures, bleeding, narrowing of the anal canal, fecal incontinence;
- high invasiveness.
Surgical operation is used in cases in which other methods of treatment have proved ineffective.
How to cure hemorrhoids during pregnancy
Therapy for hemorrhoids during pregnancy is selected taking into account the possible risks to the child. A positive result can be achieved when using several methods at the same time. Rapid treatment of hemorrhoids in women during pregnancy is possible if it was started immediately after the onset of the first symptoms.
The treatment regimen includes:
- the use of medications;
- exercise of therapeutic and prophylactic physical education;
- normalization of the diet.
In severe cases of the disease, minimally invasive techniques or surgery may be indicated.
During gestation, the following types of drugs are allowed:
- topical application with heparin content;
- venotonics of various forms of release - suppositories, ointments, tablets;
- anti-inflammatory drugs in the form of suppositories and tablets;
- anesthetics;
- laxatives.
With hemorrhoids during pregnancy, special attention should be paid to nutrition. To speed up recovery, you will have to exclude all harmful products from the diet: smoked meats, salted, spicy, etc.
Is it possible to cure chronic hemorrhoids with folk remedies
Traditional medicine recipes for the treatment of hemorrhoids can only be used as an adjuvant. As an independent type of treatment, they are ineffective.
Recipe number 1. "Steam bath"
Mode of application:
- Pour 0.5 liters of milk into a thick-walled clay pot.
- Put 4 onions in it.
- Cook for a few minutes over low heat.
- Give a cleansing enema.
- Sit over the pot for a few minutes.
The remedy is used to treat internal hemorrhoids.
Recipe number 2. "Cold bath"
Mode of application:
- Pour 1 liter of cold water into a basin.
- Add a few grains of potassium permanganate until a slightly pinkish color is formed.
- Sit in a basin for 1 to 5 minutes.
- Carry out the procedure 2 times a day until the condition is relieved.
Recipe number 3. "Burnet infusion"
Mode of application:
- Brew 1 tbsp. l. herbs in 250 ml of boiling water.
- Insist for 20-30 minutes.
- Cool to room temperature.
- Sit in the infusion for 10 minutes.
The remedy is good for external hemorrhoids.
Recipe number 4. "Ichthyol ointment"
Mode of application:
- Lubricate the anus with ointment once a day.
- During treatment, eat only liquid food.
This recipe is used for cracks in the anus.
Before using folk recipes, it is imperative to consult with your doctor. In this case, you should adhere to the prescribed course.
When drugs for hemorrhoids are effective
Medicines are selected depending on the stage and form of the disease. At stage I, ointments and suppositories are usually used, which have a relaxing effect on the sphincter and rectal walls, relieve inflammation, eliminate pain, and normalize blood circulation.
The following drugs are used to treat hemorrhoids:
- Proctosan;
- candles containing sea buckthorn oil;
- Relief;
- Proctosedil;
- Fitor;
- Anusole;
- Hepatrombin.
At stage II, medications of a stronger effect are used:
- Methyluracin ointment;
- Neuflan;
- Etamsilat;
- Detralex;
- Aescusan.
The price of suppositories and ointments for the treatment of hemorrhoids depends on the type of drug and its manufacturer. The cost starts from 60 rubles.
In stages III-IV, non-invasive methods of treatment or surgery are used. In addition to them, the following means are used:
- Mafidin;
- Prednisolone;
- Troxevasin;
- Hepatrombin.
Simultaneously with anti-inflammatory drugs, agents that normalize digestion are prescribed: enzymes, symbiotics or probiotics.
To reduce inflammatory processes in hemorrhoids and normalize the performance of veins, phlebotropic drugs may be recommended. These include:
- Hepazolone;
- Nigepan;
- Betiol;
- Glivenol and others.
It is important to remember that only the attending physician is involved in the selection of medicines, based on the results of the examination. Self-medication can be not only ineffective, but also dangerous. Treatment of hemorrhoids in women is carried out with the same drugs as in men.
What to do if candles don't work
If the hemorrhoids are in an acute or neglected form, suppositories will be ineffective. In this case, they can only relieve pain and inflammation a little. Therefore, you should definitely seek medical help for prescribing other methods of treatment.
Treatment of hemorrhoids with suppositories has a positive effect only in the initial stages of the development of the disease.
Drug treatment
In the treatment of hemorrhoids with drugs, several types of them are used at once to increase the effectiveness of therapy and to eliminate all symptoms of the disease. The goal is to relieve bleeding, stop inflammation and relieve pain.
The patient is simultaneously prescribed tablets for oral administration, ointments for external and suppositories for rectal administration.
Surgical treatments for hemorrhoids
Surgical treatment of hemorrhoids is used only if conservative and non-invasive methods have not helped. In addition, the main indication for surgery is stage III or IV of the disease.
In total, there are 4 types of surgical operations that are used for hemorrhoids:
- dearterization;
- exposure to the Surgitron apparatus;
- operation according to the Longo method;
- hemorrhoidectomy.
Desatresisation is the least traumatic type of surgical operation, due to the low damage to healthy tissues and a low level of penetration.
Therapy with the Surgitron apparatus is a modern method of surgical intervention, in which high-frequency radio waves are used instead of a scalpel. The advantages of the method include:
- painlessness;
- fast execution;
- absence of burns and necrosis;
- fast healing;
- lack of blood loss.
Treatment using the Longo method is performed under local anesthesia. With the help of a special apparatus, titanium staples are placed on the hemorrhoids.
Hemorrhoidectomy has several types:
- submucosa;
- open;
- closed.
All types of this technique are used at the III-IV stage of the disease, but the open one is most often used in the presence of various complications: anal fissure, paroproctitis and others.
Physical exercises
Exercises of therapeutic exercises for hemorrhoids help to eliminate congestion in the pelvic area and slow down intestinal motility. In total, there are several complexes of physical exercises that can significantly speed up treatment and protect against relapse.
These include:
- Breathing practices according to Strelnikova and Norbekov. They improve blood circulation throughout the body, contribute to the saturation of tissues with oxygen, accelerate intestinal peristalsis, and normalize digestion.
- Exercises of classical physiotherapy exercises. Contributes to the overall strengthening of the body.
- The Keglya complex. Helps strengthen blood vessels, pelvic floor muscles and perineum. This method provides a quick and effective treatment for hemorrhoids in women, especially those who have recently had childbirth.
Currently, yoga has become very popular, the exercises of which help to significantly improve the condition of all body systems. Swimming also helps with hemorrhoids.
Diet for hemorrhoids
Correction of nutrition is necessarily included in the complex therapy of hemorrhoids. Adhering to the diet will be required both during treatment and during the rehabilitation period.
Its main principles include:
- food containing 120 g of proteins, 450 g of carbohydrates and at least 110 g of fat per day;
- portions no more than 300 g;
- eating at least 5 times a day;
- only warm dishes;
- from 2900 to 3600 kcal per day.
The following types of products should be excluded from the menu:
- Salo;
- fatty meats and broths from it;
- Black tea;
- coffee;
- hot chocolate;
- cocoa;
- carbonated drinks;
- alcohol;
- high fat milk;
- fatty dairy products;
- baking;
- white and black bread;
- sauces;
- seasonings;
- hot spices;
- mushrooms;
- legumes;
- cruciferous vegetables - horseradish, radish, rutabaga, radish, turnip and cabbage;
- wheat pasta of the highest grades;
- semolina;
- polished rice.
All meals should be steamed only, since fried, canned and pickled foods are prohibited in the treatment of hemorrhoids.
The diet includes the following foods:
- herbal teas;
- rosehip broth;
- green tea;
- fruit and berry jelly, compotes, fruit drinks;
- greens;
- fermented milk drinks;
- skimmed milk;
- some unsalted butter;
- fresh fruits;
- dried fruits;
- vegetable oils;
- lean fish varieties;
- lean meat;
- vegetables - pumpkin seeds, cauliflower, broccoli, beets, carrots;
- whole grain crisps;
- bran bread;
- unpolished cereals.
It is very important to stick to a diet while treating hemorrhoids, especially if surgery is indicated. Otherwise, it may be ineffective.
Relapse prevention
To reduce the risk of relapse and protect yourself from the development of hemorrhoids, preventive measures must be followed. These include:
- ensuring a sufficient motor load (sports training, swimming, running, while sedentary work, take regular breaks for gymnastic exercises);
- normalization of the work and rest regime;
- giving up bad habits - smoking and alcohol abuse;
- performing hygiene procedures;
- inclusion of only healthy products in the menu (minimizing the use of fried, spicy and spicy foods).
All of the above rules will help not only prevent the development of hemorrhoids, but also strengthen the body as a whole.
What not to do with hemorrhoids
With this disease, it is necessary to strictly follow all the recommendations of the attending physician. Absolutely forbidden:
- break the prescribed diet;
- prescribe medication for yourself;
- perform warming up of hemorrhoids;
- visit baths and saunas;
- use stiff toilet paper.
It is especially dangerous for hemorrhoids to perform any warming procedures, as this can cause bleeding to open.
What happens if hemorrhoids are not treated?
If hemorrhoids are left untreated, the condition will gradually worsen, which will lead to irreversible changes in the tissues of the perineum and rectum. This, in turn, will cause serious complications.
Outcomes
Hemorrhoids is a disease of the colon that affects men and women of all ages equally. Early diagnosis and timely treatment will allow you to completely get rid of it, and compliance with preventive measures will most likely protect against its occurrence.
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