Effective treatment of internal hemorrhoids at home

Hemorrhoids are a common pathology that occurs in adults. A non-infectious disease that affects the rectum. A proctological disease may not bother a person for a long period, developing gradually and turning into a chronic stage. Such hemorrhoids occur in waves; remissions with periods of exacerbation are possible. When the symptoms subside, the symptoms disappear, and worsening is manifested by intense pain and complications. Therefore, it is important to carry out timely treatment of hemorrhoids during exacerbation, to find suitable methods in the fight against proctological disease.

Causes of exacerbation

The first cause of exacerbation of hemorrhoids is considered to be weakness of the blood walls or venous insufficiency. With a constant influx of a significant amount of blood, the veins in the pelvic area fill and expand, creating hemorrhoidal cones. Often this process does not appear immediately, but gradually. But it also happens that the symptoms of the disease rapidly intensify, leading to a deterioration in the person’s condition.

Basically, hemorrhoids worsen due to the following reasons:

• sedentary lifestyle - if a person sits or stands for a long time, there is a disturbance in blood flow, as a result of which hemorrhoids become overfilled with blood;
• stool disorder - the disease can appear not only in the case of constipation, but also diarrhea. For example, with difficult bowel movements, increased pressure occurs in the middle of the peritoneum, or the mucous membrane is damaged by fecal stones. Watery stools lead to inflammation of the nodes, and pathogenic microorganisms begin to settle in them;
• pregnancy, childbirth - at the moment of bearing a child, the growing fetus begins to compress the veins of the pelvis, causing a change in blood flow, stagnation and difficult bowel movements. Hemorrhoids in women occur during childbirth, the expectant mother pushes, and abdominal pressure increases, causing the lumps to fill with blood;
• poor nutrition – an exacerbation can be triggered by a person eating salty, fried, spicy food or a large amount of sweets, the digestive system is disrupted, constipation appears and blood flow in the pelvis increases;
• Excessive physical activity is considered the main cause of hemorrhoids in men. When lifting weights, muscle tissue is compressed, the veins fill with blood, and then the cavernous formations fall out of the anus.

Often, an attack of hemorrhoids occurs due to psychological factors. The disease intensifies due to stress, depression, and severe mental disorders.

Exacerbation of hemorrhoids is manifested by severe symptoms that occur quite quickly. The patient's general condition worsens and he is unable to maintain his previous lifestyle.

The main symptoms of exacerbation of hemorrhoids:

• hemorrhoidal cones come out;
• unbearable pain and inflammation of the rectum;
• signs of intoxication of the body;
• rectal bleeding from the anus;
• increase in body temperature.

The main unpleasant symptom of proctological disease is pain. It occurs instantly after bowel movement, sneezing, coughing. This exacerbation of hemorrhoids lasts several minutes, or even hours.

Often it hurts a person to sit, stand or move. The feeling of pain is so unbearable that psychogenic constipation occurs, the patient does not want to go to the toilet, and his appetite disappears.

The acute stage of hemorrhoids is expressed by bleeding. The blood clots of the hemorrhoids are broken, and the pain is reduced. During this phase, the cones begin to turn blue and become dense. And when they are already quite big, they crawl out. The result is thrombosis, intoxication, and the nodes are pinched.

Complications

The danger during exacerbation of hemorrhoids is due to the fact that complications may arise:

1. Rectal bleeding can be severe, sometimes even independent of bowel movements. This should not be allowed, as acute anemia can occur. Organs feel a lack of oxygen due to a sudden decrease in hemoglobin levels. There is a decrease in blood pressure, pale skin, and malaise.
2. Paraproctitis is caused by purulent inflammation of the intestinal tissue. Infection with pathogenic organisms (E. coli, staphylococcus, etc.) is possible. A person feels increasing pain in the posterior canal, lower back, and perineum. There is an increase in temperature, chills occur due to intoxication, which, in turn, is caused by retention of urine and stool. In such situations, surgical assistance will be required.
3. Colitis - if hemorrhoids worsen, the pathogenic process can spread to nearby organs, and the mucous membrane of the large intestine can also become inflamed. As a result, the gastrointestinal tract is disrupted, abdominal bloating is noted, spastic pain and flatulence occur.

To avoid complications when hemorrhoids worsen, you should immediately consult a specialist.

First aid

Increased symptoms occur unexpectedly. You can independently provide first aid for exacerbation of hemorrhoids before consulting a doctor by performing the following steps:

1. Ice will help relieve aggravation of hemorrhoids. The cold remedy will reduce pain, provoke vasospasm, and stop bleeding.
2. Ice suppositories - in the presence of an internal illness. Make them in advance and keep them in the freezer. The tip of the suppository should not be pointed. To perform the manipulation, you need to lie on your side, carefully insert the suppository into the anus, and slightly squeeze the anal sphincter. Keep the product in the rectum for no more than 30 seconds. The method helps reduce the load on the muscle tissue of the anal canal and veins.
3. Cool water - it will be more effective if you make a weak solution of potassium permanganate or a herbal decoction, you can add chamomile and calendula. Pour the prepared liquid into a basin and place the anus in it. The duration of the bath is 5 minutes. Hypothermia will have the opposite effect.
4. Severely worsened hemorrhoids are treated with painkillers (Relief suppositories, Ultraproct). External nodes are smeared with Ichthyol and Heparin ointment. Medicines normalize venous outflow and help quickly relieve swelling and inflammation of hemorrhoids.
5. During exacerbation of hemorrhoids, it is important to empty the intestines daily to prevent the formation of fecal stones. Laxatives (Duphalac, Normaze, Macrogol) will help with this.
6. Women during pregnancy are allowed to use suppositories with propolis and belladonna. Suppositories with sea buckthorn oil have a healing effect. External bumps are eliminated using Fleming's ointment.

Laxative medications with irritating effects are not used during an attack of hemorrhoids. Because they will only cause the progression of the disease.
For the same reason, cleansing enemas cannot be performed.

Decoctions and infusions

Traditional methods of treating hemorrhoids should include infusions and decoctions based on medicinal herbs.

This method of home therapy will allow you to quickly cope with the disease, eliminate the inflammatory process, relieve pain and the general condition of the patient. In addition, most of them can even relieve bleeding.

Which herbs are most effective in the fight against hemorrhoidal disease:

• Plantain.
• Chamomile.
• Linden.
• Strawberry leaves.
• Cuff.
• Coltsfoot.
• Rose petals.

All components can be used individually or in combination with each other. 1 tbsp. l. pour 500 ml of boiling water into the mixture and place on low heat for 15 minutes. The decoction should be taken three times a day, 100 ml. The course of treatment is 1 month.

Healers recommend consuming dogwood jam.

In the picture: dogwood medicine

These berries can improve the functioning of the gastrointestinal tract, strengthen the body's protective functions, and have anti-inflammatory and tonic effects.

Traditional medicine advises using this method of treating the disease.

• Take 1 beet and grate it.
• The juice is squeezed out of the pulp.
• It should be taken 4 times a day, 50 ml.

Folk remedies for internal hemorrhoids in women are also considered effective.

Honey with sea buckthorn oil - an effective home remedy for hemorrhoids

So, if you insert gauze soaked in a mixture of honey and sea buckthorn oil (in equal quantities) into the anus, then after 3 days the unpleasant sensations will go away, and the hemorrhoid will completely resolve.

Many herbalists claim that folk treatment for internal hemorrhoids will definitely help if you follow all the specified dosages and adhere to the specified course.

Video with additional information about the treatment of hemorrhoids with folk remedies:

How long does an exacerbation of proctological disease last?

The duration of exacerbation of hemorrhoids mainly depends on the individual characteristics of the person, as well as on:

• intensity of disease symptoms;
• severity of development;
• complications;
• the presence of associated diseases;
• person's age.

In addition, the duration of the course is determined by exactly when the patient consults a doctor. Often the exacerbation lasts 7 days, then the symptoms subside and remission occurs. To achieve this, comprehensive effective methods for treating hemorrhoids are used.

After clarifying the diagnosis, the doctor prescribes suitable treatment for exacerbation of hemorrhoids, which can be carried out at home. It includes the use of medications, dietary nutrition, and folk remedies. Prevention of the disease is also important.

Drug treatment

Medicines are prescribed depending on the presence of hemorrhoid symptoms. Since the main symptom is pain, painkillers are used.

Methods of drug therapy for exacerbation are as follows:

1. Analgesics (Ketonal, Diclofenac) - NSAID tablets or injections are used with caution, as they reduce blood clotting. The drugs exhibit an analgesic effect, remove swelling and redness.
2. Rectal suppositories (for example, Ultraproct, Gepatrombin G) are prescribed as a local effect - they will eliminate pain and improve a person’s well-being.
3. Anti-inflammatory local agents (Vishnevsky ointment, Levomekol) - the use of ointment is permissible if the inflammation has spread to tissues and fiber.
4. Heparin and Troxevasin ointments are indispensable for thrombosis of hemorrhoidal cones.
5. Venotonics (Heparin, Hepatrombin) - promote blood thinning and are aimed at resolving thrombosis.
6. Exacerbation of hemorrhoids accompanied by bleeding can be treated with suppositories with adrenaline (Proctosedyl, Methyluracil, Anuzol) - they lead to vasospasm, stopping the bleeding. Hemostatic medications (Adroxon, Spongostan) have the same effect. Itching and burning can be treated with the same means.
7. Venotonics (Detralex) - if taken together with topical drugs - the effectiveness of treatment for acute hemorrhoids will increase.
8. Relief ointments and suppositories help to cope with anal fissures. It contains natural substances with a strong wound healing effect. Sea buckthorn suppositories are excellent for healing wounds, and belladonna suppositories relieve pain.
9. Antibiotic therapy (Olestesin, Levomekol, Tetracycline) is used for the treatment of acute, chronic hemorrhoids, which are accompanied by the presence of purulent discharge from the anus and an increase in body temperature.

Comprehensive established treatment of hemorrhoids at home will show a positive and quick result, however, with advanced hemorrhoids, surgery cannot be avoided.

Hemorrhoids can worsen due to poor nutrition. At the time of remission, a person is allowed to consume a few prohibited foods, but during an exacerbation, a strict diet will be required.

Nutrition for exacerbation of hemorrhoids is as follows:

• in the first days of an attack, you should unload the intestines using only water, herbal infusions or green tea;
• gradually introduce porridges containing plant fiber into the diet;
• It is recommended to eat a lot of fruits and vegetables, they will help prevent constipation;
• Fermented milk products, mainly with live lactobacilli, have a positive effect on the digestive tract;
• At night you can consume no more than 1 tablespoon of vegetable oil. This will help you go to the toilet with ease in the morning;
• When you wake up, first drink a glass of water, and throughout the day - at least 2 liters.

Remove from the diet:

• alcohol;
• spicy, fatty, fried foods;
• smoked meats, marinades, preserves;
• sauces, seasonings;
• milk.

Only with a healthy diet is it possible to get rid of or prevent worsening of hemorrhoids.

Traditional methods

It will be possible to relieve an exacerbation of a proctological disease at home if you resort to folk methods. Many recipes can normalize the condition and reduce symptoms, but they are used only as additional treatment.

In case of exacerbation of hemorrhoids, treatment can be done independently:

• potato candles;
• infusion of calendula;
• ice suppositories;
• herbal decoctions for microenemas;
• carrot candles;
• decoctions of yarrow, chamomile, nettle for sitz baths.

Using common home recipes for hemorrhoids, along with medication therapy, will have a favorable result.

To prevent exacerbation of hemorrhoids, it is necessary to lead an active lifestyle, adhere to a diet, and perform personal hygiene. It is important to give up bad habits, you also need to avoid stressful situations, do not be nervous, and do not lift heavy objects. Timely medical care can prevent the disease from getting worse.



The most common proctological pathology of a non-infectious nature is hemorrhoids. According to statistics, 15% of the adult population experience its manifestations. If the acute stage of the disease is not treated, it will gradually become chronic. At home, treatment of hemorrhoids during exacerbation is carried out externally with the help of suppositories and folk remedies. Conservative complex therapy provides excellent results. If complications develop, surgical intervention is used.

How to supplement the treatment?

In addition to drug treatment and a balanced diet, an active lifestyle is important when treating internal hemorrhoids at home. Playing sports and walking in the fresh air are useful. Excess weight should not be allowed; it significantly increases the risk of disease. It is necessary to ensure that the lower part of the body does not become overcooled.

If you have hemorrhoids, you should use only soft, high-quality toilet paper , and even better, wash yourself after each bowel movement with warm water and baby soap.

If treatment of internal hemorrhoids at home does not bring positive results, you should immediately seek help from a proctologist. Delaying treatment is unacceptable.

Remember: it is impossible to quickly cure internal hemorrhoids at home! The treatment process requires an integrated approach and is closely related to changing lifestyle and giving up bad habits and products.

Internal hemorrhoids are an unpleasant problem that requires careful treatment. If you seek medical help in a timely manner, it can be eliminated at home and prevent exacerbations in the future.

What are hemorrhoids

This is a disease of the vessels of the rectum, in which their enlargement occurs. During an exacerbation, bleeding and prolapse of internal venous nodes, which in a healthy person are located in the anal canal, may occur. When exposed to unfavorable factors, they become inflamed. Internal hemorrhoids occur. If the nodes fall out, the pathology becomes external. With simultaneous enlargement and loss of vascular formations, doctors diagnose “combined hemorrhoids.”

What causes hemorrhoids to worsen?

The duration of the acute phase depends on the cause of hemorrhoids. On average, it takes doctors five days to relieve the symptoms of an exacerbation. Doctors identify many factors that cause the disease to develop. Not least are psychological reasons: regular stress, frequent psycho-emotional stress. Factors leading to exacerbation of hemorrhoids:

1. Insufficient physical activity. Staying in one position for a long time leads to stagnation of blood in the pelvic organs.
2. Poor nutrition. Excessive consumption of spicy, salty, spicy foods.
3. Digestive disorder. Pathology occurs with diarrhea and constipation.
4. Overheating of the body. Frequent visits to the bathhouse, sauna, or taking a hot bath entail dilation of blood vessels, as a result of which hemorrhoids enlarge.
5. Pregnancy, childbirth. The gradual enlargement of the uterus and fetus causes exacerbation of hemorrhoids.
6. Lifting weights. The sphincter muscles become overstrained during intense exercise, which leads to the prolapse of hemorrhoids.

Treatment of acute hemorrhoids

Treatment of pathology in the acute phase must be immediate, because delay will lead to undesirable consequences. It is important not only to relieve exacerbation of hemorrhoids, but also to improve the general condition of the patient. To tone blood vessels, reduce protruding nodes, and treat anal fissures, doctors use a combination of several medications. As a rule, the proctologist prescribes a complex of venotonic, painkillers, and antitumor drugs.

To treat inflammation, there is a range of antibiotics for external and internal use. If conservative treatment does not help, the doctor may suggest a gentle invasive technique. The choice of method depends on the patient's condition. Sclerotherapy gives good results. The essence of the method is the introduction of an adhesive substance into damaged vessels using a curved needle.

If there are large prolapsed nodes, the proctologist will recommend disarterization. The procedure is performed with an anoscope, with which the doctor ligates the arteries feeding the nodes. Large hemorrhoids can be destroyed with special latex rings that stop the flow of blood. Treatment of hemorrhoids during exacerbation in the second stage of the disease is carried out using the method of photocoagulation, when the nodes are treated with a laser that stimulates the growth of connective tissue.

Basis of therapy

How to cure hemorrhoids at home? For successful and quick treatment of hemorrhoids at home, it is necessary to use oral medications to improve blood microcirculation around the hemorrhoids. One of the effective drugs is Detralex tablets.

After use, the patient’s well-being improves the very next day. This is a medicine of natural origin with a minimum of side effects.

There are other drugs that differ in their spectrum of effects, which include:

1. ProctoGlivenol, Ginkor Fort, Pylex - tonic, strengthen the walls of venous vessels;
2. Venarus and Phlebodia are venoprotectors, improve blood microcirculation and increase overall vascular tone;
3. Heparin and Hemaroidin are anticoagulants that prevent the formation of blood clots;
4. Calcium chloride, Vikasol - hemostatic agents, restore damaged cells of the rectal mucosa.

By taking a combination of tablets, suppositories and ointments, you can not only alleviate the patient’s condition, but also completely forget about this disease. It is important to follow a number of preventive actions to avoid relapse.

First aid

If hemorrhoids have worsened, then to alleviate the condition you should follow a number of simple rules:

• When emptying the intestines, you should not push, even if the exit of feces is very difficult;
• exclude spicy, smoked, pickled, salty foods from the diet;
• if bleeding occurs, frequently wash the anus with warm water;
• Avoid heavy lifting and any physical activity.

Medications

Treatment of hemorrhoids with severe exacerbation is carried out with local and systemic drugs. Any therapy begins with the use of oral medications. They help relieve painful symptoms, stop vascular inflammation, and soften stool. The main disadvantage of using tablet drugs is that the drugs have a negative effect on metabolism, inevitably affecting the entire body as a whole.

But what to do if hemorrhoids worsen if there are contraindications to medications? Ointments and suppositories for external use quickly relieve aggravation. Such drugs increase local immunity and increase resistance to pathogenic microflora of the skin around the anus. The disadvantages include the fact that all external drugs have contraindications and side effects if used incorrectly.

Suppositories for exacerbation of hemorrhoids

For inflammation of hemorrhoids, suppositories are always prescribed. Topical preparations directly affect the problem area. After installation, they dissolve, the active components enter the blood vessels, providing a therapeutic effect. The most popular suppositories for acute hemorrhoids:

1. Anuzol. In case of exacerbation, they are often prescribed. The medication relieves inflammation, relieves pain, and has an astringent effect. The downside of the drug is the presence of poisonous belladonna extract, which makes its use impossible during pregnancy and breastfeeding.
2. Procto-glivenol. Reduces pain, itching, reduces skin irritation, eliminates congestion. The advantage of the medication is that the active substances accumulate only in adjacent tissues, without entering the bloodstream, so suppositories have almost no side effects. The downside of the drug is that it cannot be used by people with kidney failure.
3. Proctosan. Effectively relieve pain symptoms accompanied by anal itching. In acute inflammation of hemorrhoids, it has a drying and astringent effect. One of the disadvantages is the possibility of allergic skin reactions.

The following medications will help relieve inflammation and relieve discomfort during exacerbation of hemorrhoids:

1. Detralex. Tablets are excellent for treating exacerbations, especially if hemorrhoids are accompanied by bleeding. For a quick effect, large doses of the drug are required during the first hours. A big plus is that the course of treatment can last indefinitely. Minus - it is not recommended to use during pregnancy and lactation.
2. Gepatrombin G. Used at the first signs of exacerbation. The medication is well suited for reducing attacks of hemorrhoids even at stage 3 of the disease. Among the disadvantages are possible systemic allergic reactions.

For local inflammatory diseases, ointments are effective at home. They are successfully used for the treatment of acute and chronic hemorrhoids. The best ointments to eliminate the symptoms of inflammation:

1. Vishnevsky. Used to get rid of external knots. The ointment prevents infection of open wounds and promotes the growth of a new layer of dermis. The downside of a local anti-inflammatory drug is that it smells unpleasant and stains things, as it is easily absorbed into the fabric.
2. Bezornil. Reduces tension and size of hemorrhoids. Quickly relieves pain syndromes during exacerbation. The disadvantage of using it is a persistent unpleasant odor.

Burning and itching in the anal area may appear suddenly! If a severe exacerbation of hemorrhoids develops, what should be done at home?

According to registered data alone, today the number of people who have suffered from this disease is about 80% of the entire world population. Statistics on the incidence of hemorrhoidal pathology in women and men are approximate, since some people, considering this problem as too delicate, do not seek help from specialists in medical institutions.

Exacerbation of hemorrhoids can occur suddenly! Most often these are symptoms in the form of severe burning, itching, and the sensation of a hard object in the rectum. Less commonly - bleeding, fever and mucus discharge from the anal canal, prolapse of a lump (nodule).

All signs of the disease can also quickly disappear; this does not mean that the disease has disappeared completely.

Transformation of the hemorrhoid

Hemorrhoids are characterized by dilation and inflammation of the veins that form hemorrhoids in the lower part of the rectum. In the absence of proper treatment and non-compliance with preventive measures, the disease can become chronic. A chronic disease is accompanied by alternating periods of acute and weakening.

Hemorrhoidal fimbriae in photos and in life

Hemorrhoids are a disease that brings a person a lot of physical and moral torment. However, it is highly treatable, especially in the early stages, and has a favorable prognosis. During the period of remission it does not cause much trouble and is forgotten, but there are situations when memories of hemorrhoids remain for life in the form of an aesthetic defect in the perianal zone. These are hemorrhoidal fimbriae - in the photo they look like shapeless skin folds or outgrowths that surround the anus and cause concern to the patient. What is it - the proctologist always has the answer.

The essence of the problem

Anal fimbria are folds of skin with a soft-elastic consistency formed in the anus as a result of acute external hemorrhoids.

It is incorrect to call fimbria a disease; these are more cosmetic defects of the skin in the perianal area, which may indicate the existence of other problems in the anus and rectum.

A hemorrhoidal fimbria or several fimbriae may appear after spontaneous resolution (resorption) of acute thrombosis of subcutaneous hemorrhoids in the absence of professional treatment of the problem. The skin around the anus, stretched under the influence of inflamed enlarged nodes, cannot withstand the load and loses the ability to contract after the elimination of acute phenomena. Therefore, skin folds form, changing the appearance of the anus and reminiscent of the presence of hemorrhoids.

What is the reason:

• in women, anal fimbria often form after childbirth, as a result of prolonged straining (there is a photo on the Internet - hemorrhoidal skin fimbria in a postpartum woman who suffered acute hemorrhoids with thrombosis during prolonged labor);
• in another category of people, an exacerbation of the disease and the subsequent formation of skin folds can be triggered by excessive physical activity, dietary errors, a stressful situation, severe constipation or persistent diarrhea;
• fimbriae can form after radical surgical treatment of hemorrhoids as a result of transformation of the skin edges of a postoperative wound.

Clinical manifestations

Usually the patient does not experience pain, burning or discomfort, but may simply discover some kind of formation in the anal area during hygiene measures. Perianal skin folds significantly complicate the process of personal hygiene. These cosmetic defects do not cause any immediate harm to health; they do not interfere with the emptying of the rectum and do not impede body movements. However, there are rare situations when, when pathogenic microbial flora enters, the fimbria become inflamed - itching, pain and slight bleeding appear. The photo from the archives of proctologists shows hyperemia and swelling of the skin around the anus, enlargement and redness of the folds. In severe cases, when the fimbriae are damaged and infection enters the wound, tissue necrosis or the development of paraproctitis occurs.

Sometimes fimbriae can periodically make themselves felt with unpleasant sensations, then subside. Typically, such a wave-like course occurs in patients with concomitant pathology of the rectum (inflammatory diseases, internal hemorrhoids, anal fissure, fistulas). At the same time, there are other characteristic manifestations of chronic pathology. Do not forget about colon and rectal cancer, which can exist for a long time without any symptoms.

Fimbriae discovered by chance should alert the patient and be a reason to contact a proctologist to conduct an appropriate examination of the anus, rectum or other parts of the intestine in order to exclude possible anorectal pathology.

Most patients perceive these defects as an aesthetic inconvenience (the photo shows how ugly the anus looks with shapeless skin folds on a young woman). Harm is caused to a person's psychological status. First of all, a full-fledged personal life is disrupted - a person feels awkward in the nude and is in constant tension during intimacy, which affects general well-being. Most of all, women who turn to a proctologist for help and ask to solve this cosmetic problem in any way show concern about this. Meanwhile, fimbria are a signal of possible trouble in other parts of the colon.

Diagnosis and treatment

The diagnosis of anal fimbria can be made during an external examination of the patient in the proctologist’s office. However, to exclude possible concomitant diseases of the rectum, digital rectal examination, anoscopy and sigmoidoscopy are performed. After confirmation of the diagnosis, surgical treatment is prescribed at the request of the patient. It is impossible to remove fringes using conservative methods. The main methods of surgical treatment of cosmetic defects of the anal area:

• excision of folds with a scalpel under local anesthesia is an old, time-tested method in city hospitals; it has the disadvantages of a long recovery period after surgery and the formation of scars at the site of sutures (seen in the photo after such an operation);
• cryodestruction with liquid nitrogen is a modern, painless, gentle method, which also has disadvantages such as the formation of scar tissue at the site of cauterization with nitrogen;
• laser excision of fimbriae – may also leave scars;
• radio wave excision of skin outgrowths is the most effective and low-traumatic method that does not require hospitalization. Under the influence of high frequencies of radio waves, intracellular pressure increases, due to this, tissue is cut and coagulated, the surrounding areas are not injured, a high aesthetic result is achieved almost painlessly (in the photo, after removing the fimbriae using the radio wave method, the anus looks completely unchanged). This method is widely used in the outpatient practice of proctologists for the treatment of anal fissures, removal of genital warts and polyps.

The choice of surgical treatment method in each specific case is made by the doctor in agreement with the patient.

Preventive measures are similar to those for hemorrhoids and rectal fissures - proper nutrition, a rational daily routine, avoidance of constipation, a healthy lifestyle without bad habits, avoidance of heavy physical activity, daily physical activity and timely consultation with a doctor.

Proctologists urge all patients to treat their body carefully and with care.

If a tumor is detected in the anus, you cannot be sure of the diagnosis; you should contact a specialist to clarify the problem and determine further behavior in relation to the detected pathology.

These may be anal fimbria - harmless at first glance, unesthetic formations, indicating the existence of an inflammatory or other disease of the anorectal zone. They can be confused with papillomas or polyps - these are more serious conditions that cause oncological alertness and require quick decision-making. In such situations, you should not be shy or lazy to consult a doctor. Delay can have dangerous consequences.

How are hemorrhoids treated? What are the methods?

Hemorrhoids (translated from Greek, literally, “bleeding”) is a disease known in ancient times. Even ancient healers tried to use their simple means to help our ancestors in solving this difficult problem.

Modern methods of treating hemorrhoids are divided into:

• Conservative (medicinal: suppositories, ointments, creams, gels, tablets)
• Surgical
• Minimally invasive (node ​​ligation, sclerotherapy, electrocoagulation, coagulation with infrared rays, cryotherapy, desarterization)

In most cases, a conservative method is used to treat mild to moderate hemorrhoids, i.e. drug treatment. Surgical intervention, as a rule, is necessary when the disease has progressed due to untimely access to a doctor.

Let us dwell on the popular and fairly effective treatment of hemorrhoids with medications. It includes local (external) and systemic (internal) treatment. As many years of medical experience have shown, the effectiveness of therapy is much higher when both methods are combined. But choosing the best remedy for hemorrhoids is not as simple as it seems. Next, we will analyze in detail which medications effectively treat certain manifestations of hemorrhoids and which of them are the best.

It is worth mentioning that the medications given below are suitable for both men and women. Special attention is paid to the peculiarities of taking medications for women during pregnancy and lactation.

Folk remedies for treating illness can also be useful and effective when combined with other treatment methods. You can prepare them yourself at home. But before using them, it is advisable to consult a doctor. Some even the most natural ingredients can cause allergic reactions.

How can medications help?

The modern world of medications for the treatment of hemorrhoids is very complex and large. But all the variety of drugs are united by common goals and objectives, such as:

• pain relief;
• Relieving swelling and inflammation:
• stopping bleeding;
• thrombolytic (resolving blood clots) effect on hemorrhoids;
• improvement of the condition of the walls of the rectal vessels;

Candles

Rectal suppositories are typically used to treat internal and external hemorrhoids. Contacting directly with the internal inflamed hemorrhoid, they help relieve pain, swelling, and have a restorative effect on nearby tissues.

When choosing candles, you need to focus on the symptoms accompanying the disease.

It is more expedient and effective to use multi-component (combined) candles. This allows you to fully influence all the symptoms of hemorrhoidal disease, such as pain, inflammation, swelling, bleeding.

• To relieve pain, which is one of the most unpleasant companions of hemorrhoids, suppositories are used, which include local anesthetics: lidocaine, anestezol, polidocanol, benzocaine, cinchocaine. The best of them: Ultraproct, Relief Advance, Proctozam, Procto-glivenol, Hemorrhol, Hepatrombin G, Anestezol.
• The anti-inflammatory effect of suppositories is most often due to the presence of fast-acting glucocorticoids in the composition - prednisolone, hydrocortisone, fluocortolone. The best of them: Ultraproct, Relief Ultra, Gematrombin G, Procto-glivenol, Posterisan Forte. Proctosedyl.
• The antithrombotic component in rectal suppositories is the anticoagulant heparin. It has a resolving, anti-edematous effect. The best suppositories for resolving hemorrhoidal blood clots: Hepatrombin G, Nigepan, Proctosedyl.
• For hemorrhoidal bleeding, suppositories containing adrenaline and phenylephrine are used. The most effective: Proctosan, Relief, Anestezol, Hemorrhoid, Natalsid.

It is advisable to administer all suppositories after cleansing the intestines.

List of the most effective and popular candles:

OINTMENTS (CREAMS, GELS)

Rectal ointments are a very simple and easy-to-use dosage form for the treatment of hemorrhoids. Most often used to treat external forms of the disease. However, the versatility of ointments lies in the fact that, using a tampon or a special nozzle, they can be inserted into the rectum and for internal hemorrhoids.

The active ingredients in ointments, creams, and gels are evenly distributed in the base. When in contact with a hemorrhoid, they penetrate deeply into the inflamed tissue and exert their therapeutic effect - they reduce inflammation, relieve swelling, pain, dissolve blood clots and strengthen blood vessels.

Like suppositories, ointments are most often multi-component, which allows you to achieve several therapeutic effects at once.

• the presence of anesthetic components in ointments (lidocaine, polidocanol, cinchocaine, benzocaine) provides an analgesic effect. The most effective of them: Ultraproct, Proctosan, Relief Advance, Proctoglivenol, Aurobin, Heparin ointment, Bezornil.
• hormonal components in small quantities (prednisolone, hydrocortisone, flucortolone) have a fairly strong anti-inflammatory effect. The most popular examples of such ointments: Ultraproct, Posterisan Forte, Proctosedyl, Aurobin.
• the presence of the thrombolytic heparin in the ointment (cream, gel) has a positive effect on thrombosed hemorrhoids. The best representatives of this series: Proctosedyl, Heparin ointment, Troxevasin.

Quite often, antibiotic ointments are used to relieve inflammation in hemorrhoids.

Before applying the ointment, be sure to rinse the affected areas with warm water.

List of the best and most popular ointments, creams and gels:

Pills

It has been clinically proven that the effectiveness of treating hemorrhoids is much higher if you combine local exposure with suppositories and ointments with internal administration of phlebotropic drugs. This is a main group of medicines, usually of plant origin, which:

• strengthens blood vessels
• improves the tone of the venous wall
• prevents the distensibility of veins.

They are also called venotonics. They improve blood flow in hemorrhoidal veins. The four best and most effective medications are described below.

Most experts prefer preparations based on bioflavonoids. These substances are isolated from plants, are effective and safe, and therefore are widely studied in modern science.

List of the most effective tablets:

For severe pain

An almost constant unpleasant companion to hemorrhoids is severe pain.

• In case of severe pain, medications are taken - analgesics and non-steroidal anti-inflammatory drugs, which not only relieve pain, but also affect inflammation. They are usually prescribed by a doctor. The most popular over-the-counter ones are Nise, Nurofen, Nalgesin, Spazmalgon, Analgin.

For constipation

Since in 75% of cases of hemorrhoids, patients are prone to constipation, one of the important aspects of treatment is the use of laxatives. Constipation can cause exacerbation of hemorrhoids, and hard stool can injure internal hemorrhoids.

• Mild laxatives (lactulose-based) Duphalac, Normaze, Medulak, etc.
• A faster laxative effect occurs with drugs that act on receptors in the large intestine. These are Bisacodyl, Guttalax, Senna, and Buckthorn preparations.

Causes of the disease

The venous system located in the pelvic area is responsible for the intestinal blood supply. If intra-abdominal pressure increases, the outflow of blood from the intestines is disrupted and leads to stagnation in the veins. This provokes an increase in the nodes and the occurrence of inflammatory processes in them, accompanied by bleeding.

Lifting weights is prohibited

The progression of the disease and the manifestation of symptoms occurs due to a number of provoking factors:

• Lifting heavy things and intense physical activity contribute to a sharp increase in pressure inside the abdominal cavity, increasing the likelihood of hemorrhoids falling out;
• Activities associated with the constant need to be in a static position or, conversely, with excessive dynamic activity lead to overflow of the vessels in the abdominal organs with venous blood.
• Pregnancy and childbirth. In the first case, this occurs due to the pressure exerted by the fetus on the abdominal organs. Pushing during childbirth also affects the intestines, increasing pressure and increasing the volume of blood in the vessels;
• Psychological factors. Daily psycho-emotional tension, stress, and nervous breakdowns often cause an exacerbation of the disease.
• Improper functioning of the digestive system. Frequent constipation or diarrhea with difficulty in bowel movement also creates high intra-abdominal tension, and compacted feces injure the mucous membrane. Frequent loose stools adversely affect the bacterial flora of the intestines, provoking inflammatory processes.

Digestive disorders occur due to non-compliance with the anti-hemorrhoid diet. The lack of dietary fiber and fiber, but the high content of refined carbohydrates and fats in the daily diet aggravate the situation. And the consumption of alcoholic beverages, fatty, fried, smoked foods contributes to the influx of venous blood and its stagnation in the nodes.

Exacerbation of rectal diseases after alcohol is a common occurrence!

The effect of alcohol on blood vessels is not the most favorable. They expand, small capillaries burst, and inflammation begins. People most often turn to a proctologist for help after a good feast. When the disease develops, alcoholic drinks are prohibited in any quantity.

How long does the acute phase of unpleasant symptoms last? The inflammatory process lasts from 3 to 10 days. The sooner treatment begins, the faster the discomfort will disappear.

Recommendations: what to do at home

The acute stage of the disease can occur at the most inopportune moment. If there is an exacerbation of hemorrhoids, what should you do first?

To relieve symptoms, you need to follow simple recommendations:

1. If the stages of exacerbation are caused by constipation, there is no need to strain, trying to quickly empty the intestines of feces. In this situation, it is better to do an enema. In the future, to avoid such cases, follow the diet and drinking regime. Be sure to include fiber in your diet, as it promotes the formation of normal stool;
2. During the intensification of the disease, it is recommended to lie down. This will help relieve tension from the muscles of the anal canal;
3. At home, with progressive pain, you can apply a cold compress to the inflamed area or take a cool bath with the addition of decoctions of medicinal herbs. By periodically repeating this procedure, the inflammation will decrease and the possibility of infection will decrease.

Treatment of hemorrhoids during pregnancy

During pregnancy, the risk of developing hemorrhoids increases because the fetus, increasing in size, puts pressure on the internal organs and causes stagnation of venous blood. The approach to treating internal hemorrhoids in pregnant women at home is cautious. The goal is not to harm the baby with medications. Do not take sitz baths or drink herbal infusions.

Drink infusions of sea buckthorn, rowan, and viburnum berries. Keep your bowels regular. The procedures performed are agreed with the gynecologist and proctologist. During pregnancy, start treating hemorrhoids in the initial stage - the result will be much better.

Treatment for exacerbation of symptoms

The most important point during the period of increasing symptoms is proper treatment. No matter how hard a person tries, he will not be able to quickly get rid of the disease. It is necessary to identify the cause and, after eliminating it, expect a positive result.

During the consultation, a proctologist will diagnose and prescribe the most effective treatment

Therefore, first aid from a proctologist is necessary, who will carefully conduct a diagnosis and identify the causes that influence the development of the pathological process.

In the initial stages, treatment of hemorrhoids during exacerbation is conservative.

How to relieve exacerbation and inflammation? An effective way to correct hemorrhoidal symptoms is to follow a diet and prevent constipation by consuming enough dietary fiber and an optimal amount of fluid.

As the disease progresses, meals should be fractional. It is better to eat food in small portions.

A diet during exacerbation of hemorrhoids can save a person from taking chemical medications. When the disease develops, it is imperative to include fresh vegetables and fruits in your diet, which activate the intestines and normalize its functioning.

For severe pain, non-narcotic analgesics and local painkillers should be used: rectal suppositories, ointments, gels or creams.

Cold compresses are good as an analgesic and anti-inflammatory agent. To do this, you need to take gauze, moisten it with sea buckthorn oil, a solution of furatsilin (or potassium permanganate), or herbal infusion (chamomile, calendula, string) and apply it to the anal passage.

An effective folk remedy is potato compress. To prepare it, you need to take a small tuber, rub it, and wrap it in a thin cloth.

Potato suppositories relieve burning and itching in the anal area

Applying raw potatoes helps reduce inflammation and blood flow.

For bleeding from the anal veins, suppositories (suppositories containing adrenaline, Relief, Natalsid), systemic phlebotonic tablets (Phlebodia, Detralex) and hemostatic drugs (Tronexam, Etamzilat) are used. Anti-inflammatory ointment perfectly relieves symptoms in the external form of the disease.

The treatment of the disease during pregnancy and after childbirth must be treated very carefully. Many drugs can harm the fetus, so self-medication is inappropriate.

Treatment of hemorrhoids with folk remedies

Traditional medicine can help cure hemorrhoids without the use of drugs. Official medicine does not deny the benefits of herbal medicine, but warns:

1. The effect of using traditional medicines takes time. During this time, the disease enters a new stage.
2. Uncontrolled use of these drugs is fraught with overdoses, allergic reactions, and poisoning.
3. Side effects have not been studied.
4. Traditional medicine recipes are applicable at home.
5. Suppositories made from raw potatoes treat advanced internal hemorrhoids. Injected into the rectum at night for several days.
6. An anti-hemorrhoids herbal collection made from rose hips, which strengthens the walls of blood vessels, raspberry leaves with an anti-inflammatory effect, and knotweed with hemostatic properties are useful. Brew – 1 tablespoon per two cups of boiling water. Take half a glass three times a day for two to three weeks.
7. Tampons with celandine juice have an analgesic, wound-healing and anti-inflammatory effect.
8. Candied honey suppositories help get rid of internal hemorrhoids.
9. It is useful for internal hemorrhoids to visit a bathhouse and sit for 15 minutes on a steamed birch broom.

Hemorrhoids can be treated at home using baths. Cold water relieves pain and stops bleeding, and warm herbal decoctions have an anti-inflammatory and astringent effect. Baths are prepared using horse chestnut fruits, oak bark, viburnum and sea buckthorn berries, and birch leaves. A bath of a strong decoction of onion peels fights pain. The patient sits in a basin with water or a decoction of herbs, spreading his buttocks. The duration of the procedure is 15-20 minutes.

Lotions with sea buckthorn oil and homemade ice candles made with herbs are used. Infusions of chamomile or knotweed are poured into foil molds and placed in the freezer. Use three times a day until bleeding and pain are completely eliminated.

Enemas from herbal decoctions - chamomile, strawberry leaves, celandine - will help. An enema of strong tea leaves relieves burning and itching and stops bleeding.

Complications that may occur

Complications of the disease can include hemorrhoidal bleeding, thrombophlebitis of inflamed nodes, and their prolapse from the anus. Progressive bleeding from the rectum can lead to acute anemia. The consequence of this will be a lack of oxygen in the body due to the low hemoglobin content in the patient’s blood. Anemia is characterized by: weakness, low blood pressure, pale skin.

Thrombosis develops as a result of pinching of prolapsed hemorrhoids by spasm of the external sphincter of the rectum. A blood clot forms and the bumps turn blue. Sometimes this causes pain so severe that the patient can sit or move with great effort. Also in the anal area there is severe itching and swelling of the skin.

If help is not provided in time, the hemorrhoid tissues die. Inflammation of the mucous membrane can spread to the tissues adjacent to the rectum.

Timely contact with a specialist, treatment and compliance with all his instructions will help to avoid these complications and surgical intervention.

How does exacerbation of hemorrhoids manifest?

The main symptom of acute hemorrhoids is pain in the anus, and the pain is pulsating and jerking in nature, and also increases with movements, bowel movements, coughing, sneezing, sitting on a hard surface and even in a lying position.

Patients may also complain of the following:

• itching and burning in the anus;
• discharge of blood from the rectum during bowel movements;
• general weakness;
• increased body temperature;
• nausea;
• pain in the lower abdomen, tailbone and lower back.

In addition, a mandatory sign of an acute attack of hemorrhoids is the presence of an external and prolapsed internal node in the anus.

An external hemorrhoid is clearly visible to the naked eye because it is located near the anal ring. The external nodules are covered with skin and look like a round, painful lump with a bluish tint. Such bumps are characterized by severe swelling and inflammation, which can spread to adjacent tissues.

Internal hemorrhoids can be seen independently only after they begin to fall out, and this is the second stage of the disease.

The internal nodules that have fallen out also hurt a lot and have signs of inflammation. Such bumps differ from external hemorrhoids in that they are covered with the rectal mucosa, and not with skin.

Disease prevention

Even after treatment, it is necessary to follow basic rules of prevention. This is a set of recommendations: morning exercises, exercises for the outflow of blood from the lower body, adequate fluid intake, a ban on alcohol, prevention of constipation, and the absence of fried, spicy and salty foods in the diet.

Is it possible to play sports when the disease appears? It is better to postpone the event until all symptoms disappear. All types of strength exercises, horse riding, and weightlifting are strictly prohibited.

Exacerbation of chronic hemorrhoids is a signal to contact an experienced specialist. Only a doctor can quickly relieve pain symptoms by choosing the right treatment regimen.

Author of the article: Alexey Egorov, proctologist

Causes and symptoms of hemorrhoids development

Hemorrhoids are an unpleasant disease that is accompanied by dilation of the venous plexuses of the rectum. As the disease worsens, hemorrhoids become inflamed, bleed, and sometimes fall out of the anus. The occurrence of pathology is facilitated by:

• increased intra-abdominal pressure (during childbirth, prolonged constipation, heavy lifting);
• sedentary, sedentary lifestyle;
• alcohol abuse;
• hypothermia.

Exacerbation of hemorrhoids is always accompanied by unpleasant symptoms:

• pain when taking a sitting position, during bowel movements;
• itching in the anal area;
• bleeding from the anus;
• discharge of mucus from the anus.

Before starting treatment, you should definitely visit a doctor, since similar symptoms also occur with more severe pathologies: intestinal cancer, rectal prolapse.

Treatment for exacerbation of hemorrhoids

When hemorrhoids worsen, a person may experience severe pain. To alleviate the condition, it is recommended to reduce the pressure on the hemorrhoids by taking a sitting position as little as possible. You can apply an ice compress to the inflamed nodes or take a cool sitz bath with the addition of herbal decoctions: wormwood, St. John's wort, sage, calendula. It is also worth paying attention to nutrition. Foods, the consumption of which can lead to constipation, should be temporarily excluded from the diet. It is useful to drink rosehip decoction. It contains substances that strengthen vascular walls.

Drug treatment

Drug treatment will help quickly relieve pain and eliminate other unpleasant symptoms. All medications should be prescribed by a doctor, taking into account the specific course of the disease and the location of the nodes. For the treatment of aggravated external hemorrhoids, it is recommended to use ointments:

• “Heparin” (relieves inflammation, pain, prevents the development of thrombosis);
• "Levomekol" (heals cracks and has an antibacterial effect);
• “Bezornil” (dries the skin, relieves inflammation, is used for hemorrhoids and rectal fissures);
• “Proctosan” (relieves pain and heals wounds, can be used during pregnancy);

For the treatment of internal hemorrhoids, rectal suppositories with sea buckthorn, propolis, and ichthyol are effective. They relieve pain very quickly. Additionally, you can take medications designed to strengthen veins. They promote the resorption of nodes and improve blood microcirculation in the vessels.

Treatment with traditional methods

If an exacerbation of hemorrhoids occurs for the first time or the nodes are not too large, it is permissible to use traditional methods of treatment. Experts advise combining traditional medicine with drug therapy. A very good effect can be achieved when using homemade candles. To prepare ice suppositories, you need to pour the chamomile decoction into special surgical molds and freeze. After freezing, they should be inserted into the anus overnight every day until signs of exacerbation of the disease disappear.

Candles can be cut from raw potatoes. It is important that they do not have sharp edges or corners. You can prepare very effective suppositories yourself by mixing 40 grams of melted butter with pre-chopped 3 cloves of garlic. The mixture should be poured into conical molds of suitable size and then placed in the freezer. Suppositories are recommended to be inserted into the anus during the period of exacerbation of hemorrhoids after each act of defecation.

To reduce pain during inflammation of hemorrhoids, doctors recommend lubricating the anus with ointment. To prepare the product, you should mix crushed fumes with butter or petroleum jelly in a ratio of 1:4. It is recommended to store the ointment in the refrigerator. When hemorrhoids worsen, compresses made from carrots and beets, grated on the finest grater, help. It is recommended to apply a compress to the inflamed area 2-3 times a day.

For internal hemorrhoids, enemas with decoctions of chamomile, wormwood, oak bark, and chestnut leaves are effective. To prepare the decoction, add 2 tbsp. l of dry plant material with a glass of water, bring to a boil, then let it brew for 2 hours under a closed lid and strain the solution. It is permissible to administer rectally no more than 100 ml of decoction at a time. If you have a problem with constipation, you should first do a cleansing enema.

In case of severe bleeding that occurs during an exacerbation of hemorrhoids, you can apply a napkin soaked in apple cider vinegar to the anal area 2 times a day. There may be a burning sensation at first, but it soon goes away. Successful treatment at home should not be a reason for refusing to visit a specialist.

Medications for the treatment of hemorrhoids

In modern medicine, several types of hemorrhoids are diagnosed:

Internal hemorrhoids are the most difficult to recognize and treat. But proctologists know very well how to treat internal hemorrhoids at home, and are happy to give such advice to their patients.

There are a lot of funds. Most of them are absolutely safe, and in combination with traditional medicine they will be excellent preventive measures to prevent the disease from developing to a more dangerous stage and relapse.

Doctors recommend the following drugs as medications for the treatment of internal hemorrhoids:

• rectal suppositories with herbal extracts;
• candles with shark and badger oil;
• ointments and gels with the above-mentioned natural ingredients.

The most relevant for the treatment of internal hemorrhoids are suppositories. Especially if there are cracks or a small hemorrhoid in the anus.

Most of these candles contain badger or shark oil. These are components that are rich in vitamins and microelements. Their use allows you to quickly eliminate pain, relieve itching, start the process of mucosal regeneration, and prevent the development of the disease.

But it is not always possible for a person to go to the pharmacy to buy the drug, especially if emergency assistance is required. In this case, traditional medicine will help. At least some herb can be found in any home.

Important! Some symptoms of hemorrhoids are similar to those of colorectal cancer. You cannot ignore professional medical assistance when it comes to your own life.

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