Veins are blood vessels that carry blood to the heart. In turn, blood is collected in the veins from capillaries. With healthy arteries, the circulatory system works stably. But what happens if problems arise with the veins? Swelling, pain in the legs, slight numbness, goosebumps, heaviness, impaired sensitivity in the form of paresthesia, convulsions, trophic disorders. These signs, repeated day after day, are most likely recognized by the doctor as venous insufficiency.
Excess body weight can lead to varicose veins
Pharmacodynamics, pharmacokinetics
The medicine has a venotonic, angioprotective effect. After its use, venostasis, capillary permeability, and vein distensibility decrease.
In addition, taking the medicine helps:
- Improving microcirculation
- Lymphatic drainage
- Increased tone of venous walls
- Reducing the interaction of leukocytes and endothelium
Basically, active substances are excreted through the intestines, a small part of them through the kidneys.
Is it true that anal sex leads to hemorrhoids?
There is no data that would reliably confirm the correlation between anal sex and, for example, hemorrhoids. The main danger of anal sex is, of course, the transmission of infections, for example, the human papillomavirus, which causes cancer. human papillomas. Even Koch bacilli - the culprit of tuberculosis - in 5% of cases live in the rectum, and not just in the lungs.
“Non-standard” sex can lead to anal fissures, damage to the mucous membrane, and bleeding. Insufficiency of the anal sphincter also develops, which can lead to fecal incontinence. And weakening of the ligaments leads to prolapse of hemorrhoids.
Evidence-based medicine does not answer this question, but it’s better to be careful.
In what cases are Detralex tablets prescribed?
The use of Detralex is advisable for venolymphatic insufficiency of the legs, in which the following occurs:
- pain and swelling
- heaviness in the legs
- convulsive manifestations
- trophic disorders
The pharmaceutical agent is prescribed for the treatment of acute hemorrhoidal attack.
Important to know: Detralex for hemorrhoids and varicose veins is used as a symptomatic drug, most often used as a complex treatment.
Side effects
When taking the drug Detralex, in rare cases, the following adverse reactions may develop:
- from the gastrointestinal tract: dyspepsia, diarrhea, nausea, vomiting, colitis;
- from the central nervous system: headache, dizziness, general malaise;
- from the skin: urticaria, itching, rash, isolated swelling of the face, eyelids, lips, angioedema.
If any side effects occur, you should consult your doctor and adjust your treatment.
Detralex, how much to drink
It is wise to take Detralex only as prescribed by a doctor; self-medication can lead to undesirable consequences. Based on the complexity of the situation and the course of the disease, the doctor must determine the duration of the therapeutic course. It is useful to know that even taking several tablets can lead to drug addiction.
If necessary, the doctor may prescribe a second course of medication.
For chronic hemorrhoids, tablets are usually taken for 2-3 months.
Reviews
Reviews about the drug for hemorrhoids are predominantly positive. Most patients note an improvement in their well-being, a decrease in itching, burning, discomfort and other unpleasant symptoms within 5–7 days after using the drug. Sometimes an allergic reaction occurs in the form of urticaria, itching or disorders of the digestive system. Such phenomena indicate the presence of an allergy to one or another component of the product. Negative signs often go away on their own after stopping the medication.
Svetlana “My doctor prescribed Detralex for me as a complex therapy for hemorrhoids. I have been suffering from the disease for several years; varicose veins of the rectum appeared after childbirth. I can only say positive things about the drug. The therapeutic effect occurred within a week of using the product. After completing the course of treatment I feel significant relief.”
Mikhail “The doctor diagnosed me with external hemorrhoids. I was treated with various ointments for a long time, but the effect was temporary. I learned about Detralex from a friend, after consulting with a specialist, I decided to try the drug in action. I was more than satisfied with the result. After just a few days, the symptoms of hemorrhoids decreased significantly, the doctor noted an improvement in the condition of the veins. I recommend the medicine to everyone."
Antonina “I have been using Detralex for a long time. The drug does not cause side effects, eliminates signs of hemorrhoids well, strengthens blood vessels, and prevents complications. I take pills during an exacerbation or for prevention for a course of 30 days once a year. I recommend Detralex to everyone as an effective and safe remedy.”
Instructions for use
For varicose veins, the doctor may prescribe 2 tablets per day. The medicine should be taken one at a time, during lunch and dinner.
In the acute stage of hemorrhoids, doctors prescribe 6 tons of tablets per day in the first 4 days of treatment, and in the next 3 days you need to drink 4 tablets every day. The daily dosage must be divided into several doses; the medication should be taken during meals. After taking the medicine for a week, the dose is reduced by 2 times, taken only once a day.
Symptoms of hemorrhoids
It is customary to distinguish between two types of hemorrhoids - internal and external, each of which has several similar and several different symptoms. So, internal hemorrhoids are characterized by the presence of symptoms such as:
- Feeling of discomfort in the anal area
- Itching and burning
- Sensation of the presence of a foreign body in the anus. This feeling appears due to the fact that hemorrhoids increase significantly in size.
- Bleeding, which most often occurs with strong straining. Often the bleeding is very heavy, but in most cases it is a small drop on the toilet paper
The following symptoms are typical for external hemorrhoids:
- Unpleasant sensations in the anal area. This may include itching, a feeling of heaviness
- A burning sensation that is difficult to relieve by any means
- Bleeding, which is provoked by damage to swollen and inflamed vessels. This usually occurs with sudden movements, as well as during constipation.
- Nodes falling out. This can happen either once or continuously. Many patients note that the nodes can be adjusted independently, and there is no pain. However, it is worth knowing that straightening the knots into place does not provide any guarantee that they will not fall out again
- Pain that may radiate to the lumbar region
It is impossible to say which of the above symptoms will appear first, since each organism is individual and tolerates the disease in its own way.
Can Detralex be used by pregnant women?
In the first trimester of pregnancy, the medicine can be prescribed only in exceptional cases when the risk of blood clots is high.
In other situations, according to the doctor’s decision, the drug is prescribed after the 20th week of pregnancy.
Detralex is also prescribed to pregnant women for hemorrhoids and varicose veins; it helps cope well with swelling of the legs.
Obstetricians and gynecologists are of the opinion that the drug does not have a negative effect on the body of the woman and the fetus. Therefore, if necessary, they consider it advisable to use it.
Detrolex reduces the risk of developing thrombophlebitis or exacerbation of hemorrhoids in pregnant women.
Chronic venous insufficiency
Chronic venous insufficiency is a common peripheral vascular disease that occurs as a result of impaired blood flow through the veins of the lower extremities and changes in the permeability of the vascular wall. Most often, venous insufficiency develops in women. The disease occurs when the valves that close the veins are unable to prevent blood from flowing back due to increased pressure on them. As a result, this leads to stretching of the walls of the venous vessels. The permeability of the vascular wall for blood and plasma proteins increases, swelling and compaction of adjacent tissues appear. Where small vessels are compressed, areas of ischemia (insufficient blood supply with oxygen) occur, which contributes to the formation of trophic ulcers.
The main risk factors for the development of chronic venous insufficiency include:
- weakness of the muscular wall of the veins (hereditary);
- overweight and obesity;
- pregnancy and childbirth;
- long-term constant work in a standing or sitting position, with limited movement (cooks, office workers, surgeons, etc.);
- chronic constipation;
- fluctuations in hormonal levels in women (contraception with hormonal drugs, hormonal treatment during menopause, etc.);
- wearing tight underwear and clothing, corsets.
The following stages of development of varicose veins are distinguished:
- Stage 0 – no major symptoms upon examination.
- Stage I - “morning fatigue” of the legs, complaints of intermittent swelling in the evenings (disappears in the morning).
- Stage II – persistent swelling, skin pigmentation disorders; some areas of the skin become thicker, the skin above them cannot be folded (lipodermatosclerosis), redness appears on the skin, accompanied by itching and weeping (eczema).
- Stage III – the formation of trophic ulcers (active or healed), difficult to treat with medication.
The disease is accompanied by pain of varying intensity and the presence of evening cramps. In the treatment of varicose veins in the early stages, compression with elastic bandages and compression hosiery, physiotherapy and therapy in a sanatorium are used.
Interaction
No special studies have been conducted to identify the interaction of Detralex with other drugs. However, to date there are no reports of negative interactions between the drugs and other medications.
Special studies regarding drug and other forms of drug interaction have not been conducted. However, given the extensive experience of post-registration use of Detralex, to date there are no statements about its adverse interaction with other drugs.
Detralex during pregnancy and lactation
Detralex is not recommended for pregnant women
The use of Detralex by pregnant women and children during breastfeeding is not recommended due to insufficient research and clinical data. There is no information on the occurrence of side effects in pregnant women, nor has there been any information recorded on the ability of the active ingredients - diosmin and hesperidin - to pass into breast milk during breastfeeding, as well as in children during breastfeeding.
Is it possible to cure hemorrhoids using traditional methods?
Herbal baths, decoctions and compresses are appropriate only as part of combined conservative therapy for uncomplicated hemorrhoids. We are not aware of cases in which these isolated measures would be truly effective. Traditional methods of treating hemorrhoids should be treated especially carefully and from a critical point of view. Still, we are talking about a serious pathology of the rectum, often with cracks, prolapse of nodes and even thrombosis. Self-medication can be dangerous.
A separate group of proctologist patients are those whom doctors treat for complications after treatment with traditional methods.
They will definitely not help with hemorrhoids:
- ice candles
- fresh potato paste
- aloe leaf
- cucumbers from the garden
- steam baths
- leeches
Detralex: indications for use
Detralex is prescribed to alleviate and eliminate the symptoms of diseases in which the tone of blood vessels is impaired:
- varicose veins, accompanied by pain, which is caused by cramps in the lower extremities that occur at night, a feeling of “fatigue, fullness, stiffness in the morning, heaviness and swelling” in the legs.
- to alleviate acute and chronic hemorrhoids.
For the treatment of chronic venous insufficiency of the lower extremities, which impedes the outflow of lymph:
- with trophic changes in the skin
- trophic ulcers of veins
- swelling in the lower extremities.
Is it true that hemorrhoid surgery is painful?
Any surgical intervention is associated with some discomfort during the rehabilitation period. However, our clinic performs minimally traumatic operations using a laser or ultrasonic scalpel, as well as using the improved technique of Milligan-Morgan, Longo, etc. Thanks to modern technology and the experience of our surgeons, patients recover after surgery without prolonged bed rest.
Read more about the treatment of hemorrhoids at the Pirogov Clinic (St. Petersburg)
9. What methods of intestinal examination exist?
This or an X-ray examination - irrigoscopy
,
passage of barium through the intestines;
or endoscopic: sigmoidoscopy, sigmoidoscopy, colonoscopy. Capsule endoscopy also allows complete visualization of the small intestinal cavity.
For other methods there are separate, strictly limited indications.
Treatment of hemorrhoids without surgery: what therapy does the doctor prescribe?
Hemorrhoids are a collective name for diseases of the rectum with a corresponding set of symptoms. The classification of hemorrhoids is extensive, so adequate treatment is prescribed after examination, and recommendations for a treatment regimen are strictly individual.
Generally speaking, treatment for hemorrhoids without surgery includes:
- Correction of diet and diet to normalize the functioning of the gastrointestinal tract;
- Herbal medicines;
- Drug therapy;
- Physiotherapy;
- Minimally invasive non-surgical treatment methods: sclerotherapy, coagulation or ligation of hemorrhoids.
