The question of how to treat hemorrhoids at an advanced stage does not lose its relevance. To solve such a delicate problem, drugs are used in the form of tablets, capsules, rectal suppositories, gel ointments and microenemas. If the disease rapidly progresses and is accompanied by the formation of large venous nodes, then the person may be recommended minimally invasive or radical methods of treating this pathology.
Common Misconception
When the first symptoms of hemorrhoids appear, you should consult a specialist.
Many people do not consider it necessary to take countermeasures when the first symptoms of the disease appear. People try not to think about the problem and reassure themselves that it will go away on its own.
People usually begin to seek the help of specialists after unbearable sensations appear. However, if you already feel difficulty during bowel movements, it means that the situation is not simple, and it will take a lot of time to normalize it.
Hygiene, healthy lifestyle
When talking about hygiene, many people think exclusively about taking a bath or shower, which is not entirely correct. The list of medical recommendations regarding hygiene measures is as follows:
• Replace hard toilet paper with soft one, since with hemorrhoids the tissues of the nodes are too vulnerable and quickly begin to bleed.
• During an exacerbation, it is preferable to take a shower after each bowel movement. In many Eastern and Asian countries, it is still practiced after each visit to the toilet to wash, rather than use paper, which is a more gentle procedure in terms of preventing hemorrhoids.
• Hot baths and washing are strictly prohibited. It is better to do this with warm or room temperature water.
During hygiene procedures, you can do this exclusively with water without using soap or gels containing a lot of synthetics: dyes, stabilizers, fragrances. For comprehensive treatment, it is better to purchase the most natural detergents.
It is equally useful for treatment to wear underwear and clothing made from natural materials that have good hygroscopicity. Also, the underwear should not press or rub the delicate skin of the genitals and perianal area.
The list of available non-drug treatments is not complete without mentioning stress prevention. Doctors say that inflammation of hemorrhoidal veins is often caused by them, and more than one psychological article is devoted to this mechanism of hemorrhoids. It is important for a person to be able to cope with depression, anxiety, and get rid of negative emotions.
How does the disease develop?
If the first complications make themselves felt in the form of bloody discharge, then later patients are faced with prolapsed hemorrhoids. In the absence of timely assistance, the process becomes irreversible: the nodes simply cannot be set back.
The surgical method is the last option to correct the difficult situation with hemorrhoids. But if you consult a doctor immediately after the first symptoms appear, then it will not come to surgery; everything will be corrected using a conservative method.
How to distinguish acute thrombosis of the external hemorrhoid from other diseases?
Usually, to diagnose acute thrombosis, it is enough to examine the patient and find out how the disease developed and what complaints are of concern. Upon examination, you can see an enlarged (sometimes up to several centimeters) node, often dark red in color, located outside the anus, possibly with a focus of necrosis in the center. When palpating (feeling) in the first few days, you can clearly identify a blood clot in the node; when examined at a later date, the blood clot is no longer so easy to determine; it begins to gradually “dissolve” and is partially replaced by scar tissue. Thrombosis of the external hemorrhoid must be distinguished from
strangulation of a prolapsed internal hemorrhoid. In this situation, prolapse of the internal hemorrhoidal node, normally located inside the anal canal, compression of its pedicle, in which the vessels feeding it pass, and disruption of the blood supply (ischemia) with death of the tissue of the node (Fig. 4 and 5). It is not difficult for a specialist to distinguish between these conditions, but it is quite difficult for a patient to independently understand which node is causing him discomfort. It is important to distinguish between these diseases, as their treatment varies significantly. When an internal hemorrhoid is strangulated, urgent surgical treatment is usually required.
Rice. 4. A strangulated prolapsed internal hemorrhoid with signs of tissue necrosis of the node.
Fig.5. Schematic representation of a strangulated internal prolapsed hemorrhoid.
Acute (exacerbation of chronic) anal fissure - accompanied by the same pain syndrome as with thrombosis, but much more pronounced at the time of bowel movement. With this disease, a rupture of the anal canal mucosa occurs. The appearance of an acute fissure is often associated with a reflex “protective” spasm of the sphincter apparatus, which complicates wound healing. Conservative and surgical treatment of diseases are different.
Acute paraproctitis - similarity with acute thrombosis lies in the appearance of a space-occupying formation in the anus, severe pain. Paraproctitis is an infectious and inflammatory disease with the formation of an abscess (abscess) in the pararectal area. The disease is accompanied by an increase in body temperature and general symptoms of intoxication. A mass formation in the anal canal area is much larger and more painful than with thrombosis. There is often discharge of pus onto the skin or into the lumen of the rectum. Ultrasound examination is used for accurate diagnosis. The disease is extremely dangerous due to the development of chronic purulent fistulas of the perianal area in the absence of adequate and timely treatment.
Drug treatment
Remedies for hemorrhoids can include ointments, gels and tablets.
The most common form of medications for the treatment of hemorrhoids is suppositories and ointments. Ointments and gels are intended for external and internal use. Most often, the medicine in this form is prescribed for external hemorrhoids. Using such a nozzle, you can inject the ointment into the rectum.
- Suppositories are designed for internal use.
- Tablets are used orally.
Medicines for hemorrhoids help achieve the following results:
- elimination of pain syndrome;
- relieving spasms;
- constriction of blood vessels, which prevents the development of bleeding;
- healing;
- improving the condition of the intestinal walls.
What to do in case of exacerbation of the disease?
Severe pain and bleeding that accompany exacerbation of hemorrhoids are best treated under the supervision of a doctor. To do this, you need to visit a proctologist, take a sick leave and devote all your time to solving the problem.
Special candles and baths prepared according to a folk recipe will help remove increased symptoms. But it is possible that medications prescribed by a proctologist and purchased from pharmacy chains will work faster. It must be remembered that an advanced disease can be cured by traditional medicine, while a home first aid kit can stop the development of hemorrhoids, weaken its manifestations and prevent its occurrence in the future.
Is it possible to quickly cure hemorrhoids?
You won’t be able to get rid of hemorrhoids on your own in a short time. By randomly taking funds from advertising, you can only temporarily alleviate the condition. Treatment of the disease cannot be less than a month. The treatment regimen is prescribed by a proctologist. After a comprehensive examination, we can draw a conclusion about the need for a particular drug.
Removal of anal fimbriae
Another important problem that many patients (most often women) treat is anal fimbria. They ask to remove them. What are these fringes? This is the “extra” skin that appears at the edge of the anus. It always gets in the way, causes aesthetic problems, and often becomes inflamed and grows.
Anal fimbria are always associated with diseases of the anal canal: hemorrhoids, inflammation of the canal - sphincteritis, anal fissures. Without eliminating these causes, removing fringes is pointless and sometimes harmful. They will then grow again. Dear patients, remember this when you insist on removing fimbriae!
What remedies can pregnant women use for hemorrhoids?
"Procto-Glivenol"
Procto-Glyvenol is an excellent remedy for the treatment of hemorrhoids during pregnancy.
Procto-Glivenol is approved for use in pregnant women for hemorrhoids. Its main action is aimed at eliminating unpleasant sensations, including burning and itching, pain and difficulty with defecation. It provides local anesthesia and reduces inflammation.
The drug has such capabilities due to its ability to reduce capillary permeability, improve blood circulation, and tone blood vessels, both small and large.
When treating women in the first trimester, doctors must be careful. If you are breastfeeding, it is better not to use this drug. But if the benefit to the mother is higher than the potential harm to the baby, then its use is allowed. If the disease is not advanced, then first take 1 suppository 2 times a day.
When treating with ointment, take 1 dose. If improvement occurs, the number of doses is reduced to 1 time per day. With this treatment regimen, the tube is enough for 20–30 injections. During treatment, you must especially carefully monitor the cleanliness of the anal area. You also need to ensure that the consistency of the stool is soft and there is no constipation.
"Gepatrombin G"
Many experts believe that with the help of this remedy it is possible to correct the condition even at an advanced stage. It operates in the following directions:
- relieves inflammation;
- relieves pain;
- eliminates itching;
- stops bleeding;
- reduces spasms;
- prevents the formation of blood clots.
“Hepatrombin G” strengthens blood vessels, blocks the work of inflammatory mediators, and prevents the formation of blood clots. User reviews show that the effect occurs quite quickly after administration. Even a few techniques can provide relief.
There are almost no unpleasant side effects from using the drug. It should not be used in the first trimester of pregnancy. In the second and third, it can be used, only the doctor must keep the patient’s condition under control.
This remedy is prescribed for hemorrhoids of both forms: external and internal - in the presence of bleeding, itching, and pronounced inflammatory manifestations. This drug is prescribed for cracks, fistulas, and eczema. This remedy is usually prescribed in preparation for surgery, in the postoperative period, when the surgeon removed hemorrhoids.
Local baths
When considering the question of how to cure hemorrhoids with folk remedies, you should talk about sitz baths. This type of therapy is used for severe pain, burning, and itching. Cool or warm baths help relieve the patient's well-being in a matter of minutes without harm to health.
Sitz baths can help relieve hemorrhoids.
Use of potassium permanganate
The use of potassium permanganate is the simplest and most accessible method of treating hemorrhoids in men and women. To prepare a solution for adding to water, you should first dissolve a little potassium permanganate in a separate container. The water should be noticeably pink. It is important to ensure that potassium crystals do not get into the bathroom; if undissolved, they can cause burns. The duration of the procedure is up to 15 minutes.
Bath with herbs
A bath with a decoction of medicinal herbs will help relieve inflammation during exacerbation of hemorrhoids. Chamomile, nettle, calendula, St. John's wort, yarrow, shepherd's purse, elecampane, and mint are suitable for this. A decoction is prepared from the plants and added to the bath. The patient should sit for 15–20 minutes. The procedure can be repeated 2-3 times throughout the day.
Candles with sea buckthorn oil
Neo-Anuzol is a remedy for the treatment of hemorrhoids in the form of suppositories.
This remedy has a beneficial effect on the affected mucous membrane, healing it and relieving inflammation. Therefore, such suppositories are used in the presence of ulcers, cracks, inflammations, including hemorrhoids.
The same suppositories treat the consequences of surgery on the intestines and radiation injuries. If the patient has diarrhea, it is not worth treating with suppositories with sea buckthorn oil. There are no other contraindications, except for individual intolerance to individual components.
It is necessary to place suppositories after bowel movements.
If bowel movements do not occur naturally, then an enema is used.
"Neo-Anuzol"
The peculiarity of this product is its astringent and disinfectant effect. "Neo-Anuzol" is prescribed for hemorrhoids and fissures. No unpleasant side effects are observed. This remedy can be used by pregnant or breastfeeding women if such treatment has been prescribed by a doctor.
Zinc ointment ®
The product helps to effectively overcome the disease. Zinc ointment is produced by various pharmacological companies under different brands, so when purchasing, you should pay attention to studying the information about the percentage of the component in the ointment. To ensure proper effectiveness, it must be at least 20%.
In some cases, in order for medications to remove hemorrhoids even faster, manufacturers add additional active substances to the topical product. They can be beeswax, local anesthetics (lidocaine, benzocaine), mineral oils. Zinc ointment has astringent and antiseptic properties, while the rest depends on additional ingredients. You need to use the product 1-2 times a day, taking into account the recommendations of your doctor.
Tablets
The use of ointments and gels helps to have a local effect on the lesion. They are effective, but inconvenient to use. If a person is busy at work for a long time, he cannot always administer ointments to help himself. But you can take a pill in almost any environment. Even for an elderly person who spends a lot of time at home, it is also much easier to take a tablet than to inject an ointment. The effect of the tablets is not bad, so it is quite possible to consult a doctor so that he can prescribe taking the tablets.
"Hemoroidin"
Hemoroidin is an excellent remedy for hemorrhoids based on natural ingredients.
This herbal remedy is very popular due to its high efficiency and natural components included in its composition. It strengthens blood vessels, reduces inflammation, and makes the auncture zone more comfortable. He can cope with small cracks, eliminate pain, reduce itching and other unpleasant sensations.
The components of this medicine have a beneficial effect on the sphincter, relieving excess tension in it. With the help of “Hemoroidin” you can get rid of constipation, because it will soften the contents of the intestines and allow them to come out without straining. You need to use the drug for a long time: from 3 weeks. If you treat them for 2–3 months, you can completely restore your body in this area.
"Detralex"
The product is characterized by high speed of action and effectiveness. Just 2 tablets - and the problem begins to disappear. The beneficial effect on the tone of the veins of the rectum helps eliminate congestion in this area, get rid of pain and a feeling of heaviness. Strengthening capillaries helps reduce bleeding. Standard treatment regimen: 1st day – 6 tablets, 2nd day, 3rd, 4th – 4 tablets each. They are treated for a week. When the condition improves, continue to take 2 tablets.
Patient reviews
Reviews from patients about the traditional treatment of hemorrhoids indicate the good effectiveness of natural products and herbs.
Antonina “I have been suffering from internal hemorrhoids for 8 years. The doctor suggested surgery, but I can’t decide to go under the knife. The use of medicinal herbs saves me. During an exacerbation, I prepare a steep decoction of calendula, chamomile, nettle, yarrow and St. John's wort. I take half a glass of the drink orally, and also use it for compresses and microenemas. It takes 5-6 sessions for me to feel better.”
Vasily “I had to resort to traditional medicine after surgery for hemorrhoids. The doctor advised me to use propolis ointment to heal wounds and relieve inflammation. I prepared a product from this product and regular Vaseline. The medicine works great, the pain and redness goes away within 10-15 minutes after application. Additionally, I do honey microenemas. I consider traditional treatment an excellent alternative to drug treatment.”
Alexander “I always cope with exacerbations of the disease with the help of sea buckthorn oil. This product is truly unique. A few drops of oil help me quickly relieve unpleasant symptoms. In addition, the product does not cause side effects with long-term use, like many pharmaceutical products, and its long-term use does not lead to addiction.”
Laxatives
If symptoms of hemorrhoids appear, you should consult a specialist.
Since hemorrhoids develop with constipation, it is necessary to monitor normal bowel movements. Timely intake of laxatives, for example Mil-para, will help normalize stools and make the consistency more flexible. This will promote the healing of cracks and wounds.
If symptoms appear, consult a doctor only. Self-medication for hemorrhoids is unacceptable. Only treatment prescribed after a comprehensive examination will help cope with the problem. The best option is a combination of different means that are selected individually.
What causes acute thrombosis of the external hemorrhoid?
The occurrence of thrombosis is often caused by overflow of the veins of the external hemorrhoidal plexus with blood, followed by a slowdown in blood flow in these vessels and the occurrence of blood clots. Thrombosis against the background of venous congestion most often develops after sudden or prolonged stress. Classic examples of such overexertion are heavy lifting, straining during constipation or diarrhea, and childbirth. Chronic stagnation of blood in the pelvic organs (which includes the anal canal) occurs with prolonged sitting, excess body weight, and insufficient physical activity.
