The main ways to stop bleeding from hemorrhoids at home - a list of the best ointments and preparations

October 31, 2021

In addition to the already mentioned pain in the lower abdomen, patients during menstruation are often bothered by other symptoms: emotional and mental disorders - irritability, drowsiness, insomnia, odor intolerance, etc.

Pain during menstruation (dysmenorrhea).

Every woman at least once in her life has encountered unpleasant and painful sensations during menstruation. For some, they occur occasionally with colds and weakened immunity, while others suffer from pain all their lives. In modern medicine, painful menstrual syndrome is regarded as a disease called “algomenorrhea” or “dysmenorrhea”. The first name is considered to be more accurate, but due to its length, the second name – dysmenorrhea – is more often used.

It is very difficult to understand on your own why your stomach hurts during menstruation, and the lack of proper treatment can lead to serious problems. Therefore, with this symptom, it is better to immediately contact a gynecologist at the clinic for qualified medical help.

In addition to the already mentioned pain in the lower abdomen, patients during menstruation are often bothered by other symptoms: emotional and mental disorders - irritability, drowsiness, insomnia, odor intolerance, etc. Manifestations of a “vegetative storm” - nausea, chills or a feeling of heat, sweating, dry mouth, bloating, frequent urination, etc. Vascular dysfunction - headache, dizziness, arrhythmias, numbness in the arms and legs, swelling of the face, etc.

Metabolic and endocrine disorders - weakness, itching, joint pain, swelling, feeling of “woolly” legs, etc. Menstrual pain is usually cramping, that is, it increases and decreases. It feels like you've overextended your muscles. Pain during menstruation should not be sharp, it is rather nagging. If you suddenly feel a sharp, cutting pain in the left lower abdomen, consult a doctor immediately. Most likely, the cause of this pain is not menstruation, but other health problems.

With primary dysmenorrhea, it is not possible to identify a reliable organic cause of pain during the examination. Usually the causes are: instability in the level of sex hormones and hormone-like substances, as well as disturbances in the functioning of the nervous system. Changes occur in the body that cause increased contractility of the muscles of the uterus (myometrium). The result is pain. In addition, against the background of malfunctions of the nervous system, sensitivity to pain increases.

Most often, primary dysmenorrhea occurs in young girls who have just begun to establish their menstrual cycle. When menstrual cramps are the result of another disorder, treatment for that disorder is provided if possible. For example, a narrow cervical canal can be widened surgically. However, this surgery usually only relieves pain temporarily. If necessary, fibroids or abnormally located endometriotic tissue (due to endometriosis) are removed surgically. When a doctor diagnoses primary dysmenorrhea, he or she reassures the woman that no other disorder is causing the pain and recommends general measures to relieve symptoms.

What is bleeding hemorrhoids

Hemorrhoids are accompanied by pain and itching in the rectal area, and a sensation of a foreign body in the rectum. In advanced forms of the disease, bleeding develops. In the initial stages, a drop of blood from the patient may be detected after a bowel movement. But soon there may be profuse bleeding from the anus.

The main cause of this pathological condition is damage to the hemorrhoids due to constipation.

This pathological condition can be cured by using hemostatic drugs for hemorrhoids. They are produced mainly in the form of:

• rectal suppositories;
• drugs for oral administration;
• ointments for external use.

Let's consider the most effective means that belong to these groups.

How to stop bleeding from hemorrhoids using medications and traditional medicine

This liquid is usually bright red in color. It comes out in drops and splashes. According to the nature of the manifestation, bleeding can occur without pain and occur quite unexpectedly, in the most inappropriate places. These signs distinguish it from bleeding due to anal fissures.

No clots are observed during discharge. The act of defecation is not accompanied by blood flow. The bleeding may last for several days and then disappear. That is, its character is periodic.

Previously, doctors considered this process a blessing; in their opinion, the blood released during hemorrhoids prevents an increase in blood pressure.

However, at its core, this can be a formidable symptom that cannot be ignored, especially if it is not associated with the act of defecation. A temporary reduction in bleeding can lead to late detection of cancer. Therefore, this phenomenon requires careful examination.

Treatment of hemorrhoids with blood

Only a doctor can tell how to treat such a manifestation after conducting a full examination. If it is minor, conservative treatment methods can be used. They will soften fecal deposits and increase the tone of the colon. If you go to the clinic in time, these treatment methods can lead to successful results.

In case of severe bleeding, the patient is urgently hospitalized.

How to stop bleeding from hemorrhoids if you can’t get to a doctor right away? First, you should follow a diet that allows you to avoid constipation and, as a result, damage to the colon from moving fecal deposits. Secondly, after each act of defecation you need to wash yourself with cold water, this will prevent infection from entering the colon. Thirdly, you should not stop your active lifestyle during illness.

How to stop hemorrhoids from bleeding at home

This procedure must be performed by a doctor in the clinic. But if you can’t get to him right away, you can try to do it at home.

1. Rinse with warm water. This will reduce bleeding and keep the anal area clean.
2. Use sitz baths. The flow of water soothes and reduces blood flow.
3. Use special purpose creams. They reduce pain and calm irritability that leads to bleeding.
4. Use wet wipes instead of toilet paper.
5. Avoid itching and scratching.

Hemorrhoids with blood during pregnancy

Women expecting the birth of a child are also prone to this disease. To treat it, the doctor prescribes suppositories. To prevent this disease from occurring, you should review your diet. It is necessary to exclude the consumption of sweet, fatty, smoked foods. Include products containing plant fibers in your diet. Balance your regime.

Hemorrhoids with blood appear when you strain, since the walls of the vessels are very thin and inflamed, then with the slightest pressure they are damaged and begin to bleed.

Bleeding hemorrhoids may seem harmless at first glance, however, this is not the case at all. It can be a conductor of infection into the body and provoke general blood poisoning.

If you are diagnosed with hemorrhoids with blood, the doctor must select treatment on an individual basis; you cannot self-medicate.

Already in the old days, when hemorrhoids bled, our great-grandmothers knew how to stop it.

1. They made lotions from calendula infusions.
2. Garlic steam was used. The heated brick was lowered into a bucket, and garlic was placed on it. We sat down in such a bathhouse, wrapping ourselves in a warm blanket.
3. Ice suppositories were inserted into the anus.
4. We did enemas with blueberry infusion and wheatgrass roots.

How to treat internal hemorrhoids with blood

When bleeding occurs with hemorrhoids, the doctor prescribes the following medications:

• Vikasol;
• Glivenol;
• Endothelon;
• Detralex;
• Suppositories with adrenaline;
• Ginkor forte;
• Endothelon - improves the tone of veins.

They help normalize blood circulation.

Crinus device. This apparatus has a liquid that melts much slower than ordinary ice. In this case, the ice does not come into direct contact with the walls of the passage; it is in a plastic box, which eliminates cold burns.

If the diagnosis is internal hemorrhoids with blood, treatment is aimed primarily at stopping the bleeding. Surgical treatment of the disease will be carried out if there is a risk of developing anemia and the level of hemoglobin drops.

Blood after hemorrhoid surgery

It often occurs in the first hours after removal of nodular formations. The reason for this is injury to the mucous membrane in the places where the sutures are placed. Dense fecal deposits, moving through the colon, cause injury, causing bleeding. It can also be caused by insufficient cauterization of the vessel during hemorrhoidectomy.

Ointments for bleeding hemorrhoids

Often such drugs are used in the postoperative period as healing drugs. They should be applied when the stomach is completely empty and the anus is washed and dried. When applying the ointment, it is better to lie on your side.

Anti-inflammatory, analgesic, hemostatic ointments are applied to the lesion for complications arising from hemorrhoids. The doctor decides how to treat internal hemorrhoids with blood.

He conducts a thorough examination and prescribes medications in the form of ointments, according to the individual characteristics of the body.

• Advance.
• Vishnevsky ointment.
• Ointment Bezornil.
• Proctosan.
• Troxevasin.
• Troxorutin.
• Heparin.
• Lyoton.
• Methyluracil.
• Ichthyol.
• Fleming and others.

Suppositories for hemorrhoids with blood

Many doctors prescribe suppositories for hemorrhoids for quick healing. They, just like ointments, have an analgesic, hemostatic effect:

• Rectal suppositories with Methyluracil.
• Suppositories with thrombin and heparin.
• Relief candles.
• Astringent suppositories (Anuzol, Neo-Anuzol, Proctosan).
• Homeopathic suppositories.

Some patients try to use ointments and suppositories on their own, without consulting a doctor for advice. This leads to an exacerbation of the disease, to a complication of the problem. The bleeding drags on for a long period of time and becomes more difficult to stop.

Hemostatic tablets for hemorrhoids

For bleeding hemorrhoids, medications for internal use are prescribed. These include the following tablets:

• Chemoroidin,
• Detralex,
• Asklezan A,
• Pilex,
• Ginkor Fort,
• Etamzilat,
• Litovit-B,
• Dicynon,
• Vikasol.

Chemoroidin

Contains plant substances that act on the walls of the rectum. Prescribed when hemorrhoids bleed. Chemoroidin has the following effects on the body:

• reduces inflammation in the anus;
• stops bleeding;
• eliminates burning and itching in the anus;
• With long-term use, it reduces the size of knots.

Detralex

Detralex is an effective tablet for hemorrhoids. Most often used for blood pathologies.

The active substances of the medicine relieve swelling in the anus and pain

This drug increases venous tone and restores blood supply. Thanks to these properties, bleeding stops.

Asklezan A

The drug is classified as a dietary supplement. Helps with acute hemorrhoids. Used for mild bleeding from anal fissures.

Pylex

The drug is based on herbal substances that help eliminate inflammation of the rectum, stop bleeding, and reduce burning and itching in the rectal area.

For the greatest therapeutic effect, it is necessary to use the tablets simultaneously with other drugs for hemorrhoids (medicines for topical use).

Ginkor Fort

Prescribed for minor hemorrhoidal bleeding. The pharmacological properties of the tablets include:

• normalization of venous tone;
• relieving pain in the anus;
• blood thinning;
• restoration of normal blood supply;
• preventing blood clots;
• increasing the permeability of the capillary system.

Litovit B is a safe dietary supplement that helps women cope with hemorrhoids during pregnancy

Litovit-B

The tablets contain herbal ingredients that help eliminate the symptoms of the pathological condition. Most often prescribed for hemorrhoids for women during pregnancy.

The substances that make up the drug stop the development of the disease and promote the healing of affected tissues in the rectal area. In addition, the tablets normalize the functioning of the intestines.

Etamsylate, Dicynon and Vikasol are used for emergency treatment of severe internal bleeding. In addition to tablets, drugs are also available in the form of injection solutions.

It is important to remember that such medications may have restrictions on their use and cause side effects. Therefore, self-medication for illness is strictly prohibited. Only the attending physician prescribes tablets for hemorrhoids with bleeding.

Choosing an ointment for bleeding from hemorrhoids: a review of pharmaceutical and natural remedies

With external, internal or combined hemorrhoids, bleeding occurs frequently. Vessels are damaged when strained during defecation, painful ruptures that take a long time to heal appear on the skin and mucous membranes.

Effective medications will help quickly stop bleeding, among the most popular and accessible are ointments.

They relieve burning and pain, stop rectal bleeding and prevent anemia.

Ointments for bleeding: what is better to use?

Ointments have a pronounced restorative, regenerating, analgesic and calming effect.

They cover the skin with the thinnest protective film , which accelerates healing and increases tissue elasticity.

Ointments are indicated for any stage of hemorrhoids; they can be rubbed into the skin and mucous membranes, used to prepare compresses, or inserted into the anus using a plastic spatula.

The preparations contain a complex of mineral and vegetable fats. Vaseline, cocoa butter, castor oil, cosmetic lanolin, paraffin, glycerin, and natural beeswax are used as a base.

Gels have a less saturated composition, they are based on almost no fat, they are prepared on the basis of purified water and stabilizing additives.

What are the advantages of natural ingredients?

Some patients are afraid to use complex medications, preferring simpler and more understandable natural-based products. They are very affordable, can be used for different forms and stages of hemorrhoids, and are suitable for compresses and rubbing.

Among the most popular drugs:

1. Vishnevsky ointment. Made on the basis of natural birch tar, which has hemostatic, wound healing, analgesic and anti-inflammatory effects.
   The composition includes castor oil, which actively softens tissues and has a slight antibacterial effect.

   The ointment is applied to the affected areas 1-2 times a day. It is not introduced inside.

2. Eculus. Homeopathic medicine based on horse chestnut extract.
   Calms bleeding, strengthens venous walls, relieves inflammation and pain.

   The product is used in courses of 2 weeks, rubbing the ointment into the anus in the morning and evening.

3. Fleming's ointment. A product with a rich herbal composition, including calendula and witch hazel extracts, zinc oxide and menthol.
   Relieves pain and itching, heals minor injuries, strengthens tissue and vessel walls.

   The ointment is suitable for compresses and oral administration using cotton swabs.

The best pharmaceutical drugs: expensive and very affordable

Ointments, creams and gels are widely available in all pharmacy chains. Most medications can be purchased without a prescription, but it is recommended to consult with your doctor before use.

Many drugs have contraindications. Pregnant and breastfeeding women should be especially careful. Products with belladonna extract, ointments with adrenaline and antibiotics are not suitable for them.

Among the popular ointments that cope well with bleeding:

• Troxevasin. Thick transparent gel based on troxerutin. Relieves swelling, heals small tears.
• Has an antibacterial effect.
• Strengthens the walls of veins and capillaries, reducing their fragility.

How to make ointment for bleeding hemorrhoids at home?

You can prepare a good ointment with a hemostatic effect yourself using unsalted lard, butter or vegetable oil. The drug is mixed in small portions and stored in the refrigerator.

Since the home remedy does not contain preservatives, it cannot be stored for a long time. Natural ointment goes well with industrial medications: tablets, gels, rectal suppositories. It can be used not only to eliminate existing bleeding, but also for prevention.

Ointment with natural bee products has a good restorative effect:

1. Propolis is grated. 10 g of raw materials are mixed with 1 teaspoon of liquid natural honey. Mix everything thoroughly.
2. In a separate enamel bowl, combine 50 g of beeswax and melt it in a water bath. 50 g of refined vegetable oil is added to the container. After grinding, the honey-propolis component is added to the mixture.
3. The ointment is whisked until completely homogeneous and transferred to a clean, dry jar. Homemade ointment can be rubbed into the skin and used to make compresses.

Advice. Before applying the drug, you should take a cool sitz bath or make a microenema with chamomile decoction.

Ointments, creams and gels are indispensable for external hemorrhoids, accompanied by anal fissures, external swelling and inflammation, and skin irritations. But when treating hemorrhoids, you also have to treat the internal part:

• with the internal form, rectal suppositories . They are inserted into the anus 1-3 times a day and penetrate directly to the site of injury.
• Hemostatic suppositories will speed up the healing of microtears in the mucous membrane and prevent infection with feces. In addition, they have a laxative effect, which is important for chronic constipation.
• For the combined form of hemorrhoids, accompanied by bleeding, you can use ointments and suppositories from the same line. Preparations from the Hepatrombin G series, Relief Ultra , products with methyluracil, propolis, and adrenaline have proven themselves well. Homemade ice suppositories from a frozen decoction of oak bark or pharmaceutical chamomile also help .
• Oral medications can also fight bleeding: tablets and capsules. Venotonics with hesperedin and diosmin help strengthen veins and prevent ruptures: Detralex, Venarus, Phlebodia 600.
• There are medications designed specifically to stop internal and external bleeding. They affect blood clotting, strengthen tissues, relieve inflammation, burning and pain.
• Among the most effective drugs are Vikasol and Dicinone. They should be used according to a doctor's indications. The tablets are contraindicated during pregnancy, breastfeeding, renal and liver failure, and severe diabetes.

Effective rectal suppositories for bleeding

To treat hemorrhoids that bleed, suppositories are used. These drugs not only reduce bleeding, but also eliminate other signs of pathology. Suppositories stimulate regeneration processes and eliminate pain in the anus. Rectal suppositories are commonly used to treat internal hemorrhoids.

The peculiarity of these suppositories is that at normal room temperature they will not melt, however, when they are introduced into the rectum, a rapid effect is observed, especially with severe bleeding.

The following drugs effectively help with hemorrhoids during bleeding:

• Anuzol;
• Methyluracil;
• suppositories with propolis;
• Hepatrombin;
• suppositories with adrenaline;
• Relief (Relief Advance or Relief-ultra);
• homeopathic suppositories.

Anuzol

The drug contains bismuth, zinc and belladonna extract.

The product effectively helps if hemorrhoids are bleeding. Anuzol relieves pain and has a hemostatic effect. In addition, it reduces the inflammatory process in the rectum and eliminates burning and itching sensations.

Methyluracil suppositories

This medicine for hemorrhoids treats wounds and fissures of the anus, helps reduce bleeding from hemorrhoids. Restores damaged tissue and protects against pathogenic bacteria. Excellent for heavy bleeding from the anus.

Side effects may rarely occur when using methyluracil suppositories.

Suppositories with propolis

Propolis, which is part of the drug, increases blood clotting, as a result of which bleeding stops. The drug fights inflammation of the rectum and stops the growth and reproduction of pathogens in the anus. It is recommended to insert one candle into the anus before bed every day.

The use of propolis-based suppositories is permitted during pregnancy and lactation.

Ready-made suppositories can be purchased at any pharmaceutical establishment. In addition, such candles can be prepared at home. To do this, simmer Vaseline and cocoa butter in a water bath, and add propolis to the mixture. Then the product is poured into foil forms and frozen in the refrigerator.

Hepatrombin

Candles contain the following active ingredients:

• heparin;
• allantoin;
• lemon oil;
• dexpanthenol, a B vitamin;
• pine oil.

Thanks to the pharmacological properties of these substances, bleeding quickly stops and swelling in the anal area is relieved. In addition, the product prevents blood clots.

At the local level, under the influence of suppositories, blood supply and metabolic processes improve. Candles allow you to speed up the recovery of damaged tissue.

Adrenaline suppositories

The active component stops blood in the rectum, due to its ability to increase blood clotting.

These candles have some restrictions on their use. An adverse reaction of the drug is an increase in blood pressure. Therefore, it is not recommended to use the medicine to treat hemorrhoids in elderly patients.

Medicines for menstrual pain

In case of more pronounced and severe pain and the absence of any pathology, it is worth connecting medicinal treatment, such as painkillers during menstruation, these can be: analgesics (eliminate pain from mild to moderate);

antispasmodics; nonsteroidal anti-inflammatory drugs (NSAIDs), which relieve moderate to severe pain); oral contraceptives (hormonal birth control pills that normalize the reproductive function of the female body).

Nonsteroidal drugs

They contain Ibuprofen and are suitable even for teenage girls. Such drugs fight inflammatory processes and relieve spasms. Within 30-40 minutes after administration, you can feel significant relief.

Oral contraceptives

Birth control pills contain hormones that suppress ovulation. No ovulation - no painful menstruation. Among other things, they will relieve you of the symptoms of PMS (premenstrual syndrome). But keep in mind that you need to select such pills individually and only your gynecologist can do this based on the results of examinations and tests. The same hormones can be obtained in other ways, not only in tablets. For example, these could be: injections; hormonal patches that are glued to the skin; implants that are implanted under the skin of the arm; intrauterine device with hormonal effect.

Effective ointments for bleeding hemorrhoids

When treating hemorrhoids with bleeding, I also use ointments, gels and creams. The following are considered effective in this regard:

• Fleming's ointment. It is a homeopathic remedy. Therefore, use does not depend on age criteria and other characteristics of the body. This remedy can be used even during pregnancy.
• Relief Advance. The ointment contains shark liver oil, which has a wound-healing effect and reduces the inflammatory process in the lesion. The ointment contains phenylephrine hydrochloride, which constricts the vessels of the rectum and eliminates bleeding in it.
• Hepatrombin. The active ingredient is heparin, which prevents blood from clotting quickly. Therefore, the ointment not only reduces bleeding, but also prevents the formation of blood clots. The medicine eliminates swelling and relieves inflammation of the walls of the rectum.
• Proctosan. The ointment contains bismuth, which treats maceration of the skin and relieves pain.
• Heparin ointment. Heparin contained in the product has hemostatic and anti-inflammatory properties.
• Troxevasin. The main properties of the gel are considered to reduce venous permeability, reduce inflammation and improve blood circulation. Proctologists recommend the simultaneous use of Troxevasin gel and tablets.
• Bezornil. Helps with various complications of hemorrhoids, including bleeding.
• Proctoglivenol. The ointment is used for external hemorrhoids. It has an anti-inflammatory, hemostatic, softening and analgesic effect on hemorrhoids and fissures. Also available in the form of rectal suppositories.
• Boro Derm. Herbal preparation. Its main action is aimed at relieving pain and discomfort in the rectal area. Eucalyptus extract has antiseptic properties, and horse chestnut perfectly strengthens blood vessels and stops bleeding.
• Aurobin. Thanks to the vitamins contained in the preparation, wounds and cracks heal faster.
• Berzonil. Use ointment to treat chronic hemorrhoids.
• Vishnevsky ointment. Helps with external manifestations of the disease. It is recommended to apply compresses with this remedy to the affected area.

These ointments are applied to damaged areas several times a day. In addition, compresses can be made using these products. Before doing this, it is recommended to wash the rectal area with baby soap.

Hemorrhoids: types, stages, treatment

Shlosser Kirill Vladimirovich

Surgeon, Proctologist

April 30, 2021

Hemorrhoids are a pathological expansion of cavernous (that is, cavernous or spongy in structure) vascular plexuses located in the anus, with the formation of external and/or internal nodes.

Causes of hemorrhoids

• A lifestyle associated with prolonged static loads: hemorrhoids are an “occupational” disease of drivers, office workers, security guards, etc.
• Excessive physical activity, heavy lifting, sudden tension.
• Excessive consumption of alcohol, spicy and pickled foods.
• Constipation, straining with difficulty defecating (defecation).
• Pregnancy and childbirth.
• Heredity.

Symptoms of hemorrhoids

• Discomfort or pain in the anus.
• Sensation of a foreign body in the anal canal.
• Discharge of blood during bowel movements, blood in the stool.
• Nodes in the anal area.

Classification of the disease

Acute hemorrhoids are thrombosis of hemorrhoids. The external manifestation is a dense, painful external or internal bluish-colored node filled with a blood clot.

Acute hemorrhoids are divided into three degrees of severity:

I degree – Thrombosis of external or internal hemorrhoids without an inflammatory process.

II degree – Thrombosis, complicated by inflammation of hemorrhoids.

III degree – Thrombosis of hemorrhoids, complicated by inflammation of the subcutaneous tissue in the perianal area.

Therapeutic tactics involve both complex conservative treatment and surgical treatment.

The indication for surgical treatment is acute thrombosis of the hemorrhoid. In the early stages of the disease, optimally up to 72 hours, thrombectomy is indicated - removal of thrombotic masses. Performed on an outpatient basis. The operation leads to a significant reduction in treatment time.

In later stages, either removal of the thrombosed node or conservative treatment followed by planned surgery is possible. Hospitalization is indicated for stage III of the disease, when the inflammatory process spreads to the surrounding tissues of the perianal region and anal canal.

Stages of disease development

Chronic hemorrhoids are divided into four stages.

Characteristic symptoms:

Stage I – Periodic bleeding from the rectum without prolapse of hemorrhoids. The method of treatment is conservative therapy.

Stage II - Hemorrhoids fall out during defecation, but are reduced on their own. There may or may not be bleeding. It is also possible for nodes to fall out during intense physical activity.

The second stage combines conservative treatment and minimally invasive proctological manipulations, which are carried out by Medical specialists in an outpatient setting.

Stage III – Manual assistance is required to reduce the nodes into the anal canal. Bleeding becomes more profuse, and periodic inflammation of the hemorrhoids is observed.

Treatment is surgical. The operations are performed by proctological surgeons at the Medical Outpatient Surgery Center.

IV – Hemorrhoids are constantly in a prolapsed state. This is the most difficult stage. Prolapse occurs even with the slightest stress: change in body position, coughing, release of gas from the intestines. The walls of the node are constantly injured and inflamed.

Only surgical treatment is indicated.

Treatment of hemorrhoids

Methods for diagnosing proctological diseases

1. During an external examination, the doctor pays attention to the shape of the anus, its gaping, scar changes or deformations, fistulous openings, the condition of the skin and mucous membrane of the anal canal when straightening the folds. It determines the severity of external hemorrhoids, the stage of the disease, the degree of bleeding and prolapse of the nodes, the possibility of their independent reduction into the anal canal, and evaluates the anal reflex.
2. Digital examination helps determine the tone of the sphincter, the presence of neoplasms, mucosal defects and the degree of their pain.
3. Anoscopy is performed using a special disposable anoscope device, which allows you to examine the inner surface of the rectum and anal canal up to 10 cm. The procedure is painless, preparation is not required. Using anoscopy, a proctologist can assess the condition of internal hemorrhoids, the presence of inflammatory changes in the mucosa, detect anal canal polyps, mucosal defects, blood clots and possible sources of bleeding.
4. Sigmoidoscopy is an examination of the rectum and distal sigmoid colon up to 25 cm using a special endoscopic device that allows you to assess the condition of these sections from the internal lumen of the intestine.

Thanks to a complex of diagnostic tests, a specialist can identify not only hemorrhoids, but also concomitant diseases.

Conservative treatment of hemorrhoids

The therapy is based on a specialized diet aimed at normalizing stool. The patient's diet should include foods rich in plant fiber and plenty of liquid. The doctor also prescribes medications that stimulate bowel movements.

To relieve inflammation, ointments, creams and suppositories with an anti-inflammatory combined effect are used. Therapy is supplemented by taking phlebotonics - drugs that increase the tone of the vascular wall.

In case of severe bleeding, local and general hemostatic (hemostatic) agents are prescribed.

For the conservative treatment of hemorrhoidal thrombosis, combined local agents with analgesic, anti-inflammatory, absorbable, and decongestant effects are used.

Minimally invasive methods of surgical treatment of hemorrhoids

• Sclerosation of hemorrhoids

Indications for surgery are chronic hemorrhoids of stages I–II, accompanied by bleeding.

A special substance – sclerosant – is injected into the lumen of the hemorrhoid using the thinnest injection needles. This drug glues the walls of the vessels inside the node, preventing further progression of the pathology. The operation is performed in an outpatient clinic.

Contraindications:

– Thrombosis of hemorrhoids

– Paraproctitis

– Anal fissure

• Ligation of internal hemorrhoids

Indicated for chronic hemorrhoids of degrees II and III, if the nodes are located separately from each other and have clearly defined boundaries.

The operation is performed in an outpatient setting. A latex ring (ligature) is placed on the base of the internal node, the nutrition of the node is disrupted and it is rejected along with the ligature after 7-10 days. Ligation of several nodes at once can cause pain, low blood pressure and bradycardia in the patient, so the procedure is usually performed at 2-3 week intervals.

Surgical treatment methods performed at the Medical Center

• Laser vaporization of hemorrhoids

It is performed for chronic hemorrhoids of stages II and III. Also suitable for the treatment of small external hemorrhoids. The operation is performed using a Milon-Lakhta surgical laser, which destroys (evaporates) fluid-rich hemorrhoidal tissue, while preserving the mucous membrane. The light guide is inserted into the lumen of the internal hemorrhoid through a small 1-2 mm puncture of the anoderm. The manipulations are performed under general anesthesia in the Outpatient Surgery Center of our clinic.

Advantages of the technique:

– Reduced operation time.

– Significant reduction in pain intensity in the postoperative period compared to classic hemorrhoidectomy.

– Significant reduction in the healing time of surgical wounds and punctures.

– More comfortable course of the postoperative period and rapid recovery of work capacity.

Contraindications:

– Stage IV hemorrhoids

– Purulent and oncological diseases of the rectum

• The Milligan-Morgan hemorrhoidectomy operation is indicated for stages III–IV of chronic hemorrhoids

There are two main types of hemorrhoidectomy: open and closed.

Open surgery is performed under general anesthesia in the operating room. The doctor alternately stitches and ties the vascular legs of the nodes and then removes the external and internal hemorrhoids. Postoperative wounds are not sutured. Next, the surgical site is injected with a local anesthetic, and an absorbable tampon with an anesthetic is placed in the anal canal.

A closed operation is performed in the same way as an open operation, but after removing the nodes, the wounds of the anal canal are sutured with absorbable suture material.

Also, a similar operation is performed using a high-frequency ligation device LigaSure. It is considered open. LigaSure allows the operation to be performed almost bloodlessly, since the device automatically coagulates (seals) large vascular formations that make up the hemorrhoid. The nodes are excised down to the vascular pedicle, and after “welding” the pedicle, they are finally removed.

Advantages of the technique:

– The operation goes faster.

– Reduced blood loss during surgery.

– The risk of bleeding in the postoperative period is reduced.

– Recovery after surgery is faster.

Postoperative treatment of hemorrhoids takes place in an outpatient clinic. The proctologist observes, makes dressings, gives nutritional recommendations and prescribes medications for the recovery period.

Experienced medical proctologists will be happy to help you solve your problems.

Other means

Microlax, which is available in a solution for rectal administration using microenemas, will help cure hemorrhoids that are bleeding.

This drug is a combination drug that has a laxative effect. The components included in the medicine help soften stool during constipation, which often causes bleeding.

In addition, Microlax affects the receptors of the intestinal mucosa, as a result of which peristalsis is stimulated. Thanks to this action, bowel movements are improved.

Thus, there is a large selection of pharmaceutical agents for the treatment of internal or external bleeding due to hemorrhoids. They are available in the form of tablets, injection solutions, microenemas, ointments, creams and rectal suppositories.

However, it is important to remember that some of them have adverse reactions or may be contraindicated in various conditions. Therefore, it is necessary that such drugs be prescribed by a qualified specialist.