How to treat external. How to treat external hemorrhoids at home. Which drug to choose

Hemorrhoids are an unpleasant problem that is rarely talked about out loud.

Unfortunately, this problem is quite common among women.

According to statistics, 80% of women over the age of 30 have been bothered by hemorrhoids at least once.

Why is it so common and how is it treated?

Hemorrhoids - an inflammatory disease in which there is an expansion of the veins of the hemorrhoidal plexus. Simply put, with hemorrhoids, bumps of various sizes form in the perineum.

According to experts, women suffer from hemorrhoids more often than men. This is due to the peculiarities of the structure of the body and lifestyle.

The main reason for the appearance of hemorrhoids is a violation of blood flow in the hemorrhoidal region. But various factors can provoke this condition.

Hemorrhoids in many women first occur during pregnancy and after childbirth. Often, in the postpartum period, it worsens again. Sedentary work, stress, unhealthy diet also provoke hemorrhoids.

Stages of the disease

Recognizing hemorrhoids is usually not difficult, even at an early stage. Even before hemorrhoids fall out, a woman feels pain and itching in the anus, sensations of incomplete defecation, and also observes traces of blood on toilet paper.

There are 4 stages of hemorrhoids.

1. Initial stage. At this stage, the disease is only in its infancy. The elasticity of the veins decreases, dystrophic changes occur in their structure. This period lasts from a month to several years almost asymptomatically.

   Next comes itching and burning in the anus, blood on the toilet paper after a bowel movement, a feeling of incomplete emptying of the intestine.

2. Second stage. At this stage, hemorrhagic bumps fall out, but can be reduced on their own after a while. The patient is concerned about pain, itching, bleeding. Treatment with folk remedies at this stage is no longer effective. It is necessary to cope with fear and embarrassment and consult a doctor.
3. Third stage. The disease passes into the third stage in the absence of proper treatment. This period of illness often limits the patient's lifestyle. Increased pain and discomfort. The knots fall out and cannot come back on their own. The patient needs to refuel them independently. At this stage, invasive or surgical intervention is indispensable.
4. The fourth stage is considered neglected, extremely difficult. Hemorrhoids acquires outer shape. The bumps fall out of the rectum, the patient cannot fill them inside. The risk of infection is growing, regular heavy bleeding from the anus is observed.

Stages of hemorrhoids

A photo

These photos show what external hemorrhoids look like in women:

How to treat external nodes?

There are several treatments for external hemorrhoids:

• conservative;
• minimally invasive;
• surgical.

Conservative includes taking special drugs to treat inflammation of the venous walls, as well as suppositories and ointments for topical application and alleviating symptoms.

Thanks to the development of modern medical technologies, laser correction and cauterization with liquid nitrogen have also become available to patients. These treatments are effective and relatively safe.

Minimally invasive and surgical methods are used in the third and fourth stages, when conservative treatment ceases to be effective. The minimally invasive method includes knot tying under ultrasound guidance. Its efficiency is quite high.

The surgical method is also effective, but for a long time knocks the patient out of active life. An extremely long period of rehabilitation takes a lot of time and effort from the patient.

Treatment at home

Finding the symptoms of hemorrhoids, most women are in no hurry to see a doctor. Fear of pain during the examination, as well as a sense of shyness, force them to be treated at home. When making such a decision, know that only a doctor can solve the problem from the inside. But the symptoms of hemorrhoids can be alleviated on their own.

Many women resort to traditional medicine- make local baths with chamomile and calendula. This helps to relax and dull the pain.

How to quickly eliminate the symptoms?

To quickly eliminate the symptoms of external hemorrhoids, some patients immediately resort to medical treatment. Usually they buy widely advertised specialized preparations for hemorrhoids - suppositories and ointments. They will help in a short time to relieve the symptoms, but will not eliminate the problem from the inside.

When treating at home, be sure to try to adjust your lifestyle and diet. Load up on fruits and vegetables. Eat foods that contain fiber. Try to lead an active lifestyle. At the stage of exacerbation, you are unlikely to be able to attend a full-fledged fitness workout, but you can easily master an easy walk around the city.

What means to choose?

How to be treated if you decide to be treated on your own without a doctor's prescription? It is quite possible to purchase topical products in pharmacies - candles or ointments.

Candles

Candles are an effective treatment. They quickly dissolve and are absorbed into the intestinal wall. Active ingredients accelerate the healing of wounds and cracks, relieve inflammation and promote recovery.

What candles are used for hemorrhoids:

In general, suppositories are an excellent remedy for the treatment of hemorrhoids. However, they have one significant drawback.

At the stage when the hemorrhoidal bumps are already felt by the patient, inserting a candle into the anus can be painful. This stops many women from using candles.

Ointments

And then various ointments come to the rescue. The use of ointments does not cause pain and discomfort. After a few applications, symptoms are relieved. Ointments are applied with a clean or sterile cloth to the damaged areas and left until completely absorbed. It is convenient to do this at night.

Conventionally, ointments for hemorrhoids can be divided into two categories - special ointments, which are designed specifically for the treatment of this trouble, and non-special - anti-inflammatory drugs that are also used in the treatment of other diseases.

Special ointments include:

General purpose non-special anti-inflammatory ointments include:

Tablets

Attention! Tablets from hemorrhoids are best used only as directed by a doctor.

Usually, the doctor prescribes drugs to thin the blood, strengthen the venous walls. The most common medicines in tablet form include:

• Venarus;
• Phlebodia;
• Vasoket;
• Troxevasin.

These are serious drugs, the use of which requires medical supervision. Do not self-medicate!

Hemorrhoids can be cured and start life without pain and restrictions. Contact a competent specialist, follow his recommendations, lead an active lifestyle and eat right. Be healthy and take care of yourself!

Studies have shown that the female body is much more prone to hemorrhoids than the male. This is primarily due to the specific structure of the body and its main functions. At risk are pregnant women who have specific blood circulation in the pelvic organs and a large load on the abdominal cavity. In this article, we will look at how and how to treat external hemorrhoids in women.

What is hemorrhoids and why does it occur?

Hemorrhoids is a disease of the venous vessels that occurs due to blood clots in the hemorrhoidal veins that form nodes. It occurs in 10% of the world's population. The reasons for the late appeal to doctors with this problem are its delicacy and a sense of embarrassment.

Factors that can provoke this disease are the following:

• constipation (increases the load on the intestinal vessels);
• passive lifestyle (blood flow to the pelvic organs worsens);
• bad habits (smoking, alcohol, drugs);
• genetic predisposition (features of the structure of the body);
• lifting weights (the press and other muscles of the abdominal cavity are sharply loaded);
• pregnancy and childbirth.

External hemorrhoids in women is a proctological disease that requires timely diagnosis and complex treatment.

Features of the external form of hemorrhoids

In medicine, it is customary to distinguish two types of this disease: internal and external hemorrhoids. The internal form of hemorrhoids occurs inside the rectum and is almost impossible to detect in the early stages. It can only be diagnosed with a doctor's examination.

External hemorrhoids differ in that the nodes are formed outside the rectal mucosa. They can be seen or felt. These are small, compacted balls of different sizes, because of which there are big problems.

Signs of hemorrhoids in the external form

First of all, you need to know that the nodes are very delicate and an elementary trip to the toilet "for the most part" can injure them. Because of this, the following symptoms appear:

• pain during emptying or at rest;
• itching and burning;
• acute pain when lifting weights;
• the presence of blood in the feces;
• prolapsed knots and blood on toilet paper.

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A woman may feel discomfort when going to the toilet, she is worried about constipation and diarrhea, itching in the anus is possible

Symptoms may worsen depending on the severity of the disease. There are four stages of hemorrhoids:

• the first - blood is released, but the nodes do not fall out;
• the second - during defecation, the nodes fall out, but they themselves are restored;
• the third - during defecation, the nodes fall out, but they need to be set back;
• fourth - the nodes fall out when sneezing, coughing or laughing, it is not possible to set them back.

Possible Complications

If you do not consult a doctor in time and do not start timely treatment, there will be very serious consequences. First, the blood inside the node will thicken, and the node will begin to increase in size, causing pain to a person not only during stress on the intestines, but also at rest. It is especially painful to sit and move around. The knot turns blue and hardens. As a result, soft tissues swell, and subsequently the entire perineum, and the body temperature rises. If the blood is released too often, anemia occurs (a decrease in the concentration of hemoglobin in the blood).

Features of therapy of the external form of hemorrhoids

If you want to get rid of this problem as soon as possible, it is better to approach treatment in a complex manner. In addition to drug therapy and surgery, doctors advise you to turn to a special diet.

Proper nutrition

Therapeutic diet

Its main task is not just to eliminate the symptoms, but also to restore the body and its functions. As for the products, they must be well digestible, since the nodes are injured during defecation. Feces should be soft and uniform.

The patient's diet should consist of the following products:

1. Dried fruits. The fruits retain their beneficial components and help with constipation.
2. Chicken meat. It is a natural natural protein that is easily absorbed by the body. It is in white meat that contains more nutrients, while it gives a minimal burden on the digestive system (unlike red meat).
3. Honey. It is rightfully considered a storehouse of vitamins. It is a natural metabolism booster.
4. Kashi. Oatmeal, buckwheat and pearl barley contain dietary fiber that has a positive effect on the intestinal mucosa.
5. Nuts. Hazelnut, one of the most affordable in our country, prevents the formation of blood clots in the vessels and strengthens the human immune system.
6. Fruits and natural juices or compotes from them.
7. Oil. Butter or vegetable oil is needed for blood vessels and healing of damage in the gastrointestinal tract. The only caveat is that you should not subject it to strong heat treatment.
8. Greens. Parsley and dill contain active substances that promote wound healing.
9. Soups. Due to the liquid consistency, the feeling of satiety after the soup comes faster than after other dishes. We eat less, and it is easier to digest, which does not injure the intestines.

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Medicines for hemorrhoids for women

In the daily menu of a woman, there should be more fresh vegetables and fruits containing fiber and vitamins.

Your daily diet might look like this:

1. Breakfast: porridge (possible with honey or dried fruits), freshly squeezed juice or kefir.
2. Snack: 100 g of nuts or dried fruits.
3. Lunch: soup, steamed chicken meat with vegetables, juice.
4. Snack: fruit or vegetable salad.
5. Dinner: a glass of natural yogurt or kefir.

It is important not only to include certain foods in your diet, but also to exclude harmful ones. Basically, these are those that irritate the intestines or negatively affect the blood vessels.

Here is a list of prohibited foods:

• alcohol,
• spicy food,
• unripe fruits or vegetables
• red meat,
• eggs,
• mushrooms,
• fried food,
• fresh milk,
• beets and spinach,
• sweet carbonated drinks.

Refuse to eat high-calorie, spicy, fatty, salty foods

Medical therapy

There are two options for medical treatment:

• tablets or drops for internal use;
• candles, ointments and creams - for external use.

Tablets are used to prevent complications and alleviate symptoms. These are drugs with the following properties: painkillers, venotonic, laxatives and against thrombosis.

List of the most popular drugs:

• "Ibuklin",
• "Diclofenac",
• "Movalis",
• "Flebodia"
• "Venarus"
• "Detralex",
• Litovit B,
• "Vikasol",
• "Aspirin".

Before taking, be sure to consult your doctor and carefully read the instructions in the package.

Most often, manifestations of hemorrhoids are treated with topical preparations: ointments, gels, creams, rectal suppositories.

Ointments and creams are good because they act directly on the affected area and do not put an additional burden on the heart or liver.

In the initial stages of hemorrhoids, the following drugs are used:

• "Mastocrel";
• "Fleming's Ointment";
• "Proctosan";
• "Troxevasin";
• "Hepatrombin";
• "Aurobin";
• "Methyluracil";
• "Heparin ointment";
• "Vishnevsky ointment".

Surgery

This method is used already when the nodes have grown greatly and cause terrible pain. They are removed surgically. This helps not only to get rid of them, but also to prevent the appearance of new ones. Deartherization is considered a very popular method. The artery that feeds the knot is ligated and the blood flow is blocked. Then it is removed.

Treatment of hemorrhoids in women at home is often based on the use of folk remedies

ethnoscience

Folk remedies are mainly aimed at relieving symptoms. There are the following folk methods of dealing with hemorrhoids:

- this is a varicose vein of the external hemorrhoidal plexus, located under the skin of the perineum distal to the dentate line of the rectum. The main symptoms are pain and discomfort (itching or burning) in the perineum and anus, which are aggravated by prolonged standing or sitting and after defecation. There may be minor bleeding in the form of traces of blood on toilet paper and on linen. External hemorrhoids are diagnosed with external examination, anoscopy, sigmoidoscopy, endorectal ultrasonography. Surgical treatment is most effective, conservative methods are also used.

ICD-10

K64

General information

External hemorrhoids are pathological changes in the external hemorrhoids, leading to stagnation of blood in the cavernous bodies, their inflammation and thrombosis. In the modern world, hemorrhoids is an extremely common disease: they suffer from 5 to 25% of the population (according to some authors - up to 80%). The disease was known in ancient times, it is believed that Hippocrates first described it. The term itself is translated from Greek as "bleeding". In practical proctology, there are external (subcutaneous) and internal (submucosal) hemorrhoids. The proportion of external hemorrhoids in the overall structure of the pathology ranges from 34% to 41%. Men get sick much more often than women. Approximately 80% of cases of hemorrhoids are diagnosed in the stronger sex, who are in active working age - from 30 to 60 years.

The reasons

The main cause of external hemorrhoids is a violation of the outflow of venous blood from the veins of the external hemorrhoidal plexus through the cochlear arteries due to congenital or acquired weakness of the venous walls. If the outflow is disturbed, the blood stagnates, the cavernous bodies expand, and their hyperplastic changes develop. With a significant expansion of the cavernous bodies, a mechanical factor also acts, the longitudinal muscle of the rectum is weakened, it can no longer hold external hemorrhoids, and they protrude even more under the skin in the perineum.

Provocative factors that lead to the development of external hemorrhoids are considered to be persistent constipation, prolonged diarrhea, severe pregnancy and trauma during childbirth. Under these conditions, excessive tension in the muscles of the perineum is created and pressure in the hemorrhoids increases. The disease is also provoked by a lifestyle with minimal physical exertion, sedentary work, weight lifting, abuse of spicy foods, alcoholism. Often, external hemorrhoids is an occupational disease of programmers, office workers, drivers, hairdressers, loaders, weightlifters. An important role is played by the hereditary factor. The formation of hemorrhoids during pregnancy leads to compression of the intestine by an enlarged uterus. Often, external hemorrhoids are combined with varicose veins of the lower extremities.

Pathogenesis

Morphological changes in external hemorrhoids are formed in the walls of the cavernous bodies located distal to the dentate line. They show hyperplasia of the endothelial layer with foci of sclerosis. With inflammation, damage and exudate appear, which favor the formation of blood clots. Changes also develop in the musculoskeletal apparatus of the anus and the terminal part of the rectum; collagen fibers are weakened, which leads to even more protrusion of the nodes. The number of arteries and anastomoses increases, which provokes an increase in blood supply to the cavernous bodies, and with impaired outflow, blood accumulates, further stretching the walls of the nodes.

Classification

External hemorrhoids are acute and chronic. Many authors believe that acute hemorrhoids are simply the first manifestation of a previously undiagnosed disease. Downstream, external hemorrhoids are divided into complicated and uncomplicated. Pathology can occur in an isolated or combined form, when the patient has both signs of internal and external hemorrhoids.

Symptoms of external hemorrhoids

The first symptom is pain in the anus. They may be associated with the act of defecation, but more often occur spontaneously. Sometimes the pain provokes too long sitting or standing, excessive physical activity. Unpleasant sensations can also intensify when coughing, sneezing, running, jumping. The intensity of the pain syndrome is different: from mild discomfort to unbearable pain with thrombosis. In addition to pain, patients sometimes complain of itching, burning and other discomfort in the anus.

Bleeding with external hemorrhoids occurs less frequently than with internal, and is not too intense. Blood does not appear in the feces, but on linen, toilet paper or a towel during hygiene procedures. Sometimes you can see streaks of blood at the top of the fecal lump. Also, the patient can independently feel small formations in the anus, similar to bumps, often painful. If the hemorrhoids are significantly enlarged, the patient may experience the sensation of a foreign body in the anus. In the case when the nodes become inflamed, the pain increases, the body temperature may rise from subfebrile to febrile figures.

Complications of external hemorrhoids include inflammation of the cavernous bodies and venous thrombosis. Often they are diagnosed together. Thrombosis, as a rule, develops in one of the nodes. The patient has a sharp pain, it may appear after the act of defecation or on its own. The intensity of pain does not depend on the size of hemorrhoid thrombosis and is very individual. On examination, you can see a cyanotic node and swelling near it, which gradually spreads to the entire perianal area. Prolonged thrombosis with external hemorrhoids is always accompanied by inflammation.

External hemorrhoids, complicated by the inflammatory process, goes through three stages. At the first, pain, itching and burning increase, especially after defecation or after taking spicy, salty or pickled foods. On examination, an enlarged dense node is found, a slight edema is possible. When moving to the second stage, all symptoms intensify, the skin around the node becomes red, the swelling is more significant. Digital rectal examination fails due to pain. The third stage is characterized by the transition of the inflammatory process to the subcutaneous tissue and surrounding tissues. On palpation of the affected area, a sharp pain occurs, the skin over the inflamed node acquires a burgundy color with a bluish tint. A dense formation with an infiltrate around it is palpable, areas of necrosis can be detected.

Diagnostics

Diagnosis of external hemorrhoids can often be made already at the external examination. Small characteristic seals are detected around the anus, they can protrude outward in the form of bumps or be felt only under the skin. Sometimes the nodules are bluish in color, which may be a sign of thrombosis. If you press hard on the node, the patient experiences pain. With an exacerbation of external hemorrhoids around the anal area, swelling and redness of the skin can be detected.

Other research methods help the proctologist to clarify the diagnosis and identify concomitant diseases. With anoscopy and sigmoidoscopy, the entire rectum is examined to exclude the combined form of hemorrhoids with the expansion of internal nodes or their prolapse. Also, this technique allows you to exclude diffuse polyposis, cancerous tumors. If sigmoidoscopy was not informative enough, or there is a suspicion of any concomitant pathology, a colonoscopy is performed with an examination of the entire intestine. If necessary, an X-ray examination with a contrast enema (irrigoscopy) is carried out. In the presence of bleeding in order to differentiate its source, angiography is performed with filling of the basin of the inferior mesenteric artery.

In the correct diagnosis of external hemorrhoids, endorectal ultrasonography helps - ultrasound of the rectum, which makes it possible to better visualize changes in the cavernous bodies and adjacent veins. Laboratory methods for external hemorrhoids are uninformative. With the help of a general blood test, it is possible to assess the presence of signs of inflammation of hemorrhoids: an increase in ESR and the level of leukocytes is characteristic. Thrombosis is sometimes accompanied by changes in the coagulogram.

Differentiate external hemorrhoids with prolapsed nodes in internal hemorrhoids. In the latter case, they can be set inside (if this is not the fourth stage), the fallen nodes are covered with a mucous membrane, and not with skin. Prolapse of the rectum or its mucous membrane should also be excluded. It is important to distinguish between external hemorrhoids and tumors of the perianal region, rectal polyps, genital warts, hemangiomas. Sometimes enlarged anal papillae look like hemorrhoids. Inflammation of the nodes should be distinguished from acute or chronic paraproctitis. Itching in the perineum can occur with fungal diseases, diabetes mellitus, but with these pathologies, tumor-like formations in the anus are not determined. To establish the final diagnosis, additional studies are carried out.

Treatment of external hemorrhoids

Conservative treatment is symptomatic and does not lead to a complete cure. Assign external ointments with non-steroidal, sometimes with hormonal anti-inflammatory drugs. They are able to relieve swelling, reduce pain and discomfort. Patients are advised to stick to a diet, lead a more active lifestyle, and not lift weights.

With thrombosis, anticoagulants are prescribed (heparin, fraxiparin, acetylsalicylic acid). If thrombosis is diagnosed at an early stage, thrombolytics (streptokinase, urokinase) are effective. With the ineffectiveness of conservative therapy, the thrombus is removed surgically. To do this, the node is incised with a scalpel, and the blood clot is removed. The procedure is minimally invasive and does not require hospitalization.

The most effective treatment for external hemorrhoids is the removal of nodes. This technique is able to permanently, if not forever, save the patient from the disease. External hemorrhoids are operated under local anesthesia, the patient does not need to stay in the hospital. The most common surgical treatment is hemorrhoidectomy. An operation is indicated in cases where repeated thrombosis occurs, hemorrhoids are large. Currently, minimally invasive methods of treatment are widely used, such as ligation of hemorrhoids with latex rings, sclerotherapy, cryodestruction, photo- and electrocoagulation.

Forecast and prevention

The prognosis for external hemorrhoids is quite favorable. If the pathology is diagnosed in time, adhere to all the recommendations of a specialist, then for a long time the disease can proceed in a latent form, without any complications. Problems arise with thrombosis of hemorrhoidal veins - then the patient needs urgent treatment. With properly provided medical care, removal of a blood clot or node, the patient quickly returns to normal life.

Prevention of external hemorrhoids consists in maintaining a rational diet and moderate physical activity. Do not abuse spicy foods, alcohol. If the work involves prolonged sitting or standing, sports are recommended, but too much physical activity and heavy lifting should be limited. Prevention should be dealt with by persons who have a hereditary predisposition - manifestations of external or internal hemorrhoids, varicose veins of the lower extremities in relatives.

External (external) hemorrhoids, accompanied by an increase and - perhaps the most common disease of a proctological nature.

According to various statistics, this pathology occurs in 10-25% of the adult population, other sources speak of 70% of men and women suffering from this unpleasant disease.

Pathological changes can affect both internal and external hemorrhoidal plexuses, which is why it is necessary to dwell in more detail on what are the causes of inflammatory processes and how to treat external hemorrhoids with medicines and folk remedies.

Features of the disease

The natural end of the human digestive tract is the rectum, surrounded by a double ring of vein plexus: internal and external.

• external hemorrhoids (a photo of the disease can be seen in the article);
• interior;
• mixed (combined).

With external hemorrhoids, inflamed hemorrhoidal nodules of various shapes and sizes are located outside the anus, along the perimeter of the anus.

External hemorrhoids should be distinguished from the severe stage of inflammation of the internal hemorrhoids, when they fall out of the anus.

In the case of advanced internal hemorrhoids, the prolapsed venous plexuses have a mucous membrane.

With external hemorrhoids, nodules located outside the intestines are covered with skin.

Moreover, with the weakening or temporary disappearance of symptoms, the external bumps are practically painless and do not bother a person. But in case of exacerbation, an intense inflammatory process and a pronounced pain syndrome occur.

Causes of external hemorrhoids

The most important reason for the formation of external hemorrhoids is the congenital weakness of the walls of the veins and hereditary predisposition. That is, in such a situation, the probability of the appearance of nodes or varicose veins is significantly higher than in the general population.

Of course, the predisposition to inflammation of hemorrhoids does not indicate the mandatory onset of the disease. However, the risk increases in the presence of the following provoking factors:

• a "sedentary" lifestyle or a field of activity that is associated with standing on your feet or lifting weights;
• persistent problems with bowel movements - constipation or diarrhea;
• weightlifting and other types of power (kettlebell lifting, bodybuilding, powerlifting, etc.);
• a diet dominated by low-fiber foods, spicy and fatty foods, coffee drinks;
• inflammatory, infectious and neoplastic diseases of the digestive tract;
• addiction to and (more common among the strong half of humanity);
• , labor activity in women (this factor is associated with physiological changes occurring in the body of the expectant mother and woman in labor).

The influence of each of these "provocateurs" (or their combination) leads to stagnation of blood in the peritoneum and pelvic organs. Such a condition is fraught with an increase in saphenous veins and the development of inflamed nodules near the anus.

Symptoms of external hemorrhoids

At the beginning of the pathological process, external, or external, hemorrhoids are not particularly “bright”. , a qualified proctologist will be able to tell.

Its "known" initial features are:

• constant, generally discomfort in the anus;
• small ones that are found on toilet paper (this is not an obligatory symptom of the disease, since bleeding is possible only if the external nodes have increased significantly in size).

At particularly “critical” moments, the external venous plexuses begin to become inflamed and swell, which leads to quite pronounced twitching pains. There is no pain during remission.

It is possible to determine external hemorrhoids in a patient with a visual examination of the anus. During the period of exacerbation, hemorrhoidal cones can be felt by the patient himself.

What happens if external hemorrhoids are not treated?

Therapy of the disease must be timely, otherwise its progress can lead to a significant deterioration in the patient's condition. In the absence of treatment of external hemorrhoids or the wrong choice of therapeutic techniques, complications may develop.

The most serious and severe consequence -. Blood clots form during prolonged stagnation, very soon they begin to burst the nodules from the inside, resulting in the following:

• sharp, sometimes painful pains that increase when a person walks, changes position, and even coughs or sneezes;
• blue tissue, tension and swelling that extend to the external hemorrhoidal venous nodes;
• , hyperemia (reddening of the skin) caused by the spread of inflammation;
• the transition of the inflammatory process to nearby tissues (this further enhances the discomfort).

If you ignore these alarming symptoms, then in the future it is possible to develop a pararectal abscess - inflammation of the subcutaneous tissue located around the rectum.

In turn, this pathological process is fraught with the emergence of - a kind of tubules, from which pus comes out. These "moves" not only look frightening, but can also cause tissue infection.

When is it necessary? Naturally, it is better for patients not to bring their condition to such a serious one. That is why it is recommended to visit a doctor and start treatment at the first symptoms of external hemorrhoids.

Conservative methods of treatment of external hemorrhoids

Among the methods of getting rid of external hemorrhoids, preference is given to conservative therapy. It is a procedure and activities designed to eliminate symptoms and alleviate a person's condition.

In addition to correcting the diet and lifestyle, the treatment of external hemorrhoids involves the use of those recommended by the doctor, among them are:

• local remedies (creams, ointments, suppositories);
• systemic drugs - tablets.

Conservative treatment of external hemorrhoids includes the use of agents designed to relieve swelling, itching, reduce inflammation and pain.

Another important point of treatment is the use of venoprotectors and venotonics, which improve the condition of the entire venous system. Such drugs also prevent the formation of blood clots and the development of severe complications.

General medicines

Such remedies are indicated in the case of general venous insufficiency, as a result of which external hemorrhoids occur.

There are the following groups of venotonics that provide rapid relief of symptoms:

• Preparations with diosmin as an active ingredient. This group includes Flebodia 600,. The active substance helps to increase the tone of the walls of the veins, reduce congestion, improve blood circulation. As a result, the veins are better able to withstand external factors.
• Means containing a complex of diosmin + hesperedin. This category includes and. Active substances tone the veins, reduce the permeability of blood vessels, normalize metabolism in cell membranes and improve blood circulation.
• Medicines based on troxerutin. This group of pharmaceuticals includes and. Their intake helps to increase the tone of the veins, reduce the permeability of the vascular walls, reduce swelling and inflammation in the veins and nearby tissues.
• Means based on pentoxifylline. This category includes medicines Trental and Vasonit. As a result of their use in patients, small blood vessels expand, their damage is prevented, and blood circulation improves.
• Medicines with natural ingredients. Among them, Pilex is especially distinguished. The herbal ingredients contained in these products reduce blood stasis, swelling, relieve inflammation, and ensure the healing of damaged tissues.

Treatment at home with systemic medications should be carried out after the approval of the attending physician. Each listed drug has its own contraindications, which the patient may not even be aware of.

Means of local action

How about creams? Observing all the rules for the use of drugs - including the frequency and duration of application.

First of all, they will help to defeat hemorrhoids, among which the following medicines are distinguished.

• Ointments and gels. Medicines contain shark liver extracts, which relieve inflammation and promote the regeneration of damaged tissues. Also, ointments help stop bleeding, reduce pain.
• . Active ingredients relieve inflammation, stop the formation of blood clots, reduce the severity of pain.
• . A complex agent containing antithrombotic, antibacterial and hormonal components. Thanks to this combination, the drug can defeat swelling, inflammation and blockage of blood vessels.
• . The active ingredients included in the composition prevent thrombosis, reduce swelling and inflammation, contribute to the normalization of blood flow in the pelvic organs, and the healing of damaged tissues.
• . Another representative of hormone-containing drugs. Its ingredients reduce the severity of pain, inflammation, destroy pathogenic microbes and heal the affected skin.

In addition to the use of directly antihemorrhoidal medications, the treatment of hemorrhoids at home is often accompanied by the use of non-steroidal anti-inflammatory drugs. For example, your doctor may prescribe Diclofenac or Ibuprofen for pain relief.

Minimally invasive procedures

If the treatment of external hemorrhoids at home with conservative methods did not bring a visible result, it is possible to use some minimally invasive methods:

• . This technique is used in the later stages of the disease. Its essence lies in putting on special rings on the hemorrhoid. Its “leg” is pinched, as a result of which the nodule gradually dies off and disappears.
• . This procedure is indicated at the very beginning of the development of the disease. A special device directs the rays to the base of the hemorrhoidal bump, so that it "dries up" and disappears. Only a scar remains on the anal area.

Minimally invasive techniques allow you to answer the question of how to quickly cure hemorrhoids. However, they also have some contraindications. For example, with external nodes, sclerotherapy of hemorrhoids is not recommended.

Such procedures should not be performed for pararectal abscess, blood clots in hemorrhoidal cones and anal fissures.

Surgical interventions

How to treat external hemorrhoids, which is not amenable to drug therapy, is constantly aggravated and complicated by nodule thrombosis? In this case, they resort to operations, since such a condition threatens the life of the patient.

As a rule, thrombectomy is used - a type of surgical intervention that involves opening an external nodule and removing a blood clot.

The operation is performed in a medical institution under local anesthesia. This type of surgical intervention is considered sparing, since the patient quickly returns to his usual way of life.

The operation technique consists of the following steps:

• the introduction of anesthesia at the place of future intervention;
• cutting the surface of thrombosed hemorrhoidal cones;
• the introduction of a special preparation inside, which softens the clot and allows it to be removed;
• restoration of the integrity of the vein.

The patient feels improvement almost immediately after the operation. Excruciating pain disappears, swelling decreases, inflammation of the venous plexuses decreases.

In the postoperative period, the patient must perform hygiene procedures, for example, apply a sterile bandage to the operated hemorrhoid.

Folk remedies

Suggest how to treat hemorrhoids at home conditions, alternative medicine will help. At the disposal of patients are various small baths with infusions of medicinal plants, various compresses and ointments with natural ingredients.

A popular folk remedy is an ointment made from propolis and vegetable oil. It effectively relieves inflammation, swelling, reduces pain, restores damaged areas of the body and slows down the development of the pathological process.

Another popular advice is to apply a gauze swab lubricated with sea buckthorn oil to the affected hemorrhoids. Natural plant extract has regenerating and anti-inflammatory properties.

You can cure hemorrhoids with the help of a plant that has high anti-hemorrhoidal properties. Decoctions, lotions, compresses are made from this herb. To prepare the infusion, 2 tbsp. dry raw materials need to pour 400 ml of boiling water and insist 12 hours.

At home, you can prepare decoctions for oral administration from the following medicinal plants:

• raspberry leaves;
• tops of carrots;
• dog-rose fruit;
• horse chestnut berries.

These funds are designed to relieve inflammation, strengthen the venous walls and improve the overall immunity of the body. In addition, honey can be added to the rosehip infusion.

In addition, a good way to relieve pain and stop bleeding is to take cold sitz baths. To carry out the procedure, it is necessary to pour cold water or an infusion of medicinal plants into the container, and then sit in the bath for a few minutes.

Quickly cure hemorrhoids at home (or relieve symptoms) help from. A course of 10 procedures with chamomile, calamus, sage, onion or garlic decoction will help relieve pain and inflammation.

However, it should be understood that they are used only as additional procedures. If a patient is diagnosed with hemorrhoids, a proctologist will help to tell how to treat an external inflamed node with the help of alternative medicine.

The specialist will explain how such techniques can be combined with medication treatment and adherence to certain recommendations regarding the proper diet and necessary hygiene measures.

Features of the treatment of external hemorrhoids in women during pregnancy

Therapy of external hemorrhoids in women in position should be especially careful and balanced. That is why expectant mothers are strictly forbidden to self-medicate.

How to treat external hemorrhoids during pregnancy? Preference is given to local pharmaceuticals - ointments or creams. External hemorrhoids in women in position involves the use of the following medications:

• . A popular homeopathic preparation, which is dominated by natural herbal ingredients. Ointment agent well reduces the intensity of the inflammatory process, relieves itching and pain.
• . Another natural medicine created according to the recipes of Chinese healers. The cream has anesthetic, anti-inflammatory properties, is able to stop minor bleeding.
• Sea buckthorn ointment. Perfectly restores the integrity of the skin and heals wounds, eliminates inflammation. Also belongs to the number of natural remedies.
• Relief. The ointment and gel products of this series also contain other natural ingredients. Medicines at home quickly anesthetize, relieve inflammation of the nodes and heal wounds.
• . The drug stimulates local immunity, relieves inflammation, restores damaged areas of the skin and has an antipruritic effect.

In severe cases, for the treatment of external inflamed hemorrhoids, systemic medications are taken that improve venous tone and reduce the permeability of the walls of blood vessels. These include Detralex tablets

The above recommendations will help various categories of patients decide how to treat external hemorrhoids. The first and most important advice is to contact a specialist who will determine the stage of the disease, select and prescribe the most suitable and safe medicines, help determine the folk remedies or send you for an operation. It is important to understand that self-treatment in such situations is fraught with inefficiency and serious undesirable consequences.

Content

A set of measures to get rid of diseases of the rectum involves the use of funds of different categories, and medicines occupy the main place in the list of recommended drugs. Strengthen their effectiveness of the technique traditional medicine. Treatment of external hemorrhoids should begin immediately after the first suspicion of the occurrence of this disease. The main complication of the disease is thrombosis, in which the patient experiences severe pain.

The main signs and symptoms of the disease

With external hemorrhoids, the nodes do not develop on the inside of the rectum, but around the anus. Diagnosis of the disease does not cause difficulties. The clinical picture of the disease is characterized by specific signs. The patient begins to experience discomfort and pain long before the formation of characteristic growths. Symptoms of external hemorrhoids:

• burning and itching in the anus;
• characteristic "bumps" around the anus (have a different shape and size);
• bleeding from the anus (you can notice this symptom on toilet paper);
• sharp pain during stool.

External hemorrhoids go through several stages of development. The initial stage is characterized by the formation of small hemorrhoids, which disturb the patient with itching and burning. Gradually, the size of the formations increases, they completely close the anus. This results in bleeding and severe pain. Treatment of external hemorrhoids should be carried out as quickly as possible. Getting rid of complications after hemorrhoids is a long and painful process.

How to treat external hemorrhoids

Diseases of the rectum are among the intractable diseases. It is possible to quickly cure external hemorrhoids only when using a full range of measures, including medications, local therapy and traditional medicine. If there is no result, surgery will help get rid of the problem. Self-treatment of hemorrhoids is not recommended. The process should be supervised by a proctologist.

Therapeutic diet

Proper nutrition is included in the treatment of external hemorrhoids and is an integral part of it. It is necessary to control the diet at any stage of the disease, and especially after surgical removal of nodes. Constipation is considered the main factor provoking the disease. The purpose of the diet is to normalize digestion. Eat small meals up to 6 times a day.

The basic principles of the diet for hemorrhoids:

• cereals, vegetables and fruits are introduced into the diet (these products normalize the digestion process and exclude the appearance of constipation);
• it is necessary to eat bread only from wholemeal flour;
• cereals are recommended to use only gray or dark varieties (buckwheat, oatmeal, oatmeal, pearl barley);
• bran is introduced into the diet (at least 50 g of oat, wheat or rye varieties should be consumed per day, the product goes well with cereals);
• with hemorrhoids, you should not eat fatty foods (it is better to cook meat for a couple);
• the amount of fermented milk products consumed should be increased (to normalize digestion);
• coffee, alcohol, carbonated drinks, spicy spices, flour products, dairy products with a high fat content should be excluded from the diet.

Medical therapy

Conservative pharmacotherapy is the main method of treatment of diseases of the rectum. It is used for any form of hemorrhoids. The complex of drugs includes drugs with a hemostatic, analgesic, anti-inflammatory and phlebotonic effect. After a course of getting rid of hemorrhoids, it is recommended to take special preventive medications. All means of combating hemorrhoids are represented by three groups: creams, suppositories, medicines for oral administration.

Creams, ointments and gels

Among the most effective means for external use include:

1. "Venoruton" (affects the state of blood vessels, is used at least three times a day).
2. "Relief" (relieves symptoms of irritation).
3. Zinc ointment (heals wounds).
4. "Antihemorrhoids" (relieves puffiness, heals wounds).
5. Heparin ointment (has an analgesic effect).

Rectal suppositories

Preparations for hemorrhoids differ in composition: individual components help to cope with pain, accelerate the healing process of wounds, and are distinguished by an antiseptic effect. Patient reviews are uneven: someone likes one thing, and the other the opposite group, but the main thing here is the rapid impact on the disease and the removal of pain. In some cases, a lot of time is spent searching for suitable rectal suppositories. Glycerin-based products are considered the most convenient to use. Rectal suppositories recommended by experts:

1. "Nigepan" (the drug has an analgesic effect).
2. "Anuzol" (extract of belladonna heals wounds and cracks).
3. "Gepazolone" (candles prevent the formation of blood clots).
4. "Relief" (a special component is shark liver oil, which has a number of useful properties).

Medications for oral administration

Popular pills for hemorrhoids:

1. "Detralex" (phlebotropic drug, effectively eliminates the symptoms of acute and chronic hemorrhoids, the course of treatment has dosage features - first, the drug is taken twice a day, three tablets, after four days - two tablets twice a day).
2. "Venoruton" (an effective remedy, but has a number of contraindications, for example, it is not suitable for the treatment of hemorrhoids in pregnant women).
3. "Euskusan" (a plant-based product, has an analgesic effect).
4. "Ibuklin" (the drug is especially effective in exacerbations of diseases of the rectum).

Surgical intervention

With the complication of external hemorrhoids, a special operation is performed: thrombotic masses or hematomas are removed surgically. In rare cases, doctors recommend completely cutting out the thrombosed node with the affected vein. The rehabilitation period is characterized by the presence of many nuances. The operation is performed under local anesthesia and does not take much time from specialists. Surgical intervention is an extreme measure used in cases where it becomes impossible to cure external hemorrhoids at home.

Effective folk remedies for home treatment

Alternative methods for hemorrhoids can reduce the symptoms of the disease, but not get rid of it. The best way to treat hemorrhoids is the use of a combined complex. Folk remedies well eliminate pain, heal wounds and have an anti-inflammatory effect. Most of the recipes are considered universal, but individual intolerance to individual components must be taken into account.

How to treat external hemorrhoids at home with folk remedies:

• it is recommended to lubricate the anus with honey (the procedure should be repeated no more than twice a day, the component relieves itching and has a calming effect on the vessels);
• baths with herbs (chamomile, oak bark, onion peel and yarrow are ideal, baths should be done every day before bedtime);
• garlic with milk (cloves of garlic must be crushed, mixed with boiling milk and boiled for several minutes, cool the mixture and apply to the area of ​​\u200b\u200bhemorrhoids before going to bed, this remedy is also ideal for douching);
• steam baths based on milk and onions (grind the onion, mix with milk, take 3 onions per 500 ml of liquid, bring the mass to a boil, and then use it for a steam bath before going to bed).

How to treat external hemorrhoids during pregnancy and after childbirth

The causes of diseases of the rectum (hemorrhoids) in men and women are different: often hemorrhoids occur during pregnancy or after childbirth. The main causes of the disease during this period are malnutrition, sedentary lifestyle, constipation and hormonal changes. Treatment of external hemorrhoids in women has its own characteristics. A number of drugs are prohibited for use during lactation or during pregnancy.

Principles of treatment of external hemorrhoids during pregnancy and after childbirth:

• physical activity (a sedentary lifestyle is considered one of the main causes of the disease);
• dieting;
• among the drugs allowed in this period are "Relief" (ointment and suppositories), Heparin ointment, "Posterizan" (ointment);
• tablets and suppositories during pregnancy are best excluded from the treatment complex;
• traditional medicine should be used with caution.

Vishnevsky's ointment is considered the safest treatment for hemorrhoids. The drug is used at any age, regardless of the gender of the patient. Pregnancy and lactation are not contraindications to its use. The ointment has a number of properties that help get rid of itching, pain, improve the condition of blood vessels, heal cracks and wounds, and also reduce the size of hemorrhoids.

Video about the treatment of thrombosis of the external hemorrhoid

Complications of hemorrhoids lead to serious health problems, because thrombosis of the external hemorrhoid causes constant pain in patients. Treatment with such a diagnosis implies compliance with a number of prescriptions, and it must be carried out under the supervision of a proctologist. How to cope with the disease and exclude its reappearance is described in the video, you just have to watch.

Attention! The information provided in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment, based on the individual characteristics of a particular patient.

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