How successful is the treatment of hemorrhoids in 1 day. How to cure hemorrhoids forever at home: effective remedies and methods. Steam bath with alum added

Nevi are called congenital or extrauterine (acquired) formations of various colors, the development of which is based on changes of an embryonic nature. They contain nevus cells; this sign is the main one.

Nevi are classified as benign skin tumors, but in some cases malignant tumors can arise from nevi.

Congenital pigmented nevi usually grow slowly with the growth of the body, and in some cases their growth stops by puberty. Usually, nevi, having reached a certain size, subsequently remain unchanged.

In patients with congenital nevi, the development of malignant tumors from them is relatively rare; about 90% of the population have congenital pigmented and non-pigmented spots, but the number of melanomas is small. On the other hand, nevi that appear in the extrauterine period are rarely observed, but malignant tumors arise from them much more often. This is primarily facilitated by , therefore, for the purpose of prevention, it is necessary to protect “birthmarks” from damage.

Growth, inflammation, and infiltration of the nevus should prompt the patient to consult a doctor and attract the latter’s attention. There are indications of the role of heredity and predisposition to nevi.

The formation of nevi on the skin is sometimes combined with malformations of internal organs, the nervous system, bones, teeth, general dystrophies and endocrine disorders; such cases are considered nevoid syndromes and diseases. In children, nevi and nevoid syndromes are a common disease. On the skin of each person there are up to 20-30 changes of a nevoid nature.

Types of tumors

The following classification of nevi and nevoid diseases in children is used:

• vascular;
• angiomas;
• pigmented;
• hyperkeratotic;
• adenomatous;
• cystomatous or atheromatous;
• fibromatous;
• nevoid diseases and syndromes.

Pigmented nevi in ​​children usually develop at the age of 5-10 years. They are spots or compacted formations of various sizes and shapes of brown, brown or black color. These formations have the consistency of normal skin or are somewhat thickened; arise as a result of the deposition of pigment (melanin) and the proliferation of cells containing the pigment.

Nevus cells, found in pigmented nevi, are round formations with a large nucleus, similar to epithelioid ones, contain pigment and are located directly under the epidermis or in the connective tissue of the dermis.

It has been suggested that nevus cells originate from the epithelium or connective tissue. Currently, the prevailing view is that nevi are connected with melanocytes - pigment-forming cells of the basal layer, which are of neurogenic origin and arise from elements of the nerve sheath. This view to a certain extent explains the combination of skin nevi with malformations of the nervous system.

Congenital pigmented nevi occur, in addition to the skin, in the sclera and in the central nervous system. Pigmented nevi vary in size and sometimes spread over large areas of the skin. Sometimes nevus spots are located along the nerve (naevus linearis). The surface of the nevus can be smooth, rough or warty (naevus verrucosus). Hair growth (naevus pilosus) is often observed on pigmented birthmarks. A nevus pilaris can occupy large areas of the skin, which in such cases is significantly pigmented and covered with hair.

Pigmented nevi can also appear on the oral mucosa.

Prognosis of pigmented nevi

Signs of malignant degeneration of pigmented nevi are an increase in the size of the pigment spot, thickening and intensification of its color, and sometimes a decrease in pigmentation, the appearance of dense nodules (satellites) or pigment spots around the nevus on the surface, and enlargement of regional lymph nodes.

In most cases they do not require intervention. Removal is recommended when nevi are located in areas subject to constant irritation, or for cosmetic purposes, or, of course, in cases of incipient malignancy. In such cases, surgical excision or electroexcision is recommended with sufficient coverage of healthy tissue both in width by 1-2 cm and in depth. It is also advisable to use short-focus radiotherapy up to 5-6 Gy.

Small nevi with suspected malignant degeneration should first be subjected to short-focus radiotherapy; in the future, after the reactive phenomena have subsided, remove the remaining tumor surgically (excision) or electrical excision. For larger tumors, radiotherapy (7-8 Gy), radical removal of the tumor and regional lymph nodes are used.

When localizing pigment spots on the face, cryotherapy is used with a freezing exposure of 45-90 s.

Lentigo is a spot that is sharply defined, flat or slightly raised above the level of the surrounding skin, yellow-brown or dark brown in color. These spots may be solitary or scattered; More often they are observed on the face in adolescence. The development is usually benign.

Blue nevus (naevus cocrulens)- a formation of rounded outlines, slightly rising above the level of the skin, the size of a lentil or larger, blue or black in color. The consistency is usually soft. Blue nevi are most often located on the face and upper extremities.

Histologically, blue nevus consists of spindle-shaped melanoblasts with processes located in groups in the middle and lower parts of the dermis. Blue nevi are common and usually benign. The connection between blue nevus and melanoma is controversial. Most authors consider blue nevi as benign neoplasms that rarely develop into malignant melanomas.

Blue nevus with a calm course cannot be treated. When signs of malignancy appear, treatment is carried out in the same way as for malignant melanomas.

Angiomatous, or vascular, nevi are often observed in infants and older children. Although their origin is not clear, nevertheless, some facts may indicate their connection with the nervous system (location along the nerve trunks, combination with Recklinghausen’s disease and brain hemangiomas). Vascular nevi are usually flat.

Flat vascular nevi are spots like spilled wine (naevus flammens, n.vinosus), located on the face or on other areas of the skin and mucous membranes. The spots do not completely disappear when pressed, but only turn pale; exist from birth, without increasing in the future. The spots are the size of a coin, the palm of your hand, sometimes occupying half the face, and their color ranges from pale red to dark purple. Usually they do not rise above the surface of the skin, but are sometimes combined with hemangiomas. Congenital vascular nevi never disappear on their own.

A type of flat vascular nevus is stellate hemangioma (angioma stellatum), which looks like a small red nodule with vascular branches extending from it.

When treating flat, limited vascular nevi, cryodestruction is used, in some cases surgical excision, and for large nevi, skin grafting is necessary.

Randu-Osler disease- a congenital disease characterized by the presence of multiple telangiectasia and hemangiomas on the skin and mucous membranes. Bleeding from the nose, mouth, and stomach are very typical for this disease.

The disease begins in early childhood with bleeding from the mouth and nose. Subsequently, hemangiomas appear, especially on the mucous membrane of the mouth, on the face, and hands. Hemangiomas can also occur in internal organs (intestines, bronchi, etc.). Repeated bleeding from the mouth and nose causes secondary anemia.

Treatment boils down to removing individual hemangiomas, prescribing vitamins C and K, and calcium supplements. In case of repeated bleeding, blood transfusions are necessary.

Verrucous nevus (naevus verrucosus) represents single or multiple brownish plaques, covered with layers of horny masses. Sometimes papillary growths appear on the surface of the nevus.

Nevi can develop from skin glands, more often from sebaceous glands. In the latter cases, they are a plaque consisting of a cluster of nodules the size of a pinhead to a lentil, yellow or brownish-red in color. The plaque is localized on the scalp, on the cheeks, often symmetrically. The surface of the plaque is uneven, covered with grooves; there is hair growth on it, the consistency is soft. The plaque resembles a warty-pigmented nevus.

On histological examination, it is a cluster of enlarged sebaceous glands: there is papillomatosis, hyperkeratosis, rudimentary hair follicles, and dilation of blood vessels.

In the area of ​​the sebaceous nevus, basal cell or (less commonly) spinocellular carcinoma may occur.

Adenoma of the sebaceous glands (adenoma sebaceum) characterized by symmetrical rashes on the face in the area of ​​the cheeks, nose and chin of hemispherical nodules the size of a pinhead or larger. Their color ranges from yellowish to dark red.

These rashes can be detected at birth, but more often they appear during puberty and exist for a long time, without a tendency to develop back.

In addition to the described rashes, other nevoid formations are also observed - periungual fibromas.

When combined with tuberous sclerosis, this disease is called Pringle-Bourneville disease.

There are several types of sebaceous gland adenoma:

• Balzer type, in which enlargement and hypertrophy of the sebaceous glands are observed - white version;
• Pringle type (with pronounced vascular development) - red variety;
• Gallopo-Lereda type with a predominance of fibrous tissue of dense consistency.

Diathermo-coagulation, electrolysis or freezing carbonic acid with snow are used as therapeutic measures.

Cylindroma (Spiegler's tumor)- nevoid formation, characterized by multiple round dense tumors from a pinhead to several centimeters in diameter, located in groups. Frequent localization of cylindroma is the scalp, nose, cheeks, chin. Occurs in childhood, most often before 10 years of age, and has slow growth.

The cylinder can undergo mucous and hyaline degeneration.

Neurofibromatosis, neurinomatosis- Recklinghausen's disease, described by him in 1882. This disease is characterized mainly by the presence of pigment spots, tumors of the skin and nerve trunks.

The etiology and pathogenesis of this disease still remain unclear. Opinions are expressed in favor of the endocrine theory of the origin of this disease.

Most authors adhere to the dysontogenetic theory, which considers the development of neurofibromatosis as the result of a congenital lesion of the germ layer common to the skin and nervous system - the ectoderm. Trauma can play the role of a stimulating factor that has an irritating effect on embryonic cells - neurocytes. Neurofibromas develop from immature Schwann (lemmocytes) or endoneurial cells of mesodermal origin. A number of authors believe that neurofibromatosis should be classified as nevi.

The possibility of hereditary transmission of the disease and familial neurofibromatosis, sometimes observed in three or more generations, also to a certain extent speak in favor of a malformation of ecto- and mesoderm.

Skin pigment spots result from the accumulation of melanin in the basal layer of the epidermis. They are detected at birth or appear later and may be the only sign of this disease. The spots have a different appearance: small, scattered, resembling freckles, larger types of pigmented nevi and more extensive pigmentation. Their color is usually brown in various shades, from yellowish brown to dark brown; extensive spots covering large areas of the skin are the color of coffee with milk. As the organism grows, the number of spots increases; in old age it may decrease.

The usual localization of these spots is the skin of the torso, face and neck.

L.A. Durnov, G.V. Goldobenko

– these are dilated and inflamed veins of the rectum. This disease is a person’s retribution for walking upright and eating refined foods. In this article you will find out whether you can cure hemorrhoids yourself forever.

The main reason for the development of the pathological process is that the outflow of blood from the lower parts of the pelvis is not very good.

In addition, this disease very often develops in those people who stand for a very long time (for example, hairdressers and salesmen) or sit (truck drivers). The condition of the venous wall of the rectal vessels worsens sharply in people who lift weights (weightlifters, loaders).

Haemorrhoids

Predisposing factors:

1. Pregnancy.
2. Physical inactivity.
3. Insufficient dietary fiber intake.
4. Obesity.
5. Childbirth.

Clinical picture

Hemorrhoids usually begin with anal itching and pain in the rectal area. Then the person develops protruding nodes and bumps in the anal area. The act of defecation is accompanied by pain. After bowel movements, droplets of fresh blood are released from the anus. There may be mucus and pus discharge from the anus. Sometimes a person is bothered by a false urge to defecate, as well as a constant feeling that there is a foreign body in the rectum.

Treatment

Patients with the second and third stages of the disease, as a rule, turn to a specialist. But about 4% of patients come to see a proctologist when hemorrhoids are very advanced - at stage 4.

Is it possible to completely cure hemorrhoids? This It is quite possible when only the first signs of the disease appeared. However, there are certain difficulties in this. In most cases, the first stage of the pathological process is very rarely diagnosed due to the minimal manifestation of clinical symptoms.

Stages of hemorrhoids

The diagnosis of the initial stage can be made when examining the patient for other diseases.

If the pathological process has started, then it is quite difficult to stop and a person must take all possible measures to ensure that hemorrhoids do not progress in the future. Is hemorrhoids completely curable?

Diet and lifestyle

A healthy lifestyle and a healthy diet are key to preventing and treating hemorrhoidal disease for good. Regular exercise stimulates intestinal motility and reduces the likelihood of constipation. Physical activity reduces congestion and helps enrich organs and tissues with oxygen.

A person should go to the toilet as soon as he feels the urge, but should not sit on the toilet for too long. This will help avoid straining during bowel movements and thus will not create increased pressure in the lower rectal area.

It is best to avoid unnecessary use of laxatives and it is best to consume foods high in fiber.

If you adhere to these principles, you can get rid of hemorrhoids forever.

You need to reconsider your diet. Include more fruits and vegetables. Eating spicy food is one of the causes of hemorrhoidal cones and nodes. With this disease, you should not overly salt or pepper your food. Because excess salt can cause fluid retention in the body and subsequently lead to swelling of the veins.

In addition, you should limit or avoid drinking caffeine-containing drinks such as tea, coffee, and alcohol. For regular and soft bowel movements You need to drink at least 8 glasses of liquid per day.

Medicines

You should not self-medicate; you should consult a doctor when the first symptoms of the disease appear. Only a proctologist can give recommendations on how to cure hemorrhoids once and for all.

And for hemorrhoids they help reduce swelling and redness around the anus. Some of these medications contain the hormone hydrocortisone, hazel and some other active ingredients that are effective in reducing itching and pain in the anal area. But they often give only a short-term effect without following a diet.

These medications do not completely cure the disease, but they help reduce clinical symptoms, and often have only a short-term effect without diet. It is recommended not to use these drugs in treatment for more than seven days. Using these medications topically for more than a week can thin the skin of the rectal area and cause more irritation around the anus.

For hemorrhoidal disease, suppositories are used, Proctosan, Natalsid, Proctoglivenol. But they cannot completely cure this disease. Therapy should be comprehensive and aimed at all stages of pathogenesis.

For hemorrhoidal disease, venotonics are prescribed: Phlebodia And Venarus. They improve the condition of the venous wall and are a good remedy for the treatment of internal hemorrhoids.

Corticosteroids are prescribed for hemorrhoidal disease to reduce pain as well as inflammation. Laxatives help relieve constipation. If the underlying cause of a patient's hemorrhoids is chronic constipation, the doctor may prescribe a laxative to treat the condition.

ethnoscience

Many people are interested in the question of whether hemorrhoids can be cured. There are several simple recipes that help cope with this disease. For example, fresh rose petals must be crushed and then mixed with 50 ml of boiled milk. This mixture should be taken for 3 days on an empty stomach. This is a very good remedy for bleeding lumps and nodes in hemorrhoidal disease.

Ice

If you are looking for instant relief from hemorrhoidal pain, be sure to try an ice pack. This is a fairly simple and cheap method, but very effective. It will help constrict blood vessels and reduce swelling.

Ice is a remedy that will stop the pain in a matter of seconds. Use a regular ice pack or place a piece of ice in a cloth, then place it directly on the affected area for 10 minutes. Do this as often as you need or until the hemorrhoidal lumps and nodes disappear.

Almond oil

Almond oil is deeply absorbed into the tissues and skin, so it works best for the external type of hemorrhoidal disease. Dip a cotton ball in almond oil and apply it directly to the affected area three or more times a day. This will help not only lubricate, but also moisturize the anal sphincter, as well as reduce inflammation in this delicate area.

Aloe vera

Aloe Vera is one of the best remedies for treating hemorrhoidal disease.

This is perhaps one of the best methods of treating hemorrhoidal disease. Aloe vera gel contains natural anti-inflammatory and therapeutic compounds that reduce irritation around the anus.

For the treatment of external hemorrhoids simply apply aloe vera gel on a cotton swab directly to the bumps and nodes. This will help stop itching and burning, and significantly relieve pain. Repeat this as often as necessary throughout the day and continue this treatment for several days until the hemorrhoidal veins shrink.

For the treatment of internal hemorrhoids Carefully cut the aloe vera leaf into thin strips. Be sure to cut off the prickly parts on the leaf. Place these slices in a container and place them in the freezer for one hour. Take this frozen aloe vera strip and apply it to your hemorrhoids.

Apple vinegar

Apple cider vinegar contains powerful astringent compounds that constrict blood vessels and relieve irritation, itching and swelling of hemorrhoids. For best results, always use unfiltered, unpasteurized apple cider vinegar.

For internal hemorrhoids, you need to add one teaspoon of apple cider vinegar to one glass of water and drink it twice a day. Add a little honey to this drink if you find it too sour.

Apple cider vinegar - a remedy for treating hemorrhoids at home

For external hemorrhoids, soak a cotton ball in apple cider vinegar and apply it to the hemorrhoidal veins and nodes for a few minutes. You will feel a tingling and slight burning sensation, but soon after there will be relief from the itching and burning. Do this as often as needed to relieve hemorrhoid symptoms.

Conclusion

There are many recipes on how to cure internal hemorrhoids forever. But, unfortunately, they only work in combination, and there is no separate universal remedy that can cure hemorrhoids for life. If you apply all the doctor’s recommendations in combination, then in this case you can cope with the disease and not think about it anymore.

No wonder it is believed that hemorrhoids are a person’s retribution for walking upright. Due to the peculiarities of our physiology, the outflow of venous blood from the lower parts of the body does not occur very well. In addition, the appearance of this disease is often due to a specific lifestyle. That is why hemorrhoids (patient reviews confirm this) are a frequent companion for those who, due to their professional duties, stand for a long time (hairdressers, salesmen), sit (drivers, programmers) or often lift weights (weight lifters, loaders). Factors that provoke this disease can be the following: pregnancy, unbalanced diet, physical inactivity, childbirth. We can say that the majority of the inhabitants of our planet are at risk.

Contact a specialist

Do you suspect that you have hemorrhoids? Which doctor should I contact for a correct diagnosis? Visit a proctologist. The reasons for visiting this specialist are the following symptoms:

• sensation of anal itching and pain in the anal area;
• protruding nodes and tumors in the anal area;
• blood in the stool;
• mucus, pus, blood and other discharge from the anus;
• false urge to defecate;
• sensation that there is a foreign body in the anus.

If you are suffering from hemorrhoids, we have considered which doctor to contact. Now let's take a closer look at describing the stages of this problem.

Degrees of the disease

Like most ailments, hemorrhoids develop gradually. At first, a person feels discomfort and a slight burning sensation in the anus, after which he begins to increasingly observe bloody inclusions in the stool, and then the most unpleasant thing comes - the prolapse of hemorrhoidal cones from the rectum. Let's look at the four main stages of the disease:

• At the first, internal nodes are formed. They are almost impossible to feel, and they do not cause discomfort. The initial stage of hemorrhoids is characterized by only occasional itching.
• In the second stage, the anus itches more and more often. This is due to irritation caused by inflammatory fluid coming from the rectum. The nodes periodically fall out. Another sign is traces of blood on your underwear.
• At the third stage, all the symptoms listed above worsen. Now itching, discharge, and loss of nodes are observed not only after bowel movements, but also from physical activity, be it squats, lifting a heavy bag, etc.
• At the fourth stage, the nodes, like clusters, fall out of the rectum and bleed almost constantly.

As a rule, many patients turn to a specialist when the disease reaches the second or third stage of its development. However, according to medical statistics, about four percent of people suffering from hemorrhoids go to the doctor with the disease advanced to stage 4.

Features of therapy

How to cure hemorrhoids forever? It’s time to think about this at the first sign of a delicate problem. However, there are difficulties here. Thus, the initial stage of hemorrhoids is difficult to recognize. In most cases, it is diagnosed purely by chance when the patient is being tested for other reasons. At the first stage, further development of the disease can be avoided. To eliminate the problem, you just need to reconsider your diet and start leading a more active lifestyle. The absence of hot and spicy foods in the diet and abstaining from excessive physical activity will help solve the problem of how to cure hemorrhoids forever.

Elimination of the disease in its second stage can be entrusted to traditional medicine.

At the third stage of hemorrhoids, the “green pharmacy” should be supplemented with medications in the form of suppositories, tablets, and ointments. In addition, the proctologist may recommend removal of hemorrhoids through surgery.

The fourth stage of the disease is characterized not only by the loss of nodes. The disease can be complicated by necrosis, thrombosis, bleeding, anemia and even rectal cancer. Any conservative treatment at this stage will not be beneficial. Only surgical intervention will help get rid of the problem.

Laser Application

How to cure hemorrhoids forever with the help of the most modern advances? Doctors advise eliminating the disease with a laser. This device will also heal cracks in the anus. The outer node is simply cut off. The bleeding stops immediately, as the laser seals the vessels and restores their integrity. Internal nodes are eliminated in a slightly different way: they are burned out. At the same time, problem areas are reduced in size, and connective tissue is formed at the site of laser exposure. Among the advantages of laser treatment are the following:

• possibility of using local anesthesia and painlessness;
• the operation lasts only fifteen minutes;
• you can remove both internal and external nodes;
• no scars are formed after the procedure;
• Treatment is performed on an outpatient basis, there is no recovery period.

The only drawback is the high cost of therapy. However, everything is relative. If you calculate how much you will have to spend on purchasing numerous ointments, creams, suppositories, etc., you will understand that removing hemorrhoids is not that expensive. Prices for different types of services are indicated in US dollars:

• Consultation with a specialist - 20.
• Video anoscopy - 35-40.
• Sigmoidoscopy - 35.
• Removing an external node (one) - 200, several (no more than four) - 600.
• Removing an internal node (one) - 200, several (no more than 4) - 1000.
• Thrombectomy (removal of blood clots) - 250.

Additional costs include anesthesia. The need for its use is decided with the patient individually.

We fix the problem ourselves

As noted above, if you have hemorrhoids, home treatment should be done only at the initial stage of the disease. Be sure to coordinate your therapy with your doctor. If your condition worsens at the slightest level, stop the procedures and contact a specialist! So, let's look at how to cure hemorrhoids forever.

Aspen

Collect one hundred grams of the bark of this tree, or even better, the buds. The optimal time for this is spring, when sap flow begins. Fill the existing raw materials with a liter of seventy percent alcohol. Infuse for several weeks and take a teaspoon three times a day for 30 minutes. before meals. The duration of one treatment course is a month. Then take a ten-day break. It is recommended to take two more of these courses.

Milk and iron ore (verbena officinalis)

As some patients note, this remedy helped them get rid of hemorrhoids for many years. Divide a small bunch of iron ore into five parts, take one of them. Pour a liter of milk over the grass. Boil the mixture briefly (five minutes maximum). Let it brew for half an hour and drink within a day. One course lasts two weeks, then you should take a break of twenty days and repeat the treatment if necessary.

Potato

This root vegetable can quickly restore the intestinal mucosa, reduce knots and heal cracks. It can be used in two ways:

• Potato suppositories for hemorrhoids. Reviews from those who have overcome the disease note the effectiveness of this method. The disease will go away quickly, the main thing is to follow certain recommendations. So, a candle should be placed immediately after a bowel movement. After this, it is recommended to lie down for a while (at least fifteen minutes).
• Grate the potatoes and make compresses from the resulting mass. It is necessary to apply them to problem areas (knots) and fix them with adhesive tape. For best results, you should take a horizontal position for 15-20 minutes. Repeat regularly until the problem disappears

Rosin and oil

Heat one and a half glasses of vegetable oil and add rosin in the amount of two tablespoons. Stir until the second component is completely dissolved. As noted by those cured using this method, the most effective option is to insert tampons thoroughly soaked in this remedy into the anus.

Dill flowers

Collect half a glass of this raw material. Grind, add one egg and a little bread crumb. Stir thoroughly until smooth. Divide into three parts and eat the day before, chewing thoroughly. The standard course is seven days. Judging by the reviews, the product is very effective.

Carrot tea

Take the tops of three root vegetables and pour a liter of boiling water over them. Leave overnight. Drink one glass up to three times a day. Some people suffering from hemorrhoids have been helped by a three-day course of sitz baths with the addition of an infusion of tops. It is recommended to do this procedure before going to bed.

The healing properties of salt

Regular baths will help in the fight against the disease. To prepare them, dilute about five grams of sea salt in a liter of water. Pour the resulting warm solution into a basin and sit in it for twenty minutes. When performing this procedure 2-3 times a day, the itching will disappear immediately, the pain will go away in about a day. After a few days, as those who have recovered note, the swelling subsides, and after a week the problem goes away completely.

Read more about the fight against internal hemorrhoids

It is important to combine the use of folk recipes in eliminating this disease with the methods of official medicine. In this case, not only temporary relief, but also complete recovery will quickly come.

Stone berry

Thanks to this gift of nature, you can get rid of the disease within a few months.

Melt water

Pour clean water into a half-liter jar and place a silver spoon in it. Keep the liquid in a dark place for ten to twelve hours. Then pour it into molds and place in the freezer. In the morning on an empty stomach, drink two hundred milliliters of melt water. The course of treatment should last at least two and a half months.

Rowan

The juice from the berries of this plant helps get rid of internal hemorrhoids. It effectively stops bleeding. Dilute the juice with water 1:1 and drink fifty milliliters before each meal (up to four times a day). If desired, add honey to it.

As we noted, if you are suffering from internal hemorrhoids, combine treatment with folk remedies with the use of pharmaceuticals. Let's look at some medications in more detail.

The drug "Detralex" for hemorrhoids. Features of use and reviews

The indicated remedy is venoprotective. It improves the tone of the vascular walls. The drug is produced in France. Thanks to capsules or tablets, swelling and pain are reduced (the effect is achieved due to improved outflow of lymphatic fluid).

In those taking Detralex, blood clots dissolve, since its active components reduce the ability of leukocytes to attach to epithelial cells in areas of venous stagnation. Another undoubted advantage of the drug is its rapid therapeutic effect. Patient reviews contain information that relief occurs within twelve to fifteen hours after starting to use the drug Detralex. Since most of the active ingredients are presented in micronized rather than crystalline form, the drug is more actively absorbed and reaches the problem area faster.

The main active ingredients are diosmin and hesperidin. They are flavonoid extracts from raw materials of plant origin. This is why the medication is not capable of causing serious harm to the body. However, when using it, it is important to follow all doctor's recommendations.

Reception features

The starting dose is two tablets twice a day. The recommended interval is twelve hours. It is best to take the medicine with breakfast and dinner. Taking the drug with food increases its concentration in the bloodstream.

If there is an exacerbation of hemorrhoids, the drug "Detralex" is used as follows:

• On the first to fourth days from the onset of the disease, take 2 tablets three times with meals (usually breakfast, lunch and dinner).
• On the fifth to seventh day, take the same number of tablets, but twice a day (during breakfast and dinner).
• After the exacerbation is relieved, they switch to a single dose of two tablets with breakfast for two to three months.

As noted by those who have used the drug Detralex, you may experience side effects such as sleep disturbances, headaches, dizziness, diarrhea or constipation, false vomiting and increased excitability. The cost of the medication in question is approximately one and a half thousand rubles for sixty tablets. The price is rather high, but it is quite justified.

Alternative Treatment Option

Rectal suppositories work well for hemorrhoids. This is one of the popular methods of conservative treatment. The medication in this form naturally melts after entering the anus. Consequently, a local effect is produced on problem areas. This type of treatment is effective at the initial stage of the disease.

It is noteworthy that candles are allowed for pregnant women. You should entrust the choice of drug to a gynecologist. The specialist will determine which medication will not harm either the expectant mother or the fetus. Breastfeeding is also not a contraindication to the use of suppositories for hemorrhoids.

If, as a result of the development of the disease, cracks appear and blood loss is observed, it is recommended to use special suppositories. They include adrenaline and thrombin. These active ingredients can anesthetize and stop bleeding. The most popular drug for this problem is Hepatrombin. Let's list what other suppositories are used for hemorrhoids (the price is indicated in Russian rubles):

• Candles with belladonna. With their help, you can eliminate the disease in question and quickly relieve pain in the problem area. It is noteworthy that the extract of this plant is included in many remedies for hemorrhoids. Average cost - 15.5 rubles.
• Candles with adrenaline. Such medications stop bleeding and relieve pain. They are not prescribed to elderly patients, since the main active ingredient can cause increased blood pressure. Price - 22 rub.
• Glycerin. Heal wounds and cracks, soften anal muscles stretched after bowel movement. In addition, they fight constipation. Price - 50 rub.
• Methyluracil. Eliminate inflammation and cracks in the anus. The most common drug of this type is Posterizan. It will cost 160 rubles.
• Painkillers. Such medications include analgesics that provide relief from discomfort. Judging by the reviews, the most effective drug is Anestezol (forty rubles for ten suppositories).
• Suppositories for internal hemorrhoids. The disease, which has passed into the second stage, can also be treated conservatively. The main thing is not to delay treatment, and within a month most symptoms will disappear. The most effective drug is “Relief”. It will get rid of hemorrhoids in 5-6 weeks. The cost of one package (twelve suppositories) is 300 rubles.
• Candles for young mothers. After pushing during childbirth, hemorrhoids may form. They may not adjust on their own. In this scenario, it is recommended to start treatment with Natalsid as early as possible. There are no hormones in such suppositories, so they are completely safe for both mother and newborn.
• Medicine "Proctoglivenol". The active ingredients are lidocaine and tribendide. The latter reduces capillary permeability, activates blood microcirculation and relieves inflammation. Lidocaine numbs the anal area.

Effective ointments

A good ointment for hemorrhoids (reviews from those who have recovered confirm this) can be purchased at a pharmacy without a prescription, but only after consultation with a specialist. Here is a list of the most common domestic drugs:

• Heparin ointment. Kills pathogenic bacteria. Helps to forget about external hemorrhoids. Excellent fight against hematoma formations. Not contraindicated during pregnancy and breastfeeding.
• Vishnevsky ointment. It is also effective for the external form of the disease. Treatment with this remedy should be started only after a three-day course of lotions based on a solution of potassium permanganate (they are applied to hemorrhoids). It is best to apply a compress with ointment at night so that it affects the problem area for twelve hours. As noted in the reviews, the disease recedes within a few days, provided that compresses are regularly applied.
• Ointment "Levomekol". It is especially often prescribed after childbirth. The drug is freely used to treat children, pregnant women and the elderly.

Conclusion

Hemorrhoids are a delicate and by no means harmless disease. If you do not eliminate it, you may eventually encounter problems of an oncological nature. Take your health seriously.

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Urgent treatment of hemorrhoids

Before considering quick and effective methods for treating acute hemorrhoids, it is necessary to find out what types of diseases there are:

1. Thrombosis without inflammation. The dropped nodes are small in size. Slight swelling, burning and itching during bowel movements are diagnosed.
2. Inflammation of hemorrhoidal cones. Pain occurs both with movement and at rest.
3. The inflammation affected the area around the anus. It is characterized by pronounced swelling of the anus; tissue necrosis is observed on the hemorrhoids.
4. Thrombosis and inflammation of subcutaneous tissue. The patient develops a fever and develops a fever.

Treatment of hemorrhoids in each of the above stages is carried out differently. The more serious the disease, the more likely it is that initial therapy will be aimed at quickly and, most importantly, effectively suppressing the main symptoms and reducing the inflammatory process. In the final stages, treatment for hemorrhoids lasts more than one day. Therapy sessions may be required, during which medications are taken to suppress infections. In case of extensive bleeding, the most effective method is urgent hospitalization.

At home, quick treatment of hemorrhoids is possible by taking painkillers that have a wide spectrum of action. Analgesics are effective in treating inflammation of nodes. Medicines that can quickly eliminate pain include Nise, Diclofenac and Ketonal.

To overcome the subjective unpleasant sensations that arise from a disease in the perianal area, you can apply ice cubes to the affected area. This is a remedy that can relieve pain in 1 session. However, treating hemorrhoids in this way is not only quick, but also dangerous, since there is a risk of hypothermia, which will intensify the inflammatory process.

If the lump falls out and there is no tissue necrosis, then it can be inserted into the rectum yourself. True, before this it is necessary to lubricate the surface with syntomycin emulsion or Levomekol.

For quick and effective treatment of acute hemorrhoids, doctors prescribe drugs such as Proctodesil, Detralex, Posterizan. Such tablets can relieve pain and reduce inflammation. Along the way, they quite effectively strengthen the walls of blood vessels located in the rectum and improve blood flow.

Quick relief during bowel movements is achieved through the use of Duphalac and Senade. Aspirin, Warfarin and Heparin are used to prevent the formation of blood clots that occur with hemorrhoids. These medications begin to work within one hour of administration.

Treatment also involves taking a 10% calcium chloride solution three times a day before meals. It relatively quickly stops heavy bleeding from the rectum.

In addition, in the treatment of hemorrhoids, local medications are used to effectively combat pain. These include ointments and suppositories Proctosan, Relief and others. One session is enough to relieve pain using rectal medications.

Effective treatment for hemorrhoids

It is important to note that treatment of chronic hemorrhoids can last more than one day. Several therapy sessions will be required, so you cannot expect a quick result, no matter how effective the chosen method may seem.

The most effective remedy in this case will be the one that can relieve pain. Moreover, it should get rid of problems quickly enough. At the same time, the effectiveness of the drug is determined not only by its composition, but also by the individual characteristics of the patient. Accordingly, it may take several sessions to cure the main symptom of hemorrhoids.

Effective therapy for this form of the disease involves the use of rectal suppositories. The medicinal components of such drugs very quickly penetrate through the tissues into the blood vessels. In case of exacerbation of hemorrhoids, it is recommended to treat it with Proctosan, Relief Ultra, Natalsid and other suppositories. The most effective drug that has a quick effect on the body can only be prescribed by a doctor. Typically, such remedies are used once a day before bedtime. Most likely, several sessions will be required.

If an external form of hemorrhoids is diagnosed, then heparin ointment, Bezornil, Aurobin, Troxevasin and others are used as effective drugs to quickly eliminate the symptoms of the disease. The dosage, as well as the number of sessions, is determined by the doctor. Typically, to have an effect, you will need to apply the selected ointment to the affected area several times throughout the day.

A combination of local remedies with appropriate tablets allows you to quickly relieve pain. This treatment allows you to effectively and, most importantly, relieve the main symptoms of the disease in one day. Rapid recovery occurs due to the fact that the tablets enhance the effect of local drugs.

If the effectiveness of all the above methods is low, one of the following procedures is prescribed:

• Introduction of suppositories containing adrenaline. This hormone can cure even severe hemorrhoids.
• Injection of novocaine into the sacrum area. Effectively and quickly relieves pain.

How to quickly cure hemorrhoids with surgery?

Surgery for hemorrhoids is prescribed in cases where venous bleeding does not stop, there is thrombosis, the fourth stage of the disease or chronic paraproctitis. Also, this method of treatment can be resorted to if polyps are diagnosed in the anal canal.

Surgical intervention is a highly effective method of treating hemorrhoids, which makes it possible to rid the patient of the disease within a day. It involves the introduction of a sclerosing drug into the affected part of the rectum, which initiates hemostasis (stopping bleeding), transforming blood vessels, and relieves inflammation. In addition, laser correction is possible, the procedure of which is similar to sclerotherapy.

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Causes of inflammation:

• Poor nutrition;
• Great physical activity;
• Intestinal dysfunction;
• Physical inactivity.

Poor nutrition. If the basis of the patient’s diet is fatty, spicy foods or semi-finished products, then until he begins to consume cereals, vegetables and fruits, it makes no sense to talk about quick and effective treatment of hemorrhoids. Due to “harmful” foods, blood stagnation will form in the pelvis, which will aggravate the inflammation of hemorrhoids.

Great physical activity are one of the main reasons for the loss of inflamed nodes from the anal canal. Therefore, during this disease, lifting heavy objects is contraindicated, which allows you to reduce the amount of blood entering the pelvic organs and avoid increasing pressure in the abdominal cavity.

Intestinal dysfunction leads not only to frequent constipation, but also impairs blood flow in the walls of the rectum. This is especially true for constipation, when compacted feces, putting pressure on the intestinal mucosa, disrupt its blood circulation, which over time becomes the cause of various microtraumas and cracks. Therefore, if you do not get rid of constipation due to inflammation of the nodes, it is not possible to talk about a quick recovery.

Physical inactivity will also contribute to stagnation of blood in the pelvic organs, therefore, until a person begins to move more, all measures taken by the doctor will be ineffective.

How to quickly treat hemorrhoids?

Strange as it may seem, but with the help of modern minimally invasive methods, you can get rid of hemorrhoids much faster than using conservative treatment methods.

And this is not surprising, conservative therapy lasts on average about 30-40 days, and minimally invasive techniques such as doping, infrared coagulation, sclerotherapy or cryotherapy last only a few minutes. Rehabilitation after such interventions is not required; recovery itself usually occurs within 1 week, while the symptoms of the disease usually disappear after 4-5 days.

As for advertisements of miracle cures or latest techniques available only in certain private centers, which talk about curing hemorrhoids in one day, this is a common ploy. Modern medicine does not have the ability to treat hemorrhoids in 1 day. Even the listed minimally invasive methods require several visits to the doctor, since more than 2-3 nodes in one intervention will lead the patient to severe pain.

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MAIN CAUSES OF HEMORRHOIDS:

Sedentary, sedentary lifestyle.
Eating food with a low content of vegetable coarse fiber and water. The basis of the diet of a resident of a modern metropolis is protein, carbohydrate foods, and, to a lesser extent, vegetables and fruits rich in this same fiber. Fiber swells in the intestines only in the presence of water, increasing the volume of stool, making stool softer and more voluminous.
Consumption of spicy, fried, pickled, smoked foods and alcohol. This increases blood flow to the pelvic organs, including the rectum and anus, exacerbating congestion.
Chronic constipation.
Heavy physical activity. Those who actively work out in the gym, performing strength exercises with a barbell (for example, squats with a barbell, deadlift, etc.), significantly increase blood flow to the pelvic organs, creating excellent conditions for blood stagnation and the formation of hemorrhoids or progression of the existing one. On the contrary, running, swimming, skiing, i.e. active sports, inhibit the development of hemorrhoids
Pregnancy, childbirth.

SYMPTOMS OF HEMORRHOIDS:

Bleeding . From minimal manifestations in the form of blood stains on toilet paper, feces, to copious discharge of scarlet blood during stool, which in some cases can lead to the need for hospitalization in a surgical hospital and immediate surgery.

Appearance of swelling (protrusions, nodes) in the anus. It is necessary to distinguish true hemorrhoids from some formations found in this area, which the patient may confuse with hemorrhoids. In any case, a proctologist will help you make the correct diagnosis. These may be anal fimbriae, which are small folds of skin in the anus, usually do not cause any concern, occasionally causing slight itching and discomfort. They are not dangerous and, as a rule, do not require surgical treatment. There may also be genital warts - these are single or multiple small growths that form on the skin in the anus as a result of infection with the human papillomavirus. Sometimes prolapse of a segment of the rectum occurs, when the rectal mucosa, during physical exertion, or when straining during stool, protrudes in the form of a rather voluminous fragment of a pale pink color.

Itching and discomfort in the anus occurs due to irritation of the skin in the anus by prolapsed hemorrhoids.

Pain during or at the end of stool due to an anal fissure that often accompanies hemorrhoids, or due to a hemorrhoidal node complicated by thrombosis

TREATMENT OF HEMORRHOIDS

Before starting treatment for hemorrhoids, it is necessary to consult with a doctor to determine for sure that the cause of the symptoms (bleeding, pain, etc.) is hemorrhoids and not other diseases of the rectum.

I would like to immediately note that there are no treatment methods that would guarantee 100% relief from hemorrhoids for life. Even after radical (surgical) treatment, there is a possibility of relapse of the disease in the long term (after 5-10 years), and according to various studies, 10-20%.

Now, due to the development of commercial medicine, many medical centers offer a wide variety, and of course everyone talks about the latest, unique methods for getting rid of hemorrhoids. Naturally, it is impossible for a person who is not a doctor to understand from all the variety which method of treatment is right for him. Before laying out your “hard earned money”, we advise you to monitor the prices for a particular technique, since often under the pretext of uniqueness (for example, “getting rid of hemorrhoids with a laser”) there may be a common technique widely used by proctologists, and the prices for this “ miracle technique" may be greatly overestimated.

Below we will briefly describe all the modern methods of treating hemorrhoids that exist today. And if you read in an advertisement about a technique that is not included in this list, then the likelihood that this is a scam is very high.

To begin with, let us recall that there is chronic course of hemorrhoids with characteristic complaints - periodic bleeding, itching, discomfort in the anus, prolapse of nodes, and exacerbation of hemorrhoids (or acute hemorrhoids), which is characterized by the following complaints - the appearance of painful “bumps” on the outside, which occur due to inflammatory swelling of the hemorrhoids or thrombosis or a combination thereof.

Treatment of acute hemorrhoids

As a rule, exacerbation of hemorrhoids (or acute hemorrhoids) is the most common reason for visiting a proctologist and, with proper treatment, usually goes away in 7-10 days.

I would like to mention that we had to communicate with patients who paid 60-100 rubles for the treatment of acute hemorrhoids. (!!!) in some commercial clinics.
During the acute period, no radical (getting rid of the disease itself) methods should be used, although in practice we have repeatedly witnessed the opposite, when unscrupulous doctors performed those operations that are used only after the inflammation has subsided, during the “cold” period. It is clear that the healing process in such patients was delayed for a long time, and the result of treatment was often unsatisfactory, complications often developed.
You need to understand that the goal of treatment for acute hemorrhoids is to relieve swelling, resorption, or, in extreme cases, remove blood clots from the nodes (thrombectomy) - a quick and painless procedure, very simple, and therefore inexpensive, which is performed under local anesthesia on an outpatient basis. With this procedure, after incising the mucous membrane of a thrombosed node, the thrombus is evacuated through a small incision, the node itself subsides and the person feels relief.
To relieve swelling, inflammation, reduce pain and similar clinical manifestations of acute hemorrhoids, local treatment is traditionally used in the form of various anti-inflammatory suppositories, ointments, phlebotropic drugs, sitz baths (light pink solution of potassium permanganate, chamomile decoction, calendula). We will not dwell on specific drugs and their trade names, but will only say that each of them has its own characteristics, and a proctologist will select the drug you need.
And please do not follow the advice of a pharmacy seller, or a friend, colleague, etc., who does not know your specific situation; at best, you will waste money on useless treatment; at worst, complications may arise. How confident are you that you are treating hemorrhoids? What if it’s not hemorrhoids? This often happened in our practice. It is always better to contact a proctologist and get professional advice.
Sometimes we have to communicate with patients who were treated with various folk remedies. Indeed, such medicine in its arsenal has a lot of good recipes for treating exacerbations of hemorrhoids. Practice shows that traditional medicine copes well with many diseases, providing an alternative to traditional drug therapy and even surgical methods. We will not describe them in detail, there are quite a lot of them, you can find them on the Internet. These are a variety of herbal preparations for internal use, baths, lotions, enemas, suppositories. In short, a whole collection for every, even the most fastidious taste. The main thing here is accessibility, simplicity, low cost, but not always efficiency. The only thing is, don’t be fooled, but think about it if the pharmacy offers you to buy a “certain” superdrug based on homeopathy, Chinese, Tibetan, etc. medicine. As a rule, if this drug were really as effective as the advertisement promises, it would already be sold in every pharmacy.
Hirudotherapy (i.e. treatment with leeches) is also a good remedy for treating thrombosis of hemorrhoids. The main active substance isolated from leech saliva (hirudin) has now had its synthetic analogues for a long time. Therefore, it seems to us that it is easier to buy, for example, Hepatrombin G ointment in a regular pharmacy and use it, than to deal with leeches, and the cost of this treatment is considerable, it is not indicated for everyone, the development of various complications, sometimes allergic reactions, is possible.

Treatment of chronic hemorrhoids

All of the above conservative methods, which are really effective in treating exacerbation of hemorrhoids, are non-radical when applied to chronic hemorrhoids. You can at least coat the entire “fifth point” with ointments, buy the entire arsenal of anti-hemorrhoid suppositories, irradiate with lasers, apply leeches, etc., and get a good effect, but this effect will be temporary. Conservative methods cannot reduce already enlarged hemorrhoids.

To solve this problem, a group of minimally invasive methods for the treatment of chronic hemorrhoids has now become of particular interest. Their use does not require hospitalization and is carried out in most cases on an outpatient basis. It's worth mentioning that These techniques are effective only in the early stages of hemorrhoids.

1. Ligation of internal hemorrhoids with latex rings. One of the most popular methods for treating hemorrhoids in the early stages. Using a special device, a latex ring is placed on the stem of the hemorrhoid. As a result, the blood flow to the node stops, which causes its necrosis (death). After 7-12 days, the hemorrhoidal node is rejected and comes out together with the ring during stool. Ligation of up to 2 nodes is carried out in one session. After ligation, drug treatment (diet, anti-inflammatory suppositories, ointments, phlebotropic drugs) is necessary for a week. Ligation is not indicated for all patients with chronic hemorrhoids. In particular, its use will be justified in a patient with internal hemorrhoids, but in the presence of large external nodes it is contraindicated.

2. Sclerotherapy It is also used in the early stages (stages I and II of hemorrhoids), as well as in some cases to stop bleeding. The method consists of introducing a special sclerosing drug (thrombovar, ethoxysclerol, fibrovein) into the hemorrhoidal node, which glues the vascular structures and leads to blocking blood flow in the node. There is a decrease in the size of the hemorrhoidal node and its subsequent atrophy. We rarely use it. The treatment results and indications for the use of sclerotherapy and latex ligation are the same. But the use of sclerotherapy is associated with a large number of complications and is technically more complex.

3. The next treatment method is infrared coagulation. Gives good results in the treatment of hemorrhoids also in the initial stages (I-II). Using a special device that produces an infrared focused beam, 3-5 points are applied to each hemorrhoid. As a result, the vascular pedicle of the hemorrhoidal node is “welded,” and the node itself “shrinks” somewhat. Depending on the stage of hemorrhoids, from one to 4-6 sessions of infrared coagulation are performed. From 1 to 3 hemorrhoids are subjected to photocoagulation. The method is easy to perform, safe and quite effective. Treatment occurs on an outpatient basis. The method is good, but has narrower indications for use than latex ligation.

4. Radio wave method(using the Surgitron apparatus) is a method of cutting and coagulating soft tissues using high-frequency radio waves generated by a special apparatus. This method, like infrared photocoagulation, is often advertised by some commercial clinics as “laser treatment for hemorrhoids.” In this case, there is no direct contact of the electrode with the tissues (no pressure or manual influence), and the electrode itself does not heat up. The use of this method avoids mechanical destruction of cells and necrosis of surrounding layers. Among the advantages of the method: the possibility of carrying out the procedure on an outpatient basis, speed and low pain, rapid wound healing.

5. Desarterization of hemorrhoids (HAL), and also d Esarterization of hemorrhoids in combination with the so-called lifting(i.e., with the help of a special suture, the nodes are tightened, returning to their physiological position (HAL-RAR). With this technique, the hemorrhoids themselves are not removed, only the vessels that bring blood to them are sutured, which leads to “emptying” or a significant reduction of the hemorrhoids. Equipment manufacturers and authors of the method provide very broad indications for use and excellent results, even with advanced stages of hemorrhoids. Patients who have read about this technology on the Internet often come to us and insist that they be treated with the disarterization method. At the same time, the patient gives his arguments, says that “the technique is the most modern, painless, the best, etc.” In our Center, the technique began to be used in 2009 and our own experience (more than 1000 similar operations) did not show 100% ideal results, especially in patients with advanced stages of hemorrhoids (stages 3 and 4). In our center, the indications for this type of treatment for hemorrhoids in “advanced” patients are somewhat narrowed for a number of reasons, although disarterization meets the basic “wishes” of patients: it is painless, technically uncomplicated and relatively inexpensive, and quite effective. But since other minimally invasive technologies have a fairly high relapse rate, and traditional surgery is very painful, this method can be considered a profitable alternative.
In some clinics that advertise the method, it is prescribed to everyone without any clear indications, even to those who have rare and short-term relapses of hemorrhoids, who have predominantly external hemorrhoids. This is the wrong approach. There are strictly defined indications and contraindications for disarterization; it is necessary to take a selective approach to this method, which will ultimately reduce the number of unnecessary and unsuccessful operations. An individual approach to the patient, a thorough examination, and the selection of optimal treatment methods make it possible to achieve recovery in the shortest possible time with maximum efficiency.

Domestic apparatus for disarterization Angiodin-Procto (BIOSS).

Austrian apparatus for disarterization AMI.

The essence of disarterization:

This operation involves ligating all the arteries that supply blood to the hemorrhoids. It is performed by inserting a special instrument through the anus. With this technology, absolutely all vascular branches that participate in the blood supply to hemorrhoids are ligated (as a rule, a total of 5-6 vascular branches approach the nodes). After ligation, the nodes, deprived of blood flow, collapse and are subsequently replaced by connective tissue. The blood supply to the nodes is not restored - this is the radicalism of the operation.
Disarterization technique: The operation is carried out under intravenous sedation(medicated sleep) or spinal anesthesia(injection into the lumbar spine). A disposable anoscope with an ultrasonic sensor is inserted into the anal canal; after arterial vessels are detected, the latter are sutured with a special instrument with an absorbable thread. All arteries (both large and small) must be ligated to avoid relapse of the disease. Desarterization lasts about 15-30 minutes(depends on the number of vessels that need to be stitched). After the end of disarterization, the patient is transferred to the recovery ward or day hospital located in the clinic, he is monitored by doctors for 2-3 hours.
Features of the postoperative period: Particular attention should be paid to the stool. In the first days after surgery, it is recommended to take mild laxatives, for example, Duphalac or Vaseline oil. If you experience pain in the anal canal area, and they are practically absent, take NSAIDs - Ketarol, Ketanov or Nise. Particular attention should be paid to stool. In the first days after surgery, it is recommended to take mild laxatives, for example, Vaseline oil. If you experience pain in the anal canal area, and they are practically absent, take NSAIDs - Ketarol, Ketanov or Nise.

6. Finally, if the chance for minimally invasive treatment is missed, then the “gold standard” for surgical treatment of stage III, IV hemorrhoids is the classical hemorrhoidectomy. Currently, the operation is performed quite rarely. The long-term results of such an operation are good, and relapses of the disease are rare. In addition to the traditional scalpel, surgical treatment can be performed using ultrasound and radio wave scalpel. Many patients ask the question: “Do they operate on hemorrhoids with a laser in your clinic?” It is completely unclear where there is such interest (advertising stunts on the Internet) in the usual method of removing hemorrhoids using a radio wave (see description above). The postoperative period in patients who have undergone traditional surgery is relatively easy. In the first days after the operation, it is recommended to take mild laxatives, for example, Duphalac or Vaseline oil. Before the first bowel movement, an oil microenema is carefully performed, then the first act of bowel movement after the operation will be less painful.

7. Longo method.

Another widely advertised method of surgical treatment of hemorrhoids is Longo operation. As with disarterization of hemorrhoids, the nodes themselves are not removed during the operation. Above the nodes, a section of the intestinal mucosa is removed and a circular suture is applied (more information about the technology can be found on YouTube). As a result, the vessels that bring blood to the hemorrhoids are sutured, and the nodes themselves are tightened and returned to their physiological position. The method is not bad, but, again, advertising greatly exaggerates its advantages and is silent about its disadvantages. The first disadvantage: the operation requires a disposable set of instruments costing about $500. The second and main disadvantage is that in the presence of large external hemorrhoids, the method is simply ineffective.

HEMORRHOIDS AFTER OPERATION.
After surgery, treatment for hemorrhoids does not end.

The operation is followed by a recovery period, during which the patient must follow certain medical recommendations.

1. One of the conditions for the successful recovery of a patient after surgery to remove hemorrhoids is proper nutrition .
During the first day after removal of hemorrhoids, it is advisable that there should be no stool at all, so it is better for the patient to fast, the patient should only drink.
From the second day you can eat, but the diet after hemorrhoid surgery should be as follows:
Dishes need to be steamed, stewed or boiled.
Protein-vegetable diet is preferred. Meat, poultry, fish should preferably be consumed boiled or baked. It is recommended to eat at least 500 grams of vegetables and fruits rich in fiber per day. The most useful vegetables are lettuce, cabbage, mainly cauliflower, beets, carrots and pumpkin. Recommended fruits are: bananas, apples, plums, apricots; they can be replaced with prunes or dried apricots.
Products excluded increasing blood flow to the pelvis: spicy, smoked, fried, pickled, spicy, as well as alcohol of any strength. It is necessary to limit the intake of indigestible protein products (pork, lamb, mushrooms) and easily digestible carbohydrates (sugar, baked goods, cookies, cakes and pastries). You should not eat foods that cause fermentation and gas formation in the intestines (vegetables and fruits, greens with a high content of coarse fiber and extractive substances: sorrel, spinach, cabbage, turnips, radishes, radishes, onions, garlic, apples, dates, raspberries and gooseberries ; legumes: peas, beans, beans, lentils, brown bread, grapes, raisins, tangerines, nuts, whole milk, kvass and carbonated drinks).

2. Personal hygiene .
Daily shower and local hygienic treatment are required.
Warm “sitz” baths (water temperature 40-45 °C) lasting up to 10-15 minutes are prescribed for wound healing. You can add potassium permanganate to the water to make a slightly pink solution, chamomile decoctions, calendula at the rate of 100 grams of each decoction per 50 liters of water.
After the bath, it is recommended to use ointment dressings with ointments (solcoseryl, Actovegin, methyluracil ointment, levomekol, Vishnevsky ointment). It is important that the number of layers of gauze in the bandage does not exceed 4-6. Do not cover the bandage with wax paper or cotton wool!
Use of wound-healing suppositories (suppositories with sea buckthorn, calendula, suppositories with methyluracil)

3.Fighting pain .
To reduce pain, as a rule, painkillers are prescribed (ketanov, xefocam, etc.). They should be taken only after meals! These drugs are contraindicated in patients with gastric and duodenal ulcers, as they can cause exacerbation of these diseases. Remember that long-term use of painkillers may cause side effects.

COMPLICATIONS AFTER REMOVAL OF HEMORRHOIDS (CLASSICAL HEMORRHOIDECTOMY).
Rarely, but in some cases, complications develop after hemorrhoidectomy. Some of them develop early after surgery (in the first 2-3 days), others - after a few days, up to several months after surgery.
Severe pain syndrome. The anus area is richly supplied with nerve endings, so after the anesthesia wears off, the patient experiences pain. In some patients (with high sensitivity), the pain is sometimes unbearable. Such patients require narcotic painkillers for the first 1–2 days.
Urinary retention . This complication occurs more often in men on the first day after surgery, and to eliminate this complication it may be necessary to insert a catheter into the bladder.
Bleeding after surgery . This complication can occur both early after surgery and several days later. As a rule, it occurs when postoperative wounds are injured by dense feces and the patient does not comply with strict dietary measures (laxative diet, sometimes laxatives are required for constipation). If this complication occurs, depending on the intensity of bleeding and its source, you can manage with either non-surgical methods (tampon, hemostatic sponge, etc.) or surgery.
Retention of stool . Quite a common situation. After the operation, the patient psychologically develops a “phobia of stool”; the patient expects unbearable pain, severe bleeding, etc., which in turn leads to stool retention. As a rule, prescribing a laxative diet, mild laxatives, painkillers, and local anesthetic ointments (EMLA, nitroglycerin) to reduce pain during stool helps solve the problem.
Narrowing of the anal canal . As a rule, it occurs due to a violation of the surgical technique and occurs several months later. This complication is important. This defect is eliminated with the help of special dilators, and in the case of severe stricture - by plastic surgery.
Anal sphincter insufficiency and rectal prolapse – uncommon complications after hemorrhoid surgery. They are associated with damage to the neuromuscular fibers of the rectal wall, and depending on the severity, they are treated with conservative or surgical methods.
Another unpleasant consequences of hemorrhoid surgery are: postoperative fistulas - develop several months after hemorrhoidectomy. Their reason is the capture of muscle fibers during suturing of surgical wounds with the subsequent addition of infection, the development of inflammation, melting of tissue and the appearance of additional passages from the rectum. After hemorrhoidectomy according to Milligan-Morgan, pararectal fistulas appear that open outward. They are treated conservatively, and if it is ineffective, surgically.
Suppuration of postoperative wounds associated with the “population” of pathogenic microflora in them, which is abundant in the rectum. It is treated with antibacterial and anti-inflammatory drugs, and if necessary, the area of ​​suppuration is opened and drained.
Methods for preventing hemorrhoids
It is necessary to remove from life those factors that provoke its appearance.
Avoid constipation . To do this, you need to eat more vegetables and fruits, which are rich in dietary fiber, and drink at least one and a half to two liters of water daily, which will help soften the stool.
Eliminate from your diet foods that increase blood flow to the pelvis . These are spicy, smoked and pickled foods, as well as alcohol.
Active lifestyle (walking, running, swimming, skiing, etc.), especially if professional activities involve prolonged standing or sitting. This will prevent blood stagnation in the pelvic organs. On the contrary, heavy physical activity in the gym (for example, strength exercises with a barbell) is prohibited, since this increases intra-abdominal pressure and blood flow to the pelvis, and this is a direct path to the occurrence of hemorrhoids.
Perineal hygiene . After each bowel movement, wash yourself with cool water, do not use toilet paper, wet wipes, or towels.

RECURRENCE (REAPPEARANCE) OF HEMORRHOIDS AFTER SURGERY
In a certain percentage and not all of those operated on for hemorrhoids, it may reappear. Much depends on the patient's compliance with appropriate nutrition and lifestyle. Relapse occurs, according to various sources, 5 to 10 years after surgery or even earlier. It is necessary to virtually eliminate for life the factors that provoke hemorrhoids, bad habits, and periodically see a proctologist.

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Hemorrhoids - translated from Greek means “bleeding”; this term refers to a disease of the veins of the rectum and anus, in which they swell, and prolapse of hemorrhoids is also possible. You can get rid of the disease either by conservative methods or through surgery; the order of therapy is determined by the stage and form of the pathology.

Swollen veins also cause pain and bleeding from the anus. Doctors involved in the treatment of hemorrhoids distinguish several of its forms and types. Disease classification:

• According to the mechanism of occurrence (hereditary and acquired; primary and secondary).
• By localization (subcutaneous - external and submucosal - internal).
• According to the clinical course (acute and chronic).

As part of the treatment of hemorrhoids, doctors have to deal with three degrees of severity of the acute form and four stages of the chronic form of the pathology. In modern proctology, the most gentle and effective treatment regimens for the disease are used.

Until recently, it was possible to get rid of this disease only through surgery. That is why there is great fear among those suffering from hemorrhoids. Currently, the effectiveness of non-surgical removal of hemorrhoids is so high, and the likelihood of complications and long-term consequences is so small that we can confidently say that the future belongs to this technique.

Treatment of hemorrhoids in one day and without pain? It's real! The fact is that the average person’s ideas about treatment methods are outdated. Until recently, it was possible to get rid of this disease only through surgery. That is why there is great fear among those suffering from hemorrhoids.

Currently, only 5-10% of patients require surgery; the rest should receive outpatient care using non-surgical, painless methods.

A special set of minimally invasive, endoscopic and medicinal techniques has been developed to remove hemorrhoids. The procedure takes a few minutes and the patient immediately feels relief. This is the non-surgical treatment for hemorrhoids.

Modern proctology centers successfully use the technique of seamless tissue joining.

A little about the method of treating hemorrhoids. This method is based on seamless joining of fabrics. The procedure is performed on an outpatient basis, is painless, and there are practically no complications.

During treatment, the patient leads his usual lifestyle with minor restrictions on diet (alcohol, spicy and pickled foods are excluded) and weight lifting.

The method of seamless tissue joining is divided into several methods of non-surgical tissue removal: photocoagulation (laser or infrared) is the destruction of tissue under the influence of heat, which comes from a light source illuminating this tissue; vascular sclerosis - the introduction into the lumen of a vessel of chemicals that glue its walls, after which the vessel resolves; compression of the hemorrhoidal node, which interrupts blood circulation in the node (after which the node disappears without a trace).

The effectiveness of modern treatment - non-surgical removal of hemorrhoids is so high, and the likelihood of complications and long-term consequences is so small that we can confidently say that the future belongs to this technique.

The root causes of hemorrhoids are often chronic constipation associated with intestinal dysfunction. To restore intestinal motor function, a specially designed diet, reflexology, and herbal medicine are successfully used. Thus, you have the opportunity not only to get rid of the consequences of hemorrhoids (knots and fissures), but also to prevent its development.

Our advice: do not delay visiting a proctologist even if the first signs of the disease appear.

The need for treatment of external or internal hemorrhoids is associated with the following symptoms:

• discomfort in the anus;
• anal itching;
• discharge of blood and/or mucus during bowel movements;
• prolapse of nodes from the anus;
• pain and bleeding during and after bowel movements.

The procedure for treating hemorrhoids (external or internal) is determined by its shape and stage. Today medicine offers effective conservative and radical methods.

Minimally invasive methods of therapy are determined by the stage of the disease.

Treatment of hemorrhoids at various stages of disease progression has the following form:

1. First stage:
   • sclerotherapy (for weeping and bleeding forms);
   • latex ligation (for painful types);
   • photocoagulation (if sclerotherapy is contraindicated).
2. Second stage:
   • latex ligation;
   • sclerotherapy (including in combination with latex ligation), used for excessive bleeding.
3. Third stage:
   • latex ligation;
   • use of several minimally invasive techniques;
   • hemorrhoidectomy - surgical removal of hemorrhoids.
4. Radical therapy. In this case, minimally invasive methods can be used as symptomatic therapy.

Indications for surgical removal of hemorrhoids are:

• the third and fourth stages of the disease with pronounced external nodes;
• ineffectiveness of minimally invasive techniques or presence of contraindications;
• complicated forms of pathology (thrombosis or strangulation of nodes);
• recurrent form of the disease;
• combination with fistulas, anal fissures and other diseases of the rectum.

Surgical treatment of hemorrhoids in modern private clinics and large surgical hospitals is characterized by a variety of technologies:

• radio wave therapy (use of a radio wave apparatus);
• transanal hemorrhoidal disarterization;
• ligation with latex rings;
• sclerotherapy.

Treatment of hemorrhoids can now be carried out in many clinics in one visit, in the absence of contraindications.

The possibility of treating hemorrhoids in one visit is associated with the appearance on the market of the medical industry - the Angiodin-Procto device, with the help of which transanal disarterization of hemorrhoids is carried out. Or, more simply, ligation of all blood “branches” feeding hemorrhoids. The authorship of the technique belongs to Japanese scientists.

Desarterization is used in the treatment of hemorrhoids of any stage; only paraproctitis or thrombosis can be a contraindication.

Experts agree that desarterization is an alternative to hemorrhoidectomy (excision of hemorrhoids with a scalpel during abdominal surgery using general anesthesia).

The undeniable advantages of this technique are:

• the ability to carry out the procedure in a short period of time during a single visit to the doctor (provided that a diagnosis has already been made and a comprehensive examination has been previously carried out),
• rare occurrence of complications,
• insignificance of pain syndrome,
• lack of a long rehabilitation period.

Do not delay your visit to the proctologist in order to have time to carry out non-surgical treatment of hemorrhoids in one day and without pain.

We perform all types of surgical interventions on the large intestine and rectum, including atraumatic minimally invasive operations using innovations:

1. HAL-RAR disarterization. Surgical treatment of hemorrhoids under ultrasound control using a unique HAL-Doppler device. This is a highly effective procedure that involves ligating the vessels (up to 1 mm) feeding the hemorrhoids.

2. Ultrasonic scalpel “Harmonic”. Provides bloodless, gentle, safe operations using innovative ultrasonic economical tissue dissection during proctological operations. The procedure eliminates tissue burns, which speeds up healing.

3. Endoscopic operations. Colonoscopy can be used to perform therapeutic procedures. Our specialists remove tumors, remove foreign objects, and stop intestinal bleeding.

4. Sclerotherapy- a technique for removing hemorrhoids by introducing a sclerosing agent into the area of ​​​​the blood supply to the hemorrhoid. Its supply with blood stops, which leads to the collapse and desolation of the node, the disappearance of pain and bleeding.

5. Milligan-Morgan hemorrhoidectomy. Surgical removal of one node. This is a modern, effective, low-traumatic method that provides rapid healing and results.

In addition, we perform:

Ligation of internal hemorrhoids. This method is effective in the presence of a single internal hemorrhoidal node at stages 2-3 of the disease, when the node begins to fall out of the rectum. The blood supply to the node is pinched, and within 3-4 days after the procedure the node becomes necrotic and falls off.

Removal of external hemorrhoids. Surgical cutting off of enlarged nodes using a laser scalpel is prescribed for stage 3-4 hemorrhoids. This is not a radical operation, since the vessel feeding the node is preserved.

Thrombectomy. Removal of a blood clot in case of hemorrhoidal thrombosis, separately or together with the node, is carried out using radio wave or electrocoagulation equipment. Healing within 2-3 days.