What are the main causes of constipation. How does constipation affect hemorrhoids. Can internal hemorrhoids lead to bowel obstruction. What are effective treatments for constipation-related hemorrhoids. How can dietary changes alleviate constipation symptoms.

The Link Between Internal Hemorrhoids and Constipation

Internal hemorrhoids and constipation are closely interconnected digestive issues that can significantly impact one’s quality of life. While internal hemorrhoids themselves do not directly cause blockage, they can contribute to and exacerbate constipation, potentially leading to a cycle of discomfort and complications.

Internal hemorrhoids are swollen blood vessels inside the rectum that can become enlarged due to various factors, including straining during bowel movements. Constipation, characterized by infrequent or difficult-to-pass stools, often leads to such straining, which in turn can worsen hemorrhoids.

How Internal Hemorrhoids Affect Bowel Movements

Can internal hemorrhoids cause difficulty in passing stool. While they don’t typically cause complete blockage, enlarged internal hemorrhoids can partially obstruct the anal canal, making it more challenging to have a bowel movement. This partial obstruction may result in:

• A sensation of incomplete evacuation
• Increased straining during bowel movements
• Flattening or narrowing of stool
• Discomfort or pain during defecation

These symptoms can lead to a vicious cycle where the difficulty in passing stool causes more straining, potentially worsening the hemorrhoids and further complicating bowel movements.

Identifying and Understanding Constipation

Constipation is a common gastrointestinal issue affecting more than 20% of Americans at some point in their lives. It is characterized by infrequent bowel movements, typically fewer than three per week, and stools that are hard, dry, and difficult to pass.

Key Symptoms of Constipation

How can you recognize constipation. The following symptoms are indicative of constipation:

• Infrequent bowel movements (less than three times a week)
• Hard, dry stools that are difficult to pass
• Straining during bowel movements
• Feeling of incomplete evacuation after a bowel movement
• Abdominal bloating and discomfort
• Rectal pressure or pain

It’s important to note that normal bowel habits can vary from person to person. However, having an easy-to-pass, moist formed stool at least every two to three days is generally considered healthy and can help reduce the risk of symptomatic enlarged hemorrhoids.

Common Causes of Constipation

Understanding the underlying causes of constipation is crucial for effective management and prevention. While in many cases there may not be an obvious cause, several factors can contribute to or exacerbate constipation.

Dietary Factors

What role does diet play in constipation. Diet is a significant factor in bowel health and regularity. Common dietary causes of constipation include:

• Low fiber intake: A diet lacking in fruits, vegetables, and whole grains can lead to constipation
• Inadequate fluid intake: Not drinking enough water can result in harder, drier stools
• Excessive dairy consumption: Large amounts of dairy products may contribute to constipation in some individuals

Lifestyle Factors

Certain lifestyle habits can also contribute to constipation:

• Lack of physical activity: A sedentary lifestyle can slow down digestion and bowel movements
• Ignoring the urge to have a bowel movement: Regularly postponing bowel movements can lead to constipation
• Stress and anxiety: Psychological factors can affect digestive function and bowel habits

Medical Conditions and Medications

Various medical conditions and medications can cause or worsen constipation:

• Neurological disorders: Parkinson’s disease, multiple sclerosis, and spinal cord injuries can affect bowel function
• Endocrine disorders: Hypothyroidism and diabetes can slow down digestion
• Medications: Certain antacids, antidepressants, pain medications, and blood pressure drugs can cause constipation as a side effect

The Impact of Constipation on Hemorrhoids

Constipation and hemorrhoids often go hand in hand, with one condition exacerbating the other. Understanding this relationship is crucial for effective management and prevention of both issues.

How Constipation Worsens Hemorrhoids

Constipation can worsen hemorrhoids in several ways:

1. Increased straining: Hard, dry stools require more effort to pass, leading to increased pressure on the rectal and anal veins
2. Prolonged sitting: Spending extended periods on the toilet can put additional pressure on the anal area
3. Irritation: The passage of large, hard stools can irritate existing hemorrhoids
4. Incomplete evacuation: The feeling of incomplete bowel movements can lead to repeated straining

These factors can cause hemorrhoids to become enlarged, inflamed, and more symptomatic, potentially leading to bleeding, pain, and discomfort.

The Vicious Cycle of Constipation and Hemorrhoids

How do hemorrhoids contribute to constipation. While hemorrhoids don’t directly cause constipation, they can create a cycle that perpetuates the problem:

• Pain and discomfort from hemorrhoids may cause individuals to avoid bowel movements, leading to further constipation
• Enlarged hemorrhoids can partially obstruct the anal canal, making it more difficult to pass stool
• The fear of pain during bowel movements can lead to increased tension and difficulty relaxing the anal sphincter

This cycle can be challenging to break without proper treatment and lifestyle changes.

Diagnosing Constipation and Hemorrhoids

Proper diagnosis is essential for effective treatment of both constipation and hemorrhoids. Healthcare providers typically use a combination of methods to assess these conditions.

Diagnostic Procedures for Constipation

What diagnostic tools are used to evaluate constipation. Healthcare providers may employ the following methods:

• Medical history and physical examination
• Digital rectal examination
• Blood tests to check for underlying conditions
• Colonoscopy or sigmoidoscopy to examine the colon
• Transit time studies to assess how quickly food moves through the digestive system
• Anorectal manometry to evaluate muscle function in the anal and rectal area

Diagnosing Hemorrhoids

For hemorrhoid diagnosis, healthcare providers typically perform:

• Visual examination of the anal area
• Digital rectal examination
• Anoscopy or proctoscopy for a closer look at the anal canal and lower rectum

In some cases, additional imaging studies may be necessary to rule out other conditions or assess the severity of hemorrhoids.

Treatment Approaches for Constipation and Hemorrhoids

Effective management of constipation and hemorrhoids often involves a multi-faceted approach, addressing both conditions simultaneously to break the cycle of discomfort and complications.

Lifestyle and Dietary Changes

What dietary modifications can help alleviate constipation and hemorrhoids. The following changes can be beneficial:

• Increase fiber intake: Aim for 25-30 grams of fiber per day from fruits, vegetables, whole grains, and legumes
• Stay hydrated: Drink at least 6-8 glasses of water daily
• Regular exercise: Engage in physical activity for at least 30 minutes most days of the week
• Establish a regular bathroom routine: Set aside time for bowel movements and don’t ignore the urge to go

Over-the-Counter Treatments

Several OTC options can provide relief:

• Fiber supplements: Psyllium, methylcellulose, or polycarbophil can help soften stools
• Stool softeners: Docusate sodium can help prevent straining
• Topical hemorrhoid treatments: Creams or suppositories containing hydrocortisone can reduce inflammation
• Sitz baths: Soaking the anal area in warm water can provide relief from hemorrhoid symptoms

Medical Interventions

For more severe cases, medical treatments may include:

• Prescription laxatives or enemas for persistent constipation
• Minimally invasive procedures for hemorrhoids, such as rubber band ligation or sclerotherapy
• Surgical interventions for severe hemorrhoids or refractory constipation

Preventing Constipation and Hemorrhoid Complications

Prevention is key in managing both constipation and hemorrhoids. By adopting healthy habits and addressing potential risk factors, individuals can significantly reduce their likelihood of developing these conditions or experiencing flare-ups.

Dietary Strategies for Prevention

How can diet help prevent constipation and hemorrhoids. Implementing the following dietary strategies can be highly effective:

• Gradually increase fiber intake: Aim for 25-30 grams of fiber per day, but introduce it slowly to avoid bloating and gas
• Choose high-fiber foods: Incorporate whole grains, fruits, vegetables, and legumes into your daily diet
• Stay hydrated: Drink plenty of water and other non-caffeinated, non-alcoholic beverages throughout the day
• Limit processed foods: Reduce intake of low-fiber, high-fat processed foods that can contribute to constipation

Lifestyle Modifications

In addition to dietary changes, certain lifestyle modifications can help prevent constipation and hemorrhoids:

• Regular exercise: Engage in physical activity for at least 30 minutes most days of the week to promote healthy bowel function
• Respond to bowel urges promptly: Don’t ignore the urge to have a bowel movement
• Avoid prolonged sitting: Take breaks and move around regularly, especially if you have a sedentary job
• Practice good toilet habits: Avoid straining and limit time spent on the toilet
• Manage stress: Use relaxation techniques to reduce stress, which can impact digestive health

Regular Health Check-ups

Regular medical check-ups can help identify and address potential issues before they become more serious:

• Discuss any changes in bowel habits with your healthcare provider
• Follow recommended screening guidelines for colorectal cancer
• Seek prompt medical attention for persistent constipation or hemorrhoid symptoms

By implementing these preventive strategies, individuals can significantly reduce their risk of developing chronic constipation and hemorrhoid complications, promoting overall digestive health and well-being.

When to Seek Medical Attention

While occasional constipation or mild hemorrhoid symptoms can often be managed at home, certain situations warrant prompt medical attention. Recognizing these warning signs is crucial for preventing more serious complications.

Red Flags for Constipation

When should you see a doctor for constipation. Seek medical attention if you experience:

• Severe abdominal pain or cramping
• Unexplained weight loss
• Blood in your stool
• Persistent constipation lasting more than three weeks despite lifestyle changes
• Alternating bouts of constipation and diarrhea
• Narrow or pencil-thin stools

Warning Signs for Hemorrhoids

Consult a healthcare provider if you experience:

• Rectal bleeding, especially if it’s persistent or accompanied by pain
• Severe pain or discomfort that interferes with daily activities
• Hemorrhoids that don’t improve with home treatment after one week
• A lump or swelling around the anus that doesn’t go away

Remember, these symptoms can sometimes indicate more serious conditions, such as colorectal cancer or inflammatory bowel disease. Early diagnosis and treatment are key to managing these potential health issues effectively.

Constipation | Hemorrhoid Centers of America

What is Constipation?

Constipation is the infrequent passage of stool that may be hard, dry, and leads to straining. There may be a feeling of incomplete evacuation and pressure on the rectum. The abdomen may feel bloated and the colon distension can cause abdominal pain. More than 20 % of Americans suffer from constipation at some point. It is more common in women and the elderly.
You should have an easy to pass, moist formed stool at least every two to three days. This will decrease your risk of symptomatic enlarged hemorrhoids. Time on the commode should be less than two minutes. Straining should be avoided.

Causes?

In most cases there is no obvious cause. A low fiber diet without enough fluid will make constipation worse. Increasing fiber, water, and exercise will help. Eating large amounts of dairy products may cause constipation. Slow transit time or colonic inertia is due to the colonic muscles not moving the stool through the colon normally. Pregnancy can make constipation worse and is a good time to increase fiber and water. Irritable bowel syndrome may be associated with constipation and diarrhea. Hemorrhoids can add to the obstruction of stool which may cause a flattening of the stool.

Constipation may be caused by high calcium, low thyroid, diabetes mellitus, low potassium, or renal failure. Neurological conditions such as Parkinson’s disease, spinal cord lesions, stroke, multiple sclerosis, Hirschsprung’s disease, or autonomic neuropathy can lead to constipation as well. The muscle disorders of amyloidosis or scleroderma are associated with constipation. Anxiety, depression, and somatization may exacerbate it as well. Constipation is frequently worse around menstrual periods.

Antacids that contain calcium (Tums) or aluminum (Amphojel or Basaljel), calcium supplements, anticholinergics, antidepressants (Elavil and Tofranil), cholestyramine, catapres, sinemet, narcotic pain medicines (codeine, oxydodone, hydrocodone, hydromorphone), diuretics, NSAID’s, psychotropics, sympathomimetics, anticonvulsants (Dilantin or Tegretol), iron supplements, or calcium channel blockers ( Cardizem or Procardia) may all lead to constipation.

The pelvic floor muscles may fail to relax causing difficulty with passage of the stool. This may be helped by biofeedback.

Colon or rectal cancer can lead to a smaller stool, no stool, or blood in the stool. The acute onset of constipation, weight loss, severe pain, or change in the caliber of the stool demands immediate medical attention.

An acute bowel obstruction may cause abdominal pain, cramps, bloating, nausea, vomiting, distension, decreased stools and also requires immediate medical evaluation.

Complications

Chronic constipation may lead to bloating, abdominal pain, nausea, cramps, rectal pain or pressure, or rectal bleeding. The passage of a large or dry stool can cause a tear or anal fissure.

Evaluation

A rectal exam, sigmoidoscopy, or colonoscopy should be done. For chronic constipation that does not respond to dietary changes the workup may include a physical exam, history, blood work, rectal exam, colonoscopy, barium enema, rectal manometry and transit time or motility studies.

Treatment

$800 million dollars are spent each year on laxatives. The chronic use of stimulants such as mineral oil, cascara sagrada, Ex-lax, Senokot, Correctol, Dulcolax, Feen-a-mint may lead to a dependency and should be avoided.
Avoid the frequent use of stimulant laxatives such as Bisacodyl (Ducolax or Correctol), castor oil, Perdiem (Psyllium and Senna), Senna (Senokot or Ex-Lax), cascara sagrada, mineral oil, or saline osmotic laxatives such as magnesium citrate and sodium phosphate. Renal failure patients cannot use magnesium products. Milk of magnesia usually works within a few hours but should not be used on a regular basis. The abuse of the stimulants can lead to the weakening of the intestinal muscles and a worsening of the constipation.

No one product is perfect and trial and error is required. Usually, it takes 1-2 weeks to see the full benefit of the additive. Foods rich in fiber include whole grains, beans, fruits and vegetables. Many cereal products or snack bars now have good fiber content. Read the product contents and look for cereals with four or more grams of fiber. A trial of fiber and water may be helpful. An occasional prune may be helpful.

Drink up to 6 glasses of water and add 5 grams of fiber per day for the first 5 days. You may add an additional 5 grams of fiber per day every five days or so until you reach 15 grams of fiber per day. Fiber may cause gas or bloating. This may be decreased by adding the increased amounts of fiber over a weeks’ time to allow you intestines to get use to the slower transit time and increased bacterial load that fiber may cause. Fiber helps make a soft bulky stool that stretches the rectum and gives you a signal to go to the bathroom. Smaller stool can lie in the rectum undetected and obstruct blood flow leading to worsening of the hemorrhoids. Increasing fiber in your diet will help lower cholesterol, decrease the risk of heart disease and diverticulosis, and may decrease the risk of colon cancer.

Safe laxatives include stool softeners such as Colace which contains docusate sodium, fiber, or the osmotic laxative Miralax. Stool softeners are wetting agents and may be taken with fiber. Docusate sodium (Colace or Surfak) 100 mg may be taken one to three per evening to help the morning motion. Do not take mineral oil with Colace as it may increase the absorption leading to inflammation of lymph nodes or liver. Miralax may cause less bloating and gas. It pulls water into the intestines. Take 17 grams per day. Adjust dose or frequency downward if stools are too loose.

Flaxseed and Flaxseed oil are helpful but may reduce the absorption of some medications such as Digitalis. They may potentiate the anticoagulation effect of Coumadin or aspirin.

Lactulose may occasionally be prescribed for constipation that does not respond to other measures.

Linzess is now available for chronic constipation that does not respond to any of the other measures.

If the stool is dry you may apply Vaseline, with your finger, inside the rectum to try and aid the passage of the stool and help prevent a fissure. Chronic constipation will exacerbate hemorrhoids and can cause an anal fissure.

Reducing the size of internal hemorrhoids with the banding procedure helps many patients have a more normal bowel movement. If you are having trouble with constipation and hemorrhoids or fissures call our office today-find nearest location.

• Magnesium for Constipation
• Fiber in your diet – 30 grams a day helps keep hemorrhoids away
• Metamucil
• Benefiber
• Citrucel
• Fiberwell Gummies

*This is not an endorsement of any particular product.

Read the ingredients of herbal treatments carefully as many of them have stimulants. There is no proven benefit to colonics or colon cleansing routines.

Very large dry stools may lead to and obstructing ball of stool in the rectum. This may lead to pain, lack of normal stool, and leakage. This impaction requires careful removal with lubricants, enemas, and gentle digital breaking up of the impaction. This may require the help of a medical professional.

Enemas should not be used on a regular basis as they may injure the rectum or disturb the electrolyte balances. Fleet phosphosoda enemas stimulate the muscles of the colon. Mineral oil enemas lubricate and soften hard stools.
Suppositories work by stimulating the rectum. They may occasionally be used for constipation. Dulcolax contains bisacodyl and is a stimulant. Glycerin works by irritating the rectum. Do not use laxatives on a regular basis without having your colon evaluated by a physician. A consultation with an internist or gastroenterologist may be helpful.

If you are having constipation that aggravates your hemorrhoids please seek help from an expert in the non-surgical treatment of hemorrhoids. We hope this has been helpful. Please call us to make an appointment with Hemorrhoid Centers of America – find closest location.

What Is Hemorrhoidal Prolapse and How Is It Treated?: Elvira Klause, MD, FACS: General Surgeon

The pain. The itching. The burning. If you have hemorrhoids, you’re probably familiar with all of those symptoms. And you have a lot of company — about one of every 20 Americans has hemorrhoids, with prevalence increasing as you get older.

As a leading medical provider in San Clemente, California, Elvira Klause, MD, treats hemorrhoids, helping patients feel more comfortable and avoid more serious complications. Hemorrhoidal prolapse is a relatively common complication associated with internal hemorrhoids — and one you should know about if you’re plagued by hemorrhoid symptoms.

Why hemorrhoids happen

Hemorrhoids are swollen veins in or near your rectum. Several factors can increase the likelihood that you’ll develop hemorrhoids, including:

• Chronic constipation
• Chronic diarrhea
• Straining a lot during bowel movements
• Spending a lot of time sitting on a toilet
• Eating a diet low in fiber
• Pregnancy
• Obesity
• Standing or sitting for long periods
• Repetitive heavy lifting

Women are more likely to have hemorrhoids, and they’re also more common among people over age 50.

Internal vs. external hemorrhoids

Hemorrhoids can be either internal or external depending on where they form. Hemorrhoids located inside your rectum are internal, while those that form near the outside of your anus are external hemorrhoids.

External hemorrhoids typically feel like bumps or lumps near your anus, and they’re more likely to cause pain, itching, and burning. They’re also more likely to bleed when you have a bowel movement.

Internal hemorrhoids can bleed a bit if you’re constipated or pass a hard stool. But frequently, they cause no symptoms unless they prolapse, or push outward. 

Prolapsed hemorrhoids vs. external hemorrhoids

The main difference between a prolapsed internal hemorrhoid and an external hemorrhoid is simple: External hemorrhoids form on the outside of your anus, while a prolapsed hemorrhoid forms internally and extends outside the anus.

Internal hemorrhoids usually prolapse because of increased pressure on the rectum due to any of the risk factors listed above. When pressure increases, the vessels that comprise your hemorrhoids tend to swell and drop, pushing out of the anal sphincter.

Complications

If a prolapsed hemorrhoid swells, it can wind up blocking your anus and obstructing your bowel, preventing you from having bowel movements. Some prolapsed hemorrhoids bleed heavily, increasing the risk of life-threatening blood loss.

Prolapsed hemorrhoids are also more likely to form dangerous clots (thrombosis) or become strangulated, resulting in circulation problems that can lead to tissue death. For these reasons, it’s very important to seek medical care for hemorrhoids — even if they’re not prolapsed.

Find relief for symptomatic hemorrhoids

Dr. Klause offers several solutions for symptomatic hemorrhoids that don’t respond to over-the-counter ointments and other conservative options. These include:

• Rubber band ligation 
• Sclerotherapy injections
• Transanal hemorrhoidal dearterialization

These methods block circulation to the hemorrhoids, and they eventually die. In more severe cases, Dr. Klause suggests hemorrhoidectomy, a surgical procedure that removes hemorrhoid tissue.

If you have hemorrhoids, scheduling an evaluation with Dr. Klause is the best way to find relief from pain and other symptoms — and to prevent more serious problems from happening. To schedule your evaluation, call 949-393-2595 or book an appointment online today.

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Internal hemorrhoids – causes, methods of treatment

Internal hemorrhoids is a disease characterized by deformation and increase in the size of internal hemorrhoidal vessels. In those places where the change occurs, knots are formed that give the patient tangible discomfort, because. become inflamed, bleed, cause pain, and over time, if proper treatment is not available, begin to fall out of the anus. In the initial stages, they can still be refueled back on their own, in the latter stages, one cannot do without medical help.

Causes of development of internal hemorrhoids

The root cause that causes the appearance of hemorrhoids is always the same – blood flow disturbances in the vessels of the rectum. As a result of the lack of balance between inflow and outflow, blood accumulates in one place or another, stretching the walls of blood vessels and forming knots. Of much greater interest are the causes that contribute to this very violation of blood flow. It could be:

• Overweight.
• Problems with stool (regular constipation or diarrhoea).
• Increased pressure in the abdominal cavity.
• Improper diet, which is based on dishes and drinks that irritate the mucous membrane of the rectum and colon.
• Blockage of the veins of the small pelvis, the appearance of adhesions, tumors, etc. in this area.
• Dystrophy of the muscles and ligaments responsible for fixing the vessels of the hemorrhoidal plexus.
• Sedentary lifestyle.
• Various vascular pathologies, including atherosclerosis, varicose veins, etc.
• Prolonged hacking cough, often provoked by smoking.
• Great straining during stool.
• Hard physical work, such as regularly lifting heavy loads.

If you experience any of the above, you are less likely to develop internal hemorrhoids. However, if any of this has already become part of your lifestyle, it’s time to get checked out by a proctologist.

Symptoms of internal hemorrhoids

Manifestations of hemorrhoids largely depend on the nature of the disease, and at what stage is its development. So, at first, patients are always faced with acute hemorrhoids, which has four degrees of severity.

• In the first stage, the patient develops itching and burning in the anus. Moreover, during a trip to the toilet, these symptoms appear more clearly than at other times.
• During the second stage, edema develops in the place where the blood flow is disturbed, and the perianal area turns red. There is pain in the anus: at first only during defecation, and then when moving or staying in one position for a long time. When emptying the intestines, slight bleeding is observed.
• In the third stage, the disease covers the entire anal area. Edema gradually increase in size and thicken, forming hemorrhoids. Those, in turn, eventually begin to fall out, causing the patient physical pain and psychological discomfort. It is far from always possible to “refuel” them back on your own. Often, the prolapse of nodes is accompanied by heavy bleeding.
• The fourth stage is the final one. Here you can’t do without the help of a proctologist surgeon. After falling out, hemorrhoids can no longer be removed back. They are constantly outside, causing the patient severe pain at the slightest movement. Bleeding becomes more frequent and intensifies. Blood clots form in the vessels, disrupting blood circulation. Suppuration and tissue death begins. The body is subjected to severe intoxication.

Chronic hemorrhoids are characterized by episodic exacerbations followed by periods of remission. The main symptom is anal bleeding. Other signs of the disease may vary. However, most often with chronic internal hemorrhoids, patients experience:

• Itching and burning in the anus.
• Pain and sensation of a foreign body in the rectum.
• Involuntary mucous discharge from the anus.
• Prolapsed hemorrhoids.
• Feeling that the bowels are not completely emptied after going to the toilet.

If left untreated, the patient develops comorbidities over time. Anal fissures, fistulas appear, proctitis begins, and then paraproctitis or other proctological pathologies.

Treatment options for internal hemorrhoids

There are many ways to deal with the disease. What will be optimal in a particular case, only a doctor can say after a comprehensive examination of the patient. In the initial stages, conservative treatment still helps – painkillers, rectal suppositories, gels, ointments, creams, etc.

When the nodes are finally formed, minimally invasive methods of solving the problem are much more effective:

• Sclerotherapy. A sclerosing drug is injected into the affected node, gluing its walls together.
• Laser vaporization, in which the nodes are “vaporized” under the thermal influence of a laser.
• Ligation. With the help of a vacuum ligator, a latex ring is put on the hemorrhoidal node, which compresses the affected vessel, simultaneously depriving it of nourishment.
• Desarterization. The problematic artery (and in some cases also a knot) is sutured with a special thread.
• Milligan-Morgan operation. The hemorrhoid is taken out and cut off with a laser, after which the affected area is sutured with a special thread.

In the final stages of internal hemorrhoids, surgery is indispensable. In this case, doctors use hemorrhoidectomy and other options for excision of hemorrhoids.

Regardless of which treatment option is chosen, the patient is advised to follow a diet that helps normalize the functioning of the digestive tract.

To avoid all these unpleasant manipulations, it is necessary to see a proctologist regularly. The specialists of the medical center “Harmony” are experts in their field. Make an appointment, and they will not only detect your ailment in a timely manner, but also select the best option for its treatment.

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Consequences and complications that may occur if left untreated

Content

• 1 Dangers of hemorrhoids: consequences and complications if left untreated
  • 1.1 Complications and consequences of hemorrhoids if left untreated
  • 1.2 Development of thrombosis of varicose veins of the rectum
  • 1 .3 Formation of anal fissures
  • 1.4 Complications of hemorrhoids: how paraproctitis and proctitis develop
    • 1.4.1 Paraproctitis
    • 1.4.2 Proctitis
  • 1.5 Formation of internal hemorrhoids
  • 1.6 Development of eczema and dermatitis of the anal region
  • 1.7 Formation of bleeding anal nodes
  • 1.8 Development of a purulent-inflammatory process
  • rhagic proctitis
  • 1.11 Fibrous nodes: consequences of hemorrhoids in the absence of treatment
  • 1.12 Development of erosive ulcers in the anorectal area
  • 1.13 Related videos:
  • 1. 14 Q&A:
    • • 1.14.0.1 What happens to hemorrhoids if left untreated?
      • 1.14.0.2 How is diet related to hemorrhoids?
      • 1.14.0.3 What are the symptoms of hemorrhoids in the initial stage?
      • 1.14.0.4 How can hemorrhoids be prevented?
      • 1.14.0.5 What are the treatments for hemorrhoids?
      • 1.14.0.6 What complications of hemorrhoids can be dangerous to health?

Find out what consequences and complications can occur if hemorrhoids are not treated in time. Do not ignore the symptoms, avoid unpleasant consequences in the future.

Hemorrhoids are a chronic disease of the rectum that can lead to serious consequences if not treated promptly. While the condition is largely manageable and preventable, treating hemorrhoids can be difficult and demanding.

One of the most common consequences of untreated hemorrhoids is the appearance of hemorrhoids – bumps that form around the rectum and can cause pain and discomfort when sitting and walking. Complications can also be manifested by bleeding, thrombosis and even infections, which are the causes of a life-threatening situation.

Therefore, it is important not to self-medicate and seek medical attention at the first symptoms of hemorrhoids. Without timely and proper treatment, hemorrhoids can quickly worsen when treatment becomes much more difficult and costly.

Complications and consequences of hemorrhoids in the absence of treatment

Hemorrhoids are a fairly common disease of the rectum, which can lead to serious consequences if not treated promptly. One of the main complications is hemorrhoidal vein thrombosis, when a blood clot forms in a diseased vein. This can lead to severe pain, swelling, and even tissue necrosis.

Prolonged course of hemorrhoids can lead to dysfunction of the sphincters and the development of pelvic floor dysfunction, which is expressed in a violation of the act of defecation, incontinence, pain during sexual intercourse and a deterioration in the quality of life in general.

It must be understood that untreated hemorrhoids can lead to serious consequences that can affect not only the quality of life, but also endanger the life of the patient. Therefore, at the first symptoms of the disease, it is necessary to consult a doctor who will select the most effective course of treatment.

• Complications of hemorrhoids:
• – hemorrhoidal vein thrombosis;
• – anorectal bleeding;
• — infectious complications;
• – pelvic floor dysfunction.

Development of varicose vein thrombosis of the rectum

One of the possible complications of hemorrhoids is the development of thrombosis of the varicose vein of the rectum. As a result of the formation of a blood clot, blood cannot circulate normally through the vessel, which leads to difficulty in defecation and pain in the rectal area.

If left untreated, thrombosis can progress and cause a bleeding ulcer at the site of occlusion. This can lead to bleeding, which is a serious complication and requires urgent medical attention.

At the first signs of thrombosis of a varicose vein of the rectum, it is necessary to consult a proctologist. Treatment may include topical medications, elimination of obstructed bowel movements, and, in some cases, surgery.

1. Symptoms of thrombosis of varicose veins of the rectum:
2. pain in the rectal area;
3. difficult or painful stools;
4. severe itching pain after defecation.

Anal Fissures

Anal fissures are micro-fissures in the skin of the anus that can occur due to chronic constipation, trauma, or repeated bowel movements. They are often a complication of hemorrhoids, where the bleeding nodes can damage the skin around the anus.

As anal fissures develop, they can become deeper and more painful, and eventually lead to infection and abscess formation. Prolonged neglect and untreated anal fissures can also cause permanent damage to the skin and muscles around the anus, making it vulnerable to future infections and causing more serious illnesses to spread.

Complications of hemorrhoids: how paraproctitis and proctitis develop

Failure to treat hemorrhoids can lead to serious complications, including the development of paraproctitis and proctitis.

Paraproctitis

Paraproctitis is an infectious inflammation of the perianal area. The risk of its progression increases if the hemorrhoid becomes chronic and actively progresses. As a result of inflammation, the formation of suppuration is possible. In this case, the patient experiences not only severe pain, but also ulcers in the rectum, which is an individual problem for each person.

Treatment of paraproctitis may require surgery if conservative methods fail. It would be better to avoid its appearance, remember about the duration and appropriateness of the treatment of hemorrhoids.

Proctitis

Proctitis is an infectious inflammation of the rectum. Symptoms of proctitis include severe pain, bleeding, discomfort, and discomfort. There may also be purulent discharge and irritation around the anus.

All of the above complications can be prevented by an annual medical examination and proper treatment and prevention of hemorrhoids. Therefore, it is worth having time and money for this, not forgetting that health is the main wealth.

Formation of internal hemorrhoids

Internal hemorrhoids are the expansion of veins in the rectum. They are located inside the anal canal and, unlike external hemorrhoids, are overgrown with a submucosal membrane.

The appearance of internal hemorrhoids can be associated with many factors, including a sedentary lifestyle, eating spicy and fatty foods, alcohol, lack of physical activity and other reasons.

These knots can present with a variety of symptoms, including bleeding, itching and discomfort in the anus, as well as soreness and prolapse of the knots. If these symptoms are rare and mild, then treatment is usually not required.

However, if the symptoms are ignored and the hemorrhoids are not treated, thrombosis is possible, i. e. the formation of blood clots in the hemorrhoids, as well as their prolapse and decrease in blood flow. In this case, emergency hospitalization and surgery are required.

Therefore, if you notice symptoms of hemorrhoids, it is recommended to consult a doctor in order to start treatment on time and avoid serious complications. These diseases are characterized by inflammation and irritation of the skin around the rectum.

If eczema and dermatitis go undiagnosed and untreated, they can lead to further complications such as scabies and infections.

• Acute dermatitis may cause:
  • bleeding ulcers around the anus;
  • fissures and bleeding during defecation;
  • pain and discomfort;
  • disruption of daily activities due to frequent visits to the toilet.

Therefore, if signs of hemorrhoids appear, it is necessary to consult a doctor and start treatment to prevent the development of eczema and dermatitis.

Formation of bleeding anal nodes

One of the complications of hemorrhoids, in the absence of timely treatment, is the formation of bleeding anal nodes. Bleeding nodes appear as a result of prolonged impaired blood circulation in the rectum and perineum, which leads to thickening of the walls of the veins and their protrusion inward or outward.

Initially, the disease may be asymptomatic, minor bleeding may occur only after prolonged exercise or defecation. However, over time, the symptoms worsen and the bleeding nodes may become permanent.

Bleeding nodules are at risk of developing thrombosis, a blood clot in a diseased vein that can lead to severe pain, discomfort, and even bleeding. Also, if there are microcracks in the rectal mucosa, an infectious process may develop.

Treatment of bleeding nodes involves surgery, since conservative treatment and attempts to mechanically influence the nodes can increase the likelihood of complications and worsen the patient’s condition. It is important to consult a doctor at the first sign of hemorrhoids and not to postpone treatment until later.

The development of a purulent-inflammatory process

It is important to know that the lack of treatment of hemorrhoids can lead to various complications. One of them is the development of a purulent-inflammatory process. This occurs when impaired blood flow makes it difficult for oxygen to reach the tissues of the anal canal, which contributes to infection.

As a result, the infection can lead to the formation of an abscess (suppuration in the tissues), which causes severe pain and swelling, as well as fever and general weakness. If left untreated, the abscess can rupture inward, which can lead to peritonitis, a life-threatening complication associated with inflammation of the abdominal cavity.

If symptoms of a purulent-inflammatory process appear, you should immediately consult a doctor for diagnosis and appropriate treatment.

Rectovaginal fistula formation

Hemorrhoids can lead to serious complications such as rectovaginal fistula formation.

Rectovaginal fistulas are narrow channels that connect the rectum and vagina in women. They are formed as a result of a violation of blood flow to the anal area, which can be caused by prolonged sitting, obesity, pregnancy and childbirth, as well as malnutrition.

When a fistula forms between the rectal and vaginal cavities, a permanent opening is created through which microbes and pathogenic bacteria can enter, causing inflammation. If left untreated, fistulas can lead to infections and even outbreaks of sepsis.

Rectovaginal fistula requires surgery. Depending on the degree of the disease, various surgical methods may be used, including perianal resection, laser therapy, and radiofrequency coagulation. In any case, treatment should only be carried out by a doctor.

Development of hemorrhagic proctitis

Hemorrhagic proctitis is an acute inflammation of the rectum that can occur as a complication of hemorrhoids. It is manifested by acute pain in the rectum, bloody discharge and impaired defecation.

Without timely treatment, hemorrhagic proctitis can progress and lead to various complications such as intestinal perforation, sepsis and even death.

Successful treatment of hemorrhagic proctitis requires first stopping the bleeding and inflammation in the rectal area. For this, medications and local procedures, such as a warm bath with a manganese solution, can be used. If conservative treatment fails, surgery may be required.

It is important to remember that the development of hemorrhagic proctitis is a serious complication of hemorrhoids that requires a visit to a doctor. Timely initiation of treatment can prevent the development of serious complications and preserve the health of the patient.

Fibrous nodes: the consequences of hemorrhoids in the absence of treatment

Fibrous nodes – one of the most dangerous complications of hemorrhoids, which can develop in the absence of timely treatment of the disease. This happens due to the prolonged standing of blood in the hemorrhoids, which leads to tissue death and the gradual formation of seals and scars. Ultimately, fibrous nodes are formed from ordinary hemorrhoids, which can lead to serious consequences.

fibrous nodes have several stages of development. Initially, they may be small and not cause discomfort, but over time they increase in size and can cause severe pain during bowel movements or at rest. The danger lies in the fact that the fibrous nodes cannot be reduced and restored to their original state, and only surgery can eliminate the problem.

It is worth noting that the formation of fibrous nodes is quite rare, but if left untreated, hemorrhoids can mean serious health consequences. To reduce the risk of developing this complication, it is necessary to engage in the prevention of hemorrhoids, follow a diet, do not abuse alcohol and smoking, and seek medical help in a timely manner when the first symptoms of the disease appear.

Development of erosive ulcers in the anorectal area

One of the complications of hemorrhoids is the development of erosive ulcers in the anorectal area. This occurs with a prolonged violation of blood circulation, which leads to pathological changes in the intestines.

The appearance of erosive ulcers is accompanied by impaired stool, pain and bleeding. This complication requires mandatory treatment, which is aimed at eliminating hemorrhoids, preventing the re-development of erosive ulcers and restoring damaged tissues.

Serious complications such as infections, abscesses and fistulas can occur if erosive ulcers are not treated promptly and correctly. This will not only worsen the patient’s quality of life, but will also require more complex and costly treatments.

• Key factors in the development of erosive ulcers:
  • lack of mobility;
  • prolonged sitting or standing;
  • nutrition poor in fibre;
  • constipation and excessive strain during bowel movements.

Therefore, it is important to consult a doctor in time and take preventive measures to prevent the development of hemorrhoids and related complications.

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Q&A:

What happens to hemorrhoids if left untreated?

Hemorrhoids can progress and lead to complications such as hemorrhoid thrombosis, anal bleeding, anal fissure, paraproctitis and other dangerous diseases.

How is diet related to hemorrhoids?

Improper diet, poor in fiber and fluids, can cause hemorrhoids and provoke their progression. It is recommended to eat more vegetables, fruits, grain products and drink at least 2 liters of water per day.

What are the symptoms of hemorrhoids in the initial stage?

Initially, hemorrhoids may present with glowing or itching around the anus, a slight bulge or tenderness in the perineum. These symptoms may worsen after prolonged sitting or standing.

How can hemorrhoids be prevented?

To prevent hemorrhoids, you should lead an active lifestyle, exercise regularly, avoid prolonged sitting or standing, eat right, and do not abuse alcohol and smoking.