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Does preparation h get rid of hemorrhoids: Help for hemorrhoids – Harvard Health

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Help for hemorrhoids – Harvard Health

One of the most embarrassing conditions also can be one of the easiest to treat and manage.

Image: © ttsz/Thinkstock

Hemorrhoids are without doubt among the most unpleasant of health topics. But if you have suffered from them, you may find comfort in knowing that you are not alone.

More than 75% of people ages 45 and older have had hemorrhoids, with symptoms like rectal pain, itching, and bleeding after a bowel movement.

“Hemorrhoids can be painful and embarrassing, but they often shrink on their own with simple self-help and over-the-counter remedies,” says Dr. Howard LeWine, assistant professor of medicine at Harvard Medical School.

A look inside

Hemorrhoids are swollen veins near the anus. There are two types: internal and external. You can have either type by itself, or both at the same time.

Internal hemorrhoids form inside the anal canal and are often painless. However, they may cause intermittent bleeding, usually with bowel movements, and sometimes discharge mucus. Internal hemorrhoids may also protrude outside the anus, where they appear as small, grape-like masses.

External hemorrhoids form just outside the anal opening, where they primarily cause swelling, bothersome protrusions, and discomfort.

Cause and self-care

Sometimes hemorrhoids develop for no apparent reason, but often they are associated with chronic constipation or diarrhea, straining during bowel movements, and prolonged sitting on the toilet. This can interfere with blood flow to and from the rectum (the last six inches of the large intestine) and the anus, causing blood to pool in the veins around the anus, enlarging them.

The good news is that neither kind of hemorrhoid is dangerous, and severe complications are rare. Still, it’s important to see your doctor if you experience rectal bleeding, feel a lump in the anus, or have ongoing rectal pain, as these might be signs of an unrelated and more serious condition, such as colorectal or rectal cancer.

Symptoms for either kind of hemorrhoid often can be relieved with self-care treatments. For example:

Sitz baths. A regular sitz bath can relieve itching and irritation. Fill a tub with three to four inches of warm (not hot) water and sit in it with your knees bent for about 10 to 15 minutes. Gently pat yourself dry with a towel.

Fiber supplements. These reduce hemorrhoid bleeding, inflammation, and enlargement by drawing water into your stool to make it easier to pass. A psyllium husk fiber supplement, such as Metamucil or a generic equivalent, is a good choice, although psyllium may cause gas or bloating. In that case, try a supplement containing wheat dextrin (Benefiber) or methylcellulose (Citrucel).

Topical therapies. Over-the-counter products are available for hemorrhoids, such as pads infused with witch hazel (Tucks), as well as soothing creams that contain lidocaine, hydrocortisone, or other ingredients like phenylephrine (Preparation H). These substances help shrink the inflamed tissue and provide relief from itching. External hemorrhoids rarely need more than self-care.

“The exception is a thrombosed hemorrhoid, the sudden formation of a hard, inflamed clot inside the hemorrhoid,” says Dr. LeWine. “If this occurs, contact your doctor, since you may need a surgical procedure.”

Nonsurgical options

When internal hemorrhoids continue to cause symptoms despite home treatment, your doctor may recommend an office-based nonsurgical procedure. Here are the most common options.

Rubber band ligation. This is the most widely used procedure for treating internal hemorrhoids. The doctor inserts a small elastic band into the anal canal and places it around the base of a hemorrhoid. The band cuts off the hemorrhoid’s circulation, which causes the hemorrhoid to wither and die. The rubber band eventually falls off unnoticed. The procedure requires no anesthesia, although a numbing agent is sometimes used if you feel discomfort.

Sclerotherapy. The doctor inserts a proctoscope (a special metal or plastic scope used to view the hemorrhoids) into the anus. He or she then injects a chemical solution directly into the hemorrhoid or the area around it. This solution causes a local reaction that interferes with blood flow inside the hemorrhoid, causing it to shrink. Afterward, some people experience mild bleeding, pain, and pressure.

Coagulation therapy. This uses heat, laser, or electric current to cut off the hemorrhoid’s blood supply. Once the hemorrhoid shrinks and dies, scar tissue forms on the anal canal wall to hold nearby veins in place so they don’t bulge into the anal canal. One hemorrhoid is treated at a time, with a 10- to 14-day period between treatments.

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Do Hemorrhoids Go Away On Their Own?

Home / Do Hemorrhoids Go Away On Their Own?

Hemorrhoids are a chronic disease, meaning the symptoms persist for a long time and are constantly recurring. If you have experienced recurring bouts of hemorrhoids, your hemorrhoids likely won’t go away on their own. Left untreated, hemorrhoids often get worse over time – and therefore harder to treat. This means that a hemorrhoid that could easily be treated today could eventually require surgery.

If you’re unsure if you have hemorrhoids, consult with your doctor to get an accurate diagnosis and see if you should have a colon cancer screening, or a colonoscopy. Typically, adults over the age of 50 should undergo colonoscopy at least every 10 years, or more frequently if your family has a history of GI issues.

Temporary vs. Permanent Options

There are a variety of at-home hemorrhoid remedies to choose from. However, while these will mask your symptoms for a short time, they provide only temporary relief. By contrast, hemorrhoid treatment performed by a qualified physician, such as the CRH O’Regan System, can relieve your hemorrhoids permanently. If you want to get rid of your hemorrhoids, not simply mask the symptoms, consider a more permanent option.

Temporary Hemorrhoid Treatment Options

Relief Using Hemorrhoid Creams

Hemorrhoid creams, such as those made by Tucks and Preparation H, are an appealing medicine to many people suffering from hemorrhoids as they can be purchased from the drugstore without a prescription and used in the privacy of the home. These creams typically contain a medicinal ingredient such as hydrocortisone along with a soothing agent to provide quick relief from hemorrhoid symptoms like itching and burning.

Whichever hemorrhoid cream you choose, it will have to be applied several times per day, especially in the morning and at night.

For External use:

Squeeze a small amount of the cream onto your finger and apply to the outside of the anus. Be sure to wash your hands thoroughly with warm soap and water before and after application or use a disposable glove or finger cot.

For Internal use:

If you do not see hemorrhoid relief from external application, some creams are able to be applied inside the anus. It is best to have a bowel movement before attempting to apply hemorrhoid cream this way.

Then, after thoroughly washing your hands, attach the rounded applicator tip to the cream tube. Gently squeeze the tube in order to in order to test the applicator to see how much ointment comes out. You want to aim for an amount that is similar to the length of the tip of your index finger.

Before insertion, lubricate the applicator either with the ointment, KY jelly or another safe lubricant. You may find it easiest to insert the applicator by laying on your side with your top knee drawn up towards your chest. You can then lift your upper buttock and insert the applicator until it passes your sphincter muscle (the muscle you use to hold in a bowel movement).

Squeeze the tube using the same amount of pressure as when you tested the applicator. It is recommended that you stay lying down for a few minutes and avoid having a bowel movement for one hour after application in order to keep as much medicine inside as possible.

While hemorrhoid creams, applied either externally or internally, may provide some relief, this relief is short-lived. Multiple applications are required throughout the day over multiple days in order to see prolonged relief. In addition, some creams and medicated wipes actually contain ingredients that, while initially soothing, are actually irritants that will worsen your hemorrhoids long-term.

If you’ve tried creams before, you may find that after some time your hemorrhoids do go away, but then come back weeks or even months later. This is because the creams are simply masking your symptoms rather than getting rid of the underlying issue. The only way to truly get rid of your hemorrhoids and get prolonged relief is with a hemorrhoid treatment like the CRH O’Regan System or with hemorrhoid surgery.

What You Should Know About Hemorrhoid Creams Like Preparation H

Preparation H is one of the best-selling hemorrhoid medicines available. It can be purchased in a number of varieties including wipes, creams and suppositories.

Most Preparation H products are recommended to be applied 4-6 times per day, especially in the morning and evening. The active medicinal ingredient varies between products, but most forms of Preparation H aim to reduce the inflammation that leads to some of the discomfort hemorrhoids cause. Products are available for both internal and external hemorrhoids.

Like other topical creams, Preparation H products alleviate symptoms for only a short time and do not get rid of the hemorrhoids completely. Your hemorrhoids will not go away from using Preparation H.

Home Remedies for Hemorrhoids

In addition to hemorrhoid creams, there are a number of other home remedies for hemorrhoids that can provide relief from bothersome hemorrhoids. Some people prefer natural treatments over store-bought ointments containing medicinal ingredients. No matter what home remedy you choose, it will provide only temporary hemorrhoid relief.

Some examples of hemorrhoid home remedies include:

Apple Cider Vinegar.  This is an appealing at-home remedy as it can be purchased at most grocery stores; in fact, many people may already have this item in their pantries! If you are going to try apple cider vinegar for your hemorrhoids, organic, raw and unfiltered apple cider vinegar is recommended.

The most common way to use apple cider vinegar is by applying it to your hemorrhoids topically. Some users report the vinegar causes stinging which may be reduced or prevented by diluting the vinegar with equal parts water prior to application.

Others say they get better results from ingesting the apple cider vinegar orally in a glass of water. Finally, some will add 1-2 cups of apple cider vinegar to their sitz bath for added relief. While apple cider vinegar may provide temporary relief, only a treatment such as the CRH O’Regan System will be able to fully get rid of your hemorrhoids.

Sitz Bath. This is one of the most common ways to achieve hemorrhoid relief at home and is physician recommended. It involves sitting in warm (not hot) water mixed with epsom salts for a short period of time which encourages blood flow to the infected area and relaxes the anal sphincter.

You should sit in the sitz bath for 15 minutes at least three times per day, including after bowel movements. Be sure to dry your bottom thoroughly following the bath as moisture in the area can further irritate your hemorrhoids.

The warm water should be high enough to reach your anal area only, which can be achieved by either filling a clean bathtub to the appropriate depth or by purchasing a sitz bath from the drugstore, which is a small plastic bowl you can put on the toilet seat. If you choose to have your sitz bath in the bathtub, you will require more epsom salts to achieve the same concentration as with the store bought bath.

Witch Hazel. Although there is not conclusive scientific evidence, this plant is said to reduce pain, swelling and itching in hemorrhoids. Witch hazel is an ingredient in some hemorrhoid wipes, creams and suppositories but usually comes in liquid form.

Like other natural treatments such as tea tree oil and apple cider vinegar, witch hazel is typically applied topically. Unfortunately, while these natural remedies may provide temporary relief, they will not cause your hemorrhoids to go away completely and often contain ingredients that will inevitably worsen your hemorrhoids. Liquid witch hazel may also be added to a sitz bath.

If you have been trying to get rid of your hemorrhoids at home and they keep coming back, or if you don’t want to deal with messy creams and inconvenient applications throughout the day, speak with your doctor about another option, such as the CRH O’Regan System.

Permanent Hemorrhoid Treatment Options

Do you really need to treat your hemorrhoids? If your symptoms have persisted or come back over a period of time, the answer is usually yes.

Home remedies for hemorrhoids may provide hemorrhoid relief for a period of time, but if symptoms come back or never completely go away, you may require help from a medical professional to get rid of your hemorrhoids for good.

Hemorrhoidectomy (Hemorrhoid Surgery)

Hemorrhoidectomy is a form of surgery usually performed by a general surgeon or colorectal surgeon. Surgical hemorrhoidectomy is the most effective treatment for hemorrhoids. However, because it also has the highest complication rate and results in significant pain and downtime, it is often a last resort for those suffering from hemorrhoids.

Physicians typically reserve hemorrhoid surgery for more advanced cases and will recommend less invasive therapies and/or lifestyle changes, like adding a fibre supplement to your diet, before resorting to hemorrhoid surgery.

Non-Invasive Permanent Treatment

While there are several forms of non-invasive treatment that can provide temporary hemorrhoid relief, very few are permanent. After hemorrhoid surgery, the rubber band ligation (hemorrhoid banding) technique has the lowest recurrence rate, meaning hemorrhoids are the least likely to return.

Depending on the type of hemorrhoid banding, however, this method can require sedation and/or have a high likelihood of causing pain. Unlike these other methods, the CRH O’Regan System is a form of hemorrhoid banding that can get rid of hemorrhoids for good but without any pain or sedation.

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How long do hemorrhoids last? Treatment and recovery

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Hemorrhoids are swollen, irritated veins around the anus or rectum that can last for varying lengths of time. In some people, hemorrhoids clear up on their own after a few days. In other cases, they can become a regular occurrence.

Some people may need medication or medical procedures to minimize their symptoms and shrink the hemorrhoids.

Hemorrhoids can cause pain and make simple activities, such as sitting or walking, uncomfortable or challenging.

In this article, learn more about how long hemorrhoids last and how to get relief.

There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days.

Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.

Risk factors for severe or recurrent hemorrhoids include:

  • not getting enough fiber
  • being overweight or obese
  • being pregnant
  • having chronic constipation
  • having chronic diarrhea
  • aging muscles
  • sitting on the toilet for too long
  • straining while having a bowel movement
  • having anal intercourse
  • overusing or abusing enemas or laxatives

Some of the above factors can also make it difficult for hemorrhoids to heal, allowing the problem to persist for longer.

Some hemorrhoids do not require treatment and will clear up on their own within a few days. During this time, a person should rest and avoid doing anything that strains or puts pressure on the area.

Over-the-counter (OTC) treatments may work for some people. Medicated creams, such as phenylephrine gel (Preparation H), can help relieve itching and discomfort.

If OTC treatments have little or no effect, a doctor may be able to prescribe more effective ointments.

People who often have hemorrhoids or experience complications, such as blood in the stool, should speak to a doctor. The doctor may recommend alternative treatments or run tests to rule out underlying causes.

People who experience severe hemorrhoids may need more intensive treatment, including medical procedures. These procedures may include:

  • Rubber band ligation, which is the most common nonsurgical procedure for removing hemorrhoids. A doctor will place a small, tight band around the hemorrhoid to cut off circulation to the tissue and allow it to fall off.
  • Sclerotherapy, during which a doctor injects a chemical medication into the hemorrhoid to shrink it. Doctors may also use heat, light, or freezing temperatures to achieve this.
  • Surgical removal, which doctors only recommend in cases where hemorrhoids do not respond to at-home or in-office methods. Surgery is usually successful and prevents the hemorrhoids from coming back.

There is a selection of hemorrhoid treatments available for purchase online.

For people who get hemorrhoids regularly, some dietary and lifestyle changes may help with healing and prevention.

Diet

Share on PinterestEating plenty of fiber-rich foods may soften the stool, making it easier to pass.

Straining during bowel movements is a common cause of hemorrhoids, but people can make dietary adjustments to reduce their need to strain.

Including plenty of fiber-rich foods in the diet is generally beneficial. Plant fibers from fruits, vegetables, nuts, and grains help collect water in the stool, making it softer and easier to pass.

Supplementing the diet with soluble fiber, such as methylcellulose (Citrucel) or psyllium (Metamucil), may reduce constipation.

Drinking plenty of water throughout the day helps ensure that the body has enough water for healthy digestion, which can also ease constipation.

Lifestyle

Making a few small lifestyle changes can help minimize the symptoms of hemorrhoids. Some tips include:

  • Using a small stool to prop up the legs while having a bowel movement. This will change the position of the anal canal, which may make it easier to pass stool.
  • Avoiding delaying a bowel movement when the need arises.
  • Taking regular showers.
  • Gently washing the anus in the shower after each bowel movement or using moist toilet wipes or water from a bidet.
  • Taking a warm sitz bath to relieve symptoms.
  • Sitting on an ice pack to reduce pain or discomfort.
  • Exercising regularly to help stimulate bowel movements.

Spending too much time on the toilet can cause the blood to pool in the veins in the rectum or put unnecessary pressure on them.

While making dietary changes can reduce toilet time, people should also avoid taking a smartphone, newspaper, or book into the restroom.

Hemorrhoids come from small clusters of veins near the mucous membranes of the anus and lower rectum. They develop when the veins become swollen or irritated.

Internal hemorrhoids appear inside the lower rectum and are not visible to the naked eye. This type of hemorrhoid may not cause any pain or irritation, but a person may have other symptoms.

External hemorrhoids appear on the outside of the anus and commonly cause pain and discomfort.

The symptoms of hemorrhoids may vary from person to person, but often include:

  • a lump external to the anus
  • pain or discomfort
  • itching, even after wiping the area clean
  • swelling near the anus
  • a burning sensation when having a bowel movement or at rest

A person may also notice blood in the toilet or stool.

Share on PinterestThe extra weight that a woman carries during pregnancy may cause hemorrhoids.

Hemorrhoids are a common problem during pregnancy. The extra weight that a woman carries during pregnancy may place a strain on the veins in the anus and rectum.

As the uterus grows, it also puts pressure on the veins near the rectum.

Hormonal changes may relax the veins in this area, which can also make hemorrhoids more likely.

Hormonal and physical changes can also cause gastrointestinal problems, such as constipation or diarrhea, which increase a person’s risk of hemorrhoids.

Hemorrhoids are usually not severe, but they can be bothersome and make daily life difficult.

How long hemorrhoids last can vary from person to person, but a range of OTC remedies and medical options are available to treat them.

There are also some simple changes that people can make to their diet and lifestyle to achieve symptom relief and prevent new hemorrhoids from forming.

How long do hemorrhoids last? Treatment and recovery

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Hemorrhoids are swollen, irritated veins around the anus or rectum that can last for varying lengths of time. In some people, hemorrhoids clear up on their own after a few days. In other cases, they can become a regular occurrence.

Some people may need medication or medical procedures to minimize their symptoms and shrink the hemorrhoids.

Hemorrhoids can cause pain and make simple activities, such as sitting or walking, uncomfortable or challenging.

In this article, learn more about how long hemorrhoids last and how to get relief.

There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days.

Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.

Risk factors for severe or recurrent hemorrhoids include:

  • not getting enough fiber
  • being overweight or obese
  • being pregnant
  • having chronic constipation
  • having chronic diarrhea
  • aging muscles
  • sitting on the toilet for too long
  • straining while having a bowel movement
  • having anal intercourse
  • overusing or abusing enemas or laxatives

Some of the above factors can also make it difficult for hemorrhoids to heal, allowing the problem to persist for longer.

Some hemorrhoids do not require treatment and will clear up on their own within a few days. During this time, a person should rest and avoid doing anything that strains or puts pressure on the area.

Over-the-counter (OTC) treatments may work for some people. Medicated creams, such as phenylephrine gel (Preparation H), can help relieve itching and discomfort.

If OTC treatments have little or no effect, a doctor may be able to prescribe more effective ointments.

People who often have hemorrhoids or experience complications, such as blood in the stool, should speak to a doctor. The doctor may recommend alternative treatments or run tests to rule out underlying causes.

People who experience severe hemorrhoids may need more intensive treatment, including medical procedures. These procedures may include:

  • Rubber band ligation, which is the most common nonsurgical procedure for removing hemorrhoids. A doctor will place a small, tight band around the hemorrhoid to cut off circulation to the tissue and allow it to fall off.
  • Sclerotherapy, during which a doctor injects a chemical medication into the hemorrhoid to shrink it. Doctors may also use heat, light, or freezing temperatures to achieve this.
  • Surgical removal, which doctors only recommend in cases where hemorrhoids do not respond to at-home or in-office methods. Surgery is usually successful and prevents the hemorrhoids from coming back.

There is a selection of hemorrhoid treatments available for purchase online.

For people who get hemorrhoids regularly, some dietary and lifestyle changes may help with healing and prevention.

Diet

Share on PinterestEating plenty of fiber-rich foods may soften the stool, making it easier to pass.

Straining during bowel movements is a common cause of hemorrhoids, but people can make dietary adjustments to reduce their need to strain.

Including plenty of fiber-rich foods in the diet is generally beneficial. Plant fibers from fruits, vegetables, nuts, and grains help collect water in the stool, making it softer and easier to pass.

Supplementing the diet with soluble fiber, such as methylcellulose (Citrucel) or psyllium (Metamucil), may reduce constipation.

Drinking plenty of water throughout the day helps ensure that the body has enough water for healthy digestion, which can also ease constipation.

Lifestyle

Making a few small lifestyle changes can help minimize the symptoms of hemorrhoids. Some tips include:

  • Using a small stool to prop up the legs while having a bowel movement. This will change the position of the anal canal, which may make it easier to pass stool.
  • Avoiding delaying a bowel movement when the need arises.
  • Taking regular showers.
  • Gently washing the anus in the shower after each bowel movement or using moist toilet wipes or water from a bidet.
  • Taking a warm sitz bath to relieve symptoms.
  • Sitting on an ice pack to reduce pain or discomfort.
  • Exercising regularly to help stimulate bowel movements.

Spending too much time on the toilet can cause the blood to pool in the veins in the rectum or put unnecessary pressure on them.

While making dietary changes can reduce toilet time, people should also avoid taking a smartphone, newspaper, or book into the restroom.

Hemorrhoids come from small clusters of veins near the mucous membranes of the anus and lower rectum. They develop when the veins become swollen or irritated.

Internal hemorrhoids appear inside the lower rectum and are not visible to the naked eye. This type of hemorrhoid may not cause any pain or irritation, but a person may have other symptoms.

External hemorrhoids appear on the outside of the anus and commonly cause pain and discomfort.

The symptoms of hemorrhoids may vary from person to person, but often include:

  • a lump external to the anus
  • pain or discomfort
  • itching, even after wiping the area clean
  • swelling near the anus
  • a burning sensation when having a bowel movement or at rest

A person may also notice blood in the toilet or stool.

Share on PinterestThe extra weight that a woman carries during pregnancy may cause hemorrhoids.

Hemorrhoids are a common problem during pregnancy. The extra weight that a woman carries during pregnancy may place a strain on the veins in the anus and rectum.

As the uterus grows, it also puts pressure on the veins near the rectum.

Hormonal changes may relax the veins in this area, which can also make hemorrhoids more likely.

Hormonal and physical changes can also cause gastrointestinal problems, such as constipation or diarrhea, which increase a person’s risk of hemorrhoids.

Hemorrhoids are usually not severe, but they can be bothersome and make daily life difficult.

How long hemorrhoids last can vary from person to person, but a range of OTC remedies and medical options are available to treat them.

There are also some simple changes that people can make to their diet and lifestyle to achieve symptom relief and prevent new hemorrhoids from forming.

How long do hemorrhoids last? Treatment and recovery

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Hemorrhoids are swollen, irritated veins around the anus or rectum that can last for varying lengths of time. In some people, hemorrhoids clear up on their own after a few days. In other cases, they can become a regular occurrence.

Some people may need medication or medical procedures to minimize their symptoms and shrink the hemorrhoids.

Hemorrhoids can cause pain and make simple activities, such as sitting or walking, uncomfortable or challenging.

In this article, learn more about how long hemorrhoids last and how to get relief.

There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days.

Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.

Risk factors for severe or recurrent hemorrhoids include:

  • not getting enough fiber
  • being overweight or obese
  • being pregnant
  • having chronic constipation
  • having chronic diarrhea
  • aging muscles
  • sitting on the toilet for too long
  • straining while having a bowel movement
  • having anal intercourse
  • overusing or abusing enemas or laxatives

Some of the above factors can also make it difficult for hemorrhoids to heal, allowing the problem to persist for longer.

Some hemorrhoids do not require treatment and will clear up on their own within a few days. During this time, a person should rest and avoid doing anything that strains or puts pressure on the area.

Over-the-counter (OTC) treatments may work for some people. Medicated creams, such as phenylephrine gel (Preparation H), can help relieve itching and discomfort.

If OTC treatments have little or no effect, a doctor may be able to prescribe more effective ointments.

People who often have hemorrhoids or experience complications, such as blood in the stool, should speak to a doctor. The doctor may recommend alternative treatments or run tests to rule out underlying causes.

People who experience severe hemorrhoids may need more intensive treatment, including medical procedures. These procedures may include:

  • Rubber band ligation, which is the most common nonsurgical procedure for removing hemorrhoids. A doctor will place a small, tight band around the hemorrhoid to cut off circulation to the tissue and allow it to fall off.
  • Sclerotherapy, during which a doctor injects a chemical medication into the hemorrhoid to shrink it. Doctors may also use heat, light, or freezing temperatures to achieve this.
  • Surgical removal, which doctors only recommend in cases where hemorrhoids do not respond to at-home or in-office methods. Surgery is usually successful and prevents the hemorrhoids from coming back.

There is a selection of hemorrhoid treatments available for purchase online.

For people who get hemorrhoids regularly, some dietary and lifestyle changes may help with healing and prevention.

Diet

Share on PinterestEating plenty of fiber-rich foods may soften the stool, making it easier to pass.

Straining during bowel movements is a common cause of hemorrhoids, but people can make dietary adjustments to reduce their need to strain.

Including plenty of fiber-rich foods in the diet is generally beneficial. Plant fibers from fruits, vegetables, nuts, and grains help collect water in the stool, making it softer and easier to pass.

Supplementing the diet with soluble fiber, such as methylcellulose (Citrucel) or psyllium (Metamucil), may reduce constipation.

Drinking plenty of water throughout the day helps ensure that the body has enough water for healthy digestion, which can also ease constipation.

Lifestyle

Making a few small lifestyle changes can help minimize the symptoms of hemorrhoids. Some tips include:

  • Using a small stool to prop up the legs while having a bowel movement. This will change the position of the anal canal, which may make it easier to pass stool.
  • Avoiding delaying a bowel movement when the need arises.
  • Taking regular showers.
  • Gently washing the anus in the shower after each bowel movement or using moist toilet wipes or water from a bidet.
  • Taking a warm sitz bath to relieve symptoms.
  • Sitting on an ice pack to reduce pain or discomfort.
  • Exercising regularly to help stimulate bowel movements.

Spending too much time on the toilet can cause the blood to pool in the veins in the rectum or put unnecessary pressure on them.

While making dietary changes can reduce toilet time, people should also avoid taking a smartphone, newspaper, or book into the restroom.

Hemorrhoids come from small clusters of veins near the mucous membranes of the anus and lower rectum. They develop when the veins become swollen or irritated.

Internal hemorrhoids appear inside the lower rectum and are not visible to the naked eye. This type of hemorrhoid may not cause any pain or irritation, but a person may have other symptoms.

External hemorrhoids appear on the outside of the anus and commonly cause pain and discomfort.

The symptoms of hemorrhoids may vary from person to person, but often include:

  • a lump external to the anus
  • pain or discomfort
  • itching, even after wiping the area clean
  • swelling near the anus
  • a burning sensation when having a bowel movement or at rest

A person may also notice blood in the toilet or stool.

Share on PinterestThe extra weight that a woman carries during pregnancy may cause hemorrhoids.

Hemorrhoids are a common problem during pregnancy. The extra weight that a woman carries during pregnancy may place a strain on the veins in the anus and rectum.

As the uterus grows, it also puts pressure on the veins near the rectum.

Hormonal changes may relax the veins in this area, which can also make hemorrhoids more likely.

Hormonal and physical changes can also cause gastrointestinal problems, such as constipation or diarrhea, which increase a person’s risk of hemorrhoids.

Hemorrhoids are usually not severe, but they can be bothersome and make daily life difficult.

How long hemorrhoids last can vary from person to person, but a range of OTC remedies and medical options are available to treat them.

There are also some simple changes that people can make to their diet and lifestyle to achieve symptom relief and prevent new hemorrhoids from forming.

How long do hemorrhoids last? Treatment and recovery

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Hemorrhoids are swollen, irritated veins around the anus or rectum that can last for varying lengths of time. In some people, hemorrhoids clear up on their own after a few days. In other cases, they can become a regular occurrence.

Some people may need medication or medical procedures to minimize their symptoms and shrink the hemorrhoids.

Hemorrhoids can cause pain and make simple activities, such as sitting or walking, uncomfortable or challenging.

In this article, learn more about how long hemorrhoids last and how to get relief.

There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days.

Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.

Risk factors for severe or recurrent hemorrhoids include:

  • not getting enough fiber
  • being overweight or obese
  • being pregnant
  • having chronic constipation
  • having chronic diarrhea
  • aging muscles
  • sitting on the toilet for too long
  • straining while having a bowel movement
  • having anal intercourse
  • overusing or abusing enemas or laxatives

Some of the above factors can also make it difficult for hemorrhoids to heal, allowing the problem to persist for longer.

Some hemorrhoids do not require treatment and will clear up on their own within a few days. During this time, a person should rest and avoid doing anything that strains or puts pressure on the area.

Over-the-counter (OTC) treatments may work for some people. Medicated creams, such as phenylephrine gel (Preparation H), can help relieve itching and discomfort.

If OTC treatments have little or no effect, a doctor may be able to prescribe more effective ointments.

People who often have hemorrhoids or experience complications, such as blood in the stool, should speak to a doctor. The doctor may recommend alternative treatments or run tests to rule out underlying causes.

People who experience severe hemorrhoids may need more intensive treatment, including medical procedures. These procedures may include:

  • Rubber band ligation, which is the most common nonsurgical procedure for removing hemorrhoids. A doctor will place a small, tight band around the hemorrhoid to cut off circulation to the tissue and allow it to fall off.
  • Sclerotherapy, during which a doctor injects a chemical medication into the hemorrhoid to shrink it. Doctors may also use heat, light, or freezing temperatures to achieve this.
  • Surgical removal, which doctors only recommend in cases where hemorrhoids do not respond to at-home or in-office methods. Surgery is usually successful and prevents the hemorrhoids from coming back.

There is a selection of hemorrhoid treatments available for purchase online.

For people who get hemorrhoids regularly, some dietary and lifestyle changes may help with healing and prevention.

Diet

Share on PinterestEating plenty of fiber-rich foods may soften the stool, making it easier to pass.

Straining during bowel movements is a common cause of hemorrhoids, but people can make dietary adjustments to reduce their need to strain.

Including plenty of fiber-rich foods in the diet is generally beneficial. Plant fibers from fruits, vegetables, nuts, and grains help collect water in the stool, making it softer and easier to pass.

Supplementing the diet with soluble fiber, such as methylcellulose (Citrucel) or psyllium (Metamucil), may reduce constipation.

Drinking plenty of water throughout the day helps ensure that the body has enough water for healthy digestion, which can also ease constipation.

Lifestyle

Making a few small lifestyle changes can help minimize the symptoms of hemorrhoids. Some tips include:

  • Using a small stool to prop up the legs while having a bowel movement. This will change the position of the anal canal, which may make it easier to pass stool.
  • Avoiding delaying a bowel movement when the need arises.
  • Taking regular showers.
  • Gently washing the anus in the shower after each bowel movement or using moist toilet wipes or water from a bidet.
  • Taking a warm sitz bath to relieve symptoms.
  • Sitting on an ice pack to reduce pain or discomfort.
  • Exercising regularly to help stimulate bowel movements.

Spending too much time on the toilet can cause the blood to pool in the veins in the rectum or put unnecessary pressure on them.

While making dietary changes can reduce toilet time, people should also avoid taking a smartphone, newspaper, or book into the restroom.

Hemorrhoids come from small clusters of veins near the mucous membranes of the anus and lower rectum. They develop when the veins become swollen or irritated.

Internal hemorrhoids appear inside the lower rectum and are not visible to the naked eye. This type of hemorrhoid may not cause any pain or irritation, but a person may have other symptoms.

External hemorrhoids appear on the outside of the anus and commonly cause pain and discomfort.

The symptoms of hemorrhoids may vary from person to person, but often include:

  • a lump external to the anus
  • pain or discomfort
  • itching, even after wiping the area clean
  • swelling near the anus
  • a burning sensation when having a bowel movement or at rest

A person may also notice blood in the toilet or stool.

Share on PinterestThe extra weight that a woman carries during pregnancy may cause hemorrhoids.

Hemorrhoids are a common problem during pregnancy. The extra weight that a woman carries during pregnancy may place a strain on the veins in the anus and rectum.

As the uterus grows, it also puts pressure on the veins near the rectum.

Hormonal changes may relax the veins in this area, which can also make hemorrhoids more likely.

Hormonal and physical changes can also cause gastrointestinal problems, such as constipation or diarrhea, which increase a person’s risk of hemorrhoids.

Hemorrhoids are usually not severe, but they can be bothersome and make daily life difficult.

How long hemorrhoids last can vary from person to person, but a range of OTC remedies and medical options are available to treat them.

There are also some simple changes that people can make to their diet and lifestyle to achieve symptom relief and prevent new hemorrhoids from forming.

Hemorrhoid Treatment for Internal, External, or Bleeding Hemorrhoids

Hemorrhoids often get better without surgery or even procedures your doctor can do in the office. Start with over-the-counter products and lifestyle changes. (If you’re pregnant, you should talk to your doctor before you try any medicine or change your diet.)

Hemorrhoid Home Care

Try these tips to soothe the pain and itching of hemorrhoids.

  • Warm Bath or Sitz Bath. It’s a time-honored therapy: Sit in about 3 inches of warm (not hot) water for 15 minutes or so, several times a day. This helps reduce swelling in the area and relaxes your clenching sphincter muscle. It’s especially good after pooping.
  • Ointments. Put a little petroleum jelly just inside your anus to make pooping hurt less. Don’t force it! Or use over-the-counter creams or ointments made for hemorrhoid symptoms. A 1% hydrocortisone cream on the skin outside the anus (not inside) can relieve itching, too. But don’t use it for longer than a week unless your doctor says it’s OK.
  • Witch Hazel. Dab witch hazel on irritated hemorrhoids. It’s a natural anti-inflammatory that can work against swelling and itching.
  • Soothing Wipes. After you poop, clean yourself gently with a baby wipe, a wet cloth, or a medicated pad.
  • Cold Compress. Try putting a simple cold pack on the tender area for a few minutes to numb it and bring down the swelling.
  • Loose Clothing. Weaning loose clothing in a breathable fabric like cotton may help with discomfort.
  • High-Fiber Diet. It’s the best thing for hemorrhoids: A diet rich in high-fiber foods and with few processed foods. Eat mostly vegetables, fruit, nuts, and whole grains to avoid constipation.
  • Stool Softeners. If you can’t get enough fiber from food, your doctor may want you to take a fiber supplement or stool softener. Don’t take laxatives, because they can cause diarrhea that could irritate hemorrhoids.
  • Keep Hydrated. Drink seven to eight glasses of water each day, at least a half-gallon total. If you’re very active or you live in a hot climate, you may need even more.

Even if your doctor prescribes medication or suggests surgery, you’ll probably need to change your diet. Introduce new foods slowly to avoid gas.

Hemorrhoid Medications

Pain relievers, including acetaminophen, ibuprofen, and aspirin, may help with your hemorrhoid symptoms. You can also choose from a variety of over-the-counter creams, ointments, suppositories, and medicated pads. They contain medicines like lidocaine to numb the area, or hydrocortisone or witch hazel, to reduce swelling and itching.

Medical Procedures for Hemorrhoids

If your symptoms are severe or aren’t getting better after a couple of weeks, your doctor may suggest a procedure to shrink or remove the hemorrhoids. Many can be performed in their office.

Injection. Your doctor can inject an internal hemorrhoid with a solution to create a scar and close off the hemorrhoid. The shot hurts only a little.

Rubber band ligation. This procedure is often done on prolapsed hemorrhoids, internal hemorrhoids that can be seen or felt outside. Using a special tool, the doctor puts a tiny rubber band around the hemorrhoid, which shuts off its blood supply almost instantly. Within a week, the hemorrhoid will dry up, shrink, and fall off.

Continued

Coagulation or cauterization. With an electric probe, a laser beam, or an infrared light, your doctor will make a tiny burn to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink. This works best for prolapsed hemorrhoids.

Surgery. For large internal hemorrhoids or extremely uncomfortable external hemorrhoids, your doctor may recommend surgery.

  • Hemorrhoidectomy. The most effective technique is to completely remove the hemorrhoids. But recovery is painful and can take several weeks.
  • Hemorrhoid stapling. This technique cuts blood flow to internal hemorrhoids and moves prolapsed tissue back in place. Recovery is easier, but there’s a greater chance of the hemorrhoids coming back.

Newer procedures use less invasive techniques to identify and cut off the blood supply to the problem tissues.

Medical treatments are effective, but unless you change your diet and lifestyle, hemorrhoids may come back.

90,000 Methods for the treatment of hemorrhoids – useful articles

People have suffered from hemorrhoids for a long time, and for a long time there have been attempts to find effective ways to treat it. In ancient Russia, hemorrhoids were called “pochechuy”. To alleviate suffering during exacerbation of hemorrhoids and to protect themselves from it, people read a prayer to Saint Fiacre, the patron saint of the sick, “we will give a little sleep.” How effective – history is silent. And in ancient Egypt there was a special position – “keeper of the anus of the pharaoh”, who was close to the ruler and endowed with huge privileges.At present, hemorrhoids, due to their prevalence, have become a disease of civilization.

Many methods of treating hemorrhoids have accumulated – folk and medical, effective and not very, and sometimes even dangerous. For example, the setting of “ice candles” can injure the anus and hemorrhoids and lead to profuse hemorrhoidal bleeding, exacerbation of prostatitis in men, and inept placement of leeches can also provoke serious bleeding, the arrest of which will require hospitalization.It must be remembered that the diagnosis of hemorrhoids can only be made by a specialist-proctologist, and the earlier the treatment begins, the easier and safer it will be.

To prevent the occurrence of hemorrhoids, you must adhere to the following simple rules:

  • If at work you have to sit a lot, then once an hour you need to take a 5-10 minute break for walking and other physical activity. It is better to replace a soft chair with a semi-rigid one. For those who have been driving for a long time, it is advisable to take a break on the way – once every three hours and actively move.
  • Try to avoid excessive consumption of spicy foods, pickles, smoked foods, pickles, strong tea and coffee. Don’t overuse alcohol. If due to circumstances it is necessary to consume alcohol, give preference to a small amount of strong alcoholic drinks – vodka and cognac. Unlike beer, wines, they cause increased blood flow to hemorrhoids to a lesser extent.
  • Monitor bowel function and prevent both constipation and diarrhea.To do this, eat more plant foods. Switch from flour and potato side dishes to vegetable and cereal side dishes. Buckwheat has a very good effect, containing a natural venotonic component – rutin, which has a beneficial effect on hemorrhoids. Drink plenty of fluids to keep your stools soft and full. Mineral waters enhance intestinal motor activity. Highly and moderately mineralized waters are recommended, which are classified as medicinal, as well as waters containing magnesium ions and sulfates, such as “Essentuki” No. 17 and No. 4, “Moskovskaya”.Dairy products are required daily.
  • Train yourself to wet anus hygiene. By the way, they say that residents of rural areas in Central Asia do not have hemorrhoids, since they are accustomed to such a hygienic procedure from childhood.
  • Limit steam and sauna visits to once a month. Taking hot baths is undesirable. Avoid hypothermia as well. Hypothermia can provoke poor circulation and cause hemorrhoids to form or worsen.
  • Do not abuse long-term cycling, motorcycle, horse riding, shaking riding, power sports. It is necessary to avoid prolonged tension when lifting and carrying weights; if necessary, short-term efforts are more preferable.

As we have said before, the leading factors in the occurrence of hemorrhoids are stagnation of blood in the area of ​​hemorrhoidal “pillows” and impaired motor activity of the intestine, leading to constipation.Therefore, physical activity that restores intestinal motility and accelerates blood circulation in the pelvic region has a good preventive effect. Specialists have developed a specific preventive set of exercises.

If hemorrhoids already exist, then these measures alone will not be enough; they need to be supplemented with drug therapy. It is widely believed that hemorrhoids are treated only with suppositories and ointments – local forms of drugs. However, clinical studies have shown that local drugs have a minimal effect on hemorrhoids, mainly removing only the manifestations of hemorrhoids.Therefore, the basis of drug treatment for this disease is the intake of venotonic drugs through the mouth, which affect the very substrate of hemorrhoids – hemorrhoids, reducing them in size, accelerating blood flow and relieving inflammation. In addition, local forms have a predominantly narrowly targeted effect, their number is very large, and only a specialist can choose the right drug for you, given the variety of manifestations of hemorrhoids, after a full diagnosis.

Regarding the drug treatment of hemorrhoids, it should be noted that it is the basis for the treatment of all forms and stages of hemorrhoids.It allows you to feel like a healthy person again in a short time, eliminating the symptoms. However, such relief is temporary and cannot rid the patient of the disease itself. When drugs are stopped, diet and regimen are violated, the symptoms of hemorrhoids usually return. Therefore, preference in the treatment of hemorrhoids is given to more effective, so-called radical non-surgical techniques, which have a more lasting effect, eliminating not only the symptoms, but also the hemorrhoids themselves.They avoid surgery in about 75 percent of hemorrhoid patients.

Krylov Mikhail Dmitrievich
Coloproctologist of the Scandinavian Medical Center,
Candidate of Medical Sciences, Member of the Association of Coloproctologists of Russia

90,000 Suppositories and ointments for hemorrhoids – is self-medication dangerous?

Advertising slogans used in advertising of drugs for the treatment of hemorrhoids promise to get rid of the disease for everyone, quickly and without surgical assistance.Why does hemorrhoids remain one of the most common proctological diseases in the world? The practicing proctologist On Clinic Ust-Kamenogorsk Beisenov Murat Kasymovich tells about the effect of drugs and candles “from advertising” and how to reliably cope with hemorrhoids.

Can pills, suppositories or other drugs, which are now widely advertised, get rid of hemorrhoids?

At the first stage, conservative treatment with drugs is possible, but it is long-term, in compliance with dietary recommendations.The main treatment for hemorrhoids is only surgical. It can be a classic operation or minimally invasive modern methods, but not conservative methods. Varicose hemorrhoidal veins from their use will not disappear anywhere.

Phlebotonics can cope with thrombosis of the node, reduce the external node, but it will remain associated with internal hemorrhoids. With physical exertion or exposure to other provoking factors, the node will appear again, and possibly more than one. Suppositories, as a rule, relieve symptoms, reduce itching and burning, since they contain local anesthetics, but also do not fundamentally affect the problem itself.

How likely is a patient’s error in self-diagnosis and what are the consequences of such errors?

One of the common symptoms associated with hemorrhoid patients is bleeding. At the same time, only 80% of bleeding is really hemorrhoids, but the remaining 20% ​​can be ulcerative processes in the large intestine, Crohn’s disease, ulcerative colitis, bleeding polyps, diverticula, and various oncological diseases.

I will say more, even if we are not talking about oncology, chronic ulcerative lesions of the intestinal mucosa without appropriate treatment can lead to the development of a tumor process.If these diseases are not diagnosed in time, the consequences can be very serious, up to and including death.

What methods are used for the surgical treatment of external and internal hemorrhoids?

External nodes are excised, the vascular pedicle is crossed in the area of ​​the external node. Internal nodes are removed using ligation, which is currently used in our medical center. In general, as noted above, On Clinics use minimally invasive methods of treating this disease.

What problem with self-medication would you call the main one?

When patients have this or that formation, bleeding, as well as discomfort during bowel movements, they tend to suspect hemorrhoids. The symptoms of the disease are well known and patients often think they can diagnose themselves.

Instead of seeking help from a doctor, many go straight to the pharmacy. At the pharmacy, they buy candles, ointments, tablets and begin to use them without a doctor’s prescription, based on the recommendations of the pharmacist.

Situations when self-medication is practiced for several years are also a great danger. As a rule, patients know that they have hemorrhoids, while a deep secret form of hemorrhoids, the stage of development of this process, remains for them. Often in such cases, some improvement occurs, and the patient does not come to see a specialist for a long time.

Refusing qualified diagnostics and treatment, the patient is at serious risk, and this risk is very real.Treatment of advanced hemorrhoids is much more difficult and often more traumatic.

Is it possible to stop the development of hemorrhoids at an early stage?

The word “suspend” is more appropriate here if we are talking about internal hemorrhoids. I have had patients who in principle insisted on ligating internal nodes in the first stage. However, in this case, we prescribe a course of phlebotonics.

After the course, we conduct a control examination, if everything is in order, I give recommendations regarding lifestyle, nutrition and other things.It should be noted here that even adherence to the recommendations does not guarantee that the process will not develop, but there are situations when the problem does not go beyond the first stage for a long time.

Some women insist on ligation before getting pregnant, and this decision is always correct. After giving birth, they come and say “thank you”, since there is no “rose”, there are no other typical problems faced by those who did not ligate the nodes before pregnancy.

Despite the abundance of modern methods, no way has yet been found to cure hemorrhoids using pills and suppositories.Meanwhile, many pharmacological agents, in particular, angioprotectors, phlebotonics, local hemostatics and pain relievers, can be effectively used in the complex therapy of the disease.

You can make an appointment with a proctologist by phone 8 (7232) 25 00 70, or by leaving an online application on the website.

When registering on the site, there is a 20% discount on the initial admission!

Hemorrhoid treatment without surgery

Treatment of hemorrhoids without surgery

20 April 2017

For hemorrhoids, surgical treatment is used only at 3 – 4 stages and the ineffectiveness of other methods of treatment.Treatment of hemorrhoids without surgery includes conservative and minimally invasive methods.

Conservative treatment

Drugs used for drug therapy of hemorrhoids:

  • dietary fiber for eliminating constipation: bran, seaweed, flaxseed, Mucofalk, Fitomucil;
  • Anesthetic creams and suppositories: Proctosan, Procto-Glivenol, Posterisan, Relief Advance;
  • drugs for thrombosis of nodes: ointment with troxeruton or heparin;
  • drugs for thrombosis of nodes with inflammation: Proctosedil, Hepatrombin, and Detralex inside;
  • anti-inflammatory and pain relievers: Ketoprofen, Voltaren topically;
  • hemostatic: Natalsid, Relief, as well as Detralex and Etamsilat.

The doctor – proctologist will help you to choose the required drug.

Non-surgical treatment of hemorrhoids

With internal hemorrhoids 3 – 4 stages, drug treatment is often not effective enough. In St. Petersburg and other cities of Russia, many clinics are equipped with modern equipment, with the help of which surgeons carry out minimally invasive methods of treatment.
In the treatment of hemorrhoids without surgery, the size of the nodes and the intensity of blood flow in them are reduced, as well as their fixation to the intestinal wall.As a result, the patient gets rid of the symptoms of the disease.

Applied treatment methods:

  • Sclerotherapy of internal nodes

It is used for 1 – 2 stages of the disease, accompanied by bleeding. The method can be used to treat bleeding hemorrhoids and at 3-4 stages without surgery. A solution is introduced into the vessels, “sticking” their walls. The efficiency reaches 90%.

  • Infrared photocoagulation

It is indicated for bleeding against the background of stages 1 – 2 of the disease.Cauterization of the leg of the node is carried out with the help of the light guide. The efficiency is 70%.

  • Latex ligation

Using a vacuum, a latex ring is put on the knot, pinching its leg. Indications – 2 – 3 stages of the disease with separate nodes. The efficiency reaches 85%.

  • Doppler ultrasound-guided desarterization

It is used for the disease at stages 2 – 4. Under ultrasound guidance, the surgeon sutures the arteries in the upper rectum.Efficiency is 81%, postoperative pain is practically not pronounced.

  • Desarterization with mucopexy

It is used at 2 – 4 stages of the disease. In addition to suturing the rectal arteries, a suture is applied to the protruding part of the mucous membrane, and it is pulled up to the intestinal wall. The recovery period is short, the efficiency reaches 92%. This is the best treatment for stage 2 to 3 hemorrhoids.

City Clinical Hospital №31 – Treatment of hemorrhoids without surgery: methods, methods, therapy

Is it possible to radically get rid of hemorrhoids with a bloodless method?

How to choose a way to eliminate hemorrhoids

The tactics of medical measures for hemorrhoids are determined by the attending physician at a full-time consultative appointment.It will be necessary to undergo diagnostics: external examination, anoscopy, and in some cases – sigmoidoscopy or colonoscopy.

Answer to the question “Is it possible to cure hemorrhoids without surgery?” depends on the following factors:
___ • the nature of the course of the disease (acute or chronic pathology),
___ • the stage of development of the process,
___ • the presence of complications,
___ • the general condition of the patient (age, concomitant diseases).

Doctors turn to traditional surgical intervention relatively rarely, in advanced cases. Preference is given to non-surgical methods: conservative therapy in combination with low-traumatic techniques (sclerotherapy, ligation of nodes, laser coagulation, etc.).

Which method is the most reliable?

Hemorrhoids – a disease that occurs as a result of the expansion of the arterial collectors of the rectum.

In addition to a hereditary predisposition to the development of hemorrhoids, lead to:
___ • stool disorders (constipation, diarrhea),
___ • sedentary lifestyle,
___ • sedentary work,
___ • overweight,
___ • heavy physical exertion,
___ • diseases digestive system,
___ • pathologies that increase intra-abdominal pressure (ascites, pulmonary emphysema, chronic cough, etc.),
___ • pregnancy.

The duration of the relapse-free period with hemorrhoids does not depend on the method of eliminating the enlarged node. To prevent the disease from returning, it is necessary to eliminate all factors contributing to the development of pathology – this is a necessary and sufficient condition for maintaining your health.

When is treatment without surgery prescribed?

1. Acute hemorrhoids

It is possible to cure hemorrhoids without surgery using conservative methods of therapy when it comes to an exacerbation of the disease. Acute hemorrhoids, as a rule, develops in response to the influence of a resolving factor:
___ • errors in the diet (spicy food, alcohol),
___ • stool disorders (constipation or diarrhea),
___ • hard physical labor.

Thrombosis of the hemorrhoid is clinically manifested in the appearance of a subcutaneous painful formation in the projection of the anus. The pain syndrome increases with bowel movement, and in severe cases, when walking, coughing and sneezing.

Pain may radiate to the leg and / or be accompanied by a sensation of a foreign body in the rectum.Another characteristic complaint of patients with acute hemorrhoids is blood on the surface of the stool during bowel movements. In severe cases, severe bleeding is possible.

2. Pregnancy

Methods of conservative therapy are used to treat hemorrhoids during pregnancy. The expansion of hemorrhoidal veins during childbearing is associated with physiological changes in the body of the expectant mother.

The enlarged uterus compresses the rectum, as a result blood circulation is disturbed and conditions are created for stagnation of blood in the hemorrhoidal vessels.The situation is aggravated by the hormonal background of pregnant women provoking chronic constipation.

After the birth of a child, all factors contributing to the development of hemorrhoids are safely eliminated – intra-abdominal pressure decreases, hormonal levels stabilize, and stool normalizes. All conditions are created to eliminate hemorrhoids by conservative methods.

But, if the process was started even before pregnancy, the doctor may offer treatment with minimally invasive methods.

3. If the operation is contraindicated

Conservative therapy in the later stages of the development of hemorrhoids is prescribed if the patient’s health condition does not allow for radical surgery:
___ • acute infection,
___ • exacerbation of chronic pathology,
___ • acute vascular accidents,
___ • general weakened state of health,
___ • oncological diseases.

In such cases, conservative therapy successfully solves the following tasks:
___ • improving the patient’s quality of life (eliminating pain, anal itching and other discomfort),
___ • preventing further development of the disease,
___ • combating complications (iron supplements for anemia and etc.).

However, the prognosis for getting rid of the disease remains dubious, and the risk of complications is quite high. Therefore, proctologists recommend that the intervention be carried out immediately after the patient’s health condition has stabilized.

Methods of conservative therapy

1. Conservation regime and non-drug methods of treatment

A protective regime and physiotherapy are prescribed in the general complex of measures for conservative therapy of hemorrhoids, as well as in preparation for surgical intervention and during the rehabilitation period after a traditional operation or low-traumatic procedures.

The essence of the protective regime is to eliminate all factors that increase intra-abdominal pressure and contribute to stagnation of blood in the veins of the small pelvis:
___ • prohibition on heavy physical labor and prolonged sitting in a sitting position,
___ • dosed loads (walking on level ground),
___ • limitation of thermal procedures (baths, saunas),
___ • fighting overweight,
___ • treatment of chronic diseases that aggravate the process (pathologies of the digestive tract, lungs, genitourinary system),
___ • refusal to take alcohol and spicy foods …

To relieve pain, proctologists prescribe baths with potassium permanganate and / or decoctions of medicinal herbs, which have an astringent, antimicrobial and anti-inflammatory effect.

In the subacute period, as well as as anti-relapse treatment, special complexes of physiotherapy exercises are recommended, which strengthen the muscles of the pelvic floor, have a beneficial effect on intestinal motility and restore blood circulation in the small pelvis.

2. Fight against stool disorders

Violation of stool regularity (constipation, diarrhea, and constipation alternating with diarrhea) is the main cause of exacerbations of hemorrhoids.To stimulate the intestines, a diet with a high fiber content (apples, oranges, wholemeal bread, prunes) is recommended. Foods that help fix stool are excluded from the diet:
___ • potatoes,
___ • rice,
___ • semolina,
___ • pears,
___ • quince,
___ • pomegranate,
___ • wheat products: white bread, pasta.

The ban also includes dishes that irritate the intestines:
___ • pickles and smoked meats,
___ • spices, onions, garlic,
___ • carbonated and alcoholic drinks,
___ • strong coffee.

Food must be soft, sufficiently heat-treated (steamed, boiled or baked food). It is recommended to include a sufficient amount of liquid foods and drinks in the diet, which will ensure the body is saturated with water (more than 2 liters per day).

If the diet does not help to achieve a regular stool, natural laxatives are prescribed, the principle of which is to soften the stool (for example, Forlax).

3. Drug treatment: suppositories and ointments

Treatment of hemorrhoids without surgery involves the use of medicines for external use.With the nodes located outside, ointments are prescribed, and with the localization of pathological elements inside the intestine, suppositories.

The drugs used for hemorrhoids may contain one or more active ingredients:
___ • pain relievers,
___ • antispasmodics,
___ • anti-inflammatory,
___ • antimicrobial,
___ • blood thinners,
___ • strengthening capillaries, •
__ drying, etc.

Some patients believe that the more actions a drug produces simultaneously, the better, but a large number of components means an increased risk of side effects and a longer list of contraindications.Therefore, we recommend that you contact a proctologist who will select the drug individually, based on your specific situation.

Minimally invasive methods

Mechanism of action of low-traumatic interventions

Minimally invasive (less traumatic) methods of treatment involve the elimination of hemorrhoids without using a traditional surgical scalpel. Such procedures are well tolerated by patients, therefore they are often called treatment of hemorrhoids without surgery.
___1. Sclerotherapy of hemorrhoids is the introduction of a chemical substance into the lumen of the vessel feeding the node, which burns the inner lining of the vessel. As a result, the pathological element decreases in size.
___2. At coagulation of hemorrhoids “gluing” of the inner walls of the vein feeding the node occurs under the thermal effect of wave radiation.
___3. Ligation of nodes with latex rings is a mechanical ligation of the feeding arteries.

Thus, the mechanism of action of minimally invasive methods is the same: the pathological element is “disconnected” from the vascular network, becomes dead and excreted from the body with feces.

Advantages and disadvantages of low-traumatic methods

The advantages of low-traumatic methods of hemorrhoid treatment are expressed in the name itself. An injury that is insignificant for the body does not provide for increased requirements for the state of health of the patient, therefore, such treatment can be carried out even in old age in patients aggravated by many chronic diseases.

In addition, minimally invasive intervention assumes:
___ • outpatient nature (does not require hospitalization),
___ • short recovery period with minor restrictions (prohibition of physical activity and thermal procedures),
___ • mild postoperative pain syndrome, easily relieved standard pain relievers.

Minimally invasive methods have one single, but serious drawback : they are not effective for all patients. At the IV and V stages of the development of the process (uncontrolled nodes), as well as in cases of complicated hemorrhoids, one has to resort to traditional surgery to remove hemorrhoids

Treatment with folk remedies

It is necessary to be very careful with the advice distributed on the Internet, and do not prescribe treatment yourself! Only the doctor, after the examination, will be able to say which stage of hemorrhoids will have to be dealt with, whether there are any accompanying complications and prescribe the most appropriate treatment.
Do not self-medicate! Contact the specialists!

Methods for the treatment of hemorrhoids without surgery at City Clinical Hospital No. 31 (Moscow)

Surgical operations in Moscow City Clinical Hospital No. 31 are carried out under the compulsory medical insurance policy. The list of services included in the Territorial program of state guarantees of free medical care in the city of Moscow can be found in the document.

You can also make an appointment and undergo the procedure of non-surgical treatment of hemorrhoids on a paid basis.You can find out about the rules for the provision of paid services here.

Remember that the treatment of hemorrhoids without surgery is possible only with timely referral to the proctologist!

Don’t miss your chance! We are waiting for you, come.

Learn more about the direction Proctology

90,000 Treatment of proctological diseases, proctology at the TS Clinic in Krasnodar


When do I need to get tested?
If you periodically or regularly feel:

  • itching, burning
  • pain in the anus, in the rectum.May be during or after defecation
  • discomfort in the rectal area
  • blood: in stool or on toilet paper
  • a feeling of incomplete emptying of the intestines or a foreign body in the anus

The presence of these symptoms may indicate serious pathologies, including cancer. Treatment of hemorrhoids and rectal fissures in the initial stages will allow for treatment with minimally invasive methods and avoid serious surgery.


If you have been diagnosed with a coloproctological diagnosis, remember – this is not a sentence, you will not have to endure unpleasant and painful symptoms all your life.
Only the first step is needed from you – to make up your mind and come to an appointment with a coloproctologist.
The Coloproctology Department of the TS Clinic offers only the most modern treatment methods, high-tech equipment, including electrosurgical and laser installations, coloproctologists of the highest category, conservative, physiotherapeutic and surgical treatment, including one-day surgery.

Methods of treatment used by specialists of the TS Clinic

Choosing a method for treating chronic hemorrhoids is the most difficult issue, in which there is no unity even in the professional community.
There are currently no methods of treatment that would guarantee 100% elimination of hemorrhoids for life.

The goal of treatment is not “to get rid of hemorrhoids” , but “to get rid of the symptoms of hemorrhoids for the maximum period of the most optimal of those shown
methods to the patient. “

  • sclerotherapy (including with the use of the Proxon device)
  • infrared (IRC) and laser (HeLP) coagulation
  • Ligation of hemorrhoids with latex rings
  • laser submucous destruction hemorrhoidal tissue (LHP)
  • classic hemorrhoidectomy (open, closed)
  • using electrocoagulators
  • using LigaSure
  • using surgical laser
  • HAL-RAR (dearterization with mucopexy, suture ligation, proximal ligation, ligation of hemorrhoidal arteries under Doppler control)

HEMORRHOIDAL NODE SCLEROTHERAPY


The essence of the method

Injection into the tissue of the hemorrhoidal node drugs that cause sclerosis , which leads to both “wrinkling” and a decrease in the size of the node itself, and a decrease in blood flow to the node due to involvement in the process
sclerosis of hemorrhoidal vessels.


  • Small internal hemorrhoids that do not protrude from the anus
    .
  • Large hemorrhoids – as the first stage of treatment, in order to quickly stop bleeding and resolve the issue of further surgical treatment.
  • Bleeding nodes when surgery is impossible at the moment (cancer patients, pregnant women, patients with severe anemia)

Sclerotherapy using the “Proxon” apparatus

with this method, the drug is delivered using ultrasonic spraying, which leads to a more reliable and uniform distribution of the sclerosant in the submucosal layer, which increases the effectiveness of the procedure.

  • treatment is carried out on an outpatient basis,
  • without anesthesia,
  • each procedure takes a few minutes.

Possible as a single-stage sclerotherapy of all hemorrhoids, and separate (once every 1-2 weeks) stage-by-stage sclerotherapy of each node. The procedure itself is painless (an injection is made into a zone devoid of pain reception); after the procedure, there is no significant pain sensation either.

Application of the device “Proxon” in sclerotherapy has a number of advantages such as:

  • minimal blood loss;
  • less severe soreness;
  • short rehabilitation period;
  • mild soreness or painlessness;
  • low risk of complications.

HEMORROIDECTOMY


Two Surgeons – Milligan and Morgan performed this manipulation for the first time.That is why this method of getting rid of hemorrhoids is called the Milligan-Morgan operation. Despite the past years, this technique still retains its relevance and effectiveness.

In classical hemorrhoidectomy, hemorrhoidal complexes are removed. There are several options for the operation technique, in which the wounds of the anal canal remain open, completely or partially sutured. Patients often get a little “fixated” on the question of which surgical instrument is used in this case (options: laser, electrosurgical instrument, including radio wave, ultrasonic scalpels).The choice of a tool for work is primarily important for a surgeon, and 99% of the success of treatment depends on his surgical skills. With the use of an ultrasonic scalpel and Ligashure apparatus, blood loss during surgery is minimal, wound defects heal faster.

Readings

Hemorrhoidectomy – not patient’s choice. This method of surgical treatment is prescribed for some forms of the course of hemorrhoidal disease, when surgery is the only possible treatment option. First of all – for large internal and external hemorrhoids.

Patient sensations

The operation is performed under epidural anesthesia with intravenous sedation (sleep) and takes about 20-30 minutes.

The early postoperative period is very unpleasant for the patient. More or less the situation with pain syndrome stabilizes by 5-6 days, most patients return to full-fledged work 2 weeks after the operation (if there is a possibility of “part-time employment”, then earlier).The full wound healing period is about 1.5 months.


LASER SUBMUCOSE DESTRUCTION OF HEMORRHOIDAL NODES

Laser technologies are widely used in surgery, including surgical proctology.

A laser light guide is inserted through a skin puncture into the submucosal layer (roughly speaking, into the hemorrhoidal node), then laser coagulation (“burning”) of the cavernous (hemorrhoidal) tissue is performed with minimal damage to the mucous membrane covering the node.

Lasers in surgery are used as a cutting and coagulating (“sealing” vessels) instrument, which ensures minimal blood loss. Skin punctures, insertion of a light guide, and laser coagulation itself are quite painful procedures, so the manipulation is carried out under local anesthesia or with intravenous anesthesia in an operating room. …

Patient sensations

Skin punctures, the introduction of a light guide, and the laser coagulation itself are quite painful procedures, so the manipulation is carried out under local anesthesia or with intravenous anesthesia in an operating room.

Readings

Optimally, as in the case of other minimally invasive methods, these are internal hemorrhoids in the absence of external nodes, or with a moderate severity of the external component. In the presence of single anal fringes, combined treatment with additional outpatient fringe removal under local anesthesia is possible.


HAL-RAR (dearterization with mucopexy)

Alternative names: DHAL – RAR, dearterization with mucopexy, suture ligation, proximal ligation, hemorrhoidal ligation
arteries under Doppler control.

How is the treatment carried out?

The method was proposed in 1995 and initially consisted of ligating the vessels that bring blood to the hemorrhoidal plexus, without removing the hemorrhoids themselves.

The search for vessels is carried out using an ultrasound device equipped with an anoscope with a built-in Doppler sensor.
Several years ago, a new version of the technique was proposed, in which, in addition to suturing the vessels, hemorrhoids are tightened using twisted sutures (RAR, mucopexy).

Manipulation is carried out under intravenous anesthesia or spinal anesthesia with hospitalization of the patient for 1-2 days.

Doctor: “A way to cure hemorrhoids with pills and suppositories has not yet been found”

Advertising slogans used in advertising of drugs for the treatment of hemorrhoids promise to get rid of the disease for everyone, quickly and without surgery. Why does hemorrhoids remain one of the most common proctological diseases in the world?

The proctologist of the Kaliningrad Medical Center Class Clinic, Candidate of Medical Sciences Natalya Dmitrievna Volodchenkova tells about the effect of drugs and candles “from advertising” and how to reliably cope with hemorrhoids.

You can read the entire interview here, and we publish the most interesting theses.

  1. At the first stage of hemorrhoids, conservative treatment with drugs is possible, but it is long-term in compliance with dietary recommendations. The main treatment for hemorrhoids is only a classical operation or minimally invasive modern manipulations, but not conservative methods.

  2. Phlebotonics can cope with thrombosis of the node, reduce the external node, but it will remain associated with internal hemorrhoids.With physical exertion or exposure to other provoking factors, the node will appear again, and possibly more than one. Suppositories, as a rule, relieve symptoms, reduce itching and burning, since they contain local anesthetics, but also do not radically affect the problem itself

  3. The main cause of hemorrhoids is the weakness of the vascular wall, therefore it is impossible to guarantee the absence of relapses, but the risk of their development can be minimized. It is important that the patient exclude or limit as much as possible the factors provoking the disease: excessive physical exertion, blood stagnation (sedentary work, weakness, food that causes constipation, etc.).)

  4. Despite the abundance of modern methods, a way to cure hemorrhoids with pills and suppositories has not yet been found. Meanwhile, many pharmacological agents can be effectively used in the complex therapy of the disease.

Make an appointment with Natalya Dmitrievna Volodchenkova:

  1. On the website of the medical center through the registration form or with the help of an online consultant.

  2. By phone (4012) 777-800.

There are contraindications, a specialist consultation is required.

Medical Center Profi Clinics – ultrasound, MRI, CT in Vladivostok

Hemorrhoids are one of the most common human diseases and in translation from Greek means bleeding, which reflects only the most striking symptom of the disease. Normally, all people have hemorrhoidal venous plexuses under the mucous membrane of the anal canal, which are similar in structure to the cavernous tissue of the genitals.They are believed to play a significant role in the retention of intestinal contents, ensuring that the anal canal is fully closed when filled with blood. Sooner or later, an increase in hemorrhoids appears in most people. Among the main mechanisms of the formation of hemorrhoids are: varicose veins of the rectum, vascular hyperplasia and “displacement” of the rectal mucosa from its base.

The groups of people with an increased risk of developing this disease include persons engaged in hard physical labor, suffering from chronic constipation, pregnant women, people of sedentary professions, etc.

Hemorrhoids include all clinical manifestations of pathological changes in hemorrhoids (bleeding, prolapse of internal, thrombosis of external nodes, etc.), the identification of enlarged hemorrhoids during examination and the absence of complaints is not considered a disease. Nevertheless, the presence of hemorrhoids is uncomfortable even in cosmetic terms for sexually active patients who undergo surgery for aesthetic reasons.

The problem of hemorrhoids is especially acute in pregnant women, who, in the presence of chronic hemorrhoids, almost always get an exacerbation of the process and its progression.

The prevalence of the disease is 118-120 per 1000 adults. The share in the structure of coloproctological diseases ranges from 34 to 41%. The surgical method of treatment – hemorrhoidectomy – is performed in 20% of patients in America and Europe, 75% of patients in Russia.

Chronic hemorrhoids.

The main manifestations are episodic bleeding, more often during bowel movement. The color of blood is usually scarlet, in the form of “splashes” when straining or a few drops at the end of a bowel movement.Dark blood and clots may be released if blood remains in the rectum from a previous bowel movement. Bleeding is usually the first sign of this disease; after 5-8 years, hemorrhoids prolapse appears. First, when defecating, then when coughing and sneezing, straining, without any tension. At first, the patient manages to easily adjust them, only by volitional contraction. Over time, muscle tone decreases and the nodes have to be adjusted by hand.

1 stage

Isolation of scarlet blood from the anus without prolapse of hemorrhoids

2nd stage

Prolapse of hemorrhoids with self-reduction into the anal canal (with or without bleeding)

3 stage

Periodic prolapse of hemorrhoids and the need for manual reduction into the anal canal (with or without bleeding).

Stage 4

Permanent prolapse of hemorrhoids together with the rectal mucosa, impossibility of their reduction into the anal canal using manual aid (with or without bleeding)

Currently, there are two principal methods of surgical treatment of hemorrhoids: varieties of the Milligan-Morgan operation (OMM) and transanal mucosal resection according to the Longo method (TRSL).

In the case of using OMM, hemorrhoids are excised in the anal canal area, where many nerve endings and the anal sphincter are located.

Localization of the intervention suggests severe pain both immediately after the operation and the next 2 weeks. Soreness increases with defecation as a result of wound trauma. The anal pulp after the operation is in a state of spasm, which also contributes to the trauma of the wound with feces and soreness.

The localization of the wound assumes its long-term healing up to 3 weeks. The patient is forced to clean the wound every day, treat it with wound-healing ointments, wear a pad, take painkillers, and restrict physical activity.

In case of improper scarring, it is possible to develop a stricture (narrowing) of the anal canal, which requires additional medical procedures.

In the case of Longo operation, the intervention takes place well above the anal canal.As a result of circular resection, the rectal mucosa is pulled upward along with the hemorrhoidal plexuses into a normal position. The blood supply to the nodes is partially disrupted and they run empty on their own.

The postoperative wound consists of healthy tissues, localized in the rectum, and not in the spasmodic anal canal. As a result, the pain syndrome is not pronounced and healing proceeds very quickly.

Acute hemorrhoids.

Acute hemorrhoids or thrombosis of hemorrhoids is an extremely painful and unpleasant complication for the patient that occurs suddenly, often against the background of complete health and leads to long-term disability, which is manifested by an increase and compaction of hemorrhoids and severe nocturnal pain in the anus, often very intense …It is at this stage of the disease that patients usually turn to a proctologist.
There are three degrees of severity of acute hemorrhoids.

I degree

characterized by thrombosis of hemorrhoids without inflammation of the mucous and perianal skin

II degree

characterized by thrombosis of hemorrhoids with inflammation of the mucous membrane

III degree

thrombosis of hemorrhoids with inflammation of the mucous membrane and necrosis of the perianal skin

With timely access to a specialist and adequate treatment, the acute period lasts 4-6 days.In advanced cases, paraproctitis (severe purulent complication) may develop.

One of the advantages of the treatment of acute hemorrhoids according to the Longo method is that in case of acute hemorrhoids, we simultaneously carry out radical surgery and treatment of prolapsed hemorrhoids, which provides the patient with a long-term recovery from this complication forever.

It is important to treat hemorrhoids in the complex of pregnancy planning, for the prevention of its complications.The surgical method gives the most reliable result.

It should also be noted that at the present stage of development of surgery, surgery for hemorrhoids in the Longo variant of hemorrhoidectomy has become almost an outpatient intervention that does not require dressings, removal of stitches, the use of potent anesthetic drugs; one day of hospital stay.

Proctologist, Doctor of Medical Sciences, Associate Professor of the Department of Surgical Diseases, TSMU Kravtsov Yuri Alexandrovich

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