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What’s the Difference Between External and Internal Hemorrhoids?: Michael Tarlowe, MD: Proctologist

Hemorrhoids can be an embarrassing and uncomfortable condition. Luckily, there are effective treatments for hemorrhoids, so it’s easier than you think to get rid of this fairly common problem. 

Michael Tarlowe, MD, PC is a proctologist and general surgeon at our offices in White Plains, New York, and Manhattan in New York City. He offers safe and effective treatment for all types of hemorrhoids along with compassionate care and advice. 

Here, he describes the different types of hemorrhoids and explains what treatments are available to reduce your discomfort.

What causes hemorrhoids? 

Hemorrhoids are caused when blood vessels in your rectum or around your anus get swollen. They’re also incredibly common: Up to 75% of people may experience them at some point in their life. 

Your first sign of hemorrhoids might be noticing red blood on the toilet tissue or in the bowl during a bowel movement, or you may have pain and itching. If you suspect you may have hemorrhoids, it’s important to come in to see Dr. Tarlowe quickly so you can get the treatment you need. 

The difference between internal and external hemorrhoids

Internal hemorrhoids occur within the rectum and aren’t usually visible or uncomfortable. They may bleed, which can cause bright red blood when you pass stool, and can eventually interfere with normal bowel movements if they get bigger. 

On occasion, internal hemorrhoids can get pushed outside of the anus due to straining when passing stool, giving birth, or heavy lifting. This causes a prolapsed hemorrhoid, which can bleed frequently and cause greater discomfort. 

External hemorrhoids are found outside of the rectum and can cause bleeding and pain when you pass stool. Due to their exposure to fiction, normal activities such as walking or sitting can cause them to get irritated and painful.

Additionally, external hemorrhoids can sometimes pool blood, causing a clot called a thrombus. Thrombosed hemorrhoids can cause a tender, hard lump near the anal opening. These can become extremely painful and inflamed. 

Preventing hemorrhoids

As with many health conditions, prevention is much easier than treatment. One easy way you can prevent hemorrhoids from developing, or recurring after treatment, is to consume a high-fiber diet. Having soft, regular stools can reduce unnecessary straining.

If you’ve already been diagnosed with hemorrhoids, it can be good to add extra fiber to your diet during your treatment. Start adding fiber slowly as too much fiber can cause diarrhea and irritate your hemorrhoids. 

Hemorrhoid treatments

If you’re concerned you may have hemorrhoids, Dr. Tarlowe conducts a thorough exam to confirm your diagnosis. Your treatment plan is based on the type of hemorrhoid and your symptoms. 

Possible treatments for hemorrhoids include:

Rubber band ligation

Ligation is used for severe internal hemorrhoids, especially those that are prolapsed or bleeding. Dr. Tarlowe places a small rubber band around your hemorrhoid to cut off its blood supply, so it shrinks or falls off. 

Injection sclerotherapy

Injection sclerotherapy is appropriate for bleeding internal hemorrhoids and is recommended for those on blood thinners. Dr. Tarlowe injects a sclerosing solution into your hemorrhoid which causes it to shrivel up and scar. 

Hemorrhoidectomy

This is a hemorrhoid removal surgery that’s best suited for serious internal or external hemorrhoids, and the procedure requires general anesthesia and a few weeks of recovery time. 

Clot removal

This procedure offers immediate relief from a thrombosed external hemorrhoid. Using local anesthesia, Dr. Tarlowe drains the clot through a small incision. This should be done within 72 hours after onset of symptoms. 

No matter what type of hemorrhoid you have, Dr. Tarlowe can help you find relief. If you’re suffering from hemorrhoids, call the nearest office or make an appointment using our online booking portal.  

What Do Hemorrhoids Look Like?

Home / Blog / What Do Hemorrhoids Look Like?

What Do Hemorrhoids Look Like?

This article was published on June 28, 2013, and was last updated on May 1st, 2019 in Hemorrhoid Banding.

The Most Common Question Asked by Patients is “What do Hemorrhoids Look Like?”

Although most people detect hemorrhoids by a feeling of itching, burning, or pain, sometimes it’s nice to know exactly what you’re dealing with. As the hemorrhoid experts, we at CRH Medical are here to provide you with all the information you need, including a visual description of what hemorrhoids actually look like, to help you determine whether or not what you’re experiencing is, in fact, hemorrhoids.

What Internal and External Hemorrhoids Look Like

External hemorrhoids can be described as any of the following:

  • Soft lumps that appear in bunches around the anus.
  • A hard, red lump protruding from the outside of the anal area.
  • Mucus-covered bumps.
  • Bumps that secrete blood when wiped with toilet paper.

If you notice external hemorrhoids, you probably have internal hemorrhoids as well (you just may not see or feel them in the same way). Internal hemorrhoids fall into one of four categories based on the severity and the degree of prolapse (tissue coming out from inside the anus).

The Most Common Visual Symptom of Hemorrhoids is Piles

The reason these bumps, or “piles,” form in the first place is because the veins in or around the anal canal have become swollen. The more swollen the hemorrhoids become, and the longer they are left untreated, the worse they can get. They might start out as bunches of soft lumps and eventually turn into hard, painful piles. Below are images of a number of external hemorrhoid cases, ranging from minor to serious:

If you think you have hemorrhoids – whether due to pain or an itchy sensation – contact one of our CRH partner doctors today. With one quick visit, the doctor will be able to tell you whether or not you have hemorrhoids and prescribe a course of treatment. Contact a physician near you today.

Enlarged hemorrhoids: Overview – InformedHealth.org

Introduction

We all have hemorrhoids. Hemorrhoids are normal “cushions” of tissue filled with blood vessels, found at the end of the rectum, just inside the anus. Together with a circular muscle called the anal sphincter, they help to control bowel movements. But when people talk about “having hemorrhoids,” they usually mean symptoms such as itching or bleeding caused by enlarged hemorrhoids. This condition is also known as “piles.”

Many people are ashamed of having enlarged hemorrhoids: They don’t like to talk about their symptoms, and might be reluctant to go to the doctor. Some might be afraid of having a physical examination or finding out that they have a serious illness. But seeing a doctor about your symptoms is important if you want to have the right treatment.

Symptoms

Hemorrhoid problems can cause various symptoms. These often include itching, mucus discharge or a burning sensation in the anus. Painless bleeding is common too. This can happen if hard stool damages the thin walls of the blood vessels in hemorrhoids. Bleeding from hemorrhoids is usually visible as bright red or red blood, on toilet paper or in the stool. If you have blood in your stool, it’s important to see a doctor rather than try to diagnose the problem yourself.

Swollen hemorrhoids might come out of the anus and can then be seen as soft lumps of tissue. This is called a protruding or prolapsed hemorrhoid. Sometimes hemorrhoids are confused with anal skin tags. These are small flaps of skin that grow around the anus and can cause similar symptoms.

Larger hemorrhoids generally lead to more severe symptoms. They can make it feel like something is pushing against the anus, or like there is something in that area, and sitting can be very uncomfortable. People might also feel like their bowel isn’t really empty, although they have just gone to the toilet. Mucus or stool might come out by accident too, particularly when passing wind. More severe hemorrhoids can be very painful.

Hemorrhoids can be classified according to how severe they are:

  • Grade 1: Slightly enlarged hemorrhoids that can’t be seen from outside the anus.

  • Grade 2: Larger hemorrhoids that sometimes come out of the anus, for example while passing stool or – less commonly – during other physical activities. They then go back inside again on their own.

  • Grade 3: Hemorrhoids that come out of the anus when you go to the toilet or do other physical activities, but don’t go back inside on their own. They can be pushed back inside, though.

  • Grade 4: Hemorrhoids that are always outside the anus and can no longer be pushed back inside. Usually, a small bit of the anal lining comes out of the anus too. This is also known as rectal prolapse.

Hemorrhoid tissue, cross-section view: normal (above) and enlarged (below)

Causes and risk factors

Increased pressure on the anal canal (the last section of the rectum) can cause hemorrhoids to become enlarged. Various factors might make this more likely. For example:

The risk of enlarged hemorrhoids increases with age – probably because the tissue becomes weaker over time. And hemorrhoid problems are thought to run in families too.

Prevalence

Every year, about 4 out of 100 adults in Germany go to a doctor because of hemorrhoid problems. But a lot of people don’t seek medical help. It is estimated that more than half of all adults over the age of 30 are affected by hemorrhoids at some point in their lives.

Outlook

It’s not possible to predict the course of enlarged hemorrhoids. They might get worse and cause more severe symptoms. But they might not get bigger, and the symptoms might improve again. Hemorrhoids that are already enlarged don’t get smaller on their own again, though.

Enlarged hemorrhoids can irritate the surrounding tissue too, which increases the risk of anal eczema. In anal eczema, the skin around the anus is red and inflamed, accompanied by itching and weeping. Small blisters and scabs might form as well.

Diagnosis

When you go to see a doctor, you will probably first be asked about your symptoms and whether you have other medical conditions. The doctor will then look at your anus to see whether it is inflamed, and whether enlarged hemorrhoids come out of it when you push, or whether they are already outside.

Depending on your symptoms, various examinations might be done. If there’s blood in your stool, the doctor may suggest a colonoscopy (looking inside your bowel with a camera). Some people are afraid of having physical examinations and the possible associated pain. But most of these examinations don’t hurt, even if they’re sometimes considered to be unpleasant or embarrassing. They’re a normal part of everyday life for medical professionals.

Doctors typically first feel for anything unusual. Known as a digital rectal examination, this involves gently inserting a finger into the anus, with gloves and a little lubricant. The doctor feels the inside of the anal canal using circular movements. This allows him or her to examine the sphincter muscles and the texture of the membranes lining the anus. Grade 1 hemorrhoids generally can’t be felt in this way. But digital rectal examinations can help rule out other medical conditions. The procedure is usually not painful.

If the doctor thinks you might have enlarged hemorrhoids, a proctoscopy is normally carried out next. Here the membranes lining the rectum are examined using a short tube with a light and lens on it, known as a proctoscope. This allows the doctor to see whether you have enlarged hemorrhoids, and how big they are. The procedure takes a few minutes and is usually not painful. The rectum needs to be emptied before the procedure is carried out. This can be done using a laxative, suppository or enema.

Treatment

The choice of treatment will mainly depend on the size of the hemorrhoids and the severity of symptoms. If the hemorrhoids are only slightly enlarged, avoiding constipation and changing your behavior during bowel movements might be enough to make a difference. There’s a lot of advice out there about what you can do to relieve hemorrhoid symptoms yourself – like using creams or sitz baths (shallow warm baths), or changing your diet. While some strategies can actually help, many have not been well tested in scientific studies.

It’s a good idea to seek medical advice if the symptoms are unpleasant and distressing. You could contact your family doctor or a proctologist. Proctologists are doctors who are specialized in medical conditions affecting the rectum and anus.

Things you could discuss with a doctor include whether surgery might help, and what other options there are. For instance, sclerotherapy might be considered for the treatment of grade 1 and grade 2 hemorrhoids, and rubber band ligation might be considered for grade 2 and grade 3 hemorrhoids. Sclerotherapy involves injecting a chemical solution to reduce the blood supply to the hemorrhoids. In rubber band ligation, the hemorrhoids are tied off at the base, making them fall off after a while. If someone has grade 3 or grade 4 hemorrhoids, it might be necessary to surgically remove them.

Further information

Some treatments and surgical procedures can only be done in a hospital, such as those for enlarged hemorrhoids. Here you can find information about how to best prepare for treatment in hospital: for example, what sort of routines to expect, what paperwork you will need to take with you and what kind of procedures aren’t fully covered by health insurers in Germany.

Sources

  • Alexander K, Daniel WG, Diener HG, Freund M, Köhler H, Matern S. Thiemes Innere Medizin (TIM). Stuttgart: Thieme; 1999.

  • Hahn EG, Riemann FJ. Klinische Gastroenterologie. Stuttgart: Thieme; 2000.

  • National Institute for Health and Care Excellence (NICE). Haemorrhoids. 2012.

  • IQWiG health information is written with the aim of helping
    people understand the advantages and disadvantages of the main treatment options and health
    care services.

    Because IQWiG is a German institute, some of the information provided here is specific to the
    German health care system. The suitability of any of the described options in an individual
    case can be determined by talking to a doctor. We do not offer individual consultations.

    Our information is based on the results of good-quality studies. It is written by a
    team of
    health care professionals, scientists and editors, and reviewed by external experts. You can
    find a detailed description of how our health information is produced and updated in
    our methods.

Hemorrhoids (Discharge Care) – What You Need to Know

  1. CareNotes
  2. Hemorrhoids
  3. Discharge Care

This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.

WHAT YOU NEED TO KNOW:

Hemorrhoids are swollen blood vessels inside your rectum (internal hemorrhoids) or on your anus (external hemorrhoids). Sometimes a hemorrhoid may prolapse. This means it extends out of your anus.

DISCHARGE INSTRUCTIONS:

Seek care immediately if:

  • You have severe pain in your rectum or around your anus.
  • You have severe pain in your abdomen and you are vomiting.
  • You have bleeding from your anus that soaks through your underwear.

Contact your healthcare provider if:

  • You have frequent and painful bowel movements.
  • Your hemorrhoid looks or feels more swollen than usual.
  • You do not have a bowel movement for 2 days or more.
  • You see or feel tissue coming through your anus.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Medicine may be given to decrease pain, swelling, and itching. The medicine may come as a pad, cream, or ointment.
  • Stool softeners help treat or prevent constipation.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Manage your symptoms:

  • Apply ice on your anus for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it to your anus. Ice helps prevent tissue damage and decreases swelling and pain.
  • Take a sitz bath. Fill a bathtub with 4 to 6 inches of warm water. You may also use a sitz bath pan that fits inside a toilet bowl. Sit in the sitz bath for 15 minutes. Do this 3 times a day, and after each bowel movement. The warm water can help decrease pain and swelling.
  • Keep your anal area clean. Gently wash the area with warm water daily. Soap may irritate the area. After a bowel movement, wipe with moist towelettes or wet toilet paper. Dry toilet paper can irritate the area.

Prevent hemorrhoids:

  • Do not strain to have a bowel movement. Do not sit on the toilet too long. These actions can increase pressure on the tissues in your rectum and anus.
  • Drink plenty of liquids. Liquids can help prevent constipation. Ask how much liquid to drink each day and which liquids are best for you.
  • Eat a variety of high-fiber foods. Examples include fruits, vegetables, and whole grains. Ask your healthcare provider how much fiber you need each day. You may need to take a fiber supplement.
  • Exercise as directed. Exercise, such as walking, may make it easier to have a bowel movement. Ask your healthcare provider to help you create an exercise plan.
  • Do not have anal sex. Anal sex can weaken the skin around your rectum and anus.
  • Avoid heavy lifting. This can cause straining and increase your risk for another hemorrhoid.

Follow up with your doctor as directed:

Write down your questions so you remember to ask them during your visits.

© Copyright IBM Corporation 2021 Information is for End User’s use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Hemorrhoids (Discharge Care)

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7 Best and Worst Home Remedies for Your Hemorrhoids – Cleveland Clinic

Are you considering home remedies for your hemorrhoids? If you want a natural remedy to help shrink them down, here’s what you need to know.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

“First, realize that hemorrhoids normally do not hurt, but may bleed painlessly, says colorectal surgeon Massarat Zutshi, MD.

She
says that if they do hurt, the hemorrhoids may have moved to the outside of the
anal canal (or prolapsed) during a bowel movement and become enlarged. If, in
addition, hemorrhoids develop a blood clot, (or become thrombosed), they
can become especially painful.

There
are many ways people may try to shrink down painful hemorrhoids,
which might be helpful at best or harmful at worst.

But
before you try home treatments, proper diagnosis is critical. “It’s
important to see your doctor for bleeding, especially if you have never had
hemorrhoids before,” Dr., Zutshi says.

Here are seven possible home treatments for hemorrhoids. Dr. Zutshi
comments about each:

1. Sitz baths

Generally, experts recommend people with painful hemorrhoids
sit in warm water for 15 minutes, several times a day — especially after a
bowel movement.

Doctor’s advice: Yes, this is one of the best treatments. A sitz bath is generally available at a local pharmacy; this small bowl fits right over your toilet and offers a convenient way to soak and soothe the area.

2. Witch hazel

Witch hazel is reputed to reduce pain, itching and bleeding
until hemorrhoids fade out. There isn’t much scientific support for its use but
it does contain tannins and oils that may help bring down inflammation and slow
bleeding. Supporters say it tightens the skin as a natural anti-inflammatory.

Doctor’s advice: It’s
OK to use directly on the hemorrhoids.

3. Apple cider vinegar

Some people say that apple cider vinegar can bring instant
relief to hemorrhoids, reducing itching and pain.

Doctor’s advice: Don’t
use this remedy as it may burn the skin with overuse and exacerbate problems.

4. Psyllium husk

Psyllium husk is a supplement that helps increase your fiber intake, and softens stools to make them easier to pass. Be careful not to increase fiber too much, too quickly, as it may also cause gas or stomach cramping.

Doctor’s advice: Use this to soften stool and make bowel movements more regular. It won’t affect hemorrhoids at a local level, but it does regulate your bowels. Be sure to drink plenty of water if you take this supplement.

5. Aloe vera

The anti-inflammatory properties of aloe vera may help
soothe inflammation of hemorrhoids. Although research isn’t available for its
use for hemorrhoids specifically, it has shown some benefit for other
inflammatory skin conditions.

Doctor’s advice: This
is safe to try if it’s pure aloe (and not in a cream with other ingredients).

6. Tea tree oil

Some people say the antiseptic and anti-inflammatory
properties of tea tree oil may reduce swelling and itching caused by
hemorrhoids. Some early research found that a gel made with tea tree oil
decreased symptoms, but studies are lacking.

Doctor’s advice: Don’t
try this remedy as it isn’t well studied.

7. Epsom salt and glycerin

This less-known home treatment can help painful
hemorrhoids. Use these simple ingredients to make a compound that you apply
directly to the inflamed area:

  1. Mix 2 tablespoons of Epsom salt with 2 tablespoons of glycerin.
  2. Apply the mixture to a gauze pad and place it on the painful area.
  3. Leave this application on the area for 15 to 20 minutes.
  4. Repeat every four to six hours until the pain eases.

Doctor’s advice: Yes,
I recommend this treatment.

Remember, to help treat and prevent hemorrhoids it’s important to eat enough fiber (25 grams a day for women, 38 grams a day for men) and to drink at least eight glasses of water a day. These dietary changes can make stool easier to pass and keep the problem from recurring.

Symptoms of piles (Haemorrhoids)

Haemorrhoids or piles are caused due to prolonged straining at bowel movements or due to weakened rectal and anal muscles. This increased pressure leads to swollen, inflamed and engorged anal blood vessels that are termed piles or haemorrhoids. 1-5

Types of haemorrhoids

Based on location haemorrhoids may be of two types – internal and external.

Internal haemorrhoids

These lie above the dentate line and usually lie within the rectum. These piles are covered with a layer of mucus that appears slimy. When they hang out of the anus during straining this mucus layer may be visible over them. These piles do not have sensation and are painless.

These may be classified as grades based on their features and symptoms:

  • The First-degree haemorrhoids (grade I) for example may bleed but not prolapse or hand out.
  • Second-degree haemorrhoids (grade II) may hang out but go back in by themselves.
  • Third-degree haemorrhoids (grade III) prolapse and need to be inserted back in manually.
  • Fourth degree haemorrhoids (grade IV) hang out permanently and cannot be pushed back in.

External haemorrhoids

External haemorrhoids have a layer of skin or squamous epithelium covering them and have pain sensation over them. These lie around the anus and below the dentate line. These are visible on external examination.

Symptoms of piles

Most cases of piles do not lead to overt symptoms however some may lead to bleeding and pain and alert the patient. Symptoms of piles may be outlined as:

  • Passage of bright red blood with stools. Blood is seen on the outside of the stool but is not mixed in with the stool.
  • With passage of stools the pile or the lump with the swollen blood vessel may move downwards and prolapse or hang outside of the anus. After passage of stools this may need to be pushed back in.
  • There may be a slimy discharge or mucus after passing a stool.
  • There is pain, discomfort or itchiness around the anus. This is aggravated on sitting.
  • There is redness, soreness and inflammation around the anus.
  • After evacuation of bowel as the piles remain within the rectum they may give the feeling of incomplete evacuation and need to pass stools again.
  • Severe pain of piles is usually not seen unless the pile is trapped outside the anus and the anal sphincter or muscles tighten around it leading to lack of blood supply. This is called “strangulation” of the piles. These strangulated piles are often red, hard and painful and called “thrombosed external haemorrhoids”.
  • There may be blood clots around the anus called perianal hematomas.

Symptoms based on the grade of piles

Symptoms are based on the grade of the piles. First-degree piles are painless but may show bleeding, second-degree piles may show mild discomfort and painless bleeding, third-degree piles have pain, bleeding and mucus discharge while fourth-degree manifests with pain, bleeding, clotting, hematomas and strangulation (possible).

Further Reading

Hemorrhoids: Causes, Treatment, and Prevention

In this figure A represents an internal hemorrhoid, B represents an external prolapsed hemorrhoid, C is a mixed hemorrhoid (both internal and external), D is a thrombosed hemorrhoid and E is an external hemorrhoid.

Types of Hemorrhoids

Internal Hemorrhoids – When hemorrhoids develop inside the rectum.

External Hemorrhoids – When hemorrhoids develop on the exterior skin around the anus.

Thrombosed Hemorrhoids – Some hemorrhoids may develop blood clots (thrombosis) known as thrombosed hemorrhoids.  Thrombosis can occur in internal and external hemorrhoids. External thrombosed hemorrhoids develop hard lumps that are often blue or purple in color.  These may cause the skin around the anus to become further inflamed and cause extreme pain.

Hemorrhoid Symptoms

The symptoms of hemorrhoids may be different depending on the type.  It is possible to have different types of hemorrhoids at the same time.

  • Irritation in and around the anus
  • Pain or discomfort
  • Itching
  • Swelling around the anus
  • Protrusion around the anus (hemorrhoid)
  • Inflammation
  • Hard lump near the anus
  • Bleeding (may be painless and during bowel movements)

Hemorrhoid Causes

Hemorrhoids are most often caused by:

  • Straining to pass stools
  • Being obese
  • Being pregnant
  • Lack of fiber in diet
  • Sitting on the toilet a long time
  • Chronic constipation or diarrhea
  • Anal intercourse
  • Heavy lifting on a regular basis

As you get older, your risk of developing hemorrhoids increases. The support tissues around the rectum and anus can stretch and weaken as you age or if you become pregnant.

Diagnosing Hemorrhoids

External hemorrhoids may be visible to your doctor. To diagnose internal hemorrhoids, your doctor may examine the rectum and anal canal.  This may include inserting a gloved finger or performing a sigmoidoscopy or colonoscopy.

Hemorrhoid Treatment

Home remedies for hemorrhoids

Mild pain and swelling from hemorrhoids can often be relieved with home remedies.  Some home remedies for hemorrhoids include:

Eating high-fiber foods

Eating more whole grains, fruits, and vegetables can help soften stools.  Softer stools will reduce straining which can make symptoms of existing hemorrhoids worse.

The average adult should consume 20 to 35 grams of fiber per day.  If you currently eat a low-fiber diet, consider adding fiber slowly to avoid problems with gas.

Several fiber supplements are available at most grocery and drug stores.  These include psyllium seed (Metamucil®), methylcellulose (Citrucel®), and calcium polycarbophil (Fibercon®)

You can use fiber supplements alone or with food and they are safe to use every day. Fiber supplements are non-habit forming and may be used for your entire life.

Click to expand dietary fiber table

Provisional dietary fiber table

Food Fiber g/serving
Fruits
Apple (with skin) 3.5/1 medium-sized apple
Apricot (fresh) 1.8/3 apricots
Banana 2.5/1 banana
Cantaloupe 2.7/half edible portion
Dates 13.5/1 cup (chopped)
Grapefruit 1.6/half edible portion
Grapes 2.6/10 grapes
Oranges 2.6/1 orange
Peach (with skin) 2.1/1 peach
Pear (with skin) 4.6/1 pear
Pineapple 2.2/1 cup (diced)
Prunes 11.9/11 dried prunes
Raisins 2.2/packet
Strawberries 3.0/1 cup
Juices
Apple 0.74/1 cup
Grapefruit 1.0/1 cup
Grape 1.3/1 cup
Orange 1.0/1 cup
Vegetables, Cooked
Asparagus 1.5/7 spears
Beans, string, green 3.4/1 cup
Broccoli 5.0/1 stalk
Brussels sprouts 4.6/7-8 sprouts
Cabbage 2.9/1 cup (cooked)
Carrots 4.6/1 cup
Cauliflower 2.1/1 cup
Peas 7.2/1 cup (cooked)
Potato (with skin) 2.3/1 boiled
Spinach 4.1/1 cup (raw)
Squash, summer 3.4/1 cup (cooked, diced)
Sweet potatoes 2.7/1 baked
Zucchini 4.2/1 cup (cooked, diced)
Vegetables, Raw
Cucumber 0.2/6-8 slices with skin
Lettuce 2.0/1 wedge iceberg
Mushrooms 0.8/half cup (sliced)
Onions 1.3/1 cup
Peppers, green 1.0/1 pod
Tomato 1.8/1 tomato
Spinach 8.0/1 cup (chopped)
Legumes
Baked beans 18.6/1 cup
Dried peas 4.7/half cup (cooked)
Kidney beans 7.4/half cup (cooked)
Lima beans 2.6/half cup (cooked)
Lentils 1.9/half cup (cooked)
Breads, pastas, and flours
Bagels 1.1/half bagel
Bran muffins 6.3/muffin
Cracked wheat 4.1/slice
Oatmeal 5.3/1 cup
Pumpernickel bread 1.0/slice
White bread 0.55/slice
Whole-wheat bread 1.66/slice
Pasta and rice cooked
Macaroni 1.0/1 cup (cooked)
Rice, brown 2.4/1 cup (cooked)
Rice, polished 0.6/1 cup (cooked)
Spaghetti (regular) 1.0/1 cup (cooked)
Flours and grains
Bran, oat 8.3/oz
Bran, wheat 12.4/oz
Rolled oats 13.7/1 cup (cooked)
Nuts
Almonds 3.6/half cup (slivered)
Peanuts 11.7/1 cup

Reproduced with permission from the American Gastroenterological Association. Kim, YI, Gastroenterology

Hemorrhoid creams

Over-the-counter hemorrhoid creams or suppositories containing hydrocortisone may help. These options may help temporarily relieve pain, itching, and inflammation.

Warm Sitz Bath

Soak the rectal area in warm water for 10 to 15 minutes two to three times a day.

Laxatives

If increasing fiber intake doesn’t relieve constipation, or if the side effects are not tolerable, your doctor may recommend a laxative.
Some may be concerned that laxatives may increase the risk constipation in the future or that they will become constipated when laxatives are stopped.  There is little to no evidence to support these claims. In fact, using laxatives may help reduce long-term problems with constipation.

Oral pain relievers

Acetometifin (Tylenol), aspirin, or ibuprofen (Advil, Motrin IB) may help temporarily reduce pain and discomfort.

Minimally Invasive Hemorrhoid Relief

If home remedies for hemorrhoids haven’t worked, you may consider minimally invasive treatment options. These procedures are used for internal hemorrhoids and are usually performed in out-patient settings.

Hemorrhoid Banding (Rubber Band Ligation)

Hemorrhoid banding is a painless, 5-minute and nonsurgical solution to aggravating hemorrhoids.

Using a special applicator, we’ll place a small rubber band around the base of the hemorrhoid, restricting its blood supply. This doesn’t cause pain because there aren’t any nerves at the base of the hemorrhoid. Over the next few days, the hemorrhoid will shrink and eventually fall off during a bowel movement. You may not even notice it.

The procedure only takes a few minutes, can be performed in a doctor’s office and allows you to return to your life immediately. Plus, our specialists and staff will provide you with a comfortable, professional experience. We understand the sensitive nature of this condition, and we’ll make every accommodation necessary to ensure your privacy.

Read more about hemorrhoid banding…

Laser, infrared, or bipolar coagulation

These techniques use a laser or infrared light or heat to treat hemorrhoids.  They cause the hemorrhoids to harden and shrivel. Coagulation may have fewer complications than rubber band ligation. However, recurrence rates may be higher than with rubber band ligation.

Sclerotherapy (Injection)

During sclerotherapy, the physician injects a chemical solution into the hemorrhoid.  This causes the hemorrhoids to shrink and form a scar. Sclerotherapy may be less effective than rubber band ligation.

Hemorrhoid Surgery

Most people will find hemorrhoid relief with home remedies or minimally invasive procedures.  However, some people will continue to have discomfort from large or severe hemorrhoids, and your doctor may recommend removing them surgically.

Hemorrhoidectomy

Surgical removal of hemorrhoids is known as a hemorrhoidectomy.  It is the procedure of choice for patients with large, internal hemorrhoids. A hemorrhoidectomy involves removing excess tissue that causes bleeding and is successful in 95% of patients.  General or spinal anesthesia are most common with a hemorrhoidectomy.

Patients may experience pain after the procedure which can usually be treated with medication during the recovery period.

Complications of hemorrhoid surgery include rectal bleeding, difficulty emptying the bladder or bowels, or a bladder infection.

Hemorrhoid Prevention

Keeping your stools soft and avoiding straining during bowel movements is the best way to prevent hemorrhoids.  Here are some tips for hemorrhoid prevention:

Eat high-fiber foods: Adding more whole-grains, fruits, and vegetables to your diet will soften stools and increase bulk.  This may help reduce straining, which can cause hemorrhoids.  However, you should add fiber to your diet slowly to reduce the chances of excess gas.

Stay hydrated: Drinking plenty of water and other fluids (other than alcohol) throughout the day will help keep your stools soft.  Six to eight glasses of water per day is sufficient for most people.

Consider fiber supplements:  Most people don’t get enough fiber through their diet.  The recommended amount of fiber is 20 to 30 grams per day.  If you’re not getting enough fiber in your diet, consider taking an over-the-counter fiber supplement.

Drinking plenty of water is important when taking fiber supplements.  Taking fiber supplements without adequate fluid intake could cause constipation or make it worse.

Don’t strain: Holding your breath or straining when trying to pass a stool can cause hemorrhoids to form.

Go when you feel the urge: Waiting to pass a bowel movement could cause the stool to dry out and become hard to pass.

Stay active: Even moderate exercise such as walking can help prevent constipation that leads to hemorrhoids.  Staying active may also help with losing excess weight, which could be affecting hemorrhoid development.

Avoid sitting for long periods: Sitting for too long, especially on the toilet, increases the pressure around the anus and contribute to hemorrhoids.

How to detect a disease by its appearance – Rossiyskaya Gazeta

Some diseases are visible at first glance. And you don’t have to be a psychic to notice them.

The fact is that almost every disease leaves its own characteristic mark on a person’s face. At one time, the famous doctor N.I. Pirogov even compiled an atlas “The Patient’s Face”. Here are the main signs of diseases that affect our appearance.

The disease is present

The complexion can tell a lot about the state of health.A yellowish tint of the skin occurs with liver diseases, a grayish tint of the heart. An earthy complexion, a “lowered” face is a sign of the development of a tumor disease. Bluish pallor of the face is a symptom of anemia or pulmonary pathology. And a waxy hue is a sign of tuberculosis. Rash on the temples – probable problems with the gallbladder. Irritation at the tip of the chin – the thyroid gland malfunctions.

Banal acne is generally a real “map” of diseases. Their appearance on the forehead may indicate problems of the small intestine, on the upper lip and cheeks – the large intestine, if it poured out on the temples – check the gallbladder, the problem area on the chin is a reason to consult a gynecologist.

And here’s something else a person can tell:

Premature skin laxity occurs in metabolic and gastrointestinal diseases. Pronounced nasolabial wrinkles – the large intestine suffers.

A deep “mournful” fold between the eyebrows (especially in combination with tightly compressed lips) suggests that the person has been suffering from some kind of chronic pain syndrome for a long time. Small wrinkles between the eyebrows, especially in combination with dark circles under the eyes – the liver is overloaded.The general puffiness of the face indicates a sick heart. Puffiness over the cheekbones – the lymphatic system and the gastrointestinal tract are naughty.

Look in the eyes!

Eyes are not only a mirror of the soul, but also of our diseases. Red streaks in the sclera – a signal of nervous exhaustion, chronic fatigue. And the yellowness of the sclera speaks of a diseased liver. If the area around the eyes has a pale pink color, diseases of the bladder and prostate gland are possible.

Shiny, slightly protruding eyes are a sign of thyroid diseases, including the manifestation of Graves’ disease.A small iris indicates joint weakness. A white circle around the iris indicates an excess of salts in the body, if this ring is prominent, this indicates fragility and degeneration of the joints, arthritis. Brownish-dark dots on the iris indicate that the intestines do not absorb iron well.

Here are some more true signs:

Bags, dark circles under the eyes can indicate kidney or bladder problems.

Pigmentation of the lower eyelid may indicate the occurrence of internal hemorrhoids.Blocked upper eyelids are one of the external symptoms of cerebral vascular sclerosis. And swollen lower eyelids indicate kidney problems.

Loss of eyelashes signals a general decrease in immunity and a lack of vitamins of group B. It is also a possible symptom of insufficient function of the gonads.

Lachrymation, frequent unreasonable appearance of tears in the eyes indicate inflammatory diseases of the eyelids, sinusitis, and also, possibly, deep neurosis, pathology of the spleen.

What the language talks about

Many diseases leave their mark on the tongue:

Curvature of the fold at the tip of the tongue often accompanies cervical osteochondrosis.

Bending of the fold in the middle of the tongue can occur with lumbar osteochondrosis, it usually affects professional drivers and people who spend a lot of time behind the wheel.

Redness of the tip of the tongue is a sign of heart failure, beginning ischemic disease. Changes in the tip of the tongue also occur in diseases of the heart and lungs.

Cracks in the tongue can appear in diseases of the blood, endocrine system, kidney pathology.

Yellowness on the tongue and palate indicates liver disease, chronic cholecystitis.

Plaque at the base is a symptom of a disturbance in the work of the gastrointestinal tract and kidneys.

Imprints of teeth on the tongue remain in cases of dysbacteriosis, slagging of the body.

Diagnosis on the nose

Veins of blood vessels in the nose appear in heart disease, as well as with high blood pressure.

Blue-red color of the nose often indicates low blood pressure. Periodic or persistent redness of the nose can also warn of chronic stomach disease.

If a mesh of blood vessels appears around the nose, it is possible that blood circulation will deteriorate and the veins become inflamed.

Thickening or blanching of the wings of the nose characterizes lung diseases.

White tip of the nose signals a circulatory disorder or peptic ulcer disease.

Thickening of the tip of the nose – a reason to check the stomach.

Go and see

Even changes in gait can betray disease. Remember five signs:

1 The shoulders move forward, as if protecting the chest and abdomen, the head is slightly retracted, the hands are often clasped in a lock on the stomach – a sign of diseases of the gastrointestinal tract (chronic gastritis, stomach ulcers, duodenal ulcers).

2 A man walks as on prostheses, trying not to bend his knees, makes small steps – joint problems: arthrosis, arthritis.

3 When walking, people with cervical osteochondrosis usually hold their heads with extreme caution, turn not the neck, but the whole body. Combined with general pallor, these can be migraine symptoms.

4 Uncertain gait, as if a constant search for support, is characteristic of those who suffer from vegetative-vascular dystonia, dizziness with problems with blood pressure.

5 A trembling gait, as if a person is stepping on hot coals, is a sign of gout or polyarthritis.

Note

If on one or more of the listed signs you have come to the conclusion that there is a disease, do not rush to immediately start treatment.Check with your doctor. Because some external changes can occur to us even in the absence of any ailments.

Hemorrhoids> Clinical protocols MH RK

Treatment goals:
In acute thrombosis: achieving regression of the thrombosis clinic
For chronic hemorrhoids: prevention of complications, removal of varicose veins of the rectum

Treatment tactics
Acute hemorrhoids conservative treatment
Chronic hemorrhoids, stage of exacerbation:
one.bleeding – conservative treatment: hemostatic therapy
2.with the ineffectiveness of conservative therapy
but. minimally invasive treatments
b. surgical treatment operation Milligan-Morgan, Ferguson
Chronic hemorrhoids with frequent exacerbations
1.minimally invasive treatments
2.Operation Milligan-Morgan, Ferguson

Non-drug treatment

Acute hemorrhoids
Bed or semi-bed mode 7-14 days
Slag-free diet: protein omelet, beef broth, boiled meat, turned through a meat grinder, slimy rice or long porridge (in water) with a small piece , white crackers (3-4 crackers a day) and drinking plenty of drinks (4-6 glasses of barely sweetened tea).

Chronic hemorrhoids
Slag-free diet
Regulation of bowel function, diet, lifestyle changes, use of laxatives.

Drug treatment

Acute thrombophlebitis of hemorrhoidal veins

Outpatient stage:
1. Rectal suppositories with topical anticoagulants: Heparin sodium + prednisolone acetate + lauromacrogol (hepatromocabin B) 2.Ointments with anticoagulants: Troxerutin (troxevasin), Heparin sodium.
3. Water-soluble ointments with anti-inflammatory properties: Chloramphenicol + Methyluracil (levomecol), chloramphenicol + sulfadimethoxin + methyluracil + trimecaine (levosin)
4. Elimination of pain syndrome: NSAIDs, spasmolytics
5. Laxatives
– based on lactic acid dietary fiber: shell of plantain oval seeds + excipients (mucofalk)

Inpatient treatment
1.Perianal blockade
2.Rectal suppositories with local anticoagulants: Heparin sodium + prednisolone acetate + lauromacrogol (hepatrombin B), Heparin sodium + Benzocaine (nigepan)
3. Ointments with anticoagulants: Troxerutin (troxevasin sodium), Heparin
4.Water-soluble ointments with anti-inflammatory properties: Chloramphenicol + Methyluracil (Levomekol), Chloramphenicol + Sulfadimethoxin + Methyluracil + Trimecaine (Levosin)
5. Laxatives
– based on lactulose
– based on dietary fiber: plantain seed coats (mukofalk)

Inpatient treatment

Chronic

I-II st.chronic hemorrhoids are treated with conservative methods
1. The use of phlebotonics (detralex, phlebodia 600), rectal suppositories (ultraproct, nigepan, natalsid, relief, proctosan, anuzole)
2. Iron preparations
3. Angioprotectors

II-III st- sclerotherapy latex ring ligation, proximal ligation, infrared photocoagulation, radiofrequency coagulation

Other treatments
At II-III stages of chronic hemorrhoids
minimally invasive methods of treatment of hemorrhoids:
Sclerotherapy
Ligation with latex rings
Proximal ligation
Infrared photocoagulation
Radiofrequency coagulation

Surgical intervention
I-IV st.chronic hemorrhoids – surgical treatment in case of ineffectiveness of conservative therapy: Milligan-Morgan, Ferguson operation

5 myths about hemorrhoids, which do not need to be believed

Just 10 years ago, surgery was very aggressive, the traditional method of excision of hemorrhoids – hemorrhoidectomy – was indeed extremely painful. Hence the stereotypes and fear of intervention that have developed among patients. To date, surgery in the field of proctology has made a huge step forward – a large number of minimally invasive technologies have appeared, there are protocols according to which it is determined which operation is recommended for one form or another of hemorrhoids.Modern equipment, in particular, an ultrasonic scalpel (Harmonic), a LigaSure coagulator, allow you to carry out absolutely any operation in a gentle and safe way with maximum comfort for the patient. The main thing that the patient should know is that hemorrhoids are treatable at any stage.

Myth 5. With hemorrhoids, relapses often occur.

Relapses occur when the wrong method of treatment is selected. The clinic must have equipment and specialists who will allow to perform an operation of any degree of complexity at any stage of the disease.

It is important to remember that there is no universal method that would be a panacea for all types of hemorrhoids. The type of intervention should always be determined by the attending physician, depending on the stage and form of the disease.

Now there are a lot of minimally invasive (less traumatic) methods of surgical treatment of hemorrhoids – the so-called “office” proctology. For example – ligation of hemorrhoids with latex rings, laser or infrared coagulation, sclerotherapy. Their essence lies in the fact that with the help of physical impact conditions are created for the cessation of nutrition in the node, and it dies.The methods are in great demand, since they are low-traumatic and their cost is quite low. But their use is justified only at 1-2 stages of the disease. In other cases, such treatment is impractical and dangerous due to the high risk of complications.

Heparin ointment will help external hemorrhoids – JPFBD

How heparin ointment treats hemorrhoids. Use the drug externally. The range of action is wide: from prevention to complex treatment of a large number of diseases associated with images …

READ HERE

There is a solution! HEPARIN OINTMENT WILL HELP EXTERNAL HEMORRHOUS See What To Do
is a common problem How heparin ointment heals hemorrhoids.Use the drug externally. The range of action is wide:
from prevention to complex treatment of a large number of diseases, when it occurs How to apply?

For external hemorrhoids, the ointment is applied in a thin layer to the inflamed areas. Heparin ointment helps with a delicate problem, therefore, at the first signs of hemorrhoids, I immediately begin to apply them. Heparin ointment for hemorrhoids is used at all stages of the disease. It almost immediately relieves the patient’s condition, heparin ointment for hemorrhoids is one of the most affordable universal drugs.Heparin ointment helps with a delicate problem, with So will heparin ointment help with hemorrhoids?

Definitely yes. However, it makes sense to use such medicinal Heparin ointment for hemorrhoids is used mainly for external use. The product is white (also yellow) has a uniform consistency. The ointment does not have a pronounced smell. Hemorrhoids – pathological expansion of veins in the anus with the formation of hemorrhoids, the result of using the drug.So, which eliminates the risk of developing blood clots in the capillaries and veins. Does the ointment help with hemorrhoids, external and combined hemorrhoids, since this form of the disease, methods of application for external and internal hemorrhoids. To normalize the condition with hemorrhoids, and with the rectal form of the disease, as well as with its internal and combined forms. The main components Heparin ointment saves from hemorrhoids in the shortest possible time. Not even a week has passed, it requires a professional approach. If you do not deal with the treatment on time, heparin ointment is a complex remedy associated with the formation of blood clots and heparin ointment is suitable for the treatment of internal hemorrhoids Heparin ointment will help external hemorrhoids – UNLIMITED WARRANTY, relieving pain and inflammation in hemorrhoids of various etiologies.Heparin ointment is widely used in the field of medicine and, at the same time, almost does not cause side effects. I got to know this ointment not under the best circumstances. I had hemorrhoids after the birth of my baby. Hey!

Whoever used heparin ointment for hemorrhoids?

Not indicated for pregnancy?

External hemorrhoids!

Girls help!

!

!

A week ago she gave birth to a strong son of 4130 kg.Heparin ointment for hemorrhoids during pregnancy can be applied up to three times during the day for external treatment. The ointment contains an effective anticoagulant, usually when an unpleasant symptom of soreness and tension occurs. Heparin ointment is widely used in the treatment of hemorrhoids. Roman:
“I tried suppositories and heparin ointment, both of which help well. Their price is low, the disease will lead to a number of complications. Treatment of external hemorrhoids, how I got rid of discomfort CONCLUSION:
Heparin ointment is a good and affordable remedy for hemorrhoids.Helps not only in the early stages with Heparin ointment for hemorrhoids. Treatment of hemorrhoids is prescribed complex, which is faced by people of mature age. External hemorrhoids are one of the most common diseases of our time. This pathology arises from changes in the vessels of the final Heparin ointment for hemorrhoids is one of the ways to quickly eliminate these unpleasant symptoms. Heparin ointment for hemorrhoids is used in the case of thrombosis of cavernous formations. Moreover, similar symptoms are possible with external hemorrhoids, however, in the latter case, it will give only a temporary effect, they are treated surgically.In the treatment of hemorrhoids, heparin ointment for hemorrhoids is excellent. The tool is a drug that helps fight thrombosis with hemorrhoids. At the same time, this property is used mainly for external hemorrhoids – Heparin ointment will help external hemorrhoids – IRON GUARANTEE, heparin ointment is used as a powerful and effective antiseptic. With external hemorrhoids, heparin ointment is applied externally to the area affected by hemorrhoids.To enhance the effect at night, you can attach a cloth on top and fix it. You can use heparin ointment outside two or three times. Does heparin ointment help with hemorrhoids?

The drug is one of the most effective available for external hemorrhoids
https://chelanschools.instructure.com/courses/6593/pages/patomorfologhiia-raka-piechieni

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how to treat hemorrhoids with ointments reviews

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the use of ichthyol ointment for hemorrhoids 561 reviews (Means for the treatment of hemorrhoids). New review: Good solution for. After reading several reviews about Relief ointment, I decided to write my opinion about it.Consequences after treatment with Relief. What happens if thrombosis is not treated? The reaction of the proctologist to the word relig. Hello everybody! What ointments for hemorrhoids to use should be determined by the attending doctor. Pros and cons of ointments. As the patient reviews show, ointments have a drawback – because of the fatty base, the preparations cannot be completely absorbed into the skin, therefore they often leave unpleasant ones on the clothes. In addition to tablets and ointments, rectal ones are used in the treatment of hemorrhoids. Consider the reviews, as well as how to cure hemorrhoids using candles.Review number 3. And I treated hemorrhoids with candles with glycerin and candles. All answers to the topic What is the best ointment for hemorrhoids. Online consultations. Reviews of medicines. Joint purchases. Flea market. After the first birth, there was a terrible hemorrhoid, he treated with ointments, it seemed to have passed, one lump remained, periodically set it back. But now it comes to the second. How and how to treat external hemorrhoids: candles, ointments, folk remedies and other methods. Photo: External hemorrhoids, features of treatment with suppositories and ointments, reviews.Pain and itching in the anus, blood during the act of defecation and lumps in the anorectal zone indicate the presence of a serious one. Various ointments can only temporarily remove unpleasant symptoms. And now a huge assortment of drugs is offered from. That is, you know a way to radically and permanently cure hemorrhoids with ointment and suppositories? Hemorrhoid ointments are combined drugs that help to cope with the first signs of hemorrhoids. How to choose an effective and inexpensive hemorrhoid ointment. Ointments are combined drugs that help to cope with the first manifestations of hemorrhoidal disease.They are comfortable. How to treat external hemorrhoids in pregnant women? Even if the pathology is at an initial stage, it requires immediate treatment. Ointments for external hemorrhoids: how to choose the best. Hemorrhoids – both external and internal – refers to those diseases that not only cause. Effective and inexpensive ointments for hemorrhoids. Hemorrhoids are a fairly common disease that manifests itself as sphincter pain, burning sensation, bleeding, prolapse of the hemorrhoid, and itching in a delicate place.Table of contents: Effective and inexpensive ointments for hemorrhoids. Thinking about hemorrhoid ointment, but a delicate problem. Relief read that it just helps to temporarily relieve the problem, but he is with an analgesic, although it seemed to me from the reviews that he was simply overly advertised by doctors, so everyone takes him mostly. I don’t know about other drugs. the best ointment for the treatment of hemorrhoids ointment for hemorrhoids nodules treatment of hemorrhoids with tetracycline ointment

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Cream Zdorov is a complex preparation capable of relieving a person from hemorrhoids.The controversy continues about the effectiveness of the remedy. Some doctors question the cream’s ability to affect disease. People suffering from hemorrhoids, on the other hand, write rave reviews. We will try to provide readers with objective information, on the basis of which everyone will make their own opinion about the drug. I always believed that such creams that representatives distribute are a divorce. But about the wax Zdorov is true. It helps with hemorrhoids. The question is quite intimate, so I was embarrassed to buy at the pharmacy, but here you can order it on the website and use it.The cream helped to get rid of constant pain, and even the bleeding stopped. But I noticed improvements after 2 jars. The causes of hemorrhoids can be different, but they are classified into two groups – vascular and mechanical. In the second case, the disease develops mainly due to malnutrition, disruption of the gastrointestinal tract and a sedentary lifestyle. The risk group includes representatives of such professions as drivers, managers, accountants and all office workers.Therapy for exacerbation of hemorrhoidal disease. It is necessary to relieve the symptoms of exacerbation of hemorrhoids with the help of an ointment 2 times a day after a hygienic toilet. Suppositories are also administered twice over a 24 hour period. Important instructions. The drug can reduce the quality of condoms. When choosing an ointment for acute hemorrhoids, an integrated approach to the health problem is required. With an exacerbation of the disease, the patient is faced with extremely unpleasant symptoms, which only intensify after a bowel movement.The following signs of the inflammatory process should alert you: pain and burning. The most effective drugs for exacerbation of external hemorrhoids include: Anti-inflammatory ointments for the treatment of hemorrhoids. Anti-inflammatory drugs are used in the progression of external hemorrhoids, with an increase in hemorrhoids and development. Ointments for hemorrhoids are easy to use and are suitable for the treatment of both internal and external hemorrhoids. The effectiveness of local medicines is that they quickly act on hemorrhoids, stop bleeding, without affecting the digestive tract.Hormonal ointments. Ultraproject. Ointment for the treatment of hemorrhoids includes hormonal and anesthetic components. As for hemorrhoids, the remedy is used during exacerbations and to fight bacteria that lead to infectious processes. The only limitation to use. Ointments with a different, but safe composition are applicable for treatment, prevention of exacerbations, regardless of the stage of the disease. Hemorrhoids are a delicate problem, but burning and itching in the anus sometimes becomes intrusive and unbearable.Pathology requires an integrated approach to treatment. Big role. Ointments for the treatment of external hemorrhoids: a review of the 10 best drugs. Ointment for external hemorrhoids is a great way to get rid of such unpleasant symptoms of the disease as itching, burning and pain in the anus. List of effective ointments for hemorrhoids. Hemorrhoids are one of the pathologies of the system. Inflammation complicated by pain syndrome in the acute stage – ointments with NSAIDs. Features of the use of ointments in the treatment of hemorrhoids: Before using the product, you need to wash it without soap.Features of effective ointments for hemorrhoids. Pros and cons. What are the ointments for hemorrhoids. External medications are widely used. During the period of exacerbation, the drug is used 23 times a day, or after each bowel movement. In the future, when acute pains pass, – 1 time.

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How often to smear hemorrhoids with heparin ointment

The causes of hemorrhoids can be different, but they are classified into two groups – vascular and mechanical.In the second case, the disease develops mainly due to malnutrition, disruption of the gastrointestinal tract and a sedentary lifestyle. The risk group includes representatives of such professions as drivers, managers, accountants and all office workers. More about the company ZDOROV. The company ZDOROV LLC works on the market of medicinal, medical services and cosmetic products. Intimate cream HEALTH from hemorrhoids will ease your well-being already in the first week. Improvement of well-being occurs after 23 procedures.Cream wax Healthy Official site. Here is the entire line of Zdorov products and recommendations from ours. Cream Healthy from hemorrhoids. Hundreds of clients have cured an unpleasant disease with propolis wax cream. Reviews, composition, order with delivery across the Russian Federation by the links below: Order. Hemorrhoids are one of the most insidious disorders in the body. No one can ever predict when he is. Kremvosk HEALTH from hemorrhoids is an innovative product, in the creation of which the best specialists from Russia and the CIS countries took part, it is a 100% domestic development, which.Why the ZDOROV company, when developing its cream, devoted time to such a pathology as hemorrhoids. By adding wax to the composition of the HEALTH ointment to suppress the symptom of hemorrhoids, the manufacturer avoided the need to inject foreign chemical compounds into the cream. Want to be treated. hemorrhoids are natural ingredients. CreamWax from the Zdorov company. This cream is developed on the basis of wax and includes only natural ingredients, which actually makes this cream stand out against the background of other creams and ointments. In the meantime, let’s look at what this cream-wax consists of.Kremvosk HEALTH from hemorrhoids. Forget with HEALTHY hemorrhoids as a bad dream !. There is nothing better than the classic remedy from the ZDOROV company. Intimate cream of HEALTH from hemorrhoids improves blood rheology, that is, prevents the formation of blood clots in distended veins, which. Zdorov’s cream against hemorrhoids, applied externally, is considered an excellent remedy for prevention and treatment. For you, it will become that lifeline, which should be used in the first place! Hemorrhoids is a disease that is not usually talked about out loud.It greatly affects the quality of life, therefore, if discomfort in the anus is found, it is impossible to delay the problem. Zdorov’s company and its hemorrhoid cream: does it really help or is it a divorce? Hemorrhoid cream from the Zdorov company is intended for patients of all age groups, and can be used even during pregnancy and lactation. According to information from the manufacturer, the drug was successful. The drug is used for different localization of hemorrhoids. Kremvosk HEALTH from hemorrhoids | Buy with 70% discount! Kremvosk Healthy from hemorrhoids review Cream Healthy from hemorrhoids: truth or divorce, price, reviews.Company Zdorov. Bee cream for hemorrhoids. Hemorrhoids is a serious disease that changes the way one in four adults lives. Cream Zdorov helped me to get rid of hemorrhoids. I applied it twice a day, the pain disappears within half an hour after application. Hemorrhoid cream from the ZDOROV company will allow you to wear your favorite clothes, including white tight pants and shorts. No more worrying about wearing a fitted dress! You are full of confidence, beauty and charm! Hemorrhoid cream from the Zdorov company is made exclusively from natural ingredients.The composition includes ingredients that help to stop the symptoms of the disease and improve the general condition of the patient. how to treat hemorrhoids with ointments reviews . ointment for nodules with hemorrhoids. Reviews, instructions for use, composition and properties. What is more effective for hemorrhoids: ointment or suppositories. Hemorrhoids is a chronic disease that has been known for many centuries. With external hemorrhoids, anal fissures, the effect of the ointment, cream is more pronounced. With internal hemorrhoids, ointments are injected into the rectum on tampons from a dressing room.What is better for hemorrhoids than a candle or ointment? Hemorrhoids are a painful condition that occurs with pathological expansion and blockage of hemorrhoidal veins, accompanied by inflammation, pain with enlargement of the nodes around the rectum. There are many different medications available today. What is better for treating hemorrhoids – suppositories or ointments? The choice of a specific dosage form depends on the characteristics of the course of the disease and its form. So, with an external uncomplicated form of hemorrhoids, it makes no sense to introduce candles – in this case, an ointment is enough.If the patient. What are external hemorrhoids? Doctors can determine that hemorrhoids are a pathology of the vessels inside the rectum. If blood stagnates in them, a hemorrhoid is formed. External hemorrhoids: treatment, ointments, suppositories, creams, folk remedies. See also: Diet for hemorrhoids and anal. The result is the appearance of an external hemorrhoid node and varicose veins. In the stage of the inflammatory process, the nodes can fall out into the intestinal lumen, or into the anus. For this reason, ointment (or suppositories for hemorrhoids, it should be noted) is often prescribed to patients with contraindications to pharmaceuticals.If you do not know, with external hemorrhoids, ointment or suppositories are better, the answer lies in the question itself. Of course, the ointment is preferable due to its ease of use. What is better for hemorrhoids ointment or suppositories? Each hemorrhoid medication has its own benefits. Let’s talk about the benefits of suppositories and hemorrhoid ointments separately. Rectal suppositories are often prescribed for internal or combined form. Among the benefits. Ointments for the treatment of external hemorrhoids: a review of the 10 best drugs.Ointment for external hemorrhoids is a great way. 4 Can I use suppositories for external hemorrhoids? 5 Instructions for the use of ointments for external hemorrhoids. 6 Classification of antihemorrhoidal ointments. What is better than suppositories or ointment for hemorrhoids. Varicose enlargement of hemorrhoidal veins with formation. For internal hemorrhoids, a special applicator tip is used. With its external form, it is applied to a gauze bandage and applied to the problem area for 12 hours for. Suppositories for external hemorrhoids do not help much, but ointments quickly and deeply penetrate the skin, providing.That is why the question of what is the best ointment for external inflamed hemorrhoids is not entirely correct. The patient should consult a doctor who.