What are hemorrhoids and how common are they. How are hemorrhoids diagnosed and what are the main symptoms. What causes hemorrhoids and who is at risk. What are the most effective home remedies and medical treatments for hemorrhoids.

Understanding Hemorrhoids: A Common Yet Uncomfortable Condition

Hemorrhoids are a widespread ailment affecting millions of Americans. These swollen, inflamed veins around the anus or in the lower rectum impact approximately 1 in 20 individuals, with about half of adults over 50 experiencing this condition. Despite their prevalence, many people feel embarrassed to discuss hemorrhoids, leading to unnecessary suffering.

Types of Hemorrhoids

There are two main types of hemorrhoids:

• External hemorrhoids: Form under the skin around the anus
• Internal hemorrhoids: Develop in the lining of the anus and lower rectum

Understanding the difference between these types is crucial for proper treatment and management.

Recognizing Hemorrhoid Symptoms: When to Seek Help

Identifying hemorrhoid symptoms early can lead to faster relief and prevent complications. External hemorrhoids often cause more noticeable discomfort, while internal hemorrhoids may go undetected until they bleed or prolapse.

External Hemorrhoid Symptoms

• Anal itching
• Pain or discomfort, especially when sitting
• Hard, tender lumps near the anus

These symptoms typically subside within a few days but can worsen with excessive straining or irritation.

Internal Hemorrhoid Symptoms

• Painless bleeding during bowel movements
• Prolapse (hemorrhoid protruding through the anal opening)

Prolapsed hemorrhoids may cause pain and discomfort, while non-prolapsed internal hemorrhoids are usually painless.

Common Causes and Risk Factors for Hemorrhoids

Understanding the causes of hemorrhoids can help in prevention and management. Various factors contribute to their development, many of which are lifestyle-related.

Who is at Risk for Hemorrhoids?

Your risk of developing hemorrhoids increases if you:

• Strain during bowel movements
• Sit on the toilet for extended periods
• Suffer from chronic constipation or diarrhea
• Consume a low-fiber diet
• Are over 50 years old
• Are pregnant
• Frequently lift heavy objects
• Overuse laxatives or enemas

By addressing these risk factors, you can significantly reduce your chances of developing hemorrhoids or experiencing recurrences.

Diagnosing Hemorrhoids: What to Expect at the Doctor’s Office

If you suspect you have hemorrhoids, consulting a healthcare professional is crucial for proper diagnosis and treatment. The diagnostic process typically involves a combination of discussions about your medical history and a physical examination.

The Diagnostic Process

1. Health history discussion
2. Physical exam, including a digital rectal examination
3. Additional tests if necessary

Are additional tests always needed for hemorrhoid diagnosis? Not always. In most cases, a physical exam is sufficient. However, if your doctor suspects another condition might be causing your symptoms, they may recommend further testing.

Additional Diagnostic Tests

• Anoscopy: Examination of the anal canal using a hollow, lighted tube
• Sigmoidoscopy: Inspection of the lower colon using a flexible, lighted tube
• Colonoscopy: Examination of the entire colon using a long, flexible tube with a camera

These tests help rule out more serious conditions such as Crohn’s disease, ulcerative colitis, or colorectal cancer, especially if rectal bleeding is present.

Effective Home Remedies for Hemorrhoid Relief

Most external hemorrhoids and many internal hemorrhoids can be treated effectively at home. These remedies focus on alleviating symptoms and promoting healing.

Dietary Changes for Hemorrhoid Management

• Increase fiber intake through fruits, vegetables, and whole grains
• Drink more water to soften stools
• Use stool softeners if necessary

How does a high-fiber diet help with hemorrhoids? A fiber-rich diet promotes softer, more regular bowel movements, reducing strain and irritation to hemorrhoids.

Lifestyle Adjustments and Over-the-Counter Treatments

• Avoid straining during bowel movements
• Limit time spent sitting on the toilet
• Use over-the-counter hemorrhoid creams or suppositories
• Take warm sitz baths several times a day
• Apply cold compresses to reduce swelling
• Use over-the-counter pain relievers as needed

These home remedies can provide significant relief for most people suffering from hemorrhoids. However, if symptoms persist after a week of home treatment or if you experience rectal bleeding, it’s important to consult a healthcare provider.

Medical Treatments for Persistent or Severe Hemorrhoids

When home remedies fail to provide relief or for more severe cases of hemorrhoids, medical interventions may be necessary. These treatments are typically performed by a physician and range from minimally invasive procedures to surgery.

Non-Surgical Procedures

• Rubber band ligation: A rubber band is placed around the base of the hemorrhoid to cut off blood supply
• Sclerotherapy: A solution is injected into the hemorrhoid to create scar tissue and shrink it
• Infrared photocoagulation: Heat from infrared light is used to create scar tissue and shrink the hemorrhoid
• Electrocoagulation: An electric current is used to create scar tissue and shrink the hemorrhoid

These procedures are typically performed in a doctor’s office and don’t require anesthesia. They’re effective for many patients with internal hemorrhoids that haven’t responded to home treatments.

Surgical Options for Severe Cases

In some cases, surgery may be necessary to treat hemorrhoids effectively. Surgical options include:

• Hemorrhoidectomy: Surgical removal of large external hemorrhoids or prolapsed internal hemorrhoids
• Hemorrhoid stapling: A procedure that removes internal hemorrhoid tissue and pulls prolapsed tissue back into place

These surgeries are performed under anesthesia and typically reserved for the most severe cases or when other treatments have failed.

Preventing Hemorrhoids: Lifestyle Changes for Long-Term Relief

While hemorrhoids can be effectively treated, prevention is always preferable. By making certain lifestyle changes, you can significantly reduce your risk of developing hemorrhoids or experiencing recurrences.

Dietary Habits for Hemorrhoid Prevention

• Maintain a high-fiber diet rich in fruits, vegetables, and whole grains
• Stay hydrated by drinking plenty of water throughout the day
• Limit consumption of processed foods and those low in fiber

How much fiber should you consume daily to prevent hemorrhoids? The recommended daily intake is 25-30 grams for most adults. If you’re not getting enough from your diet, consider a fiber supplement.

Lifestyle Adjustments to Reduce Hemorrhoid Risk

• Exercise regularly to promote healthy bowel function
• Avoid straining during bowel movements
• Don’t sit on the toilet for extended periods
• Use the bathroom as soon as you feel the urge
• Practice good anal hygiene, but avoid excessive cleaning or use of harsh soaps

By incorporating these habits into your daily routine, you can maintain better digestive health and reduce your risk of hemorrhoids.

When to Seek Medical Attention for Hemorrhoids

While many cases of hemorrhoids can be managed at home, there are situations where professional medical care is necessary. Knowing when to seek help can prevent complications and ensure proper treatment.

Red Flags That Warrant a Doctor’s Visit

• Persistent symptoms after a week of home treatment
• Rectal bleeding, especially if it’s dark or accompanied by dizziness
• Severe pain that doesn’t respond to over-the-counter treatments
• A lump or bulge around the anus that’s painful or doesn’t improve
• Changes in bowel habits that persist for more than a week

Should you be concerned about rectal bleeding? While hemorrhoids are a common cause of rectal bleeding, it’s important to rule out other, more serious conditions. Always consult a healthcare provider if you experience rectal bleeding, especially if it’s accompanied by changes in bowel habits or abdominal pain.

What to Expect During a Hemorrhoid Consultation

When you visit a doctor for hemorrhoid concerns, you can expect:

1. A detailed discussion of your symptoms and medical history
2. A physical examination, including a digital rectal exam
3. Possible additional tests if other conditions are suspected
4. A treatment plan tailored to your specific situation

Remember, early intervention can lead to faster relief and prevent complications. Don’t hesitate to seek medical attention if you’re concerned about your symptoms.

Living with Hemorrhoids: Coping Strategies for Daily Life

While hemorrhoids can be uncomfortable and sometimes embarrassing, they don’t have to dominate your life. With the right strategies, you can manage symptoms and maintain a good quality of life.

Practical Tips for Comfort

• Use soft, unscented toilet paper or wet wipes to minimize irritation
• Wear loose-fitting, breathable clothing to reduce pressure and friction
• Consider using a donut-shaped cushion when sitting for long periods
• Apply ice packs or cold compresses to reduce swelling and discomfort
• Practice regular Kegel exercises to improve circulation in the rectal area

How can Kegel exercises help with hemorrhoids? These exercises strengthen the pelvic floor muscles, which can improve blood flow to the rectal area and reduce the risk of hemorrhoid formation.

Emotional Well-being and Hemorrhoids

Dealing with hemorrhoids can be stressful and affect your emotional well-being. Here are some strategies to cope:

• Educate yourself about the condition to reduce anxiety
• Don’t hesitate to discuss your concerns with your healthcare provider
• Consider joining a support group or online forum to connect with others experiencing similar issues
• Practice stress-reduction techniques like meditation or yoga
• Maintain a positive outlook and remember that hemorrhoids are treatable

By addressing both the physical and emotional aspects of living with hemorrhoids, you can maintain a better quality of life and reduce the impact of this common condition on your daily activities.

Hemorrhoids: A Guide To Putting the Discomfort Behind You

It’s easy to get the care you need.

See a Premier Physician Network provider near you.

If you ever discover the discomfort – or pain – of
hemorrhoids you’re far from alone.

One of the most common of human ailments – affecting millions of Americans at any given time – hemorrhoids are swollen, inflamed veins around your anus or in your lower rectum, the bottom section of your colon, or large intestine.

Hemorrhoids affect about 1 in 20 Americans, common in women and men. About half of adults older than age 50 will suffer from hemorrhoids.

They form externally, under the skin around the anus, or internally, in the lining of the anus and lower rectum. In many cases, home remedies heal them.

Hemorrhoid Symptoms

External hemorrhoid symptoms may include:

• Anal itching
• Anal ache or pain, especially when you sit
• One or more hard, tender lumps that form near your anus

External hemorrhoid symptoms often go away in a few days. But you can worsen the symptoms with excessive straining, rubbing, or cleaning around your anus.

Internal hemorrhoid symptoms may include:

• Bleeding from your rectum, indicated by bright red blood on the stool, on toilet paper, or in the toilet bowl after a bowel movement
• A hemorrhoid that falls through your anal opening – a condition called prolapse. Prolapsed hemorrhoids may cause pain and discomfort, while those that don’t prolapse usually do not hurt.

Common Hemorrhoid Causes

Your risk of hemorrhoids increases if you:

• Strain during bowel movements or sit on the toilet for long periods of time
• Have chronic constipation or diarrhea
• Eat low-fiber foods
• Are older than age 50
• Are pregnant
• Often lift heavy objects
• Overuse laxatives or enemas

How Hemorrhoids Are Diagnosed

In diagnosing hemorrhoids your doctor will talk with you about your health history and will conduct a physical exam, checking your rectum with a gloved finger.

However, if your doctor’s initial exam does not show a clear cause of your rectal bleeding, she may use:

These tests can help determine if the bleeding it caused by a more serious problem, such as
Crohn’s disease,
ulcerative colitis, or cancer of the colon or rectum.

How Hemorrhoids Are Treated

Most external hemorrhoids can be treated with home treatments, such as:

• Adding fiber to your diet, including fruits, vegetables, and whole grains
• Drinking more water
• Over-the-counter hemorrhoid ointments or suppositories — a medicine you insert into your rectum
• Stool softeners
• Avoiding straining during bowel movements or sitting on the toilet for long periods
• Over-the-counter pain relievers such as acetaminophen, ibuprofen, naproxen, or aspirin
• Sitting in a tub of warm water – a sitz bath – several times a day

Home treatments can also be used for most internal hemorrhoids. But severe internal hemorrhoids may require other treatments.

You should call your doctor if you:

• Still have symptoms after one week of at-home treatment, or
• Have bleeding from your rectum

When home treatments don’t heal internal hemorrhoids, your doctor may recommend one of the following treatments performed by a physician:

• Rubber band ligation. This involves placing a special rubber band around the base of a bleeding or prolapsing hemorrhoid. This cuts off the blood supply, causing the hemorrhoid to shrivel and fall off.
• Sclerotherapy. A solution is injected into the hemorrhoid causing scar tissue to form, cutting off the blood supply, often shrinking the hemorrhoid.
• Infrared photocoagulation. The heat of infrared light directed at the hemorrhoid causes scar tissue to form. This cuts off the blood supply, often shrinking the hemorrhoid.
• Electrocoagulation. An electric current is directed into an internal hemorrhoid to form scar tissue, cutting off the blood supply, often shrinking the hemorrhoid.

In some cases, surgery is needed:

• Hemorrhoidectomy. This procedure, performed under anesthesia, removes large external hemorrhoids and prolapsed internal hemorrhoids that do not respond to other treatments.
• Hemorrhoid stapling. A special stapling tool is used to remove internal hemorrhoid tissue and pull a prolapsed internal hemorrhoid back into the anus. This procedure is performed under anesthesia.

It’s easy to get the care you need.

See a Premier Physician Network provider near you.

Source: National Institute of Diabetes and Digestive and Kidney Diseases; Hemorrhoids, Healthwise, August 11, 2019; American Society of Colon and Rectal Surgeons

What to Wear, How to Sleep, and Other Practical Tips for Hemorrhoid Sufferers: Betsy F.

Clemens, M.D.: Board Certified Physician

From chronic itching to excruciating pain, your hemorrhoids may cause a lot of discomfort that can affect your day-to-day activities, as well as your sleep.

At Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri, our experienced physician, Dr. Betsy Clemens, has more than two decades of experience helping those suffering with hemorrhoids get relief. We want to share with you some of our best at-home treatments to help you manage your hemorrhoid symptoms. 

Keeping yourself comfortable during the day

Though hemorrhoid symptoms vary depending on the location and type, if you have external hemorrhoids, a thrombosed hemorrhoid (formation of blood clot in your hemorrhoid), or a prolapsed internal hemorrhoid (internal hemorrhoid that protrudes through your anus), simple things like sitting at your desk at work can cause extreme discomfort. For immediate pain relief, we recommend oral pain relievers or topical treatments such as an over-the-counter hemorrhoid cream or witch hazel. We may also prescribe a numbing cream to ease your pain.

To reduce irritation, you should wear clean, cotton underwear and loose-fitted clothing to help keep the area dry. Moisture may lead to itching and irritation. If you find it too difficult to sit in your office chair, you may want to invest in a donut cushion to ease the pressure on your backside. 

At home, soak in a warm sitz bath for 10–15 minutes a few times a day to relieve itching, muscle spasms, and pain. You can find a sitz bath tub at your local pharmacy that fits over your toilet to make the process easier. 

Getting restful sleep without triggering hemorrhoid pain

Depending on your preferred sleeping position, your hemorrhoid pain can make it difficult for you to get a good night’s rest. In addition to clean cotton underwear and loose-fitting pajamas, we recommend you sleep on your stomach to reduce anal pain and place a pillow under your hips to prevent yourself from rolling over onto your back.  

A full-body sitz bath right before bed may also ease discomfort, help you feel more relaxed, and make it easier for you to fall asleep. In addition, reading or listening to soothing music may take your mind off your hemorrhoids and your discomfort, which may help you get to sleep faster.

At-home treatments to relieve the suffering

Constipation, sitting too long on the toilet, and straining while you go are some of the most common causes of hemorrhoids. To help you get relief from your hemorrhoids we also suggest you take steps to address the underyling cause of your swollen anal veins.

To improve bowel movements, we recommend you add more fiber to your diet. The Academy of Nutrition and Dietetics recommends women aim for 25 grams of fiber a day and men 38 grams. However, you need to add it in slowly or your constipation may get worse before it gets better. 

Good food sources of fiber include:

• Whole grains such as oats, whole-wheat bread, quinoa, popcorn, and barley
• Raspberries, strawberries, pears, and oranges
• Leafy greens, broccoli, and Brussels sprouts
• Beans and lentils

Regular exercise can also stimulate bowel movements and relieve the straining that leads to hemorrhoids. Aim for 20–30 minutes of moderate aerobic activity most days of the week, such as a brisk walk.

When adding fiber and exercise, you also want to make sure you’re drinking plenty of water to stay hydrated and keep your stools soft and easy to pass. 

If you’re still suffering despite your at-home efforts, we can provide treatments to get rid of your hemorrhoids and alleviate your pain, including infrared coagulation (IRC) treatment or a thrombectomy. 

To learn more and to get expert relief from your hemorrhoid pain, call us at 636-228-3136 or contact us online today.

Proctologist, Colon, and Rectal Surgeon

Hemorrhoids affect 75% of adults during their lifetime, making them one of the most common gastrointestinal problems. Unfortunately, many patients don’t visit Dr. Nina Paonessa at Paonessa Colon and Rectal Surgery until they already have hemorrhoids, but she would rather help you avoid the problem.

Here’s what you need to know about the connection between sitting and hemorrhoids and how you can lower your risk or outright prevent them.

Hemorrhoids explained

The areas around your anus and inside the rectum contain a network of blood vessels. When one or more veins become inflamed and swollen, you have hemorrhoids.

What causes hemorrhoids? In a word, pressure. Hemorrhoids develop when excessive pressure in the lower rectum makes the veins stretch, setting them up to become engorged with blood.

Sometimes the pressure comes from activities like lifting heavy objects. Women also commonly develop hemorrhoids during pregnancy, as the weight of the baby places pressure on the rectum.

But the pressure responsible for hemorrhoids primarily comes from prolonged sitting and straining due to constipation.

How sitting causes hemorrhoids

When you sit, the pressure on your buttocks makes the gluteal muscles spread out. In the process, the small veins around the anus and rectum are stretched and lose elasticity. Then the fragile veins become engorged with blood, and you have hemorrhoids.  

The intense pressure from prolonged sitting leads to new hemorrhoids and aggravates existing ones. But not all sitting has the same effect. Sitting on a hard chair causes more pressure than a soft chair. And the worst is sitting too long on the toilet.

Spending too much time on the toilet places extreme pressure on your rectum and anus. On a toilet seat, your rectum is lower than the rest of your buttocks. As a result, gravity pushes down on the veins and blood pools in the veins. If you strain due to constipation, you further increase the pressure.

Lack of exercise magnifies prolonged sitting

Your job may require you to sit for an extended time. However, sitting a lot also occurs if you lead a sedentary lifestyle. This type of sitting and the resulting lack of activity only increases your risk of developing hemorrhoids.

Exercise helps you prevent hemorrhoids and lowers your risk of flare ups. When you exercise, you stimulate bowel function, tone the rectal area, and increase blood flow.

Improving bowel function helps you avoid constipation, while boosting blood flow promotes healing of existing hemorrhoids. Toning the tissues that support your anus and rectum helps offset the effect of pressure on the rectal area.

Tips for preventing hemorrhoids

Here are four tips we give our patients to prevent hemorrhoids:

Take breaks

Even if you need to sit for your job, you can lower your risk of hemorrhoids by taking regular breaks to get up and walk around.

Get off the toilet

You should only sit on the toilet long enough to have a bowel movement, which typically takes a few minutes. You shouldn’t spend more than five minutes on the toilet.

One of the best ways to avoid sitting on the toilet too long is to stop reading at the same time. When you stay engaged with something interesting while on the toilet, it’s easy to lose track of time. 

Don’t strain

Never strain or push down to force stool out of your rectum. Give yourself about five minutes to have a bowel movement then get off the toilet and try again later. The best way to avoid straining is to prevent constipation.

Get enough fiber, water, and exercise

To prevent constipation, you need to exercise, drink plenty of water during the day, and eat a high-fiber diet. Some great sources of fiber include beans, vegetables, fruits, and whole grains like oats and bran.

If you live in or around Brielle or Manahawkin, New Jersey, and need expert care for hemorrhoids, call Paonessa Colon and Rectal Surgery or schedule an appointment online today.

Hemorrhoids and Your Health – Gastroenterologist in Houston, TX

Hemorrhoids are a big pain in the butt, literally. They are particularly frustrating to manage because they’re located in a place that you use very often. If you have recurring issues with hemorrhoids, take the time to learn more about what causes them, how you can treat them and how to avoid them altogether.

What Are Hemorrhoids?
Hemorrhoids are painful veiny lumps that develop around the anus. They form due to pressure on the veins around the rectum and pelvis area. You can have either external or internal hemorrhoids (or both). Internal hemorrhoids develop inside of the anus, while external ones grow outside of the opening. Both are extremely painful. You can clearly tell when you have external hemorrhoids because you can see or feel them bulging from the anal area. If you see blood, or mucus, in your stool or the toilet after going to the bathroom, that is a possible sign of internal hemorrhoids.

Causes
Straining when having a bowel movement mostly causes hemorrhoids. Pushing hard to expel feces causes those veins to enlarge and become swollen. So if you have ongoing issues with constipation, this could be a chronic issue. Having a baby can also cause hemorrhoids because the mother must strain to push out her baby. Sitting for long periods of time in an uncomfortable position, such as on a rock or the cement, could also put undue pressure on the anal muscles, causing hemorrhoids.

Side Effects
While hemorrhoids do not usually present a serious medical concern, they can cause a number of negative side effects related to the pain. Knowing that a bowel movement will be painful could make you avoid moving your bowels regularly. Also, just sitting at a desk for work could become more of a chore than you ever imagine.

Treatments
An over-the-counter or prescribed hemorrhoid cream is the usual solution for hemorrhoids. The cream slowly reduces the swelling. In more serious situations, a doctor may have to place bands at the base of the protruding veins to reduce their size slowly or perform a surgery. A hemorrhoidectomy is the traditional surgery, where the tissue is removed while a hemorrhoidopexy staples the tissue in a particular position so that hemorrhoids no longer form around the anus.

Have a Comfortable Seat
You may be able to manage most hemorrhoid pain without going to the doctor with natural solutions. Try sitting in a bath of warm water (also called a sitz bath) for about a half an hour. Do not sit on hard surfaces or even on chairs that are firm — sit on a pillow or a doughnut. If possible, do not sit at all — lay down on your side instead while dealing with a hemorrhoid. Avoid straining when going to the bathroom and to avoid future problems with constipation, eat foods high in fiber and exercise more.

What’s that Pain in My Butt?: Lisa A. Perryman, MD, FACS, FASCRS: Colon and Rectal Surgeon

Hemorrhoids are a common culprit. They can be either inside or outside your rectum, and they really hurt when they’re angry!

Some say Napoleon Bonaparte was forced to ride side saddle because of hemorrhoids.

Most don’t know that hemorrhoids are normal, and that we have them from birth. They exist to provide anal tone and cushion the anal sphincter muscle. During bowel movements, the hemorrhoidal veins pad and protect our anal openings. It’s only when hemorrhoids become swollen—itch, hurt, and bleed—that they become a problem. The most common symptom is bright red blood—on your stool, toilet paper, or in the toilet bowl. Hemorrhoids aren’t usually life threatening and can go away. Most of the time they return, and the symptoms are often worse than before. It’s important to see your doctor to rule out conditions that have similar symptoms, such as colon cancer. That pain might be more than just your hemorrhoids.

About 89% of us will be bothered by hemorrhoids at some time in our lives. Runners, cyclists, weight lifters, construction workers, people who sit for prolonged times, people with diabetes, wheelchair bound individuals, and women who are pregnant or have given birth, are likely to suffer the irritation and pain of hemorrhoids…almost all of us are prone to hemorrhoids.

Fortunately, hemorrhoids are most often easy to treat.

Today there’s painless hemorrhoid removal that’s done in our office.

Rubber banding is a widely used, cost effective technique for eliminating internal hemorrhoids. Dr. Perryman uses a special instrument that simply fits a rubber band over the hemorrhoid tissue, which cuts off blood flow to it. About a week later it easily falls off and is eliminated during a bowel movement. The procedure itself takes less than 5 minutes.

Hemorrhoids can also be external.

External thrombosed hemorrhoids can be extremely painful. They are best examined by a proctologist or board-certified colon & rectal surgeon within the first few days symptoms appear. Symptoms often include painful swelling and a lump outside the anus. This is caused by a blood clot that forms inside the external hemorrhoid.

Dr. Perryman will carefully examine the area, and make medical determination whether to remove it through simple excision in the office. Most often this relieves pain from swelling instantly. Other recommendations may include: increasing dietary fiber, soothing sitz baths, and no straining or prolonged sitting on the toilet. Removing a thrombosed external hemorrhoid in the office only takes 10 minutes.

Tailbone pain can also be associated with hemorrhoids. That’s because muscles and bones are full of pain nerves down there. When you’re suffering from the pain of hemorrhoids, it can translate into pain and spasms throughout that area of your body. Be sure to be evaluated by a colon & rectal surgeon to be sure that nothing else is causing the pain.

Board certified colon & rectal surgeons are highly specialized and have many years of extensive training. They are experts in diagnosing and treating all problems related to the colon, rectum and anus.

Contact Dr. Lisa A. Perryman, FACS, FASCRS, board certified colon & rectal surgeon in Denver,
at (303)840-8822, or request a confidential appointment at www.ColoradoColon.com.

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Definition

Hemorrhoids are swollen veins in the anus or lower part of the rectum.

Alternative Names

Rectal lump; Piles; Lump in the rectum; Rectal bleeding – hemorrhoids; Blood in the stool – hemorrhoids 

Causes

Hemorrhoids are very common. They result from increased pressure on the anus. This can occur during pregnancy or childbirth, and due to constipation. The pressure causes the normal anal veins and tissue to swell. This tissue can bleed, often during bowel movements.

Hemorrhoids may be caused by:

• Straining during bowel movements
• Constipation
• Sitting for long periods of time, especially on the toilet
• Certain diseases, such as cirrhosis

Hemorrhoids may be inside or outside the body.

• Internal hemorrhoids occur just inside the anus, at the beginning of the rectum. When they are large, they may fall outside (prolapse). The most common problem with internal hemorrhoids is bleeding during bowel movements.
• External hemorrhoids occur outside the anus. They can result in difficulty cleaning the area after a bowel movement. If a blood clot forms in an external hemorrhoid, it can be very painful (thrombosed external hemorrhoid).

Symptoms

Hemorrhoids are most often not painful, but if a blood clot forms, they can be very painful.

Common symptoms include:

• Painless bright red blood from the rectum
• Anal itching
• Anal ache or pain, especially while sitting
• Pain during bowel movements
• One or more hard tender lumps near the anus

Exams and Tests

Most of the time, a health care provider can diagnose hemorrhoids by simply looking at the rectal area. External hemorrhoids can often be detected this way.

Tests that may help diagnose the problem include:

Treatment

Treatments for hemorrhoids include:

• Over-the-counter corticosteroid (for example, cortisone) creams to help reduce pain and swelling
• Hemorrhoid creams with lidocaine to help reduce pain
• Stool softeners to help reduce straining and constipation

Things you can do to reduce itching include:

• Apply witch hazel to the area with a cotton swab.
• Wear cotton underwear.
• Avoid toilet tissue with perfumes or colors. Use baby wipes instead.
• Try not to scratch the area.

Sitz baths can help you to feel better. Sit in warm water for 10 to 15 minutes.

If your hemorrhoids do not get better with home treatments, you may need some type of office treatment to shrink the hemorrhoids.

If office treatment is not enough, some type of surgery may be necessary, such as removal of the hemorrhoids (hemorrhoidectomy). These procedures are generally used for people with severe bleeding or prolapse who have not responded to other therapy.

Possible Complications

The blood in the hemorrhoid may form clots. This can cause tissue around it to die. Surgery is sometimes needed to remove hemorrhoids with clots.

Rarely, severe bleeding may also occur. Iron deficiency anemia can result from long-term blood loss.

When to Contact a Medical Professional

Call for your provider if:

• Hemorrhoid symptoms do not improve with home treatment.
• You have rectal bleeding. Your provider may want to check for other, more serious causes of the bleeding.

Get medical help right away if:

• You lose a lot of blood
• You are bleeding and feel dizzy, lightheaded, or faint

Prevention

Constipation, straining during bowel movements, and sitting on the toilet too long raise your risk for hemorrhoids. To prevent constipation and hemorrhoids, you should:

• Drink plenty of fluids.
• Eat a high-fiber diet of fruits, vegetables, and whole grains.
• Consider using fiber supplements.
• Use stool softeners to prevent straining.

Images

References

Abdelnaby A, Downs JM. Diseases of the anorectum. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 129.

Blumetti J, Cintron JR. The management of hemorrhoids. In: Cameron JL, Cameron AM, eds. Current Surgical Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017:271-277.

Zainea GG, Pfenninger JL. Office treatment of hemorrhoids. In: Fowler GC, ed. Pfenninger and Fowler’s Procedures for Primary Care. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 87.

Internal and external hemorrhoids

In medicine, it is customary to divide hemorrhoids by the location of the nodes into two forms: internal and external. The course of the disease itself, and what the best medicine for hemorrhoids will be , and the severity of the consequences if ignored and postponed treatment “for later” depends on what kind of disease a person suffers from.

INTERNAL HEMORRHOUS: SYMPTOMS AND FEATURES

Internal hemorrhoids are considered a more insidious form of the disease.The patient himself will not be able to accurately diagnose him, and the existing symptoms can be ignored for a long time, since in the early stages they are not particularly severe. This can lead to an advanced course of the disease and the need for long-term complex treatment.

With the internal form of the disease, hemorrhoids are located in the rectum and are not visible externally. In the early stages, when the nodes do not fall out, it is impossible for the patient to determine this form of the disease without a visit to the doctor.But the following symptoms may indicate it:

• Pain during bowel movement: feces can squeeze nodes and thereby provoke painful sensations.
• The presence of bleeding from the anus. In the initial stages, it may be just a few drops of blood on paper after a bowel movement. In the later stages, bleeding may not stop for a long time.
• Sensation of a foreign body in the rectum.

If any of these symptoms are found, a visit to the proctologist is necessary for an accurate diagnosis.After palpation, anoscopy (visual examination of the rectum using a special apparatus – anoscope) and some other diagnostic procedures, the doctor will accurately determine the presence and localization of hemorrhoids and will be able to prescribe treatment.

EXTERNAL HEMORRHOUS: SYMPTOMS AND FEATURES

Most proctologists conventionally believe that external hemorrhoids are “better” diagnosed, because many of its symptoms are detected without special diagnostic procedures, including by the patient himself.However, the external form of hemorrhoids, like the internal one, is also very dangerous. If the disease is ignored, very serious consequences are possible, with thrombosis of the nodes, acute pain, tissue necrosis. In order not to bring the situation to the need for urgent hospitalization with serious surgical interventions, you should immediately consult a doctor if you find the following symptoms:

• Pain, itching, burning in the anal area;
• Detection of a hemorrhoid when washing away;
• Pain when walking or sitting;
• Bleeding from the anus;
• Painful bowel movements.

Don’t ignore symptoms, don’t hesitate to see your doctor, and don’t rely on self-medication. You can forget about hemorrhoids for a long time in the case of timely adequate treatment, but this is definitely not a disease that goes away on its own.

TREATMENT: GENERAL MEASURES AND DIFFERENCES

External and internal hemorrhoids are two different forms of the same disease, so most of the treatment measures will be common to both cases.

1. REMOVING THE CAUSE

An important role in the development of hemorrhoids is played by stagnation of blood, weakness of the walls of blood vessels, as well as high pressure in the abdominal cavity.Where does high blood pressure come from? There are many options: lifting weights, long straining when emptying the intestines, in women – the pressure of the uterus during pregnancy and childbirth. The vessels are affected by lifestyle, unhealthy diet, alcohol abuse, hormonal problems.

Accordingly, measures to eliminate the causes of the disease should also be taken in several directions:

• Stop lifting weights. Provide yourself with enough physical activity, do not sit in one place for a long time.Adjust your diet so that you do not suffer from constipation.
• Strengthen the vessel walls. For this purpose, doctors recommend venotonics. Venotonics are effective remedies for the treatment of hemorrhoids, both external and internal. The drug Phlebodia 600 is a modern venotonic containing highly purified diosmin. It has a strengthening effect on the walls of blood vessels, reduces the elasticity of veins, including the veins of the rectum, improves blood microcirculation, and reduces venous congestion (1).To date, a special course package of the drug Phlebodia 600 No. 18 has been developed, designed for a 7-day course to eliminate acute symptoms of hemorrhoids.

How to take Phlebodia 600:

In acute hemorrhoids, the patient undergoes a 7-day course of treatment of 18 tablets: four days, 3 tablets per day with meals, then another three days, 2 tablets per day. After such a 7-day course, the main symptoms of acute hemorrhoids decrease, and then it is possible to take 1 tablet a day for 1 to 2 months (at the discretion of your doctor).

The dosage of the active substance (diosmin) in the drug Phlebodia 600 is optimal for the treatment of hemorrhoids.

2. RELIEVING PAIN, VOLTAGE, DISCOMFORT

In addition to eliminating the cause itself, in the event of hemorrhoids, it is important to relieve unpleasant symptoms that usually interfere with living a full life: pain, itching, burning, bleeding, a feeling of “fullness” in the rectum. For these purposes, as a rule, external agents are used: ointments or rectal suppositories (suppositories).In the case of internal hemorrhoids, it is better to use suppositories. They act on hemorrhoids in the rectum, are slowly absorbed, gradually having an effect. A more suitable remedy for external hemorrhoids would be creams and ointments with analgesic and anti-inflammatory effects.

To relieve unpleasant symptoms, you can also use folk remedies: make cool baths with herbs. This method cannot completely replace drug therapy, but on the recommendation of a doctor, it can be used as an additional aid.

1. Instructions for medical use of the drug Phlebodia 600

How to treat hemorrhoids ?: therapy, folk remedies, surgery

Manifestations of the disease

In the early stages, hemorrhoids may be asymptomatic. Therefore, both men and women are advised to regularly visit a proctologist to identify the disease.

The external and internal forms are characterized by bleeding during bowel movements.During intense tension, hemorrhoids are easily injured and bleed. Usually, the blood disappears on its own, a few minutes after going to the toilet.

A foreign body may be felt in the anal canal. The reason for this symptom is inflammation and swelling of the hemorrhoids. Most often observed after a bowel movement.

With the external form, itching and burning sensation in the anal canal is characteristic. At the same time, there is no visible irritation or rashes.Later, the symptom develops into severe pain when sitting and walking.

In the last stages of the disease, the prolapse of hemorrhoids may begin. With active defecation, noticeable bumps may appear on the surface of the anus. Reduction of such knots by yourself is prohibited! At the first sign, see your proctologist as soon as possible.

Diagnostic Methods

The diagnosis of hemorrhoids can only be made by a proctologist. Usually, the first manifestations of the disease are visible visually.For the initial examination, the patient must take a knee-elbow position or sit in a gynecological chair.

The following methods are used for diagnostics:

• Finger examination. The doctor examines the rectum with his finger, from the inside. This allows you to confirm or deny the presence of hemorrhoids. However, much information cannot be obtained by feeling.
• Anoscopy. A special thin device, an anoscope, is inserted into the patient’s rectum by 10-15 cm.It allows the doctor to examine the mucous membrane, to determine the nature of the inflammation. With the help of an anoscope, swabs are taken for analysis.
• Sigmoidoscopy. Helps to confirm the presence of hemorrhoids and to exclude the possibility of developing cancer. During the procedure, the proctologist can examine the entire rectum.

Before diagnosis, it is better for the patient to refrain from eating. In the evening and a few hours before the examination, you need to do a cleansing enema.Also, the doctor may prescribe a laxative.

If the disease is in an acute stage, the diagnosis is complicated. In this case, you must first stop the symptoms.

How to treat hemorrhoids

Treatment can only be performed by a proctologist in a certified clinic. Self-medication is dangerous and leads to serious complications!

Drug therapy

Treating hemorrhoids at home involves taking a variety of medications. Most often, doctors prescribe the following groups of drugs:

1. Non-steroidal anti-inflammatory. They help to reduce swelling, get rid of severe pain in the anus. Available in tablet form.
2. Venotonic. Narrowing the veins, helping to avoid further expansion. Used in gel form.
3. Hemostatics. Used for severe bleeding. Helps stop bleeding. Introduced intravenously.
4. Laxatives and enemas.They help to normalize stool, remove physiological and mental blockage of bowel movements.
5. Candles. Local therapy. They help relieve pain, inflammation, get rid of the symptoms of the disease.

Folk remedies

You can use folk remedies for hemorrhoids only after consulting a doctor. Various techniques can temporarily relieve pain or inflammation. But it is impossible to replace medicines with them!

You can make candles at home.To do this, grind dried chamomile, yarrow, oak bark. Pour boiling water over the mixture and leave to infuse in a cold place. After that, freeze the medicinal composition and use it as an alternative to pharmacy candles.

The ointment is made from melted beeswax. You can also add pork fat and vegetable oil to the composition.

Minimally invasive methods for treating hemorrhoids

Such methods of treatment are used at 2 or 3 stages of the development of the disease.They help get rid of the causes of hemorrhoids, reduce inflammation and pain. Less traumatic than traditional surgeries.

Among these methods of treatment are:

1. Laser and radio wave therapy. A proctologist acts on inflamed hemorrhoids with a laser or radio waves.
2. Sclerotherapy. For treatment, a special drug is injected into the node. It glues the walls of blood vessels together, eliminating knots.
3. Ligation with latex rings.The knots are tied neatly with a latex ring. Blood flow to the tissue is blocked. As a result, the nodes gradually die off and fall off, leaving with feces.
4. Cryotherapy. It is performed under local anesthesia. Inflamed areas die off when exposed to low temperatures.

Surgical intervention

It is carried out only with stage 4 hemorrhoids. During the operation, hemorrhoids are excised, the edges of the resulting wound are tied up and sutured.In this place, over time, new connective tissue grows.

The operation helps to avoid relapses in the future. However, during recovery, the patient suffers from severe pain. The appearance of scars in the anus, inflammation of postoperative wounds, bleeding is possible.

Physical exercise

Exercises for hemorrhoids bring relief and help slow down the development of the pathological process. The main thing is to repeat the same movements regularly.This complex can serve both for treatment and prevention.

Sitting on a firm surface, flex your hips. Try to pull the anus in as much as possible. Lock in this position for a few seconds. Repeat 5-6 times for maximum effect.

Stand with your feet shoulder-width apart. Make four full turns with your pelvis, first to the left and then to the right. Try not to move your body or legs. Repeat 6 times.

Take the starting position for a squat: feet shoulder-width apart, back straight, shoulders slightly laid back, arms extended forward. As you inhale, slowly squat until your thighs are parallel to the floor. After that, exhale and take the starting position.

Diet for hemorrhoids

To normalize bowel function, you need to eat at least 6 times a day. Try to eat small meals so you don’t exceed your daily requirement.The basis of the diet should be soft laxative foods: cereals, fruits and vegetables. All dishes are either boiled or steamed.

Eliminate all foods that irritate the rectum. For the duration of the treatment, you will have to forget about alcohol. Salty, smoked foods are prohibited. Do not use hot spices during cooking. Eliminate cabbage, legumes, peas, pastries, sweets from the diet.

Observe your water intake. An adult should drink at least 8 glasses of unsweetened non-carbonated drinks per day.

Disease prevention

Normalize your diet. Try to eat small portions, but often, at the same time. In the diet of an adult, there should be enough fresh vegetables and fruits, bran.

Get rid of the habit of sitting on the toilet for a long time. Too active attempts will quickly lead to the development of hemorrhoids. After a bowel movement, it is best to wash off with cool water or napkins. The use of low-quality toilet paper is unacceptable, as it can worsen the situation.

Move periodically. Make it a rule to take a break after every hour you spend in your chair. Relax for 5-10 minutes: walk, squat a little, or go out onto the balcony.

Watch closely for any changes in your health. For any uncharacteristic symptom – bowel disorders, atypical bowel movements, rapid weight gain – see your doctor.

90,000 let’s talk about myths and misconceptions

A surgeon-coloproctologist at the URO-PRO clinic, candidate of medical sciences has collected a collection of misconceptions about a common but delicate disease – hemorrhoids.Everyone has heard about him, but they prefer not to discuss it, content with information from the network and their own speculations. Debunking myths with a specialist.

Only pensioners suffer from hemorrhoids

Alas, people of different age groups are susceptible to this disease. Today, you can even meet at a proctologist’s appointment with young people aged 16-18. 2/3 of all cases of hemorrhoids are middle-aged people, professionally active. The disease finds weak points in men and women.Hard work, stress, extreme stress during pregnancy, childbirth, professional sports, physical inactivity, eating disorders and constipation. Hemorrhoids are a disease that can affect anyone.

Hemorrhoids each of us has from birth. Under unfavorable conditions, they increase, distal displacement, bleeding opens. If untreated, the nodes begin to fall out of the anal canal even with minimal stress – going to the toilet, coughing, or walking.

Hemorrhoids may go away on their own. He is not life-threatening, no one died from him

If the problem is ignored, it will resolve itself. Yes, hemorrhoids do not provoke the development of oncology, but they will not go anywhere in the absence of proper treatment. People mistakenly think that a chronic disease in the form of hemorrhoids is safe and relaxed. When exacerbated, hemorrhoids can seriously impair quality of life and cause problems at work and in personal life.In the later stages, the disease turns into a real problem, which cannot be completely solved even surgically.

Effective treatment of hemorrhoids is possible only by surgery, conservative treatment gives only a temporary effect

In fact, the earlier the patient consults the proctologist, the more likely it is to resolve the issue conservatively. Even if surgical intervention is required, the doctor uses modern minimally invasive methods in which rehabilitation is as comfortable as possible for the patient.

Folk remedies are effective against hemorrhoids, it is not necessary to go to the doctor

Grandma’s lotions will at best have a placebo effect or muffle severe symptoms, but will not eliminate the problem and the causes of its occurrence. Spending time on traditional methods of curing itching, you simply aggravate your condition and waste time. The longer you wait, the more likely it is that hemorrhoids will have to be treated in the operating room.

Severe soreness in the anus is a sure sign of hemorrhoids

Not guessing.If your anus hurts during the administration of a great need, then the matter is not at all in hemorrhoids. An exception will be the situation when thrombosis of external hemorrhoids has formed. Symptoms of the disease are itching, thrombosis of external nodes, periodic prolapse of internal nodes, burning sensation in the anus, bleeding during bowel movements. If you are simply in pain, then the cause should be sought not in hemorrhoids, but in other diseases.

Oncology will be the consequence of untreated hemorrhoids

Nothing of the sort.By itself, hemorrhoids do not degenerate into cancer. Another thing is that other proctological problems have similar symptoms, which are much more dangerous and difficult to treat: ulcerative colitis, angiodysplasia of the large intestine, endometriosis, benign and malignant neoplasms of the rectum and anal canal.

The cause of hemorrhoids is physical inactivity, constant sitting at the computer or driving. Knots can be obtained by constantly sitting on a hard or chilling

It is impossible to provoke the development of hemorrhoids by hypothermia or hard sitting.A sedentary lifestyle and low mobility during the day, combined with an unhealthy diet and a lack of fluid intake, are true components of frequent constipation and defecation disorders. Hemorrhoids also provoke the period of pregnancy and childbirth, hard physical work and sports that involve lifting weights and frequent, strong straining.

Spicy or excessively fatty foods provoke hemorrhoids

Eating habits can indirectly affect the exacerbation of the situation.The exacerbation of hemorrhoids is facilitated by products that increase the pressure in the vessels, increase the density of the blood, increasing the risk of blood clots. Sour, salty, spicy – all this can trigger the formation of hemorrhoids.

Hemorrhoids suffer lovers of anal sex

Inaccurate anal intercourse can indeed cause hemorrhoids to enlarge and bleed. A male member or sex toys with too intense frictions injure the mucous membranes of the rectum, the sphincter of the obturator apparatus and the anal canal.

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Hemorrhoidal thrombosis. What it is?

Treatment of hemorrhoidal thrombosis in Nizhny Novgorod.

Thrombosis of the hemorrhoid doctors – proctologists in Nizhny Novgorod call a complicated form of hemorrhoids. Thrombosis of the hemorrhoidal node is characterized by the formation of a thrombus in the cavernous vascular plexuses of the rectum.

Severe pain and foreign body sensation in the anal region are the main signs and symptoms of hemorrhoidal thrombosis.

For the correct diagnosis of hemorrhoidal thrombosis, the Center for Contemporary Medicine Online Clinics in Nizhny Novgorod carry out a whole range of medical measures, including examination of the anus, sigmoidoscopy, anoscopy, general blood test, coagulogram.

Subsequently, treatment is prescribed based on the degree of neglect of the disease. Treatment of hemorrhoidal thrombosis usually includes anti-inflammatory drugs, local thrombolytics, venotonic drugs, and anesthetics.
Surgical treatment can also be performed.

Thrombosis of the hemorrhoid. What it is?

Thrombosis of the hemorrhoidal node is formed when blood circulation in the cavernous plexuses of the rectum is disturbed.Against this background, a thrombus is formed – a blood clot. Hemorrhoidal thrombosis is a common complication of hemorrhoids, its advanced form. According to statistics, about 30% of both men and women meet with thrombosis of the hemorrhoid during their life, and about 60% of all hemorrhoid patients face this complication.

If an advanced form of hemorrhoids leads to thrombosis of the hemorrhoidal node, then untreated thrombosis is dangerous with severe complications of the patient’s health, up to and including death.The situation can be complicated if you treat hemorrhoids and the resulting thrombosis of the hemorrhoidal node with conservative methods of treatment or self-medicate, avoiding visiting a professional doctor – proctologist. In this case, the risk of relapse is very high.

Doctors – proctologists of Online Clinics distinguish external, internal and combined hemorrhoidal thrombosis, depending on where the affected nodes are located. In turn, thrombosis of hemorrhoids has three degrees of its “development”, depending on the extent of the pathological process and the severity of the clinical picture.

Thrombosis of hemorrhoids. Causes.

The causes of the occurrence and development of hemorrhoidal thrombosis are similar to the causes of other proctological diseases. This is, first of all, an unhealthy diet: excessive consumption of alcohol, various spices, salt, bitter and spicy foods. It is these foodstuffs that cause the pressure in the hemorrhoids to increase and the blood stagnates, forming a blood clot.

Frequent constipation can be the consequences of improper nutrition.Constipation occurs when there is insufficient consumption of food, which contains a lot of vegetable fiber: vegetables, fruits, bran and others.

Another reason for the development of thrombosis of hemorrhoids is a sedentary lifestyle, prolonged sitting, immobility, that is, physical inactivity. This way of life forms congestion in the vessels of the small pelvis; this leads to the formation of blood clots in the cavernous plexus and exacerbation of the disease.

Thrombosis often occurs after childbirth.

Symptoms of hemorrhoidal thrombosis.

The main symptoms of hemorrhoidal thrombosis are severe pain in the anus, regardless of the act of defecation, and discomfort, that is, a feeling of a foreign body in the anus. In the absence of proper treatment, the hemorrhoid gradually enlarges. The inflammatory process that accompanies the 2nd and 3rd stages of thrombosis is expressed in hyperthermia, general weakness, and nausea.

The first degree of thrombosis of hemorrhoids is not accompanied by inflammation.During this period of development of the disease, hemorrhoids increase and are slightly painful on palpation. The patient may feel discomfort in the anus, including the sensation of a foreign body, aggravated by a bowel movement. On examination, there is a slight swelling and hyperemia in the anus.

The second degree of thrombosis of hemorrhoids causes an inflammatory process in the nodes. At this stage, there is swelling and severe hyperemia in the perianal region. On palpation, hemorrhoids are very painful.

At the third stage of the development of the disease, the inflammatory process spreads to the subcutaneous tissue of the perianal region. In complicated cases, inflammation spreads to all pararectal tissue. Any touch and examination of the anus causes terrible pain that cannot be tolerated. On examination, a proctologist can easily see purple and cyanotic nodes falling out of the rectum.

If thrombosis is not treated, complications cannot be avoided. Complications of thrombosis will be severe edema in the rectum, purulent paraproctitis and necrosis of hemorrhoids.

Diagnosis of hemorrhoidal thrombosis in Nizhny Novgorod.

Hemorrhoidal thrombosis is diagnosed on the basis of complaints, history, and examination of the perianal region, which includes, in addition to visual examination and palpation, hardware diagnostics, such as sigmoidoscopy and anoscopy. After making an examination, the proctologist can diagnose the stage of thrombosis.

The first degree of thrombosis of the hemorrhoidal node is easily determined by palpation of compacted and enlarged nodes.The painful sensations are quite tolerable.

At the second stage of thrombosis in the anus, signs of inflammation are visible. Examination causes severe pain.

The third degree of the disease causes unbearable pain during examination and examination. Almost the entire anus is affected by inflammation. Inflamed hemorrhoids are bluish-purple or black.

In addition to the above diagnostic procedures, additional laboratory tests are prescribed, in particular, a general blood test, which provides information about the ongoing inflammatory process in the body.

Treatment of hemorrhoidal thrombosis.

Treatment of all stages of hemorrhoidal thrombosis should be comprehensive.

For the first and second degree of thrombosis, the doctor – proctologist Onli Clinic will most likely prescribe gels, ointments or suppositories based on heparin, which are highly effective in eliminating thrombosis and in preventing the formation of thrombi in the future. Also, if necessary, pain relievers are prescribed.

In the presence of signs of inflammation, nonsteroidal drugs and glucocorticoids are prescribed.Anti-inflammatory treatment is also given topically in the form of ointments. In the form of additional therapy, patients are prescribed cold compresses to the affected area.

The third degree of thrombosis of hemorrhoids involves treatment, as a rule, only by surgery.

Surgical operation is a procedure for opening a blood clot, excision of diseased tissue. Final healing takes no more than 2 – 3 days.

Prevention of hemorrhoidal thrombosis.

Thrombosis of the hemorrhoid can be cured quite effectively. If the treatment is carried out efficiently and correctly, then relapse can be avoided. If thrombosis is left untreated, it can turn into paraproctitis and hemorrhoidal necrosis.

Prevention of hemorrhoidal thrombosis includes recommendations for maintaining a healthy lifestyle, namely, it is necessary to control the bowel function, achieving normalization of the stool, avoiding constipation and diarrhea. This requires a diet.

It is recommended to normalize physical activity, correctly alternate activity and rest.

The Department of Proctology of Online Clinics is a professional proctologist in Nizhny Novgorod, modern equipment and modern methods of treatment of proctological diseases, including hemorrhoidal thrombosis.

Make an appointment by phone: +7 (800) 301-46-28

90,000 Hemorrhoids. What it is. – medical unit No. 8 Serpukhov

Date of publication: August 14, 2018 .

Hemorrhoids – a disease of the 21st century!

Among the various diseases of a person, there are such diseases that it is not customary to talk about out loud because of their delicacy. One of these deviations is hemorrhoids. This ailment has been known for a long time and is popularly called “we will give it”. In order to understand why hemorrhoids arise, you need to know what the process of its formation depends on and how.This publication is devoted to this issue. Mechanism of hemorrhoids Hemorrhoids are inflammation and changes in the internal and external hemorrhoids with which you are born and which participate in the act of defecation. If this process is regular, then there is a deformation and a violation of the functionality of hemorrhoids. With increased intra-abdominal pressure, for example, pushing during bowel movements or lifting weights, the ligamentous apparatus is stretched and subsequently ruptured. There is a loss of the node outward, accompanied by bleeding – while the hemorrhoids are called external.

Major risk factors. Where does hemorrhoids come from and who is affected by it? Why do some people suffer from hemorrhoids throughout their lives, while others are bypassed by this trouble? Often the fault is a hereditary predisposition to the disease. If one of the family members has such a pathology, then there is a high probability that it will appear in the representatives of the next generation. In addition, there are a number of other factors that cause hemorrhoids: Mature age. With rare exceptions, this ailment appears mainly after 30-40 years.This happens due to the natural wilting of the body and a decrease in the elasticity of blood vessels. Physical inactivity and an inactive lifestyle are the most common causes of hemorrhoids. This risk factor for the development of the disease is one of the first places in the ranking of causes. The overwhelming majority of people do not want to go in for sports, they move a little. This category includes: office workers, drivers, hairdressers, salespeople. Why exactly are they? The work of such people is associated with constant standing or sitting.At the same time, blood circulation in the pelvic organs is disturbed, and its stagnation occurs. Wrong diet. The systematic use in unlimited quantities of semi-finished products and fast food, canned food and smoked meats, alcohol and coffee leads to dysfunction of the entire digestive tract in general, and the rectum in particular. Disruption of the digestion process is also the cause of constipation and a harbinger of hemorrhoids. Pregnancy and the postpartum period. The growing uterus presses on the pelvic veins, resulting in increased intra-abdominal pressure.It happens that during the period of bearing a child, hemorrhoids do not arise, but can fully manifest themselves during or after childbirth (as a result of attempts).

Inappropriate physical activity, leading to overstrain and the appearance of hemorrhoids. The risk group includes: loaders, bodybuilders, freight forwarders, because when lifting weights, the pressure on the internal organs increases sharply. Psychoemotional overstrain: stress, depressive mood and overwork to a certain extent contributes to impaired blood circulation.Tumor and inflammatory processes in the liver and intestines. Clinical manifestations of hemorrhoids Hemorrhoids have no sexual “preferences” – both men and women are equally susceptible to it. However, the symptomatology of the disease in them is expressed slightly differently. Signs of female hemorrhoids: in the anal area, there is often a burning sensation and itching, which occurs as a result of irritation of the mucous membrane by hemorrhoids; frequently observed constipation; bleeding hemorrhoids, with the act of defecation, blood is visible on the feces and often has a scarlet color, leaves traces on underwear and toilet paper; pain in the anus during bowel movements, which resume when moving and after sitting on a hard surface; during an exacerbation – soreness of the nodes, even with coughing and sneezing. How does hemorrhoids manifest in men? A distinctive feature of male pathology is a chronic course and a more acute manifestation of symptoms: tangible discomfort from hemorrhoids; severe pain in the form of flashes in the anus during bowel movements, walking and in a horizontal position; frequent bleeding.

How to treat hemorrhoids? With the timely treatment of the patient to the doctor, conservative therapy is quite effective. The treatment regimen depends on the severity of the disease and is selected purely individually.The therapeutic complex includes several directions. Compliance with a plant-protein diet for stool normalization is shown. Foods that irritate the digestive tract (smoked meats, pickles, fried foods, hot spices, alcoholic beverages) should be excluded from the diet. The correct implementation of hygiene procedures is also important. So, at the end of each bowel movement, it is necessary to wash the perineum with water at room temperature or use wet wipes. In acute cases, it is not recommended to use toilet paper, as it can damage the inflamed node. Sports activities (excluding weightlifting and cycling) are essential for patients with a sedentary lifestyle. This includes walking, jogging, swimming, aerobic exercise (stepper, ellipsoid). With severe pain syndrome, anti-inflammatory nonsteroidal drugs and analgesics are indicated. Antihemorrhoidal suppositories, ointments and gels, which, thanks to local action, are able to quickly stop pain, itching and help relieve inflammation. In advanced situations, a surgical method of therapy is used.

Measures for the prevention of hemorrhoids. In order to prevent the occurrence of hemorrhoids or to prevent its recurrence, you need to completely change your lifestyle. Moderate physical activity, getting rid of bad habits, proper diet will help prevent this painful and delicate disease.

Surgeon-Coloproctologist Ermilov Alexander Yurievich

90,000 Hemorrhoids in pregnant women

Hemorrhoids in pregnant women

Hemorrhoids in pregnant women develop in 50% of cases. The reasons for this are:

• decrease in physical activity, including according to the testimony of the supervising doctor;
• increased pressure of the uterus with the fetus on the lower intestine;
• constipation due to unbalanced diet;
• rapid weight gain;
• non-observance of necessary hygiene (it is important to wash the anus after each act of defecation).

In addition, during pregnancy, hemorrhoids occur in women who have had this disease before.Usually, it goes into a chronic stage, and due to the above factors, it becomes aggravated: a hemorrhoid nodule during pregnancy appears even if the problem has not bothered for a long time before. Also, acute hemorrhoids can develop in those who have a genetic predisposition to varicose veins.

Symptoms of hemorrhoids in pregnant women

It is very easy to identify the problem by symptomatology, since it is well pronounced, especially in acute form:

• Pain during and after stool;
• increased pain when walking and sitting;
• the formation of dense knots at the anus;
• itching and burning in the anal area;
• redness and swelling of the surrounding tissues;
• The presence of blood during bowel movements some time after.

In the chronic stage, the hemorrhoid softens, and swelling occurs only with straining. The pain may not be bothersome, but there is usually a feeling of incomplete bowel movement. Chronic hemorrhoids can worsen at different intervals.

Diagnostics and treatment of hemorrhoids during pregnancy in Kaluga

The disease is easily diagnosed by a coloproctologist during the initial examination. Additionally, hardware studies (anoscopy, sigmoidoscopy) are prescribed to exclude internal hemorrhoids.

For hemorrhoids in pregnant women, local conservative treatment is preferable, since it excludes the likelihood of drug exposure to the fetus. First of all, acute signs of inflammation and blood stasis are removed. For this, ointments and candles are used. When prescribing drugs, our doctor, the proctologist, necessarily consults with the gynecologist for their safety for the mother and the unborn child.

Surgical intervention is required only in cases where it is impossible to reposition the hemorrhoid, its infringement or tissue necrosis has occurred. But even in this case, it is preferable to postpone the removal of external hemorrhoids in women in position until the postpartum period. Emergency deletion occurs only in exceptional cases.

After treatment, the patient is prescribed preventive measures:

• Balanced diet rich in fiber to prevent constipation;
• hygiene, rinsing the anus after each bowel movement;
• reception of moderately warm baths with antiseptics (for example, a solution of potassium permanganate or an infusion of chamomile flowers).

At the MedicPro clinic, we successfully treat hemorrhoids in pregnant women at different periods. The experience of our doctor, a coloproctologist, allows us to guarantee a highly effective result if the following recommendations are followed.

Do not endure pain and discomfort, seek help so that this problem no longer darkens your life!

We are always happy to help you and invite you to the MEDIKPRO medical center!

Be healthy!

You can make an appointment by phone: 8 (4842) 27-72-50.

90,000 What does throbbing or sharp rectal pain mean?

Pulsating pain in the anus is an incentive to visit a proctologist, because it can talk about many proctological problems. What is the point of delaying a visit to the doctor?

Such pain is a symbol of hemorrhoids, hemorrhoidal thrombosis and many other diseases of the anus. Slowness is your enemy. Pulsating pain in the rectum already suggests that blood flow is disturbed in the small pelvis, hemorrhoidal plexuses have settled in it, or acute paraproctitis reigns.

Even stitching pains in the rectum cannot be ignored. They signal the presence of anal fissures, which quickly turn into chronic forms. It will be almost impossible to get rid of them. As a result, unpleasant pain is with you everywhere and everywhere. Why endure? Let’s drive her away today!

Starting a thread in the anus after a bowel movement is more expensive. Cracks and knots are able to hide not only inside. They can easily come out and cause pain with any movement, actively bleed and create a host of other troubles in the form of discomfort. Moreover, slight negligence will lead to increased bleeding and to the hospital doors. The situation is dangerous and requires medical supervision without delay.

In the ON Clinic medical center, qualified specialists will delicately solve problems with the anus. Throbbing, stabbing or jerking sharp pain in the anus will no longer bother you. An accurate diagnosis, combined with effective drug treatment, will make the disease recede.

Here everyone will receive timely medical care, painless diagnostics and a reliable way out of this situation.A prompt approach and preservation of confidentiality is a chance to quickly rehabilitate and return to your old life. Safe and reliable with ON Clinic!

Stitching pain in the anus during bowel movements

Stitching pain in the anus during bowel movements can be acute or mild. Both forms can appear at any time of the day, depending on the type of inflammation and its duration. Usually, the acute variant develops in a short period of time. This pain is pronounced and may appear unexpectedly.Just as unexpectedly, she may disappear, but after a few hours come on a date again. In contrast, chronic pain has a weak manifestation of pain symptoms. She worries the patient much more often and for a long period.

Cutting or throbbing cutting pain in the anus can lead to:

• constipation, diarrhea, bloating;
• the appearance of a foreign body in the anus;
• Bloody, mucous or purulent discharge;
• Itching or burning in the perineal region;
• General weakness, intoxication, anemia or false urge to defecate.

Jokes are inappropriate here. The faster the stabbing lumbago disappears in the anus, the less the risk of acquaintance of the patient with all the “joys”.

Cutting and shooting pain in the anus can only be diagnosed at a doctor’s appointment. With the help of the method of palpation and examination by anoscopy (rectoscopy), it is possible to detect the nature of the disease, the degree of damage and designate a program of therapeutic and prophylactic measures.

Techniques for examining the rectum provide complete information about the structure, condition and severity of inflammatory processes.They are absolutely safe for health and do not require complicated preparation. The equipment does not touch the walls of the intestine due to the virtuosity and skill of the attending specialist. Twitching sharp pain in the anus – this song is not about you!

“Secrets” of treatment at ON Clinic or how to get better quickly

Chronic or acute pain in the rectum can quickly disappear if you trust the hands of professionals. Modern equipment and spacious reception rooms in ON Clinic will turn a visit to the doctor into a pleasant pastime.A professional approach and skip-the-line service will brighten up the need for medical advice.

Sharp pains in the anus are eliminated after determining the reasons for their birth, conducting an examination and studying the client’s medical history. Qualified proctologists of ON Clinic use the conservative method of treatment without pain and complications . Thus, the body will not be significantly damaged, which will preserve the immune system.

The use of drugs of domestic and foreign production will quickly put you on your feet.Medicines will relieve signs of itching, spasms, burning, and will also have a drying, anti-inflammatory and antiseptic effect. Sharp pain in the anus will be a thing of the past.

If necessary, sharp pain in the rectum, along with medications, is eliminated with the help of physiotherapy. They have a relaxing, anti-inflammatory, anti-pain and antibacterial effect. Unlike traditional methods of dealing with anus diseases, ON Clinic does not use surgical intervention.You can get healthy without surgery. This will save you from postoperative recovery, the development of concomitant diseases, as well as from the consequences.

Entrust the care of your health to professional proctologists from ON Clinics. Make an appointment today!

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