Can hemorrhoids cause bloating or gas. How do hemorrhoids affect digestion. What are the common causes of excessive gas and bloating. How to manage digestive symptoms with hemorrhoids. What dietary changes can help reduce gas and bloating.

The Relationship Between Hemorrhoids and Digestive Issues

Hemorrhoids are a common and often uncomfortable condition affecting millions of people worldwide. While hemorrhoids themselves do not directly cause gas or bloating, they can indirectly contribute to digestive discomfort. Understanding the connection between hemorrhoids and digestive issues is crucial for effective management and relief.

Do Hemorrhoids Directly Cause Gas or Bloating?

Hemorrhoids, which are swollen veins in the anal and rectal area, do not directly cause gas or bloating. These digestive symptoms are typically related to other factors. However, the presence of hemorrhoids can indirectly contribute to digestive discomfort in several ways:

• Changes in bowel habits: Hemorrhoids may lead to constipation or diarrhea, which can affect gas production and bloating.
• Dietary modifications: People with hemorrhoids often change their diet to manage symptoms, which may inadvertently increase gas-producing foods.
• Stress and anxiety: The discomfort associated with hemorrhoids can cause stress, which may exacerbate digestive issues.

Common Causes of Gas and Bloating

To better understand the relationship between hemorrhoids and digestive issues, it’s essential to explore the common causes of gas and bloating:

Dietary Factors

Many foods can contribute to excessive gas production and bloating. These include:

• High-fiber foods: While beneficial for hemorrhoid management, they can initially increase gas production.
• Dairy products: Lactose intolerance can lead to gas and bloating.
• Carbonated beverages: These introduce excess air into the digestive system.
• Artificial sweeteners: Some sugar substitutes can cause digestive distress.

Digestive Disorders

Certain medical conditions can lead to increased gas and bloating, including:

• Irritable Bowel Syndrome (IBS)
• Small Intestinal Bacterial Overgrowth (SIBO)
• Celiac disease
• Inflammatory Bowel Disease (IBD)

Lifestyle Factors

Various lifestyle habits can contribute to gas and bloating:

• Eating too quickly
• Chewing gum
• Smoking
• Sedentary behavior

Managing Digestive Symptoms with Hemorrhoids

While hemorrhoids may not directly cause gas or bloating, managing these digestive symptoms can help improve overall comfort. Here are some strategies to consider:

Dietary Modifications

Adjusting your diet can help alleviate both hemorrhoid symptoms and digestive discomfort:

• Increase fiber intake gradually to avoid sudden gas production
• Stay hydrated to support digestion and prevent constipation
• Identify and avoid trigger foods that cause excessive gas
• Consider probiotics to support gut health

Lifestyle Changes

Implementing certain lifestyle changes can benefit both hemorrhoid management and digestive health:

• Regular exercise to promote healthy bowel movements
• Stress reduction techniques such as meditation or yoga
• Avoid prolonged sitting, especially on the toilet
• Practice good toilet habits, including not straining during bowel movements

The Role of FODMAPs in Digestive Discomfort

FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) are types of carbohydrates that can be difficult for some people to digest. Understanding FODMAPs can be crucial for managing gas and bloating, especially for those with hemorrhoids.

What are FODMAPs?

FODMAPs are short-chain carbohydrates that are poorly absorbed in the small intestine. They include:

• Oligosaccharides: Found in wheat, rye, legumes, and some vegetables
• Disaccharides: Primarily lactose in dairy products
• Monosaccharides: Fructose in some fruits and sweeteners
• Polyols: Sugar alcohols found in some fruits and artificial sweeteners

How do FODMAPs affect digestion?

When FODMAPs reach the large intestine, they can be fermented by gut bacteria, leading to gas production and bloating. For individuals with sensitive digestive systems or those managing hemorrhoids, reducing FODMAP intake may help alleviate symptoms.

Natural Remedies for Gas and Bloating

In addition to dietary and lifestyle changes, several natural remedies may help reduce gas and bloating:

Herbal Teas

Certain herbal teas can help soothe the digestive system and reduce gas:

• Peppermint tea: Known for its antispasmodic properties
• Ginger tea: Can help reduce inflammation and aid digestion
• Fennel tea: May help relax the digestive tract and reduce bloating

Essential Oils

Some essential oils, when used properly, may help alleviate digestive discomfort:

• Peppermint oil: Can help reduce bloating and gas
• Ginger oil: May aid in digestion and reduce nausea
• Lavender oil: Can help reduce stress, which may indirectly improve digestion

Always dilute essential oils properly and consult with a healthcare professional before use.

When to Seek Medical Attention

While occasional gas and bloating are normal, persistent or severe symptoms may warrant medical attention. Consider consulting a healthcare provider if you experience:

• Severe or chronic abdominal pain
• Persistent changes in bowel habits
• Unexplained weight loss
• Blood in the stool
• Symptoms that interfere with daily life

The Importance of a Balanced Approach

Managing hemorrhoids and digestive symptoms requires a balanced approach. While focusing on alleviating hemorrhoid discomfort, it’s crucial not to neglect overall digestive health. Here are some key points to consider:

Fiber Balance

Fiber is essential for both hemorrhoid management and digestive health. However, finding the right balance is crucial:

• Gradually increase fiber intake to avoid sudden gas production
• Aim for a mix of soluble and insoluble fiber sources
• Consider fiber supplements if dietary intake is insufficient

Hydration

Proper hydration is vital for both hemorrhoid relief and optimal digestion:

• Aim for at least 8 glasses of water per day
• Increase water intake when consuming high-fiber foods
• Consider herbal teas as a hydrating alternative

Regular Exercise

Physical activity benefits both hemorrhoid management and digestive health:

• Engage in moderate exercise for at least 30 minutes daily
• Try low-impact activities like walking, swimming, or yoga
• Avoid prolonged sitting or standing

Complementary Therapies for Hemorrhoids and Digestive Health

In addition to conventional treatments, some complementary therapies may offer relief for both hemorrhoids and digestive issues:

Sitz Baths

Sitz baths can provide relief for hemorrhoids and may indirectly support digestive comfort:

• Sit in warm water for 10-15 minutes, 2-3 times daily
• Add Epsom salts for additional soothing effects
• Ensure proper hygiene to prevent infection

Acupuncture

Some people find relief from both hemorrhoids and digestive issues through acupuncture:

• May help reduce inflammation and improve circulation
• Can potentially alleviate stress, which may improve digestion
• Always consult a licensed practitioner

Massage Therapy

Certain massage techniques may help with both hemorrhoid discomfort and digestive issues:

• Abdominal massage can promote better digestion and reduce bloating
• Reflexology may offer relief for both hemorrhoids and digestive symptoms
• Always inform your massage therapist about your health conditions

Long-term Management Strategies

Effectively managing hemorrhoids and digestive health requires a long-term approach. Consider these strategies for ongoing relief and prevention:

Regular Health Check-ups

Routine medical examinations are crucial for monitoring both hemorrhoids and digestive health:

• Schedule annual check-ups with your primary care physician
• Discuss any persistent symptoms or concerns
• Consider screenings for colorectal health as recommended by your doctor

Stress Management

Chronic stress can exacerbate both hemorrhoids and digestive issues. Implement stress-reduction techniques such as:

• Mindfulness meditation
• Deep breathing exercises
• Regular relaxation practices
• Engaging in hobbies or activities you enjoy

Continuous Education

Stay informed about your health conditions and new treatment options:

• Read reputable health resources
• Join support groups or forums for shared experiences
• Discuss new findings with your healthcare provider

By adopting a comprehensive approach to managing both hemorrhoids and digestive health, you can improve your overall quality of life and reduce the impact of these conditions on your daily activities. Remember that everyone’s experience is unique, and what works for one person may not work for another. Be patient with yourself as you find the right combination of strategies that work best for your individual needs.

Can Hemorrhoids Cause Bloating or Gas ?

Can Hemorrhoids cause bloating or Gas ? The answer is yes, The digestive system typically contains gas that is quickly communicated through the small digestive tract to the colon (internal organ). How much gas that is generally present is reliant upon the impacts of colonic microbes on the undigested food that arrives at the colon and the speed with which the gas goes through the digestive organs and is passed. In sound people, the vast majority of the lower digestive gas that is given (flatus) is created in the colon and isn’t sent from the upper digestive organs.

The most well-known typical reason for burping is exorbitant gas in the stomach that comes from gulped air. Be that as it may, uneasiness in the mid-region under any circumstance likewise may prompt unreasonable burping. A majority of individuals that suffer from piles, they may face gas or bloating in the stomach due to  the troubled bowel movements.

What causes bloating (gas)?

Bloating is the demonstartion of passing digestive gas from the anus. The normal individual farts under 20 times each day. Gas in the gastrointestinal parcel has just two sources. It is either gulped air or is created by microorganisms that ordinarily possess the digestion tracts, basically the colon. Gulped air seldom is the reason for inordinate fart.

Also Read – What are Best Fistula Home Remedies and Prevention Methods?

Some of the food also give place to Gastric issues inlcuding :

Sugars

Sugars that are ordinarily processed ineffectively (maldigestion) and malabsorbed are lactose, sorbitol, and fructose.

*Lactose is the sugar in milk. The shortfall of the chemical lactase in the covering of the digestive tracts, which is a hereditary attribute, causes maldigestion. Lactase is significant on the grounds that it falls to pieces of the lactose into its two part sugars, glucose, and galactose so they can be retained.

*Sorbitol is usually involved in sugar in low-calorie food varieties.

*Fructose, essentially as high-fructose corn syrup, is an ordinarily involved sugar in a wide range of confections and beverages. It likewise might be found in higher sums in certain products.

*Rice is the most handily processed starch, and minimal undigested rice starch arrives at the colon and the colonic microscopic organisms. The utilization of rice delivers little gas.

Conversely, a portion of the starches in wheat, oats, potatoes, and, less significantly, corn, all might arrive at the colon. These starches, thus, may bring about the creation of considerable measures of gas.

*The starch in entire grains creates a larger number of gas than the starch in refined (cleansed) grains. Hence, more gas is framed in the wake of eating food sources made with entire wheat flour than with refined wheat flour. This distinction in gas creation presumably happens as a result of the fiber (like a perplexing starch) present in the entire grain flour.

What food varieties cause gas issues?

Food varieties that cause gas fall into a class summed up by the abbreviation, FODMAP, which means “fermentable oligosaccharides, disaccharides, monosaccharides, and polyols.” Many individuals endeavor a FODMAP end diet, yet it tends to be hard to wipe out these dietary constituents since they are available in a larger part of food sources. Any condition causing fart will react to a low-FODMAP diet, yet the eating routine is anything but a simple one to follow and may need the support of a dietitian. In the event that the eating routine is fruitful it might very well be feasible to add back a portion of the barred food sources without a repeat of farting. Instances of FODMAP food sources include:

*Disaccharides: Milk (cow, goat, or sheep, vanished milk, frozen yogurt, margarine, yogurt, and cheddar

*Monosaccharides: Primarily organic products like apples, mangoes, pears, and watermelon, just as high-fructose corn syrup and honey.

*Polyols: Fruits like apples, apricots, blackberries, cherries, peaches, pears, nectarines, plums, and avocados; sugars, for example, cauliflower, green pepper, mushrooms, and pumpkin.

To sum up- 

It is very important to follow a balanced diet while you are suffering from Piles/ Hemorrhoids  and to keep away from any of the food sources that may contribute to gastrointestinal issues. Glamyo Health doctors provide proper diet chart to adhere while dealing with Piles.

Also Read – Best Surgery for Piles in Delhi

Hemorrhoids and Gas – Do Hemorrhoids Cause Excessive Gas and Bloating?

Hemorrhoids and Gas – Hemorrhoids are a challenging condition to understand because researchers, doctors, and scientists alike are still searching for the exact cause of this common disease.  One thing is for sure: hemorrhoids do not cause gas or bloating.  

Hemorrhoids are a result of swollen internal or external rectal veins, and often, issues like constipation and the straining involved while attempting to pass hard stools are the reasons behind venous inflammation. 

Because hemorrhoids are a product of an alternative condition, they do not cause gas or bloating.

External hemorrhoids are found to be small, round, and fleshy bumps that are located on the anus and around the rectal opening.  These tough lumps are tender to the touch, are often sore, and can make moving around, sitting, or standing inconvenient and uncomfortable. 

If you are suffering from internal or external hemorrhoids, try HemRid Max. These natural, herbal hemorrhoid pills are made in the USA in a FDA registered facility and do wonders for hemorrhoids.

HemRid Max for Hemorrhoid Relief

If you find that you are bloated and have excess gas while experiencing external hemorrhoids, flatulence and bowel movements become suddenly more painful.  

The painful bumps close to the anal opening make any activity and function in this area unpleasantly ache.

Hemorrhoids, gas, and bloating are three adverse symptoms that can co-occur but are not causes of one another.  It is likely if you find that you are experiencing all three at once that there is another factor at play, in which we will delve into various causes behind these commonly occurring issues. 

Can Hemorrhoids Cause Gas and Bloating? 

Hemorrhoids, while sometimes painful and frustrating to deal with, can cause many symptoms, but gas and bloating are not one of them. 

The statistics remark on high numbers of older adults who experience hemorrhoids—nearly half of adult Americans age 50 or older will have hemorrhoids at some point in this period of their lives. 

Equally so, studies and surveys indicate that people of all ages experience gas and bloating, though the two do not have a direct link of causation. 

In a 2011 study by the Gastroenterology and Hepatology Peer-Reviewed Journal, statistics reported that 31% of the population experiences functional bloating.   Many individuals who suffer from periodic functional bloating also suffer from Irritable Bowel Syndrome (IBS). 

Additionally, IBS patients frequently get hemorrhoids due to their irregular bowel movements that lead to the inflammation of rectal veins that lead to hemorrhoids and hemorrhoidal symptoms.

The rumor that hemorrhoids cause gas and bloating could have originated here, in the fact that IBS and other common gastrointestinal disorders can produce hemorrhoids, gas, and bloating all at once. 

Diverticulitis, Crohn’s Disease, IBS, and Inflammatory Bowel Disease (IBD) impact a large number of patients with the potential of affecting them with excessive gas, hemorrhoids, and functional bloating.

A more straightforward reason behind hemorrhoids, excess gas and a bloated feeling is diet.  When the gut flora is imbalanced, digestion problems can occur.  Constipation is an incredibly common gastrointestinal problem and a root cause behind all three symptoms, especially hemorrhoids.  

The straining during a bowel movement that occurs because of constipation overworks the rectal veins, causing them to swell.  Internal or external hemorrhoids can form because of this straining from constipation. 

Being constipated can also keep gas trapped between hardened stools in the digestive tract, leading to a bloated feeling and occasional excess flatulence.

Actual Hemorrhoid Symptoms 

Hemorrhoids do not cause bloating or gas, but they can lead to many other symptoms ranging in severity.  These symptoms are frustrating for sufferers, and can even hinder daily activities, making certain positions and movements uncomfortable. 

Symptoms caused by hemorrhoids can include:

• Anal itching anywhere from mild to severe
• Hard lumps also are known as external hemorrhoids that can be sore and painful
• Bleeding tissue, during or immediately after a bowel movement
• Anal pain often felt by sitting or standing
• Blood clots that take form inside an external hemorrhoid
• Feeling pain during bowel movements

For people who experience hemorrhoids often, these symptoms get in the way of healthy living.   Although gas and bloating are not included in these symptoms, the side effects caused by hemorrhoids are just as inconvenient if not more complex than excessive flatulence and functional bloating.

Between the two types of hemorrhoids—internal and external—there are individual symptoms that the types may share or may differ from one another. 

External hemorrhoids are often visible lumps around the anus.  These lumps can produce a burning and throbbing pain, especially in sitting and standing positions. 

External hemorrhoids, at times, can become thrombosed.  A thrombosed hemorrhoid is a formation of a blood clot trapped inside the external hemorrhoid.  Unlike a “normal” external hemorrhoid, a thrombosed hemorrhoid appears bluish or purple because of the blood pooled beneath the skin’s surface. 

Internal hemorrhoids have their own unique set of symptoms.  For mild cases, there is a singular symptom that shows itself, and that is rectal bleeding. Hemorrhoid bleeding is usually painless, if not alarming, due to the lack of pain-feeling nerves inside the rectum where the rectal veins become swollen and produce an internal hemorrhoid.

Gas vs. Hemorrhoids Youtube Video

Aside from rectal bleeding, internal hemorrhoids are rated in their state of prolapse based on varying degrees or grades.  Anything ranked beyond a Grade I is considered to be an internal hemorrhoid displaying signs of a prolapse beyond the rectum.  

People with an internal hemorrhoid that is prolapsed may have difficulty producing a bowel movement or passing gas.  Fortunately, there are plenty of non-aggressive treatments to solve a prolapsed hemorrhoid.

Hemorrhoids can accumulate many different symptoms, as you can see, but gas and bloating are not among them. 

If you believe you have hemorrhoids but are unsure, the best plan begins with talking to your doctor. 

Certain factors like age, family history of gastrointestinal diseases or cancers, and diet will help your doctor determine if additional tests are required.  

The Relationship of Fiber and Hemorrhoids

If you happen to have hemorrhoids, gas, and bloating all at the same time and are wondering: if hemorrhoids do not cause excessive gas and a bloated abdomen, then what does? 

The answer could be simpler than you expect. 

More often than not, a doctor’s first rule of advice in solving hemorrhoid problems is to have his or her patient actively strive to include more fiber in their diet. 

A fiber supplement may be recommended if the patient cannot seem to get fiber from whole foods, like beans, nuts, fruits, vegetables, and whole grains.

Soluble fiber has numerous studies to support its effectiveness in reducing hemorrhoids and their subsequent flare-ups.  Doctors will recommend a form of soluble fiber for their patients to begin as a means of treatment and in some cases, doctors may opt to prescribe a stool softener.

This is where gas and bloating come into effect.  For many people beginning to take a fiber supplement or change their diet to a more fibrous one, gas and bloating are a widely experienced side effect.  

You may experience hemorrhoids, excess gas, and abnormal bloating all at the same time, which leads to the assumption that hemorrhoids are the root cause.

Hemorrhoids are typically a sign that you aren’t getting enough fiber, anyway.  A diet lacking in fiber leads to constipation and excessive straining while passing stools. 

When your body isn’t used to high fiber intake, a change to its dietary routine or a supplement can shock the system, producing gas, which leads to abdominal bloating.

Many supplements have packaging instructions that advise beginning taking a smaller dose than what is recommended on the nutrition label.  When starting a fiber supplement, you should begin at lower doses to prevent the side effects of gas and abdominal bloating. 

This is the case for supplements in a powder form, gummies, and capsules or tablets.  It is also important to remember to drink plenty of water when introducing a fiber supplement to your dietary routine. 

Water helps with stool absorption, creating passable, softened, and moist stools that do not produce straining, thereby lowering the chance of hemorrhoid flare-ups.  

HemRid Max for Hemorrhoid Relief

If you begin taking a fiber supplement for your hemorrhoids as a part of treatment and prevention, then even by starting in small doses, you still could develop the side effects of flatulence and functional bloating. 

While you can take another medication to relieve these side effects, you should give your body time to adjust to the introduction of fiber into its system

Hemorrhoids. Ultrasound treatment

Have you ever experienced discomfort, itching, burning, pain, mucus discharge, or bleeding in the anus? All this may be the first signs of hemorrhoids – a very common disease. And since the problem is quite intimate, as a rule, only those patients in whom the manifestations of the disease are pronounced for a long time seek medical help. Alexander Georgievich Khitaryan, professor, doctor of medical sciences, head of the first surgical department of the Road Hospital, talks about modern methods of treating hemorrhoids.

What are hemorrhoids?

Hemorrhoids are pathological changes in the cavernous veins of the rectum, characterized by an increase in hemorrhoids. The main manifestations of this disease are periodic bleeding from the nodes, their prolapse from the anal canal and, of course, inflammation.

What are the causes of hemorrhoids?

– The reasons are very diverse. It is believed that one of the main causes of this disease is a violation of the outflow of venous blood in the pelvic organs, which can occur in those who spend a long time in a sitting position or experience excessive physical exertion. Pregnancy can also lead to hemorrhoids. There are many factors that increase the risk of this unpleasant disease.

It’s no secret that many people take their health rather lightly. What threatens those who did not begin to be treated on time?

– Hemorrhoids is a disease that should never be started. It is well known that advanced forms of any disease are less curable. Therapy in the early stages should include conservative measures, including dieting with the exclusion of spicy foods, alcohol, normalization of stools, the use of hemorrhoidal suppositories, as well as an effect aimed at suppressing inflammatory processes in hemorrhoids. The physiotherapy department of the Road Hospital has modern physiotherapy procedures and methods that effectively affect inflammation in the hemorrhoids. For this, laser therapy, magnetotherapy, ultraviolet irradiation, colonohydrotherapy, rectal darsonvalization, sitz baths with herbs are used. Such a set of measures for the conservative treatment of the initial, early stages of hemorrhoids using physiotherapeutic methods shows very good results.

In more advanced stages of the disease, surgical methods of treating hemorrhoids are widely used in world practice. Our clinic successfully uses both traditional and non-surgical methods of surgical treatment: sclerotherapy (treatment with injections), the use of latex rings, minimally invasive (low-traumatic) treatment using the Ultrasicion electrodiathermic device. The latest advance in the treatment of hemorrhoids is the use of new ultrasound technologies, which act on the hemorrhoidal vessels and the submucosal layer of the rectum. The treatment takes place without pain and prolonged hospitalization, and the patient quickly forgets about his problem.

The use of an individual approach to the treatment of each patient allows us to achieve stable remission, the disappearance of manifestations of hemorrhoids.

— What advice would you give to those who are afraid of going to the doctor?

— In the West, the cultural level of a person is easily determined by his attitude towards himself and his health. Never wait for a disease to go away on its own. Not only will it not disappear, but it can also cause complications.

It’s not a shame to go to the doctor with this problem.
It’s a shame not to go!

Our address:

Rostov-on-Don, st. Varfolomeeva, 92a, Road hospital of the North Caucasus Railway, 2nd floor of the main medical building.

Tel.: 8 (863) 263-03-03

What to do?

Treatment methods for HEMORRHOIDS

Minimally invasive treatment of hemorrhoids

Hemorrhoids can be cured at any stage, but the sooner you see a doctor, the more likely you can avoid surgery and hospitalization.

In recent years, minimally invasive (low-traumatic) methods of treating hemorrhoids are increasingly being used, mainly not in a hospital, but on an outpatient basis.

This is the best in treatment

A new stage in the development of minimally invasive methods for the treatment of proctological diseases (in particular, hemorrhoids) was the appearance of ultrasonic surgical complex “Proxon” – a combine consisting of an ultrasonic scalpel, a unit for cleaning infected and purulent wounds, and, finally, a unit for influencing hemorrhoids . If the first two blocks have different analogues, then the last one is exclusive.

Ultrasonic sclerosing of hemorrhoids is based on a combination of ultrasonic cavitation, chemical action and diffusion of the sclerosant. The chemical substrate of sclerosis (polidoconol or tetradiethyl sulfate) acts on the endothelium (the inner lining of blood vessels). Have you ever seen how a drop of vegetable oil is absorbed into a sponge? Imagine how oil will penetrate under a pressure of several atmospheres. In the same way, sclerosing of hemorrhoids with a sclerosant differs from sclerosing with ultrasound. Under the influence of ultrasound, the sclerosant impregnates the small vessels of the hemorrhoids, thus, the ultrasound technology enhances the effect of a conventional sclerosant many times over and brings the efficiency of the procedure closer to that of a traditional operation.

Nodule sclerosis in proctology

There are other less traumatic methods of treating hemorrhoids, which are used in the absence of the Proxon ultrasonic surgical complex.

The most widely used in our country ligation of hemorrhoids with latex rings

Ligation of with latex rings is a simple and very popular technique for the treatment of stage 1-3 internal hemorrhoids. Latex ring ligation is also occasionally used in stage IV of the disease after the reduction of hemorrhoids. The intervention technique is as follows. A latex ring is put on the working part of the ligator.

The hemorrhoid is pulled into the working part, which is a hollow cylinder, after which the ring is applied to the base of the node, which causes its ischemia. After 7-10 days hemorrhoid is rejected. A wound remains in its place, during the healing of which the rectal plexus is fixed by scar tissue to the underlying muscle.

It must be remembered that the latex ring must be applied above the dentate line, otherwise severe pain occurs. Sometimes the treatment has to be carried out in several sessions. It takes 3-4 weeks.

In the past, one of the disadvantages of the method was the need for an assistant. The improvement of the ligator (vacuum ligator), which made it possible to suck the hemorrhoid into the working part, made it possible to perform the intervention by one doctor.

To reduce the risk of complications and eliminate discomfort, it is recommended that patients perform a small cleansing enema , and after ligation, take analgesics for 2-3 days.

Among the complications of ligation with latex rings , slight pain should be noted. Ligation of hemorrhoids with latex rings avoids hemorrhoidectomy in approximately 15% of patients. The results of this minimally invasive intervention are not comparable with the results of ultrasonic sclerosis of hemorrhoids.

Minimally invasive treatment of hemorrhoids

Infrared photocoagulation

For photocoagulation, the Infraton apparatus is used, consisting of an infrared photocoagulator and a rigid quartz light guide. The luminous flux focused by the reflector from the halogen lamp is directed to the light guide, the tip of which is fed through the anoscope to the base of the hemorrhoid. As a result of exposure to heat flow, coagulation of the wall of the vascular pedicle of the hemorrhoid occurs, followed by its sclerosis. Other minimally invasive hemorrhoids treatment method — ligation (pulling) of hemorrhoids with latex rings. In contrast to photocoagulation, this procedure is performed when internal nodes are prolapsed (in the later stages of the disease), especially in debilitated patients. Using a special device, an elastic latex ring is thrown onto the base of the hemorrhoid, which gradually disrupts the blood supply to the node and ultimately leads to its self-rejection.

This type of treatment is complemented by a therapeutic infrared laser to relieve pain and enhance the anti-inflammatory effect.

Contraindication for all minimally invasive methods of treatment of hemorrhoids is thrombosis of hemorrhoids, acute and chronic paraproctitis, anal fissure and other inflammatory diseases of the anal canal and perineum.

Surgical treatment of hemorrhoids

Unfortunately, minimally invasive treatment methods can be used for stage I to III hemorrhoids. At stage IV, the nodes are removed – hemorrhoidectomy.

Hemorrhoidectomy is the gold standard for the treatment of hemorrhoids stage IV, as well as for thrombosis of prolapsed hemorrhoids.

Hemorrhoidectomy is also indicated for patients with stage III hemorrhoids in those rare cases when ultrasound sclerosis of hemorrhoids is not effective. With this intervention, a section of the perianal skin, anoderm and rectal mucosa, located above the hemorrhoid, is excised, which is ligated and intersected. Subsequently, the rectal mucosa is fixed to the underlying tissues. The intervention is performed within one day. Long-term results are very good, relapses of the disease are rare.

In addition to the traditional scalpel , hemorrhoidectomy can be performed using an ultrasonic surgical scalpel, electrocoagulation and laser. To prevent stenosis of the anal canal and maintain sensitivity between the wounds formed during the removal of hemorrhoids, leave mucocutaneous bridges. These wounds can be sutured (closed hemorrhoidectomy) or left open (open hemorrhoidectomy). The choice of hemorrhoidectomy technique depends on the preference of the surgeon.

To avoid pain and urinary retention (the most common complications after hemorrhoidectomy), the anal canal should not be plugged. Patients are advised to limit fluid intake.

Analgesics and sitz baths are also prescribed to reduce pain in the early postoperative period. If urination is restored, it is recommended to drink plenty of fluids and laxatives that increase the volume of intestinal contents. This normalizes the stool and prevents constipation. A control digital examination of the rectum is carried out 1 and 3 weeks after surgery to exclude anal stenosis.

Surgical treatment is also carried out for thrombosis of external hemorrhoids.

Long-term results of treatment

Without denying the importance of the struggle to reduce early postoperative complications of hemorrhoidectomy, for the fastest labor rehabilitation of operated patients, the most important thing is to achieve good long-term results of treatment.

With hemorrhoids , as, perhaps, with no other disease, the long-term results of the operation still leave much to be desired. After hemorrhoidectomy after 3-5 years of bleeding, discomfort after defecation may resume, and then almost a third of those operated on again observed prolapse of nodes.

From the point of view of the modern theory of the pathogenesis of hemorrhoids , this is easy to explain: most of the anatomical substrate of hemorrhoids, namely, cavernous tissue, when only the internal nodes themselves are removed, remains in place, in their beds in the submucosal layer of the anal canal, and therefore, with continued action of unfavorable factors, such as constipation, heavy physical exertion, etc. , after a certain time, the nodes increase again, and symptoms are clinically manifested recurrence of hemorrhoids.

Longo transanal mucosal resection

This method for the treatment of hemorrhoids is an alternative to the classical surgical excision of hemorrhoids.

In 1993, the Italian Antonio Longo developed a fundamentally new approach to surgical intervention for hemorrhoids.

The essence of the new operation is to perform a circular resection and suturing the mucosal prolapse with hemorrhoids. However, this is not a circular resection of the entire intestine, which is sometimes done at hemorrhoids and after which rectal strictures often develop.

During the Longo operation, only part of the rectal mucosa, which is located above the so-called dentate line, is removed. The mucosal defect is sutured with end-to-end titanium staples. As a result, hemorrhoids are not removed , but rather pulled up and sharply reduced in volume due to a decrease in blood flow to the cavernous veins. Due to the excision of the circular strip of mucous, conditions are created under which the blood supply to the nodes decreases, which leads to their gradual desolation and overgrowing with connective tissue.

The new treatment was named “Prolapse Procedure for Hemorrhoids” (PPH). In order for all manipulations to be performed reliably, easily and quickly, with minimal dependence on the skill of the doctor, Ethicon Endosurgery has developed a disposable set “PPH01”. The basis of the set is a circular stapler, which works on the principle of a stapler. For the introduction of the stapler and its fixation in the rectum, a special anal dilator is included in the kit. The mucosal ends are sutured with titanium staples. The kit also includes a special threader and an anoscope for purse-string suture.

Operation technology is quite simple. Using a stapler, a purse-string suture is applied to the rectal mucosa. After that, the intestinal mucosa, as it were, is slightly pulled together and a suture is tied. Then, with one movement of the “stapler”, the clamped part of the mucosa is cut off and its ends are sewn together. That’s it – the operation is completed. The operation usually takes about 15 minutes. For comparison, a classic operation to remove nodes lasts at least 40 minutes.

The PPH method allows you to restore the normal anatomical structure of the anal canal without injuring the mucous membrane and skin, as well as without damaging the internal apparatus of the intestine. Thanks to this, the postoperative period is almost painless: after discharge, patients lead a normal life, and they practically do not have relapses. The sparing regimen and the ability to perform the operation under local anesthesia make it possible to do it with virtually no restrictions. These are the main benefits for the patient.

Disadvantages of the Longo method:

• long-term results of treatment are not yet known
• hospital observation of the patient is required
• the need for a weekly sick leave
• does not allow removal of external hemorrhoids
• known serious complications

We often recommend Longo’s operation for patients who have hemorrhoids combined with rectal prolapse. In such cases, ultrasound sclerotherapy of hemorrhoids is ineffective.

How to prevent hemorrhoids?

Prevention of HEMORRHOIDS

Hemorrhoids is an extremely common disease. Both men and women, and the elderly, and very young people suffer from it. It refers just to those diseases that are better to prevent than to treat later.

Traditionally, a visit to a proctologist in the mind of a person is considered something shameful, humiliating, so even when the disease has already shown its face – in the case of transition hemorrhoids in a chronic form, with a prolapsed node, pain and bleeding – we still pull and do not rush to see a doctor.

Prevention of hemorrhoids , as well as its treatment, must certainly be carried out in a complex. There is no universal pill to cure or prevent this or any disease. Our body is a whole, consisting of interconnected systems. If one organ becomes ill, it is almost always a consequence of the illness of another. Pass a full-fledged comprehensive examination and begin a comprehensive prevention of all systems of your body.

Treatment of hemorrhoids with all kinds of ointments, tablets, microclysters, infusions, minimally invasive methods and even surgical operations is an extremely important task, because otherwise it will simply not let you live in peace. But, as you know, prevention is better than cure, so here we will give the basic rules that must be followed in order to avoid problems with hemorrhoids.

IMPORTANT!!!

The recommendations given here must also be observed by people with hemorrhoids, as they are an integral part of both conservative and any other method of treating this disease.

Our tips for preventing hemorrhoids

If you sit a lot by the nature of your job, then once an hour you need to take a 5-10-minute break for walking or other physical activity. It is better to replace a soft chair with a hard one. Professional drivers should not drive for more than three consecutive hours. On the way, you need to take breaks, during which you should actively move.

Regularly strengthen the abdominal muscles to improve blood circulation in the pelvis. The following set of exercises is possible (developed by specialists):

• Standing cross-legged, tense the muscles of the buttocks and anus rhythmically.
• Sitting on a chair with a hard seat, the back is straight, the body is slightly forward, tense the muscles of the anus rhythmically.
• Lying on your back with legs bent at the knees and resting on the feet, which are shoulder-width apart, leaning on the feet and shoulder girdle, lift off the floor and raise the pelvis.
• Lying on your back, alternately lift straight legs.
• Lying on your back with straight legs raised, spread your legs apart, then bring them together and cross like scissors.
• Lying on your back with your legs elevated, move your legs as if you were riding a bicycle.
• Lying on your back, legs bent at the knees, press firmly against your stomach.
• From a prone position on your knees, palms and elbows, rotate your pelvis alternately in both directions so that your buttocks touch the floor.

These exercises train the gluteal muscles, anal sphincter and abdominal muscles, improve local circulation and blood outflow from the pelvic organs, stimulate the intestines, and promote the removal of gases. Exercises should be performed 10-15 times 2-3 times a day.

On the other hand, muscle strain in this area is contraindicated. Therefore, you can not do strength exercises. Cycling, equestrian sports will not benefit. In nutrition, stick to a diet that will not cause either intestinal upset or constipation. This means that you need to eat less flour and dairy (except for sour milk), add bran to food, eat more vegetables. Bifid-containing kefirs are required daily, etc. Drinking mineral water enhances the motor activity of the intestines. Highly and medium mineralized waters are recommended, as well as waters containing magnesium ions and sulfates, such as Essentuki No. 17 and 4, Slavyanovskaya, Smirnovskaya – 1 glass of room temperature 3 times a day.

Wash with cool water after every bowel movement. Considering that with a normally functioning intestine, daily stools should be in the morning, this is quite realistic. By the way, they say that residents of rural areas in Central Asia do not have hemorrhoids, since they are accustomed to such a hygienic procedure from childhood.

Do not abuse laxatives.

Preventive measures to prevent the appearance of hemorrhoids and their exacerbation:

• timely treatment of constipation and diarrhea (diarrhea), normalization of the digestive tract, regular and proper nutrition. Remember! — regulation of the consistency of intestinal contents and its transit through the large intestine is an indispensable condition not only for prevention, but also for the successful treatment of hemorrhoids
• limiting or avoiding the consumption of alcoholic beverages, highly spicy and salty foods
• instilling hygiene habits from childhood. Careful toileting of the anal area after each bowel movement. If necessary, refuse to use toilet paper and switch to washing with cool water and soap after defecation, in order to prevent exacerbations of the disease, cool manganese baths (pale pink solution) for 1.5-2 minutes after each stool will be useful
• persons with initial signs of hemorrhoids need to replace heavy physical labor with lighter types of work

For pregnant women, in order to reduce venous congestion in the pelvic organs, daily exercises, walking, a rational diet with a large number of laxative foods, and a ban on wearing tight belts are recommended.

Therapeutic nutrition for hemorrhoids

Proper nutrition is the most important factor not only in prevention, but also in treatment of hemorrhoids. After all, any deviations in the process of emptying the intestines (constipation, diarrhea) provoke an exacerbation of the disease.

Only through proper and regular nutrition can normalization of the digestive tract, regulation of the consistency of intestinal contents and its transit through the large intestine be achieved

In order to choose the right diet, you need to know the characteristics of the patient’s body, the causes of deviations. Nutritional advice has many individual characteristics. That is why it is necessary to consult a doctor and undergo the examination prescribed by him.

Passion for food containing animal proteins (meat, fish, eggs, cottage cheese) predisposes to constipation. Similarly, long-term adherence to excessively sparing diets can lead to impaired intestinal evacuation function.

Recommended for hemorrhoids:

• eat regularly at the same time
• with a tendency to constipation, eat more vegetable fiber against the background of increased water intake (1.5-2 liters per day), limit the consumption of products from premium flour
• with a tendency to diarrhea (diarrhea), it is necessary to consult a doctor to identify the cause and develop recommendations (often diarrhea is one of the symptoms of quite serious diseases of the gastrointestinal tract)
• exclude spicy, salty foods, alcohol from the diet.

Dietary fiber

Dietary fiber (dietary fiber, coarse fiber) is a part of plants, mainly cereals, that we consume as food and, along with fats, proteins, carbohydrates, and vitamins, constitutes the necessary nutritional balance. Dietary fiber is not digested in the digestive tract, but is utilized by the intestinal microflora. The main function of fiber is the adsorption of water, but in parallel it plays an important role in other processes – it lowers the level of cholesterol in the blood by binding intestinal bile acids, which are known to have a certain carcinogenic activity. Water adsorption in the intestines increases stool volume and reduces the risk of constipation. According to its chemical composition, dietary fiber is indigestible cellulose. In terms of its content in products, food bran is in the first place (53-55% of fibers), then vegetables (20-24%) and rye bread. Recently, preparations based on psyllium seeds (mucofalk) and cellulose preparations (MKTs-28) have been widely used.

By increasing stool mass, dietary fiber reduces the risk of constipation. At the same time, an obligatory condition is increased water consumption (1.5-2 liters per day), without which food cellulose (pectin, its other synthesized preparations) ceases to perform an adsorbing function. So bran is an important dietary component of a comprehensive constipation treatment.

Proctologists of our center

Khitaryan Alexander Georgievich
Professor. Experience 32 years
Doctor of the highest category

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Romodan Natalya Aleksandrovna
Doctor of the highest category
Experience 30 years

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Alibekov Albert Zaurbekovich
Higher 1st category, Candidate of Sciences
Experience 14 years

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Golovina Anastasia Andreevna
Doctor second category
Experience 7 years

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Effects of alcohol on hemorrhoids and other bad habits

Often, patients during a festive feast do not even think about whether alcohol is possible with hemorrhoids. But excessive use makes itself felt in just 2-3 hours. There may be burning, soreness, swelling of the bumps, bleeding.

If you have been diagnosed with hemorrhoids, treatment must be prescribed immediately!

Relationship between alcohol and hemorrhoids, consequences of consumption

Is it possible to drink alcohol with hemorrhoids? Many have asked this question. Hemorrhoids are a pathological condition that is accompanied by weakened walls of the venous vessels in the anus, which are constantly expanding. That is why the patient should be careful to use foods that increase blood flow.

But alcohol dilates blood vessels, there is an accelerated heartbeat. As a result, we should expect a rush of blood to the rectum. With hemorrhoids, dilated hemorrhoidal veins are observed without the use of alcohol. But after drinking, they begin to expand even more. Such a load increases tension, so cracks appear, bleeding in the anus.

Low-alcohol carbonated drinks also have a negative effect. They contain carbon dioxide, which leads to accelerated absorption of ethanol, irritation of the mucosa.

When a person consumes alcohol, he begins to relax, does not control the amount of food eaten. Often, during a feast, there are a lot of fatty, spicy dishes on the table. And such products are prohibited for people with hemorrhoids. They destroy weakened hemorrhoidal veins.

Alcoholic beverages lead to dehydration, which can lead to constipation the next day. Making efforts during defecation, one can expect negative consequences for the patient. Basically, they lead to the appearance of bleeding.

How to reduce the effect of alcohol on hemorrhoids

To weaken the effect of alcohol, to protect yourself from unpleasant consequences, it is recommended to adhere to the following rules:

Before the feast, drink activated charcoal, vitamin complexes are also useful.

Keep track of the products you are using. Surely there are vegetables and fruits on the table. They will be healthier than fatty foods.

Remember to drink water to keep yourself hydrated.

Avoid caffeine and carbonated drinks.

Alcohol after surgical removal of hemorrhoids

In some cases, an operation is prescribed, during which hemorrhoids are removed. Often after it, doctors prescribe antibiotics that are not compatible with alcohol. It should take about 2 weeks after the course of medication, after which you can drink alcohol.

Alcohol should be discarded if the patient suffers from constipation or diarrhea, which often happens after surgery. It is required to wait for the normalization of the stool. In most cases, it is necessary to refrain from alcohol for 1.5-2 months in order for problems with defecation to disappear. Better not to make things worse.

How smoking affects hemorrhoids

How does smoking affect hemorrhoids? Can patients smoke? During smoking, nicotine enters the gastrointestinal tract. This also applies to smoking pipes. Gradually, nicotine enters the intestines, increasing the risk of such unpleasant consequences:

constipation;

diarrhea;

violation of the intestinal microflora;

increased urge to defecate.

All these troubles often provoke the formation of anal fissures. Therefore, the patient, continuing to smoke, runs the risk of aggravating the disease, which leads to its progression, the appearance of complications. In addition to cracks, infection can join, erosion can form.

Recommendations for alleviating the course of the disease

If the pathology worsens, it is better to consult a doctor. He will prescribe the right treatment. But how can you help yourself at home? To do this, use these tips:

1. Try to relax, you can lie down to reduce tension in the buttocks. Also, the supine position leads to improved blood circulation, reducing pressure on the rectum.
2. Make a decoction of calendula or chamomile. Pour it into a basin and immerse yourself in the problem area.
3. Use cold compresses, suppositories.
4. If constipation occurs, delay defecation. First, make an enema, use laxatives.
5. To reduce soreness, use special rectal suppositories that contain analgesic ingredients.

There are other contraindications for hemorrhoids:

1. Heavy loads. Often people wonder if it is possible to lift weights with hemorrhoids. Active sports, lifting heavy things lead to increased stress on the muscles of the anus. Also, a person runs the risk of prolapsed hemorrhoidal cones. But a sedentary lifestyle will not bring benefits. As a result, blood circulation is disturbed, extra pounds appear, and the risk of constipation increases. Further aggravated hemorrhoids from sitting on the toilet due to the difficulty of defecation.
2. Footwear, clothes. Shoes should be comfortable to reduce the load on the feet. And underwear for hemorrhoids should be made from natural fabrics.
3. Hypothermia. Prolonged exposure to cold impairs blood microcirculation. A person runs the risk of exacerbating hemorrhoids from hypothermia. Also, do not overheat the body, so as not to encounter bleeding.

It is necessary to treat this pathology comprehensively. To do this, the symptoms, the causes of the onset of the disease are eliminated, it is also worth protecting yourself from complications so as not to aggravate the situation.