How to reduce the size of external hemorrhoids: Hemorrhoids – Diagnosis and treatment
Hemorrhoids: Diagnosis and Treatment Options
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Hemorrhoids Treatment Plan – 10 Ways to Get Rid of Hemorrhoids
Problems with hemorrhoids, also known as piles, are close to the top of the list of annoyances many of us would prefer not to talk about. However, they’re also one of the most common health conditions. Nearly three out of four adults experience hemorrhoids from time to time.
What many people don’t know is that hemorrhoids are actually something you’re born with, but we typically only notice them when they start acting up, says Alex Ky, M.D., a proctologist and professor of surgery at the Icahn School of Medicine at Mount Sinai in New York. “Hemorrhoids are a mixture of arteries and veins that help cushion your anal canal during bowel movements,” she explains.
Hemorrhoids can often bulge or swell due to pressure from straining, extended sitting time on the toilet, chronic diarrhea or constipation, or heavy lifting. Your risk of having them goes up if you’re pregnant thanks to the extra weight of your baby and as you age since the tissues that support the veins around your anus can become weaker over time.
“Doctors refer to symptomatic hemorrhoids as either external or internal,” says Mitchell A. Bernstein, M.D., a colon and rectal surgeon and professor of surgery at the NYU Grossman School of Medicine. Just as the name implies, internal hemorrhoids are inside your anus and painless but can cause bleeding during bowel movements. External hemorrhoids, on the other hand, occur when hemorrhoids are pushed just outside of the anal opening. When this happens, they can swell up, bleed, and feel seriously painful, irritated, and itchy. If blood pools and forms a clot down there, you can experience even more severe pain—and it may feel like a hard marble or solid grape, notes Dr. Bernstein.
When this particular pain pops up, one question is top of mind: How do you get rid of hemorrhoids? Here’s your guide to expert-approved hemorrhoid treatments from home remedies to in-office procedures, plus how to know when it’s time to see a doctor.
1. Try topical treatments.
Rapid Relief Hemorrhoidal Cream
For quick relief from painful and itchy external hemorrhoids, head to your pharmacy for an over-the-counter hemorrhoid cream or suppository that contains witch hazel (like Tucks pads) or hydrocortisone and lidocaine (such as Preparation H). Topical creams often have painkillers, numbing agents, and steroids which can dial down pain and swelling, says Harry J. Thomas, M.D., a board-certified gastroenterologist at Austin Gastroenterology in central Texas. Be sure to follow the label instructions carefully and don’t take topicals for more than a week, as steroids can thin your skin over time.
2. Take over-the-counter pain relievers.
While you’re at it, consider stocking up on OTC pain relievers like acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs like aspirin and ibuprofen) and take them according to the label instructions, says Dr. Thomas. Like topicals, these meds can provide temporary relief from pain and swelling.
3. Gradually increase your fiber intake.
Most of us don’t get in enough fiber everyday, but adding more high-fiber foods like beans, broccoli, whole grains, and fresh fruit to your diet can help you avoid constipation and stay regular. This in turn reduces the chances that you’ll find yourself straining and further irritating your hemorrhoids, says Dr. Thomas. Aim for 20 to 30 grams of fiber a day, and consider taking a fiber supplement that contains psyllium (Metamucil) or methylcellulose (Citrucel) to help you hit your daily goal. If you’re typically low on fiber-rich foods, though, take your time—suddenly upping your intake may make you gassy.
4. Load up on water.
When your hemorrhoids are flaring up, another simple but essential fix is to make sure you’re drinking enough water. Getting in plenty of fluids (think: about 1. 5 to 2 liters or about 6 to 8 cups a day) can help produce regular, soft stools and reduce straining, says Dr. Thomas. To ensure you’re staying hydrated throughout the day, keep a full bottle of water by your side, add a cup of tea to your self-care routine, or freshen up your hydration game with infused water.
5. Ice it.
For short-term relief from particularly painful, swollen hemorrhoids, icing can be a highly effective solution. Apply an ice pack or cold compress to your anus for about 10 minutes up to three times a day, suggests Dr. Thomas. Of course, always remember to wrap ice inside a paper towel or cloth first. No matter how bad the pain is, you want to protect your skin.
6. Soak it off in a sitz bath.
A sitz bath comes from the German word “sitzen,” meaning “sit,” and it refers to a 10 to 15 minute soak in warm water that comes just up to your bottom and hips. “Sitz baths can relieve irritation and itching as well as spasm of your anal sphincter muscles,” says Dr. Thomas. Take a shallow soak in your bathtub or buy a small plastic tub from your pharmacy to give yourself a portable sitz bath two to three times a day.
7. Move a little more.
While some exercises like weightlifting, squats, and lunges can cause or worsen painful hemorrhoids due to straining, others may help relieve your symptoms and reduce your chances of having future flare-ups. Physical exercise can help with regular bowel movements and keep pressure off of your hemorrhoids, says Dr. Thomas.
Although you might not feel up to your usual workout, try taking a brisk walk or incorporating gentle movement into your day with stretching or yoga. Make it a point to break up long periods of sitting or standing, too, as both can increase pressure on your veins and irritate hemorrhoids.
8. Consider having a clot removed.
External hemorrhoids can result in extremely painful blood clots, and while they’re not dangerous, they can take a couple of weeks to resolve on their own. If yours scores high on your personal pain scale, a doctor can remove a thrombosed hemorrhoid with a relatively simple in-office procedure under local anesthetic in about 10 minutes. Keep in mind: The first 24 to 48 hours are typically the most painful—and the best time to have a clot removed, says Dr. Ky.
9. Band it off.
For bleeding or recurrent hemorrhoids, another minimally-invasive treatment—and one of Dr. Ky’s favorites—is known as rubber band ligation. For this procedure, there’s typically no need for anesthesia. Your doctor simply wraps a tiny rubber band around the base of the hemorrhoid, and with its circulation cut off, the hemorrhoid shrivels up, shrinks, and falls off, often within a week. Complications are rare, but you might feel a little pain or tightness down there. Needless to say, it’s best to leave the banding to your doctor. Never try something like this at home.
10. For seriously bad hemorrhoids, talk to your doctor about surgical options.
If you’ve tried home remedies and in-office procedures but your hemorrhoids are still making you miserable, it might be time to ask your doctor about surgery. Recovery from the surgical removal of hemorrhoids (a.k.a. hemorrhoidectomy) can be extremely painful, notes Dr. Bernstein, but it’s one of the most effective ways to get rid of hemorrhoids for good.
Another surgical option is having your hemorrhoids stapled into place. This is a less painful procedure compared to a hemorrhoidectomy, but it does come with a greater risk of relapse and is not recommended if you have anal sex, as staples can cause injury, notes Dr. Ky.
When to see a doctor for hemorrhoids
Hemorrhoids can be a massive pain, but thankfully, symptoms typically go away within a week. If you still have symptoms of hemorrhoids after a week of self-care measures or you’re experiencing severe pain or bleeding, seek medical attention immediately, says Dr. Thomas.
It’s important to note that sometimes what might seem like symptoms of hemorrhoids could indicate something more serious. Less commonly, rectal bleeding can also be a sign of diseases such as colorectal cancer or anal cancer. Make sure to get checked out if you notice large amounts of bleeding or other changes in your bowel habits like a different stool color or consistency.
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Lauren Krouse is a freelance writer who covers health, domestic violence, and self-advocacy.
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Hemorrhoids | Patient Education | UCSF Health
Hemorrhoids are part of the normal anatomy of the anus and lower rectum. They act as cushions to protect the anal skin from the passage of stool. Hemorrhoids usually are not a problem, but they can become a problem if they swell, bleed or protrude – come out of the rectum to the outside of the anus.
Hemorrhoids are either inside the anus, called internal, or under the skin around the anus, called external. Hemorrhoids that come from the inside are covered with the lining of the rectum, called mucosa, and those that are on the outside are covered with skin. Sometimes the internal hemorrhoids are connected to external hemorrhoids.
With increased pressure that can be caused by pregnancy, obesity, heavy lifting and chronic straining to have a bowel movement, hemorrhoids may become problematic.
Although many people have hemorrhoids, not all experience symptoms. Internal hemorrhoids may cause bright red blood in the toilet bowl, a feeling of fullness or discomfort, or mucus discharge. They also can protrude, or pop out, with a bowel movement; usually, they return to the inside by themselves.
External hemorrhoids are felt as a lump near the anus that can cause pain. The lump is caused by a blood clot, causing a purple-blue color.
Because bleeding can be a symptom of cancer in the colon or rectum, a colonoscopy may need to be done before we will treat your hemorrhoids. This is a diagnostic procedure that uses a lighted, flexible tube inserted through the rectum. If you have a family history of cancer, are over age 50 or have other symptoms or risk factors, this test can catch colorectal cancer when it is small. This procedure is done as an outpatient basis. Small numbers of people who have had this operation may leak gas or stool.
There are several ways to treat hemorrhoids. The best way may be to relieve the symptoms and prevent the hemorrhoids from becoming problematic. This is best done by:
- Taking a warm tub or sitz bath several times a day in plain, warm water for about 10 minutes
- Using ice packs to reduce swelling
- Ensuring regular, soft bowel movements by eliminating foods that lead to constipation, adding fiber to your diet, drinking lots of fluids and exercising regularly
- Spending less time on the toilet
- Trying to have a bowel movement when you get the urge rather than holding it
If your hemorrhoids do not respond to the above therapies, or are already very problematic, there are a number of other treatments options, including:
Rubber Band Ligation
Also called banding, this involves placing a very small rubber band around the base of the hemorrhoid inside the rectum. The band cuts off circulation and the hemorrhoid withers away within seven to 10 days. This leaves a scar that prevents further bleeding and prolapse. This is usually done in the office but sometimes it is done in surgery.
What to expect from banding:
- Bleeding in seven to 10 days when the hemorrhoid falls off
- Bleeding with bowel movements
- A dull ache and fullness in the rectum – apply an ice pack to help relieve this
- If you have increased pain, fever and difficulty urinating you must return to the hospital immediately for removal of the rubber band
- Avoid aspirin and non-steroidals (Ibuprofen-type pain pills) for 10 days
- You may return to daily activities right away
A chemical solution is injected around the blood vessel to shrink the hemorrhoid. This causes inflammation and scarring. This is done in the office but has a higher chance of only working temporarily. You may return to daily activities right away.
When hemorrhoids are severe, extensive, prolapsing or incarcerated, they may require removal by surgery known as hemorrhoidectomy. This is done under anesthesia. Because there is a risk of causing permanent damage to the sphincter – the muscle that controls your bowel movements – this operation is only done if absolutely necessary.
What to expect from hemorrhoidectomy:
- You will experience a lot of discomfort from this procedure and you will not be able to return to regular activities for five to 10 days.
- If you are unable to urinate after the procedure, you must call your doctor.
- Avoid Aspirin and non-steroidal pain medications (like Ibuprofen) for 10 days.
- Warm baths will be soothing.
- The first several bowel movements can cause bleeding and pain. Narcotics for pain control and stool softeners will be necessary.
Thrombosed External Hemorrhoids
When an external hemorrhoid develops, it can be treated with excision, or cutting open, of the hemorrhoid or clot if you are able to be seen within the first 24 hours of pain. After that, the hemorrhoid will begin to go away on its own and cutting it open will not help it heal more quickly. Warm baths are very helpful for this.
Creams and Suppositories
You may have noticed that there is no mention of creams or suppositories in this handout. We believe that these may help but they also can cause problems. The anal area prefers to be dry and because it is a very sensitive area, it can develop allergies to some preparations.
A high-fiber diet will help you have soft, regular bowel movements. Also, the best time to have a bowel movement is when your body gives you an urge to go – this will minimize problems with hemorrhoids, fissures, itching and other common colon, rectal and anal problems.
A diet high in fiber has about 25 to 30 grams of fiber per day. For information on how to increase your fiber through diet, please see Increasing Fiber Intake. For information on using supplements, please see Fiber Supplements.
Hemorrhoids | Johns Hopkins Medicine
What are hemorrhoids?
Hemorrhoids are when the veins or blood vessels in and around your anus and lower rectum become swollen and irritated. This happens when there is extra pressure on these veins.
Hemorrhoids can be either inside your anus (internal) or under the skin around your anus (external).
Hemorrhoids are very common in both men and women. About half of all people will have hemorrhoids by age 50.
Many women get hemorrhoids during pregnancy and childbirth. The pressure of carrying a baby in your belly puts extra stress on the blood vessels in your pelvic area. Straining to push the baby out when giving birth also puts extra pressure on these blood vessels.
What causes hemorrhoids?
You may get hemorrhoids if you:
- Often strain during bowel movements
- Are pregnant
- Have a family history of hemorrhoids
- Are older
- Have long-term or chronic constipation or diarrhea
Who is at risk for hemorrhoids?
Hemorrhoids are very common. Most people will have a hemorrhoid at some time in their life.
You are more likely to get hemorrhoids if you:
- Are pregnant
- Sit on the toilet for too long
- Are obese
- Do things that make you strain more, such as heavy lifting
- Have a family history of hemorrhoids
- Have long-term or chronic constipation or diarrhea
- Are between 45 and 65 years old
What are the symptoms of hemorrhoids?
Each person’s symptoms may vary. Some of the most common symptoms include:
- Bright red blood in your stool, on toilet paper, or in your toilet bowl
- Pain and irritation around your anus
- Swelling or a hard lump around your anus
Hemorrhoid symptoms may look like other health problems. Always see your healthcare provider to be sure.
How are hemorrhoids diagnosed?
Having blood in your stool can also be a sign of other digestive disorders, such as colorectal cancer. It’s important to see your healthcare provider for a complete exam.
To see if you have hemorrhoids, your healthcare provider may do several tests including:
- Physical exam. This is done to check your anus and rectum and look for swollen blood vessels that are a sign of hemorrhoids.
- Digital rectum examination (DRE). Your healthcare provider inserts a gloved, greased (lubricated) finger into your rectum to check for any problems.
- Anoscopy. A hollow, lighted tube is put into your anus. This is used to see internal hemorrhoids.
- Proctoscopy. A lighted tube is put into your anus. This gives a view of your entire rectum.
- Sigmoidoscopy. This test checks the inside of part of your large intestine. It helps to tell what is causing diarrhea, belly pain, constipation, abnormal growths, and bleeding. A short, flexible, lighted tube (sigmoidoscope) is put into your intestine through the rectum. This tube blows air into your intestine to make it swell. This makes it easier to see inside. A tissue sample (biopsy) can be taken if needed.
- Colonoscopy. This test looks at the full length of your large intestine. It can help check for any abnormal growths, tissue that is red or swollen, sores (ulcers), or bleeding. A long, flexible, lighted tube called a colonoscope is put into your rectum up into the colon. This tube lets your healthcare provider see the lining of your colon and take out a tissue sample (biopsy) to test it. He or she may also be able to treat some problems that may be found.
How are hemorrhoids treated?
Your healthcare provider will create a care plan for you based on:
- Your age, overall health, and past health
- How serious your case is
- Whether you have internal hemorrhoids, external hemorrhoids, or both
- How well you handle certain medicines, treatments, or therapies
- If your condition is expected to get worse
- What you would like to do
The main goal of treatment is to reduce your symptoms. This may be done by:
- Sitting in plain, warm water in a bathtub several times a day
- Using ice packs to reduce swelling
- Using hemorrhoid creams or medicines inserted into your rectum (suppositories)
Your healthcare provider may also suggest that you add more fiber and fluids to your diet to help soften your stools. Having softer stools means you don’t have to strain during bowel movements. This reduces the pressure on your hemorrhoids.
Adding more fiber to your diet means eating more:
- Whole grains
Your healthcare provider may also suggest that you take stool softeners or fiber supplements.
In some cases, surgery is needed. There are several types of surgeries used to remove or reduce internal and external hemorrhoids. These include:
- Rubber band ligation. A rubber band is placed around the base of the hemorrhoid inside your rectum to cut off circulation to the hemorrhoid. The hemorrhoid shrinks and goes away in a few days.
- Sclerotherapy. A chemical solution is shot (injected) around the blood vessel to shrink the hemorrhoid.
- Electrical coagulation, also called infrared photo coagulation. A special device uses a beam of infrared light to burn hemorrhoid tissue.
- Hemorrhoidectomy and hemorrhoidopexy. These procedures permanently remove your hemorrhoids.
What are the complications of hemorrhoids?
In rare cases, hemorrhoids may cause other problems. These may include:
- Having a low blood count that makes you tired (anemia). This can happen because of bleeding from a long-term or chronic hemorrhoid.
- Blood flow being cut off from a hemorrhoid that is sticking out (prolapsed). This can happen when the blood supply to the hemorrhoid is cut off. This can be very painful and cause bleeding. You may need surgery.
What can I do to prevent hemorrhoids?
It’s not always possible to stop hemorrhoids from happening. But you may reduce your risk of getting hemorrhoids if you:
- Eat a healthy diet, with plenty of fiber and liquids
- Limit the amount of time you sit on the toilet
- Work with your healthcare provider to manage constipation and prevent straining
- Stay at a healthy weight
When should I call my healthcare provider?
Call your healthcare provider if your symptoms get worse or if you have new symptoms. Also call if you see blood in your stool or on toilet paper for the first time, or if you see more blood than normal.
Key points about hemorrhoids
- Hemorrhoids are a swelling of the veins or blood vessels in and around your anus and lower rectum. This happens when there is extra pressure on these veins.
- Hemorrhoids are either inside your anus (internal) or under the skin around your anus (external).
- About half of all people will have hemorrhoids by age 50.
- Many women get hemorrhoids during pregnancy and childbirth.
- You may get hemorrhoids if you have a family history, often strain during bowel movements, or have long-term (chronic) constipation or diarrhea.
- Symptoms may include blood in your stool, pain around your anus, or itching.
- Your healthcare provider may do several tests to be sure you have hemorrhoids.
- You may need to add more fiber and fluids to your diet.
- The goal of treatment is to reduce your symptoms.
- In some cases, surgery is needed.
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells you.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your provider if you have questions.
University of Iowa Hospitals & Clinics
Hemorrhoids are anal blood vessels that are a normal part of your anatomy. They can be internal—blood vessels found in the moist tissue of the inner lining of the anus. They also can be external—blood vessels found under the skin just outside the anus. Hemorrhoids can become abnormal and problematic when they become dilated or engorged. Having abnormal hemorrhoids can be referred to as hemorrhoidal disease.
What is hemorrhoidal disease?
Hemorrhoidal disease is a common condition that occurs when your hemorrhoids become swollen due to increased pressure. This swelling leads to abnormal, symptomatic hemorrhoids. Symptoms and complications of abnormal hemorrhoids differ depending on whether the hemorrhoid is internal or external.
Symptomatic internal hemorrhoids
When internal hemorrhoids become dilated they are normally painless and associated with minor rectal bleeding and prolapse. Prolapse occurs when hemorrhoid tissue comes outside the anus while passing a stool. It is normal to feel prolapse and it is classified by four stages.
Stages of prolapse
- No prolapse.
- Prolapse that goes back in on its own.
- Prolapse that you must push back in yourself.
- Prolapse that you can’t push in yourself.
The progression of prolapse normally occurs slowly. Prolapse can irritate your anus and may cause itchiness.
Symptomatic external hemorrhoids
Thrombosed external hemorrhoids appear as a lump under the skin of the anus and can develop instantly after an episode of excessive straining. When a blood vessel is thrombosed, it means a blood clot has formed and this creates swelling. Thrombosed external hemorrhoids are typically very painful and may bleed.
After external hemorrhoids heal or the thrombosis/blood clot retreats back into the body, a skin tag may be left behind. The anus is a tightly held area and the skin covering a hemorrhoid tends to remain stretched out after the hemorrhoid is gone. Skin tags are painless, small, and almost “pinched up” pieces of skin. Although they may be bothersome, skin tags are harmless and rarely treated.
What causes abnormal hemorrhoids?
Many times, straining to have a bowel movement, constipation, or diarrhea causes abnormal hemorrhoids. Although they can also be caused by pregnancy or aging.
Who’s at risk?
Abnormal hemorrhoids tend to be hereditary. You’re more likely to get them if your parents had them. Pregnant women have an increased risk of developing abnormal hemorrhoids due to the pressure the uterus places on blood vessels in that area. The risk of developing symptoms related to hemorrhoids also increases with age.
The most common symptoms of abnormal hemorrhoids include:
- Mucus discharge
- A sense that stool is “stuck”
- Rectal bleeding
The bleeding you may experience with hemorrhoids is typically brisk, a small amount, and bright red. You may see it on toilet paper or on the stool.
How to prevent symptomatic/abnormal hemorrhoids
Follow these tips to help prevent constipation and excessive straining while passing stools.
- Eat plenty of high fiber foods.
- Drink enough water.
- Exercise regularly.
- Avoid sitting on the toilet for long periods of time.
- Use the restroom when you first feel the urge.
When to see a doctor
If you have anal pain, mucus discharge, anal itchiness, or blood in your stool, see your doctor. They can determine the cause of your symptoms and give you specific treatment options.
Using one or more of the following exams, your doctor can determine if you have abnormal hemorrhoids.
Physical exam- If you have external hemorrhoids your doctor may be able to see them.
Digital rectal exam- Your doctor can insert a gloved, lubricated finger into your anus to feel for internal hemorrhoids or other abnormalities.
Anoscopy- Using a anoscope, a specialist can look for hemorrhoids or abnormalities in your anus and rectum.
Colonoscopy- This is an examination of your entire colon using a colonoscope. Similar exams may only look at the lower part of your colon, such as a sigmoidoscopy.
Hemorrhoid treatment depends on the severity of your symptoms and state of the hemorrhoid. It is also important to treat any underlying causes of hemorrhoids, such as constipation.
At home treatments
To reduce itchiness and irritation, you can treat hemorrhoids with a warm bath with Epson salts. Ice packs can be used to reduce swelling. Adding a fiber powder to your diet and drinking more water can help ease discomfort while passing stools. Many different over-the-counter fiber powders are available. You should also consume at least 64oz of water daily and minimize caffeine. If necessary, make lifestyle changes to maintain healthy bowel habits.
Increasing the fiber in your diet and drinking more water can ease symptoms related to hemorrhoids and help prevent them. Fiber supplements can also help soften stools. Prevent constipation by exercising regularly and consuming a healthy diet with plenty of water. If you have severe constipation or diarrhea, talk to your doctor about additional treatment options.
If bothersome enough or severe, hemorrhoids can be removed by your doctor. Less than 10% of symptomatic hemorrhoids are treated with surgical removal. Removal options depend on the location and size of the hemorrhoid.
Some hemorrhoid removal options include
Rubber band litigation – A specialist places a band around your hemorrhoid that will cut off its blood flow, causing it to eventually fall off. This takes 5-7 days and you may feel slight discomfort or pressure.
Sclerotherapy – Chemicals are injected into your hemorrhoid that cause it to shrink. This procedure is typically painless but can require multiple sessions to be effective.
Infrared photocoagulation- This method uses infrared radiation (a hot light) to eliminate excess hemorrhoid tissue. It is relatively painless but may require multiple procedures to reduce your symptoms.
Hemorrhoidectomy – Surgically removing your hemorrhoid tissue can be a painful procedure with a lengthy healing time. Although, it may be an effective option for those with large symptomatic hemorrhoids.
How Long Do Hemorrhoids Last?: Gotham Gastroenterology: Gastroenterology
Hemorrhoids can cause considerable pain and discomfort, along with other symptoms. How long can you expect to deal with these symptoms? Learn more about hemorrhoids, including how long they last and what kinds of treatment options are available.
Can Hemorrhoids Go Away on Their Own?
Some hemorrhoids, such as minor ones, might go away on their own. However, hemorrhoids generally need some type of home care. In more severe cases, you might need medical care for hemorrhoids.
How Long Do Hemorrhoids Take to Shrink?
Hemorrhoids sometimes shrink within a week with home care. If you have hemorrhoids that do not go away or if they become worse, you should see a doctor for medical care. This helps ensure that you have a lower risk of complications, such as a blood clot or strangulated hemorrhoids.
Are Hemorrhoids Permanent?
Hemorrhoids usually are not permanent, although some can be persistent or occur frequently. If you’re dealing with hemorrhoids that cause ongoing problems, such as bleeding and discomfort, you should look into treatment options.
What Should I Eat with Hemorrhoids?
Eating whole grains and other foods that are high in fiber can help ease symptoms of hemorrhoids, such as discomfort and swelling. These foods can also help prevent hemorrhoids from forming by making the stool bulky and softening it. This helps you avoid straining, which can lead to hemorrhoids. When you increase your fiber intake, you should do so gradually to lower your risk of having gas.
What Can You Put on Hemorrhoids to Shrink Them?
You can use topical medications for hemorrhoids, although these products mainly provide relief from pain and other symptoms rather than shrinking hemorrhoids. A wide range of these products are available, including ointments, pads, and creams. Oral pain relievers might also offer temporary relief. Soaking in a sitz bath or warm water can help ease the pain as well.
Can Hemorrhoids Be a Sign of Cancer?
Hemorrhoids that are internal can cause bleeding from the rectum when you have a bowel movement. However, rectal bleeding is also associated with certain types of cancer. If you experience this kind of bleeding, you should see your doctor for diagnosis and treatment.
When Should You See a Doctor for Hemorrhoids?
You should see a doctor about hemorrhoids if you have bleeding while having a bowel movement. Medical care is also recommended if you have hemorrhoids that do not get better after a week of care at home. You should seek immediate medical care if you have severe rectal bleeding and lightheadedness.
Do External Hemorrhoids Go Away on Their Own?
External hemorrhoids usually ease up if you follow home care measures. This generally takes about a week to occur. If you have external hemorrhoids that are getting worse or if they keep coming back, you should see a doctor to discuss options such as hemorrhoids removal surgery.
Is Hemorrhoid Removal Surgery Painful?
Minor or minimally invasive hemorrhoid removal surgery is usually not painful. These procedures typically involve the use of a local anesthetic, which numbs the affected area. More severe or persistent hemorrhoids might require removal that is more invasive, such as hemorrhoidectomy, although these are done less often.
What Happens If a Hemorrhoid Bursts?
If a hemorrhoid bursts, you should experience relief from pain and discomfort. When this happens, you can expect some bleeding to occur. You should keep the area clean to lower the risk of infection.
If you need treatment for hemorrhoids, please contact Gotham Gastroenterology to schedule an appointment.
How to get rid of haemorrhoids (piles)
Haemorrhoids are swellings in the lining of the anus and back passage which occur when small veins become engorged with more blood than usual.
The problem can range from mild and barely noticeable to severe and extremely painful, depending on the number and size of haemorrhoids that a patient develops. Due to their location, they can make life very uncomfortable for the sufferer, and cause problems with hygiene.
What causes them?
Piles can have a number of different causes, some preventable and others not.
“Preventable causes include excess straining when passing faeces,” explains GP Dr Jeff Foster.
However, haemorrhoids have other causes including: “obstruction of venous blood, which may occur during pregnancy or in patients with portal hypertension (a condition usually seen in severe liver disease).” Effectively this means that any physical obstruction which makes it harder for blood to get back to the heart from the further reaches of the body can lead to pressure damming up in veins like those around the anus.
Finally, haemorrhoids may occur in patients who have unusually tight anal sphincter muscles. These muscles may be tight because of: “spasm due to anal fissures, due to anatomy (natural body design in some people) or neurology (nerve signals causing the muscles to tighten) and can also be seen in conditions such as irritable bowel syndrome.”
What are the symptoms?
Whilst swellings can often be seen or felt, some haemorrhoids may not be as large or obvious as others, or may occur within the rectum. However, there are other symptoms that may suggest you have this condition.
“Typical symptoms of haemorrhoids include blood after opening your bowels – which is bright red on the paper or in the pan, rather than mixed in with the stool; a mucous discharge; itching and occasionally pain – which may be severe if the pile has a starved blood supply,” explains Foster.
Importantly, however, these symptoms may also point to a different diagnosis so if you suspect you have haemorrhoids it’s important to confirm with your GP.
“Other conditions that may have similar symptoms include peri-anal haematoma (a collection of blood under the skin around the anus, usually due to a burst blood vessel), rectal prolapse, inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis) and occasionally rectal cancer, so it’s important to get properly diagnosed,” explains Foster.
How are they treated?
Depending on the cause and severity of the haemorrhoids, a number of different treatments are available.
“Usually treatment is conservative,” explains Foster. “The condition needs to be tackled in two ways – treating the symptoms and the cause.” These recommendations don’t ‘cure’ piles, but they can relieve symptoms and reduce future problems.
The soreness and irritation of piles may be reduced by washing and drying the area round the bottom thoroughly after a bowel movement – although over-vigorous rubbing can make matters worse. Doctors may also: “use topical creams with steroids to reduce the size and itch of the haemorrhoid.”
Other treatments may include: “pushing back the haemorrhoid,” which can make patients feel better, or “using nitroglycerine ointments or even botulinum toxin (Botox) injection to reduce spasm of the internal anal sphincter,” he adds.
Dietary improvement (centred around increasing fibre intake), short-term laxative use and avoidance of overstraining may also be recommended.
In some patients, where other treatment fails to correct the problem, surgical intervention may be required, including sclerotherapy (where medicine is injected into the pile, making it shrink), rubber band ligation (where internal piles are tied off with rubber bands), cryotherapy (freezing), anal dilatation under general anaesthetic or haemorrhoidectomy (surgical removal).
A different approach
New thinking around the problem of haemorrhoids may result in a different treatment in the future. Research has suggested that the issue may eventually be treated by looking at the entire venous system, rather than focusing on the rectal area.
“In many countries, haemorrhoids are starting to be treated by phlebologists (specialist vein doctors) because it’s a problem of the venous system, and the same as having varicose veins of your testicles, vulva or vagina,” explains Professor Mark Whiteley, founder of The Whiteley Clinic.
A new treatment currently undergoing National Institute for Health and Care Excellence (NICE) approval and available from some private clinics may also become more accessible in the future.
“This treatment uses radiofrequency to destroy the blood vessel and surrounding tissue”, Whiteley explains.
As the procedure takes place under local anaesthetic and is a walk-in rather than day-patient procedure, Whiteley has hopes that this will provide an improved solution for patients.
Recurrence of the problem
Unfortunately, haemorrhoids often recur after treatment and ongoing preventative measures are recommended.
“As the British population is getting more obese and more sedentary, the prevalence of haemorrhoids is going to increase,” explains Foster. “Whilst not all piles are preventable, in many cases changing diet and lifestyle can decrease the risk of recurrence.”
So if you suspect you have haemorrhoids don’t suffer in silence – speak with your GP and follow advice to minimise or eliminate the problem.
Hemorrhoids 2 degrees: treatment, diagnosis, symptoms
Hemorrhoids are inflammation of the hemorrhoids located in the rectum and anus. If the initial stage of the disease is characterized by mild symptoms and brings minor discomfort to patients, then stage 2 has more pronounced symptoms that disrupt the usual way of life and lead to various complications.
Signs of the second stage of hemorrhoids
The second stage of hemorrhoids is characterized by a significant increase in internal nodes with constantly occurring bleeding, which are accompanied by severe pain, itching and burning in the anus.At the second stage, nodes fall out of the anus, which are adjusted independently.
The patient constantly has a feeling of a foreign body in the rectum, a feeling of incomplete emptying of the intestine after a bowel movement. At this time, constipation often appears, since enlarged hemorrhoids create obstacles for the exit of feces. In addition, the act of defecation due to trauma to hemorrhoids is often very painful, and can also contribute to their prolapse.
Bleeding from the anus becomes permanent, their traces are clearly visible on toilet paper, in feces and on underwear. The mucus and blood released when the node is damaged irritates the intestinal mucosa, causes itching and burning in the anus.
The disease can be acute or chronic, and according to the localization of hemorrhoids, hemorrhoids can be internal, external or mixed.
Causes of hemorrhoids
The development of the disease is facilitated by many reasons, including hereditary predisposition, excess weight, physical inactivity or bad habits.In addition, hemorrhoids are often the result of professional activities associated with a long stay in one position (pilots, drivers, office workers, etc.). Various disturbances in the work of the intestines caused by malnutrition and abuse of spicy, fatty, fried foods, fast food, are a provoking factor of the disease. In women, the disease most often progresses during pregnancy and childbirth, and in men, the development of the disease can be caused by the passion for strength training with weight lifting.
At the second stage of hemorrhoids, patients often seek medical help, because the disease brings tangible discomfort and its symptoms can no longer be ignored.
Diagnosis of the disease
The proctologist can determine the presence of the disease and the stage of hemorrhoids during a manual (digital) examination of the rectum or using special equipment (anoscope or sigmoidoscope). For a quality examination, the rectum must be free of feces. To do this, before taking a proctologist, you need to do an enema or drink a laxative the day before.
Treatment of second stage hemorrhoids
For hemorrhoids of the second stage, the doctor may be treated conservatively, or the doctor will suggest minimally invasive manipulations – sclerotherapy, ligation (suture alloying or alloying with latex rings). The choice of the most effective therapy is decided on an individual basis after examining the patient.
In the acute phase of the disease, only conservative treatment is carried out. Medication is aimed at relieving symptoms of the disease and reducing inflammation.Locally use anti-inflammatory, wound healing, analgesic, hemostatic and improving local blood flow suppositories and ointments.
Patients with hemorrhoids are shown a special diet to normalize the bowel function, and it is also recommended to correct lifestyle, physical activity, normalize weight, give up bad habits, which will help to avoid relapse of the disease.
On the basis of the Longa Vita Medical Center, diagnostics and treatment of all forms of hemorrhoids are carried out using modern methods of therapy in proctology.Modern diagnostic equipment and specialists with many years of experience guarantee an impeccable treatment result.
You no longer need to endure pain and experience constant discomfort. Contact the “Longa Vita” multidisciplinary medical center and our specialists will solve your delicate problems as quickly, tactfully and painlessly as possible. You can sign up for a consultation by phone: +7 (812) 339-62-62 or using the online registration form on the website.
Hemorrhoids Causes, symptoms.Treatment
Hemorrhoids are diseases in which the veins in the lower rectum are enlarged. It can be both external and internal.
The disease, as mentioned above, is divided into two types: external and internal. External hemorrhoidal veins intertwine with each other, forming bulging skin (“bumps”) near the anal ring. Thrombosis can become a complication of this disease.
With internal hemorrhoids, the venous plexus occurs within the anal ring.In this case, the nodes of the veins are covered with a mucous membrane.
Stages of the disease
At stage 1, there is an increase in hemorrhoids, itching, burning, a feeling of a foreign body in the anus, there is a slight discharge of blood during the toilet. As a rule, these symptoms are not permanent, they occur only sporadically, therefore, most people at this stage of hemorrhoids do not go to the doctor and the disease passes into the next stage.
Stage 2 – during bowel movements, nodules begin to “crawl out”, drops of blood regularly appear on toilet paper. At this stage, the nodes hide back on their own immediately after the chair or after a short period of time.
At 3 stages – the dropping out nodes already have to be set with hands into the rectum to achieve a more or less comfortable state. At this stage, the disease is already seriously progressing and requires immediate intervention, since nodules begin to fall out not only during bowel movements, but also with any increase in intra-abdominal pressure (coughing, sneezing, lifting weights, and even with little physical exertion).
Stage 4 – hemorrhoids no longer reduce or fall out immediately after reduction, look like a grape bunch, are very inflamed and painful. At this stage, bleeding is very frequent, and the pain in the anus is so severe that it is impossible to touch it even with toilet paper. Intense frequent bleeding leads to anemia, which further worsens the patient’s well-being.
Causes of the disease
There are many reasons for the disease. The most popular are:
- Stool Disorder
- Incorrect power supply
- Frequent pregnancy and childbirth
- Hard physical work
- Systematic weight lifting
- Nervous and mental stress
In order to reduce the risk of disease, it is necessary to lead a healthy lifestyle and regularly visit a proctologist for examination.
Symptoms of hemorrhoids
The symptoms of internal and external hemorrhoids are practically the same. Only with an internal type of disease, the venous nodes do not fall out, which sometimes causes difficulties in making a diagnosis. In any case, if you find the following symptoms in yourself, it is imperative to consult a proctologist – most likely, you have hemorrhoids:
- heaviness in the anus;
- bleeding, blood in the stool;
- pain sensations;
- prolapse of hemorrhoids (with external hemorrhoids).
90,062 itching and burning;
If you find symptoms, you should immediately contact a proctologist, otherwise you will not be able to avoid chronic hemorrhoids
Symptoms of acute hemorrhoids
Acute hemorrhoids are an exacerbation of a chronic disease. During it, there is a sharp pain that does not go away for a long time, the person’s temperature rises, the appearance of hemorrhoids changes. If the treatment of hemorrhoids is not carried out or is carried out independently and incorrectly, the disease can make itself felt regularly.Moreover, the sensations during acute hemorrhoids are much worse than the primary symptoms of the disease.
The following methods are used in the treatment of hemorrhoids:
- minimally invasive:
– painless laser treatment;
– sclerotherapy: a substance is used that sticks together the walls of the cavernous vessels;
– ligation: latex rings are used, put on the hemorrhoid, which leads to its disappearance.
– radio wave coagulation
- surgical treatment.
Why are our proctologists better than others?
The knowledge and experience of the doctors of our clinic allow us to achieve amazing success in the treatment of proctological diseases.
The Health Clinic has the most modern diagnostic equipment that allows an accurate diagnosis and treatment to begin.
Location in the very center of Moscow, within walking distance from two metro stations.
Convenient time to visit the doctor.
We are working to keep you healthy.
Make an appointment by phones: +7 (495) 961-27-67 and +7 (495) 951-39-09
90,000 How can I get rid of external hemorrhoids?
External hemorrhoids are mostly swollen blood vessels in and around the anus that can cause pain, itching, and bleeding. Fortunately, there are several ways to help get rid of external hemorrhoids. Home treatments, such as sitz baths or the use of medicated creams or ointments, can often help reduce the size of hemorrhoids. Increasing fluid intake and a high-fiber diet often helps prevent recurrence. In more severe cases, surgery may be necessary to remove them completely.
A sitz bath can be both helpful and helpful to get rid of external hemorrhoids.This is a specialized sink designed to be placed on the toilet. It is filled with warm or cold water, depending on individual preference, and the patient sits on it for 15 to 20 minutes to relieve symptoms and reduce hemorrhoids. This process can be repeated several times a day as desired.
Over-the-counter creams and ointments can help get rid of external hemorrhoids as well as relieve some of the unpleasant symptoms associated with the condition. Healing pads or witch hazel can be used on the affected area after a bowel movement to soothe pain and itching. Diet changes are often recommended, as eating more fiber and drinking more fluids can often keep your bowels working properly.This can prevent straining during bowel movements that can cause hemorrhoids, as well as exacerbate unpleasant symptoms in those that already exist.
In some cases, medical attention may be required to get rid of external hemorrhoids. Laser treatments are popular because no stitches are required, which makes the recovery period much shorter.A potential disadvantage of this type of procedure is that it is often necessary to repeat the procedure several times to completely get rid of the hemorrhoids.
Hemorrhoidectomy is a more invasive surgical procedure used to remove external hemorrhoids. The patient usually has to spend several days in the hospital, and significant pain or discomfort can result from this type of procedure. In many cases, a person who has this type of surgery will need to skip several days or weeks of work while recovering.
90,000 Hemorrhoid treatment at home: symptoms, advice and remedies
Sometimes we are faced with such acute problems as hemorrhoids. Of course, all medical portals will tell you in a voice that at the first symptoms you should immediately consult a doctor. But how to proceed if the diagnosis has already been made?
First, let’s clarify what hemorrhoids are.In a sense, every person has it – it is a cushion-shaped collection of veins that lie just under the mucous membranes that line the lower rectum and anus. The condition that most of us call hemorrhoids develops when these veins swell and stretch, like varicose veins in the legs. Because the involved blood vessels must constantly fight gravity in order for blood to return to the heart, some people believe hemorrhoids are part of the price we pay to remain upright creatures.There is another, more comprehensive definition of hemorrhoids. “These are the nodules, swollen veins in the anus and rectum that look like varicose veins,” says the Mayo Clinic. Hemorrhoids can develop inside the rectum (internal) or under the skin around the anus (external).
According to statistics, three out of four adults suffer from this disease from time to time. Hemorrhoids have a number of causes, but often the cause is unknown. Fortunately, there are effective treatments for hemorrhoids.Many people manage to completely get rid of the disease at home, simply by changing their lifestyle.
Symptoms of hemorrhoids
The signs of hemorrhoids depend a lot on the type of hemorrhoid. There are two types of hemorrhoids: internal hemorrhoids, which occurs in the lower part of the rectum, and external hemorrhoids, which develop under the skin around the anus. External hemorrhoids are the most uncomfortable because the skin that covers them is irritated and corroded. If a blood clot forms inside an external hemorrhoid, the pain may be sudden and severe.You may feel or see a lump around the anus. The clot usually dissolves, leaving excess skin (skin mark) that may itch or irritate.
Internal hemorrhoids are usually painless, even if they cause bleeding. For example, you might see bright red blood on toilet paper or dripping down the toilet. Internal hemorrhoids can also prolapse or extend outside the anus, causing several potential problems. When hemorrhoids come out, they can collect small amounts of mucus and tiny particles in the stool, which cause irritation called anal itching.Continuous rubbing to relieve itching will only make the problem worse.
With external hemorrhoids, the swollen veins are near the anus. Its main symptoms are:
Itching or irritation in the anal area.
Pain or discomfort
Swelling around the anus
Internal hemorrhoids lie directly inside the rectum.Usually, these nodules cannot be seen or felt, and they rarely cause discomfort. But straining or irritating during bowel movements can cause:
Bleeding painless during bowel movements. You may notice a small amount of bright red blood on toilet paper or in the closet
Hemorrhoids that push the anus (prolapsed or protruding hemorrhoids), causing pain and irritation
Thrombosed hemorrhoids. If blood accumulates in an external hemorrhoid and forms a clot (thrombus). This, in turn, can lead to severe pain, swelling, inflammation, and the formation of a hard lump near the anus.
Stages of hemorrhoids
When hemorrhoids symptoms develop, there are many treatment options, depending on the situation and the severity of the hemorrhoid. Internal hemorrhoids are classified by the degree of prolapse below the scallop line into the anal canal.
Grade 1: Internal hemorrhoids protrude into the canal, but do not fall out or fall completely.The nodes may bleed.
Grade 2: Hemorrhoids extend beyond the anus when straining due to defecation or flatulence, but spontaneously returns to its original internal position as soon as the tension subsides.
Grade 3: Hemorrhoids can protrude beyond the anal edge without any tension and require the patient to manually push them inward.
When is it time to see a doctor if you suspect hemorrhoids
If you notice minor bleeding or see blood on toilet paper, this is already a reason to see a doctor. But do not assume that rectal bleeding is necessarily a sign of hemorrhoids. It is also common in other, more serious conditions, such as cancer of the rectum or anal canal.
Diagnosis of hemorrhoids
Hemorrhoids can usually be diagnosed based on a simple medical history and physical examination. External hemorrhoids are usually obvious, especially if a blood clot has formed. Your doctor may do a digital rectal exam to check for blood in your stools.She or he may also examine the anal canal using an anoscope, a short plastic tube inserted into the rectum with lighting. If there are signs of rectal bleeding or microscopic blood in the stool, flexible sigmoidoscopy or colonoscopy may be done to rule out other causes of bleeding, such as colorectal polyps or cancer, especially in people over 45.
Causes of hemorrhoids
Traditionally, hemorrhoids are associated with chronic constipation, straining during bowel movements and prolonged sitting on the toilet – all of which interfere with blood flow to and from this area, causing it to unite and dilate the vessels. This also explains why hemorrhoids are common during pregnancy, when the enlarging uterus presses on the veins.
More recent studies show that patients with hemorrhoids tend to have a higher tonicity of the anal canal at rest, that is, anal smooth muscle tends to be tighter than average (even without tension). Constipation exacerbates these problems because straining during bowel movements increases pressure in the anal canal and pushes the hemorrhoids towards the sphincter muscle.Finally, the connective tissues that support and hold hemorrhoids in place can weaken with age, causing the hemorrhoids to bulge and prolapse.
The veins around the anus tend to stretch under pressure and may swell or swell. Hemorrhoids can develop due to increased pressure in the lower rectum caused by:
Straining during bowel movements
Long sitting on the toilet
Chronic diarrhea or constipation
Regular weight lifting
Risk factors for hemorrhoids
With age, the risk of hemorrhoids increases. This is because the tissues that support the veins in the rectum and anus can weaken and stretch. It can also happen during pregnancy: the baby’s weight puts significant pressure on the anal area. By age 50, about half of the population has experienced one or more of the classic symptoms that include rectal pain, itching, bleeding, and possibly prolapse (hemorrhoids that protrude through the anal canal). Although hemorrhoids are rarely dangerous, they can be uncomfortable and even painful.
Complications of hemorrhoids
Complications of hemorrhoids are rare, but sometimes they occur:
Anemia. In rare cases, chronic blood loss from hemorrhoids can cause anemia, in which you don’t have enough healthy red blood cells to carry oxygen to your cells.
Suffocated by hemorrhoids. If the blood supply to the internal hemorrhoids is cut off, the hemorrhoids may be “suffocated”, causing severe pain.
Thrombus. Sometimes a blood clot also forms with thrombosed hemorrhoids. While not dangerous, it can be very painful.
Prevention and treatment of hemorrhoids
The best way to prevent hemorrhoids is to make the stools soft and pass easily through the anal canal. Regardless of the size or tumor of the hemorrhoid, treatment is not required if symptoms are absent.Prevention is perhaps the most effective treatment. Diet and adequate hydration are very important to maintain normal bowel movements. Symptoms of hemorrhoids can occur with hard stools and constipation, as well as with diarrhea and frequent bowel movements. People with constipation may need a high fiber diet, plenty of fluids, and stool softeners. People with too frequent bowel movements may need antidiarrheal medications and dietary adjustments. These preventive measures reduce the stress required to empty your bowels, thereby lowering pressure in your blood vessels and preventing swelling. Internal hemorrhoids always remain bulging or prolapsed and are at risk of thrombosis or suffocation in the event of anal muscle spasm.
Hemorrhoids of the 1st degree are treated symptomatically. A spasm of the anal muscles is possible. A warm sitz bath, sitting in a warm bath for 20 minutes two or three times a day, may help. Avoiding spicy foods can also prevent anal itching. Over the counter medications can be helpful.
To prevent hemorrhoids and reduce their symptoms, follow these tips:
Eat foods high in fiber.Load up on fruits, vegetables, and whole grains. This will soften the stool and increase its volume, which can help avoid the tension that causes hemorrhoids. Add fiber to your diet slowly to avoid gas problems.
Drink plenty of fluids. Desirable six to eight glasses of water and other liquids (not including alcohol) per day to keep the stools soft.
Consider fiber supplements. Most people don’t get enough fiber (20 to 30 grams per day) in their diet. Research has shown that over-the-counter fiber supplements such as psyllium (metamucil) or methylcellulose (citrucel) improve the overall symptoms and bleeding of hemorrhoids.
Don’t strain yourself. Straining and holding your breath when trying to defecate creates increased pressure in the veins of the lower rectum.
Go to the bathroom as soon as you feel the urge.If the urge subsides, your stool may dry out and it will be more difficult for it to pass.
Exercise. Maintain an active lifestyle to prevent constipation and relieve pressure on veins that occurs when standing or sitting for long periods. Exercise can also help you lose weight, which can contribute to the development of hemorrhoids.
Avoid prolonged sitting. Sitting too long, especially on the toilet, puts more pressure on the veins in the anus.
Take a sitz bath. A warm water bath can help relieve itching, irritation and spasm of the sphincter muscle. Pharmacies sell small plastic trays that fit over the toilet seat, or you can sit in a regular warm bath. Most experts recommend a 20-minute sitz bath after each bowel movement (which is difficult to imagine in real life), or at least two or three times a week. After that, try to gently blot the anal area; do not rub or rub hard.You can also use a hair dryer to dry the area.
Look for topical hemorrhoid relief remedies. Over-the-counter hemorrhoid creams that contain a local anesthetic can temporarily relieve pain. Witch hazel wipes are soothing and not harmful. A small ice pack applied to the anal area for a few minutes can also help prevent pain. Finally, sitting on a cushion rather than on a hard surface helps reduce swelling of existing hemorrhoids and prevents new ones from forming.
Top 5 remedies for hemorrhoids
1 Napkins Proctolif, Moscow pharmaceutical factory, Russia
Proctolif wipes are an effective and practical remedy for the prevention of hemorrhoids and skin diseases. Thanks to the active ingredients, Proctolif wipes have a wound-healing, capillary-protective and antipruritic effect and are widely used in proctology for the prevention and complex treatment of hemorrhoids.They eliminate burning, itching, pain, swelling, and heal cracks.
Proctolif wipes are also effectively used in dermatology and relieve inflammation in dermatitis of various etiologies, such as: exudative diathesis, rosacea, diaper rash; skin irritation from aggressive influences (thermal and sunburn, insect bites.
The napkins have a wound-healing, capillary-protective and antipruritic effect.
They prevent exacerbation and relieve inflammation of the rectum with hemorrhoids (eliminate burning, itching, pain, swelling, heal cracks).
They relieve skin inflammation in various dermatological diseases.
No. 2 Ointment for rectal and external use Relief, Bayer, Germany
Ointment with a vasoconstrictor component – phenylephrine. It is prescribed for the external manifestation of the disease, although the use is not excluded for the internal variety of hemorrhoids. The use of Relief ointment is indicated for chronic hemorrhoids and anal fissures.
The ointment has a vasoconstrictor effect by reducing the lumen of blood vessels and helps to eliminate bleeding.
No. 3 Cream for rectal and external use Proctonis, VIS, Russia
Proctonis is a biologically active food supplement. It is not a medicine. Proctonis has a pronounced anti-inflammatory, antispasmodic and hemostatic effect.
Normalizes the work of the gastrointestinal tract.
Eases hemorrhoid pain.
It can be used as a mild laxative.
4 Ointment for rectal and external use Posterisan, Dr. Kade GmbH, Germany
A drug with anti-inflammatory and immunostimulating action for local use.
Cell wall antigens and metabolic products of Escherichia coli in contact with the rectal mucosa and the skin of the anogenital area increase the local tissue resistance to the effects of pathogenic microflora.The drug stimulates the T-system of immunity, phagocytic activity of leukocytes and cells of the reticuloendothelial system, nonspecific factors of immunity, reduces exudation during inflammation, normalizes the permeability and tone of blood vessels, stimulates the regeneration of damaged tissues.
Hydrocortisone, when applied topically, has anti-inflammatory and anti-allergic effects. When applied to the affected surface, it reduces edema, flushing, itching.
# 5 Rectal cream Proctoglyvenol, Novartis Pharma, Switzerland
Combined anti-hemorrhoidal agent.Tribenoside reduces capillary permeability and improves vascular tone, antagonistically affects some endogenous substances that act as mediators in the development of inflammation and pain.
Lidocaine has a local anesthetic effect. The drug causes a rapid relief of the symptoms caused by hemorrhoids (pain, itching and skin tightness).
https: // www.health.harvard.edu/diseases-and-conditions/hemorrhoids_and_what_to_do_about_them
90,000 how to cure hemorrhoids at home quickly
Now, hemorrhoids are one of the most common diseases in the modern world. According to statistics, every third person came across him. The disease is dangerous with strong discomfort, as well as complications. The best solution when symptoms appear is to see a specialist so that he can explain in time how to treat hemorrhoids.However, you can overcome this ailment on your own, subject to certain conditions. Consider how to get rid of hemorrhoids, the causes of the disease and the symptoms.
What is hemorrhoids
Hemorrhoids are the result of impaired blood circulation and inflammation in the choroid plexuses of the rectum. The disease is accompanied by thrombosis, varicose veins and venous sclerosis.Also a frequent complication is active bleeding. Of course, there are many methods on how to remove hemorrhoid bumps at home, more on which below.
Also, many are wondering if hemorrhoids can be cured. In the initial stages, this is much easier to do, and in more advanced cases, the patient will have an operative surgical intervention and a long course of treatment.
Diagnostics of hemorrhoids
There are several methods for detecting this disease:
- Blood test , which will show whether the patient has anemia or a disease that occurs due to regular bleeding.
- Coprogram – analysis of feces. When analyzing feces, it becomes possible to study the contents of metabolic by-products. Thus, a picture emerges of how well food is digested in the stomach. In some cases, in addition to the coprogram, it is necessary to analyze the feces for occult blood. The purpose of this analysis is to identify the presence and intensity of bleeding. Taking an occult blood test requires a certain preparation of the patient. Two or three days before the expected date of the analysis, it is forbidden to use toothpaste, to eat foods that can change the color of feces (for example, beets, pomegranates), in order to prevent errors in decoding the analysis.
- Conducting digital diagnostics is a mandatory step for diagnosing any disease of the rectum. This diagnosis helps to determine with high accuracy the state in which the rectum is currently located. Algorithm of carrying out: the patient takes a knee-elbow position or lies down on one of the sides (knees are attracted to the stomach). Then research is done. On examination, the proctologist can give an objective assessment of the degree of patency of the anal canal, determine in what tone the muscles are.To examine the walls of the anal canal for neoplasms and inflammation, it is palpated.
- Colonoscopy – visual examination using an endoscope. Using this method, the condition of the mucous membranes and the general condition of the rectum is determined.
- Irrigoscopy is an X-ray procedure sometimes performed before a colonoscopy. Before carrying out this procedure, it is necessary to completely clear the rectum from feces.
Basically, these are all methods of diagnosing a disease.Correct definition of the disease is the first step towards how to cure hemorrhoids quickly and permanently.
Symptoms of hemorrhoids
There are three types of the disease: combined, external and internal hemorrhoids. They are caused by different reasons, they differ in course, symptoms and methods of treatment.
Hemorrhoids have the following main symptoms:
- Feeling of not emptying the intestines – a feeling as if a foreign body had appeared in the rectum;
- traces of blood after a bowel movement – from a few smears to visible drops;
- Soreness while walking, running, bowel movement, prolonged sitting;
- prolapse of nodes from the anus, mainly during bowel movements.After the end of the process, they adjust themselves;
- inflammation and maceration of the skin or mucous membranes;
- sometimes the disease can proceed with muted symptoms, periodically there are periods of exacerbation or remission;
- itching and burning.
These are the main signs, below we will analyze specifically the external and internal types, as well as how to cure hemorrhoids in women and men.
Causes of hemorrhoids
The main cause of hemorrhoids is congestion in the veins of the rectum and disruption of the ligaments that support the hemorrhoidal tissue in the anus. Outflow disorders from hemorrhoidal veins can occur due to:
- sedentary lifestyle and physical inactivity – dysfunctions of the body due to limited physical activity;
- chronic respiratory diseases (usually accompanied by prolonged cough;
- cardiovascular pathology;
90,062 unbalanced and unhealthy eating habits;
90,062 bowel disorders – constipation, diarrhea;
90,062 heavy physical labor;
90,062 alcohol abuse;
90,062 natural childbirth;
90,062 tumors of the pelvic organs.
An important note: in order for the above factors to take effect, a person must have a genetic predisposition to hemorrhoids, namely the anatomical features of the anorectal zone, namely, their elasticity and density are inherited from the closest relatives – mothers, fathers, grandparents.
How hemorrhoids and psychosomatics are related
Diseases can arise not only due to external factors, but also due to internal conflicts. Psychologists and esotericists note a close connection between strong emotions and a deterioration in well-being.
The psychosomatics of hemorrhoids, namely the symptoms and course of the disease, is based on the destructive influence of internal states:
- postponing important decisions;
- fear of receiving criticism – stimulates the appearance of paraproctitis;
- internal struggle, unwillingness to do things – the cause of anal fissures;
- unspoken grudge against loved ones;
- refusal to accept their own mistakes – causes inflammation;
- fear of responsibility – spasms;
- heavy thoughts about obstacles – the cause of bleeding;
- Failure to complete cases.
If we consider hemorrhoids according to Louise Hay, for effective treatment you will have to work on your own fears and depressed moods, let go of resentments and experiences.
The author Louise Hay says the following about the psychosomatics of hemorrhoids.
The causes of illness from psychosomatics are:
- fear of parting with a partner;
- inability to express emotions;
- unforgiven strong grievances;
- long lasting anger;
- fear of missing out on opportunities;
- dissatisfaction with past life, accomplishments, decisions.
Psychosomatic causes work the same for both women and men.
Prevention of hemorrhoids
For the prevention of this disease, it is necessary to promptly treat constipation and diarrhea, as well as observe careful hygiene after washing. In addition to these basic requirements, there are a few more rules to follow:
- Drink about 2-3 liters daily;
- Do not eat white flour products;
- eat a balanced diet, it is especially good to eat black bran bread, raw fruits and vegetables, oatmeal.;
- exclude spicy, sweet and fatty foods;
- do exercises;
- Do not abuse laxatives;
- apply phlebotonics twice a year;
- remove anal intercourse from sexual life;
- to do weightlifting.
Following these simple rules, you can protect yourself from illness. However, it is necessary to undergo an examination at least once a year even if there are no tangible symptoms.
External and internal hemorrhoids: treatment
How to cure external hemorrhoids
External hemorrhoids – a type of disease when the varicose vessels of the rectum are below the dentate line.So, how to remove external hemorrhoids, what are the signs and medications.
The first signs of this pathology are soreness, discomfort, itching, which occur during bowel movements (sometimes spontaneously). Symptoms may worsen with excessive exertion, sneezing, vigorous movement, prolonged sitting, and the like.
How to quickly cure external hemorrhoids? Regarding ointments, you need to choose a drug based on natural and synthetic fats.Such medications help to quickly heal painful wounds, stop bleeding, and reduce swelling. The funds create a kind of protective film that envelops the anus and reduces itching. There are pain relievers, wound healing, anti-inflammatory ointments – you need to select them depending on the symptoms. How to quickly cure hemorrhoids at home, the best ointments:
- Levomekol – copes with various inflammations thanks to chloramphenicol. It also heals deep cracks, reduces external edema, and prevents suppuration.The remedy has almost no contraindications, it is used in a course of 5 days, but you need to take a break.
- Hepatrombin – reduces the size of protruding nodes, the drug is developed on the basis of prednisolone. With the help of this remedy, vessels are toned, their walls are strengthened, blood flow is normalized, pain is reduced and microtraumas are reduced. The ointment is rubbed in or injected with a swab. The course of treatment is 1-2 weeks. Contraindications: internal tumors and severe forms of chronic diseases of the gastrointestinal tract.
- Vishnevsky Ointment – heals cracks and abrasions, has a disinfecting and anti-inflammatory effect. It is best used as a compress – apply it to the inflamed area and cover with plastic wrap. You need to keep it for at least two hours.
- Heparin – excellently helps with extensive edema. The remedy relieves inflammation and is an excellent remedy for prolapsed hemorrhoids. The ointment needs to be rubbed into the anus, but you should not use it inside.The course of application is at least a week.
Treatment for external hemorrhoids, which occurs in stages 1-2, includes other methods. For example, tablets:
- Ginkor Fort;
- Cyclo-3 Fort;
- Phlebodia 600.
Treatment at home for hemorrhoids can be carried out with anti-inflammatory and venotonic suppositories. First aid for hemorrhoids at home, in order to reduce pain and prevent thrombosis, is to use suppositories:
Before use, it is better to consult with a specialist about the correctness of the selected product.
How to cure internal hemorrhoids
Internal hemorrhoids is a disease of the veins of the rectum, in which varicose veins are located under the mucous membrane inside the intestinal lumen.
The first signs of internal hemorrhoids are periodic discomfort in the anus. Here it is important to recognize the disease in time, when you can overcome it without resorting to radical measures.
You also need to pay due attention to severe itching and burning, they can be provoked by an inflammatory reaction inside the intestinal walls. Already at the initial stage of internal hemorrhoids, bowel movements are accompanied by painful sensations. They can be aching in nature, burning, or sharp, but gradually subside after emptying. Sometimes the only sign of pathology is minor bleeding from the anus – a consequence of the thinning and fragility of varicose vessels.
How to quickly cure internal hemorrhoids? If hemorrhoids proceed without complications and are at an initial stage, conservative treatment should be used. In this case, pain relievers, wound healing and anti-inflammatory drugs are provided. You can use suppositories Relief, Natalsid, Procto-Glivenol, which have vasoconstrictor and antiseptic properties. If pain is felt in the anus, it is better to use Diclofenac.
What helps with hemorrhoids, in addition to the above funds? If the drugs do not help get rid of the infection, you should resort to minimally invasive methods of removing internal hemorrhoids.Among the advantages of non-surgical methods of treatment, one can single out low trauma, high efficiency, painlessness and absence of a rehabilitation period. So, the most common minimally invasive ways to cure a hemorrhoid lump quickly:
- Cryodestruction – treatment of the affected area of the veins with liquid nitrogen;
- Coagulation is a process during which a current or flow of light energy is exposed to the pathological area of the lower intestine.
- Ligation with latex rings – for large knots.
- Sclerotherapy – injection of a special drug into inflamed veins. The nodes are pulled into the anal canal.
If the disease has spread to stage 3-4, then radical treatment for internal hemorrhoids is applied – surgical. There are two methods:
- Hemorrhoidopexy – hemorrhoids are pulled into the rectum, the vessels feeding them are additionally sutured. The operation is more gentle, it allows you to save the nodes;
- Hemorrhoidectomy is a surgical procedure to remove the nodes, and with them part of the rectum.Despite the complexity and invasiveness, the method is considered the most effective.
All these procedures can be carried out in a day hospital setting; hospitalization of the patient is not required. Such methods help in how to cure hemorrhoids for a man faster.
How to cure hemorrhoids during pregnancy
How to treat hemorrhoids in women during pregnancy: treatment of hemorrhoids during pregnancy, patients of the first group are shown preventive measures (gymnastics, massage, diet) and pay increased attention to perineal hygiene.
Patients in the acute stage are prescribed conservative treatment. The therapy in this case is local – the doctor prescribes an ointment or suppositories to eliminate discomfort. Use only the drugs that your healthcare professional has chosen for you. Do not risk your health and the health of the unborn child.
How to cure hemorrhoids in men
There is no separate treatment purely for the male half of society, you can use medication, surgical or non-surgical – it all depends on the stage of neglect.In any case, you need to use ointments and creams, candles and traditional medicine methods. If symptoms persist, surgery will need to be done.
When hemorrhoids appeared, how to treat it and how long to continue the course – the doctor will tell you. He will also prescribe a special diet:
- Remove spicy, salty, smoked, pickled foods;
- Limit beans, sorrel, fast food, cabbage, turnips black bread – anything that causes bloating;
- Get rid of pasta, chocolate, rice, persimmons, fresh muffins, semolina and other foods that hold the stool together.
Meals are served 6 times a day at the same time, it is desirable to maintain equal intervals. It is better to replace all drinks with clean water.
How to treat hemorrhoids at home
Hemorrhoids: treatment with folk remedies
If a person does not trust medical intervention, you can resort to traditional medicine. All folk remedies for external or internal hemorrhoids can be found in the kitchen cabinet and refrigerator.
So, how to treat hemorrhoids at home quickly and forever using folk methods:
- Plantain : 100 g of dried leaves are ground into powder and mixed with the same amount of butter.This mixture must be put on steam for 30 minutes. The resulting need to drain and cool.
- Yarrow : Mix 100 g of chopped grass with 100 g of badger fat. Further, the algorithm is the same.
- Calendula : A cup of crushed inflorescence is mixed with any fat (about 450 g) and the whole should simmer in a water bath for about 45 minutes. This is followed by filtering and that’s it, the product is ready for use.
- Herb collection of plantain, calendula inflorescences, burdock and hop cones .All components must be crushed separately, take a teaspoon of each component and mix with oil (120 g), put in a water bath.
Ointments are applied only after personal hygiene. After the procedure, it is recommended not to go to the toilet or wash for 30-50 minutes. The active ingredients are absolutely safe for health (only individual allergies).
However, remember that before using folk remedies for hemorrhoids, you must consult your doctor for advice.
How to treat hemorrhoids with trays
In order to achieve maximum effect, several methods can be combined. Treatment of hemorrhoids with folk remedies should complement medical prescriptions, but not run counter to each other. Together with tablets and ointments, you can use regular and steam baths:
- The broth is infused, St. John’s wort, chamomile, onion peel or sage are taken as the basis. The broth is poured into a bath of warm water. One course lasts 10 days.
- Cool water is poured into the basin in such an amount to cover all painful areas. The duration of the procedure is 5 minutes. Cold baths help in the treatment of hemorrhoids at home in the absence of an inflammatory process. Cold allows you to eliminate itching in the anus, reduce irritation.
- A hot broth made from medicinal herbs (sage, chamomile, St. John’s wort) is poured into a deep basin or wide saucepan. The basin is positioned so that steam enters the perineum and anus.The procedure takes up to 10 minutes.
Herbal remedies are considered a natural anti-inflammatory treatment. However, you should not use them with an exacerbation of the disease, the appearance of blood and an infectious lesion (for example, fistulas). In addition to how to treat hemorrhoids at home, if the stage of the disease is initial, you should consult your doctor.
And remember that treating hemorrhoids at home will be more effective if you see a doctor at an early stage of the development of the disease.
The initial fight against hemorrhoids is lifestyle and dietary changes. No matter how a person treats internal hemorrhoids at home, if he does not change his diet, all efforts will be minimized. So, a few tips from experts:
- Consume dairy products and mineral water.
- To wash off with water after each bowel movement – to reduce the inflammatory process and the destruction of infection.Note: the water must not be hot.
- Lead an active lifestyle. For example, give up spending time at the computer and replace it with a walk in the fresh air.
By observing these simple measures, you can reduce the risk of developing hemorrhoids to a minimum and avoid dire consequences.
90,000 4 ways to cure hemorrhoids on your own in 2 days
External hemorrhoids can be treated independently with home remedies such as warm water baths. Anti-inflammatory drugs or ointments can also be helpful with treatment to relieve pain and discomfort by quickly reducing hemorrhoids.
When the hemorrhoids are very large or occur frequently, the proctologist may insist on surgery, but as a rule, home remedies are quite effective and have a long lasting effect.
How to cure hemorrhoids on your own in 2 days
1. Make a warm water bath
Warm water helps to relieve inflammation and pain, treatment time 15 to 20 minutes The bath can be used as many times as necessary.Medicinal plants such as chamomile, lavender, arnica, witch hazel can be added to the water as these plants help relieve pain after a few minutes.
2. Eat more fiber and drink more water
A diet rich in fiber and about 2 liters of water per day helps to regulate intestinal transit and softens stools, making bowel movements easier. This is why it is imperative to add fiber to all the meals you make on these two days.
The strategy is to eat fiber-rich foods such as figs, oats and the like, but you can also add a water-soluble fiber called Metamucil, which is available from the pharmacy.Simply mix 1 tablespoon of this powder in a glass of water, soups, or juices and can be consumed a maximum of 3 times a day. It is important to drink 2 liters of water a day unless you want the opposite effect to what you would expect with increased fiber intake. Without enough water, you will end up with constipation, which will only make your hemorrhoids worse.
3. Use Hemorrhoid Cream
Proctosedil and Fleming’s ointment are good remedies and can be prescribed by a pharmacist, proctologist, or general practitioner.These ointments help reduce the size of hemorrhoids and relieve pain in a few minutes.
4. Take pain relievers or anti-inflammatory drugs
Paracetamol or ibuprofen may be used under medical direction to relieve swelling and pain caused by hemorrhoids. But if the person follows the previous three tips, you probably won’t need to take these medications. Diabetics should only use hemorrhoid medications under medical supervision.
As a rule, external hemorrhoids are removed immediately after taking a warm bath and anti-inflammatory ointment and disappear within 2-3 days, if all recommendations are followed. In the most serious cases, when there is no improvement in symptoms, surgery may be required.
See also We treat hemorrhoids at home
Care during treatment
Care must be taken during treatment:
• Avoid using toilet paper, washing the anal area with soap and water after a bowel movement;
• Do not lift heavy objects;
• Do not eat very spicy and spicy foods;
• If required, you can use a ring cushion with a hole in the center for seating.
Another important condition for successful treatment is not to push when having a bowel movement, as this increases the risk of hemorrhoid proliferation.
Surgery for external hemorrhoids
Surgery for external hemorrhoids is indicated only in the most severe cases where the hemorrhoid enters the anus or bursts. As a rule, with the use of ointments, warm baths and proper nutrition, external hemorrhoids disappear.
However, if the operation was still performed, after the operation, the person should continue to saturate food with fiber and avoid effort during emptying in order to prevent the appearance of new hemorrhoids.
Signs of recovery
Signs of improvement in external hemorrhoids include pain relief, especially when sitting and emptying, as well as decreased swelling of hemorrhoids and decreased or disappearance of blood in the stool. The fact that a person stops feeling hemorrhoids means that the treatment was successful.
Signs of deterioration
Signs of worsening external hemorrhoids include increased pain, mainly when sitting or emptying, swelling of the bumps, increased amount of blood in the stool.
For more details see Hemorrhoids: what is it, causes, symptoms and methods of treatment
90,000 ➤Hemorrhoid treatment prices in Zaporozhye => hemorrhoids treatment >>> the cost of hemorrhoids treatment in Zaporozhye
Hemorrhoids is an inflammation of the vessels of the rectum, in which there is an increase in the arteriovenous corpora cavernosa, periodic bleeding from the anal canal and, as a result, prolapse of the rectum. In this case, it becomes necessary to undergo hemorrhoid treatment in Zaporozhye.The anal canal is very well supplied with blood by the arteries. The latter, in turn, are divided into arterioles and capillaries.
In people who suffer from hemorrhoids, the blood flow exceeds the outflow
Under the influence of various factors, such as heavy physical activity, a sedentary lifestyle, pregnancy, alcoholism, tobacco smoking, the outflow of blood worsens, which in turn leads to the formation of hemorrhoids. The latter consist of cavernous formations (air cavities).Constant excess pressure and blood volume over time leads to rectal prolapse and bleeding.
Signs and types of hemorrhoids
The anal canal is fed by two types of nerves:
- visceral (above the dentate line)
- somatic (below the dentate line)
Visceral nerves are not sensitive to pain only to increased pressure – therefore they do not hurt.
Internal hemorrhoids in the early stages may not bother you.The patient cannot see it on his own, he can only feel a feeling of discomfort and itching in the anal canal, as well as traces of blood on toilet paper after an act of defecation or bleeding from the anal canal.
External hemorrhoids – on the contrary, with inflammation, it is sharply painful and enlarged hemorrhoids are visible around the anal ring.
There are acute and chronic hemorrhoids
Chronic hemorrhoids are characterized by the release of scarlet blood during the act of defecation, dull pain in the anus, itching in the anal ring, prolapse of external and internal hemorrhoids.
With acute hemorrhoids, a sharp pain in the anus is added to everything else.
Treatment of hemorrhoids, especially acute hemorrhoids, should be started with conservative therapy. In this case, anti-inflammatory drugs, pain relievers and phlebotonic drugs are used. After the acute inflammation subsides, surgical or minimally invasive treatment is required.
Methods of treatment of hemorrhoids in Zaporozhye
Chronic hemorrhoids have 4 stages of the course, which are diagnosed at an appointment with a qualified proctologist:
- stage – the release of blood without prolapse of hemorrhoids.
- stage – prolapse of hemorrhoids, which can self-adjust
- – loss of nodes, followed by the need for manual reduction.
- – loss of nodes without the possibility of their reverse reduction.
Patients of the 1st 2nd 3rd stage of hemorrhoids are recommended to treat hemorrhoids with minimally invasive methods, such as:
- latex ring ligation,
- Dearterialization of blood vessels.
Ligation with latex rings – used to treat only internal hemorrhoids 1-2 stages. A latex ring is installed on the hemorrhoidal node using a special tool, which stops the supply of the vascular pedicle of the node. Later, within 7 days, the ring is rejected along with the hemorrhoid.
The disadvantage of this technique: treatment of only internal hemorrhoids requires more than one session of the procedure and, in rare cases, hemorrhoidal thrombosis occurs.
Sclerotherapy – a special sclerosing drug is used, which is injected into the hemorrhoidal node and causes adhesion of the feeding vessel in it.
The disadvantage of this technique: the introduction of sclerosant in one procedure in no more than two nodes. It is also possible to repeat the procedure in 2-3 weeks.
“Dearterialization is the most progressive method of hemorrhoid treatment today”
The method includes painless treatment of external and internal chronic hemorrhoids of the 1st, 2nd, 3rd stages in one session.Using a special instrument THD, under Doppler control, an artery is found that feeds the hemorrhoid and the artery is ligated. This method provides the greatest adequacy and effectiveness of this technique. The rehabilitation period is one day. On the second day, the patient leads a normal life.
Surgical treatment of hemorrhoids – used for the treatment of the 3rd and 4th stages of hemorrhoids. In this case, hemorrhoids are excised with stitching of the supplying leg of the vessel.The postoperative period of surgical treatment of hemorrhoids takes up to 3 weeks.
Interview with a doctor of the highest category V.V. Tropeshko – About methods of treatment of hemorrhoids
Prices for the treatment of hemorrhoids in Zaporozhye
No. p \ n
overlay latex rings
2500 UAH one ring
Operation dearterilization of hemorrhoids
2 8 000 UAH
Treatment of anal fissures
Treatment of Epithelial coccygeal cyst
Removal of a thrombosed external hemorrhoid
UAH 2500 ( single node )
Removal of seams
Departure dressing at home
for 1 day
For one day – 6 00 UAH
Up to 12 hours – 300 UAH.