Inflamed External Hemorrhoids: Causes, Symptoms, and Treatment Options
What are the main causes of inflamed external hemorrhoids. How can you identify the symptoms of external hemorrhoids. What are the most effective treatments for inflamed external hemorrhoids. Are there any risks associated with external hemorrhoids. How can you prevent external hemorrhoids from occurring.
Understanding External Hemorrhoids: What You Need to Know
External hemorrhoids are a common condition affecting millions of people worldwide. These inflamed veins form tender bumps beneath the skin surrounding the anus, causing discomfort and sometimes pain. Unlike their internal counterparts, external hemorrhoids are visible and palpable, making them easier to identify but potentially more bothersome in daily life.
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), hemorrhoids affect approximately 1 in 20 Americans, with the prevalence increasing to about 50% in individuals over 50 years old. This high incidence rate underscores the importance of understanding the causes, symptoms, and treatment options for external hemorrhoids.
The Root Causes of Inflamed External Hemorrhoids
External hemorrhoids develop due to various factors, often related to increased pressure in the anal and rectal area. Some of the primary causes include:
- Straining during bowel movements
- Prolonged sitting on the toilet
- Weakened support tissues (often age-related)
- Pregnancy
- Obesity
- Heavy lifting
- Low-fiber diet leading to constipation
Why do these factors contribute to hemorrhoid formation? The increased pressure and strain on the anal and rectal veins cause them to become dilated and inflamed. In some cases, blood may clot within these protruding vessels, forming a thrombosed hemorrhoid, which can be particularly painful.
Genetic Predisposition and Lifestyle Factors
Is there a genetic component to external hemorrhoids? Research suggests that if your parents have experienced hemorrhoids, you may be at a higher risk of developing them. However, lifestyle factors play a significant role in their onset and severity.
For instance, individuals with sedentary jobs or those who frequently engage in heavy lifting may be more prone to developing external hemorrhoids. Similarly, pregnant women often experience hemorrhoids due to the increased abdominal pressure and hormonal changes associated with pregnancy.
Recognizing the Symptoms of External Hemorrhoids
Identifying external hemorrhoids is crucial for timely treatment and relief. The symptoms can vary in severity but often include:
- One or more tender, blue-colored lumps near the anus
- Itching or irritation around the anal area
- Aching or pain, especially when sitting
- Bleeding during bowel movements
- Swelling around the anus
- Difficulty maintaining anal hygiene
How can you differentiate external hemorrhoids from other anal conditions? While these symptoms are characteristic of external hemorrhoids, it’s important to note that other conditions, such as anal fissures or skin tags, may present similar symptoms. Therefore, a proper medical diagnosis is essential for accurate treatment.
When to Seek Medical Attention
While many cases of external hemorrhoids resolve on their own, certain symptoms warrant immediate medical attention. These include:
- Persistent bleeding during bowel movements
- Severe pain that doesn’t respond to home treatments
- Large, painful lumps that don’t improve with conservative measures
- Changes in bowel habits or stool color
In these cases, consulting a healthcare professional can help rule out more serious conditions and provide appropriate treatment options.
Diagnosing External Hemorrhoids: What to Expect
When you visit a doctor for suspected external hemorrhoids, what can you expect during the examination? The diagnostic process typically involves:
- A detailed medical history and symptom review
- A physical examination of the anal area
- A digital rectal exam to check for internal abnormalities
- Possibly an anoscopy for a more detailed internal view
In cases of rectal bleeding, your doctor may recommend additional tests such as a sigmoidoscopy or colonoscopy to rule out other potential causes, including colorectal cancer.
Advanced Diagnostic Techniques
Are there any new diagnostic methods for identifying external hemorrhoids? While the traditional methods remain the gold standard, some clinics are now using advanced imaging techniques like endoanal ultrasound or MRI to get a more detailed view of the anal and rectal anatomy. These methods can be particularly useful in complex cases or when planning surgical interventions.
Effective Treatment Options for Inflamed External Hemorrhoids
The treatment of external hemorrhoids often begins with conservative home remedies. These may include:
- Sitz baths (warm water soaks)
- Over-the-counter pain relievers (e.g., ibuprofen, acetaminophen)
- Topical treatments (e.g., witch hazel, hydrocortisone creams)
- Cold compresses to reduce swelling
- Increased fiber intake and hydration to soften stools
How effective are these home remedies? Many people find significant relief from these conservative measures, with symptoms often improving within a few days to a week. However, for more severe or persistent cases, medical interventions may be necessary.
Medical and Surgical Interventions
When home treatments prove insufficient, what medical options are available? Healthcare providers may recommend:
- Prescription-strength topical medications
- Rubber band ligation (for prolapsed hemorrhoids)
- Sclerotherapy (injection of a solution to shrink hemorrhoids)
- Infrared coagulation
- Hemorrhoidectomy (surgical removal of hemorrhoids)
- Stapled hemorrhoidopexy (for internal hemorrhoids that have prolapsed)
The choice of treatment depends on the severity of the hemorrhoids, their impact on quality of life, and the patient’s overall health status.
Potential Risks and Complications of External Hemorrhoids
While external hemorrhoids are generally not life-threatening, they can lead to complications if left untreated. Potential risks include:
- Thrombosis (blood clot formation within the hemorrhoid)
- Infection of the surrounding skin
- Anemia due to chronic bleeding
- Strangulation of prolapsed hemorrhoids
- Difficulty with bowel movements and hygiene
How common are these complications? While serious complications are relatively rare, they underscore the importance of proper care and timely treatment of external hemorrhoids.
Long-term Health Implications
Can external hemorrhoids have long-term health effects? In most cases, properly treated hemorrhoids do not lead to long-term health issues. However, chronic hemorrhoids can impact quality of life, causing discomfort and potentially leading to social and psychological distress. Additionally, recurrent hemorrhoids may indicate underlying health issues that require attention, such as chronic constipation or inflammatory bowel disease.
Preventing External Hemorrhoids: Lifestyle Changes That Make a Difference
Prevention is often the best approach when it comes to external hemorrhoids. Key preventive measures include:
- Maintaining a high-fiber diet
- Staying well-hydrated
- Regular exercise to promote healthy bowel function
- Avoiding prolonged sitting or straining during bowel movements
- Practicing good toilet habits (e.g., not spending excessive time on the toilet)
- Managing weight to reduce pressure on the anal area
How effective are these preventive measures? While they may not guarantee complete prevention, these lifestyle changes can significantly reduce the risk of developing external hemorrhoids and minimize the severity of symptoms if they do occur.
Dietary Considerations for Hemorrhoid Prevention
What specific dietary changes can help prevent external hemorrhoids? A diet rich in fiber is crucial. Good sources of fiber include:
- Whole grains
- Fresh fruits and vegetables
- Legumes
- Nuts and seeds
Additionally, limiting processed foods and those high in saturated fats can contribute to overall digestive health and reduce the risk of constipation, a common precursor to hemorrhoids.
Living with External Hemorrhoids: Coping Strategies and Quality of Life
For individuals dealing with recurrent or chronic external hemorrhoids, developing effective coping strategies is essential. Some helpful approaches include:
- Using soft, unscented toilet paper or wet wipes
- Wearing loose-fitting, breathable clothing
- Avoiding irritating soaps or products in the anal area
- Practicing stress-reduction techniques to minimize tension in the anal area
- Maintaining open communication with healthcare providers about symptoms and concerns
How can individuals maintain a good quality of life despite hemorrhoids? By combining these coping strategies with proper medical care and lifestyle adjustments, many people successfully manage their symptoms and maintain a high quality of life.
Emotional and Psychological Aspects
What about the emotional impact of living with external hemorrhoids? It’s important to acknowledge that hemorrhoids can cause embarrassment and anxiety for some individuals. Support groups, either online or in-person, can provide a valuable platform for sharing experiences and coping strategies. Additionally, if hemorrhoids are significantly impacting mental health, consulting with a mental health professional may be beneficial.
In conclusion, while external hemorrhoids can be uncomfortable and sometimes painful, they are a manageable condition. With proper understanding, preventive measures, and treatment options, individuals can effectively address this common health issue and maintain their overall well-being. Remember, if you’re experiencing persistent or severe symptoms, it’s always best to consult with a healthcare professional for personalized advice and treatment.
Causes, Symptoms, Risks, Treatments, and More
You may develop external hemorrhoids from straining during a bowel movement or pregnancy. Treatment can include topical products and using a cold compress. Severe hemorrhoids may need medical intervention.
You’ve probably heard of hemorrhoids, also called piles. They are inflamed veins that cause lumps around your anus, and they can be quite painful.
Hemorrhoids can be internal or external, and it’s possible to have both types at the same time.
- External hemorrhoids occur under the skin surrounding your anus.
- Internal hemorrhoids happen inside your anus and rectum.
Both types often go away on their own, but sometimes require medical intervention.
Hemorrhoids are common, affecting about 1 in 20 people in the United States overall and about half of people over age 50, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
They also tend to happen more often in certain people, including pregnant people and those who frequently strain while pooping.
External hemorrhoids are when one or more tender bumps form beneath the skin surrounding your anus. These are dilated blood vessels that have become so enlarged that they protrude.
Blood may clot, or thrombose, inside the protruding blood vessel. This can form a hard lump and cause considerable pain in some cases.
External and internal hemorrhoids are caused by many of the same factors. These include:
- Straining while pooping. The most common cause of external hemorrhoids is repeated straining while having a bowel movement. This is often caused by severe cases of constipation or diarrhea. Straining makes blood pool in the area.
- Sitting on the toilet for a long time. This can also put pressure on the tissues around your rectum and anus.
- Weakened support tissues. As you age, the tissues tend to weaken around the anus and rectum.
- Pregnancy. Pregnant people may also be at an increased risk of hemorrhoids because of the increased pressure of the abdomen on these veins.
- Obesity. Having excess weight has been associated with having hemorrhoids.
- Heavy lifting. You may have a higher risk of hemorrhoids if you frequently lift heavy objects.
- Not eating enough fiber. A low fiber diet may lead to constipation, which can cause hemorrhoids.
A range of symptoms can affect a person with external hemorrhoids. Symptoms vary depending on the severity. Some of the symptoms that you may have include:
- one or more tender, blue-colored lumps on the skin near the opening of the anus
- itching around the anus or rectal area
- aching or pain around your anus, particularly within 24 to 48 hours of onset and when you’re sitting down
You may notice bleeding when you’re using the toilet. This includes seeing blood on toilet paper or in the toilet. Lumps around the anus may feel as if they are swollen. Larger external hemorrhoids may make it difficult to keep the anal area clean.
These symptoms may also occur because of other conditions. If you experience them, you should schedule an exam with your doctor.
Symptoms of external hemorrhoids may go away after a few days, according to the NIDDK. The body usually gradually reabsorbs the hemorrhoid over time.
If your parents have had hemorrhoids, you may be more likely to have them as well. Hemorrhoids may also be more likely to happen during pregnancy.
As we age, hemorrhoids can occur due to increased pressure caused by sitting a lot. And anything that causes you to strain during bowel movements can lead to external hemorrhoids.
A healthcare professional may be able to help you determine the cause of your hemorrhoids.
To diagnose external hemorrhoids, a doctor will ask about your health history and symptoms. They will also likely do a physical exam.
In the case of external hemorrhoids, they will generally be able to see the hemorrhoids by examining the area around your anus.
They may also perform a digital rectum exam and anoscopy to check for issues inside your anal canal and rectum, including internal hemorrhoids.
During a digital rectal exam, your doctor will insert their gloved, lubricated finger into your anus. They’ll be able to feel abnormalities inside.
During an anoscopy, the doctor will insert a device called an anoscope into your rectum that allows them to see abnormalities.
If you also have rectal bleeding, your doctor will likely request that you get a sigmoidoscopy or colonoscopy to rule out colorectal cancer. These methods will also detect any internal hemorrhoids.
In most cases, people treat external hemorrhoids at home and they go away on their own.
They typically don’t require medical treatment unless they’re causing you a lot of pain or are very enlarged, according to experts.
If you’re experiencing pain, your doctor may recommend using over-the-counter (OTC) pain relief medications, such as ibuprofen, acetylsalicylic acid (ASA), or acetaminophen.
Home remedies
You can use at-home treatments to help with hemorrhoids.
Here are a few safe at-home remedies for hemorrhoids to try:
- Cold compress. Wrap ice in a cloth and apply it to the hemorrhoid for periods of no more than 15 minutes at a time. This can significantly reduce swelling and pain.
- Sitz bath. This is essentially soaking your bottom in warm water. Some people use a small tub designed to fit over your toilet, which you can fill with a couple of inches of warm water and sit in several times a day to help sooth hemorrhoids. Some people add unscented Epsom salts to the water.
- Topical ointments or wipes. Some people use ointments or soothing wipes made with naturally derived ingredients, such as witch hazel and aloe vera, to help reduce hemorrhoid swelling and pain. However, many of these products need more research on their effectiveness.
- OTC creams. Preparation H and other OTC topical medications may also help.
Contact a healthcare professional if you’re experiencing a lot of pain, if symptoms haven’t gone away after 1 week of treatment at home, or if you’re experiencing bleeding from your rectum.
Medical treatments
If you have a more severe case of external hemorrhoids, your doctor may suggest a surgical procedure called a hemorrhoidectomy. This is the removal of an external hemorrhoid using a laser, scalpel, or cautery device.
Your healthcare professional will likely use a local anesthetic for this procedure, depending on the situation and your needs.
If you have internal hemorrhoids, healthcare professionals may use additional or different methods for surgical treatment.
Healthcare professionals will sometimes recommend prescription medications for external hemorrhoids. These include:
- topical nitroglycerin — 0.4% ointment
- topical nifedipine
- an injection of botulinum toxin (Botox) into the anal sphincter
Here are some steps you can take to prevent hemorrhoids:
- Avoid straining to poop. This includes avoiding sitting on the toilet for long periods of time.
- Take measures to prevent constipation. This includes eating high fiber foods, drinking lots of water, and taking fiber supplements, stool softener, or laxatives. Here are more solutions you can try at home for preventing constipation.
- Avoid heavy lifting. Try not to strain yourself.
- Ask for professional advice if you’re at higher risk. Speak with a healthcare professional if you’re at higher risk of constipation or hemorrhoids, such as if you’re pregnant, have a compromised immune system, or are taking medications to reduce blood clotting.
External hemorrhoids are a common condition. They often go away on their own within a few days or weeks as the body reabsorbs the blood clot within the protruding blood vessel.
In severe cases of external hemorrhoids, healthcare professionals may recommend surgical removal.
If an external hemorrhoid goes away on its own, it may leave a skin tag behind, which you may want to have removed as well.
Causes, Symptoms, Risks, Treatments, and More
You may develop external hemorrhoids from straining during a bowel movement or pregnancy. Treatment can include topical products and using a cold compress. Severe hemorrhoids may need medical intervention.
You’ve probably heard of hemorrhoids, also called piles. They are inflamed veins that cause lumps around your anus, and they can be quite painful.
Hemorrhoids can be internal or external, and it’s possible to have both types at the same time.
- External hemorrhoids occur under the skin surrounding your anus.
- Internal hemorrhoids happen inside your anus and rectum.
Both types often go away on their own, but sometimes require medical intervention.
Hemorrhoids are common, affecting about 1 in 20 people in the United States overall and about half of people over age 50, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
They also tend to happen more often in certain people, including pregnant people and those who frequently strain while pooping.
External hemorrhoids are when one or more tender bumps form beneath the skin surrounding your anus. These are dilated blood vessels that have become so enlarged that they protrude.
Blood may clot, or thrombose, inside the protruding blood vessel. This can form a hard lump and cause considerable pain in some cases.
External and internal hemorrhoids are caused by many of the same factors. These include:
- Straining while pooping. The most common cause of external hemorrhoids is repeated straining while having a bowel movement. This is often caused by severe cases of constipation or diarrhea. Straining makes blood pool in the area.
- Sitting on the toilet for a long time. This can also put pressure on the tissues around your rectum and anus.
- Weakened support tissues. As you age, the tissues tend to weaken around the anus and rectum.
- Pregnancy. Pregnant people may also be at an increased risk of hemorrhoids because of the increased pressure of the abdomen on these veins.
- Obesity. Having excess weight has been associated with having hemorrhoids.
- Heavy lifting. You may have a higher risk of hemorrhoids if you frequently lift heavy objects.
- Not eating enough fiber. A low fiber diet may lead to constipation, which can cause hemorrhoids.
A range of symptoms can affect a person with external hemorrhoids. Symptoms vary depending on the severity. Some of the symptoms that you may have include:
- one or more tender, blue-colored lumps on the skin near the opening of the anus
- itching around the anus or rectal area
- aching or pain around your anus, particularly within 24 to 48 hours of onset and when you’re sitting down
You may notice bleeding when you’re using the toilet. This includes seeing blood on toilet paper or in the toilet. Lumps around the anus may feel as if they are swollen. Larger external hemorrhoids may make it difficult to keep the anal area clean.
These symptoms may also occur because of other conditions. If you experience them, you should schedule an exam with your doctor.
Symptoms of external hemorrhoids may go away after a few days, according to the NIDDK. The body usually gradually reabsorbs the hemorrhoid over time.
If your parents have had hemorrhoids, you may be more likely to have them as well. Hemorrhoids may also be more likely to happen during pregnancy.
As we age, hemorrhoids can occur due to increased pressure caused by sitting a lot. And anything that causes you to strain during bowel movements can lead to external hemorrhoids.
A healthcare professional may be able to help you determine the cause of your hemorrhoids.
To diagnose external hemorrhoids, a doctor will ask about your health history and symptoms. They will also likely do a physical exam.
In the case of external hemorrhoids, they will generally be able to see the hemorrhoids by examining the area around your anus.
They may also perform a digital rectum exam and anoscopy to check for issues inside your anal canal and rectum, including internal hemorrhoids.
During a digital rectal exam, your doctor will insert their gloved, lubricated finger into your anus. They’ll be able to feel abnormalities inside.
During an anoscopy, the doctor will insert a device called an anoscope into your rectum that allows them to see abnormalities.
If you also have rectal bleeding, your doctor will likely request that you get a sigmoidoscopy or colonoscopy to rule out colorectal cancer. These methods will also detect any internal hemorrhoids.
In most cases, people treat external hemorrhoids at home and they go away on their own.
They typically don’t require medical treatment unless they’re causing you a lot of pain or are very enlarged, according to experts.
If you’re experiencing pain, your doctor may recommend using over-the-counter (OTC) pain relief medications, such as ibuprofen, acetylsalicylic acid (ASA), or acetaminophen.
Home remedies
You can use at-home treatments to help with hemorrhoids.
Here are a few safe at-home remedies for hemorrhoids to try:
- Cold compress. Wrap ice in a cloth and apply it to the hemorrhoid for periods of no more than 15 minutes at a time. This can significantly reduce swelling and pain.
- Sitz bath. This is essentially soaking your bottom in warm water. Some people use a small tub designed to fit over your toilet, which you can fill with a couple of inches of warm water and sit in several times a day to help sooth hemorrhoids. Some people add unscented Epsom salts to the water.
- Topical ointments or wipes. Some people use ointments or soothing wipes made with naturally derived ingredients, such as witch hazel and aloe vera, to help reduce hemorrhoid swelling and pain. However, many of these products need more research on their effectiveness.
- OTC creams. Preparation H and other OTC topical medications may also help.
Contact a healthcare professional if you’re experiencing a lot of pain, if symptoms haven’t gone away after 1 week of treatment at home, or if you’re experiencing bleeding from your rectum.
Medical treatments
If you have a more severe case of external hemorrhoids, your doctor may suggest a surgical procedure called a hemorrhoidectomy. This is the removal of an external hemorrhoid using a laser, scalpel, or cautery device.
Your healthcare professional will likely use a local anesthetic for this procedure, depending on the situation and your needs.
If you have internal hemorrhoids, healthcare professionals may use additional or different methods for surgical treatment.
Healthcare professionals will sometimes recommend prescription medications for external hemorrhoids. These include:
- topical nitroglycerin — 0.4% ointment
- topical nifedipine
- an injection of botulinum toxin (Botox) into the anal sphincter
Here are some steps you can take to prevent hemorrhoids:
- Avoid straining to poop. This includes avoiding sitting on the toilet for long periods of time.
- Take measures to prevent constipation. This includes eating high fiber foods, drinking lots of water, and taking fiber supplements, stool softener, or laxatives. Here are more solutions you can try at home for preventing constipation.
- Avoid heavy lifting. Try not to strain yourself.
- Ask for professional advice if you’re at higher risk. Speak with a healthcare professional if you’re at higher risk of constipation or hemorrhoids, such as if you’re pregnant, have a compromised immune system, or are taking medications to reduce blood clotting.
External hemorrhoids are a common condition. They often go away on their own within a few days or weeks as the body reabsorbs the blood clot within the protruding blood vessel.
In severe cases of external hemorrhoids, healthcare professionals may recommend surgical removal.
If an external hemorrhoid goes away on its own, it may leave a skin tag behind, which you may want to have removed as well.
ᐈ Latex ligation of hemorrhoids ~ Prices 【Left Bank】 Kyiv
No matter how you worry and put off the visit to the doctor “for later”, you will have to treat hemorrhoids. Latex ring ligation is one of the most effective and optimal procedures that helps patients. Such an operation belongs to the category of minimally invasive, because it involves minimal surgical intervention in the patient’s body. Do not worry, pain after ligation will not cause you discomfort if you choose a good doctor and a proven clinic.
Private Clinic “Medichna Dopomoga” offers clients fast and safe removal of hemorrhoids with latex rings, comfortable conditions, the latest equipment and consultations of highly qualified doctors. Our proctologists specialize in this method of treating internal hemorrhoids and have vast experience.
Cost of ligation with latex rings
Proctologists of our clinic
Dyatlov Pavel Borisovich
Proctologist , Surgeon, Pediatric surgeon, Pediatric proctologist
Kovalchuk Vasily Stepanovich
Urologist, Proctologist , Surgeon
Mishchenko Oleg Petrovich
Proctologist , Surgeon
When do you need a latex hemorrhoid ligation
Hemorrhoid exacerbation is the #1 reason when patients go to the proctologist. They experience pain, problems with defecation, bleeding and a number of other unpleasant symptoms of internal hemorrhoids. Some try to get rid of the manifestations of the disease by folk methods, but still sign up to a qualified proctologist over time. Often they rely on medication to get rid of their problem, but due to their negligent attitude to health, self-prescribed ointments, suppositories and creams may not be effective enough. In this case, the latex ring for hemorrhoids becomes the most suitable option.
Ligation is a much better alternative to full operations. This procedure allows you to achieve excellent results without radical intervention, which means that it will be easier for the body to recover. In fact, after a few days, the patient can return to his usual way of life, applying several important settings. In fairness, it should be said that the procedure has some disadvantages: temporary discomfort, slight inflammation and temporary pain. After applying the ring to the hemorrhoids, the patient will feel the presence of a foreign body in the rectum. However, compared with major operations and in the context of recovery, such inconveniences do not matter much.
At the same time, it is worth remembering: an early visit to a specialist, regular preventive measures will prevent the development of hemorrhoids and the patient will not have to undergo an operation. In the context of a sedentary lifestyle and malnutrition, people of all ages need to rationalize their health in order to be a full member of society.
Ligation of internal hemorrhoids with latex rings is suitable for the treatment of hemorrhoids in patients at different stages. This procedure can be effective even in the second and third stages of the disease. In the late form of the development of the disease, such an operation will help if there are no external nodes , otherwise the procedure will be considered useless. The essence of ligation of hemorrhoids with latex rings is that by applying a thin layer of latex to the leg of the hemorrhoid, blood circulation is disturbed in it, which leads to its rejection 2-4 days after the procedure. As a result, due to the gradual cutting of the tissue with a ligature, a stump is formed, which is tightened by the connective tissue.
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How does the ligation of hemorrhoids with latex rings work? Preparation includes examination and anesthesia. The doctor uses an anoscope in his work, through his lumen brings a special vacuum ligator with suction to the target hemorrhoid. Due to the negative pressure in the medical equipment, the doctor grabs the node and draws it under vacuum into the head of the instrument. Observing the increase in pressure and upon reaching an indicator of 0.7-0.8 atmospheres, the surgeon puts a latex ring on the hemorrhoid. This completes the procedure.
Why is latex used to remove hemorrhoids? This material is very elastic, so the rings made from it are thin, small, but strong. Due to the gradual compression of the tissues, a ring only 1 mm wide in 2-4 days compresses the hemorrhoid and contributes to its natural rejection. No scars, invasions of the body and postoperative consequences – the patient recovers quickly.
The duration of the procedure is on average 10-15 minutes per node. This once again confirms that latex ligation of hemorrhoids is a minimally invasive operation, although it is very effective for patients.
How many sessions do you need to completely get rid of hemorrhoids? It all depends on the stage of development of the disease and the number of nodes that need to be ligated. On average, a patient needs 2-3 sessions, because it is recommended to treat one (maximum two) nodes at a time. However, if their size is much larger than the standard, the patient may need a second session in a month.
As a result, the reviews about ligation with latex rings are mostly positive, because this procedure saves patients from the disease in 8 cases out of 10. After the procedure, chronic hemorrhoids also have a positive outcome: the disease recedes in 40% in the third stage and in 15% of patients in the second .
Subsections
Please note!
Treatment of hemorrhoids with latex rings is performed without the use of intravenous anesthesia. This greatly increases the situations in which such a procedure can be applied. For example, there are certain groups of patients for whom pain relief is contraindicated or undesirable, for example, pregnant women. With the use of ligation, the treatment of hemorrhoids in patients for whom it was not initially suitable was much simplified.
Preparation for ligation of hemorrhoids
Before the operation, it is mandatory to consult a proctologist, and you also need to undergo an examination and pass a standard set of tests (blood, abdominal ultrasound, fluorography, etc.). After going through all the procedures, the patient needs to start preparing for the procedure two days in advance: give up some products that cause increased gas formation, and carry out a cleansing enema in a day.
Based on these results, the doctor will also choose the best technique for latex ligation of hemorrhoids. At the discretion of the specialist, there are 2 options:
- using a mechanical ligator;
- using a vacuum ligator.
The procedures are very similar, but the second one is much more convenient and easier. Often this method is used if it is possible to use more modern equipment.
Nodule ligation with latex rings cannot be performed if any inflammatory processes are observed in the patient’s body: paraproctitis, anal fissures, etc. In this case, you need to either choose a different method of treating hemorrhoids, or cure an inflammatory disease, and then carry out the procedure.
Proctologist’s consultation at Medichna Dopomoga >
Please note!
In some cases, pain may occur after ligation. This is mainly due to the one-time removal of a large number of nodes (from three or more) or when applying a ligature to the leg of the hemorrhoid at the level of the scallop line, where there are many pain receptors. That is why experienced doctors carry out a phased ligation of internal hemorrhoids with latex rings, the consequences in this case will be minimal. The optimal interval between procedures is at least two weeks.
If the patient develops a pain syndrome that does not go away within a few hours even after taking strong painkillers, the surgeon must perform an emergency operation: cut the superimposed ring and remove it. But no qualified doctor will operate on a patient with the aforementioned diseases, because this is fraught with dangerous complications, such as rectal bleeding.
How to recover from ring ligation
Ligation of hemorrhoids with latex rings is an outpatient method of treating the disease, so the patient will be in the clinic for some time. We have created the necessary conditions in our private hospital so that clients are comfortable before and after the procedure. Additionally, you can always get a consultation from a proctologist and ask him all your questions.
During rehabilitation, the patient must comply with the doctor’s instructions. At a minimum, he is prohibited:
- lift heavy objects;
- take fatty, spicy food, drink alcohol;
- actively go in for sports and go to the gym;
- sit for more than an hour without warming up;
- go to the sauna, bath.
These appointments must be made at least 2-4 weeks after the procedure. According to the statistics, complications after ligation with latex rings do not occur if a qualified proctologist and surgeon were involved in your treatment, and also if all postoperative recommendations were followed. Possible situations that may occur:
- External vein thrombosis . If a patient has a combined form of hemorrhoids, this is a completely natural reaction. To combat thrombosis, the doctor prescribes conservative therapy.
- Rectal bleeding . This is possible during the first stool after surgery, so doctors recommend eating less food the day before and be sure to do a cleansing enema.
- Infections . Such a complication occurs if errors in sterility were made during the operation. In this case, the patient complains of high fever, weakness and other symptoms of general malaise. Therefore, it is better to contact a trusted clinic for hemorrhoid ligation.
Although in very rare cases, latex allergy may occur. The fact is that in the treatment of hemorrhoids, high-quality medical rubber material is used, so such cases are rare and are associated with the individual reaction of the body to it. Latex ligation is used exclusively for internal hemorrhoids, so do not consider this option for treating external hemorrhoids. There are other treatments available for him.
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Effective Treatment & Removal of Hemorrhoids in Kyiv
Now it is rare to find a person who has never heard of hemorrhoids. This problem is known to us either from personal experience or from the stories of friends. The whole essence of this disease is expressed in modern slang, when we say: “This is hemorrhoids” or “Another hemorrhoids”, etc. We use these expressions only to describe an acute, unexpected and unpleasant situation, which, moreover, has a chance of not being resolved in a positive way. This also applies to the disease itself.
The important thing is that you have the ability to cure such a disease as hemorrhoids. Hemorrhoids are inflammation of the hemorrhoidal veins that form knots around the rectum. This disease is characterized by pain syndrome, hemorrhoidal bleeding, formation and prolapse of hemorrhoids. Proctologists and surgeons are engaged in the treatment and elimination of the consequences of this disease.
Cost of treatment/removal of hemorrhoids in Medical Center “Medical Dopomoga”
Proctologists of our clinic
Dyatlov Pavel Borisovich
Proctologist , Surgeon, Pediatric surgeon, Pediatric proctologist
Kovalchuk Vasily Stepanovich
Urologist, Proctologist , Surgeon
Mishchenko Oleg Petrovich
Proctologist , Surgeon
Symptoms of hemorrhoids
Most often, patients put off a visit to the proctologist until better or worse, as they think, times. But you should pay attention that time is against you and you need to visit a proctologist as soon as possible if you have any of the symptoms from the list:
- Enlargement and protrusion of hemorrhoids.
- Pain while walking, sitting, straining to defecate.
- Discomfort, itching, burning, which accompany the patient almost all the time.
- Pain and blood during bowel movements.
- Sensation of incomplete emptying of the bowels.
- Prolapsed hemorrhoids.
What are the types of hemorrhoids? This type of hemorrhoids cannot be seen without special instruments. If this type of hemorrhoids is located near the anus, then it can be detected by palpation. With the advanced form of the disease, these nodes can stretch and fall out. It is these nodes that usually cause bleeding.
External hemorrhoids are inflammation of external hemorrhoids, which do not manifest themselves in a healthy person. Patients pay attention to it more often, since it is characterized by pain and discomfort.
Combined hemorrhoids manifest themselves as the first and second variant, most often it is a complication of an untreated form of internal or external.
A visible increase in nodes, pain when walking, defecation, sitting, discomfort, burning and itching are characteristic of external hemorrhoids.
Discharge of blood during bowel movements, pain and feeling of incomplete emptying of the intestine, prolapse of internal nodes are more often manifested in its internal form. Usually, it is these situations that prompt the patient to seek help.
Methods of treatment of hemorrhoids
Depending on the stage of hemorrhoids, the treatment will be conservative (non-surgical) or radical.
Treatment of hemorrhoids without surgery
Non-surgical treatment of hemorrhoids, depending on its type and degree, is:
- medication
- local
- instrumental.
Non-surgical treatment is justified in cases where problems with the anus have just begun to bother you. Usually, at the appointment with a proctologist, these are patients with grades 1 and 2 of the disease. Non-surgical treatment of hemorrhoids is also used if, for one reason or another, patients with grade 3 or 4 disease are contraindicated in surgical intervention.
In the case of drug treatment, the doctor prescribes phlebotropic drugs. This is the main drug among those that your doctor will prescribe, and their purpose is to increase venous outflow from the veins of the lower extremities, including from hemorrhoids. Since the drugs have their own characteristics of administration, and are also not shown to all patients, it is imperative that they be prescribed by a specialist after examination and history taking.
Local treatment of hemorrhoids is reduced to the use of ointments and suppositories. The principle of action of local drugs is to reduce the pain symptom, relieve inflammation and strengthen the veins. Depending on the composition of the components, they may also have hemostatic, thrombolytic properties. We do not recommend self-administration of external preparations. The expediency of treatment by one or another means is determined by the doctor, since in addition to temporary relief of the patient’s pain symptom, his main task is to prevent the possibility of further development of the disease. Incorrectly selected drugs at an early stage of development of hemorrhoids lead to the progression of the disease and the inevitability of further surgical intervention.
Instrumental treatment of hemorrhoids is latex ligation of hemorrhoids. But it is applicable only for internal hemorrhoids. For the treatment of the second and third stages of internal hemorrhoids, the proctologist will recommend this particular method. This method is the most gentle and worth trying as an alternative to surgery.
Hemorrhoid surgery (surgical method)
Our proctologists work to ensure that patients can quickly and painlessly cure hemorrhoids and not be afraid of recurrence. Therefore, if you suspect hemorrhoids, consult a doctor in order to receive the necessary treatment in a timely manner, especially since most often the treatment is conservative: with the help of drugs and external agents.
The problem with hemorrhoids is that this disease recurs. With age, the situation worsens, since the walls of blood vessels lose their elasticity and, from constant stretching by hemorrhoids, lose some of their functions. Hemorrhoids are the same dilatation of the veins, only we cannot see them and therefore we don’t really bother with them. We are sure that everyone has seen what a neglected form of varicose veins of the lower extremities looks like. This is the most visual representation of varicose veins.
For advanced forms of external hemorrhoids, minimally invasive surgical interventions are used.
Hemorrhoidectomy (full operation to get rid of hemorrhoids) is used in extreme cases.
Remember that a timely visit to the proctologist is the key to a quick and successful recovery. It is a qualified doctor who will advise the treatment of hemorrhoids without surgery or other forms of therapy. The doctor of the highest category in proctology has significant experience in the treatment of diseases of the rectum. The longer you put off a visit to the proctologist, the more chances for a full-fledged operation to remove it.
There are indications that require surgery to remove hemorrhoids. These include:
- combined form of hemorrhoids;
- severe bleeding in hemorrhoids;
- blistering and prolapse of knots;
- advanced stages of hemorrhoids;
- failure of conservative treatment
In these cases, surgical treatment of hemorrhoids is not only the best option, but the only one possible. But if the patient is diagnosed with inflammatory processes in the large intestine of an acute nature, malignant neoplasms, acute infectious diseases, problems with blood clotting, the operation is contraindicated for him. That is why, before surgical treatment, the patient needs to be examined by a proctologist.
How is hemorrhoid surgery performed?
The patient is being examined. The proctologist will prescribe tests and diagnostic procedures that will help to accurately determine the stage of hemorrhoids and choose the most effective method of treatment. In proctology, special equipment is used to diagnose diseases of the rectum.
List of necessary procedures and tests before the operation to remove hemorrhoids:
- complete blood and urine analysis;
- biochemical blood test, including the amount of glucose in the body;
- blood group and Rh factor test;
- analysis of blood coagulation parameters;
- HIV and hepatitis test;
- Wasserman reaction;
- ECG;
- anoscopy;
- Ultrasound of the abdominal organs;
- sigmoidoscopy or colonoscopy;
- fluorography.
If tests reveal pathologies or other contraindications for hemorrhoid surgery, the proctologist will select another form of treatment. Treatment methods will be determined by the doctor depending on the complexity of the disease.
The patient will be given a light diet to reduce irritable bowel, flatulence, and other symptoms that may complicate the operation. It is important that the last meal was not earlier than 12 hours before the procedure, and the patient put a cleansing enema the day before.
Removal of hemorrhoids in the clinic “Medichna Dopomoga” takes place under local anesthesia, so the patient does not experience any discomfort. Proctologists use a radio wave method to remove nodes. This method has proven itself to be atraumatic, after which the recovery period is faster and easier.
Medichna Dopomoga private clinic is one of the best in Kyiv for the treatment of hemorrhoids in adults and children. We carry out a full examination, as well as treatment of hemorrhoids without surgery or surgically (depending on the diagnostic indicators). All tests and necessary examinations can be done in our center.
Please note that most often the first two stages of hemorrhoids can be cured in a stationary mode, but as the disease progresses, only surgery is indicated.
Pay attention!
Prices for hemorrhoid surgery and other forms of treatment depend on many inputs. It is important to take into account the stage of the disease, complications, the patient’s health status and other factors. Therefore, to find out how much the treatment of hemorrhoids costs, the patient will be able only at the appointment with the proctologist after collecting anamnesis and the results of all tests.
Other diseases treated by our proctologists
Subdivisions
Rehabilitation after hemorrhoid surgery
Surgery to remove hemorrhoids is effective, but you should not expect to get rid of all symptoms in one day. Surgery itself is stressful for the body, so it is natural that the patient will feel pain and discomfort after it. On average, the patient fully recovers after surgical treatment of hemorrhoids in one to one and a half months, only after this period the pain of wound healing will pass.
To alleviate unpleasant symptoms after hemorrhoid surgery and during rehabilitation, the patient is prescribed anal baths, suppositories, painkillers. If recovery comes at a normal pace, no other drugs will be needed. But in case of complications or at advanced stages of hemorrhoids, the proctologist will prescribe anticoagulants, venotonics and other drugs to increase the effectiveness of treatment.
О The main recommendations of doctors after removal of external hemorrhoids:
- to observe bed rest for 2 weeks after the operation. The main danger of neglecting this recommendation is that excessive loads can provoke pain, bleeding, and even the re-development of hemorrhoids.
- avoid constipation. Regardless of the cause (malnutrition, hormonal failure or lack of fiber in the body), a violation of the stool leads to strong attempts during bowel movements, and as a result, to a recurrence of hemorrhoids.
- do the right exercises. Physical activity is important for proper blood flow, but it must be properly tailored to the recent surgery. 2 weeks after the operation, the patient should start walking, morning exercises, and, as rehabilitation progresses, move on to other useful exercises. Increased loads and training in the gym are allowed no earlier than 2-3 months after hemorrhoid surgery.
- stick to a diet. It implies fractional nutrition (5-6 meals a day), restriction in fatty, fried, salty foods, exclusion of fixative and gas-producing foods (for example, rice, cabbage, beans). Food should be boiled, baked or stewed, rich in fiber. Doctors recommend eating this way for the first 6-8 weeks after surgery, but ideally, you should always monitor your diet.
- observe the drinking regimen. To establish metabolic processes in the body and avoid stool disorders (constipation), it is important to drink enough fluids. On average, it is 1.5 liters, but in fact it is calculated individually depending on the person’s body weight. According to experts, for every 9 kg of weight you need to drink 0.25 liters of water (1 glass)
During rehabilitation, the patient will need a special pillow in the form of a ring. She will save if he needs to sit for a long time, but the pain does not give such an opportunity.