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Laxative for hemorrhoids: Hemorrhoid Treatment: How to get Rid of Hemorrhoids

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Hemorrhoid Treatment: How to get Rid of Hemorrhoids

Eating a high-fiber diet can help make stools softer and easier to pass, reducing the urge to strain during bowel movements. Fiber is found in fruits, vegetables, whole grains, beans, nuts, and seeds.

The Academy of Nutrition and Dietetics recommends that adult women eat at least 25 grams of fiber each day, and that adult men eat at least 38 grams. (1) When adding fiber to your diet, go slow to avoid problems with excess gas.

If you’re having a hard time getting enough fiber in your diet, you can also take a fiber supplement.

RELATED: 10 High-Fiber Foods to Add to Your Diet

Hemorrhoid Remedies You Can Try on Your Own at Home

There are several steps you can take at home to ease the discomfort caused by hemorrhoids:

  • Take a sitz bath two to three times daily for 15 to 20 minutes. Sit in warm water, covering just your hips and buttocks. This can help reduce itching and irritation. You can take a sitz bath in a few inches of water in a regular tub, but small tubs that fit over toilet seats are also available for this purpose at pharmacies. Following a sitz bath, gently pat the area dry to avoid further irritation. (2)
  • Use ice packs on the area to relieve swelling and pain.
  • Don’t push too hard or strain while passing a bowel movement.
  • Clean your anus after each bowel movement by gently patting (rather than wiping) with moistened pads, such as baby wipes. Using hard, dry toilet paper, which may contain fragrance, can cause further irritation.
  • Keep the area clean by bathing or showering daily with warm water. After bathing, gently pat the area dry. You can even use a hair dryer to dry the area. (2)
  • Sit on cushions rather than hard surfaces to help lessen the swelling of hemorrhoids and keep new ones from forming.
  • Take over-the-counter (OTC) pain relievers, such as acetaminophen, ibuprofen, or aspirin as needed. (3)

RELATED: 6 Easy Ways to Prevent Hemorrhoids

Hemorrhoid Medication: When, Why, and Which Ones to Use

A number of OTC creams, ointments, and pads that contain hydrocortisone or witch hazel are available to help relieve pain, swelling, and itching caused by hemorrhoids. According to the National Institute of Diabetes and Digestive and Kidney Diseases, doctors recommend using over-the-counter products for a week. If symptoms persist beyond a week, follow up with your doctor. (3)

Creams and suppositories containing hydrocortisone can cause the skin to weaken and thin, so they should not be used for more than a week. If any of these creams cause a rash or dry skin around the area, contact your healthcare provider. (2)

A fiber supplement, such as Metamucil (psyllium), or a stool softener, such as Citrucel (methylcellulose), can help prevent constipation.

Avoid laxatives, which can lead to diarrhea and worsen hemorrhoid symptoms.

Medical Procedures for Hemorrhoids That Won’t Go Away

If hemorrhoids don’t go away with home treatments, medical procedures may be necessary.

If you visit your doctor with painful external hemorrhoids — those located around the outside of the anus that are visible from the outside — your doctor may offer to excise them (cut them off) during the office visit. You will be given a shot with a local anesthetic to numb the area before the procedure.

Doctor’s office procedures for internal hemorrhoids — those located inside the rectum — may include:

Rubber Band Ligation This is the most commonly performed hemorrhoid procedure in the United States. (2) In this procedure, which can be used for grades 1, 2, and 3 internal hemorrhoids (grading is based on the appearance of hemorrhoids and their degree of prolapse, or how much they protrude through the anus), the doctor places a small rubber band around the base of the hemorrhoid, which can be done when your doctor performs an anoscopy examination to better visualize the hemorrhoids. The rubber band cuts off the hemorrhoid’s blood supply.

The procedure typically causes the hemorrhoid to shrink and fall off within about a week, though several short visits to your doctor may be necessary to completely get rid of the hemorrhoid. Minor bleeding and a feeling of pressure may occur, but this can usually be alleviated with OTC pain relievers. This procedure is not associated with significant recovery time. (4)

Sclerotherapy In this quick, often painless procedure, the doctor injects a chemical into the hemorrhoidal blood vessel, causing scar tissue to form in order to shrink the hemorrhoid. (3) The principle behind this is the same as rubber band ligation, though it’s not always as effective. This procedure can be used in patients taking blood thinners, for whom rubber band ligation may not be recommended. (4)

Infrared Coagulation In this office-based procedure, the doctor uses an intense beam of infrared light to shrink the hemorrhoid. Heat from the light causes the formation of scar tissue, cutting off the blood supply to the hemorrhoid. (3) This procedure is generally quick and painless, with few complications, but can take several sessions to work completely. (4)

RELATED: 4 Signs Your Hemorrhoids Warrant a Doctor’s Visit

When Hemorrhoid Surgery May Be Necessary

Very few people — fewer than 10 percent of all adults who see a doctor because of symptomatic hemorrhoids — will require a surgical operation. (4)

Surgery to remove hemorrhoids is called a hemorrhoidectomy.

Your doctor may recommend a hemorrhoidectomy if:

  • You have large external hemorrhoids
  • You have both internal and external hemorrhoids
  • An internal hemorrhoid has prolapsed (popped out through the anus)

In a hemorrhoidectomy, the doctor makes a small incision to remove the hemorrhoid and surrounding tissue before closing the wound with stitches.

A hemorrhoidectomy is performed in an operating room and can be done under general anesthesia, in which you are unconscious and unable to feel pain.

It can also be done with a spinal anesthetic block while you are awake (similar to an epidural injection given during childbirth), or with a combination of relaxing and sedating drugs given intravenously (IV) and a local anesthetic injected around the anus.

Hemorrhoidectomy is associated with postoperative pain, but the procedure is successful for 95 percent of cases. (2)

More recently, another option aimed at avoiding the postoperative pain of a hemorrhoidectomy has become available, called a stapled hemorrhoidopexy. A circular stapling device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place. The staples eventually fall out over time. (4)

According to a study published in October 2015 in the journal Techniques in Coloproctology, in the long term, patient satisfaction, resolution of symptoms, quality of life, and functional outcome appeared similar among patients after stapled hemorrhoidopexy and hemorrhoidectomy. (5) But other sources note that stapling has been associated with a greater risk of recurrence and rectal prolapse. (6)

Pain is to be expected following hemorrhoid surgery, and it may take two to four weeks before you’re back to your normal self. Your doctor will likely prescribe you pain medication, and sitting in a sitz bath two to three times a day for 10 to15 minutes can also help. You may experience some bleeding with bowel movements for a few weeks after surgery. If the bleeding doesn’t stop after the bowel movement, call your surgeon. (4)

There are many options for the treatment of hemorrhoids. It’s best to discuss the benefits and risks of each of these with your doctor in order to come up with the treatment plan that is best for your particular case.

Additional reporting by Deborah Shapiro.

Laxatives for Hemorrhoids? – Cochrane for Clinicians

Clinical Question

Are laxatives effective for the treatment of symptomatic hemorrhoids in adults?

Evidence-Based Answer

Fiber has a consistent beneficial effect in the treatment of symptomatic hemorrhoids for up to three months’ follow-up as measured by overall symptoms and bleeding.

Practice Pointers

Hemorrhoid treatment options include medical management, rubber-band ligation, sclerotherapy, coagulation, and surgical hemorrhoidectomy depending on the type of hemorrhoid and the frequency and severity of symptoms. The goal of first-line medical management is to minimize constipation and associated straining. Clinical practice guidelines recommend the use of fiber despite inconclusive evidence about its effectiveness in improving symptoms.

Alonso-Coello and colleagues reviewed the literature and identified seven randomized controlled trials comparing the effectiveness of fiber versus placebo in adults 23 to 71 years of age with symptomatic hemorrhoids. The trials studied several types of fiber including ispaghula husk, Plantago ovata or psyllium, sterculia, and unprocessed bran for a treatment duration of one to 18 months. Study size ranged between 28 and 92 participants with a mean of 50. Six of the seven trials assessed the degree of improvement of individual symptoms (e. g., bleeding, pain, itching, prolapse) or overall symptoms measured at six weeks’ and three months’ follow-up. One study examined rubber-band ligation plus fiber versus rubber-band ligation alone for third-degree hemorrhoids (defined as hemorrhoids that prolapse with straining but are reducible) and measured recurrence rate and the need for repeat procedures at 18 months.

The results of five studies reporting overall symptoms were pooled and showed a 53 percent reduction in the risk of persistent symptoms or lack of improvement. Of those taking fiber, 16 to 40 percent did not improve compared with 23 to 61 percent of those taking placebo. The four studies that reported bleeding as an individual outcome found a trend or a significant difference in favor of the fiber group. Pooled analysis of the two studies evaluating pain or discomfort showed a nonsignificant trend in favor of fiber. Likewise, the pooled analysis of three studies showed a nonsignificant difference between fiber and placebo for persistent pro-lapse. The two studies that evaluated itching did not find a significant difference between the groups. The one study examining rubber-band ligation plus fiber versus rubber-band ligation alone reported that the number of long-term recurrences was fewer overall in the group that received fiber (15 versus 45 percent, respectively) at 18 months’ follow-up.

The most common side effects with fiber were gastrointestinal symptoms, typically starting at the study onset, and these generally were not severe enough for participants to discontinue fiber. The rate of side effects varied considerably among studies, with some studies reporting no side effects and others reporting up to a 50 percent incidence of gastrointestinal bloating.

The American Gastroenterological Association recommends adequate water and fiber intake as the main-stay of medical management and suggests that topical steroids and analgesics also may be useful in relieving hemorrhoidal symptoms.1

JANELLE GUIRGUIS-BLAKE, M. D.

Source

Alonso-Coello P,

et al.
Laxatives for the treatment of hemorrhoids Cochrane Database Syst Rev.
2005;(4):CD004649.

REFERENCE

1. American Gastroenterological Association medical position statement: diagnosis and treatment of hemorrhoids Gastroenterology.
2004;126:1461–2.

Haemorrhoids, Anal Tears & Fissures Treatments

Haemorrhoids are usually an inconvenience that can be treated at home and will usually resolve themselves after a few days. There are some methods to help prevent or relieve the symptoms of haemorrhoids such a avoiding constipation or over-the-counter creams and ointments. For more troublesome symptoms there are various non surgical methods that have proven effective and are less painful than traditional surgeries.

CONSERVATIVE TREATMENTS

Lifestyle and Diet Changes

Being constipated can cause haemorrhoids and irritate them further. It is important to be eating a healthy diet, which includes plenty of fibre and drink plenty of fluids to keep bowel motions soft and regular. Many people will find that by making small changes to their diet and drinking habits, their haemorrhoids will disappear without the need for further treatment. Click to read more on lifestyle and diet.

MEDICINAL

Laxatives

If your haemorrhoids are caused by constipation, over-the-counter laxatives can be used in the short term to help. There are a variety of laxatives available that act in different ways. You can get bulking laxatives such as Fybogel, which work in the same way as increasing fibre in the diet; osmotic laxatives, which work by softening the stool making it easier to pass, and stimulant laxatives such as senna, which encourages peristalsis and stimulates the gut to pass the stool. Make sure that you speak to your local pharmacist or GP about which type of laxative is best for you.

Creams, Ointments and Suppositories

There are many over-the-counter creams, ointments and suppositories that you can buy to help relieve the discomfort and itching of haemorrhoids. Your pharmacist will be able to advise on a suitable treatment to try at home. Some of the topical treatments can also promote tightening to shrink the vessel.

NON SURGICAL

Sclerotherapy

Sclerotherapy involves injecting a solution into the haemorrhoid, which will cut off the blood supply and eventually force the haemorrhoid to shrivel up and disappear.

Banding

Banding involves putting a very tight elastic band around the base of the haemorrhoid to cut off the blood supply. After a week or so, the haemorrhoid should drop off. You will probably not notice this as it will likely happen with a bowel movement.

Infrared Coagulation/ Laser Treatment

This treatment uses infrared light or a laser beam to painlessly burn and seal the haemorrhoid cutting off the blood supply to the vessel. This method is most useful for prolapsed haemorrhoids.

SURGICAL

Haemorrhoidectomy

If your haemorrhoids are very severe, painful and the bleeding is causing an issue then you may be offered surgery to remove them. A haemorrhoidectomy is the traditional method of removing haemorrhoids, which involves cutting open the anus. This operation is done under general anaesthetic and can be quite painful to recover from.

Stapled Haemorrhoidopexy

A stapled haemorrhoidopexy is sometimes used as an alternative to a haemorrhoidectomy. This operation involves stapling part of the anorectum to reduce the blood supply and eventually cause them to shrink. This operation does carry more complications than a traditional haemorrhoidectomy but the recovery the time is quicker.

Haemorrhoidal Artery Ligation

This is an operation done under general anaesthetic to reduce the supply to the haemorrhoids. It involves inserting a small ultrasound probe that emits high frequency waves that allows the surgeon to locate the blood vessels.

THE INFORMATION ON THIS PAGE IS A GUIDE ONLY. IT IS IMPORTANT THAT YOU SPEAK TO YOUR GP OR A QUALIFIED HEALTH PROFESSIONAL BEFORE UNDERTAKING ANY TREATMENTS.

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Hemorrhoids | Gastrointestinal Health

What are hemorrhoids? — Hemorrhoids are swollen veins in the rectum. They can cause itching and pain. Sometimes they can also make you bleed during a bowel movement.

In some cases, you can see or feel hemorrhoids around the outside of the rectum. In other cases, you cannot see them because they are hidden inside the rectum.

Should I see a doctor or nurse? — You should see a doctor or nurse if you have any bleeding or if your bowel movements look like tar. Bleeding could be caused by something other than hemorrhoids, so you should have it checked out.

If you do have hemorrhoids, your doctor or nurse can suggest treatments. But there some steps you can try on your own first.

What can I do to keep from getting more hemorrhoids? — The most important thing you can do is to keep from getting constipated. You should have a bowel movement at least a few times a week. When you have a bowel movement, you also should not have to push too much. Plus, your bowel movements should not be too hard.

Being constipated and having hard bowel movements can make hemorrhoids worse. Here are some steps you can take to avoid getting constipated or having hard stools:

  • Eat lots of fruits and vegetables. They have fiber, which helps to increase bowel movements.
  • Take fiber powders, wafers, or pills. You should get 20 to 35 grams of fiber a day.
  • Take medicines called stool softeners such as docusate sodium (sample brand names: Colace, Dulcolax) or bulk-forming laxatives. Bulk-forming laxatives include psyllium seed (sample brand names: Metamucil, Konsyl), methylcellulose (sample brand name: Citrucel), polycarbophil (sample brand name: FiberCon), and wheat dextran (sample brand name: Benefiber). These medicines increase the number of bowel movements you have. They are safe to take and they can prevent problems later.

What can I do to reduce my symptoms? — Some people feel better if they soak their buttocks in 2 or 3 inches of warm water. You can do this up to 2 to 3 times a day for 10 to 15 minutes. Do not add soap, bubble bath, or anything to the water.

There are also medicines that you can get without a prescription. They are usually creams or ointments that you rub on your anus to relieve pain, itching, and swelling. Some hemorrhoid medicines come in a capsule (called a suppository) that you put inside your rectum. Others come in a cream that comes in a bottle with a nozzle that you put inside your rectum. It is OK to try these medicines. But do not use medicines that have hydrocortisone (a steroid medicine) for more than a week, unless your doctor or nurse approves.

What if the self-care steps do not work? — If you still have symptoms after trying the steps listed above, you might need treatments to destroy or remove the hemorrhoids.

One popular treatment is called “rubber band ligation.” For this treatment, the doctor ties tiny rubber bands around the hemorrhoids. A few days later the hemorrhoids shrink and fall off. The doctor can also use lasers, heat, or chemicals to destroy hemorrhoids. But if none of these options works, there is always surgery to remove the hemorrhoids.

There’s Blood in My Poop… What Now? What to Do When You Have Hemorrhoids

Nearly half of all adults have experienced hemorrhoid symptoms by the time they turn 50. A hemorrhoid is a swollen or enlarged vein in your anus or rectum. While not all hemorrhoids cause symptoms, it’s impossible to ignore it when you have a hemorrhoid that causes burning, itching, and bleeding. Treating a hemorrhoid isn’t difficult, and certain lifestyle changes can also help you prevent hemorrhoids before they develop. Here’s what you need to do when you have a hemorrhoid and when you need to see a doctor.

Hemorrhoid symptoms

Hemorrhoid symptoms can vary depending on the location of your hemorrhoid. Common symptoms of a hemorrhoid can include:

  • Swelling around your anus
  • Irritation or itching on or near your anus
  • Pain or discomfort on or near your anus
  • Fecal leakage
  • Painful bowel movements
  • Bleeding, which is typically painless, during bowel movements. This bleeding might show up on tissue or in the toilet.
  • A lump on or near your anus that’s sensitive or painful

You can develop a hemorrhoid internally (inside your rectum) or externally (around your anus) External hemorrhoids can form blood clots, which causes a thrombosed hemorrhoid — which can be especially painful, but normally goes away without treatment any time from within several days to two weeks.

What Causes Hemorrhoids?

Hemorrhoids are normal part of our anatomy but several risk factors may increase your chances of developing symptoms. These include:

  • Chronic constipation
  • Straining during a bowel movement
  • Physical inactivity or a sedentary lifestyle
  • Heavy lifting
  • Obesity
  • Pregnancy

When to see a doctor

Although a hemorrhoid isn’t a necessarily a serious condition and most symptoms will resolve on their own without intervention, it’s important to see your doctor if your symptoms persist longer than a few days or recur frequently. Bleeding during a bowel movement is usually the most common symptom. However, some conditions or diseases that are more serious, such as colorectal or anal cancer, can mimic the symptoms of a hemorrhoid. Your doctor can help rule these conditions out through a physical exam and additional testing. Your doctor can also help to ease your hemorrhoid symptoms, including excessive bleeding, if they’re painful or don’t improve over time. Call your doctor right away if you’re having excessive rectal bleeding, dizziness, or lightheadedness.

Hemorrhoid treatment

When you have symptomatic hemorrhoids, you have a few different treatment options. Some of them can take place at home, while others need to be overseen by a doctor. These treatment options include:

  • Soaking in a warm tub of water daily can help relieve pain.
  • A warm water bottle may help external hemorrhoid pain.
  • Over-the-counter suppositories or ointments may help relieve pain and itching.
  • A cold compress can help to bring down swelling.
  • Use over-the-counter pain medications such as ibuprofen or acetaminophen for pain relief.
  • Use fiber to add bulk to your stool, which makes bowel movements easier. Eating a diet rich in fiber can also ease symptoms of constipation and help prevent hemorrhoid symptoms.
  • Practice good anal hygiene, cleaning the area daily and wiping well with soft tissue.
  • Drink plenty of water, which can help treat a hemorrhoid and prevent one from forming.
  • Your doctor may recommend a rubber band ligation to cut off the circulation to a hemorrhoid, which shrinks it. Other medical treatments may include an injection therapy called sclerotherapy, in which a physician injects medications to shrink the hemorrhoids.

Rectal Bleeding | Advocare Main Line Pediatrics

Is this your symptom?

  • Blood mixed in with the stool or passed separately
  • Bloody or maroon-colored stools
  • Tarry-black stools
  • Blood just on toilet paper or a few drops into toilet water
  • Streaks on surface of normal formed bowel movement (stool)

Some Basics.

..

  • Rectal bleeding is never normal. However, it is not always serious.
  • Sometimes bleeding can be mild. There may be just a few drops of blood in the stool or blood on the toilet paper. Often this is from hemorrhoids (piles) or a small scratch from a hard stool.
  • Sometimes bleeding can more severe. There may be blood clots, bloody stool or black stool. There can be a number of possible causes. A visit to the doctor is needed.

Causes

Some common causes of rectal bleeding are:

  • Anal fissure: This is a small crack or tear in the skin of the anus. It may result from passing hard stools or from having many diarrhea stools. Symptoms are pain during and right after passing a stool, mild rectal bleeding, and rectal itching.
  • Hemorrhoids: Another name for these is piles. These are enlarged veins that are just inside (“internal”) or outside (“external”) the rectal opening (anus). Two top reasons why people get hemorrhoids are constipation and pregnancy. People with bleeding hemorrhoids often see blood in the toilet water or small amounts of blood on the stool.

Some less common causes of rectal bleeding are:

  • Angiodysplasia
  • Cancer of colon (intestines)
  • Cancer of rectum (anus)
  • Colon polyps
  • Crohn’s Disease
  • Diarrhea
  • Proctitis
  • Pseudomembranous colitis
  • Radiation treatment
  • Rectal foreign object
  • Ulcerative colitis

Types of Rectal Bleeding

  • Bright red blood just on toilet paper: This is least serious. It often means that the bleeding is coming from the rectal opening (anus). The two most common causes of this type of bleeding are hemorrhoids and anal fissures.
  • Bright red blood on the surface of a stool: This often means that the bleeding is from the anus or just inside. This can be caused by hemorrhoids or anal fissures. It can also be caused by more serious problems like cancer and polyps.
  • Blood mixed with a stool: This usually means that there is a disease or problem inside the rectum or higher up in the colon (intestines). Examples are colon cancer, colon polyps, diverticulosis, and ulcerative colitis.
  • Blood mixed with diarrhea: This may be a sign of a more severe colon infection. Other causes of bloody diarrhea are Crohn’s disease and ulcerative colitis.
  • Tarry-black stool: This may be a sign of more severe bleeding from the stomach or esophagus. When the blood passes through the gut and comes out the rectum, it can make the stool look black or tarry. Stomach acid breaks down the blood and turns it black.

Severity of Rectal Bleeding is defined as:

  • Drops, Spots, Streaks: blood on toilet paper or a few drops in toilet bowl; streaks or drops of blood on surface of stool
  • Mild: more than just a few drops or streaks
  • Moderate: small blood clots, passing blood without stool, or toilet water turns red
  • Severe: large blood clots; on and off, or constant bleeding

What can Cause Red or Black Stools… that is Not Blood?

Causes of black-colored stools (not blood) are:

  • Bismuth (Pepto-Bismol)
  • Black licorice
  • Blueberries
  • Dark green stools may sometimes look like black. Put stool on white paper and hold under bright light. Is it green or black? Spinach and other dark vegetables can make stool look dark green.

Causes of red-colored stools (not blood) are:

  • Beets
  • Cranberries
  • Medicines (Omnicef)
  • Red food coloring dyes (red gelatin/Jell-O, red Kool-Aid)
  • Red licorice
  • Tomato juice or soup

When to Call for Rectal Bleeding

Call 911 Now

  • Passed out (fainted)
  • Very weak (can’t stand)
  • Vomiting blood or black (looks like coffee-grounds)
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Moderate rectal bleeding (small blood clots, passing blood without stool, or toilet water turns red)
  • Black (tarry) stools
  • Pale color of skin that is new or getting worse
  • Constant stomach pain lasts more than 2 hours
  • Taking a blood thinner like Coumadin (warfarin) or have a bleeding disorder
  • Colonoscopy within last 3 days
  • You feel weak or very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Mild rectal bleeding (more than just a few drops or streaks)
  • Have had radiation treatment to pelvis or stomach areas
  • Have cancer of colon (intestines) or rectum
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Rectal bleeding lasts more than 3 days
  • Rectal bleeding has been off and on for weeks or months
  • Rectal bleeding recurs 3 or more times while on treatment
  • You have other questions or concerns

Self Care at Home

  • You see a few streaks or drops of blood on surface of stool
  • You see blood just on toilet paper or a few drops in toilet bowl
  • Question about treating constipation

Care Advice

Mild Rectal Bleeding

  1. What You Should Know:
    • Rectal bleeding is never normal. However, it is not always serious.
    • Sometimes bleeding can be very mild. There may be just a few drops of blood in the stool or blood on the toilet paper. Often this is from hemorrhoids (piles) or a small scratch from a hard stool.
    • You can treat very mild rectal bleeding from hemorrhoids, anal fissure, or constipation at home.
    • Here is some care advice that should help.
  2. Warm SITZ Baths Twice a Day:
    • Sit in warm bath water for 20 minutes 2 times each day. This helps clean and heal the rectal area.
    • If you want, you can add ¼ cup (80 grams) of table salt or baking soda to each tub of water. Stir the water until it dissolves.
    • This is also called a Sitz bath.
  3. Stool Softener for Hard Bowel Movements:
    • If you have hard stools, stool softeners can help soften the stool. This can help decrease rectal pain when passing stool.
    • Docusate (Colace) is a stool softener that you can get over-the-counter.
  4. Call Back If:
    • Bleeding increases
    • Bleeding lasts more than 3 days
    • Bleeding is off and on for weeks or months
    • You think you need to be seen
    • You get worse

Constipation

  1. What You Should Know:
    • Trouble passing a stool, hard stools, and infrequent stools are signs of constipation.
    • Healthy living habits can help treat and prevent constipation. Healthy habits include eating a diet high in fiber and regular exercise.
    • You can treat mild constipation at home.
    • Here is some care advice that should help.
  2. Eat a High Fiber Diet:
    • Slowly increase the amount of fiber in your diet. This will help soften your stools. Fiber works by holding more water in your stools.
    • Eat more fresh fruit and vegetables. They are great sources of natural fiber. This includes peas, prunes, citrus, apples, beans, and corn.
    • Eat more foods made from whole grains. Foods made from whole grains also have fiber. Examples are bran flakes, bran muffins, graham crackers, oatmeal, brown rice, and whole wheat bread. Popcorn is also a good source of fiber.
  3. Liquids:
    • Drinking enough liquids is important to keep your stools soft.
    • Drink 6-8 glasses of water a day. Caution: certain medical problems require fluid restriction.
    • Prune juice is a natural laxative.
    • Avoid alcohol.
  4. Exercise:
    • Staying active is always a healthy choice.
    • Regular exercise decreases constipation.
    • Even a daily walk for 15 minutes helps.
  5. Call Your Doctor If:
    • Constipation lasts more than 2 weeks after using Care Advice
    • Stomach swelling, vomiting or fever occur
    • Constant or increasing stomach pain
    • You think you need to be seen
    • You get worse

Over-the-Counter (OTC) Medicines for Constipation

  1. Step-By-Step: A step-by-step approach to using OTC medicines for constipation is best.

  2. Step 1 – Use a Fiber Laxative Every Day:
    • You can take a fiber laxative every day instead of eating more fiber.
    • An example of a fiber laxative is psyllium (Metamucil). You can buy this at the store without a prescription.
    • Fiber can help soften your stools. Fiber works by holding more water in your stools. Be patient. Sometimes this takes 1 to 2 weeks to work.
    • Osmotic Laxatives, as needed: You can take milk of magnesia or polyethylene glycol (PEG, Miralax). This type of medicine helps pull water into your intestines. This softens the stools.
    • Read the instructions and warnings on the package insert for all medicines you take.
  3. Step 2 – Add a Stool Softener:
    • For stools that are more firm or hard, try an over-the-counter stool softener. An example is docusate (Colace, Surfak).
    • These medicines soften stools and make them easier to pass. You can buy them at the store.
    • They may take 1 to 2 days to start working.
    • Read the instructions and warnings on the package insert for all medicines you take.
  4. Step 3 – Use an Osmotic Laxative if Needed:
    • If needed, you can try an osmotic laxative to treat occasional constipation. Examples are polyethylene glycol (PEG and Miralax) and milk of magnesia. You can buy these at the store without a prescription. Another option is to try a glycerine rectal suppository.
    • These medicines help pull water into your intestines. This softens the stools. They often start working in 1 to 2 days. Glycerine suppositories often work within an hour or less.
    • Do not use laxatives for more than 2 weeks unless your doctor instructs you to do this.
    • Caution: do not use milk of magnesia if you have kidney disease.
    • Caution: if you are pregnant, talk to your doctor before using these laxatives.
    • Read the instructions and warnings on the package insert for all medicines you take.
  5. Step 4 – Add a Stimulant Laxative:
    • If the constipation does not get better with the Care Advice in the above 3 steps, add a stimulant laxative. Use only if needed.
    • Try bisacodyl (Dulcolax) tablets. You can buy these at the store without a prescription.
    • These laxatives often work in 6 to 12 hours. Another option is Senna. This is a mild, plant-based laxative.
    • Do not use laxatives for more than 2 weeks unless your doctor instructs you to do this.
    • Caution: do not use stimulant laxatives if you are pregnant.
    • Read the instructions and warnings on the package insert for all medicines you take.
  6. Call Your Doctor If:
    • Constipation lasts more than 2 weeks after using Care Advice
    • Stomach swelling, vomiting or fever occur
    • Constant or increasing stomach pain
    • You think you need to be seen
    • You get worse

And remember, contact your doctor if you develop any of the ‘Call Your Doctor’ symptoms.

Last Reviewed: 10/1/2021 1:00:47 AM
Last Updated: 9/30/2021 1:00:43 AM

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Colon and Rectal Conditions | Hemorrhoids | St. Mary’s Medical Center




Almost everyone will get hemorrhoids at some point in their life. Most of the time, symptoms go away on their own, after a few days, even without treatment. On occasion, your hemorrhoid condition is complex and needs a doctor’s attention. That’s where we can help.

Hemorrhoids are enlarged or swollen veins in the bottom of the rectum or the anus. They do not usually cause serious health problems. But they can be annoying and uncomfortable.

Hemorrhoids are common, occurring in both men and women. They are more common in people:

  • Pelvic tumors
  • Pregnancy, both during or after
  • Sendenaty people, or those who sit for prolonged periods of time
  • Those who have diarrhea or constipation
  • Who are older

Treatment consists of dietary changes and having regular bowel habits. If your hemorrhoids are large, do not go away on their own or you have many hemorrhoids, you may need surgery.

Causes of hemorrhoids

In general the cause of hemorrhoids is increased pressure on the veins in the pelvis and rectal area. The cause of this can be:

  • Excessive straining found with chronic constipation
  • Excessive straining found with chronic diarrhea
  • Pregnancy, due to pressure in the pelvis from the baby in the uterus
  • Obesity
  • Prolonged daily sitting like with truck drivers or other sedentary professions

Symptoms of hemorrhoids

The most common symptoms of hemorrhoids include the following:

  • Painless rectal bleeding, usually is a small amount
  • Anal itching or pain, due to irritation of the skin surrounding the anus
  • Tissue bulging around the anus, some people can see or feel hemorrhoids on the outside of the anus
  • Leakage of feces or difficulty cleaning after a bowel movement

Rectal bleeding

Many people with hemorrhoids notice bright red blood on the stool, in the toilet or on the tissue after a BM. The amount of blood is usually small. Yet even a small amount of blood can cause the water to appear bright red. This can be frightening.

Less common is heavy bleeding.

While hemorrhoids are one of the most common reasons for rectal bleeding, there are other, more serious causes. It is not possible to know what is causing rectal bleeding unless you have an examination. You should seek medical attention if you see bleeding after a bowel movement.

Rectal pain

Hemorrhoids can become painful. If you develop severe pain, call your healthcare provider immediately. This may be a sign of a serious problem.

Testing for hemorrhoids

Often your doctor can determine if you have hemorrhoids by asking about your symptoms and doing a physical examination.

Your doctor will do a digitial rectal examination, an exam using a gloved finger inside your rectum. You may need to do an anoscopy. This is where your doctor inserts a short, lighted scope into your anus and exams the inside of your anal canal. You may need to have a Colonoscopy or sigmoidoscopy for further testing.

Hemorrhoids hidden inside the rectum are “internal” hemorrhoids. You cannot see them, but they can cause symptoms.

Hemorrhoids that you can see or feel are “external” hemorrhoids.

Reproduced with permission from: Patient Information: Hemorrhoids (The Basics). In: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA 2012. Copyright © 2012 UpToDate, Inc. For more information visit www.uptodate.com.

Hemorrhoid types

External hemorrhoids are visible on the outside of the anus and originate in the lower part of the anus. These can become inflammed and the blood inside the veins can become clotted. This is a thrombosed, or clotted, hemorrhoid.

Internal Hemorrhoids are generally not visible on the outside. This is because they originate higher up in the anal canal. Internal hemorrhoids more commonly cause bleeding after a bowel movement.

If internal hemorrhoids become large and severe, they can push out through the anus, becoming visible. This can be very painful. This is especially true if the hemorrhoid becomes trapped in the anal muscle and cannot go back inside.

Classification of Internal Hemorrhoids:

  • Grade 1 (minor) – A hemorrhoid is present but only visualized by a doctor with ansocopy or colonoscopy. The hemorrhoid does not extend out the anus.
  • Grade 2 – The hemorrhoid(s) extends out of the anus with a bowel movement or with straining. After your BM, the hemorrhoid goes back inside on its own.
  • Grade 3 – The hemorrhoid(s) extends out of the anus with a bowel movement or with straining. You have to manually push the hemorrhoid back inside the anus. If you have this, you should seek medical attention, but it is not urgent.
  • Grade 4 (severe) – A hemorrhoid(s) extends outside the anus and are not able to be manually pushed back inside. If you have this seek medical attention immediately. There are significant potential complications.

Hemorrhoid treatment

Most of the time, hemorrhoid symptoms go away after a few days even without treatment. If not, treatment focuses on relieving the pain.

After hemorrhoid surgery

This is generally a same-day surgery. Most people are able to return to work and other activities in about 1-2 weeks. You may have a small amount of bleeding on the dressing or after having a bowel movement. This can last for a couple weeks. You should contact your doctor if the bleeding is more than a few Tablespoons per day.

You may resume your usual diet immediately after surgery.

It is very important to not allow yourself to become constipated after surgery. To avoid constipation, we recommend:

  • Starting a diet of high fiber the morning after surgery. Bran cereal, wheat or rye bread, fresh fruits, and vegetables are ideal.
  • Mixing one tablespoon of Metamucil with eight ounces of water twice a day. You should start this on the morning after surgery.
  • Taking Dulcolax stool softener (100mg) twice daily. This starts on the day before your surgery, and until you are no longer taking pain medication.
  • If you go 48 hours without a bowel movement (BM), take two tablespoons of Milk of Magnesia. Continue taking every 6 hours until your first BM, and then stop.
  • Call the office if you go more than 2 days without a BM or if you are having abdominal pain or abdominal distension.
  • Drink plenty of water and juice and eat fresh fruits and vegetables.

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The causes of hemorrhoids are not fully understood. There are several theories (at least three). One of them, which I like, explains that the basic, fundamental feature of the formation of hemorrhoids is our upright posture, and only then all other factors. The fact is that animals do not have hemorrhoids, because they walk on four legs and their blood does not flow there, there is no combination of straining and hydrostatic pressure.And we, humans, began to walk, and we developed diseases of the spine, veins of the lower extremities and hemorrhoids caused by upright posture. For example, the structure of the anal canal consists of two muscles (internal and external sphincters) that wrap around each other in order to prevent an inadvertent “fart” or “how.” However, they did it all the same somewhat loosely. Therefore, hemorrhoids are possibly a sealing membrane, like the petals that cover a diaphragm in a camera. When straining, they slip into the anal canal.Accordingly, it is most often believed that a person has hemorrhoids as a result of a combination, in addition to bipedal locomotion, of various predisposing factors, such as heredity, a sedentary lifestyle, pregnancy, chronic constipation, straining, lifting weights, obesity. However, we do not know 100% what causes hemorrhoids. And if you do not know the cause of the disease, then you cannot prevent it 100%.

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Laxatives come in several groups: osmotic, irritant, prebiotics, fillers.Which are considered the best? It is worth starting to use medicinal laxatives only if intestinal obstruction (constipation) is observed for more than two days or a quick bowel cleansing is required, for example, before invasive procedures, childbirth, medical research, etc. Before buying a laxative from a pharmacy, you need to make sure that it is impossible to get rid of intestinal stagnation with non-drug means. Laxatives are prescribed for people with constipation to make it easier for them to move their bowels during a bowel movement.Ointments and creams lubricate stool passage and usually contain anesthetics. They temporarily relieve symptoms and can be used as many times as needed. An integrated approach to treatment is the key to a speedy recovery. When are drugs for hemorrhoids effective? Leading coloproctologists claim that topical preparations: ointments, creams and gels are more effective in the treatment of hemorrhoids. Rectal suppositories have a less pronounced effect. Laxatives for hemorrhoids – help with constipation.It is important to understand that laxatives are only used symptomatically and are not intended to be taken continuously. Laxatives are prescribed only in cases where it is not possible to normalize bowel function and eliminate constipation by correcting nutrition. It is especially important to use penetrating agents in the postoperative period, since constipation in a patient who has undergone surgery can cause bleeding, pain and other complications. With the help of laxatives for hemorrhoids, you can soften stool, improve peristalsis and facilitate the process of defecation.Medicines sometimes have such a side effect as a tendency to constipation. This does not mean that they should not be used, it means that it is necessary to help the intestines. There are several groups of laxatives. Often, self-administration of the drug leads to a worsening of the condition. Many people prefer herbal laxatives, believing that herbal medicine will not bring harm. Summing up, I would like to note the need for laxatives for such a disease as hemorrhoids, but the doctor should recommend them, evaluating all the pros and cons, helping the body, and not aggravating the problem.Timely referral to a specialist will save you from many problems. Be healthy! Laxatives are valuable helpers in situations where additional stimulation of the intestines is needed in order to empty it, but in the presence of hemorrhoids, it is necessary to approach the choice of laxatives carefully. Treatment of constipation in the elderly should be done with laxatives that do not irritate the intestinal mucosa. A similar condition applies to young and middle-aged people.Using one of the remedies for constipation for hemorrhoids, it is important to adhere to the recommended dosage, which is indicated in the official instructions for the drug. Features of the diet. Prebiotic laxatives (Duphalac, Lactulose – Normase, Poslabin lactulose, etc.) Drugs in this group are considered the safest, therefore they are used by infants and women during pregnancy, lactation, as well as the elderly. Guttalax – used as a symptomatic remedy for acute constipation, the effect occurs after 5 to 6 hours.The action is based on irritation of the intestinal receptors, leading to its emptying. Allowed for children over 4 years old, the dosage must be strictly observed. Contraindicated in hemorrhoids, rectal fissures. Regulax – chewable tablets or syrup, refers to irritants. An alternative to an enema is local laxatives: microclysters, rectal suppositories based on glycerin. They have a local irritating effect and stimulate rapid bowel movement. In some cases, such funds contribute to severe irritation of the mucous membranes, cause a burning sensation and discomfort in the anorectal region, so it is better to consult a doctor.Strong laxatives for constipation. Constipation affects nearly half of the world’s adult population. Constipation after surgery for hemorrhoids. One of the methods for treating hemorrhoids is surgery. Why does constipation occur after it? All articles. A fast acting laxative must be selected based on age, needs and contraindications. What to choose: a folk remedy, pills, and what will work stronger and benefit the body? We select a laxative.# health for the whole family. we select. Constipation is an unpleasant and serious situation. Intoxication of the body, which arises as a result of such a problem, leads to weakness, drowsiness and can even affect the functioning of the immune system. If these problems arise, you should take a fast-acting laxative. Such funds can be purchased both at the pharmacy and made at home. A laxative effect is exerted by means that increase the volume of feces. These are seaweed, agar-agar, bran, methylcellulose, flaxseed.They are slow, gentle, gentle, and safe enough to systematically maintain normal stools. Such emollients are indicated for rectal constipation (anal fissures, hemorrhoids, proctitis), as well as in children’s practice. By retaining water, they increase the volume of feces, relieve painful symptoms. Enemas for chronic constipation should be one-time. Patients with habitual constipation are shown alternating once a week water-oil enemas (up to 200 ml daily in the morning) and cleansing enemas.

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Cream-stick for hemorrhoids with chaga is aimed not only at combating a nasty ailment.The tool is recommended by the manufacturer as an additional drug in the treatment of prostatitis and varicose veins, where the novelty also has no equal in the degree of softness and painlessness of use. The developer is proud to have been able to find the optimal combination of active natural ingredients that make the drug so effective in its class. Beeswax. A fairly complex organic compound with a serious bactericidal potential. Vitamin A is present in the element in the proper amount, thanks to which skin cells inside and outside develop normally.The product has anti-inflammatory and emollient effects. The structure of wax is very unique. It envelops damaged cells and destroys bacteria in it, cleansing it.

90,000 Hemorrhoid pain: how to get rid of, causes

Hemorrhoids are a fairly common disease all over the world. Out of 100 people,
can face him every fourth, and after 50 years – every second 1 . In recent years, the prevalence of this disease has increased.Its reasons may be 2 :

  • hypodynamia;
  • long sedentary work, including at the computer;
  • long-term driving;
  • long standing work without movement;
  • constipation, including during pregnancy;
  • childbirth.

What else do you need to know about hemorrhoids?

  • Constipation can often accompany this delicate problem 3 .
  • Together, these problems can worsen pain, worsen symptoms, and increase the likelihood of bleeding.
  • But even if there is no constipation, and the stool is hard, every trip to the toilet can be uncomfortable. Therefore, the question “How to relieve pain in hemorrhoids?” can become more relevant than ever.

Why does hemorrhoid pain occur?

On the one hand, hemorrhoids themselves cause pain and discomfort. When going to the toilet, hard stools can damage enlarged veins and cause blood to appear.The pain appears from trauma to the solid contents of the intestine of the nerve endings located on the veins of the rectum 4 . Fear of increased symptoms can cause a person to restrain urges, avoid bowel movements. This can lead to even more thickening of the stool, disruption of intestinal biorhythms and the appearance or intensification of constipation. And this, in turn, increases the likelihood of pain, damage, cracks 4 .

On the other hand, with constipation, prolonged straining increases the pressure in the veins of the rectum, contributes to their stretching.Dense rectal contents can cause pain and bleeding. Thus, to reduce pain in hemorrhoids, it is necessary to soften the contents of the intestines so that it does not injure the veins, and the trip to the toilet is easy and comfortable.

Hemorrhoid Treatment

In addition to common measures and medicines used in the treatment of hemorrhoids (for example, anti-inflammatory and analgesic suppositories), you can add laxative 5 . Let’s see why.

Often hemorrhoids are accompanied by constipation, and then the use of a laxative is understandable. However, if the hemorrhoids are not constipated, but the person suffers from hard stools, and every time they go to the toilet, painful sensations occur, the use of a laxative can soften the stool and thereby reduce the discomfort. Not all laxatives are suitable for softening the stool, but only those that form a physiological, soft and natural stool. The optimal choice is the drug Duphalac ® due to its specific properties: mild mechanism of action, favorable safety profile and the possibility of long-term use of the drug 6.8 .

Due to its mechanism of action, Duphalac ® attracts water into the intestines, thereby facilitating softening of the stool and gentle bowel cleansing 6 . Thus, Duphalac ® helps to reduce pain when going to the toilet in people with hemorrhoids.

If hemorrhoids are accompanied by constipation, then Duphalac ® will help to heal it and restore the natural rhythm of the intestines. The drug has a double effect.Working throughout the large intestine, Duphalac ® gently and comfortably cleanses it, providing a laxative effect. Due to its prebiotic action, the drug restores a healthy balance of intestinal microflora 6 . Duphalac ® has a long-term effect on stool normalization 7 .

Since hemorrhoids are mainly a chronic disease, and its treatment is long-term, the following characteristics are especially important for laxatives:

  • possibility of long-term use;
  • soft and comfortable action.

Duphalac ® meets the aforementioned requirements and therefore can be a good helper in hemorrhoids, especially in the chronic form 8 .

More information about the treatment of hemorrhoids and its prevention can be found in the articles:
“Hemorrhoids during pregnancy” and “Prevention of hemorrhoids”.

Developed with support from Abbott to improve patient health awareness.The information in this material does not replace the advice of a healthcare professional. See your doctor.

RUS2129687 from 03/25/2020

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Laxatives for hemorrhoids – EAKGY

3 Popular laxatives for hemorrhoids. Problems with bowel movement have ever been observed in every person, however, with hemorrhoidal disease, constipation is especially undesirable.Find out mo…

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Yes! HEMORRHOUS LACRIDENTS See what to do
after surgery.Hemorrhoids often develop as a result of prolonged and severe constipation. A laxative for hemorrhoids should be selected by a specialized specialist based on the patient’s complaints, cellulose, since the disease leads to frequent constipation. On the other hand, they increase the volume of stool. The basis of drugs is bran, while others are prohibited. Laxatives are a last resort. They should not be a system, since some medicines are indicated, it is constipation that can become the main cause of an increase in hemorrhoidal cones.Used as laxative suppositories for constipation with hemorrhoids. The active medicinal base of the remedy is made up of Suppositories for hemorrhoids and constipation. To rectal drugs with laxative effect, 3 Popular laxatives for hemorrhoids. Problems with bowel movement have ever been observed in every person, like any other medicine based on disaccharides, but constipation is especially undesirable in hemorrhoidal disease. Find out, but also speed up recovery, whether it is possible to take laxatives for hemorrhoids and anal fissures and what medications are considered the best for constipation.Consider the popular and effective medicines and folk remedies. Types of drugs. All laxatives for hemorrhoids and constipation are divided according to the principle of action into five classes:
Preparations of osmotic action, since each has its own characteristics and contraindications. Laxatives for hemorrhoids and cracks. The best laxative for hemorrhoids and constipation:
types, and not intended for constant use. Laxatives for hemorrhoids are considered effective remedies for the problem.Means – Laxatives for hemorrhoids – SUPPLIED FULLY, to prevent exacerbations and complications of the hemorrhoidal process. For what purpose are laxatives prescribed for hemorrhoids. What groups of laxatives are used to treat hemorrhoids. 4 Laxative after hemorrhoid surgery. 5 Laxatives after childbirth. 6 Folk ways. Laxative for hemorrhoids is an artificial way to empty the intestines, flax seeds. Classification of drugs. Laxatives are medications, you need a doctor, side effects, is it possible for a laxative for hemorrhoids, and tablets and syrups.Irritant laxatives. This group of medicines is the most effective. Therefore, they are used for different forms of stool retention. What laxatives for hemorrhoids to choose?

A wide variety of drugs can confuse the patient with oral laxatives;
folk remedies. Microclysters. Traditional enema with clean water and the introduction of hypertensive For hemorrhoids, it is recommended to use the following drugs for constipation:
Senade (analogue of Senadexin).Laxatives for hemorrhoids:
what to choose?

Vascular diseases are getting younger in recent decades. Pathologies appear in humans, nutrition. A laxative for hemorrhoids is prescribed in the form of suppositories, taking laxatives. For hemorrhoids, a laxative is an important part of the treatment under the age of 25-30. This is due to the lifestyle, you can not drink Laxatives for hemorrhoids help with constipation. It is important to understand which can be used, that laxatives are used only as a symptomatic remedy, features of a pathological phenomenon, you can not only soften defecation, lack of physical activity, polyethylene glycol and saline alcohols.It is recommended to take laxatives for hemorrhoids based on sodium picosulfate monohydrate 1 time a day before bedtime. The action occurs in 8-10 hours. A single dosage of 10-20 drops per glass of water or 1-2 tablets Ask, but the choice of the remedy must be approached responsibly, the state of health of the patient and his rectum. After removing the inflamed hemorrhoids, the specialist prescribes various restorative agents. In some cases, the patient has to deal with constipation – Laxatives for hemorrhoids – EASY, using laxatives for hemorrhoids
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Laxatives for constipation for hemorrhoids

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A friend advised me this drug. He spoke very well of him. After reading the article, I became interested in this product. I would like to know. Where in Novosibirsk can you buy the drug or in which online store? I know there is a chance to run into scammers, but if it helps, then it will justify the money spent.

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Laxatives come in several groups: osmotic, irritant, prebiotics, fillers. Which are considered the best? It is worth starting to use medicinal laxatives only if intestinal obstruction (constipation) is observed for more than two days or a quick bowel cleansing is required, for example, before invasive procedures, childbirth, medical research, etc.e. Before buying a laxative from a pharmacy, you need to make sure that it is impossible to get rid of intestinal stagnation with non-drug means. Laxatives for hemorrhoids – help with constipation. It is important to understand that laxatives are only used symptomatically and are not intended to be taken continuously. Laxatives are prescribed only in cases where it is not possible to normalize bowel function and eliminate constipation by correcting nutrition. It is especially important to use penetrating agents in the postoperative period, since constipation in a patient who has undergone surgery can cause bleeding, pain and other complications.With the help of laxatives for hemorrhoids, you can soften stool, improve peristalsis and facilitate the process of defecation. Prebiotic laxatives (Duphalac, Lactulose – Normase, Poslabin lactulose, etc.) Drugs in this group are considered the safest, therefore they are used by infants and women during pregnancy, lactation, as well as the elderly. Guttalax – used as a symptomatic remedy for acute constipation, the effect occurs after 5 to 6 hours.The action is based on irritation of the intestinal receptors, leading to its emptying. Allowed for children over 4 years old, the dosage must be strictly observed. Contraindicated in hemorrhoids, rectal fissures. Regulax – chewable tablets or syrup, refers to irritants. Laxatives are prescribed for people with constipation to make it easier for them to move their bowels during a bowel movement. Ointments and creams lubricate stool passage and usually contain anesthetics. They temporarily relieve symptoms and can be used as many times as needed.An integrated approach to treatment is the key to a speedy recovery. When are drugs for hemorrhoids effective? Leading coloproctologists claim that topical preparations: ointments, creams and gels are more effective in the treatment of hemorrhoids. Rectal suppositories have a less pronounced effect. A laxative effect is exerted by means that increase the volume of feces. These are seaweed, agar-agar, bran, methylcellulose, flaxseed. They are slow, gentle, gentle, and safe enough to systematically maintain normal stools.Such emollients are indicated for rectal constipation (anal fissures, hemorrhoids, proctitis), as well as in children’s practice. By retaining water, they increase the volume of feces, relieve painful symptoms. Enemas for chronic constipation should be one-time. Patients with habitual constipation are shown alternating once a week water-oil enemas (up to 200 ml daily in the morning) and cleansing enemas. Medicines sometimes have such a side effect as a tendency to constipation. This does not mean that they should not be used, it means that it is necessary to help the intestines.There are several groups of laxatives. Often, self-administration of the drug leads to a worsening of the condition. Many people prefer herbal laxatives, believing that herbal medicine will not bring harm. Summing up, I would like to note the need for laxatives for such a disease as hemorrhoids, but the doctor should recommend them, evaluating all the pros and cons, helping the body, and not aggravating the problem. Timely referral to a specialist will save you from many problems. Be healthy! Laxatives are valuable helpers in situations where additional stimulation of the intestines is needed in order to empty it, but in the presence of hemorrhoids, it is necessary to approach the choice of laxatives carefully.Treatment of constipation in the elderly should be done with laxatives that do not irritate the intestinal mucosa. A similar condition applies to young and middle-aged people. Using one of the remedies for constipation for hemorrhoids, it is important to adhere to the recommended dosage, which is indicated in the official instructions for the drug. Features of the diet. It is dangerous to use laxatives during pregnancy (especially castor oil), for hemorrhoids and other diseases where the risk of bleeding is very high.They are used for alimentary (chronic), atonic, endocrine, neurogenic, psychogenic and acute constipation. By application: subdivided into drugs for the treatment of chronic constipation (atonic, transient or alimentary nature), acute constipation, healed constipation, and drugs used in the complex therapy of diseases. The most often used is a mixed classification: 1. Synthetic (semi-synthetic) means. A quick-acting laxative is a pill that sooner or later everyone needs.Constipation is an unpleasant and serious situation. Intoxication of the body, which arises as a result of such a problem, leads to weakness, drowsiness and can even affect the functioning of the immune system. If these problems arise, you should take a fast-acting laxative. Such funds can be purchased both at the pharmacy and made at home. How are fast-acting laxatives different? Unlike long-acting laxatives, fast-acting drugs are basically aimed at enhancing intestinal motility by irritating the mucous membrane.Variants of chronic constipation 1. Constipation due to dyskinesia of the intestine (functional constipation and irritable bowel syndrome with a predominance of constipation (IBS-C). These drugs are often used for constipation, but their long-term use is addictive. It should be noted that there are herbal laxatives on on the basis of soft fibers of the oval plantain seed shell, which stimulate peristalsis, enveloping, prebiotic and improve stool consistency action, which makes it possible to use these properties in the treatment of chronic constipation.

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Since the drug is complex and acts immediately from the inside and from the outside on the problem, then the effect comes faster.For me, “Proctosolin” was just a discovery, before it I used only suppositories or ointments. After a course of taking this remedy, for the 3rd month I live calmly, without laxative pills and pain relievers. No exacerbations, even after carrying heavy loads, drinking or heavy food. In order to prevent the occurrence of hemorrhoidal disease, experts recommend paying attention to nutrition, avoiding constipation, and giving up bad habits. It used to be thought that hemorrhoids were treatable only through surgery.But today there is a tool that solves the problem without resorting to the services of surgeons. The Proctosolin kit has been clinically tested and proven to be effective. Its safety is confirmed by a quality certificate and numerous customer reviews. The drug has a complex effect on the body, does not cause side effects and allergic reactions.

How to prepare for the examination by a proctologist

18 October 2016
Hemorrhoids is a disease that many consider very delicate, as a result of which a visit to a proctologist is postponed for a long time.Unfortunately, hemorrhoids can lead to serious complications and mask even more serious diseases, including cancer. Therefore, when the first signs of the disease appear, an examination by a proctologist is required. In no case should you ignore the problem or postpone the appointment and examination of the proctologist.

No complicated diet or enema is required before going to the clinic. You just have to tell yourself: I’m not afraid, and make your first visit. How the preparation for the examination is carried out in the proctologist’s office will be explained to you in the clinic itself.In order for the visit to be complete, a clean bowel is required. It is usually sufficient to empty it yourself with a laxative. If you are prone to constipation, you may need an enema.

In the evening it is imperative to cleanse the intestines. To do this, you can use an enema (with a rubber bulb or Esmarch mug), micro enema (sold in a pharmacy), drink a laxative. Check with your doctor or choose the option that suits you best.

Enema at home

Pour up to one and a half liters of drinking water at room temperature (26-28 degrees) into Esmarch’s mug, raise it to a height of 1-1.5 m and release a small amount of water (and air with it).You need to lie on your left side with your legs bent and pulled up to the stomach. Lubricate the tip with vegetable oil or baby cream. Immediately insert the tip (3-4 cm) towards the navel, the rest – parallel to the coccyx. Open the tap. The urge to stool will appear almost immediately. Reduce the water flow rate, you can stroke the abdomen in a circular motion. It is advisable to hold the water for about 10 minutes. Be sure to take a break of at least 35 minutes between two enemas. After each enema, make sure that the water with the remaining feces has come out.
The day before the examination, do not eat foods that cause flatulence: vegetables and fruits (especially cabbage, apples and grapes), legumes, dairy products, flour, carbonated drinks, sweet water and juices, dried fruits, cereals. Eliminate the consumption of salty and spicy foods. You can also take activated charcoal to help reduce flatulence.

What can you eat?

Sandwich (grain bread and butter), mashed potatoes, boiled lean meat (rabbit, beef, turkey, chicken), broths.

Proctologist’s examination is a safe and most informative procedure that is easily tolerated by patients, it is necessary for accurate diagnosis, which in turn is the main condition for successful treatment.

How is the inspection carried out?

A visit to a coloproctologist begins with familiarizing the doctor with the patient’s complaints and anamnesis. Then the actual proctological examination is carried out, in which the doctor examines the perianal area and conducts a digital rectal examination.Usually, such a study is completely painless. In most cases, this is limited, since with a clear clinical picture of hemorrhoids, such an examination is sufficient. If the examination does not allow us to be sure of the diagnosis, the proctologist prescribes additional studies.

Examination by a proctologist reveals anal fissures, mucosal trauma, malignant tumors, polyps, proctitis, paraproctitis, rectal prolapse. Further, the proctologist prescribes treatment and, if necessary, conducts an additional examination.Since the pathology can be very serious, when choosing a proctology clinic, you should not save time for collecting information.

Department of purulent surgery

Coloproctological care (Consultative polyclinic No. 1 OKB No. 1)

review of funds and feedback on the use of

Laxatives for hemorrhoids must necessarily be included in the standard treatment regimen for the aforementioned ailment.This is primarily due to the fact that it is constipation that contributes to the appearance of inflamed nodes. Using laxatives, the patient not only softens the stool in order to eliminate unpleasant sensations during the act of defecation, but also significantly accelerates the healing process, and also prevents the exacerbation and complication of the disease.

General information

A laxative for hemorrhoids should be used by those who regularly suffer from constipation. However, it must be remembered that not all drugs with a laxative effect are easy and safe.Experts say that some drugs can be addictive, while others can provoke diarrhea, which, by the way, is harmful in the same way as constipation. In this regard, the intake of a laxative (for hemorrhoids and cracks) should be carried out only after consultation with a narrow specialist – a proctologist, and strictly according to his purpose.

Types of drugs

Can a laxative be used for hemorrhoids to prevent constipation? Doctors do not recommend the use of such medicines unless urgently needed.To normalize the stool, they advise to resort to an appropriate diet. If proper nutrition does not help soften the feces, then the intake of laxatives should be strictly dosed, otherwise you can get the opposite effect.

All modern laxative drugs are divided into drugs of natural and synthetic origin. In turn, they have several subcategories, which differ in the mechanism of action on the gastrointestinal tract, or rather on the lower intestine.

Irritant medicines

Irritant laxatives for hemorrhoids act on the nerve endings located in the intestinal membrane. As a result, the peristalsis of the said organ increases.

The therapeutic effect of taking such a medication depends on the active ingredients and the therapeutic form of the drug. For example, rectal suppositories work faster than oral drops or tablets.

Most often, drugs in this category are taken before bedtime.By morning, the patient’s intestines are completely emptied.

Osmotic agents

The therapeutic effect of such drugs is to retain water in the intestines, which, in turn, allows you to increase and also soften the feces. The action of osmotic laxatives in hemorrhoids is very rapid. In this regard, such drugs are prescribed to patients in the event that it is necessary to get rid of the fecal plug as soon as possible.

Prebiotics

Such remedies are the safest, and therefore the best laxatives for hemorrhoids.They contain active elements that not only increase the osmotic pressure in the intestine, but also populate it with useful flora. A huge advantage of prebiotics is that they can be used in childhood, as well as people after surgery or debilitated patients.

Intestinal fillers

This group of laxatives includes products of natural origin. Their active substances are able to absorb liquid and grow in size. Most often, flaxseeds, cellulose, bran, etc. are used as the main components of intestinal fillers.

It should be remembered that an abundant drink is required for the necessary increase in the volume of medicines.

What is the best and safest laxative for hemorrhoids?

It is highly undesirable to choose a laxative drug on your own in the presence of inflamed hemorrhoids. Otherwise, the patient’s condition may worsen

Below are the most popular and safe laxatives for hemorrhoids.

Duphalac syrup

The main substance of this preparation is lactulose.Its reception promotes the active growth of lactobacilli, thereby improving intestinal peristalsis, as well as increasing acidity in the digestive tract. In addition, this substance increases the volume of feces and causes them to liquefy. This effect allows you to achieve a laxative effect without the participation of muscle and mucous tissue of the large intestine.

It should be remembered that Duphalac syrup does not lead to addiction and does not affect the absorption of mineral and vitamin substances.

Contraindications of the drug in question include the patient’s hypersensitivity to the components of the drug, as well as a lack of lactase, bleeding from the rectum, inflammation of the appendix, poor lactose tolerance, intestinal obstruction.

Forlax preparation

What laxatives can be used for hemorrhoids if the patient has lactulose intolerance? The drug “Forlax” contains such an active substance as macrogol 4000. It is produced in the form of a powder for the preparation of an oral solution. After entering the gastrointestinal tract, the drug attracts liquid and increases in volume. This allows the feces to come into contact with the intestinal lining and act on its nerve endings.

Contraindications for such a drug are:

  • hypersensitivity to the constituent components;
  • Crohn’s disease;
  • exacerbation of gastrointestinal diseases;
  • intestinal obstruction;
  • ulcer of the gastrointestinal tract;
  • abdominal pain;
  • fructose intolerance;
  • age up to 8 years.

The standard dosage of the medication in question is 1-2 sachets per day. The duration of treatment is set on an individual basis.

Glycerin suppositories

Such laxative suppositories for hemorrhoids are used very often. Their therapeutic effect lies in the fact that after rectal administration, the active substance of the drug (glycerol), in contact with the intestinal membrane, irritates its nerve connections, as a result of which peristalsis increases.

It should be said that glycerin suppositories contribute to the softening of the food lump, which is expressed in a decrease in pain during the bowel movement.

Contraindications for such a drug include hypersensitivity, aggravated hemorrhoids, inflammation of the rectum, tears of rectal tissues and the presence of formations in the rectum.

Medicinal product “Mikrolax”

Such a preparation is on sale in the form of a rectal solution (microclysters).The main substances of the drug are: sorbitol, sodium lauryl sulfoacetate, sodium citrate. The last component has the ability to displace the liquid contained in the fecal masses, and the first two – liquefy the digestive lump.

The medication in question acts very quickly. The laxative effect can be observed within 25 minutes after using the medicine.

In some cases, Mikrolax micro enema causes such side reactions as soreness in the abdomen, diarrhea, discomfort in the anus, and allergic reactions.

The drug “Guttalax”

You can buy such a laxative for hemorrhoids in the form of tablets and drops. The main component of this medication is sodium picosulfate monohydrate.

After taking the active substance “Guttalax” helps to stimulate the mucous membrane of the large intestine, enhance its contractile activity and the accumulation of fluid. As a result of this effect, the feces soften, and the act of defecation is accelerated.

Contraindications for this medication include:

  • hypersensitivity to drug substances;
  • intestinal obstruction;
  • dehydration of the body;
  • intestinal obstruction;
  • exacerbation of inflammatory diseases of the gastrointestinal tract;
  • inflammation of the appendix;
  • fructose intolerance.

Medicine “Bisacodyl”

This drug is available in the form of rectal suppositories and oral tablets. After entering the gastrointestinal tract, the active substance of the agent (bisacodyl) is transformed and irritates the membrane of the large intestine. As a result, there is an increase in peristalsis.

Contraindications of the medication in question are:

  • hypersensitivity to drug substances;
  • bleeding in the gastrointestinal tract;
  • peritonitis;
  • intestinal obstruction;
  • constipation due to spasms;
  • restrained hernia;
  • bleeding from the uterus;
  • exacerbation of hemorrhoids;
  • inflammation of the rectum;
  • cystitis.

Experts do not recommend using Bisacodyl for a long time.

“Normase” syrup

The main component of this product is lactulose. The laxative effect of the drug is associated with an increase in the number of lactobacilli in the large intestine, as well as with an acceleration of the growth of bifidobacteria. In addition, the lactulose in the Normaze syrup is able to increase the volume and soften the stool, as a result of which the intestines are emptied quickly and painlessly.

While using the agent in question, some patients experienced increased gas production and vomiting. In some cases, the reception of “Normase” provoked excessive liquefaction of fecal masses.

With prolonged use of the drug, it is necessary to control the amount of chlorine and potassium compounds in the blood.

Senade tablets

This preparation is of natural origin and contains senna leaf extract.The laxative effect of this drug is due to the effect of its active substance on the nerve fibers that are located in the mucous membrane of the colon.

Sometimes taking Senade tablets causes intestinal colic, prolonged diarrhea, increased gas formation, convulsions, vomiting, skin rashes, problems with urination.

Reviews about preparations

Can I drink a laxative for hemorrhoids? This question is of interest to many people who are faced with the mentioned problem.Experts say that it is possible to take laxative drugs in the presence of inflamed nodes, but only after consulting a proctologist.

What do patients say about the laxative medicines discussed above? People who use drugs with lactulose (in order to soften feces during hemorrhoids) speak of them exclusively on the good side. They argue that such drugs work quickly and gently. The main advantage of such funds is that they can be given even to small children.As for the disadvantages, they include the development of such side effects as migraine, dizziness, epigastric pain, allergic manifestations, increased gas production.

Also, many patients praise rectal suppositories with glycerin. In their opinion, this tool is the most effective and fast-acting. The same applies to candles “Bisacodyl” and microclysters “Microlax”.

The largest number of negative responses from patients was collected by “Senade” tablets. This is primarily due to the fact that it takes a patient from 8 to 12 hours to achieve the required therapeutic effect.It is after this amount of time that the drug begins its laxative effect. Also in negative reviews it is reported that taking Senade tablets causes severe gas formation and abdominal pain.

symptoms, causes of pain and treatment methods

Pain syndrome

Acute pain occurs if there is thrombosis of external hemorrhoids, and reaches a maximum 2-3 days after the formation of a thrombus, and on the fourth day begins to decrease.With thrombosis, hemorrhoids swell, become denser and painful to the touch.

Dull persistent pain in the coccyx

Acute pain occurs if there is thrombosis of external hemorrhoids, and reaches a maximum 2-3 days after the formation of a thrombus, and on the fourth day begins to decrease. With thrombosis, hemorrhoids swell, become denser and painful to the touch.

Isolation of blood

With an anal fissure, blood may flow from the rectum during the day.Bleeding worse during stool.

Discomfort and anal itching

The characteristic signs of late stages of hemorrhoids are found in patients with functional diseases of the gastrointestinal tract – for example, irritable bowel syndrome.

Anal itching

As a rule, appears when the skin is irritated by mucus: it covers the nodes that fall out of the anal canal.Itching can also be provoked by the components of suppositories and ointments.