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Photo of prolapsed hemorrhoids: What Causes Hemorrhoids, or Piles?


Hemorrhoids Pictures, Images | Hemorrhoids Infographics Showing Symptoms, Types, Piles


Hemorrhoids are the most uncomfortable condition that irritated and erodes. a blood clot forms inside an external hemorrhoid , the pain can be sudden and severe. Pain or discomfort; bleeding and swelling around your anus; make bowel movements uncomfortable. Hemorrhoids (also termed piles) have caused pain and irritation. We will see some hemorrhoids Pictures.

Why hemorrhoid pain worse at night? Do hemorrhoids make it difficult for you to sit comfortably at work, at home or travel by car, plane or train? Then hemorrhoid Seat cushion are the best solution.

Hemorrhoids Pictures

Internal Hemorrhoids vs External Hemorrhoids

Internal hemorrhoids vs external hemorrhoidsTypes of Hemorrhoids. Hemorrhoids, also called piles, are vascular structures in the analDilated Veins Hemorrhoids
Symptoms of External HemorrhoidsSymptoms of Internal Hemorrhoids
internal and external hemorrhoid node, hemorrhoid symptoms, anus, medica

Hemorrhoid Burst

clinical photos of hemorrhoidsTreatment of Hemorrhoid. Proctologist pointing pen rectum pathologies on an anatomical model

Hemorrhoid cancer pictures

Both colon cancer and hemorrhoids can cause rectal bleeding, blood in stool

Hemorrhoid Cancer Pictures

What Do Hemorrhoids Look Like? Pictures and Photos of Internal and External Hemorrhoids


HemorrhoidsTypesTypes of Hemorrhoid flat vector illustration
Types of Hemorrhoid: Unhealthy lower rectum with inflamed vascular structuresHemorrhoids by Wooden human figure with unhealthy lower rectum

Hemorrhoids Stages

Hemorrhoids Stage 1
Hemorrhoids Stage 2Hemorrhoids Stage 3Hemorrhoids Stage 4All Hemorrhoids Stage
Hemorrhoid stages. Unhealthy lower rectum with inflamed vascular structureshemorrhoid grades. Stage of Internal piles

Ulcerated Hemorrhoids Pictures

Ulcerated Hemorrhoids Pictures

Prolapsed Hemorrhoids

Prolapsed hemorrhoids are internal, located in the rectum, and prolapse through the anus. Hemorrhoid that bulges outward from the anus is known as a prolapsed hemorrhoid , and it is painful.

Prolapsed Hemorrhoids

Piles images in female

Piles Pictures In Females Young woman suffering from hemorrhoid pain in office, closeupYoung woman suffering from hemorrhoid pain on sofa at homeWoman suffering from internal and external hemorrhoid pain

Piles symptoms pictures

Piles Symptoms Pictures

Male Piles Images

Male Piles ImagesMan with toilet paper suffering from hemorrhoid pain

Hemorrhoids Infographics

Hemorrhoids InfographicHemorrhoids : anatomical vascular piles scheme

Hemorrhoids and Piles Icons.

Pictogram and diagrams depicts signs, symptoms, diagnosis, examination, surgery, and treatment of hemorrhoids and piles by urologist

Hemorrhoids and Piles IconsHemorrhoids icon Infographics. Vector signs for web graphics.2 color Hemorrhoid concept vector icon.
Hemorrhoids line icon InfographicsHemorrhoids Vector signs for web graphics.

Infrared Coagulation Therapy for Hemorrhoids

Infrared Coagulation Therapy for HemorrhoidsRubber band ligation of hemorrhoid (latex ligation). RBL. AnoscopeConcept of hemorrhoids with a demonstration on citrus
Hemorrhoid Treatment Procedure. 3D illustration for medical use about treatment hemorrhoidal by rubber banding tool

Surgery to treat Hemorrhoids

Two doctors perform laser surgery to treat hemorrhoids

What causes hemorrhoids

Low-fiber diet and smaller caliber stool causes a hard bowel movement, increasing the pressure within the blood vessels and it creates grade1 hemorrhoids.

  • Being pregnant.
  • Having anal intercourse.
  • Eating a low-fiber diet.
  • Regular heavy lifting.
  • Having chronic diarrhea or constipation.
  • Being obese.
  • Straining during bowel movements.
  • Sitting for long periods of time on the toilet.

What shrinks hemorrhoids fast?

Warm baths can help soothe the irritation from hemorrhoids . You can use a sitz bath, which is a small plastic tub that fits over a toilet seat or take a full-body bath in your tub. According to Harvard Health , taking a warm bath for 20 minutes after every bowel movement will be most effective.

Soothic Sitz Bath for Toilet Seat, Hemorrhoid Treatment – Postpartum Care, Yoni Steam Seat for Women, Relieve Perineum, Perineal Inflammation – AhhhSoothic

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Thoughts on “Hemorrhoids Pictures, Images | Hemorrhoids Infographics Showing Symptoms, Types, Piles”

Background, Anatomy, Etiology and Pathophysiology

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  • El Nakeeb AM, Fikry AA, Omar WH, et al. Rubber band ligation for 750 cases of symptomatic hemorrhoids out of 2200 cases. World J Gastroenterol. 2008 Nov 14. 14(42):6525-30. [Medline]. [Full Text].

  • Raahave D, Jepsen LV, Pedersen IK. Primary and repeated stapled hemorrhoidopexy for prolapsing hemorrhoids: follow-up to five years. Dis Colon Rectum. 2008 Mar. 51(3):334-41. [Medline].

  • Jayaraman S, Colquhoun PH, Malthaner RA. Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoid surgery. Dis Colon Rectum. 2007 Sep. 50(9):1297-305. [Medline].

  • Ceci F, Picchio M, Palimento D, Calì B, Corelli S, Spaziani E. Long-term outcome of stapled hemorrhoidopexy for Grade III and Grade IV hemorrhoids. Dis Colon Rectum. 2008 Jul. 51(7):1107-12. [Medline].

  • Moesgaard F, Nielsen ML, Hansen JB, Knudsen JT. High-fiber diet reduces bleeding and pain in patients with hemorrhoids: a double-blind trial of Vi-Siblin. Dis Colon Rectum. 1982 Jul-Aug. 25(5):454-6. [Medline].

  • Perera N, Liolitsa D, Iype S, Croxford A, Yassin M, Lang P, et al. Phlebotonics for haemorrhoids. Cochrane Database Syst Rev. 2012 Aug 15. 8:CD004322. [Medline].

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  • Perrotti P, Antropoli C, Molino D, De Stefano G, Antropoli M. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. 2001 Mar. 44(3):405-9. [Medline].

  • Yuksel BC, Armagan H, Berkem H, Yildiz Y, Ozel H, Hengirmen S. Conservative management of hemorrhoids: a comparison of venotonic flavonoid micronized purified flavonoid fraction (MPFF) and sclerotherapy. Surg Today. 2008. 38(2):123-9. [Medline].

  • Faucheron JL, Gangner Y. Doppler-guided hemorrhoidal artery ligation for the treatment of symptomatic hemorrhoids: early and three-year follow-up results in 100 consecutive patients. Dis Colon Rectum. 2008 Jun. 51(6):945-9. [Medline].

  • Johanson JF, Rimm A. Optimal nonsurgical treatment of hemorrhoids: a comparative analysis of infrared coagulation, rubber band ligation, and injection sclerotherapy. Am J Gastroenterol. 1992 Nov. 87(11):1600-6. [Medline].

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  • Loh WL, Tan S, Ngooi MS, Ong ZK, Ngoi SS. Endoscopic monopolar coagulation of internal haemorrhoids: a surgeon’s experience of the first 100 cases. Colorectal Dis. 2017 Jan. 19 (1):O86-9. [Medline].

  • Senapati A, Nicholls RJ. A randomised trial to compare the results of injection sclerotherapy with a bulk laxative alone in the treatment of bleeding haemorrhoids. Int J Colorectal Dis. 1988 Jun. 3(2):124-6. [Medline].

  • Thornton SC. Sclerotherapy of hemorrhoids. Selected Topics in Colon and Rectal Surgery. Vol 5. Norwalk, Conn: Konsyl Pharmaceuticals; 1992:72-5.:

  • Gupta PJ, Kalaskar S. Radiowave ablation and mucopexy for prolapsing hemorrhoids–a pilot study. Int J Surg. 2009 Jun. 7(3):223-7. [Medline].

  • Simillis C, Thoukididou SN, Slesser AA, Rasheed S, Tan E, Tekkis PP. Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg. 2015 Dec. 102 (13):1603-18. [Medline].

  • Leff EI. Hemorrhoidectomy–laser vs. nonlaser: outpatient surgical experience. Dis Colon Rectum. 1992 Aug. 35(8):743-6. [Medline].

  • Corman M. Hemorrhoid. Corman M. Colon and Rectal Surgery. Philadelphia, Pa: Lippincott-Raven; 1998. 154-6.

  • Mazier WP. Hemorrhoids: surgery of the colon. Maxier WP, Levm DH, Luchtefeld. MA, Senagore AJ, eds. Rectum and Anus. Philadelphia, Pa: WB Saunders; 1995. 229-54.

  • Ho YH, Cheong WK, Tsang C, Ho J, Eu KW, Tang CL, et al. Stapled hemorrhoidectomy–cost and effectiveness. Randomized, controlled trial including incontinence scoring, anorectal manometry, and endoanal ultrasound assessments at up to three months. Dis Colon Rectum. 2000 Dec. 43(12):1666-75. [Medline].

  • Senagore AJ, Singer M, Abcarian H, Fleshman J, Corman M, Wexner S, et al. A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: perioperative and one-year results. Dis Colon Rectum. 2004 Nov. 47(11):1824-36. [Medline].

  • Behboo R, Zanella S, Ruffolo C, Vafai M, Marino F, Scarpa M. Stapled haemorrhoidopexy: extent of tissue excision and clinical implications in the early postoperative period. Colorectal Dis. 2011 Jun. 13(6):697-702. [Medline].

  • Pattana-arun J, Wesarachawit W, Tantiphlachiva K, Atithansakul P, Sahakitrungruang C, Rojanasakul A. A comparison of early postoperative results between urgent closed hemorrhoidectomy for prolapsed thrombosed hemorrhoids and elective closed hemorrhoidectomy. J Med Assoc Thai. 2009 Dec. 92(12):1610-5. [Medline].

  • Bove A, Bongarzoni G, Palone G, Chiarini S, Calisesi EM, Corbellini L. Effective treatment of haemorrhoids: early complication and late results after 150 consecutive stapled haemorrhoidectomies. Ann Ital Chir. 2009 Jul-Aug. 80(4):299-303. [Medline].

  • Ratto C, Parello A, Veronese E, et al. Doppler-guided transanal haemorrhoidal dearterialization for haemorrhoids: results from a multicentre trial. Colorectal Dis. 2015 Jan. 17 (1):O10-9. [Medline].

  • Bjelanovic Z, Draskovic M, Veljovic M, Lekovic I, Karanikolas M, Stamenkovic D. Transanal hemorrhoid dearterialization is a safe and effective outpatient procedure for the treatment of hemorrhoidal disease. Cir Esp. 2016 Dec. 94 (10):588-94. [Medline].

  • Scheyer M, Antonietti E, Rollinger G, Lancee S, Pokorny H. Hemorrhoidal artery ligation (HAL) and rectoanal repair (RAR): retrospective analysis of 408 patients in a single center. Tech Coloproctol. 2015 Jan. 19 (1):5-9. [Medline].

  • Perrotti P, Dominici P, Grossi E, Cerutti R, Antropoli C. Topical nifedipine with lidocaine ointment versus active control for pain after hemorrhoidectomy: results of a multicentre, prospective, randomized, double-blind study. Can J Surg. 2010 Feb. 53(1):17-24. [Medline]. [Full Text].

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  • Rectocele (Posterior Vaginal Prolapse) | Johns Hopkins Medicine

    What Is a Rectocele?

    A rectocele is a type of prolapse where the supportive wall of tissue between a woman’s rectum and vaginal wall weakens. Without the support of these pelvic floor muscles and ligaments, the front wall of the rectum sags and bulges into the vagina, and in severe cases, protrudes out of the vaginal opening.

    A rectocele is not the same thing as rectal prolapse. Rectal prolapse is a protrusion or prolapse of the rectum through the anal opening.

    Rectocele Causes

    Rectocele is caused by prolonged pressure on the pelvic floor. Risk factors for rectocele may include:

    • Pregnancy and childbirth, especially repeated vaginal deliveries and/or tearing or episiotomy during delivery
    • Aging
    • Chronic constipation
    • Obesity
    • Chronic cough or bronchitis

    Rectocele Symptoms

    Rectal Pressure

    Some women with a rectocele have no symptoms. However, many women experience vaginal pressure, or the feeling that something is falling out of the vagina. Women also often report:

    • Rectal pressure or fullness, or the sensation that something is stuck in the rectum
    • Difficulty having a bowel movement
    • Discomfort during sexual intercourse
    • A soft bulge of tissue that can be felt in the vagina (or protrudes outside of the body)

    Women with a rectocele may also have a secondary prolapse of the other vaginal walls and nearby organs, including the bladder or uterus.

    Rectocele Diagnosis

    At your appointment, your doctor will discuss your symptoms and review your medical history with you. The doctor will then perform a physical exam to determine the extent of the rectocele and identify any secondary prolapses, if present. Rarely, imaging tests such as ultrasound or MRI may also be performed.

    Rectocele Treatment

    Your doctor will consider the severity of your symptoms to recommend the most appropriate treatment for your rectocele. Mild cases can often be improved with pelvic floor exercises and bowel training. Moderate to severe cases are often treated with a vaginal pessary (a support device inserted into the vagina) or rectocele repair (a minimally invasive surgical procedure).

    Rectocele Repair

    Your doctor may recommend rectocele repair if other treatment methods have not improved your symptoms. The goal of rectocele repair is to strengthen the wall between the vagina and rectum. In this surgical procedure, the doctor will make an incision into the back wall of the vagina. The layers under the vaginal wall are then sutured together in such a way as to tighten the tissues and reinforce the strength of the wall. Surgical mesh and grafts are not usually used, since research suggests no benefit from these materials.

    Haemorrhoids (piles) vs rectal prolapse

    Written by:

    Mr Charles Evans

    Published: 09/01/2020

    Edited by: Emma McLeod

    Haemorrhoids (commonly referred to as piles) and rectal prolapse are two different problems with very similar symptoms and causes. This makes it tough for you to determine which condition is the cause of your discomfort, but fortunately, medical specialists, such as Mr Charles Evans, have the knowledge and tools to give you a diagnosis. Once diagnosed, you’ll be advised about treatment, which differs greatly between the two conditions.


    What exactly are these two conditions?

    Symptoms are very much the same, but the treatment requirements are different. Your treatment will depend on which condition you have.


    Haemorrhoids are dilatations of the normal haemorrhoidal cushions. Everybody has haemorrhoids, but a problem becomes present when the haemorrhoids dilate and enlarge. The severity of the condition is defined by the extent to which they dilate and prolapse out of the anus.


    Rectal prolapse is a condition in which the rectum loses its normal attachment that keeps it inside the body, consequently causing it to slide out through the anus. A full-thickness rectal prolapse is when the entire rectal wall falls out.


    What are the symptoms of these two conditions?

    Haemorrhoids and rectal prolapse share potential symptoms:


    As neither condition has symptoms specific to it, it’s difficult for a patient to determine which is the cause. For this reason, it’s important to visit a medical specialist.


    What causes them?

    The two conditions share similarities when it comes to causes. Both are often caused by severe straining from chronic constipation. They can be caused in women after straining from giving birth vaginally multiple times. One slight difference is that rectal prolapse is more likely to be caused only by labour, whereas haemorrhoids can be found during both pregnancy and labour. In other cases, haemorrhoids and rectal prolapse can be associated with abnormal masses within the pelvis.


    How is each condition diagnosed?

    When examined in a clinic by a medical professional, they will appear different, but these are subtle differences that are related to the folds of the prolapsed tissue. Sometimes, differences are so subtle that a colorectal expert is required to determine whether haemorrhoids or rectal prolapse is the source of the problem.


    Endoscopic procedures, such as the sigmoidoscopy and colonoscopy are recommended for the assessment of both conditions. These procedures involve inserting a tube through the anus and the tube has a light that is connected to a video camera and a monitor. By performing these, specialists can visualise the bowel upstream and as a result, discover any missing symptoms such as polyps.


    If you are diagnosed with rectal prolapse, you might be recommended to have an additional assessment called a defecating proctogram. This is an examination of your pelvic floor which evaluates your ability to defecate.


    Is treatment the same for both?

    For haemorrhoids, conservative measures such as diet and lifestyle changes are critical. Haemorrhoid treatment can sometimes require surgery, and this ranges from minimally invasive to formal surgical excision

    • Rubber band ligation – a band is tied around the base of a haemorrhoid to stop blood flowing into it.
    • Haemorrhoidal artery ligation – blood flow is cut off from a haemorrhoid via sutures (stitches).
    • Haemorrhoidectomy – this is the surgical removal of haemorrhoids and is only reserved for the most severe cases.


    For a full-thickness rectal prolapse, the only definitive treatment is surgery. This can either be performed by an operation through the abdomen pulling the bowel back up inside (a rectopexy operation) or operating externally on the prolapse from the bottom end. The abdominal surgery can be performed through open surgery or ideally as a laparoscopic (keyhole) operation. The choice of surgery will be dependent on many factors, including general health and any previous surgery.


    Mr Charles Evans is a leading general surgeon and one of the few UK surgeons who are specially trained in robotic surgical techniques. Visit Mr Evans’ profile to book a consultation.

    in Leamington Spa

    Piles (Haemorrhoids) | Internal & External Piles | Symptoms, Causes and Treatment

    What are piles?

    Piles are swellings that develop inside and around the back passage (anal canal). There is a network of small veins (blood vessels) within the lining of the anal canal. These veins sometimes become wider and engorged with more blood than usual. The engorged veins and the overlying tissue may then form into one or more swellings (piles). Piles often don’t cause any problems but can cause bleeding and sometimes pain. If they do cause any bleeding or pain then you should see a doctor.

    How many types of piles are there?

    Piles can be divided into either internal or external piles. Some people develop internal and external piles at the same time.

    • Internal piles are deeper and initially form above a point 2-3 cm inside the back passage (anal canal) in the upper part of the anal canal or lower rectum (the last part of the large bowel that connects to the anal canal).
    • External piles start off nearer the surface, below a point 2-3 cm inside the back passage.

    Despite the name, external piles aren’t always seen outside of the opening of the back passage (anus). Equally confusing, internal piles can enlarge and drop down (prolapse), so that they hang outside of the anus.

    Piles are also graded by their size and severity.

    What do piles look like?

    You often won’t see anything if you have piles and look at the area round your back passage. This is because most piles are inside your anal canal and rectum and don’t protrude from your bottom.

    Larger internal piles may hang down out of your back passage, where they look like a discoloured rubbery lump. An external pile will look like a soft lump on the edge of the opening of your back passage.

    What are the symptoms of piles?

    Piles symptoms can vary depending on the size, position and grade of the piles.

    • Grade 1 are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the opening of the back passage (anus). Grade 1 piles are common. In some people they enlarge further to grade 2 or more.
    • Grade 2 are larger. They may be partly pushed out from the anus when you go to the toilet, but quickly spring back inside again.
    • Grade 3 hang out from the anus when you go to the toilet. You may feel one or more as small, soft lumps that hang from the anus. However, you can push them back inside the anus with a finger.
    • Grade 4 permanently hang down from within the anus, and you cannot push them back inside. They sometimes become quite large.

    Sometimes there are no symptoms and may not realise that you have any piles.

    The most common piles symptom is bleeding after going to the toilet to pass stools (faeces). The blood is usually bright red and may be noticed on the toilet tissue, in the toilet pan or coating the stools.

    A pile can hang down (prolapse) and can be felt outside the back passage. Often, it can be pushed back up after you have been to the toilet. However, more severe piles remain permanently prolapsed and cannot be pushed back up inside.

    Small internal piles are usually painless. Larger piles may cause a mucous discharge, some pain, irritation and itch. The discharge may irritate the skin around the anus. You may have a sense of fullness in the anus, or a feeling of not fully emptying your back passage when you go to the toilet.

    What are possible complications of piles?

    A possible complication of piles that hang down is that they can ‘strangulate’. This means that the blood supply to the pile has been cut off. A blood clot (thrombosis) can form within the pile. This causes really severe pain if it occurs. The pain usually reaches a peak after 48-72 hours and then gradually goes away over 7-10 days.

    What causes piles?

    About half of everyone in the UK develop one or more piles at some stage of their life.

    The lining of the back passage (anal canal) contains many blood vessels (veins). There seem to be certain changes in the veins within the lining of the back passage that cause the pile(s) to develop. The lining of the back passage and the veins become much larger and this can then cause a swelling and develop into a pile.

    However, we don’t know exactly what causes a pile. Some piles seem to develop for no apparent reason. It is thought that there is an increased pressure in and around the opening of the back passage (anus). This is probably a major factor in causing haemorrhoids in many cases. If you delay going to the toilet and need to strain when on the toilet then this can increase the pressure and so makes it more likely that a pile will develop.

    What makes piles more likely?

    There are certain situations that increase the chance of piles developing:

    • Constipation, passing large stools (faeces), and straining at the toilet. These increase the pressure in and around the veins in the anus and seem to be a common reason for piles to develop.
    • Being overweight. This increases your risk of developing piles.
    • Pregnancy. Piles are common during pregnancy. This is probably due to pressure effects of the baby lying above the rectum and anus, and also the affect that the change in hormones during pregnancy can have on the veins. Piles occurring during pregnancy often go away after the birth of the child.
    • Ageing. The tissues in the lining of the anus may become less supportive as we become older.
    • Hereditary factors. Some people may inherit a weakness of the wall of the veins in the anal region.
    • Other possible causes of piles include heavy lifting or a persistent (chronic) cough.

    Do I need any tests for piles?

    If you think that you may have piles, or have bleeding or pain from your back passage (anal canal), you should visit your doctor.

    Piles are usually diagnosed after your doctor asks you questions about your symptoms and performs a physical examination. The examination usually includes an examination of your back passage. Wearing gloves and using a lubricant, your doctor will examine your back passage with their finger to look for any signs of piles or other abnormalities.

    Your doctor may suggest a further examination called a proctoscopy. In this procedure, the inside of your back passage is examined using an instrument called a proctoscope. You may be referred to a specialist for more detailed bowel examination (colonoscopy) to help rule out other conditions.

    Piles treatment

    Various preparations and brands are commonly used for piles treatment. They do not cure piles. However, they may ease symptoms such as discomfort and itch.

    Avoid constipation and straining at the toilet

    Keep the stools (faeces) soft, and don’t strain on the toilet. You can do this by:

    • Eating plenty of fibre (for example, fruit, vegetables, cereals and wholegrain bread).
    • Have lots to drink. Most sorts of drink will do but too much alcohol and caffeine should be avoided.
    • Fibre supplements. If a high-fibre diet is not helping, you can take fibre supplements (bulking agents) such as ispaghula, methylcellulose, bran or sterculia.
    • Avoid painkillers that contain codeine, such as co-codamol, as they are a common cause of constipation. However, simple painkillers such as paracetamol may help.
    • Toileting. Go to the toilet as soon as possible after feeling the need. Do not strain on the toilet.
    • Regular exercise helps to reduce constipation.

    These measures will often ease piles symptoms such as bleeding and discomfort. It may be all that you need to treat small and non-prolapsing piles (grade 1). Small grade 1 piles often settle down over time.

    See the separate leaflets called Constipation, Constipation in Children and Fibre and Fibre Supplements for more information.

    Ointments, creams and suppositories

    • A bland soothing cream, ointment, or suppository may ease discomfort.
    • One that contains an anaesthetic may ease pain better. You should only use one of these for short periods at a time (5-7 days).
    • Preparations which contain a corticosteroid for treating piles may be advised by a doctor if there is a lot of inflammation around the piles. This may help to ease itch and pain. You should not normally use a steroid cream or ointment for longer than one week at a time.

    How to get rid of piles

    Banding treatment
    Banding is the most commonly used piles treatment, especially for grade 2 and 3 piles. It may also be done to treat grade 1 piles which have not settled with the simple advice and treatment outlined above.

    This procedure is usually done by a surgeon in an outpatient clinic. A haemorrhoid is grasped by the surgeon with forceps or a suction device. A rubber band is then placed at the base of the haemorrhoid. This cuts off the blood supply to the haemorrhoid which then dies and drops off after a few days. The tissue at the base of the haemorrhoid heals with some scar tissue.

    Banding of internal piles is usually painless, as the base of the haemorrhoid originates above the anal opening in the very last part of the gut where the gut lining is not sensitive to pain.

    In about 8 in 10 cases, the piles are cured by this technique. In about 2 in 10 cases, the piles come back at some stage. (However, you can have a further banding treatment if this occurs.) Piles are less likely to come back after banding if you do not become constipated and do not strain on the toilet (as described above).

    A small number of people have complications following banding, such as bleeding, infection or ulcers forming at the site of a treated haemorrhoid, or urinary problems.

    Injection sclerotherapy
    Phenol in oil is injected into the tissues at the base of the piles. This causes a scarring (fibrotic) reaction which obliterates the blood vessels going to the piles. The piles then die and drop off, similar to after banding.

    Infrared coagulation/photocoagulation
    This method of piles treatment uses infrared energy to burn and cut off the circulation to the haemorrhoid, which causes it to shrink in size. It seems to be as effective as banding treatment and injection sclerotherapy for first- and second-degree piles.

    Diathermy and electrotherapy
    This uses heat energy to destroy the piles. They appear to have similar success rates as infrared coagulation and the risk of any complications is low.

    What are the surgical options for piles?

    Haemorrhoidectomy (the traditional operation)
    An operation to cut away the haemorrhoid(s) is an option to treat grade 3 or 4 piles or for piles not successfully treated by banding or other methods. The operation is done under general anaesthetic and is usually successful. However, it can be quite painful in the days following the operation.

    Stapled haemorrhoidopexy
    A circular stapling gun is used to cut out a circular section of the lining of the back passage (anal canal) above the piles. This has the effect of pulling the piles back up the back passage. It also has the effect of reducing the blood supply to the piles and so they shrink as a consequence. Because the cutting is actually above the piles, it is usually a less painful procedure than the traditional operation to remove the piles.

    Haemorrhoidal artery ligation
    The small arteries that supply blood to the piles are tied (ligated). This causes the haemorrhoid(s) to shrink. 

    What about strangulated or thrombosed piles?

    Strangulated or thrombosed piles are uncommon but usually very painful. Treatments usually include bed rest, medication for pain relief, hot baths, ice packs and keeping your stools (faeces) soft (see above). Surgery may, rarely, be needed to remove the haemorrhoid.

    Hemorrhoids – Children’s Health Orange County

    What causes hemorrhoids?

    Hemorrhoids may develop as a result of repeated straining during bowel movements or chronic constipation or diarrhea.

    What are the symptoms of hemorrhoids?

    The following are the most common symptoms of hemorrhoids. However, each individual may experience symptoms differently. Symptoms may include:

    • Bright red blood present on the stool, toilet paper or in the toilet bowl
    • Irritation and pain around the anus
    • Swelling or a hard lump around the anus
    • Itching.

    The symptoms of hemorrhoids may resemble other medical conditions or problems. Always consult your child’s doctor for a diagnosis.

    How are hemorrhoids diagnosed?

    The presence of blood in the stool can be indicative of other digestive disorders, including colorectal cancer, so thorough evaluation and proper diagnosis is important.

    Diagnosing hemorrhoids may include:

    • Physical examination. This is done to check the anus and rectum and look for swollen blood vessels that indicate hemorrhoids.
    • Digital rectum examination (DRE). The doctor inserts a gloved, lubricated finger into the rectum to check for abnormalities.
    • Anoscopy. A hollow, lighted tube useful for viewing internal hemorrhoids is inserted into the anus.
    • Proctoscopy. A lighted tube, which allows the doctor to completely examine the entire rectum, is inserted into the anus.
    • Sigmoidoscopy. A diagnostic procedure that allows the doctor to examine the inside of a portion of the large intestine, and is helpful in identifying the causes of diarrhea, abdominal pain, constipation, abnormal growths, and bleeding. A short, flexible, lighted tube, called a sigmoidoscope, is inserted into the intestine through the rectum. The scope blows air into the intestine to inflate it and make viewing the inside easier.
    • Colonoscopy. A procedure that allows the doctor to view the entire length of the large intestine, and can often help identify abnormal growths, inflamed tissue, ulcers, and bleeding. It involves inserting a colonoscope, a long, flexible, lighted tube, in through the rectum up into the colon. The colonoscope allows the doctor to see the lining of the colon, remove tissue for further examination, and possibly treat some problems that are discovered. Learn more about colonoscopy.

    What is the treatment for hemorrhoids?

    Specific treatment for hemorrhoids will be determined by your child’s doctor, based on:

    • The child’s age, overall health and medical history
    • Extent of the condition
    • The child’s tolerance of specific medicines, procedures or therapies
    • Expectations for the course of the condition
    • The family’s opinion or preference.

    Medical treatment of hemorrhoids is aimed at relieving symptoms and may include the following:

    • Sitting in plain, warm water in the tub several times a day
    • Ice packs to reduce swelling
    • Application of hemorrhoidal creams or suppositories.

    Your child’s physician may also recommend increasing fiber, fluids or laxatives to soften stools. A softer stool lessens pressure on hemorrhoids caused by straining. Good sources of fiber include fruits, vegetables and whole grains. Bulk stool softeners or fiber supplements, such as psyllium (Metamucil) or methylcellulose (Citrucel), may also be recommended.

    In some cases, it is necessary to treat hemorrhoids surgically. Several surgical techniques are used to remove or reduce internal and external hemorrhoids. These include the following:

    • Rubber band ligation. A rubber band is placed around the base of the hemorrhoid inside the rectum to cut off circulation to the hemorrhoid. The hemorrhoid then gradually shrinks and withers away within a few days.
    • Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemorrhoid.
    • Electrical or laser coagulation or infrared photo coagulation. Techniques that use special devices to burn hemorrhoidal tissue.
    • Hemorrhoidectomy. A surgical procedure that permanently removes the hemorrhoids.

    Understanding the Difference Between External and Internal Hemorrhoids: Betsy F. Clemens, M.D.: Board Certified Physician

    It’s true that the symptoms you’re having help identify which type of hemorrhoid you’re experiencing. The good news is that treatment exists for all types, and it may be easier than you believe to get rid of the pain and bleeding that often accompany this fairly common problem.

    Betsy Clemens, MD, is a specialist who leads our team here at Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri. She shares insight about hemorrhoid types, their symptoms, and the therapy available to help resolve your discomfort.

    Hemorrhoids and their symptoms

    Hemorrhoids occur when blood vessels in your rectum or under the skin around your anus become swollen. They’re very common. Some studies estimate that three out of every four people will experience problems with hemorrhoids at some point in their life.

    Hemorrhoids can be painful and may bleed as the wall of the affected blood vessel thins and becomes irritated. Just as frequently, however, you may not have any discomfort but notice bright red blood with a bowel movement. It really all depends on the type of hemorrhoid you’re struggling with.

    Internal versus external hemorrhoids

    Internal hemorrhoids occur within the rectum. They aren’t usually visible and don’t typically cause discomfort. They can bleed, however, and are the most common cause of bright red blood noted with bowel movements. They can also begin to interfere with bowel movements as they become larger.

    Sometimes excessive straining can push an internal hemorrhoid outside of the anal opening. This straining can occur during a bowel movement but may be related to childbirth, heavy lifting, or certain sports activities. When an internal hemorrhoid falls (prolapses) outside the anus, it can cause significant discomfort and may bleed frequently.

    External hemorrhoids occur in the sensitive anal region and often cause pain and bleeding with bowel movements. Because these hemorrhoids are exposed to external friction, they can also become itchy, irritated, and painful with routine activities such as sitting or walking.

    Blood can sometimes pool in an external hemorrhoid and cause a clot (thrombus). Thrombosed hemorrhoids can become extremely painful due to inflammation and swelling. You may notice a hard lump near the anal opening that’s quite tender to touch.

    Treatment for hemorrhoids

    Treatment always begins with a thorough exam to identify the nature and type of hemorrhoid you’re experiencing. Otherwise, the treatment we recommend is based on the symptoms you’re experiencing and the severity of the hemorrhoid. We typically, for instance, treat an internal hemorrhoid differently than an external thrombosed hemorrhoid.

    One practical and simple step you can take in helping to prevent hemorrhoids from occurring or returning after treatment is to follow a nutritious, high-fiber diet that helps keep your stools soft and regular.

    This preventive measure is beneficial for either internal or external hemorrhoids. Introduce fiber gradually if you aren’t used to it, though, since too much can lead to diarrhea, which is another cause of hemorrhoidal flare-ups.

    For internal hemorrhoids and some external hemorrhoids, Dr. Clemens prefers infrared coagulation treatment (IRC). It’s a painless therapy that uses infrared light to decrease blood flow to the hemorrhoid. This causes the involved blood vessel to shrink back to normal size and effectively resolves the symptoms you’ve been experiencing. Possibly best of all, IRC can eliminate the need for hemorrhoid surgery.

    For a painful thrombosed external hemorrhoid, Dr. Clemens may recommend a thrombectomy, during which she creates a very small incision in the hemorrhoid that allows the pooled blood to drain. This simple procedure requires no anesthetic and is best performed within three days of the clot formation, which is another reason to not put off seeing Dr. Clemens for hemorrhoid treatment.

    For relief from your hemorrhoid symptoms that doesn’t include painful surgery, make an appointment today with Dr. Clemens at Midwest Hemorrhoid Treatment Center. Call our office or click the “request a call back” button while you’re here on the website.   

    90,000 Removal of hemorrhoids with a laser – the price of surgery for hemorrhoids in Moscow


    After the surgeon completes the removal, the patient is in the hospital for 3 to 7 days. Painful sensations are eliminated with medication. The anal area is treated with antiseptics on a regular basis, dressings are carried out.

    After discharge, the doctor examines the patient once a week until complete recovery. In order for wounds to heal normally, it is necessary to follow a diet and prevent constipation.It is undesirable to consume spicy food, alcohol, salty food. The patient is advised to drink plenty of water, eat foods rich in plant fiber, and in the absence of stool for a long time, laxatives are indicated.

    Additional treatment

    For hemorrhoids, surgery is often complemented by conservative therapy. It begins even before surgery, and can continue after it.

    At the very beginning, a diet is prescribed that is aimed primarily at two goals:

    In most patients, stool normalization can be achieved without laxatives.It is enough to increase the amount of dietary fiber in the diet and drink plenty of water. Any plant food, especially fruits and vegetables, is a source of dietary fiber. Patients who do not want to make adjustments to their diet are advised to take wheat bran or psyllium husks with plenty of water.

    Drug treatment is only symptomatic. Prescribed suppositories or anesthetic creams can relieve pain and itching.In the case of thrombosis with hemorrhoids, surgery is recommended to the patient as soon as possible, but if it cannot be performed, treatment with local anticoagulants is performed. Non-steroidal anti-inflammatory drugs and glucocorticoids are taken to reduce inflammation. Suppositories containing adrenaline or other sympathomimetics are used to narrow blood vessels and reduce bleeding. With purulent complications, antiseptics are shown in the form of local forms and antibiotics inside.

    The cost of conservative treatment for hemorrhoids is usually lower than the cost of surgical removal of hemorrhoids.Conservative therapy has the following goals:

    • elimination of symptoms in the event of the development of an acute form of the disease;

    • reducing the risk of complications;

    • in the chronic course of the disease, the inter-relapse period increases;

    • drugs help prepare a patient with hemorrhoids for surgery;

    • drug treatment is also used after the removal of hemorrhoids.

    Medical Center Axon

    Hemorrhoids are the most common rectal disease. The disease develops as a result of weakening of the musculo-ligamentous apparatus of the anal canal and circulatory disorders in this area.

    Manifestations of hemorrhoids:

    1. Pain.
    2. Bleeding.
    3. Prolapse of hemorrhoids.

    Factors contributing to the development of hemorrhoids:

    2. Excessive physical activity.
    3. Lack of exercise.
    4. Prolonged sitting.
    5. Not a balanced diet.
    6. Pregnancy and childbirth.

    Classification of hemorrhoids
    Stage Symptoms Effective treatments
    I Bleeding, anal discomfort Drug treatment; sclerotherapy; dearterialization; laser, infrared, radio frequency coagulation
    II Bleeding, anal discomfort, loss of nodes during bowel movements, which does not require manual reduction Operation Longo; latex ligation; sclerotherapy; dearterialization; laser, infrared, radio frequency coagulation
    III Bleeding, anal discomfort, pain in the anus, prolapse of nodes during bowel movements, requiring manual reduction Longo operation, latex ligation, hemorrhoidectomy
    IV Bleeding, intense pain in the anus, prolapse of nodes when straining, coughing.Inability to reposition dropped knots Operation Longo, hemorrhoidectomy

    Methods for the treatment of hemorrhoids

    Sclerotherapy – the introduction of a special medicine into the tissue of the hemorrhoid using a syringe and a thin needle (Fig. 1) As a result of sclerotherapy, the cavernous tissue of the hemorrhoids is transformed into a connective tissue. The procedure is painless, does not require limitation of work capacity and physical activity.


    Laser, infrared and radiofrequency treatment of hemorrhoids is based on the action of extreme temperatures, resulting in the evaporation of bleeding cavernous tissue. Modern equipment allows for treatment with minimal trauma (Fig. 2). The procedures are performed on an outpatient basis, without disability.

    Fig. 2. Radio frequency device “Wavetronik”

    Latex ligation of hemorrhoids , involves ligation of internal hemorrhoids with latex rings.As a result of elastic compression, excess hemorrhoidal tissue is removed (Fig. 3, 4, 5). The procedure is performed on an outpatient basis. Pain is possible for several days after the manipulation.

    Fig. 3 Hemorrhoidal node Fig. 4 Rejection of the hemorrhoid Fig. 5 Latex ring on the leg of the node

    Desarterialization of hemorrhoids is based on selective suturing of rectal arteries under ultrasound guidance (Fig.6). The operation is performed under local anesthesia on an outpatient basis, without disability.

    Fig. 6. Ultrasound device for dearterialization

    Longo’s method – hardware lifting of the internal hemorrhoidal plexus. As a result of the operation, a circular strip of the mucous membrane is removed above the internal hemorrhoidal plexus (Fig. 7), with simultaneous stitching of the edges of the resulting defect (Fig.eight). The manipulation is performed using special disposable instruments (Fig. 9). The technique allows you to completely restore the structure of the anal canal. The postoperative period is not painful. Full rehabilitation time is 10-15 days.

    Fig. 7 Fig. 8 Fig. 9

    Hemorrhoidectomy – Surgical removal of hemorrhoids with stitching of the vascular legs.The operation is characterized by high trauma, a long and painful period of rehabilitation, and the risk of serious complications. Currently, hemorrhoidectomy is performed for stage IV hemorrhoids.

    Non-surgical methods of treatment of hemorrhoids

    Hemorrhoids are one of the most “popular” diseases of mankind. Let us recall the lines of A. Pushkin from Eugene Onegin: “A pale swarm is crowding the sick: some are a victim of military honor, some are having a meal, some are Cypriots …”. Almost every person at least once in his life is faced with this disease, and a problem arises: how to treat, how to treat, and how to quickly become a healthy and active person, full of vitality.Moreover, the modern rhythm of life does not allow for a long time “out of order.” The tablets help for a short time, the operation is an unpleasant process, and it is postponed until the last, trying to avoid a long and unpleasant recovery postoperative period.

    Indeed, before, the only effective method of treating hemorrhoids was surgery. Now, with the advent of radical non-surgical techniques, the situation has changed radically. These are exactly the techniques that are used most often and best of all, unless, of course, the disease is at a stage where only an operation is possible.These techniques are distinguished by:

    • High efficiency comparable to the results of surgical removal of hemorrhoids
    • Minimum risk of complications
    • Treatment is carried out on an outpatient basis. The patient’s usual rhythm of life does not change. After the manipulation, a sick leave is not required and the ability to work remains.
    • Procedures are more comfortable than surgery, there is no difficult and long recovery period
    • The patient quickly and painlessly gets rid of hemorrhoids and returns to normal life as soon as possible with good short and long-term results.

    At the moment, there are several most common and effective non-surgical hemorrhoids treatment methods – infrared photocoagulation, sclerotherapy and ligation (doping) of hemorrhoids with latex rings. Let’s dwell on each of them.

    Infrared photocoagulation

    It has been used since 1989. With the help of an apparatus – a photocoagulator, thermal cauterization of the vessels of the hemorrhoid occurs through the light guide.The consequence of this is a decrease in blood flow, reduction of the node in size and its fixation to the intestinal wall. The radiation generated by the device is absolutely safe, in spectrum and intensity it corresponds to a conventional incandescent lamp. During the procedure, the patient experiences a sensation of warmth in the area of ​​manipulation. The indication is only small bleeding hemorrhoids in the early stages of hemorrhoids. Sclerotherapy. It has been used since the beginning of the last century. The essence of the procedure is to inject a special drug into the lumen of the hemorrhoid using a syringe – a sclerosant, which causes the replacement of the vascular cavities with connective tissue – as if “seals” the hemorrhoid, stopping the blood flow through it.Thus, bleeding disappears, the nodes that have fallen out before are reduced and pulled into the anal canal. The procedure is completely painless.

    Ligation of hemorrhoids

    Used since 1963. An elastic rubber ring is applied to the base of the hemorrhoid using a special device, disrupting its blood supply. As a result, the hemorrhoid is rejected on its own in 7-10 days. The method is somewhat more painful than the previous ones.The indication for this method is large prolapsed internal hemorrhoids in the late stages of hemorrhoids.

    Other methods (cryotherapy, ligation of the feeding arteries under the control of ultrasound, electrocoagulation) are used little due to their low efficiency, lack of study of long-term results, or are fraught with complications.

    Surgical treatment

    In advanced cases – when the nodes fall out more and more often and practically do not adjust – the patient is already on the operating table. Surgical removal of hemorrhoids permanently eliminates hemorrhoids . True, it takes a long time to recover after the operation – about 1.5-2 months. And this is painful enough.

    A fundamentally new approach to surgery for hemorrhoids was developed by the Italian Antonio Longo in 1993 and received his name. During the operation, the hemorrhoids themselves are not excised, only a small area of ​​the rectal mucosa is removed above them. As a result, hemorrhoids, as it were, are pulled up into the rectum, fall out less and sharply decrease in volume due to a decrease in blood flow, which leads to their desolation and overgrowth with connective tissue.Today it is the best and optimal way of surgical treatment of hemorrhoids. Usually surgery according to the Longo method lasts 15-25 minutes, while the classic removal of hemorrhoids is at least 40 minutes. 3-4 days after the operation, you can already go to work, and after a week go in for sports. Among the disadvantages of the method, one can note the insufficient knowledge of long-term results. In addition, hospitalization, albeit short, is still necessary.

    So, let’s summarize.It must be remembered: the absence of pronounced pain sensations does not mean that there is no illness. Therefore, it is imperative to undergo periodic preventive examinations. If the problem still exists, then it is necessary to accurately diagnose, of course not independently. And, most importantly, the earlier the treatment is started, the less painful and burdensome it will be. After all, any disease is easier and better to prevent or “capture” at an early stage than to bring oneself to a critical state, when only an unpleasant operation can get rid of the disease.

    Which way to choose, and which method of treating hemorrhoids in the end to give preference – surgery or low-traumatic treatment – is up to the patient.

    Mikhail Dmitrievich Krylov –
    Coloproctologist of the Scandinavian Medical Center,
    Candidate of Medical Sciences, Member of the Association of Coloproctologists of Russia

    Prolapse and prolapse of the vagina and uterus

    Prolapse of the uterus (prolapsus uteri) – displacement of the uterus beyond the genital slit, mainly occurs in women after 40 years.Distinguish between partial prolapse of the uterus, in which only part of the uterus is located outside the genital gap, and complete, in which the entire body of the uterus is determined outside the genital gap. The term “prolapse of the uterus” means the displacement of the uterus below the normal level, in which it does not go beyond the genital slit. Prolapse and prolapse of the uterus, as a rule, is combined with prolapse and prolapse of the vagina. Vaginal prolapse can occur in isolation and often precedes prolapse and prolapse of the uterus.The term “vaginal prolapse” defines such a displacement of the vagina, in which the lower third of its anterior or posterior walls extends beyond the genital gap. If the upper part of the vaginal wall also protrudes from the genital slit, this displacement is referred to as vaginal prolapse.

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    Reasons for prolapse and prolapse of the vagina and uterus:

    The main causes of prolapse and prolapse of the uterus and vagina are congenital pelvic floor insufficiency due to innervation disorders with malformations of the spine and spinal cord, obstetric pelvic floor injuries, hard physical labor (especially during puberty, after childbirth and in menopause), severe loss body weight, tissue atrophy in old and senile age.Often, prolapse and prolapse of the genitals occurs due to a combination of several etiological factors.

    Clinical manifestations of prolapse and prolapse of the vagina and uterus:

    Slight prolapse of the uterus and vagina may not cause pain. In cases of significant prolapse and prolapse of the genitals, there is a feeling of pressure in the perineal region, pain in the lumbar region, a feeling of a foreign body in the genital crevice, impaired urination due to the development of a cystocele due to a weakening of the supporting apparatus of the bladder: its first symptom is involuntary urination during physical exertion ( lifting weights, laughing).With significant cystocele and prolapse of the uterus, urination becomes difficult, sometimes it is possible only after reduction of the uterus. With the development of rectocele, there may be difficulty in defecation and incomplete emptying of the rectum. The displacement of the genitals, the wide gaping of the genital fissure create favorable conditions for infection, the formation of pressure ulcers, and the development of endocervicitis. Due to the constant trauma of the prolapsed genitals, trophic ulcers, edema of the cervix and vagina, contact bleeding occur.In the case of an increase in the uterus due to circulatory disorders, edema and inflammation, it may be infringed. The presence of residual urine in the bladder with pronounced cystocele creates conditions for the development of cystitis.

    According to the degree of displacement of the uterus, 4 degrees of prolapse are distinguished:

    1. At I degree (prolapse of the uterus), there is some downward displacement of the body of the uterus, but the cervix is ​​in the vagina.
    2. II degree (beginning or partial prolapse of the uterus) is characterized by the location of the external os of the cervix in front of the vagina, and the body of the uterus in the vagina.When straining, the cervix is ​​shown from the genital slit.
    3. At III degree (incomplete prolapse of the uterus) the cervix and part of the body of the uterus protrude from the vagina at rest.
    4. At IV degree (complete prolapse of the uterus – prolapsus uteri), all parts of the uterus and the walls of the vagina are outside the genital slit.

    Diagnosis of prolapse and prolapse of the vagina and uterus:

    Recognition of prolapse of the uterus is not difficult. When viewed on a chair, a formation protruding from the genital slit (when straining or at rest) is found.After repositioning the prolapsed organs, the gynecologist conducts a vaginal-abdominal examination, during which palpation assesses the condition of the pelvic floor, uterine appendages, tone and position of the levator muscles.

    The presence of a cystocele is specified by catheterization of the bladder, rectocele – using a digital rectal examination.

    In case of pseudo-erosion and ulceration of the cervix, exclusion of malignant lesions is required. For this purpose, an extended colposcopy is performed, a cytological examination of scrapings and a biopsy of the cervix are performed.To clarify the nature of the vaginal flora in case of prolapse of the uterus, smears are examined for the degree of purity and bacteriological culture.

    In preparation for organ-preserving plastic surgery, as well as with concomitant pathology of the uterus, ultrasound of the pelvis, ultrasound hysterosalpingoscopy, hysteroscopy with separate diagnostic curettage is indicated.

    Diagnosis of prolapse of the uterus and vagina requires the involvement of related specialists – urologist and proctologist. Urological examination of patients with uterine prolapse may include a general urinalysis, bacteriological urine culture, excretory urography, renal ultrasound, chromocystoscopy, and urodynamic studies.During the proctological examination, the presence and severity of rectocele, sphincter insufficiency, hemorrhoids are specified. Uterine prolapse is differentiated from vaginal cysts, uterine fibroids, and cervical changes from cervical cancer.

    Treatment of prolapse and prolapse of the vagina and uterus:

    The only reliable way to eliminate prolapse and prolapse of the genitals is surgery. Before the operation, the vagina is thoroughly sanitized, and trophic ulcers are treated.The choice of the operation method depends on the degree of prolapse and prolapse of the genitals, the age and somatic status of the patient.

    Types of operations for plastic surgery of the uterus and vagina

    When the posterior wall of the vagina is pushed down, colpoperineoplasty is used – the excess of the overstretched posterior wall of the vagina is excised, the rectocele is eliminated, the levator muscles are isolated and sutured, and the integrity of the posterior wall of the vagina and perineum is restored.

    At prolapse of the anterior vaginal wall, anterior plasty is shown – excision of excess overstretched anterior vaginal wall, isolation of the fascia of the bladder, elimination of cystocele, restoration of the integrity of the anterior vaginal wall.In case of prolapse and incomplete prolapse of the uterus at a young age in women giving birth, a Manchester operation can be performed, including anterior plasty, amputation of the cervix during its elongation, shortening of the cardinal ligaments of the uterus, colpoperineoplasty.

    With prolapse of the uterus and vagina in women of childbearing age, an operation is used, including anterior plastic, colpoperineoplasty and shortening of the round ligaments of the uterus according to the Dartig-Webster method (the main stage of the operation is fixing the loops formed by the right and left round ligaments of the uterus to the posterior surface of the uterus ).

    In case of sharp atrophy of the round ligaments of the uterus, they are strengthened by the Eltsov-Strelkov method using alloplastic materials. In old age, with complete prolapse of the uterus, vaginal extirpation of the uterus with plastic pelvic floor due to the ligaments of the uterus and colpoperineoplasty is shown.

    In case of complete prolapse of the uterus in elderly women with severe extragenital diseases that exclude the possibility of volumetric surgeries, median colporrhaphy can be performed (Lefort-Neugebauer operation): rectangular flaps of the mucous membrane are excised on the anterior and posterior walls of the vagina and the wound surfaces are sutured along the entire length …After the operation, a powerful cicatricial septum of the vagina is formed, and therefore, sex life and examination of the cervix are impossible.

    After plastic vaginal operations, conservative therapy aimed at eliminating etiological factors is necessary: ​​exercise therapy, which helps to strengthen the muscles of the anterior abdominal wall and pelvic diaphragm, general strengthening measures, elimination of constipation; heavy physical activity is excluded.

    If there are contraindications to surgical treatment for elderly women with prolapse and prolapse of the genitals, palliative therapy may be recommended – the use of uterine rings and vaginal tampons.With prolonged wearing of the uterine ring, pressure ulcers may form. After the introduction of the uterine ring, daily vaginal douching with an infusion of chamomile, a weak solution of potassium permanganate or a solution of furacilin 1: 5000 is necessary, 2 times a month patients should be examined by a gynecologist (gynecological examination is carried out after removing the uterine ring).

    Forecast for prolapse and prolapse of the vagina and uterus:

    The prognosis is favorable with timely and correct treatment.Rational nutrition, gymnastics, and sports are of prophylactic importance. Particular attention should be paid to physical education during pregnancy and after childbirth, correct suturing of perineal tears during childbirth.

    90,000 • Other types of hemorrhoids – internal and external • Useful information


    According to various authors, the prevalence of hemorrhoids ranges from 11 to 24% among adults, mainly working-age population.

    • More than 10-15% of the total adult population is diagnosed with hemorrhoids.
    • Some authors believe that up to 80% of the adult population suffers from hemorrhoids.
    • In the structure of coloproctological diseases, the specific gravity of hemorrhoids takes the first place and ranges from 34 to 41% (Vorobiev GI, Blagodarny LA, Shelygin YA 1999, Fedorov VD, Vorobyov G.I. 1997).
    • This problem is of great medical and socio-economic importance.Most patients with hemorrhoids are people of working age (30-60 years old).
    • This disease significantly reduces the quality of life of patients, increases the total number of days of disability

    Hemorrhoids are pathological changes not of ordinary, but of the cavernous veins of the rectum.


    • The first of the causes of hemorrhoids is vascular dysfunction, leading to an increased flow of arterial blood into the cavernous bodies and a decrease in the outflow of blood through the cavernous veins.

    • The second leading factor is dystrophic processes occurring in the longitudinal muscle of the submucosal layer of the rectum and Parks ligament, which hold hemorrhoids in the lumen of the rectum

    • Adverse factors:
    – Frequent and prolonged straining during bowel movements;
    – Increased intra-abdominal pressure;
    – Hard stools;
    – Diarrhea.


    • Anatomical: external, internal hemorrhoids.
    • By severity: three, according to other sources, four.
    • By stages:
    1. an increase in hemorrhoids accompanied by episodic bleeding;
    2. Hemorrhoids fall out during bowel movements, but are set on their own;
    3. Hemorrhoids fall out during bowel movements, but are adjusted by hand.
    4. Hemorrhoids fall out and cannot be reduced.

    Video “Formation of hemorrhoids of the 1st stage”

    Video “Formation of hemorrhoids of the 2nd stage”

    Video “Formation of hemorrhoids of the 3rd stage”

    Hemorrhoids of the 4th stage before surgical treatment (operating surgeon – Pugach V.B.)

    After operation


    • Regular bleeding during bowel movements;
    • Prolapse of internal hemorrhoids;
    • Frequent thrombosis of hemorrhoids.

    The same symptoms are indications for surgery.

    Photo of thrombosis of external hemorrhoids.


    • As a rule, it is placed during the interrogation and the first examination of the patient.
    • To exclude other diseases of the rectum and anorectal zone obligatory
    – sigmoidoscopy
    – fibrocolonoscopy
    The very fact of hemorrhoids is not an indication for treatment and surgery !!!

    All methods of surgical treatment can be divided into 3 groups:
    • Bandaging of knots;
    • Excision of them;
    • Plastic surgery.

    Treatment of stage 1 hemorrhoids. Infrared coagulation, sclerotherapy.

    Treatment of stage 2 hemorrhoids. Ligation with latex rings

    Treatment of 3rd and 4th stage hemorrhoids.

    Hemorrhoidectomy according to Milligan-Morgan

    Transanal mucosal resection according to the Longo method

    Ligation of hemorrhoidal vessels under the control of ultrasound Doppler

    hemorrhoids and the acute course of the disease.

    • Local:
    – In the presence of pain syndrome: analgesics and combined pain relievers – aurobin, proctoglyvenol, Relief-Advance, nefluan, ultraproct.
    – When thrombosis is complicated by local inflammation, anticoagulants and drugs containing thrombolytic and anti-inflammatory components are used: hepatrombin G, proctosedil, heparin ointment + levosin, levomekol, mafinid

    Local treatment of hemorrhoids acute process, and here they use candles containing adrenaline or hemostatic drugs: androxone, beriplast, tachycomb, spongostan.

    General treatment of hemorrhoids
    • It is based on the use of phlebotropic drugs that increase venous tone, improve microcirculation in the corpora cavernosa and normalize blood flow in them.
    – Detralex, Varixinal, Escuzan.

    Thank you for your

    Pugach V.V. (Site author)

    P.S .: Treatment of hemorrhoids can be started at any stage, but the earlier, the more chances of avoiding surgery.

    Types of hemorrhoids: external, acute, anal

    People call this disease papilli, in medicine hemorrhoids. And those who believe that this is an “office” disease are mistaken, since the treatment of hemorrhoids was described in ancient medical treatises, when there were no offices at all, and people led a fairly mobile lifestyle. The word “hemorrhoids” is found in the texts of Hippocrates, that is, in ancient Greek literature. Translated from ancient Greek, it means “bleeding”.But this indicates only the main symptom of this disease.

    Speaking of it, hemorrhoids are a circulatory disorder in the anus, or anus. The rectum consists of spongy bodies, which, under certain circumstances, are deformed and fall out. This is called external hemorrhoids. But there are also internal hemorrhoids, in which hemorrhoids are located directly in the rectum. It is this type of hemorrhoids that occurs most often. This pathology is accompanied by the expansion of the veins of the rectum located inside its mucous membrane, which is accompanied by the formation of hemorrhoids.The third option is mixed hemorrhoids. It is clear that the nodes are located both inside and outside.

    Causes and factors of the appearance of hemorrhoids

    What is the result of anal hemorrhoids? There are many reasons for this, but, as a rule, internal hemorrhoids arise as a result of the combined effect of several factors, and not just one. Nutrition is important: the more fresh vegetables, fruits, and whole grains in your diet that contain fiber, the less likely you are to develop hemorrhoids.

    Influencing factors also include such as prolonged hot baths, heavy lifting, a tendency to constipation, smoking, obesity, severe diarrhea and even a prolonged debilitating cough. Of course, a sedentary lifestyle also affects. In addition, hemorrhoids (nodes) can appear under the influence of such unfavorable factors as pregnancy, hypertension, infectious processes. The reason may also be a genetic predisposition to the disease.

    If you do not respond to the symptoms of internal hemorrhoids in time, then the nodes gradually, and sometimes, under favorable conditions for them, quickly enough shift in the distal direction and as a result, they fall out of the anal canal, that is, external hemorrhoids appear.

    Hemorrhoids and cones

    In this case, inflammation of hemorrhoids and surrounding tissues, as well as pinching of a prolapsed node in the anus and thrombosis of hemorrhoids, is possible.This refers to severe complications of the disease, which, against the background of exacerbation of chronic hemorrhoids, lead to a condition called acute hemorrhoids. Any of the degrees of acute hemorrhoids, and there are three of them, requires immediate medical attention. External hemorrhoids, or prolapse of enlarged hemorrhoids from the anal canal, must be treated immediately.

    In the west, 60% of the population turn to specialists for hemorrhoids. Our indicator is lower. But the reason is not a smaller percentage of diseases, but a false embarrassment, which can turn into the most sad consequences.Everything must be done on time.

    Timely prevention of hemorrhoids is also very important. It prevents the disease from progressing.

    ✅ Does Vishnevsky ointment treat hemorrhoids

    Date of publication: August 21 at 15:45
    Author: Angelica

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    What is Vishnevsky ointment heals hemorrhoids

    Reviews of the Zdorov remedy, which can be found on the worldwide network, are positive.People buy the product and share their enthusiastic impressions. There are almost no negative reviews. And this can be explained by the fact that the drug works. Its main disadvantage is the high price, but people who decide to buy agree to purchase the product at such a cost and almost always get the desired result. For some, the drug is the last chance to treat hemorrhoids with a conservative method. Until now, the problem of treating inflammation in the muscle with hemorrhoids was acute.Despite the wide variety of medications, not all drugs are effective. But with the appearance on the market of the cream-wax HEALTH from hemorrhoids, the situation ceased to be critical. Hemorrhoid cream-wax HEALTHY is a unique remedy that can be used to alleviate the condition in several applications, and with regular use it can completely cure hemorrhoids.

    Official site does Vishnevsky ointment treat hemorrhoids


    Home How to treat hemorrhoids Vishnevsky ointment for hemorrhoids – methods of treatment and reviews of the drug.With hemorrhoids, Vishnevsky’s ointment is used to treat external hemorrhoids, this is an old proven way to relieve symptoms of the disease. The use of the drug is limited. So, is it possible to treat hemorrhoids with Vishnevsky ointment? Yes, subject to the instructions and prior consultation with the proctologist. The drug acts quickly, has a minimum of restrictions and undesirable ones. Vishnevsky’s ointment for hemorrhoids will help to quickly relieve inflammation of the external nodes. Vishnevsky ointment for hemorrhoids. A sedentary lifestyle, unhealthy diet, constipation – and now you have to go to the proctologist.With hemorrhoids, Vishnevsky’s ointment is used to treat external hemorrhoids, this is an old proven one. Recently, I have been treating hemorrhoids with Vishnevsky’s ointment, I smear a tampon on it and apply it to the nodes for the whole night. I am a pensioner, so I go to bed during the day, when time permits. How to use Vishnevsky ointment in the treatment of hemorrhoids. What is included, how does it affect the nodes, how to treat, patient reviews. Vishnevsky ointment for hemorrhoids. Itching and burning in the anal area cause excruciating suffering. To combat the inflammatory process, many are used.Can hemorrhoids be treated with Vishnevsky ointment in children? – Yes. Excluding the pungent odor, the ointment will not bring any harm to the baby, and, on the contrary, will allow to get rid of the manifestations of pathology as soon as possible. How to use Vishnevsky’s ointment for hemorrhoids: indications and contraindications Are complications from the use of Vishnevsky’s ointment possible? Vishnevsky’s ointment for hemorrhoids is used for quick wound healing. Hemorrhoids is a very unpleasant disease that affects people of all ages.Be sure to tell your doctor how you are feeling. In case of complications, be sure to notify him. Thanks to this, Vishnevsky’s ointment treats hemorrhoids quickly and effectively, providing the patient. On the topical question – is it possible to use Vishnevsky’s ointment for hemorrhoids during pregnancy, doctors give an affirmative answer. For women in position, liniment is indicated for regeneration. Vishnevsky’s ointment can be used to treat both external and internal nodes. Treatment of hemorrhoids with Vishnevsky ointment is very often used after removal of hemorrhoids, as a healing and pain relieving agent for wounds.Contraindications and method of administration. Great popularity.

    Test Results

    The product consists of natural ingredients. It is an effective remedy characterized by rapid action. Purpose – expansion of the veins of the rectum with the formation of hemorrhoidal cones. Quickly relieves the focus of the disease, relieves pain. Allows you to relieve the patient of the pain associated with unpleasant symptoms. If the hemorrhoids are internal, experts advise doing a cleansing enema before applying the wax.After that, the anal area must be rinsed, wiped with a paper towel or soft towel.

    Expert opinion

    Not so long ago I gave up the idea of ​​curing hemorrhoids inexpensively. I realized that good funds cannot be worth a “penny”. I bought the product Healthy and completely satisfied with the result. I don’t mind the money for it, because I would spend even more on doctors and paid procedures. I would definitely recommend it to others. A very useful drug and can be used even after surgery.

    Absorbing ointments are one of the groups of drugs that are used in the treatment of hemorrhoids and nodes: features of the effect, the best drugs and features of use. External hemorrhoids: treatment with various means or how to remove external bumps? At the initial stages of the treatment of hemorrhoids, the doctor prescribes hemorrhoidal ointments. These funds relieve inflammation, reduce severe hemorrhoidal thrombosis, and reduce pain. What is the best ointment for hemorrhoid cones. Despite the technological progress in medicine and the achievements of modern science, the question of the treatment of many chronic diseases is still relevant.Among the long list of such diseases, one of the first places is occupied by the pathology of hemorrhoidal cones. Absorbent ointments for hemorrhoids are one of the most effective therapeutic drugs that allow. How to remove bumps from hemorrhoids and where did they come from? Dense balls near the anus are a pathological change in the vessels of the rectum that have fallen out during. An effective absorbable ointment for hemorrhoid cones. Due to poor circulation in the rectal area, hemorrhoids form, which cause symptoms such as pain, burning, and bleeding.The main symptom of hemorrhoids is the so-called hemorrhoid cones – thickened and blood-filled venous plexuses. To eliminate them and normalize the state of blood vessels, absorbable ointments and suppositories are used. Preparations for hemorrhoids. An effective absorbable ointment for hemorrhoid cones. Published: October 7, 2018 at 11:21 am. What ointments and remedies are recommended for the treatment of hemorrhoidal cones? 1 What are hemorrhoids? 2 What ointments are recommended for. Hemorrhoids is a disease that brings many unpleasant and often painful sensations.In the treatment of pathology, the following are most often used. Ointment for hemorrhoids cones helps to eliminate painful symptoms, improves blood microcirculation, relieves inflammation, strengthens blood vessels, and stops bleeding. Medicines are especially effective for the external form of hemorrhoids in the initial stages. The bumps decrease or disappear altogether.


    It is necessary to use HEALTH cream-wax against hemorrhoids not only for treatment, but also for the prevention of this disease.People who have already decided to try the HEALTHY hemorrhoid cream-wax note its mild effect and effectiveness. This is largely achieved through the use of natural ingredients in the composition of the ointment. If you decide to use the HEALTHY cream for hemorrhoids, then it will be useful for you to familiarize yourself with the properties of its components.

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    Fill out the form for consultation and order whether Vishnevsky ointment treats hemorrhoids. The operator will clarify all the details with you and we will send your order.In 1-10 days you will receive the parcel and pay for it upon receipt.

    Does Vishnevsky ointment treat hemorrhoids . cream wax is healthy from hemorrhoids to buy in Ulyanovsk. Reviews, instructions for use, composition and properties.

    Official site does Vishnevsky ointment treat hemorrhoids

    ✔ It is possible to buy-treats Vishnevsky hemorrhoids ointment in such countries as:

    Russia, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Uzbekistan, Ukraine Armenia

    Until now, the problem of treating inflammation in the muscle with hemorrhoids was acute.Despite the wide variety of medications, not all drugs are effective. But with the appearance on the market of the cream-wax HEALTH from hemorrhoids, the situation ceased to be critical. Hemorrhoid cream-wax HEALTHY is a unique remedy that can be used to alleviate the condition in several applications, and with regular use it can completely cure hemorrhoids. Today my review is devoted to the problem of fighting hemorrhoids. Many women got hemorrhoids after childbirth. Another remedy that I have personally tried on myself is Proctosan ointment.In this review, we will talk about a very, very intimate and delicate problem, which is not customary to talk about out loud in a decent society. Today we will talk about Proctosan ointment: I bought this drug as an analogue of Proctosedil ointment, which the doctor advised me to treat a crack. The ointment looks like this. Hemorrhoids in women. Hemorrhoid remedies. Proctosan ointment for hemorrhoids. The active ingredients of Proctosan hemorrhoid ointment help to restore the state of the mucous membrane and reduce the likelihood of bleeding.7 Proctosan ointment: reviews for hemorrhoids. Ointment Proctosan for hemorrhoids is a combined drug that relieves patients from. The effect of the ointment for hemorrhoids Proctosan is noticeable after a few days of use. Reviews of doctors and patients. Proctosan is a combination drug used to treat hemorrhoids and anal fissures. The preparation contains bufeksamak, bismuth subgallate, titanium dioxide. Proctosan (Proctosan): 8 reviews of doctors, 17 reviews of patients, instructions.Prices for proctosan in pharmacies in Moscow. ointment for rectal and external. Proctosan is a good drug for the treatment of acute hemorrhoids, it is convenient because it comes in the form of an ointment and rectal suppositories. In this medical article, you can read the drug Proctosan. The instructions for use will explain in which cases you can take candles, cream or ointment, which helps the medicine. Proctosan, instructions, price, RISKS of admission, interaction with others. In case of internal damage, the ointment can be applied using a special one.Recommendations / reviews of doctors: we have a large section on our website. Ointment for hemorrhoids proctosan for me is just a magical remedy, without any jokes, really magical. After giving birth, like many women, my hemorrhoids became inflamed. In the hospital, I was advised by Relief candles, I bought, but they did not help me. When I was already at home, I did not know what to do, because reb Product consists of natural ingredients. It is an effective remedy characterized by rapid action. Purpose – expansion of the veins of the rectum with the formation of hemorrhoidal cones.Quickly relieves the focus of the disease, relieves pain. Allows you to relieve the patient of the pain associated with unpleasant symptoms.

    Customer reviews:

    Reviews about the Zdorovye product, which can be found on the worldwide network, are positive. People buy the product and share their enthusiastic impressions. There are almost no negative reviews. And this can be explained by the fact that the drug works. Its main disadvantage is the high price, but people who decide to buy agree to purchase the product at such a cost and almost always get the desired result.For some, the drug is the last chance to treat hemorrhoids with a conservative method.


    Cream Zdorov is a complex preparation that can relieve a person of hemorrhoids. The controversy continues about the effectiveness of the remedy. Some doctors question the cream’s ability to affect disease. People suffering from hemorrhoids, on the other hand, write rave reviews. We will try to provide readers with objective information, on the basis of which everyone will make their own opinion about the drug.


    To date, thousands of people around the world have decided to buy HEALTHY cream-wax from hemorrhoids. The fact that this is a truly unique product with a quick effect is evidenced by numerous positive reviews from the HEALTHY cream wax from hemorrhoids.


    Hemorrhoids, treatment of hemorrhoids in the medical center Uro-Pro, photo

    The well-known term “hemorrhoids” is a disease in which hemorrhoids are pathologically enlarged, and bleeding is often observed from them.It is not uncommon for hemorrhoids to fall out of the anal canal or become inflamed.

    The reason for the increase in hemorrhoids in the violation of blood circulation in the cavernous formations. Such formations are the basis of hemorrhoids. During normal embryogenesis, they are laid in the distal rectum (internal hemorrhoids are formed from them) and under the skin around the anus (external nodes are formed there).

    Violation of blood circulation is provoked by a sedentary lifestyle, alcohol abuse, unhealthy diet, constipation, pregnancy and other adverse factors.

    Typology of hemorrhoids

    The hemorrhoid looks like a mass. From the side of its submucosal layer, many small vascular glomeruli from 1 to 6 mm in diameter are visible. These glomeruli are located in muscle and loose connective tissue. It is known that the vascular glomeruli consist of a large number of cavities of various sizes, which are separated by thin connective tissue and muscular septa.

    In this case, the internal hemorrhoids have a mucous membrane.Under it is a somewhat edematous muscle and connective tissue, among which a large number of cavernous veins can be distinguished. In the same layer there are small bundles of elastic fibers and smooth muscle cells.

    External hemorrhoids are located close to the subcutaneous portion of the external sphincter. They are a collection of small saphenous veins that are responsible for the outflow of blood from this part of the perineum. Usually, their location coincides with the location of the internal hemorrhoids.External hemorrhoids are covered with skin (stratified squamous epithelium).

    Observations have shown that often acute hemorrhoids develops simultaneously in internal and external hemorrhoids.

    With an increase in hemorrhoids, over time, dystrophy of the retaining apparatus occurs, due to which the nodes begin to fall out of the anal canal.

    In the Uro-Pro medical center, the treatment of internal hemorrhoids of the first and third stages is carried out using minimally invasive, non-surgical methods.This is cauterization with infrared rays (infrared coagulation), sclerotherapy (injection into the internal nodes of special drugs that cause sclerosis and wrinkling of the nodes), ligation with latex rings. We remove external nodes in the usual surgical way.

    Internal hemorrhoidal node

    Internal knot dropped

    Internal hemorrhoidal node

    Internal hemorrhoidal node
    immediately after ligation

    You can make an appointment with a doctor by phone in Moscow: +7 (495) 601-15-15 or here.You can ask your doctor a question here.

    Metro Krasnopresnenskaya
    Konyushkovskaya st., 26


    Department: Proctology

    Predybailo Sergey Mikhailovich