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What Is Proctalgia Fugax and How Is It Managed?

September 15, 2020

3 min read




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Proctalgia fugax (fugax-fleeting) is characterized by brief episodes of rectal pain. Although a common problem, information regarding this disorder is limited because the published medical literature consists mostly of anecdotal reports and small case series. Several prospective studies, however, have determined that the prevalence of proctalgia ranges from 3% to 14%.1 Proctalgia occurs worldwide and affects men and women of all races and socioeconomic status, although there appears to be a slight female predominance.

Rectal pain is the defining characteristic of proctalgia.2 Patients generally have fairly stereotypical episodes, although there is great variability in symptoms among patients. Proctalgia occurs unpredictably and without warning. Patients may describe the pain as sharp, stabbing, twisting, cramping, or lancinating in nature. Although patients often vividly remember nocturnal episodes because they cause sudden awakening, proctalgia can occur just as frequently during the day as well. The pain generally remains localized within the rectum, although occasionally the pain may radiate into the gluteal or perineal region. Episodes are generally brief in nature, ranging from seconds up to 30 minutes, with each painful episode resolving spontaneously. The exceptional patient may have an episode that lasts for days. Most patients have several episodes per year; it is the rare patient who has 2 or more episodes per month.

The pathophysiology of proctalgia is unknown, although it likely represents a spastic condition of the smooth muscle of the anal canal.3 There is a limited amount of data to support spasm of the rectosigmoid as a cause, while some clinicians and researchers believe that proctalgia develops due to spasm of the levator ani muscles (primarily the pubococcygeus). Physiologic studies using anorectal manometry and endoanal ultrasound have shown that proctalgia patients are similar to healthy controls during pain-free episodes, although one study demonstrated that anal canal resting pressures were higher in patients with proctalgia than normal volunteers. One study found that, during episodes of pain, patients with proctalgia have increased anal canal pressures and an increase in the frequency of slow waves in the anal canal. 3 Patients frequently ask about precipitating factors, although no clear-cut precipitating event has been identified. Some patients report that straining at stool, stress, or intercourse may provoke an attack. Contrary to what has been written in many textbooks, proctalgia is not more likely to occur in patients with irritable bowel syndrome.

The diagnosis of proctalgia fugax can be made based on the clinical history.2 Clinically, the pain of proctalgia is different than the persistent, dull ache associated with levator ani syndrome, or the fullness and pressure that may accompany hemorrhoidal prolapse. Fissure pain is usually more severe, longer lasting, and associated with bleeding.

A careful examination of the perianal region is imperative. Fissures, thrombosed hemorrhoids, masses, prolapse, and lichenification associated with chronic pruritus ani can all be quickly identified. Sensation can be quickly assessed, as can tone and strength of the external anal sphincter. Internal examination can identify a large rectocele, prolapse, or the taut muscle associated with levator ani syndrome (nearly always on the patient’s left side). Although the history is diagnostic, patients are frequently worried about cancer because of the unpredictable and fleeting nature of the pain. In the current medico-legal climate, flexible sigmoidoscopy with careful retroflexion in the rectum should be performed.

Treating patients with proctalgia can be difficult, because symptoms have usually completely resolved by the time the patient can initiate medical therapy. In addition, because  the majority of patients have very infrequent episodes, most clinicians are reticent to treat a patient with a daily medication in order to prevent a single, brief monthly episode. After carefully explaining the nature of the condition to the patient and reassuring him or her that it is a benign disorder, conservative therapy is generally the best recommendation. A warm sitz bath or even a warm water enema at the start of the attack can be very useful. Longer lasting episodes can be treated with short-acting benzodiazepines, smooth muscle antispasmodics (ie, sublingual hyoscyamine), sublingual nitroglycerin, or topical (perianal) nitroglycerin. One prospective, double-blind study demonstrated that an inhaled beta-agonist, salbuterol, shorted the length of each episode. Patients with frequent episodes may benefit from the use of a calcium channel blocker, long-acting nitrates, or even botulinum toxin injection of the anal canal. Some patients and physicians have resorted to myotomy of the anal canal as a last resort; however, that is generally not necessary, even in the most severe patients.

References

1.  Drossman DA, Li Z, Andruzzi E, et al. US householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci. 1993;38(9):1569-1580.

2.  de Parades V, Etienney I, Bauer P, et al. Proctalgia fugax: demographic and clinical characteristics. What every doctor should know from a prospective study of 54 patients. Dis Colon Rectum. 2007;50(6):893-898.

3.  Eckardt VF, Dodt O, Kanzler G, Bernhard G. Anorectal function and morphology in patients with sporadic proctalgia fugax. Dis Colon Rectum. 1996;39(7):755-762.




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Anal Fissure | Cedars-Sinai

Not what you’re looking for?

What is an anal fissure?

An anal fissure is a tear in the tissue of your anus. The anus is
the last part of your digestive tract. It’s at the end of your rectum. It has a ring
of muscle (sphincter) that opens during a bowel movement to allow stool (feces) to
pass through. A fissure is caused by the anal tissue stretching too much. This can
happen during a hard bowel movement. It causes pain and bleeding.

Anal fissures are not the same as hemorrhoids. But the symptoms
can be similar. Hemorrhoids are inflamed blood vessels in or just outside the anus.
An anal fissure is one of the most common noncancer (benign) conditions of the anus
and rectum.

What causes an anal fissure?

The most common cause is large or hard stools because of
constipation. A fissure may also be caused by severe diarrhea, anal sex, vaginal
childbirth, or an object inserted into the anus.

Who is at risk for an anal fissure? 

A person is more at risk for an anal fissure if they have any of
the below:

  • Constipation that makes you strain to pass hard stool
  • A low-fiber diet
  • A lot of diarrhea
  • Recent weight loss surgery, if it leads to frequent
    diarrhea
  • Vaginal childbirth
  • Minor injury, such as from mountain biking
  • Any inflammatory condition of the anal area
  • Inflammatory bowel disease
  • Infection or HIV
  • Surgery
  • Other medical treatments that affect bowel movements or the
    anus

What are the symptoms of an anal fissure?

An anal fissure is one of the most common causes of anal pain and
bleeding. Symptoms can occur a bit differently in each person. They can include:

  • Pain during and after a bowel movement that can last for
    hours
  • Visible tear or cut in the area
  • Bright red bleeding during or after a bowel movement

The symptoms of an anal fissure may be like other health
conditions. See your healthcare provider for a diagnosis.

How is an anal fissure diagnosed?

Your healthcare provider will ask about your symptoms and health
history. Your provider will give you a physical exam. The physical exam will include
your anal area.

Your provider will gently separate your buttocks. The provider
will look at the area around the anus for a tear and other signs of a fissure. Where
the fissure is may help find the cause. Fissures most often occur in the back center
of the anus. Some occur in the front center of the anus. Fissures that occur on the
sides of the anus may be caused by conditions such as Crohn’s disease. You may also
have:

  • Digital rectal exam. The
    healthcare provider puts a gloved, lubricated finger gently into your anus. A
    tool called a speculum may also be used. It is put into the anus and gently
    expanded. This allows the provider to see more of the anal area.
  • Fecal occult blood test.
    This test checks for hidden blood in your stool.

If more tests are needed, your healthcare provider may do a
colonoscopy or sigmoidoscopy.

How is an anal fissure treated?

Treatment will depend on your symptoms, your age, and your general
health. It will also depend on how severe the condition is.

An acute anal fissure is one that lasts for a short time. It often
heals within 6 weeks with simple treatment. It may heal when constipation is
treated.

A chronic anal fissure is one that lasts for 6 weeks or more. This
may need more treatment, such as surgery.

If your anal fissure doesn’t heal well, you may have a problem
with anal pressure because of the sphincter muscle. This prevents blood from flowing
normally through the blood vessels in the anus. The reduced blood flow prevents
healing. Treatment may include medicine to put on the fissure and botulinum toxin
shots (injections). These can help with blood flow and may help an anal fissure
heal.

Other treatments include:

  • Changes in your diet. You may
    need to eat more fiber and drink more water to help ease diarrhea or
    constipation. It’s very important to treat constipation, or the fissure is
    likely to come back. Ask to see a registered dietitian if you aren’t clear on
    what changes you need to make to your diet. Getting enough fiber will help
    prevent constipation and large or hard bowel movements.
  • Sitz baths. Sitting in a warm,
    shallow bath for up to 20 minutes a day can help ease symptoms.
  • Stool softeners. Medicines to
    soften stool or fiber supplements may help ease constipation.
  • Other medicines. Cream,
    ointment, or suppository medicines such as nitrates or calcium blockers may help
    heal the fissure.
  • Surgery. The surgery is called
    lateral internal sphincterotomy. During the surgery, a small cut (incision) in
    the muscle helps release the pressure inside the anus. This lets more blood flow
    through the area to heal tissues.

Talk with your healthcare providers about the risks, benefits, and
possible side effects of all treatments.

What are possible complications of an anal fissure?

Pain from the fissure can cause muscle spasm in the anal sphincter
muscle. This can make it hard for the fissure to heal. The spasm can also cause more
tearing when you have bowel movements. This cycle can lead to a chronic anal fissure
in many people.

Other complications can include:

  • Ongoing pain and discomfort
  • Trouble having bowel movements
  • Not having bowel movements because of the pain
  • Reduced quality of life
  • The fissure coming back after treatment
  • Pus-filled infection (abscess)
  • Uncontrolled bowel movements and gas

How to manage an anal fissure

If you have an anal fissure:

  • Take all medicines as prescribed.
  • Don’t eat spicy foods until the fissure heals. Spicy foods
    may make symptoms worse.
  • Maintain a routine bowel habit. Ask your healthcare provider
    what this should be for you.

To help prevent constipation or large or hard bowel movements:

  • Get enough fiber in your diet.
  • Drink enough water to stay well hydrated.

When should I call my healthcare provider?

Call your healthcare provider if:

  • You see blood in your stool
  • Your bowel movements are so painful that you try not to use
    the bathroom

Key points about anal fissure

  • An anal fissure is a tear in the tissue of your anus. This
    can happen during a hard bowel movement. It causes pain and bleeding. A fissure
    may also be caused by severe diarrhea or an object inserted into the anus.
  • You may have a digital rectal exam and a fecal occult blood
    test.
  • An acute anal fissure often heals within 6 weeks with simple
    treatment.
  • A chronic anal fissure is one that lasts for 6 weeks or
    more. This may need more treatment, such as surgery.
  • Other treatments include stopping constipation with changes
    in your diet and stool softeners.

Next steps

Tips to help you get the most from a visit to your healthcare
provider:

  • Know the reason for your visit and what you want to
    happen.
  • Before your visit, write down questions you want
    answered.
  • Bring someone with you to help you ask questions and
    remember what your provider tells you.
  • At the visit, write down the name of a new diagnosis and any
    new medicines, treatments, or tests. Also write down any new instructions your
    provider gives you.
  • Know why a new medicine or treatment is prescribed, and how
    it will help you. Also know what the side effects are.
  • Ask if your condition can be treated in other ways.
  • Know why a test or procedure is recommended and what the
    results could mean.
  • Know what to expect if you do not take the medicine or have
    the test or procedure.
  • If you have a follow-up appointment, write down the date,
    time, and purpose for that visit.
  • Know how you can contact your provider if you have
    questions.

Medical Reviewer: Jen Lehrer MD

Medical Reviewer: Rita Sather RN

Medical Reviewer: Raymond Kent Turley BSN MSN RN

© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

Not what you’re looking for?

Be Careful!!! Hemorrhoid can burst if becomes thrombosed.

Hemorrhoids are swollen veins within and around the anal canal. The veins around the anus tend to stretch under the increased pressure and may be swollen. If you have experienced an acute anal pain with per rectal bleeding related to the bowel movements, it is highly recommended to seek for an urgent medical attention. This could be the signs and symptoms of ruptured hemorrhoids.     

 

Get to know ruptured hemorrhoids

If a blood clot forms inside the hemorrhoids, it can become thrombosed and eventually burst, once the internal pressure increases (during the excessive straining from either constipation or diarrhea).

 

Signs and symptoms of ruptured hemorrhoids

Warning signs and symptoms indicating ruptured hemorrhoids include:

  • Palpable painful lump at the anal opening
  • Persistent per rectal bleeding
  • Severe pain, irritation and swelling around the anus

 

Severity of ruptured hemorrhoids

If the hemorrhoid bursts, an emergency care must be sought. The serious complication that’s caused by excess blood loss are dizziness, faintness or even hypotension/shock. However, per rectal bleeding can also be a particular sign of other disease conditions, such as colorectal and anal canal cancer. Owning to the fact that these conditions mutually share the certain presentations, careful physical examination and subsequent appropriate diagnostic tests conducted by expert specialists are highly recommended.

 

Management of ruptured hemorrhoids

 Once the hemorrhoid bursts, an immediate care should be provided as to follow the steps:

  • Gentle compression using clean soft cloths or sanitary napkins to stop the bleeding.
  • Apply cold compression or cold sitz bath to reduce the inflammation and to stop the bleeding.

If per rectal bleeding persists and the following symptoms develop: palpitation, dizziness, faintness and cold hands and/or feet, an immediate medical attention must be obtained.

 

Treatment of ruptured hemorrhoids

Ruptured hemorrhoid with excessive per rectal bleeding usually happens from the external hemorrhoid. The primary treatment option is to have the hemorrhoid removed, known as hemorrhoidectomy. It is considered as the most effective approach for this issue with rapid recovery and quickly return to daily activities. Depending on the severity, surgery can be arranged as a “Day – Surgery” procedure or outpatient procedure without hospitalization.

Prevention of ruptured hemorrhoids 

  • Avoid the excessive strain during the motion.
  • Avoid prolonged sitting in the toilet.
  • Drink plenty of water of at least 8-10 glasses per day.
  • Consume high-fiber diet; fruits, vegetables and whole grains.
  • Seek for medical attention whenever needed.

 

A ruptured hemorrhoid may lead to severe blood loss, resulting in serious complications which require an emergency. Accurate and timely diagnosis to role out other conditions is the key enabling an effective treatment. Due to advances in the surgical techniques and technologies, the new treatments have continuously emerged, allowing the patients to achieve the best possible treatment outcomes with minimal discomfort, less post-operative complications, rapid recovery, quickly return to the normal daily activities and less recurrences.

Benign Anorectal Conditions: Evaluation and Management

1. Tournu G,
Abramowitz L,
Couffignal C,

et al.;
GREP Study Group; MG-PREVAPROCT Study Group.
Prevalence of anal symptoms in general practice: a prospective study [published correction appears in BMC Fam Pract. 2019; 20(1):14]. BMC Fam Pract.
2017;18(1):78….

2. Davis BR,
Lee-Kong SA,
Migaly J,

et al.
The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of hemorrhoids. Dis Colon Rectum.
2018;61(3):284–292.

3. Wald A,
Bharucha AE,
Cosman BC,

et al.
ACG clinical guideline: management of benign anorectal disorders. Am J Gastroenterol.
2014;109(8):1141–1157.

4. Bibbins-Domingo K,
Grossman DC,
Curry SJ,

et al.
Screening for colorectal cancer: US Preventive Services Task Force recommendation statement [published corrections appear in JAMA. 2016;316(5):545, and JAMA. 2017; 317(21):2239]. JAMA.
2016;315(23):2564–2575.

5. Arnouk A,
De E,
Rehfuss A,

et al.
Physical, complementary, and alternative medicine in the treatment of pelvic floor disorders. Curr Urol Rep.
2017;18(6):47.

6. Glasgow SC,
Lowry AC.
Long-term outcomes of anal sphincter repair for fecal incontinence: a systematic review. Dis Colon Rectum.
2012;55(4):482–490.

7. Karnes JB,
Usatine RP.
Management of external genital warts. Am Fam Physician.
2014;90(5):312–318. Accessed July 17, 2019. https://www.aafp.org/afp/2014/0901/p312.html

8. Gilson R, Nathan M, Sonnex C, et al. UK national guidelines on the management of anogenital warts 2015. April 2015. Accessed January 12, 2019. https://www.bashh.org/documents/UK%20national%20guideline%20on%20Warts%202015%20FINAL.pdf

9. Wilson MZ,
Swarup A,
Wilson LT,

et al.
The effect of nonoperative management of chronic anal fissure and hemorrhoid disease on bowel function patient-reported outcomes. Dis Colon Rectum.
2018;61(10):1223–1227.

10. Stewart DB Sr,
Gaertner W,
Glasgow S,

et al.
Clinical practice guideline for the management of anal fissures. Dis Colon Rectum.
2017;60(1):7–14.

11. Ommer A,
Herold A,
Berg E,

et al.
German S3 guidelines: anal abscess and fistula (second revised version). Langenbecks Arch Surg.
2017;402(2):191–201.

12. Tou S,
Brown SR,
Nelson RL.
Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev.
2015;(11):CD001758.

13. Siddiqi S,
Vijay V,
Ward M,

et al.
Pruritus ani. Ann R Coll Surg Engl.
2008;90(6):457–463.

14. Swamiappan M.
Anogenital pruritus – an overview J Clin Diagn Res.
2016;10(4):WE01–WE03.

15. Al-Ghnaniem R,
Short K,
Pullen A,

et al.
1% hydrocortisone ointment is an effective treatment of pruritus ani: a pilot randomized controlled crossover trial. Int J Colorectal Dis.
2007;22(12):1463.

16. Siegel RL,
Fedewa SA,
Anderson WF,

et al.
Colorectal cancer incidence patterns in the United States, 1974–2013. J Natl Cancer Inst.
2017;109(8).

17. Mott T,
Latimer K,
Edwards C.
Hemorrhoids: diagnosis and treatment options. Am Fam Physician.
2018;973):172–179. Accessed July 5, 2019. https://www.aafp.org/afp/2018/0201/p172.html

18. Alonso-Coello P,
Guyatt G,
Heels-Ansdell D,

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

19. Perera N,
Liolitsa D,
Iype S,

et al.
Phlebotonics for haemorrhoids. Cochrane Database Syst Rev.
2012;(8):CD004322.

20. Shirah BH,
Shirah HA,
Fallata AH,

et al.
Hemorrhoids during pregnancy: sitz bath vs. ano-rectal cream: a comparative prospective study of two conservative treatment protocols. Women Birth.
2018;31(4):e272–e277.

21. Gandomkar H,
Zeinoddini A,
Heidari R,

et al.
Partial lateral internal sphincterotomy versus combined botulinum toxin A injection and topical diltiazem in the treatment of chronic anal fissure: a randomized clinical trial. Dis Colon Rectum.
2015;58(2):228–234.

22. Paquette IM,
Varma MG,
Kaiser AM,

et al.
The American Society of Colon and Rectal Surgeons’ clinical practice guideline for the treatment of fecal incontinence. Dis Colon Rectum.
2015;58(7):623–636.

23. Vogel JD,
Johnson EK,
Morris AM,

et al.
Clinical practice guideline for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula. Dis Colon Rectum.
2016;59(12):1117–1133.

24. National Institute for Health and Care Excellence. Endoscopic ablation for an anal fistula. Intervential procedures guidance IPG645. April 2019. Accessed July 29, 2019. https://www.nice.org.uk/guidance/ipg645

25. Bordeianou L,
Paquette I,
Johnson E,

et al.
Clinical practice guidelines for the treatment of rectal prolapse. Dis Colon Rectum.
2017;60(11):1121–1131.

26. Fargo MV,
Latimer KM.
Evaluation and management of common anorectal conditions. Am Fam Physician.
2012;85(6):624–630. Accessed July 15, 2019. https://www.aafp.org/afp/2012/0315/p624.html

27. Chan KK,
Arthur JD.
External haemorrhoidal thrombosis: evidence for current management. Tech Coloproctol.
2013;17(1):21–25.

28. Shanmugam V,
Thaha MA,
Rabindranath KS,

et al.
Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids. Cochrane Database Syst Rev.
2005;(3):CD005034.

29. Simillis C,
Thoukididou SN,
Slesser AA,

et al.
Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg.
2015;102(13):1603–1618.

30. Jayaraman S,
Colquhoun PH,
Malthaner RA.
Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst Rev.
2006;(4):CD005393.

31. Yadav S,
Khandelwal RG,
Om P,

et al.
A prospective randomized double-blind study of pain control by topical calcium channel blockers versus placebo after Milligan-Morgan hemorrhoidectomy. Int J Colorectal Dis.
2018;33(7):895–899.

32. Ala S, Alvandipour M, Saeei M, et al. Effect of topical baclofen 5% on post-hemorrhoidectomy pain: randomized double blind placebo-controlled clinical trial [published online ahead of print February 19, 2019]. J Gastrointest Surg. Accessed July 29, 2019. https://link.springer.com/article/10.1007%2Fs11605-019-04147-7

33. Lysy J,
Sistiery-Ittah M,
Israelit Y,

et al.
Topical capsaicin—a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study. Gut.
2003;52(9):1323–1326.

34. Suys E.
Randomized study of topical tacrolimus ointment as possible treatment for resistant idiopathic pruritus ani. J Am Acad Dermatol.
2012;66(2):327–328.

35. Nelson RL,
Thomas K,
Morgan J,

et al.
Non surgical therapy for anal fissure. Cochrane Database Syst Rev.
2012;(2):CD003431.

36. Nelson RL,
Manuel D,
Gumienny C,

et al.
A systematic review and meta-analysis of the treatment of anal fissure. Tech Coloproctol.
2017;21(8):605–625.

37. Sahebally SM,
Ahmed K,
Cerneveciute R,

et al.
Oral versus topical calcium channel blockers for chronic anal fissure–a systematic review and meta-analysis of randomized controlled trials. Int J Surg.
2017;4487–93.

38. Alvandipour M,
Ala S,
Khalvati M,

et al.
Topical minoxidil versus topical diltiazem for chemical sphincterotomy of chronic anal fissure: a prospective, randomized, double-blind, clinical trial. World J Surg.
2018;42(7):2252–2258.

39. Nelson RL,
Chattopadhyay A,
Brooks W,

et al.
Operative procedures for fissure in ano. Cochrane Database Syst Rev.
2011;(11):CD002199.

40. Liang J,
Church JM.
Lateral internal sphincterotomy for surgically recurrent chronic anal fissure. Am J Surg.
2015;210(4):715–719.

41. Gupta V,
Rodrigues G,
Prabhu R,

et al.
Open versus closed lateral internal anal sphincterotomy in the management of chronic anal fissures: a prospective randomized study. Asian J Surg.
2014;37(4):178–183.

42. Simren M,
Palsson OS,
Whitehead WE.
Update on Rome IV Criteria for colorectal disorders: implications for clinical practice. Curr Gastroenterol Rep.
2017;19(4):15.

43. Atkin GK,
Suliman A,
Vaizey CJ.
Patient characteristics and treatment outcome in functional anorectal pain. Dis Colon Rectum.
2011;54(7):870–875.

44. Eckardt VF,
Dodt O,
Kanzler G,

et al.
Treatment of proctalgia fugax with salbutamol inhalation. Am J Gastroenterol.
1996;91(4):686–689.

45. Jeyarajah S,
Chow A,
Ziprin P,

et al.
Proctalgia fugax, an evidence-based management pathway. Int J Colorectal Dis.
2010;25(9):1037–1046.

46. Sainio P.
Fistula-in-ano in a defined population. Incidence and epidemiological aspects. Ann Chir Gynaecol.
1984;73(4):219–224.

47. López J,
Gómez G,
Rodriguez K,

et al.
Comparative study of drainage and antibiotics versus drainage only in the management of primary subcutaneous abscesses. Surg Infect (Larchmt).
2018;19(3):345–351.

48. Mocanu V,
Dang JT,
Ladak F,

et al.
Antibiotic use in the prevention of anal fistulas following incision and drainage of anorectal abscesses: a systematic review and meta-analysis. Am J Surg.
2019;217(5):910–917.

49. Drolet M,
Bénard É,
Boily MC,

et al.
Population-level impact and herd effects following human papillomavirus vaccination programmes: a systematic review and meta-analysis. Lancet Infect Dis.
2015;15(5):565–580.

50. Trottier H,
Franco EL.
The epidemiology of genital human papillomavirus infection. Vaccine.
2006;24(suppl 1):S1–S15.

51. Cho CY,
Lo YC,
Hung MC,

et al.
Risk of cancer in patients with genital warts: a nationwide, population-based cohort study in Taiwan. PLoS One.
2017;12(8):e0183183.

52. Chin-Hong PV, Palefsky JM. Human papillomavirus-related malignancies with and without HIV: epidemiology, diagnosis and management. In: Volberding P, Palefsky JM, eds. Viral and Immunological Malignancies. BC Decker; 2006:224–241.

53. Ortoski RA,
Kell CS.
Anal cancer and screening guidelines for human papillomavirus in men. J Am Osteopath Assoc.
2011;111(3 suppl 2):S35–S43.

54. Centers for Disease Control and Prevention. 2015 Sexually transmitted diseases treatment guidelines: screening. Accessed December 2018. https://www.cdc.gov/std/tg2015/qa/screening-qa.htm

55. American Cancer Society. Can anal cancer be found early? Updated November 13, 2017. Accessed December 2018. https://www.cancer.org/cancer/anal-cancer/detection-diagnosis-staging/detection.html

56. Sharma A,
Yuan L,
Marshall RJ,

et al.
Systematic review of the prevalence of faecal incontinence. Br J Surg.
2016;103(12):1589–1597.

57. Buswell M,
Goodman C,
Roe B,

et al.
What works to improve and manage fecal incontinence in care home residents living with dementia? A realist synthesis of the evidence. J Am Med Dir Assoc.
2017;18(9):752–760.e1

58. Staller K,
Song M,
Grodstein F,

et al.
Increased long-term dietary fiber intake is associated with a decreased risk of fecal incontinence in older women. Gastroenterology.
2018;155(3):661–667.e1

59. Guzmán Rojas RA,
Salvesen KA,
Volløyhaug I.
Anal sphincter defects and fecal incontinence 15–24 years after first delivery: a cross-sectional study. Ultrasound Obstet Gynecol.
2018;51(5):677–683.

60. Wald A.
Diagnosis and management of fecal incontinence. Curr Gastroenterol Rep.
2018;20(3):9.

61. Rao SS,
Bharucha AE,
Chiarioni G,

et al.
Functional anorectal disorders. Gastroenterology.
2016;150(6):1430–1442.e4

62. Maeda Y,
Laurberg S,
Norton C.
Perianal injectable bulking agents as treatment for faecal incontinence in adults. Cochrane Database Syst Rev.
2013;(2):CD007959.

63. Thaha MA,
Abukar AA,
Thin NN,

et al.
Sacral nerve stimulation for faecal incontinence and constipation in adults. Cochrane Database Syst Rev.
2015;(8):CD004464.

64. Pfenninger JL,
Zainea GG.
Common anorectal conditions: part I. Symptoms and complaints. Am Fam Physician.
2001;63(12):2391–2398. Accessed July 15, 2019. https://www.aafp.org/afp/2001/0615/p2391.html.

65. Pfenninger JL,
Zainea GG.
Common anorectal conditions: part II. Lesions. Am Fam Physician.
2001;64(1):77–88. Accessed July 15, 2019. https://www.aafp.org/afp/2001/0701/p77.html.

Hemorrhoids Specialist – Avondale, AZ: Southwest Gastroenterology: Gastroenterologist

What causes hemorrhoids?

Hemorrhoids, which are also called piles, are swollen veins in the rectum and anus that can appear as lumps or sacs of skin. Sometimes they occur inside your body, and other times they protrude from the anus. While hemorrhoids are common, they can also cause extreme discomfort for some.

Many different factors can cause hemorrhoids to develop, but the most common causes are:

  • Straining during a bowel movement
  • Extended periods of time sitting on the toilet
  • Gastrointestinal disorders that cause frequent constipation or diarrhea
  • Not eating enough fiber
  • Having anal intercourse

If you’re pregnant or obese, you might also be more likely to develop hemorrhoids.

What are the symptoms of hemorrhoids?

Sometimes hemorrhoids cause no symptoms at all, while other times they can create extreme pain and discomfort. The common signs and symptoms include:

  • Pain during bowel movements
  • Bleeding from the anus
  • Itching around the anus
  • Sharp, stabbing sensations in the anus
  • Swelling of the rectum

Internal hemorrhoids, which are inside the rectum, usually don’t cause pain. Underwear, bowel movements, or using toilet paper, however, can irritate external hemorrhoids.

What are hemorrhoid treatment options?

There are numerous ways to treat hemorrhoids, depending on how much pain or discomfort they’re causing. A few options include:

Home remedies or lifestyle changes

Your Southwest Gastroenterology physician can help you learn new habits to prevent hemorrhoids from getting worse or causing pain. That may include dietary changes, drinking more water, taking sitz baths, or using ice compresses.

Medication

If your hemorrhoids are causing extreme itching or pain, you might benefit from over-the-counter or prescription steroid creams or other topical ointments. These reduce swelling and itching.

Procedures / Surgery

In more extreme cases, you might be a candidate for hemorrhoid removal surgery. This procedure, however, can come with a painful recovery period and doesn’t guarantee new hemorrhoids won’t form later.

Boasting one of the area’s most experienced gastroenterology teams, Southwest Gastroenterology can create a hemorrhoid treatment plan that suits your needs.

To book an appointment today, use the intuitive online scheduling tool.

Anal Fissures – Children’s Health Orange County

What are the symptoms of an anal fissure?

Symptoms of an anal fissure can include:

  • Pain during and after a bowel movement
  • Visible tear or cut in the area
  • Bright red bleeding during or after a bowel movement.

Who is at risk for an anal fissure?

Certain factors raise the risk for anal fissures, including:

  • Constipation with straining to pass hard stool
  • Eating a low-fiber diet
  • Intense diarrhea
  • Any inflammatory condition of the anal area.

Anal fissures may also result from inflammatory bowel disease, surgery or other medical treatments that affect bowel movements or the anus.

How are anal fissures diagnosed?

Your child’s gastroenterologist will make a diagnosis based on:

  • The child’s health history
  • Description of symptoms
  • Rectal exam.

Because other conditions can cause symptoms similar to an anal fissure, your child’s doctor might also order tests to find out whether there is blood in their stool.

How are anal fissures treated?

Treatments for anal fissures may include:

  • Changing your child’s diet to increase fiber and water to help regulate his or her bowel movements and reduce both diarrhea and constipation. Learn more about adding fiber to your child’s diet.
  • Taking warm baths for up to 20 minutes a day.
  • Taking stool softeners, such as fiber supplements, as needed.
  • Taking medications, such as nitrates or calcium blockers.
  • Having surgery, such as a lateral internal sphincterectomy. This surgery releases pressure inside the anus, allowing more blood to flow through the area to heal and protect tissues.

What are complications of anal fissures?

Complications seen with anal fissures include:

  • Pain and discomfort
  • Reduced quality of life
  • Difficulty with bowel movements, especially because many people avoid going to the bathroom because of the pain and discomfort it causes
  • Possible recurrence even after treatment
  • Clotting
  • Uncontrolled bowel movements and gas.

How can I help my child live a better life with anal fissures?

If your child has an anal fissure, take these precautions to avoid making it worse and avoid recurrences:

  • Give your child all medicines as prescribed.
  • Be sure your child gets the recommended amount of fiber in his or her diet. Learn more about adding fiber to your child’s diet.
  • Encourage the child to drink enough water to stay hydrated. Learn more about proper hydration.
  • Help the child maintain a routine bowel habit. Your child’s health care team can help you come up with strategies for getting your child on track.
  • Avoid giving the child spicy foods because they may make symptoms worse.

When should I call the doctor about my child’s anal fissure?

Contact your child’s provider if you notice blood in your child’s stool or if their bowel movements are so painful that they are avoiding going to the bathroom.

Sharp Pain in Butt Causes, According to a Doctor

You ever have a completely normal day, minding your own business, and then boom, a sharp pain shoots up your butthole like a lightning strike? Yes, it’s scary. Yes, it’s odd. But Dr. Carlton Thomas, Jr., M.D., a gastroenterologist on TikTok assures you that it’s absolutely nothing to worry about.

“That sharp, severe, fleeting pain that you’re feeling is called proctalgia fugax,” says Dr. Thomas in a recent video. “It’s actually a rectal spasm.”

Dr. Thomas, known as @doctorcarlton on TikTok is known for his no-holds-barred approach to “butt stuff” on the platform, including those random occurrences that we might not discuss out in the open, like random butt pain.

So why the heck is your rectum spasming in the first place? It could be due to a bunch of reasons: post-sexual activity, stress, constipation, pooping, menstruation, and even for no reason at all, according to a review in the Canadian Medical Association Journal. The same review claims it happens to anywhere from 8 to 18 percent of the general population.

The pain is short and relatively harmless, unless it’s lasting upwards of at least 20 minutes. That could be a sign of chronic proctalgia, a pain disorder signified by a vague, dull ache or pressure feeling higher up in your rectum.

“[This pain] feels like lightning striked your butthole,” adds Dr. Thomas on proctalgia fugax. “It’s totally benign, nothing to worry about.” So no, it doesn’t mean you have hemorrhoids, cancer, or a ghost poking around your bum. It’s just our weird bodies being weird.

This content is imported from TikTok. You may be able to find the same content in another format, or you may be able to find more information, at their web site.

Taylyn Washington-Harmon
Taylyn Washington-Harmon is the Health Editor at Men’s Health, with previous bylines at Health Magazine, SELF, and STAT.

This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. You may be able to find more information about this and similar content at piano.io

90,000 Pain relief in the treatment of hemorrhoids

Hemorrhoids is a complex disease. And its main difficulty is that, according to statistics, most patients can postpone treatment for a long time, even knowing that they have this disease. It seems too inconvenient to visit a proctologist and follow-up treatment. This attitude towards one’s own health often leads to the fact that one day, far from being a fine day, the patient will urgently need anesthetic therapy to stop the acute symptoms of hemorrhoids, as well as treatment to eliminate the cause of this disease.We will talk about pain relief and treatment today. Is it worth taking pain relievers for hemorrhoids , is it possible to rely on alternative methods of treatment and what is the most effective medicine for hemorrhoids .

How to relieve pain with hemorrhoids

Pain is a common symptom of both internal and external hemorrhoids. However, in the case of the external form of hemorrhoids, the pain can be much stronger and manifest itself with any movement: the muscles squeeze the fallen hemorrhoid, surrounded by many nerve endings. As a result, it is impossible to walk, sit and even lie down normally. In this case, you cannot do without anesthesia.

Local anesthetics

You can quickly and reliably relieve pain in hemorrhoids with the help of suppositories and ointments with anesthetics in the composition. Choose the form of the drug that you can use directly at the site of localization of hemorrhoids. If you have internal hemorrhoids and discomfort is caused by nodes located in the rectum – use suppositories containing anesthetic or any other prescribed by your proctologist.

If the nodes are outside, it is best to use a cream, gel, or ointment. Most often, ointments are prescribed with a local anesthetic in the composition. In addition to pain relief, they relieve tension and inflammation, eliminate itching, and have a healing effect.

Systemic pain relievers

The answer to the question of whether you need to take pain pills for hemorrhoids depends on the severity of the pain syndrome. If the pain is acute and the use of local remedies does not give tangible relief, it is possible to take pills with an analgesic effect.The tablets have a quick and effective analgesic effect, but they have a number of contraindications. In addition, they cannot be used on an ongoing basis.

Folk remedies for pain relief

From folk remedies for pain relief, cool sitz baths can be recommended. But remember: you can take them for no more than five minutes.

Hemorrhoid treatment

Relief of pain in hemorrhoids without direct treatment is only a temporary measure.If the cause of the disease is not eliminated, the pain will return more than once, and the disease itself will progress. Therefore, in parallel with pain relief, it is important to start treatment.

The main cause of hemorrhoids is the low elasticity of the veins in the rectum. To restore their elasticity, a course of venotonics is required. For example, drug Phlebodia 600 or others. These drugs are also used for diseases of the veins of the legs, varicose veins. However, today many drugs are produced specifically for the treatment of hemorrhoids.In particular, drug Flebodia 600 has the optimal dosage and packaging, designed for the treatment of acute hemorrhoids. 18 tablets per pack are enough for a 7-day course of treatment.

Your doctor will tell you in detail how to take Phlebodia 600 . The drug is taken with meals. In the first four days – three times a day, 1 tablet, and then three days – 1 tablet twice a day. This 7-day course is designed to relieve the acute form of the disease.After relief of acute manifestations of hemorrhoid symptoms, it is recommended to continue taking the drug Flebodia 600, 1 tablet once a day for one to two months.

It is important to note that taking venotonics not only helps to strengthen the walls of blood vessels, but also helps to relieve pain as soon as possible.

Instead of afterword

Hemorrhoids is a disease that requires a lot of personal responsibility and an integrated approach. Do not ignore its symptoms in those stages when they still do not bring serious discomfort, because in this case, timely treatment will allow you to get rid of it quickly, painlessly and for a long time.Do not focus only on relieving pain if you have already managed to start the course of the disease and it brings suffering. Yes, living with pain is hard, and you want to get rid of it faster. Take quick pain relief measures for this, but do not delay testing and treatment as soon as the pain subsides. Take care of yourself – see a doctor, take a course of treatment, take time for prevention. Do not look for the best hemorrhoid medicine by trial and error, let your doctor pick it for you. Perhaps a visit to a proctologist is not a pleasant experience, but he can save you a lot of trouble in the future.Therefore, take responsibility for your health and take the necessary measures. Your body will definitely answer you with gratitude!

How to relieve the symptoms of hemorrhoids: a few simple ways

Hemorrhoids are a common pathology in adults that, if not properly treated, can cause pain and discomfort. As a rule, symptoms of hemorrhoids during an exacerbation last for a couple of weeks and go away on their own. Fortunately, there are some home remedies and tricks that can help relieve or even avoid symptoms.

Warm bath. Taking a warm bath, including with the addition of mineral salts, can help relieve the symptoms of hemorrhoids, in particular, reduce the severity of swelling and irritation. In addition to these salts, you can also add several other ingredients to a warm bath to reduce symptoms even more, such as a cup of Epsom salts or apple cider vinegar.

Witch hazel. Natural witch hazel has astringent, antioxidant and anti-inflammatory properties, according to data published in the Journal of Inflammation.Witch hazel is also known to reduce bruising.

Coconut oil. It is a natural moisturizer that can also help relieve hemorrhoid symptoms. Using coconut oil can reduce irritation and swelling, and can help relieve itching.

Aloe Vera. Aloe vera has anti-inflammatory properties and may help heal wounds, according to research published in BioMed Research International.In addition, this plant is able to reduce the severity of burning, itching and swelling caused by hemorrhoids.

Ice packs. Applying ice towels or cold compresses to the hemorrhoid area can help relieve pain and inflammation, as well as reduce swelling. Use an ice pack within 15 minutes and repeat this every hour.

OTC drugs. When simple home remedies do not help relieve hemorrhoid symptoms, over-the-counter medications such as the non-steroidal anti-inflammatory drugs acetaminophen or ibuprofen can be considered.The use of skin creams that contain, inter alia, hydrocortisone or other similar ingredients can also provide temporary relief of unpleasant symptoms.

To reduce the risk of developing hemorrhoids or the frequency of exacerbations of this pathology, you should focus on changing some habits and lifestyle in general:

  • Drink plenty of fluids. According to a study published in The Permanente Journal, the development of hemorrhoids can be caused by a lack of fluid in the diet.Adequate amount of water helps the digestive system, and especially the intestines, in the formation of feces;
  • fiber-rich diet. Such a diet is also important for the health of the digestive system, especially when it comes to bowel movements. Fiber is able to absorb water, which helps soften and increase stool volume, which makes it easier to get rid of stool;
  • clothes. The symptoms of hemorrhoids can be alleviated by wearing loose fitting clothing (underwear and trousers) made from natural breathable materials such as cotton.This will help to avoid irritation and perspiration, which negatively affects the skin;
  • Correct “bathroom” habits. It is important to develop a proper bowel movement habit. Try to defecate on an individual schedule without pushing or straining too much. The selection of toilet paper is also important – it should be soft, without fragrances.

In many cases, home remedies and changes in your daily habits can help relieve the symptoms of hemorrhoids, but if the flare-up is severe, see your doctor.

Based on materials from www.medicalnewstoday.com

90,000 Hemorrhoids: Signs and Symptoms. Hemorrhoid treatment in Ryazan

The main symptoms of hemorrhoids and consequences

Acute pain in hemorrhoids does not appear immediately, the first stages of the disease are asymptomatic in most cases, making it difficult to identify the problem. As hemorrhoids progress, some discomfort appears. The first sign is a feeling of heaviness in the anus, later this symptom is added to burning, tingling and mild pain syndrome.

Among the symptoms of moderate hemorrhoids, one can designate a sharp pain during the administration of natural needs. Traces of blood and bloody discharge appear on the toilet paper. Symptoms of advanced hemorrhoids requiring immediate treatment are acute, prolonged pain, severe bleeding, prolapse of hemorrhoids.

With hemorrhoids in the last stage, complications arise that cause a number of inconveniences to a person. Among them, an incessant burning sensation, such a symptom as sharp pain while sitting.In the tissues surrounding the anus, inflammatory processes develop, there is a risk of infection. In addition, with hemorrhoids in the last stages, fecal incontinence, cracks in the anus, purulent rashes are observed. Heavy and prolonged bleeding with stage 3-4 hemorrhoids leads to anemia. A patient with hemorrhoids at this stage can be life-saving surgery. Fatalities, although rare with hemorrhoids in the latter stages, are possible.

Provoking factors

Many factors, including genetic predisposition, are capable of provoking hemorrhoids.The first signs of hemorrhoids can appear during the natural administration of need, therefore, with regular problems with stool, we recommend listening to your feelings.

The following factors influence the appearance and progression of hemorrhoids:

  • sedentary lifestyle;
  • excessive physical activity;
  • abuse of bad habits;
  • unnatural sexual relations;
  • hormonal disruptions and malfunctions of the thyroid gland;
  • gestation period.

In some cases, hemorrhoids are helped by diseases of the internal organs, unbalanced diet, and regular stress. The predisposition to hemorrhoids increases with age, especially when engaging in heavy physical labor or, conversely, with a decrease in activity.

Methods for the treatment of hemorrhoids

You should immediately forget about the possibility of curing hemorrhoids with folk remedies. A person who cares about his health and wants to get rid of a problem such as hemorrhoids, we recommend rushing to see a specialist.

Before starting treatment, the patient is interviewed about the obvious signs of hemorrhoids and the symptoms that accompany it. Usually, these data are sufficient to compile a clinical picture.

In the initial stage of hemorrhoids, medications are used as treatment to relieve painful symptoms, relieve inflammation and have a therapeutic effect. For this purpose, ointments, suppositories, tablets are used.

In acute hemorrhoids 2–3 stages, preference is given to non-invasive methods of treatment.Among them:

  1. Sclerotherapy is a method of treatment using special drugs that eliminate the symptoms and the problem itself quickly and effectively. If there are more than two nodes, the procedure is repeated after two weeks.
  2. Ligation is an effective and practically painless treatment of hemorrhoids by putting latex rings on the hemorrhoid. Thanks to a special device, the blood supply to the neoplasm stops, the node disappears.
  3. Disarterization is an effective method for stage 2–3 hemorrhoids.With this method of treatment, the nutrition of the neoplasm is stopped by tightening with special materials. After a certain period, the nodes fall off and come out naturally.
  4. Cryo-freezing – treatment by exposure to low temperatures. Available and effective for hemorrhoids not in advanced stage. A painless, fast and effective method.
  5. Photocoagulation – treatment involves exposure to a device that emits a luminous flux that stops the blood supply to the damaged node.With hemorrhoids in the initial stage, it guarantees quick relief from the problem.

In acute hemorrhoids and in the latter stages, treatment is conservative. The essence of the treatment is to radically get rid of the neoplasm through surgery.

Advantages and disadvantages of different treatment methods

Surgical treatment of hemorrhoids is carried out only in 20% of all cases. The advantages are efficiency and effectiveness. Of the shortcomings, it is worth highlighting a long preparatory period followed by recovery (up to 2 weeks).During this period, you may experience discomfort and tingling.

Treatment with medicines is a simple and affordable method. It is carried out without interrupting the main activity, subject to the diet and moderate physical activity. Competent treatment with non-invasive methods allows you to quickly solve a delicate problem.

Each method has its own contraindications, which are established during a medical consultation.

Prevention of disease

Preventive measures reduce the risk of neoplasms and speed up the rehabilitation process after hemorrhoid treatment.These include:

  1. Compliance with dietary nutrition after treatment. Refusal of fried, fatty, spicy, salty, diet change. Steam dishes and soft foods are preferred.
  2. Taking vitamins.
  3. Simple gymnastic exercises, walking, swimming.
  4. Quitting bad habits.

Caution – hemorrhoids! – useful articles

It is not customary to talk about this. They laugh at this and make up anecdotes.Although in some cases it is no longer up to jokes. Almost half of a hundred people suffer from hemorrhoids. Nevertheless, we continue to treat this disease with negligence and hope for “maybe”.

It is believed that hemorrhoids mainly affect women. But this is not so, hemorrhoids are much more likely to develop in men. It’s just that women are more closely monitoring their health. With hemorrhoids, there is no immediate threat to life, but the quality of life itself changes dramatically. A person suffering from hemorrhoids experiences discomfort, inconvenience and discomfort.But even this does not become an incentive for referring to a specialist – false shame and fear, which prevent the patient from visiting a proctologist, are defeated. But in vain. If the disease is not stopped in time, it gains strength, which leads to serious consequences.

What are hemorrhoids?

In the final segment of the rectum in the anus there are two choroid plexuses – hemorrhoidal “pillows”, which perform the function of additional sealing of the rectum.One of the plexuses is located outside, the other in the depths of the rectum. Accordingly, distinguish between internal and external hemorrhoidal plexuses, from which, under certain conditions, hemorrhoids develop, also subdivided into internal and external. Due to the peculiarities of the location, external hemorrhoids are more quickly detected on their own, and therefore patients turn to a doctor earlier. Internal hemorrhoids are often treated in advanced stages.

What causes hemorrhoids or, scientifically, what are the risk factors for hemorrhoids?

Hemorrhoids do not appear suddenly – woke up, and oh-hemorrhoids! It is important here to distinguish between predisposing and producing factors.The first is heredity. If your parents suffered from hemorrhoids, then it is highly likely that you will develop hemorrhoids. This is due to the hereditary characteristics of the connective tissue as a framework. Therefore, often there is a combination of hemorrhoids with varicose veins, hernias. But to a greater extent, a person himself “earns” hemorrhoids for himself by an unhealthy lifestyle. Here we turn to the directly producing factors.

The occurrence of hemorrhoids is different in men and women.If in women hemorrhoids and its consequences are often formed during pregnancy and in the postpartum period, then in men the leading role in the development of the disease is played by hard physical labor, especially food addictions are the use of spicy foods and alcohol, which cause a sharp blood flow to the anus and overflow of hemorrhoids. nodules. As a result, hemorrhoidal “cushions” increase in size, shift downward and begin to fall out of the rectum. Important factors in the occurrence of hemorrhoids are chronic constipation, diarrhea, abuse of enemas and laxatives, oral contraceptive use, unhealthy diet, overweight, physical inactivity, standing work.Therefore, the “hemorrhoidal club” often includes office workers who have a sedentary job – managers, programmers, operators, secretaries, etc.

How are hemorrhoids manifested?

One of the unpleasant properties of this disease is that in the early stages it is “mute”, that is, it does not manifest itself in any way. Contrary to popular belief, chronic hemorrhoids without exacerbation never cause pain. Its characteristic features are the release of blood and prolapse of hemorrhoids in the stool.Also, chronic hemorrhoids can be manifested by a feeling of a foreign body in the anus, itching, irritation, mucus, a feeling of incomplete emptying of the intestine after stool. Severe pain appears only in the acute stage of hemorrhoids. Pain can also be due to anal fissure or other lesions of the rectum. The disease proceeds cyclically and in waves: an acute attack with pain and bleeding is replaced by the subsiding of symptoms, but the disease does not disappear on its own. Its natural result is a progressive prolapse of hemorrhoids with a slight load, profuse bleeding and intense pain.It is important to note that the symptomatology of proctological diseases is rather monotonous, and unpleasant sensations can be caused not only by hemorrhoids, but also by other, very different diseases of the rectum and requiring a completely different treatment.

Only a specialist – a proctologist, after a special examination, can confidently diagnose hemorrhoids and prescribe the treatment you need. Therefore, it is better not to postpone communication with a doctor – in the early stages it is much easier and more effective to cure hemorrhoids.In advanced cases, the only way out can be only an operation. A proctologist is not so scary. And it is better to visit it not after you find that you already have hemorrhoids, but in advance, immediately after reading this article – for prevention.

Mikhail Dmitrievich Krylov –

Coloproctologist, Scandinavian Medical Center,

Candidate of Medical Sciences, Member of the Association of Coloproctologists of Russia

How to reduce pain in hemorrhoids

Thrombosis and inflammation of the hemorrhoidal veins require immediate medical attention.Hemorrhoids are treated by proctologists and they strongly do not recommend self-treatment. It is also not worth delaying to see a doctor, because hemorrhoids do not go away by themselves, but only increase with age. But, what if you have not yet turned to the proctologist, and the pain sensations have worsened?

How to reduce pain with hemorrhoids

Ointments sold in pharmacies in Nizhny Novgorod will help to cope with discomfort and burning sensation. For example, such as Troxevasin, Levomekol and Heparin ointment.They relieve pain, reduce swelling, and promote wound healing. The drug Relief most likely relieves pain. It has a powerful anesthetic effect, suppresses nerve impulses. Pregnant, lactating and elderly people should choose Fleming’s ointment, which contains only natural medicines.

How to reduce pain with hemorrhoids without drugs

  • Wash well with a mild soapy solution, especially if the pain started after a bowel movement.
  • Apply a lotion at room temperature with a solution of chamomile, calendula or oak bark.
  • If the situation allows, take a lying position. If this is not possible, sit slightly on your side and slowly sway back and forth to relieve tension and pain.

What absolutely must not be done with hemorrhoids

  • Do not take hot baths and warm hemorrhoids in other ways, this will only aggravate the situation, increase bleeding.
  • Hypothermia is also contraindicated, since it disrupts blood circulation and leads to inflammation of the hemorrhoids.Dress warmly during the winter.
  • Excessive exercise and a sedentary lifestyle are equally harmful.

Of course, you can find out the prices in the pharmacies of Nizhny Novgorod for the above drugs and purchase them, but they will only help to relieve pain with the help. Temporary relief is not a substitute for complete treatment by a proctologist.


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90,000 Hemorrhoids: symptoms, signs, types, complications

Symptoms of acute hemorrhoids

In acute hemorrhoids, all existing symptoms sharply and strongly aggravate, which requires immediate medical intervention.

As a rule, the reasons for such an exacerbation are:

Pinching. Fallen hemorrhoids are trapped by the sphincter, causing severe swelling and inflammation.

Thrombosis of the node. As a result of the accumulation of blood in the hemorrhoidal node, blood clots (thrombi) are formed, which “burst” the node from the inside.

Three degrees of thrombosis can be distinguished:

  • Thrombosis without inflammation. Hemorrhoids begin to increase in size, become very dense, slightly painful to touch.There is swelling and redness of the skin around the anus.
  • Thrombosis with inflammation of hemorrhoids. There is acute pain in any position, the area around the anus with pronounced swelling and redness. The bowel movement is complicated. At this stage, the sphincter may also spasm, which additionally leads to pinching of the node.
  • Thrombosis with inflammation of the subcutaneous tissue. As a rule, in this case, around the anus, the entire area is swollen, very painful, hemorrhoids are very dense, bluish in color.Complication in the form of nodular necrosis.

Main symptoms of acute hemorrhoids

Severe pain. Very sharp and vivid painful sensations of a twitching or piercing nature. As a rule, it occurs with any movement, it is impossible to sit and walk, and even more so to empty the intestines.

Changes in hemorrhoids. Due to a violation of blood microcirculation, the nodes become cyanotic (in advanced cases, almost black), very dense, edematous.

Temperature rise. As a rule, an increase in body temperature is caused by an associated infection and an inflammatory process.

Complications of acute hemorrhoids

In the absence of quick and adequate therapeutic effects in acute hemorrhoids, complications may arise:

  • massive bleeding;
  • edema of the anus;
  • purulent paraproctitis;
  • hemorrhoidal necrosis.

In such cases, urgent hospitalization and urgent surgical intervention is required.

90,000 Signs, symptoms and causes of hemorrhoids in pregnant women – NEARMEDIC network of clinics

Signs of hemorrhoids in pregnant women

The longer the period, the higher the likelihood of developing the disease. Most often, hemorrhoids appear in the 3rd trimester or after childbirth.

The blood vessels of the hemorrhoidal plexus of the rectum gradually expand.At longer periods, the stretching of the veins becomes even stronger. With the expansion of the walls of the veins of the rectum, they lose their elasticity. This provokes the protrusion of the veins under the mucous membrane.

If hemorrhoids protrude only into the lumen of the rectum and do not come out of the anus, then we are talking about the treatment of hemorrhoids of the 1st stage. The further, the larger the knots become and the more they sag out of the anus. In the second stage of hemorrhoids, the nodes sag from the anus, but they easily adjust back on their own.The third stage occurs when the nodes can no longer cope back.

Symptoms of the disease depend on its stage.

  1. Internal hemorrhoids. Symptoms are mild, there is no sagging hemorrhoids from the anus. At this stage, women may experience pain during bowel movements, observe slight bleeding or traces of fresh blood on the stool, as well as itching and discomfort in the anal area.
  2. External hemorrhoids. The main symptom is sagging from the anus of purple-red one or more nodes.This manifestation is the main sign of what is required, and not of another disease, for example, a fissure of the anus. Walking, sitting and defecating in this case become extremely painful.

Urgent doctor’s help is required in case of infringement of the hemorrhoid – a pregnant woman experiences very severe pain in the anus with an increase in body temperature.

Treatment of hemorrhoids during pregnancy

If a woman already has any symptoms of hemorrhoids – itching, pain in the anus, bleeding from the anus, etc.- then professional treatment is required.

In NEARMEDIC, as the first stage of treatment, doctors carry out the above-described preventive measures, they stop the development of the disease. Then the woman is prescribed drugs, both local and systemic. But because of pregnancy, local therapy is preferable, as it reduces the risk of side effects, increases the effectiveness of treatment and reduces the negative effects of drugs on the baby. In any case, the medicine is prescribed only by the attending physician who observes the woman during pregnancy.

In the case when a woman already has a prolapse of nodes that cannot be corrected, an operation is prescribed. Other indications for surgery are infringement or necrosis of the hemorrhoid, as well as acute inflammation. Most often, in NEARMEDIC, the operation is postponed until the postpartum period, and during pregnancy it is limited to conservative treatment.

Prevention of hemorrhoids during pregnancy

Due to the fact that all pregnant women are at high risk of developing hemorrhoids, NEARMEDIC clinic doctors strongly recommend taking preventive measures throughout pregnancy, without waiting for the onset of symptoms.