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Hemorrhoids are a common disease among the adult population. The disease affects the rectum and is non-infectious in nature.

This proctological disease develops gradually over a long time, becoming chronic.

This stage proceeds in waves, and the remission phase is replaced by a period of exacerbation. When it fades, all unpleasant symptoms fade away without disturbing the patient.

Exacerbation of hemorrhoids causes a lot of trouble for the patient due to severe pain with resulting complications.

Why timely treatment of hemorrhoids during exacerbation is so important, how it is carried out and what methods exist, this is worth understanding in more detail.

Causes of exacerbation of hemorrhoids

The most important reasons for the development of hemorrhoidal disease are venous insufficiency and weakness of the walls of blood vessels.

With a constant influx of large amounts of blood, the veins in the pelvic area fill, enlarge and hemorrhoids form.

This process does not occur immediately; it is gradual. Sometimes symptoms increase, worsening the patient's condition.

Doctors identify several main reasons for the development of hemorrhoids:

Staying in one position for a long time. A sedentary lifestyle, in which a person is often sitting or standing, provokes an exacerbation of hemorrhoids. This is due to impaired blood flow, after which the hemorrhoids fill with blood.
Wrong diet. If you eat improperly, the functioning of the digestive system is disrupted. This can be caused by an abundance of fried, fatty, spicy, salty, and sweet foods. As a result, the patient begins to suffer from constipation, and blood flow in the pelvis increases. All these factors directly affect the exacerbation of the disease.
Stool disorders. With hemorrhoids, diarrhea or constipation is unacceptable. Both types of problems with bowel movements lead to an exacerbation of the disease. When constipation occurs, the abdominal muscles experience severe pressure. Hard feces can damage the delicate mucous membrane of the rectum. With diarrhea, liquid feces can lead hemorrhoids to an inflamed state by colonizing them with dangerous pathogenic bacteria.
Heavy loads. This factor affects the male half of the population. When lifting or carrying heavy objects, strong pressure occurs in the abdominal muscles. The pelvic veins become overfilled with blood, increasing the risk of cavernous formations emerging from the anus.
Pregnancy and labor. A woman experiences many inconveniences while carrying a baby. The developing fetus puts pressure on the veins in the pelvis, which leads to impaired blood flow, stagnation, and constipation. During childbirth, a woman experiences pushing, which is additional pressure inside the peritoneum. As a result, the hemorrhoids become overcrowded.

Particular attention is paid to the psychological factor. Any stressful situations, depression, psycho-emotional stress can significantly worsen a person’s condition, including leading to exacerbation of hemorrhoids.

Symptoms during exacerbation

When hemorrhoids worsen, the patient experiences pronounced symptoms. It appears instantly and very quickly.

The patient’s health deteriorates and he is unable to lead his usual lifestyle. What signs indicate that the disease has worsened:

severe pain;
bleeding from the anus appears;
hemorrhoids come out of the rectum;
body temperature rises;
deterioration in general health;
signs of intoxication.

The most important symptom is pain. It appears immediately after defecation, coughing or sneezing.

This state lasts from minutes to several hours. Sometimes the patient cannot sit or stand or move around.

The pain syndrome is so severe that psychogenic constipation occurs, when the patient is afraid of bowel movements and refuses to eat.

In the acute form of hemorrhoids, bleeding occurs. This is facilitated by the rupture of blood clots in a tricky formation, during which the pain subsides.

Due to the easing of the pain effect, some patients believe that the acute phase has passed.

Hemorrhoids swell in the acute phase, they turn blue and harden. When they reach large sizes, they fall out.

As a result, consequences appear - thrombosis, strangulation, necrotization, intoxication.

Possible complications

The danger of the acute phase of hemorrhoids is that unpleasant consequences in the form of complications may occur.

In this case, medical attention is required, and surgical intervention is often resorted to.

Bleeding from the anus

In complex forms of the disease, hemorrhoidal bleeding from the rectal area can become profuse.

This process does not depend on acts of defecation. This condition is unacceptable, since it threatens a dangerous disease - the development of acute anemia.

Internal organs experience a lack of oxygen due to a sharp decrease in hemoglobin levels.

In patients, the pulse quickens, the blood pressure level sharply decreases, the skin becomes pale, and a feeling of weakness appears.

Colitis

When the disease worsens, the pathological process spreads to neighboring organs. Often with hemorrhoids, the mucous membrane of the large intestine becomes inflamed.

As a result, gastrointestinal tract disturbances occur, bloating, flatulence, spastic pain appear, and intestinal walls are damaged (spastic and ulcerative colitis).

Paraproctitis

This complication is represented by purulent inflammation of the tissues surrounding the rectum.

In addition to the inflammatory process, in the acute form of hemorrhoids, infection with pathological bacteria can occur.

Pathogenic microorganisms are represented by streptococci, staphylococci, and Escherichia coli.

The patient experiences severe increasing pain in the anal canal, perineum and lumbar region.

A sharp rise in body temperature, weakness, and chills are noted due to general intoxication of the body.

This is facilitated by the retention of feces and urine in the body. At the first such signs, the patient urgently needs medical and surgical care.

During surgery under general anesthesia, it is important to identify and eliminate a purulent abscess or phlegmon.

When an acute phase of hemorrhoids is detected, medical assistance must be provided in order to prevent the development of complications. The sooner measures are taken, the faster the patient will recover.

First aid

Unpleasant symptoms during exacerbation of hemorrhoids can appear suddenly. If such manifestations occur, you should immediately consult a proctologist.

But what should a patient do during an exacerbation until he gets to the attending physician?

If the pain is unbearable, take painkillers or apply ice to the affected area. A small amount of manganese is dissolved in ice water, and a bandage is soaked in this solution. Ice water will have an analgesic effect, manganese promotes disinfection. Additionally, apply a bag of ice cubes to the affected area. You can make a cool bath based on decoctions of medicinal herbs.
To reduce the load on the muscle tissue in the anus, the patient is recommended to lie down. This state allows you to relax and not strain the muscles of the anus. Standing or sitting is not recommended during this period.
If you have constipation, you should not push to cleanse your intestines. An alternative option would be cleansing enemas, which will carefully provide the desired effect.
In order to prevent the development of complications, be sure to rush to see your doctor. You cannot self-medicate. Only proper treatment prescribed by a doctor can help the patient cope with the disease.

The acute phase of hemorrhoids can last about a week. The duration of the disease depends on the duration of the disease, symptoms, and the presence of complications.

With proper and timely treatment, it goes into remission.

Treatment

At the first signs of illness and attacks of hemorrhoids, be sure to seek help from a specialist.

The doctor will carry out a set of diagnostic measures and prescribe individual treatment for hemorrhoids in case of exacerbation.

Complex therapy is often used. It includes medication, folk remedies and a special diet. Special attention is paid to prevention.

Systemic drugs

When prescribing drug therapy, attention is paid to non-steroidal anti-inflammatory drugs and antispasmodics.

The first group is aimed at pain relief, relieving swelling in cavernous formations in neighboring tissues.

Antispasmodics include Papaverine to quickly relieve spastic reactions in the rectum and reduce the pain effect.

These drugs are used in the acute phase of hemorrhoidal lesions at elevated temperatures, intoxication, and deterioration of the general condition.

These include the following medications:

Diclofenac;
Ibuprofen;
Ketorolac;
Nise;
others.

Some drugs promote blood clotting. They are taken with caution in case of massive bleeding.

Complex therapy for the acute phase of hemorrhoidal disease includes venotonic drugs.

They are created on the basis of natural flavonoids that strengthen the venous walls. They are responsible for increasing blood flow, promoting tissue regeneration, and have an anti-inflammatory effect.

What drugs are we talking about:

Venarus;
Detralex;
Troxevasin;
Phlebodia;
Aescusan for hemorrhoids;
other.

Using venotonic agents, the healing process proceeds faster. But their use should be careful and only under the supervision of the attending physician due to contraindications and undesirable consequences.

External and local preparations

For acute and chronic hemorrhoids, treatment is prescribed using combination medications.

They effectively relieve pain, reduce inflammation, and prevent the formation of blood clots.

Such drugs include:

Anuzol;
Hepatrombin G;
Procto-Glyvenol;
Ultraproct.

The prescription of medications depends on the symptoms of the acute phase of the disease and the presence of exacerbations.

All medications against hemorrhoidal disease are divided into several groups:

Antiseptics. For purulent-inflammatory processes in the area of subcutaneous fat and nearby tissues, doctors prescribe Levomekol, Vishnevsky and Ichthyol ointments.
Antithrombic drugs. When blood clots form in hemorrhoids, Heparin ointment, Troxevasin gel, Gepatrombin G suppositories, Nigepan are used.
Hemostatic agents. In the acute phase of the disease, suppositories containing adrenaline effectively stop bleeding by spasming blood vessels. Relief preparations based on shark liver, Natalsid from brown seaweed extract, and hemostatic sponges are often used.

When using complex treatment using systemic drugs with local medications, the patient's condition significantly improves within a week.

Medicines relieve all symptoms, and the disease goes into remission. In severe forms of the disease, there is a need for surgical intervention.

Cryodestruction, ligation, disarterization, and sclerosis are used. These methods are carried out only after acute symptoms have been eliminated.

Folk remedies

Traditional therapy is often used for complex treatment. Before using it, be sure to consult a doctor and carry out it only under his supervision.

What recipes are effective:

Potato candles. Raw potatoes have an anti-inflammatory, hemostatic effect. Before use, do a cleansing enema. A rectal suppository is cut out of potato pulp and inserted into the anus before going to bed.
Carrot candles. Carrot suppositories perfectly kill bacteria and heal wounds. A candle is cut out of a peeled carrot and inserted into the anus an hour before bedtime. To improve the effect, you can lubricate the candle with natural honey.
Ice candles. They have an analgesic and hemostatic effect. For these purposes, purified water is frozen in prepared foil molds in the form of suppositories in the freezer. Instead of water, you can use decoctions of medicinal herbs. Gently insert the candle into the anus for 20-30 seconds. Gradually increase the time to 1.5 minutes.
Microclysters. They are made on the basis of medicinal herbs, making decoctions from them. Suitable oak bark, bird cherry berries, chestnut fruits. The action is aimed at stopping the blood and having an astringent effect. Enemas effectively relieve burning, itching, and inflammation.
Calendula infusion. Perfectly heals damage and promotes tissue regeneration. The infusion is used to make enemas, compresses, and washes. Many patients add it to baths and make ice suppositories from it. Instead of calendula, you can use sage, nettle, yarrow, and blueberries.

A positive effect is observed when drug therapy is used in combination with traditional recipes.

You can achieve good results in recovery with the help of a special diet. You should avoid aggressive and unhealthy foods that irritate the intestinal mucosa.

Some foods can lead to constipation, which is also unacceptable during an exacerbation of hemorrhoidal disease.

Eliminate all bad habits and drink enough purified water. At the first signs of illness, do not delay visiting a doctor to avoid complications.

The intake of any medications or the use of traditional therapy must be agreed with the attending physician. Self-medication is prohibited.

Useful video

Hemorrhoids are a disease of the hemorrhoidal veins, which is characterized by their thrombosis, inflammation and the formation of nodes in the rectal area.

Classification

The disease exists in two forms, manifests itself in different symptoms and occupies one of the first places in the intestinal tract diseases:

Acute hemorrhoids - severe pain occurs, thrombosis of internal and external nodes occurs. All symptoms of the disease are pronounced. The resulting thrombosis is divided into three stages:

Pain upon examination, the nodes change color from dark red to bluish.
Spread of inflammation - neighboring tissues are involved in the process.
Necrosis - dead nodes in hemorrhoids become black.

Chronic hemorrhoids are also inflammation of the hemorrhoids. The pain syndrome is slightly expressed. Symptoms can generally be missed without giving them any importance. Divided into four stages:

Mild discomfort and symptoms of inflammation can only be determined during an internal examination.
Inflamed nodes may fall out, but you can straighten them yourself.
The loss of nodes is becoming more frequent; to eliminate the problem, the help of a doctor is necessary.
Inability to reposition nodes.

But aggravated hemorrhoids are replete with symptoms of varying severity. To be able to stop them, you need to know the causes and tactics of how to save yourself from exacerbation of hemorrhoids.

Causes and duration of exacerbation

The exacerbation of this disease depends on a variety of reasons. Quite often, a person simply loses sight of what aggravates hemorrhoids, does not pay attention, leading the disease to unpleasant consequences. Why hemorrhoids worsen and the reasons for hemorrhoids worsening are given below:

Physical stress - in case of low motor activity, blood stagnation develops in the pelvis. Sooner or later, this stagnation leads to an aggravation of the process. Conversely, excessive physical activity leads to increased blood flow to the pelvis and rectum. In this case, the outflow of blood is much less than the duct, which is why stagnation occurs with the development of exacerbation of hemorrhoids.
Food has an indirect effect on the exacerbation of hemorrhoids. Constipation that occurs due to poor nutrition provokes exacerbations. This occurs with constant mechanical irritation of the rectum by solid feces. The same applies to other diseases of the digestive tract, for example, those accompanied by diarrhea. In this case, frequent irritation of the rectal mucosa leads to minor hemorrhages and inflammation in the walls of blood vessels, which causes an exacerbation of the process.
Alcohol is highlighted in a separate line - its constant use inevitably leads to the appearance of congestion in the hemorrhoidal veins.
Pregnancy - the gradual growth of the uterus begins to put pressure on the blood vessels of the pelvis; for a long time they are in a compressed state, which leads to a deterioration in blood flow and the occurrence of stagnation.
Nervous state - it is known that stomach ulcers in 35% of cases occur against the background of severe stress. The same can be said about hemorrhoids. Hemorrhoids are one of the diseases of the digestive tract that develops very quickly and makes itself felt during prolonged, excessive nervous overload. One of the most long-lasting and unpredictable forms of aggravated hemorrhoids is a process that arose due to nervousness.
Menstrual cycle - exacerbation in this process occurs less frequently, but can also occur with increased blood flow during menstruation.
The appearance of rectal neoplasms, both benign and malignant. In these cases, hemorrhoids can worsen suddenly.
Heredity

How long an exacerbation of hemorrhoids lasts depends on the reasons mentioned above. If a person suffering from this disease takes preventive measures in a timely manner, then he will not have to think about what to do if hemorrhoids worsen.

Clinical picture of exacerbation

Very often a person does not even realize that he has hemorrhoids. The flow can proceed absolutely without any manifestations. Signs of the presence of the disease often make themselves known during the period of exacerbation, which is characterized by the following symptoms:

Severe pain
Appearance of blood
Swelling of the node and tissues around it
Pain when sitting
Hyperthermia
Impossibility of reduction (not always)

As a rule, exacerbation rarely goes away on its own. It is imperative to seek medical help to avoid complications of the disease, and also to know in the future what to do if hemorrhoids worsen and how to prevent the process from worsening.

Complications

The rate of development of complications depends on the severity of the disease. If there are any warning signs or symptoms, the patient should immediately consult a doctor, as the following may occur:

Acute thrombosis – develops when hemorrhoids prolapse and sphincter spasm. More often appears with external hemorrhoids.
Anemia – appears with frequent, severe bleeding. The person begins to feel weakness, sweating, and increased heart rate. Internal organs experience hypoxia.
Incarceration - this process in hemorrhoids often causes necrosis. A very painful process. The prolapsed node becomes impossible to set due to spasm of the anal sphincter and swelling of the anus.
Anal fissures – occurs with frequent constipation. With constant straining during defecation, constant tension leads to swelling of the mucous membrane and, over time, its rupture and the addition of a secondary infection.
Colitis - appears when the walls of the large intestine are inflamed. Accompanied by painful spasms and flatulence.
Paraproctitis is the appearance of an abscess due to purulent inflammation of the space in the peri-rectal area. Swelling and redness appear, a fistula forms, and there may be purulent discharge.

Diagnostics

The following methods are currently used to identify the hemorrhoidal process:

Colonoscopy
Sigmoidoscopy
General blood test

Emergency assistance during exacerbation

If hemorrhoids worsen, especially in men, immediately take emergency measures. Everyone should know how to relieve an exacerbation of hemorrhoids and how to treat an exacerbation:

Pain and swelling during exacerbation of hemorrhoids require immediate relief. The first thing that helps is applying cold to the inflammation. Apply no more than 20 minutes.
Taking painkillers.
Sitz baths using a decoction of chamomile and St. John's wort.

Therapy for exacerbation of hemorrhoids

Treatment for exacerbation of hemorrhoids is multicomponent. It is recommended first of all to do the following: move less and lie down, since the leading sign of an exacerbation is pain. It is important to know that treatment at home without seeking medical help can accelerate the development of complications. How and with what to treat an exacerbation, what every patient should know:

Use of ointments. They are able to immediately relieve burning, itching in the perianal area, inflammation, and heal cracks.
Tablets - antibacterial drugs, non-steroidal anti-inflammatory drugs, venotonics - will help reduce or remove signs of inflammation, restore venous circulation even if surgical intervention is required.
Suppositories – having a local effect, quickly relieve inflammation. In case of exacerbation of hemorrhoids, suppositories will have an effect faster than all other means.
Diet food.

Many people think that exacerbation of hemorrhoids is simply the occurrence of pain and some inconvenience for a short time. At first this is true, but later it may be too late, since complications will not take long to appear. Every day the prevalence of this pathology is growing, and only the awareness of those suffering from such an illness will protect themselves from complications that can be fatal. If you lead a healthy lifestyle, then the causes of exacerbation, the frequency of exacerbations of hemorrhoids and, accordingly, treatment of hemorrhoids will be reduced to a minimum. Cherish your health!

Symptoms of exacerbation

Pain in the anal area is the most unpleasant. It literally torments a person, to such an extent that it is impossible to sit, and movement is very difficult. When the intestines are emptied, the pain intensifies. Some people are so frightened by this that they do not want to eat and go to the toilet very rarely. But such help in case of exacerbation of hemorrhoids will lead to nothing, this is not a way out of the situation, because constipation is becoming more and more frequent, feces harden and injure the intestine, which is already inflamed. As a result, defecation causes severe pain.

If the disease enters a severe phase, the nodes begin to fall out. First, only during the act of defecation, and then simply when taking a “standing” position. It is not possible to insert them back; they are pinched and can disintegrate and die. Inflamed nodes bleed, which leads to anemia.

Treatment of hemorrhoids during exacerbation

As soon as a person feels pain, he should take painkillers. It will also help. You will need - just a little. It is dissolved in water - only cold water - and gauze is moistened in the solution. Apply to the affected area. This is used during an exacerbation if necessary, if it is impossible to go to the doctor or while waiting for an ambulance.

When hemorrhoids worsen, treatment at home is also possible. It is enough to take a warm sitting one, raise your knees and sit for about 10 minutes. It is important to know that you don’t need to push for a long time if you have constipation; cleansing will be much more effective.

As soon as it subsides a little, you should consult a doctor who will make a diagnosis, determine the extent of the disease and prescribe the necessary treatment.

It is important to know that the acute phase period lasts approximately seven days, and then remission occurs.

Folk remedies

There are several recipes for alternative treatment that have been tested by doctors who have recognized their effectiveness.

Many people, feeling that there has been an exacerbation of hemorrhoids, have absolutely no idea what to do. A potato candle will help you. For production, you need ordinary raw meat, which is cut into oblong-shaped slices. Then you should insert such a candle into the anus. Potatoes stop bleeding and are an excellent anti-inflammatory. It is recommended to leave the candle on all night.
Carrot candle. All you need is . A candle is made in the same way as a potato candle. However, unlike it, carrots are left for only 1 hour. To enhance the bactericidal and regenerating properties of the candle, apply a little to the carrots.
Ice candle. With its help, the bleeding will stop and the pain will go away. We need ice molds in the form of cones or finger holders. In the end, you can cut off a finger from an ordinary new rubber glove. The container is filled with cold water and placed in the freezer. Next, the candle is pulled out of the mold and applied to the anus. At first you need to keep it for half an hour, but when the body gradually gets used to it, increase the time to 1.5 minutes.
If a person has an exacerbation of hemorrhoids, different folk remedies can be used, but most often they recommend an infusion, because it heals and regenerates remarkably. The infusion is used for preparing enemas, doing enemas, and washing. You can make ice suppositories and add the infusion to a sitz bath.
Tansy. Boil water, put tansy in a bath or basin, and pour hot water over it. You need to sit above this steam. Tansy is a good antiseptic and anti-inflammatory.

Drugs for exacerbation of hemorrhoids

Conservative treatment of hemorrhoids depends on how severe its symptoms are. Question how to relieve aggravation of hemorrhoids decided by the doctor after studying all the tests. The first thing the doctor prescribes is painkillers.

Ketonal.
Nise.
Diclofenac.

Suppositories for exacerbation of hemorrhoids

If a patient has cracks in the anus, then Relief suppositories are a wonderful remedy for them. They are made from shark liver oil, which regenerates damaged tissue. Sea buckthorn suppositories also heal such damage. To relieve pain, suppositories with belladonna are prescribed. Ultraproct suppositories for exacerbation of hemorrhoids relieve pain. This is a drug with complex effects. Contains fluocortolone and castor oil. Suppositories with adrenaline are prescribed if bleeding occurs. These suppositories will narrow the blood vessels and the bleeding will stop.

Tablets for exacerbation of hemorrhoids

Phlebotonics.
Detralex.
Greencore form.

These drugs are necessary to alleviate the condition of a sick person, relieve pain and eliminate discomfort. Most of them are based on medicinal plants; there are very few contraindications and can be used by children and mothers. The tablet can be taken almost anywhere.

Phlebotonics are the most effective. The drug has anti-inflammatory properties and regulates blood flow in the veins. Used before and after surgery. In cases where there is a sudden exacerbation of chronic hemorrhoids, treatment with phlebotonics gives the best results. An example of phlebotonics is Detralex.

It contains diosmin, a venotonic substance. The capillaries improve, their walls become stronger, and the tone of the veins increases. Prescribed for acute and chronic hemorrhoids. In the case of the first option, take three tablets while eating, twice a day. They do this for 4 days, then reduce it to two, which they take for 3 days. The course of treatment depends on how severe the disease is and may last 3 months. Although it has few contraindications, the doctor will not prescribe it during lactation and in the last trimester of pregnancy. The average price in pharmacies is approximately 700 rubles.

Much cheaper is Ginkor Fort, based on the ginkgo biloba plant. In case of exacerbation of hemorrhoids, these tablets will not only protect the walls of blood vessels, but will also relieve inflammation. Pain relief. Take for a week, 2 times a day, 2 capsules. There are no contraindications, no side effects. Aescusan reduces, relieves itching, and eliminates pain. Take the drug before meals, 3 times a day, 2 tablets.

Ointment

Levasin.
Levomekol.
Vishnevsky ointment.

The tissue around the hemorrhoid may become inflamed. Then, to alleviate the patient’s condition, the doctor prescribes ointments such as Levasin or heparin. The latter is known for the fact that it can be used even during pregnancy and lactation. Drugs for exacerbation of hemorrhoids are prescribed depending on the phase of the disease, but Levomekol gives excellent results. Vishnevsky ointment is not a special ointment for treating hemorrhoids, but it gives good results.

Exacerbation of internal and external hemorrhoids

It’s dangerous because you can’t see it right away - after all, the nodes are inside. It may feel like something is stuck in the anus. No nodes are visible, slight bleeding is possible. When an exacerbation of internal hemorrhoids occurs, the nodes swell, the mass of feces presses on them, touches them. Therefore, the nodes hurt and discomfort increases. Bleeding becomes more frequent and more profuse. Over time, the node will tighten the intestinal wall, the mucous membrane will burst, and cracks will appear. As a result, anemia appears.

It is much easier to detect, because the nodes are visible in the anus. Their sizes vary, but on average they can reach 3 mm or more. When remission occurs, the nodes are empty, and when the disease returns, they are filled with blood. If blood clots appear, this means the development of thrombosis. Sometimes exacerbation of external hemorrhoids is confused with internal hemorrhoids, because the node has fallen out. But the inner one is covered with mucous, because this is her education. In this case, the internal nodes are reduced, but the external ones are not. An obvious feature of external hemorrhoids is increased temperature.

Exacerbation of hemorrhoids in women during pregnancy and after childbirth

The disease does not recognize gender divisions, but there are still some differences. It consists in the fact that the female sex has a monthly flow of blood, which is called menstruation. It is this factor that greatly influences the exacerbation of hemorrhoids in women. After all, blood intensively flows to the pelvis and overflows the vessels. The first symptoms in women are no different from those experienced by men - itching and discomfort in the anus.

If a woman becomes pregnant and develops hemorrhoids, then at first she will not even know about it - the symptoms hardly appear. And when a woman comes to the gynecologist for a preventive examination, she is surprised to learn that she has this unpleasant disease. The cause of hemorrhoids is that the child begins to put pressure on the abdominal cavity, and especially on the pelvis. In the venous plexuses, the outflow is disrupted, and blood stagnation appears. Exacerbation of hemorrhoids during pregnancy causes changes in the nodes, they become denser. When a woman gives birth, she must push. And of course she has contractions. These inevitable consequences of childbirth affect the hemorrhoids in such a way that they protrude and take on a red tint. There are cases of chenille knots.

Exacerbation of hemorrhoids after childbirth

Childbirth is not always the reason for exacerbation of hemorrhoids. The thing is that this disease is chronic, and childbirth only aggravates it. The mechanism of childbirth itself causes increased stress on the pelvic area. After all, his muscles tense in the process of pushing. When an exacerbation of hemorrhoids after childbirth is detected, it should be treated only under the supervision of a doctor. He will identify the disease and think about what can be prescribed, because many drugs have contraindications. Sometimes the question arises that serious medications need to be prescribed, and then lactation will have to be interrupted for some time.

It is not difficult to detect an exacerbation of hemorrhoids, since the disease manifests itself in particularly striking manifestations that cause severe pain to a person. Hemorrhoids worsen for various reasons; often an acute phase is observed if a person does not treat the disease for a long time. In case of acute hemorrhoids, you need to know how to quickly relieve pain, since it happens that during an exacerbation the patient cannot move normally and empty the intestines, which causes a sharp deterioration in the condition.

Causes of exacerbation

The cause of exacerbation of hemorrhoids is weakened blood walls of the rectum or insufficiency of the veins.

Development, in which the nodes do not extend beyond the anus, can last several years. An unhealthy lifestyle and other factors provoke exacerbation of chronic hemorrhoids. Often there is an exacerbation of hemorrhoids after antibiotics or after childbirth in women. Other reasons that provoke exacerbation are also described:

Disturbed diet. When you abuse salty, fatty, fried foods, more blood begins to flow to the pelvic organs, as a result of which inflammation and release of the hemorrhoid from the anus is noted.
Insufficient physical activity or constant static body position. If a person constantly sits or stands in connection with work, then a large amount of blood flows to the pelvic organs and its healthy circulation is disrupted. The disease occurs if there is no physical activity in a person’s life, especially in the heat.
Impaired bowel function. If constipation or diarrhea lasts for a long time or often bothers the patient, then this will soon lead to hemorrhoids in an acute form.
Lifting weights. Frequent lifting of heavy objects negatively affects human health, since it puts stress on the pelvic organs due to increased pressure.
Carrying a baby and labor. The increasing size of the uterus puts pressure on the pelvic organs and blood vessels, as a result of which hemorrhoids worsen.
Overheating of the body. In summer, hemorrhoids bother people more often than in winter. Heat provokes dilation of blood vessels, including the pelvic organs. The heat causes the nodes to expand and bleeding occurs.

Main symptoms

As the disease worsens, a person’s well-being worsens.

Exacerbation of external hemorrhoids develops over several days and manifests itself with tangible symptoms. If acute hemorrhoids are not treated, they last for several days, after which complications arise. The following general signs of exacerbation of the pathological process are identified:

increased pain syndrome;
copious discharge of blood from the anus;
prolapse of hemorrhoids;
increased body temperature;
deterioration of the patient's well-being;
intoxication of the whole body.

As a rule, it is painful for a patient with such manifestations to lie down, walk, sit, and especially to empty the intestines. Exacerbation can occur in 2 forms: strangulation or thrombosis. When pinched, the prolapsed node becomes pinched and improper blood flow occurs, causing an exacerbation. Thrombosis, in its entirety, is divided into 3 stages, each of which is manifested by a gradual deterioration of the patient’s condition.

First aid for exacerbation of hemorrhoids

It can happen completely unexpectedly, and you need to know what actions need to be taken and what is strictly prohibited. First aid for an exacerbation consists of the following actions performed at home:

Diclofenac will help relieve pain.

Relieving pain with medications. For this purpose, you need to take Diclofenac or Ketonal. It is especially important to take these medications before going to the toilet to ensure normal bowel movements.
Elimination of pain through cold. A cold lotion with medicinal herbs is applied to the back passage. You can also insert a piece of ice into the anus, or perform a sitz bath with a cold infusion of medicinal herbs. The main thing with such manipulations is to prevent hypothermia.

A sitting position or a constant vertical posture provokes an exacerbation of hemorrhoids, so to eliminate the problem, you should take a horizontal position of the body for several hours. In this way, it will be possible to eliminate the resulting swelling and relax the muscles of the anal canal. If hemorrhoids have worsened due to broken stools, then do an enema, which will avoid straining during bowel movements. It is advisable to prepare an enema from medicinal herbs with the addition of vegetable oils.

What to do and how to treat it?

Each patient undergoes individual treatment for external hemorrhoids that have worsened. Therapeutic measures are influenced by the severity of the pathology, the presenting symptoms, the presence of complications, and the age of the patient. Often, exacerbation of chronic hemorrhoids occurs against the background of a cold, infection and other secondary pathologies. In this case, cold hemorrhoids are treated with special medications that act directly on the original source of exacerbation of the disease.

It is extremely difficult to give specific terms of the course of the disease and the duration of therapy, since it differs in each case: for some, treatment takes several days, for others more than one month.

Treatment with drugs

Complications of a cold require the prescription of systemic medications.

On average, the duration of acute hemorrhoids is a week, and if local treatment is prescribed in time, the disease recedes. If medication measures to eliminate exacerbation of hemorrhoids are not taken in a timely manner, it becomes complicated, and then systemic therapy is required. Also, systemic medications are prescribed if the patient has a cold or other viral or bacterial diseases.

System

Treatment of aggravated hemorrhoids is carried out using non-steroidal pharmaceuticals that have anti-inflammatory and analgesic effects. They are also prescribed to patients with colds, high fever, and signs of intoxication that arise against the background of hemorrhoids. This group includes the following medications:

"Ibuprofen";
"Nise";
"Ketorolac".

When taking it, it is important to take into account that medications reduce blood clotting, so it is necessary to take it according to the strictly indicated dosage and no more than the days prescribed by the doctor. Often during therapy, “Chondroguard” is used, which is prescribed by injection or topically. Venotonic medications are also prescribed, containing natural flavonoids that strengthen the walls of the veins, increase blood flow, and eliminate the inflammatory process. These medications include:

"Detralex";
"Troxevasin";
"Venarus";
"Escuzan";
"Phlebodia 600".

Local medicines

Anuzol is one of the most popular topical drugs.

When hemorrhoids worsen, topical medications are prescribed to eliminate pain and reduce inflammation. It is also possible to prevent blood thickening with the help of local medications. Most often, doctors recommend treatment for exacerbations with Anuzol, Hepatrombin G, Procto-Glivenol and others. All local pharmaceuticals are divided into several categories shown in the table.

Group of drugs	Indications for use	Titles
Antiseptics	Spread of purulent and inflammatory process into the subcutaneous tissue and adjacent tissues	"Levomekol"
		Ichthyol ointment
		Liniment according to Vishnevsky
Antithrombic	Formation of blood clots in the nodes	Heparin ointment
		"Troxevasin"
		"Gepatrombin G"
		"Nigepan"
Stopping the blood	Severe bleeding during exacerbation	"Relief"
		"Natalsid"

If suppositories for exacerbation of hemorrhoids and other local pharmaceuticals do not produce results, then surgical intervention is indicated.