ethnoscience

Treatment of hemorrhoids in girls. Surgery in the treatment of advanced stages of the disease

A sedentary and sedentary lifestyle, combined with poor nutrition, causes the development of hemorrhoids in many people. The disease brings significant discomfort, but only a few decide to go to the doctor with complaints. Therefore, patients are interested in quick treatment of external hemorrhoids at home. But you can decide on treatment tactics after determining the stage of the disease.

Features of the disease

As a rule, concern arises if acute hemorrhoids begin. This condition is characterized by acute pain in which a person is unable to lead a normal life. The process of defecation resembles torture, but even after its completion there is no relief. Pain is a constant concern while the inflammation is in the active stage. The venous nodes are increased in size and tense.

With external hemorrhoids, peculiar sacs (swellings) are visualized around the anus, which protrude above the surface of the skin. These are dilated hemorrhoidal veins located in the submucosal layer of the anal canal or subcutaneous layer of the anal area.

During the period of remission, there is no discomfort or bleeding. In this state, the sacs are not filled with blood; in appearance they resemble folds of expanded tissue. But during an exacerbation, the venous plexus swells, becomes congested and pain appears.

Treatment tactics for hemorrhoids depend on the stage of the disease.

At the initial stages, the nodes are not noticeable to the touch or their sizes are not significant. Patients complain of burning, itching and minor discomfort during bowel movements.
At the second stage, the nodes begin to be palpated. When you go to the toilet, a lot of blood appears, and the pain becomes more noticeable.
The third degree is characterized by severe pain, which bothers patients not only during bowel movements, but also at rest. The nodes have difficulty returning to their original position after going to the toilet.
The fourth stage is discussed in cases where the patient has serious complications in the form of thrombosis or necrosis.

Ignoring the problem and lack of treatment can cause complications. Patients develop thrombosis. Without surgical intervention it will not be possible to get rid of this problem. In addition, purulent inflammation may begin; in some, perirectal fistulas form.

Selection of local funds

If possible, it is better to seek advice from a proctologist. But at home, without examining a specialist, you can also try to get rid of the problem. First you need to figure out how to treat external hemorrhoids at home.

Many people faced with this problem recommend using ointments. If the disease is detected in the initial stages, when there is no severe pain yet, then it is better to opt for anti-inflammatory drugs with venotonic and venoprotective effects. They strengthen the walls of veins, reduce congestion in blood vessels and reduce inflammation. Such ointments include “Relief”, “Troxevasin”, Heparin, Ichthyol ointment, Vishnevsky ointment.

If you feel noticeable discomfort during bowel movements or pain begins to bother you even during the rest period, then it is better to choose local agents with anesthetic properties. These can be ointments such as “Relief Advance”, “Proctosedil”, “Posterizan”.

Special candles are no less popular. In the initial stages, you should purchase anti-inflammatory, antibacterial suppositories. These can be Ichthyol, Sea Buckthorn suppositories or suppositories made on the basis of propolis, Hepatothrombin G, Indomethacin. They have an antiseptic effect and promote wound healing. Various candles made from plant components: tea tree, calendula have the same effect.

For pain, you should choose suppositories with a combined effect: they should heal wounds, eliminate inflammation and relieve pain. “Relief Advance”, “Anuzol”, “Doxyproct”, “Nigepal” are popular.

Complex treatment

When faced with hemorrhoids for the first time, you can treat them using local remedies. If you start therapy in a timely manner, you will be able to get rid of the exacerbation in a few days. But if hemorrhoids periodically worsen, then using local remedies is not enough.

It is necessary to change the tactics of therapy. Along with suppositories or ointments, you should use medications designed to strengthen blood vessels and prevent blood stagnation. Depending on the patient’s condition and the characteristics of the disease, the following is prescribed:

For effective treatment of hemorrhoids, our readers advise. This natural remedy quickly relieves pain and itching, promotes the healing of anal fissures and hemorrhoids. The drug contains only natural ingredients with maximum effectiveness. The product has no contraindications, the effectiveness and safety of the drug has been proven by clinical studies at the Research Institute of Proctology.

“Detralex”: a venotonic and venoprotective agent, when taken, the condition improves, blood stagnation does not form;
"Glivenol" is necessary to relieve inflammation, strengthen blood vessels and reduce the manifestations of congestion;
"Ginko Fort" allows you to strengthen the walls of blood vessels and improve blood circulation;
"Pylex" is an anti-inflammatory drug that helps improve vein tone and wound healing;
"Troxevasin" is considered a popular venotonic agent.

You can also take not only pills, which can reduce inflammation and improve the condition of blood vessels. Some advise paying attention to laxatives. After all, one of the causes of hemorrhoidal disease is constipation.

Alternative Methods

People who ask how to quickly cure external hemorrhoids at home are often interested in folk remedies to combat this disease. Their use will help relieve inflammation. But if the main symptom is severe pain, then you cannot do without pharmaceutical drugs.

An infusion of knotweed herb is popular. Dried raw materials are taken in the amount of 1 tbsp. and brew with 2 cups of boiling water. The infusion is made overnight. Take it three times a day, 2/3 cup.
Taking an infusion of yarrow is considered effective. Chopped and dried grass with flowers is taken in an amount of 7 g and 100 ml of boiling water is poured. It is enough to infuse the liquid for 1 hour. It is drunk on an empty stomach three times a day, a tablespoon.
You can make an infusion of rowan. For cooking you will need 1 tbsp. dried flowers, they are poured with a glass of boiling water and infused for half an hour. Drink a couple of sips of liquid three times a day.

But taking medicinal infusions should be combined with the use of other traditional methods of therapy. Many healers suggest using local compresses.

Chamomile flowers and onion peels should be infused in boiling water (a glass of liquid per tablespoon of raw materials). The prepared infusions are mixed, a piece of gauze is soaked in it and applied to the problem area. The liquid should be warm.
Also, lotions can be made from decoctions of chamomile, stone fruit, rowan, and strawberry leaves. A gauze swab soaked in warm liquid should be applied to the anus for 10-20 minutes.
To prepare a decoction for a compress, you can mix 2 parts of horsetail and oak bark and 1 part of steelhead root. Apply the dampened cloth for 20 minutes.
Many people recommend a propolis compress: 15 g of propolis should be poured with a glass of boiling water, the infusion should be prepared for 3 days. Lotions are made daily for 20 days.
A compress made from celandine is effective for hemorrhoids. The dried herb should be poured with kombucha infusion and left for at least 2 days. Lotions are made daily in the evening; they are recommended to be left overnight.
You can eliminate swelling and heal microcracks using raw potato compresses. A small tuber should be grated on a fine grater, the resulting mass should be squeezed out and applied to the anal area overnight.

You can also make a special medicinal ointment from milk, garlic and honey. The mixture should be simmered over low heat until a thick paste is obtained. Apply it daily at night.

You can fight hemorrhoids at home with: sitz baths. They help relieve inflammation and reduce tissue swelling. At the same time, the burning sensation, itching, pain goes away and the formed anal fissures heal.

To prepare the bath, you will need to make an infusion of medicinal herbs: chamomile, calendula, yarrow, oak bark, calamus root, birch leaves, and string are suitable. You can prepare infusions from a combination of all herbs or select some of them. Baths with a decoction of knotweed will also be effective.

The infusion is poured into a basin in which you need to sit so that the problem area is completely immersed in the liquid. Baths are taken for 15 minutes. The temperature should not be too hot - the maximum permissible value is 38 0 C.

Garlic and onion porridge steamed with milk is considered an effective remedy for combating inflamed hemorrhoids. For 1 tbsp. prepared onion or garlic gruel (or a mixture), you need to take 500 ml of boiled milk. The healing liquid is used to prepare sitz baths. According to people's reviews, such baths have a quick anti-inflammatory and wound-healing effect.

You can fight hemorrhoids at home. People who have experienced an exacerbation can use pharmaceutical drugs to alleviate the condition or focus on traditional methods. During the period of remission, you should remember about preventive methods to prevent hemorrhoids. These include hygiene procedures, physical activity and diet.

Hemorrhoids are a delicate disease that affects one of the most intimate parts of the human body (rectum) and nearby areas. There are 2 forms of the disease - internal and external. The latter gives a person more discomfort and requires immediate treatment.

In representatives of the fair sex, the disease most often manifests itself during pregnancy or during childbirth. Treatment of external hemorrhoids in women is a long process that includes a set of measures.

Hemorrhoids occur as a result of impaired blood flow in the pelvis, or more precisely in the rectum and under the skin of the anus. Due to prolonged exposure to nutritional factors, lack of activity and some diseases, the vessels become thinner and when they are overfilled with blood, they come to the surface.

True external hemorrhoids are often confused with the advanced stage of the internal form of the disease, when the hemorrhoidal node, formed under the mucous membrane of the rectum, comes out of the anus.

With the external type of the disease, lumps form under the skin of the anal sphincter. The size and shape of the tumors may vary. During the period of remission, hemorrhoids become smaller and do not bother you at all.

The cause of exacerbation of the disease in a woman can be:

pregnancy;
labor activity;
prolonged constipation;
lifting weights;
intense physical activity.

Signs of hemorrhoids in external form

Symptoms of hemorrhoids appear even before a noticeable increase in external nodes. A woman may feel:

Bleeding in this form of the disease (as opposed to internal) occurs very rarely.

During an exacerbation, the nodes become very swollen, increase in size and become inflamed. At this moment, the woman feels severe pain even at rest.

The inflammatory process, in the absence of timely treatment, can lead to tissue necrosis, so at the first signs you should consult a gynecologist.

Features of therapy for external hemorrhoids

Treatment of external hemorrhoids in women begins only after diagnosis. The disease most often occurs in a mixed form, so the attending physician palpates not only the anal sphincter, but also the rectum.

The specialist identifies disturbing symptoms and studies the patient’s medical history. Based on all the information received, treatment tactics for women are selected.

Hemorrhoids in women are treated in 3 ways:

medicinally;
minimally invasive methods;
surgically.

To reduce the intensity of symptoms, in addition to the main therapy, traditional methods are used: sitz baths, lotions, homemade ointments and warming. Before using an unconventional method of treatment, you must consult a doctor.

Conservative therapy

Drug treatment of external hemorrhoids is carried out mainly with means for external use: creams, ointments, lotions. In severe forms, when there is a serious change in the condition of the blood vessels, oral medications are prescribed.

Gels and ointments for hemorrhoids

External agents are used because of their benefits:

impact directly on the problem area;
quick effect;
minor effect on the liver.

Medicines for hemorrhoids act in several directions: they reduce pain, eliminate the source of infection, relieve swelling and itching, and accelerate the healing of damage. Some drugs have a pronounced antithrombosis effect: they thin the blood, so that it circulates better in the vessels.

The most popular drugs for external hemorrhoids:

Aurobin is an effective ointment containing the hormone prednisolone. Used to stop bleeding, reduce swelling and itching in the rectal area. The drug contains triclosan and panthenol, thanks to which it quickly stops the inflammatory process and accelerates regeneration.
Hepatrombin. The ointment is intended to restore blood flow and reduce the risk of blood clots.
Heparin ointment is a completely natural product, therefore it is approved for use even for pregnant and lactating women. Heparin thins the blood and neutralizes inflammation. The ointment contains lidocaine, which quickly eliminates discomfort.
Vishnevsky ointment. Despite the unpleasant odor, it quickly heals damaged tissue and neutralizes pathogenic microorganisms.
Troxevasin. The gel penetrates deeply into the blood vessels, strengthens them and reduces the inflammatory process.

All preparations are applied to cleansed skin with clean hands in a thin layer several times a day after bowel movements. To increase effectiveness, it is recommended to make lotions at night: cream or ointment is placed on a piece of natural fabric and applied to the anus.

Tablets for hemorrhoids

In addition to the use of external agents, oral medications are used in the treatment of hemorrhoids. Their undeniable advantage is the ability to use them in a convenient place at any time of the day.

Popular drugs:

Pilex - tablets made from plant materials with a complex effect: normalize blood circulation, remove swelling, promote rapid healing of damage and eliminate inflammation.
Agents that strengthen blood vessels and increase their strength: Detralex, Venarus, Ginkor Fort.

To reduce the inflammatory process, women are prescribed non-steroidal anti-inflammatory drugs: Diclofenac or Ibuprofen.

The duration of therapeutic effect and dosage are determined by the attending physician. If after some time the chosen tactics turn out to be ineffective, they are corrected.

Surgical and minimally invasive treatment

Radical measures are resorted to in cases where conservative treatment has not given the desired result and the disease progresses. Surgeons prefer to use minimally invasive effects on external nodes:

photocoagulation with infrared rays (effective for eliminating small bumps);
ligation of nodes with special latex rings (used when tumors are significantly enlarged).

These methods of gentle intervention are contraindicated for anal fissure, purulent paraproctitis and node thrombosis.

Full-scale surgical intervention is performed for frequent exacerbations of hemorrhoids. The method is called thrombectomy. The surgeon makes a small incision on the surface of the node and injects a special composition there that softens the blood clot and removes it. The operation is performed under local anesthesia and lasts several minutes.

Immediately after removal of the blood clot, the patient feels a noticeable improvement in her condition. The rehabilitation process lasts several days.

Treatment of external hemorrhoids in pregnant and lactating women has some features:

when prescribing medications, preference is given to homeopathic and natural ones (Fleming ointment or hepatrombin ointment);
means for internal use are used only during an exacerbation;
surgery is performed after childbirth.

Conservative and surgical treatment of external hemorrhoids is ineffective without following a diet, maintaining physical activity and maintaining careful personal hygiene. Neglecting preventive measures will lead to the formation of new nodes and inflammation of existing ones.

Diseases of the venous system occur in 80-90% of the fair half of humanity. Surgical and therapeutic medical care for this pathology is prescribed by doctors of various specialties: phlebologists, surgeons, therapists. The proctologist decides how to treat hemorrhoids in women.

Hemorrhoids are a common pathology in women of all ages.

The venous network of the rectum has a complex structure. Cavernous vascular bodies are located above the sphincter in the submucosal layer. Stagnation of blood in the veins of this area leads to the formation of bulging nodes, their inflammation, damage and bleeding.

Hemorrhoids in women have the same causes as in men: hereditary predisposition, digestive disorders, heavy lifting. In addition, etiologically, damage to the corpora cavernosa may be due to congestion in the pelvic veins during pregnancy. An enlarged uterus interferes with normal blood circulation. An additional damaging factor is high pressure in the veins at the time of birth. Contractions and pushing contribute to the formation of hemorrhoids. Weight gain during pregnancy, constipation and the special hormonal levels of this period also have an adverse effect on the venous network of the rectum.

Methods for treating hemorrhoids

All methods of treating hemorrhoids in women can be divided into conservative and surgical. Therapeutic effects include:

lifestyle changes;
correction of digestive disorders;
dosed physical activity;
(ointments, gels, suppositories, tablets and injections).

Conservative treatment helps reduce venous congestion in the pelvic veins, relieve inflammation, and prevent bleeding.

Surgical methods:

minimally invasive (coagulation with infrared radiation, electric current, laser; introduction of a sclerosing drug into the nodes; cryotherapy; ligation, disarterization);
classical operation and its modifications.

Minimally invasive remedies for hemorrhoids in women help to quickly reduce the manifestations of the disease. But these techniques are not always available and often lead to relapse.

Classic surgery (hemorrhoidectomy) and its modifications allow you to get rid of the symptoms of the pathology for a long time. Recurrence of varicose veins of the rectum is unlikely (less than 30% of cases).

Lifestyle modification

You cannot change heredity and age, but you can influence other factors that lead to hemorrhoids and worsen their course.

Diet for hemorrhoids

For good digestion and prevention of constipation, a special diet is prescribed.

raw, stewed and boiled vegetables;
fruits with a lot of pectin;
grain and bran bread;
lean meats and fish;
prunes, dried apricots, seaweed.

Important! During an exacerbation, you should avoid foods that increase gas formation (legumes, black bread, cabbage) and foods that irritate the mucous membrane (spices, herbs, alcohol).

Physical activity for hemorrhoids

A sedentary lifestyle leads to hemorrhoids. To reduce blood stagnation in the pelvis, it is advisable to have sufficient physical activity every day. It is believed that specific exercises and walking for 7-14 hours a week dramatically reduce the risk of progression of the disease.

Normalization of stool

In addition, an important element in the prevention and treatment of hemorrhoids is the normalization of stool. A proper diet and mild laxatives (if necessary) help avoid constipation. During bowel movements, straining should be avoided. After stool, rinsing with cool water is recommended.

Medicines

Medicines for hemorrhoids should be prescribed by a doctor. Any self-medication carries a potential threat to health.

All medications for the treatment of pathology of the venous system of the rectum are divided into:

general funds;
local remedies.

General medications are available in the form of tablets, capsules, and injection solutions. These medications affect the entire body: relieve pain, reduce inflammation, improve microcirculation, and increase the tone of the venous wall.

Local remedies for hemorrhoids for women include anti-inflammatory components (steroidal or non-hormonal), anesthetics, venoprotectors, hemostatics, and antibiotics.

Ointments and gels are suitable for treating the external form of the disease, and suppositories are suitable for the internal and combined forms.

Any hemorrhoid remedy for women may have an adverse effect on the child in or. During these periods of life, it is especially important to avoid self-medication.

Surgical treatment

Sometimes conservative therapy is ineffective. In such situations, it is recommended to seek the help of surgeons. Minimally invasive or classical surgical techniques help get rid of even severe hemorrhoids.

Classic hemorrhoidectomy - a radical method of treatment

Many patients try to delay surgery as much as possible or even refuse surgery. Indeed, any operation has its own risks and difficulties in the rehabilitation period.

Attention! Often, surgical treatment of hemorrhoids in women is the only way to improve the quality of life and prevent complications of the disease (paraproctitis, anal fissures, anemia).

Hemorrhoids are an inflammatory disease of the veins of the rectum, resulting in their expansion and thrombosis. It is believed that the main predisposing factor in the occurrence of the disease is a sedentary lifestyle. For women, the risk of developing hemorrhoids increases during pregnancy and also after childbirth.

Statistics show that every second person between the ages of twenty and fifty has experienced signs of the disease at least once in their life. Nevertheless, experts say that the number of “victims” is much higher, since some are simply embarrassed to contact a specialist about hemorrhoids.

Many people believe that you can buy medicine for hemorrhoids yourself at the pharmacy. Unfortunately, such amateur activities often only lead to a loss of time, the transition of the pathological process to the next stage and the occurrence of serious complications.

Experts distinguish three main forms of hemorrhoids: internal, external and combined. If we talk about the internal localization of the inflammatory process, then for the most part the disease is asymptomatic, and a person may simply not pay attention to the severity and discomfort during the act of defecation. Usually, unpleasant symptoms begin to bother a person when external hemorrhoids appear.

It is customary to talk about external hemorrhoids when hemorrhoids are located around the anus. As a result of damage and thinning of the vascular wall, bleeding occurs over time. Before we talk about how to cure external hemorrhoids, we will consider the predisposing factors for the development of the disease, as well as its manifestations.

A specialist will be able to identify the provoking causes of external hemorrhoids using diagnostics.

Causes

One of the common etiological factors is hereditary predisposition. Such people have weakness of the venous walls. In most cases, such patients are predisposed not only to hemorrhoids, but also to varicose veins of the lower extremities. However, this does not mean that you will definitely develop the disease.

A number of different factors can cause hemorrhoids:

passive lifestyle. Insufficient activity leads to congestion and, as a consequence, to dilation of the veins. You should walk, do exercises or gymnastics every day;
problems with the digestive tract. Poor nutrition affects the functioning of the entire gastrointestinal tract. It is better to replace fatty, fried, smoked, salty foods with vegetables and fruits, as well as foods rich in fiber. Chronic constipation, prolonged and painful acts of defecation - all this can cause the development of hemorrhoids;
constant lifting of weights. Loaders and bodybuilders are at risk. Exhaustive physical labor leads to a powerful flow of blood to the pelvic organs;
pregnancy and childbirth. Serious stress during pregnancy can provoke activation of the pathological process;
overweight;
infectious processes in the pelvic organs;
neoplasms or inflammation of the digestive system;
violation of venous outflow from hemorrhoidal veins.

Proper nutrition is a good prevention of external hemorrhoids

What does external hemorrhoids look like clinically?

Even before the expansion of the venous plexuses, women may experience the following symptoms:

discomfort, irritation and itching in the anal area;
during an exacerbation, the act of defecation is accompanied by pain;
bleeding from cracks or damaged veins;
swelling of the anorectal area;
Around the anus you can feel formations in the form of lumps of different sizes. At first, hemorrhoids may look like inconspicuous compactions, and subsequently acquire a bluish tint and become painful on palpation.

With external hemorrhoids, periods of exacerbation alternate with periods of remission, during which there are no clinical manifestations. Unlike the internal type, the external type almost always causes great discomfort to the patient.

The external manifestation of the disease without exacerbation is as follows:

discomfort becomes permanent. Coughing, sneezing, prolonged sitting - all this can provoke the appearance of unpleasant sensations;
itching, burning, swelling and irritation;
bleeding is minor in the form of marks on toilet paper.

Why are external hemorrhoids dangerous?

– This is one of the most common complications. In this case, pronounced clinical symptoms will be present. Treatment will include the use of agents with venotonic and thrombolytic effects.

The blood clot can subsequently lead to the development of purulent-inflammatory processes that pose a threat to human life

The inflammatory process as a result of thrombosis manifests itself in the form of the following symptoms:

pain, swelling;
local increase in temperature;
muscle intoxication;
deterioration in general health.

Hemorrhoids, which were left unattended and did not receive proper treatment, can subsequently lead to the development of more serious complications: purulent paraproctitis or perirectal fistulas.

Stages of hemorrhoids

Depending on the condition and symptoms of hemorrhoids, there are four main stages of the pathological process:

This is the initial stage, which in most cases is not accompanied by pain. Hemorrhoids are hidden in the rectum, they are small in size, so they go unnoticed. Patients begin to suffer from itching, discomfort, and irritation. Moisture appears in the anorectal area as a result of fluid secretion. Blood appears during bowel movements in rare cases.
This stage is characterized by alternating periods of exacerbation and remission. Hemorrhoids increase in size, and patients complain of a sensation of a foreign body inside the rectum. There is pain during bowel movements. There is blood and mucus in the stool. When straining, hemorrhoids may fall out, and after emptying, return to their original position. At this phase, there is an urgent need for thorough treatment, a review of lifestyle and nutrition.
Symptoms inherent in the previous stage become more pronounced and more difficult to treat. Hemorrhoids can fall out not only during bowel movements, but also when lifting heavy objects. A feature of this stage is that the nodes do not correct themselves. You have to do this yourself.
Clinical symptoms at this stage do not allow a person to live and work normally. The nodes simply cannot be adjusted either independently or manually. The “bumps” constantly hurt, increase in size and harden. At this stage, no ointments or suppositories will help the matter; here the help of a surgeon is already needed.

The longer the pregnancy, the greater the likelihood of hemorrhoids.

External hemorrhoids during pregnancy

Pregnancy is a specific predisposing factor for the occurrence of hemorrhoids. This is due to the expansion of veins in the pelvic area. The following recommendations will help you cope with the disease:

drink natural water in sufficient quantity;
avoid heavy lifting and prolonged sitting;
perform special gymnastics for pregnant women;
To reduce symptoms, you can apply ice compresses to the anorectal area for a short time;
When using medications, be sure to pay attention to whether they are approved during pregnancy.

Prevention

The main causes of the disease are poor diet and failure to properly observe personal hygiene rules. Your diet should consist of plant foods rich in vitamins and minerals. Fermented milk products help normalize intestinal function and prevent constipation.

The correct balance of proteins, fats and carbohydrates should be maintained. Vegetables and fruits will improve peristalsis and strengthen the immune system. Quitting soda, alcoholic drinks and smoking will be a good prevention of proctological problems. As for observing the rules of personal hygiene, you should wash yourself after each act of defecation and at least twice a day.

Let us highlight other preventive measures:

move more;
monitor bowel movements;
limit heavy lifting;
wash the anorectal area with cool water;
use venotonic drugs as recommended by your doctor.

A proctologist examines and treats hemorrhoids

Diagnosis and treatment of external hemorrhoids in women

Treatment begins with diagnosis. The proctologist will conduct an examination and also palpate the hemorrhoids. Additional instrumental diagnostic methods may also be needed: sigmoidoscopy, anoscopy. Depending on the stage of the process, which is determined by the proctologist, treatment methods and means are selected.

If you want to finally get rid of hemorrhoids, then it is important to think about your lifestyle, otherwise the disease will return again and again.

Let's consider the advice of proctologists to help get rid of external hemorrhoids:

Gradually increase the amount of fiber and liquid in your diet; porridge, vegetables, clean water - all this will make the stool soft, which means that emptying will not cause trouble and will not injure the mucous membrane. It is important to maintain the correct balance of fiber and fluid intake. The fact is that consuming a lot of fiber without enough fluid can lead to bloating, flatulence and constipation;
use laxatives as directed by your doctor. Natural products that help achieve a laxative effect are prunes, pumpkin, and decoctions of medicinal herbs. Regular bowel movements help prevent or reduce the size of hemorrhoids;
You should not use toilet paper, it will further injure the irritated mucous membrane. After defecation, wash with soap and water or wet the anorectal area with a damp cloth;
to reduce swelling, sleep on your stomach with a pillow under your hips;
do gymnastics, move more and be sure to take breaks during sedentary work.

How to treat external hemorrhoids? Let's consider the main modern treatment methods:

conservative methods. This includes the use of medications, physiotherapeutic treatment, hirudotherapy, traditional medicine;
minimally invasive techniques;
surgical intervention;
new methods using special equipment.

An exacerbation of the disease is a reason to consult a specialist. The main task of the treatment process in the acute period is the fight against blood clots, as well as stopping the inflammatory reaction around the anus. Radical treatment methods for acute hemorrhoids are contraindicated. Specialists prescribe systemic phlebotropic drugs, as well as local remedies in the form of ointments and suppositories.

Drug therapy

Treatment of external hemorrhoids in women includes the use of medications that are selected taking into account the stage of the process and clinical manifestations. Let's look at the drugs that are often prescribed to patients:

Detralex tablets. The product has a venotonic, analgesic and anti-edematous effect;
Ibuprofen tablets relieve inflammation and pain;
Relief suppositories and ointment have immunomodulatory, wound-healing and anti-inflammatory effects;
Procto-glivenol cream has local anesthetic, antipruritic, antibacterial properties;
Gepatrombin gel improves blood circulation and fights congestion.

Before using remedies for hemorrhoids, be sure to read the instructions, as each of them has its own contraindications

Radical treatment methods

Surgery is an extreme measure that specialists resort to when conservative methods are ineffective. If the hemorrhoids become cyanotic and are very painful, then thrombosis has most likely developed.

The condition may worsen sharply. To prevent this from happening, you can do the following:

the nodes are tied with latex rings, this will reduce blood flow. In the case of large nodes, they die due to the cessation of blood supply;
the nodes are cut and freed from the thrombus. Usually after a couple of days the patient can lead his usual way of life. The only irritating factor for a healing bump will be feces. That is why it is better to take laxatives and antibacterial agents these days.

Let's consider two types of surgical interventions that are performed in complicated cases:

hemorrhoidectomy. The operation is performed using a surgical, ultrasound or radio wave scalpel. Since hemorrhoids are a vascular pathology, the scalpel used by doctors must have good not only cutting, but also coagulating properties;
Longo's operation. The essence of this procedure is different in that the hemorrhoids are not removed. The area of the mucous membrane that is located above the lump is excised, after which a circular suture is applied. Hemorrhoidal vessels are stitched, tightened and returned to their original position.

Surgery for external hemorrhoids is a last resort

Minimally invasive treatment methods

The popularity of these techniques is explained by the following:

ease of implementation;
little pain;
minimum of unpleasant complications.

Infrared coagulation is performed for small hemorrhoids and in cases where the disease is not amenable to drug therapy. Destruction of hemorrhoids is also carried out using a power tool. Compared to electrocoagulation, the procedure is more delicate and less painful.

Home remedies

Home treatment must be properly selected, otherwise it simply will not be effective, and the disease will progress even more. Let's consider treatment options at home.

Sitz baths

To prepare a medicinal decoction, you can take the following plants:

chamomile;
calendula;
sage;
series;
oak bark

A good effect in the treatment of external hemorrhoids is given by baths with potato juice, propolis, manganese, garlic and onion peels. The procedure usually lasts fifteen minutes. You should not use hot or, conversely, cold broth, it should be comfortably warm.

It is better to discuss home treatment options with your doctor.

Lotions

For external hemorrhoids, the following types of lotions are used:

grated carrots with beets;
decoction of chamomile and yarrow;
aspen leaves;
water with added table salt;
buckthorn berries;
clay with water.

Rectal suppositories

Suppositories are used to improve blood supply, obtain a laxative effect, and also to relieve inflammation and pain. Let's look at a few recipes:

raw potatoes or carrots. From vegetables, cut a candle as thick as a finger and several centimeters long. Before use, it is better to do a cleansing enema. The candle is lubricated with vegetable oil and inserted into the anus for half an hour before bedtime;
cryoprocedure. Cold relieves pain in hemorrhoids. Take natural water or a medicinal decoction into a rubber glove. Leave the homemade candle until it is completely dissolved;
honey candles are cut from candied honey;
sea buckthorn oil. A cotton swab is soaked in oil and inserted into the anus.

The ointment will help quickly get rid of the symptoms of external hemorrhoids

Ointments

Ointments promote rapid healing of cracks and elimination of the inflammatory process. Let's look at five recipes for homemade ointments:

take dry crushed propolis and combine it with vegetable oil in a ratio of 1:10. The mixture is placed in a water bath and heated for ten minutes. After cooling, the product is ready for use. The ointment is applied two to three times a day in a thin layer to the affected area;
take calendula tincture, petroleum jelly and alcohol in a ratio of 1:2:10. After obtaining a homogeneous mass, lubricate the anorectal area three times a day;
make a paste of rowan berries and lubricate the affected area with it;
For this recipe you will need mumiyo, which is kneaded with your finger. After the product becomes soft, you can lubricate the hemorrhoid with it.

Gymnastics

Let's talk about three effective exercises for external hemorrhoids:

The exercise should be performed lying on your back. Squeeze your gluteal muscles for five seconds, while at the same time try to pull in your rectum. Do fifteen approaches;
Lie on your stomach and place your hand on your chin. Raise your straight legs one at a time. Do ten such repetitions;
Lie on your right side and place your lower arm under your head, bent at the elbow joint. The left arm is bent and placed in front of the chest. Raise your left leg up, then bend it at the knee joint. Then straighten your leg, take it back and lower it down. You do the same thing lying on your left side with your right leg.

So, external hemorrhoids are treatable! But first it is necessary to find out the provoking causes of the disease and eliminate them. This includes a review of the entire lifestyle and nutritional habits. Treatment of hemorrhoids in the early stages is quick, but in advanced forms surgery may be necessary. You can get rid of the problem at home, but only under the supervision of a specialist. Don’t delay treatment, contact a proctologist, start the examination and follow your doctor’s recommendations!