How to treat external hemorrhoids at home. Why does hemorrhoids occur? How to treat external hemorrhoids at home. External hemorrhoids during pregnancy - treatment with ointment and suppositories

The physiological characteristics of the female body determine the fact that every second woman is faced with manifestations of hemorrhoids in one form or another. Diseases of the rectum are becoming a common reason for seeking medical help. However, like how treat external hemorrhoids in women, should be decided exclusively by a specialist. Self-medication at home can only exacerbate the situation.

Since the formation of hemorrhoidal cavities in the rectal region is based on stagnation of venous blood in the small pelvis, the main direction of treatment tactics will be its elimination. Therefore, at the first stage of the selection of therapy, the specialist will recommend the woman to adjust her lifestyle:

• walking more - getting from work to home, walking in the park, going out of town;
• the diet must necessarily contain foods with fiber - salads, mashed potatoes, raw fruits will help improve the passage of food in the intestines, which will prevent constipation;
• increase the drinking regime - 1.5–2 liters of liquid per day is considered optimal;
• do any kind of sport - for example, jogging in the morning, visiting the pool or fitness, at least 2-3 times a week.

If the above measures are not enough - hemorrhoids will continue to progress, the specialist will select other measures, how to treat external hemorrhoids in women.

For example, phlebotonics are capable of eliminating venous stasis and improving hemodynamics in the small pelvis. Pharmacy synthetic drugs increase the elasticity of venous vessels, increase their tone, which helps to increase blood flow in the rectum.

In severe cases, the issue of surgical excision of external hemorrhoidal "bumps" is considered. The volume of surgical intervention is always determined solely on an individual basis.

Why external hemorrhoids are dangerous

Pathology in any form - both internal and external hemorrhoids in women, poses some danger to the health and life of the patient. At any time, under the influence of negative provoking factors, the disease can worsen, complications will form.

The most common thrombosis of varicose veins and plexus is symptoms of external hemorrhoids in women become maximally pronounced:

• sharp pain in the anus;
• growing edema of protruding "bumps";
• local or general temperature rise;
• a sharp deterioration in general health - weakness, sweating, tachycardia;
• significant difficulty in going to the toilet.

The lack of full-fledged medical care and comprehensive treatment leads to the fact that a thrombus from the rectal region moves to other organs and systems, with the appearance of an ischemic focus in them - a heart attack or a stroke.

In some cases external hemorrhoids in women complicated by massive bleeding due to trauma to the nodes. Venous blood not only settles in streaks on the feces during bowel movements, but pours out in a stream. This condition requires immediate surgical intervention.

Another common complication of the disease is the spread of the inflammatory process to the adipose tissues surrounding the rectum - paraproctitis. The focus of pus is transformed into an abscess with a corresponding clinical picture - a sharp jump in temperature, intense pulsating soreness, expressed by general intoxication. Alleviation of well-being occurs only as a result of the complex treatment carried out.

Reasons for the appearance

Etiological factors - causes of external hemorrhoids in women can be very different. However, most often, specialists identify a hereditary predisposition to venous insufficiency. In most cases, in addition to hemorrhoidal defects, a woman also has varicose veins of the lower extremities.

In addition to negative heredity, the following factors can provoke the formation of cavities in the venous plexus of the small pelvis:

• tendency to physical inactivity - work activity, interconnected with a long stay in one position, for example, an accountant, secretary, programmer;
• existing chronic disorders in the digestive system - disturbances in the passage of food through the intestines due to pancreatitis, gastritis, colitis;
• unadjusted diet - if the dishes are depleted in plant fiber, food addictions in the form of bakery products;
• forced daily lifting of weights - physical overload will lead to an increase in intra-abdominal pressure, in which blood rushes to the small pelvis and stagnates there;
• overweight is a real scourge of modern women, with which an exhausting struggle is being waged;
• Carrying a baby and subsequent childbirth is a common cause of difficulties with the outflow of venous blood, the appearance of external hemorrhoids.

The reasons may be, in addition to all of the above, and infectious processes in the pelvic organs, and various neoplasms in them. The final opinion will be given by the attending physician after the examination.

External hemorrhoids during pregnancy

A natural provoking factor of hemorrhoidal formations, which no woman can avoid, is pregnancy. During the period of gestation of the baby, his intrauterine growth, the enlarging uterus presses more and more on the internal organs of the expectant mother. The result is permanent venous congestion in the small pelvis.

Diagnosed in a pregnant woman hemorrhoids, how to treat external hemorrhoids in women, should be decided solely by the doctor. Indeed, in a delicate position, most antihemorrhoids will be contraindicated.

• consume a sufficient amount of purified water;
• avoid lifting weights;
• adjust the diet - exclude heavy, fatty foods, pies and buns;
• perform specially designed gymnastics for expectant mothers;
• with an exacerbation of the disease, it is allowed to apply cold lotions to the anus for a short time.

Pharmacy products are allowed for use only after agreement with the attending physician. The main emphasis in the treatment of hemorrhoids in pregnant women is aimed at preventing exacerbations of pathology.

Diagnosis of the disease

As a rule, making a correct diagnosis of the external form of hemorrhoidal enlargement of venous structures is not labor for doctors. A thorough external examination of the anal area is sufficient. "Bumps" will be noticeable already at the initial appeal of a woman for medical help.

On palpation - touching the defects with the hand, they can be painful, tense, bleed slightly. Depending on the stage at which the disease is located, the severity of varicose defects is different - from barely noticeable sagging of the venous wall to extensive, multiple growths of "bumps".

If the proctologist has doubts, they will be recommended to conduct instrumental examinations - sigmoidoscopy or anoscopy, as well as ultrasound, CT, MRI of the pelvic structures, for the purpose of differential diagnosis.

Only after receiving the full completeness of diagnostic information, the doctor will be able to choose the optimal scheme for managing the disease - how to treat external hemorrhoids in women n.

Today, proctologists adhere to two main directions in the fight against hemorrhagic defects in the rectal area - conservative tactics, as well as surgical excision of defects.

Conservative tactics means the active use of antihemorrhoidal tablets, ointments, suppositories. They contain substances from the subgroup of antiplatelet agents, as well as venotonics. Against the background of the course administration of funds into the woman's body, the blood flow in the small pelvis is corrected, venous congestion is eliminated, and the elasticity of the vascular wall increases. In addition, agents with anti-inflammatory, regenerative, analgesic properties can be prescribed.

If it is not possible to achieve a significant improvement in well-being, the specialist decides on the possibility of surgical excision of the external "bumps" in the anus. Surgical therapy options are minimally invasive or radical techniques. Their volume and deadlines are determined on an individual basis.

Diagnosed external hemorrhoids, treatment at women requires a comprehensive one. As a rule, the beginning of getting rid of pathology is lifestyle correction. The proctologist sets out the main recommendations and wishes in detail at the first consultation.

A few tips to help get rid of external hemorrhoids:

• revise the diet - dishes with plant fiber should prevail in the daily menu, for example, vegetable soups, salads, mashed potatoes, fruits both baked and raw, various cereals, herbs;
• adjust the drinking regime - you should drink at least 1.5–2 liters of purified liquid per day, which will help eliminate toxins, increase intestinal peristalsis;
• carefully monitor the timing of bowel movements - emptying of the rectum should occur at least 3-4 times a week, this improves the course of hemorrhoids, serves as a prevention of its exacerbation;
• after the act of defecation, it is recommended to clean the perianal area with heated water, dry it with a soft towel, and not with toilet paper, which can injure the external nodes;
• during the working day, take short breaks in which to carry out a mini-exercise with exercises that eliminate stagnation of venous blood.

Treatment of external hemorrhoids in women will be more efficient and faster if the above recommendations of proctologists are followed.

Minimally invasive treatments

In connection with the development of modern proctology and the creation of the latest devices and devices in the fight against hemorrhoids, the following minimally invasive techniques are popular:

1. Infrared photocoagulation - under the influence of heat current, the leg of the node is cauterized. Coagulation of tissues leads to natural drying out of the defect, since the flow of blood to it stops.
2. Sclerotherapy - the introduction directly into the node of modern medicines that promote adhesion of the walls of the defect due to denaturation of proteins and death of endothelial cells.
3. Alloying with latex rings - the imposition of a specially designed and selected circular ligature on the hemorrhoid pedicle. After that, the blood flow in the node stops, the tissues are rejected after 11-14 days.
4. Suture alloying - using special equipment to identify the distal branches of the superior hemorrhoidal artery, followed by its stitching with vicryl sutures.

Most proctologists are of the opinion that the high efficiency of minimally invasive techniques can be created due to the combination - for example, infrared photocoagulation with doping.

Drug treatment

At the initial stage of its formation, external hemorrhoids are quite amenable to conservative therapy - the use of pharmacy antihemorrhoidal medicines. They come in several forms, each with its own advantages and disadvantages.

So, venotonics enjoy the well-deserved respect of proctologists. The course of taking pills can significantly improve blood circulation in the structures of the small pelvis, eliminate stagnation in them, which helps to reduce negative symptoms.

Ointments and gels with antiplatelet properties, when applied externally, also help to cope with itching, burning, and discomfort in the anus. They improve venous outflow, prevent the forcing of blood clots in the nodes, increase the tone of the vascular wall. Against this background, the defects decrease, are drawn into the intestine.

Suppositories are popular - with an antihemorrhoidal or anti-inflammatory effect. They are allowed to be used by women even during pregnancy or lactation, but under the strict supervision of a doctor. If the nodes are prone to bleeding, adrenaline suppositories are prescribed, which locally increase blood clotting.

Radical treatments

Faced with the challenge how to treat spring hemorrhoids in women, the specialist will evaluate and weigh the many indications and contraindications for radical removal of nodes.

Of course, surgical excision of the external "bumps" will help to quickly restore health. However, there is a high risk of relapse of the disease if the woman does not follow the doctor's recommendations for prevention in the future. The patient's age is also taken into account - it is customary to resort to similar tactics of dealing with hemorrhoids after 40–45 years.

The procedure for surgical dressing and excision of venous cavities is carried out exclusively in a hospital setting. All such interventions require a highly qualified doctor.

Radical treatment of hemorrhoids scares women who have heard about possible complications. Experts, however, reassure, because the development of surgery as a science, including in the field of proctology, makes it possible to prevent most of the unwanted consequences of interventions.

Treatment with folk remedies and at home

Traditional medicine recipes have long come to the aid of our grandmothers suffering from manifestations of hemorrhoids. Many methods of struggle allow you to choose the best options for each case:

• take 4 medium-sized onions, chop and pour into 500 ml of boiled milk, simmer over low heat, cool slightly, use for making sitz baths;
• Pour 25 g of calendula petals into 200 ml of boiling water - use for washing after bowel movements or for enemas, when it is required to have a bactericidal, regenerative effect;
• the oil-herbal tincture with St. John's wort will facilitate the well-being - 1 tbsp. l of raw materials pour 500 ml of vegetable oil, standing for 21 days, filter, apply as compresses;
• drink freshly prepared potato juice - 100 ml three times a day before meals;
• melon juice also helps to improve blood flow in the anus;
• sauerkraut brine is a long-proven method of combating hemorrhoidal manifestations: 250 ml 3-4 r / day.

Each of the selected folk recipes must be agreed with a doctor in order to avoid complications.

Prophylaxis

To prevent the appearance or exacerbation of hemorrhoids, preventive measures are important. After all, getting rid of unpleasant sensations can be difficult. Whereas the timely adherence to the recommendations of proctologists allows you to completely avoid venous stasis in the small pelvis.

So, the basis of everything is, of course, proper nutrition - dietary fiber contributes to the passage of the food lump through the intestines, regular stool. Therefore, on the table every day there should be dishes from vegetables or fruits, whole grains, as well as greens.

With physical inactivity - a working day takes all the strength, and you won't even have a minute to move, a common cause of problems with the anus. It is recommended to make it a rule to pay attention to active activities - visiting the pool, gym or playground in the front yard at least 2-3 times a week.

Personal hygiene is the foundation of good health. And the rectal area needs to be given as much attention as the rest of the body. Subject to the rules of prevention, no hemorrhoids threaten a woman.

Hello dear readers. Hemorrhoids are a very delicate problem. Therefore, many people suffering from it prefer not to go to medical institutions for help. Moreover, some do not take the issue of treatment seriously enough, considering hemorrhoids only a temporary inconvenience that will soon pass by itself. Therefore, they also do not take active measures to independently cure the disease. But over time, the understanding comes that it is impossible to leave the issue without proper attention. An increasing number of people suffer from this ailment, and the question of how to treat external hemorrhoids does not lose its relevance. We will try to answer it as fully as possible.

Why does hemorrhoids occur in women and men?

Under the influence of unfavorable factors, and due to the weakening of the blood vessels, hemorrhoids develop in the region of the lower part of the rectum. The disease is inflammatory in nature and is accompanied by the appearance of special protrusions - hemorrhoidal cones.

These structures are formed by dilated vascular walls and venous plexuses. They are not static and can slide downward, falling out along with the mucous membrane. This phenomenon is called external hemorrhoids.

It causes a lot of inconvenience, causes pain, itching, burning, problems with bowel movements. And since the hemorrhoidal formations are overflowing with blood, complications in the form of bleeding are not uncommon.

In the course of the development of the disease, several stages are distinguished.

1. Elementary. Hemorrhoidal structures look like slight protrusions. Unpleasant sensations appear in the anus, itching and constipation are possible.

1. The inflammatory process spreads, hemorrhoidal cones increase in size and block the lumen of the anus. Pains appear, it becomes uncomfortable to sit.

1. The final stage is characterized by high pain and bleeding. Possible pinching of nodes and associated tissue necrosis. The chance of thrombosis is very high.

The disease can be acute or chronic. In the latter case, remission periods are replaced by exacerbations, when the symptoms are most pronounced.

The reasons for the development of hemorrhoids

The fundamental root cause of the appearance of pathology is a violation of the venous outflow of blood and the associated stagnation of blood in the pelvic area and rectum in particular. Because of this, any type of hemorrhoids can develop - internal or external.

The main reasons for the appearance of problems:

✔ Hormonal disruptions.

✔ Unhealthy food.

✔ Hard physical labor.

✔ Bad habits.

✔ Problems with bowel movements.

✔ Pregnancy and childbirth.

✔ Physical inactivity, sedentary types of work.

✔ Strength sports exercises.

✔ Obesity.

✔ Stress.

✔ Congenital predisposition.

✔ Infectious lesions.

✔ Tumors.

✔ Weakening of the vascular walls, some diseases (diabetes, kidney and heart problems).

Symptoms

The disease is not prone to latent course. Its symptoms are quite pronounced and the development of the disease cannot but attract attention. The main thing is to correctly identify it, and not blame everything on accidental malaise and other factors.

You should pay attention to such signs.

1. Discomfort, heaviness, a feeling of the presence of something foreign in the anus.

1. Burning sensation, increasing soreness, the appearance of persistent itching.

1. Redness, swelling, swelling in the anus.

1. Feeling of dissatisfaction, lack of bowel emptying after a bowel movement.

1. The presence of hemorrhoids.

1. The appearance of bloody marks after using the toilet.

1. The appearance of exudate (discharge), diaper rash of the anus.

1. In some cases, it is possible to weaken the activity of the anal sphincter and fecal incontinence.

How to treat external hemorrhoids at home

To eliminate the problem in the primary stages of the development of the disease, hospitalization is not required. You can also do with home treatment. A systematic approach gives fairly fast and sustainable results.

It includes:

- Drug therapy, which involves the use of local agents in the form of ointments and rectal suppositories, as well as tablets for oral administration, the action of which is aimed at eliminating bleeding, toning blood vessels, improving blood flow.

- Surgical removal is indicated in the presence of an advanced form of external formations and complications.

- The use of lotions, baths, applications, ointment compositions, herbal teas - an arsenal of alternative medicine to relieve pain, increase the regeneration of damaged tissues, and fight inflammation.

- Exercise for regular exercise.

- Diet food.

These methods of dealing with external hemorrhoids harmoniously complement each other. Therefore, it is not recommended to use them separately, in isolation from one another.

External Hemorrhoid Medicine - Medication Treatment

An integrated approach is also followed when prescribing medications. Therefore, usually not one, but several funds are appointed at once.

1. Ointment preparations. Available in the form of gels, ointments, creams. These drugs for external application have a direct effect on existing lesions, relieve swelling, relieve inflammation, eliminate itching, stop discharge, improve blood circulation, and promote wound healing.

1. Suppositories or suppositories for rectal administration. They are more often applicable in the presence of internal hemorrhoidal formations, but they can also be used in the case of the development of external hemorrhoids. Their action is similar to ointments.

1. Tableted medicines. They are taken orally for systemic effects on the entire body as a whole. They have a venotonic, hemostatic, vasodilating, anti-inflammatory, analgesic effect.

All medications should be taken individually. Take medication only after consulting your doctor.

Effective ointments for external hemorrhoids

The choice of ointments for hemorrhoids today is very wide. The selection of the necessary external means should be made taking into account a number of recommendations:

- at the initial stage of the development of the disease, without much increase in symptoms, heparin ointment or nigepan can be used;

- in case of inflammation and the presence of cracks, levomikol, Vishnevsky's ointment composition, bensulfamidine (mafenide), ichthyol ointment helps;

- an active inflammatory process requires the use of non-steroidal anti-inflammatory ointments - diclofenac, ibuprofen, piroxicam;

- for bleeding, ointment agents of combined action are shown, such as proctoglyvenol, relif, etc.;

- as antipruritic agents, doctors prescribe posterisan, proctosedil;

- in the presence of infection and the appearance of purulent discharge, the introduction of nefluane, Fleming's ointment, bezornil into the treatment scheme will be effective.

Heparin ointment

In addition to heparin, the composition contains anesthesin and benzyl ether. The ointment has anti-inflammatory, antithrombotic and analgesic effects and is quite effective for the treatment of hemorrhoids in the stage of primary development.

The product must be gently rubbed into the inflamed area up to three times a day. If the hemorrhoidal protrusion is very pronounced, then the ointment is applied in the form of a compress. May cause itching and rashes.

Relief

It contains natural ingredients and vitamin E. It has anti-inflammatory, vasoconstrictor, antiexudative, antipruritic, anti-edema, hemostatic, immunomodulatory effect, gives a softening effect, heals anal fissures.

A pronounced lasting effect is achieved by repeated use. It is recommended to apply the product in the morning and evening hours, as well as after each bowel movement. In rare cases, it causes an allergic reaction.

Hemorrhoid pills

Means of systemic action, taken orally, are not as effective and have a less pronounced symptomatic effect. An exception is tablet pain relievers.

The set of prescribed pills depends on each specific case. It should be remembered that these medications have a number of contraindications and a wide range of plug effects.

Applied drugs:

- venotonics and angioprotectors - phlebodia (detralex, vazoket), ginkor fort, venodiol;

- pain relievers and anti-inflammatory - ketans, ibuprofen, aspirin;

- dietary supplements - chemoroidin, litovit.

Normal

Synonymous names are detralex, venarus. The agent reduces vascular permeability, improves microcirculation, tones the venous structures, which leads to increased lymphatic and blood outflow.

After its application, there is a decrease in pain and a decrease in the severity of inflammation. Side effects include headaches, rashes, itching, diarrhea, nausea or vomiting.

Mediven

Synonymous names are diosmin, phlebodia, vazoket. The drug tones up blood vessels and eliminates existing puffiness. And also - gives a tangible anti-inflammatory effect.

The active phase of treatment involves a weekly course of taking 2-3 tablets per day. One-time reception for 1 pc. can be carried out for 1-2 months. May cause indigestion and migraine attacks.

How to treat external hemorrhoids in women - the help of traditional medicine

Folk remedies can alleviate the patient's condition, weaken or eliminate symptoms, and accelerate the healing of existing injuries. The most effective ones are presented below.

1. Potato compresses

They have not only symptomatic, but also therapeutic effects. They help relieve burning, pain, and reduce inflammation.

A small potato is peeled and rubbed on a fine grater or crushed in a blender, wrapped in a gauze cut and applied to a sore spot for 10-15 minutes.

Before the procedure, water hygiene manipulations should be performed to avoid infection and aggravate the situation.

2. Broth mullein

Helps in the treatment of hemorrhoids of varying severity. The advantage of this remedy is that it has a hemostatic effect. To prepare the broth, the dried and crushed plant (in the amount of one large spoon without a top) should be poured with a glass of boiling water and insisted until it cools.

The finished product is drunk in the form of herbal tea, diluted to a pleasant concentration, three times a day. The course of treatment is a week.

3. Garlic milk

It has a blood thinning (anti-thrombotic) and anti-sclerotic effect. A couple of garlic heads, slightly cleared of the upper layers, are poured with a glass of milk and boiled until soft for about half an hour. The cooled product should be taken in a large spoonful after meals for a ten-day course.

You can make a garlic tincture with milk. To do this, five teeth, peeled and crushed into gruel, are poured with boiled and chilled milk, then insisted for 2 hours. Take half a small spoonful of the product three times a day. The weekly course of treatment can be repeated after a three-day break, if necessary.

4. Sea buckthorn oil

It has a pronounced anti-inflammatory, antimicrobial and wound-healing effect. After its use, blood flow also improves, swelling is removed, and pain decreases. It is better to use oil in combination - inside and outside.

You can drink it on an empty stomach in a large spoon, make lotions, add to sitz baths. To relieve an acute condition, a cotton ball soaked in sea buckthorn oil is applied to the sore spot at night.

Instead of oil, you can use the sea buckthorn oil candles available at the pharmacy.

5. Anal suppositories

You need to wash and grind 2 chestnut fruits (into powder), 2 agave leaves and 5 plantain leaf plates, mix them with flour and a little honey. Pour mineral water to the mixture so that there is enough to knead the tough dough.

Suppositories should be formed from it and sent to the refrigerator. There will be about 35 of them. The agent is injected into the anus at night, moistened in baby cream or petroleum jelly. Bush treatment - 2 weeks.

6. Kalanchoe

The fresh leaf of the plant should be washed and scribbled with a knife on one side so that it lets out the juice. Kalanchoe is applied to inflamed bumps at night.

It is preliminarily recommended to make a cleansing enema with a decoction of chamomile, then disinfect the affected area with a warm pale solution of potassium permanganate. Relief is felt in the morning. After a few days, the bumps retract, then go away completely.

General recommendations for quickly getting rid of the problem

First, you need to realize that you are dealing with a serious illness. Therefore, the question of healing must also be approached with the utmost seriousness. And do not delay a visit to the doctor.

A competent specialist will prescribe the necessary drugs and give recommendations regarding non-drug treatment.

When treating external hemorrhoids, it is important to follow a number of rules.

1. Observe hygiene - in the presence of external damage, there is a high risk of infection.

1. Don't strain too much when you have a bowel movement.

1. Use the softest toilet paper you can use without dyes or fragrances. It is advisable to pre-moisten it with cool water. You can switch to hypoallergenic wet wipes or immediately start water cleaning procedures.

1. Do not carry weights, do not overexert yourself.

1. Remember to remove congestion. And here the best assistant is exercise. Exercises should be aimed at working out the muscles of the anus, abdomen, legs and pelvis.

1. Give up bad habits.

1. Eat fruits, vegetables and cereals, observe your drinking regime.

general doctor.

Studies have shown that the female body is much more prone to hemorrhoids than the male. This is primarily due to the specific structure of the body and its main functions. At risk are pregnant women who have specific blood circulation in the pelvic organs and a large load on the abdominal cavity. In this article, we will look at how and how to treat external hemorrhoids in women.

What is hemorrhoids and why does it occur?

Hemorrhoids is a disease of the venous vessels that occurs when blood clots in the hemorrhoidal veins form nodes. It is found in 10% of the world's population. The reasons for the late visit to doctors with this problem are its delicacy and a sense of embarrassment.

The factors that can trigger this disease are as follows:

• constipation (increases the load on the bowel vessels);
• passive lifestyle (blood flow to the pelvic organs worsens);
• bad habits (smoking, alcohol, drugs);
• genetic predisposition (structural features of the body);
• lifting weights (the press and other abdominal muscles are sharply loaded);
• pregnancy and childbirth.

External hemorrhoids in women is a proctological disease that requires timely diagnosis and complex treatment

Features of the external form of hemorrhoids

In medicine, it is customary to distinguish two types of this disease: internal and external hemorrhoids. The internal form of hemorrhoids occurs inside the rectum and is almost impossible to detect in the early stages. It can only be diagnosed with a doctor's examination.

External hemorrhoids differ in that the nodes are formed outside the rectal mucosa. They can be seen or felt. These are small, compacted balls of different sizes, which can cause big problems.

External signs of hemorrhoids

First of all, you need to know that the nodes are very delicate and an elementary trip to the toilet "by and large" can injure them. Because of this, the following symptoms appear:

• pain when emptying or at rest;
• itching and burning;
• sharp pain when lifting weights;
• the presence of blood in the feces;
• loss of knots and blood on toilet paper.

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A woman may feel discomfort when visiting the toilet, she is worried about constipation and diarrhea, itching in the anus is possible

Signs may worsen depending on the severity of the illness. There are four stages of hemorrhoids:

• the first - blood is released, but the nodes do not fall out;
• the second - during bowel movements, the nodes fall out, but they themselves are restored;
• the third - during bowel movements, the nodes fall out, but they need to be set back;
• fourth - the nodes fall out when sneezing, coughing or laughing, it is not possible to set them back.

Possible complications

If you do not consult a doctor in time and do not start timely treatment, very serious consequences will ensue. At first, the blood inside the node thickens, and the node begins to increase in size, delivering pain to a person not only during loads on the intestines, but also at rest. It is especially painful to sit and move. The knot turns blue and hardens. As a result, the soft tissues swell, and subsequently the entire perineum, and the body temperature rises. If the blood is released too often, anemia occurs (a decrease in the concentration of hemoglobin in the blood).

Features of therapy for external forms of hemorrhoids

If you want to get rid of this problem as soon as possible, it is better to approach the treatment in a comprehensive manner. In addition to drug therapy and surgery, doctors advise turning to a special diet.

Proper nutrition

Therapeutic diet

Its main task is not only to eliminate the symptoms, but also to restore the body and its functions. As for the products, they should be well digestible, since the nodes are injured during bowel movements. The stool should be soft and uniform.

The patient's diet should consist of the following foods:

1. Dried fruits. The fruits retain their beneficial components and help with constipation.
2. Chicken meat. It is a natural, natural protein that is easily absorbed by the body. It is white meat that contains more nutrients, while it gives a minimum load on the digestive system (in contrast to red meat).
3. Honey. It is rightfully considered a storehouse of vitamins. It is a natural metabolic stimulant.
4. Porridge. Oatmeal, buckwheat and barley contain dietary fiber that has a positive effect on the intestinal mucosa.
5. Nuts. Hazelnut, one of the most accessible in our country, prevents the formation of blood clots in blood vessels and strengthens human immunity.
6. Fruits and natural juices or compotes from them.
7. Butter. Butter or vegetable oil is needed for blood vessels and the healing of damage in the gastrointestinal tract. The only caveat is that you should not subject it to strong heat treatment.
8. Greens. Parsley and dill contain active substances that promote wound healing.
9. Soups. Due to its liquid consistency, the feeling of fullness after the soup comes in us faster than after other dishes. We eat less, and it is easier to digest, which does not injure the intestines.

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Hemorrhoid medicines for women

A woman's daily menu should contain more fresh vegetables and fruits containing fiber and vitamins.

Your daily diet might look like this:

1. Breakfast: porridge (with honey or dried fruits), freshly squeezed juice or kefir.
2. Snack: 100 g of nuts or dried fruits.
3. Lunch: soup, steamed chicken with vegetables, juice.
4. Snack: fruit or vegetable salad.
5. Dinner: a glass of natural yogurt or kefir.

It is important not only to include certain foods in your diet, but also to exclude harmful ones. Basically, these are those that irritate the intestines or negatively affect the blood vessels.

Here is a list of prohibited foods:

• alcohol,
• spicy food,
• unripe fruits or vegetables
• red meat,
• eggs,
• mushrooms,
• fried foods,
• fresh milk,
• beets and spinach,
• sweet carbonated drinks.

Refuse to eat high-calorie, spicy, fatty, salty foods

Drug therapy

There are two drug treatment options:

• tablets or drops for internal use;
• candles, ointments and creams - for the outside.

The tablets are used to prevent complications and relieve symptoms. These are drugs with the following properties: pain relievers, venotonic, laxatives and anti-thrombosis.

List of the most popular medicines:

• "Ibuklin",
• Diclofenac,
• "Movalis",
• "Phlebodia"
• Venarus
• Detralex,
• "Litovit B",
• "Vikasol",
• "Aspirin".

Before taking, be sure to consult with your doctor and carefully read the instructions in the package.

Most often, the manifestations of hemorrhoids are treated with topical preparations: ointments, gels, creams, rectal suppositories

Ointments and creams are good because they act directly on the affected area and do not put additional stress on the heart or liver.

In the initial stages of hemorrhoids, the following drugs are used:

• "Mastokrel";
• Fleming's Ointment;
• "Proctosan";
• Troxevasin;
• "Hepatrombin";
• "Aurobin";
• "Methyluracil";
• "Heparin ointment";
• "Vishnevsky ointment".

Surgery

This method is used even when the nodes are very large and cause terrible pain. They are removed surgically. This helps not only to get rid of them, but also to prevent the appearance of new ones. Dearterization is considered a very popular method. The artery that feeds the node is ligated and blocked from blood flow. Then it is removed.

Treatment of hemorrhoids in women at home is often based on the use of folk remedies.

ethnoscience

Folk remedies are mainly aimed at relieving symptoms. There are the following alternative methods of dealing with hemorrhoids:

Content

Varicose veins in the anus are called hemorrhoids in medicine. You can get rid of this delicate problem with an integrated approach to treatment. The first place in the list of recommended methods is occupied by local and systemic drug therapy, but external hemorrhoids can also be treated with folk remedies.

What is external hemorrhoids

The disease is a prolapse of enlarged hemorrhoids from the anus. The development of such a pathology is indicated by itching, burning and severe discomfort in the anus. To the touch, elastic bumps are felt in it. The disease proceeds in several stages:

• on the initial hemorrhoids slightly increased in size, bothering only with burning and itching;
• then the formations increase, completely closing the anus;
• at the last stage, bleeding and severe pain develop.

Hemorrhoids are acute or chronic. In the latter case, the pathology is characterized by a change in periods of remission and relapse, when the symptoms of the disease increase significantly. Traditionally, the treatment of inflammation of hemorrhoids is carried out with medicines and folk remedies. Surgical intervention is indicated for:

• prolapse of the vessels of the rectum with each act of defecation;
• the patient is worried about bleeding from the anus;
• the disease does not allow you to lead a normal life;
• itching becomes unbearable, interferes with sleep, solving ordinary everyday problems;
• diet, suppositories, and home treatments have failed.

The radical method is used only when indicated. It is performed when the patient can no longer think about anything except his illness. The operation is also necessary if a person is at risk of developing complications, such as:

• anemia;
• tears of the anus;
• insufficiency of the anal sphincter;
• rectal bleeding;
• anorectal thrombosis;
• infringement of fallen out hemorrhoids;
• necrosis of strangulated cones;
• purulent infections, including proctitis, paraproctitis.

Causes

The main provoking factor in the development of pathology is the violation of venous blood flow in the rectal region, which lead to stagnation. They can lead to enlargement of both external and internal hemorrhoids. Violation of venous blood flow in the pelvic area occurs for the following reasons:

• frequent constipation;
• work associated with lifting weights;
• hormonal disorders;
• strength sports;
• sedentary lifestyle, sedentary work;
• improper nutrition;
• alcohol and smoking abuse;
• prolonged stay on your feet.

Symptoms

Hemorrhoids are hard to miss. Already at an early stage, a person begins to feel itching and burning in the anus. The patient suffers from constant discomfort, especially during an exacerbation. Feels pain with every act of defecation. In the presence of anal fissures, minor bleeding occurs. In addition to these symptoms, there are:

• swelling of the anus;
• characteristic bumps around the anus;
• oozing and diaper rash of the skin near the anus;
• feeling of incomplete bowel movement;
• sometimes - fecal incontinence.

Home treatment

You can cope with this problem at home. Pathology is treated in different ways, depending on the stage and severity of symptoms. Folk remedies are used only at an early stage. Proctologists do not recommend relying solely on alternative medicine. Hemorrhoids can be cured only with an integrated approach using the following methods:

1. Medication therapy. This includes local remedies in the form of ointments, gels, and suppositories. Their effectiveness is due to their use directly at the site of inflammation. Additionally, the patient is prescribed systemic agents for oral administration. They have angioprotective and venotonic effects, help improve microcirculation and reduce bleeding.
2. Therapy with folk remedies. They relieve pain, relieve inflammation and help wounds heal faster. At home, lotions from decoctions of medicinal herbs and baths based on them, various ointment compositions and suppositories from natural ingredients are used.

Medicines for external hemorrhoids

All the ways how to treat external hemorrhoids at home are complex. For this reason, doctors prescribe several medications at once. They differ not only in the principle of operation, but also in the form of release. So, the treatment of hemorrhoids at home is carried out using:

1. Ointment. These are topical remedies that are especially effective for external hemorrhoids. They are applied directly to the buds themselves several times a day. Medicinal substances act directly at the site of inflammation. There are different ointment agents: reducing or increasing blood clotting, strengthening the capillary walls and veins, healing, relieving inflammation, and improving blood circulation.
2. Candles. Also called rectal suppositories. They are more often used for home treatment of internal hemorrhoids, but when applied externally, they also have a positive effect. The composition of the candles includes healing ingredients that help relieve inflammation, eliminate swelling and bleeding, and heal wounds. Suppositories are used rectally, i.e. through the introduction into the anus.
3. Pills. Shown for oral administration. For hemorrhoids, drugs are used from the category of venotonics, hemostatic agents that expand hemorrhoidal veins, improve the quality of blood. A good result is brought by natural herbal medicines that have a tonic effect.

The best ointment

This category of drugs includes drugs with a different principle of action. With hemorrhoids, medications are effective that increase or, conversely, reduce blood clotting, strengthen veins and capillaries, and slow down the inflammatory process. Local remedies can also have a general immunomodulatory effect, which helps to increase the patient's vitality. Medicines that improve blood circulation also have a positive effect.

Not every medication is suitable for every patient. Only a doctor should choose a specific remedy for external hemorrhoids that will help a particular patient. It takes into account the individual characteristics and condition of the patient. The choice is made on the basis of the following recommendations:

• with a mild degree of inflammation, Nigepan with benzocaine and heparin is indicated;
• to relieve pain, it is worth using agents with anesthetics, for example, Procto-Glivenol, Aurobin, Hepatothrombin G;
• with inflammation, Vishnevsky ointment, Ichthyol, Heparoid Zentiva or Levomekol help;
• can eliminate the itching Proctosedil, Posterisan;
• strengthening of blood vessels is provided by Venoruton;
• when a bacterial infection is attached, drugs with antimicrobial effect are effective, such as Bezornil, Nefluan, Fleming's ointment;
• for the healing of anal fissures, methyluracil ointment, Proctosan are shown.

Heparin

Heparin ointment is based on several components: sodium heparin, benzocaine and benzyl nicotinate. Due to this composition, the drug has a local anesthetic and anti-inflammatory effect. It also prevents blood clots from forming. Available in only one form. Its main characteristics:

1. How to apply. Apply to a linen or coarse calico pad, then apply to hemorrhoids and fix with a bandage.
2. Side effects. Itching and skin rash, flushing of the skin are possible.
3. Contraindications Skin lesions, hypocoagulation, hypersensitivity to the composition, thrombocytopenia, age less than 12 months. In pregnancy, it is used only after a doctor's approval.

Bezornil

The presence of artificial musk and bezoar in the composition provides a local astringent, disinfecting, decongestant and hemostatic effect. Additionally, Bezornil has an analgesic effect. The advisability of using the drug during pregnancy is established by a doctor. The same goes for childhood. For the correct use of Bezornil, you need to study his brief instructions:

1. Mode of application. Apply to the affected area up to 2 times a day. The course of treatment can last up to 2 weeks.
2. Side effects. Possible allergic responses in predisposed patients.
3. Contraindications These include high sensitivity to the drug base, pregnancy and lactation.

100 g of Relief contains 0.25 g of a highly active active ingredient - phenylephrine hydrochloride. It has local anti-inflammatory and vasoconstrictor effects. The medication is not recommended for the treatment of a child under 12 years of age. It is undesirable to use it for pregnant and lactating women. For correct use, you must study the brief instructions for Relief:

1. Dosage. Use after hygiene procedures up to 4 times daily. Best applied to areas of inflammation after each bowel movement and at night.
2. Side effects. They are noted extremely rarely, allergic reactions are possible.
3. When contraindicated. Do not use Relief in case of granulocytopenia, thromboembolism, hypersensitivity to the composition.

Candles

Among the ways how to cure external hemorrhoids, rectal suppository therapy is used by good reviews. They are used for insertion into the anus. They help stop blood clots, inflammation, bleeding, and pain. The selection of the medicine is carried out by the doctor, taking into account the symptoms observed in the patient. Various suppositories help to remove certain signs of inflammation of hemorrhoidal cones:

1. In the uncomplicated form, anticoagulants are effective, dissolving already formed blood clots. These include Nigepan, Hepatothrombin, Natalsid.
2. For severe pain, the best medicine is analgesic suppositories, for example, Proctosedil M, Anestezol, Hepazolone, Olestezin, Relief Advance, Emla.
3. In case of bleeding, it is necessary to use hemostatic drugs, including Relief, Procto-Glivenol.
4. To relieve the inflammatory process, candles such as Ultraproct, Anuzol, Proctosan, Neo-Nuzol, Methyluracil are shown.

Natalsid

The composition of Natalsid includes sodium alginate - a substance that exhibits anti-inflammatory, reparative, hemostatic effects. The drug is produced only in the form of suppositories. They are allowed for children over 14 years of age and during pregnancy, but only after consultation. The application of Natalsid is carried out taking into account the following characteristics:

1. Dosage. Consists of 1 candle 2 times a day. The suppository must be moistened before administration. The course of treatment is 7-14 days.
2. Adverse reactions. Sometimes allergic reactions occur in the form of itching, hives, or peeling of the skin.
3. Contraindications Includes age up to 14 years, special sensitivity to the constituents of candles.

Hepatrombin

Similar to the ointment, the composition of Hepatrombin suppositories includes sodium heparin, lauromacrogol 600 and prednisolone acetate. The drug exhibits several actions at once: local anesthetic, antithrombotic, venosclerosing, anti-inflammatory, antipruritic, decongestant. The use of suppositories during pregnancy is possible only as directed by a doctor. The drug is prohibited for children. The use of Hepatrombin G is carried out according to the following brief instructions:

1. Dosage. Suppositories are injected into the anus 1-2 times a day after bowel movements and hygiene procedures.
2. Adverse reactions. Sometimes there is an allergy or flushing of the skin.
3. Contraindications These include syphilis, bleeding tendency, skin tumors, tuberculosis, vaccine reactions, first trimester of pregnancy.

One rectal capsule of Proctosedil contains benzocaine, butamben, framycetin, esculoside and hydrocortisone. The combination of these substances provides antibacterial, local anesthetic, antipruritic, anti-inflammatory action. Brief instructions for the use of Proctosedil:

1. How to use. It is recommended to introduce one suppository in the morning, in the evening and after each bowel movement.
2. Adverse reactions. Sometimes there are allergies, the development of a secondary infection, dryness, burning sensation and discomfort in the rectal area.
3. Contraindications Includes pregnancy, lactation, children under 12 years of age, tuberculous, viral and fungal lesions of the anorectal zone, neoplasms in the anus.

Pills for external hemorrhoids

Oral medications also help with the question of how to treat external hemorrhoids at home. They are not as effective as ointments or suppositories. To a greater extent, they have a positive effect on the vascular system and the rheological composition of the blood. A separate group of antihemorrhoidal drugs is made up of pain relievers.

The disadvantage of oral forms is that they have a systemic effect, so it is very difficult to avoid side effects. The selection of tablets is also carried out taking into account the individual characteristics of the patient and the specific symptoms that he feels. Different oral agents are used against certain signs of the disease:

• Detralex is a flavonoid-based medicine that tones and strengthens veins;
• Venodiol - raises the tone of the veins, reduces their extensibility and strengthens the walls;
• Ginkor Fort is a herbal preparation designed to increase the tone of the veins;
• Venarus is a venoprotective agent that reduces venous distensibility and venous congestion;
• Aspirin is the simplest one that helps to quickly eliminate pain and fever;
• Ketanof - antiseptic and analgesic;
• Ibuprofen is a non-steroidal anti-inflammatory drug that relieves inflammation, pain, and fever.

Phlebodia

Phlebodia 600 is based on diosmin. This substance helps to tone the vascular wall, reduce the elasticity of the veins, strengthen the walls of the capillaries, eliminate venous congestion and reduce the permeability of the venous capillaries. The peculiarity of the drug is that the phlebotonizing effect is dose-dependent. This means that the biological effect of Phlebodia 600 changes in proportion to the dose taken.

In pregnancy, the medicine is prescribed only from the twelfth week. Children under 18 years of age is a contraindication to the use of Phlebodia. Brief instruction:

1. Dosage. Every day you need to take 2-3 tablets for a week. After an exacerbation, the dosage is reduced to 1 tablet. The course is extended to 2-3 months.
2. Adverse reactions. Some patients have dyspeptic disorders, dizziness, headache, allergies.
3. Contraindications Phlebodia is prohibited in lactation, intolerance, hereditary idiosyncrasy and individual hypersensitivity to the composition.

Vasoket

Another diosmin-based drug with a venotonic effect. Vasoket is used even during pregnancy, but only in the 2nd and 3rd trimester. For children, medicine is prohibited. Before using Vasoket, it is worth studying its brief characteristics:

1. Dosage. In case of exacerbation, it is 2-3 per day with meals. A week later, they switch to 1 tablet. The course lasts 1-2 months.
2. Side effects. After taking the pill, allergies, headaches, dyspepsia are possible.
3. Contraindications In addition to childhood, the drug is prohibited during lactation and hypersensitivity to the composition.

Normal

In addition to diosmin, Hesperidin is part of Normoven. The combination of these substances provides angioprotective and venotonic effects. They eliminate venous stasis, increase the tone of the veins, and prevent venous stretch marks. Normoven is not assigned to children. The same goes for the lactation period. During pregnancy, use only after consulting a doctor. Basic information to study before using Normoven:

1. Dosage. In case of chronic inflammation of hemorrhoids, it is 2 tablets in 2 doses per day, in acute inflammation - up to 6 pieces for the first 4 days, and then 4 pieces. three more days. Further, the medicine is taken for 3 months with meals.
2. Side effects. Some patients complain of nausea, diarrhea, dizziness, indigestion, and dizziness.
3. Contraindications The drug is prohibited in case of hypersensitivity to its constituent components.

How to treat external hemorrhoids with folk remedies

Folk remedies are understood as recipes that use medicinal herbs and some common foods. They are mixed in certain proportions. As a result, formulations with certain beneficial properties are obtained. Folk remedies are used to treat diseases at home. With hemorrhoids, they help relieve the patient's condition, eliminate unpleasant symptoms and accelerate tissue healing. There are several types of home remedies:

1. Ointments. They are used to lubricate inflamed areas. Additionally, the funds are used for compresses on the anus.
2. Sitting baths. To do this, sit in warm or cool water with the addition of herbal decoctions or other healing agents for a certain amount of time.
3. Suppositories. They are inserted into the anus, leaving there for the time indicated in the recipe.
4. Oral formulations. They are represented by decoctions and infusions, which are drunk daily in a certain amount. Some of the compositions are prepared only on the basis of water, while others add alcohol or vodka.

Ointments and suppositories from natural ingredients

For the preparation of ointments and candles, medicinal herbs and some food products are used. The recipes are universal, suitable for almost every patient, if he is not allergic to the constituent means. At home, you can prepare the following folk remedies:

1. Potato candles. Take one potato, peel and wash. Next, cut out a suppository-like shape from the tuber. The edges must be rounded. The suppositories are inserted into the anus and left overnight.
2. Ointment with sea buckthorn and honey. It soothes and relieves inflammation. About 2 tbsp. l. honey is combined with 1 tbsp. l. sea ​​buckthorn oil. After mixing, the product can be applied to the affected areas. The course lasts 14 days.
3. Calendula ointment. It will take 2 tbsp. l. this herb. To it add 50 g of melted butter, mix. Between procedures, the ointment is kept in the refrigerator. It is necessary to lubricate the anal passage 2-3 times daily.
4. Propolis ointment. For 100 propolis, take the same amount of butter. Bring the agent to a boil over low heat, then filter and leave to cool. Then the ointment is applied to the hemorrhoidal cones. The procedures are repeated for 2 weeks.

Bath recipes

You can relieve the symptoms of the disease by taking baths. They soothe and not only relieve signs of inflammation of hemorrhoids, but also generally improve the patient's well-being. With this method, how to independently treat external hemorrhoids at home, the following recipes are effective:

1. Dissolve a small amount of potassium permanganate in warm water until a pale pink color is obtained. Take a bath for 15-20 minutes.
2. Mix in equal proportions chamomile, yarrow, nettle, calendula and succession. For this amount of herbs, 1 liter of boiling water is taken. The mixture is simmered over low heat for 5 minutes. When the broth has cooled, it is used for a regular bath.

Means for internal reception

Treatment of external hemorrhoids at home is complemented by oral medication. They have general strengthening properties, normalize the patient's condition, increase the tone of the body, which helps to facilitate the fight against the disease. You can treat hemorrhoids with the following home remedies:

1. Blackberries. They should be overripe. Daily you need to take 1 tbsp. l. berries before meals.
2. Spinach, lettuce and carrot juice. They are mixed in equal proportions. Reception is carried out before meals for a couple of tablespoons.
3. Potato. It is necessary to squeeze the juice from one peeled and washed tuber. Every day it is consumed before each meal for 2-3 tbsp. l.

How to quickly cure external hemorrhoids

When answering the question of how to treat external hemorrhoids, most doctors offer patients an integrated approach. This means that you need to use simultaneously:

1. Medication. Medicines are the basis of therapy, without them there is a risk of deterioration in health and the development of complications. In drug therapy, the patient must combine taking pills and local treatment with ointments and suppositories.
2. Traditional methods. They are an aid. Homemade recipes alone will not help treat hemorrhoids. Folk remedies accelerate recovery, strengthen the immune system, which provides a more effective fight against the disease.

When choosing drugs, it should be borne in mind that there are cheap analogues of drugs. They have almost completely the same composition, which is why they affect the body in the same way. For this reason, it makes no sense to overpay for ointment or pills. But you cannot prescribe a medicine yourself, because the same drug can act differently for each person. It depends on age, gender, pregnancy or comorbidities. Any medicine has contraindications that should be taken into account when choosing suppositories, tablets or ointments.

It is easier to treat hemorrhoids at an early stage, when it has not yet taken on a chronic form or has not caused complications. For this reason, you can not delay going to the doctor. He will prescribe adequate therapy with home remedies and medications. Against the background of treatment, they need:

1. Follow a diet. It is aimed at eliminating constipation, which injures the anal passage and worsen the condition. Every day you need to eat fruits, whole grain bread, beets, zucchini, pumpkin. Apricot and plum juices are helpful. Starchy vegetables, sweets, fatty dairy products, biscuit biscuits are required to be excluded from the diet. Constipation can cause durum wheat pasta, fruits (pears, pomegranates, persimmons).
2. Do gymnastics daily. Effective are scissors exercises, walking on the buttocks while sitting on the floor, squeezing / unclenching the sphincter muscles, arching the back up and down, standing on all fours.

Price

When treating any disease, it is important to know the cost of drugs that a doctor can prescribe. At an appointment with a specialist, you should immediately ask not only how to treat external hemorrhoids at home, but also what analogues of drugs exist that have a lower cost. Examples of prices for anti-hemorrhoidal medicines are shown in the table:

Name of the drug	Release form	Quantity, volume	Price, rubles
Heparin ointment
Bezornil
Natalsid
Hepatrombin G	Rectal suppositories
	Rectal suppositories
Phlebodia 600	Pills
	Pills
Normal	Pills

Hemorrhoids is a delicate disease, the number of which among the population is about 40%, while 30% is allocated to external (external) hemorrhoids, which are often called "royal disease", since the main cause of ego development is a sedentary lifestyle. What are external hemorrhoids, what are its causes and symptoms, how to treat external hemorrhoids?

How does external hemorrhoids develop?

Hemorrhoids is a non-infectious disease of the inflammatory course, in which there is a pathological expansion of the veins of the external hemorrhoidal plexus, followed by the formation of nodes and bumps. Unlike internal hemorrhoids, external hemorrhoids are characterized by the formation of hemorrhoids outside - near the rectum. An important factor in the course of the disease is that pronounced symptoms appear only during the period of exacerbation. Therefore, everyone who is faced with the symptoms of this disease should know how to treat external hemorrhoids and prevent its relapse. With external (external) hemorrhoids, a pathological increase in the saphenous veins occurs around the anus, where nodular formations or lumps of different sizes develop. The size and number of nodes depends on the degree of the disease, but in any case they are located around the opening of the colon. External hemorrhoids photo allows you to consider the presence of pathological formations.

Hemorrhoids with external hemorrhoids are visible from the outside, may have a dark blue color, be more than 3 millimeters in size. During the period of remission, the diseases can be practically invisible, but with an exacerbation (relapse) they begin to increase in size, become inflamed, the skin around them becomes red, pain and difficulty with defecation occurs.

Reasons for the development of external hemorrhoids

The main reason for the development of external hemorrhoids lies in the violation of the outflow of blood from the cavernous perianal zone, which causes stagnant processes in the hemorrhoids and the appearance of seals (cones). The following factors and reasons can provoke such a pathological process:

• Disruption of metabolic processes;
• Frequent constipation.
• Hormonal Disorders.
• Sedentary lifestyle.
• Alcohol abuse.
• Smoking.
• Pregnancy, childbirth.
• Genetic predisposition.

In addition to the above reasons, external hemorrhoids can frolic against the background of internal diseases such as diseases of the cardiovascular system, tumors of the pelvic organs, intestines, liver cirrhosis. It is possible to determine the cause of external hemorrhoids only after the results of the examination, which will be prescribed by the proctologist.

External hemorrhoids

In proctology, 3 degrees of external hemorrhoids are distinguished, which have a different clinical picture and stages of their development.

• 1 degree - stagnant processes in hemorrhoids pass without inflammation. It is visually difficult to see the changes and the presence of bumps, but upon examination and palpation, the nodes are slightly increased in size, dense to the touch.
• Grade 2 - hemorrhoids become inflamed, edema and hyperemia appear, the nodes are enlarged, dense. Their increase can be determined by palpation or visual examination.
• Grade 3 - the inflammation spreads to the subcutaneous tissue, the perianal zone. The area in the anal canal area is painful, the bumps reach large sizes, the hemorrhoids are dense, purple or bluish in color.

The clinical picture of external hemorrhoids is quite pronounced, especially during an exacerbation of the disease. In the phase of remission, a person suffering from external hemorrhoids feels itching in the anal canal, often during defecation, bleeding appears, the presence of a foreign body in the anus is constantly felt.

There are practically no painful sensations, but significant discomfort does not allow a person to lead a normal life. If, in the presence of such symptoms, the patient is in no hurry to see a doctor, the disease progresses, takes on a chronic form, and often worsens. In the acute form of external hemorrhoids, hemorrhoids are pinched, followed by the development of thrombosis. During this period, the following symptoms are noted:

• Discharge of mucus from the anal canal.
• Pain in the area of ​​hemorrhoidal lumps, which is constantly present and increases with bowel movements or sitting.
• Itching and burning of the anus.
• Tingling sensation around the anus.
• Bloody issues.
• Prolapse of hemorrhoids.
• Increased body temperature.
• General intoxication of the body.

In some cases, with advanced forms of the disease, a necrotic plaque of a gray tint may appear on the strangulated nodes. The patient's condition is quite serious, and an untimely visit to a doctor can lead to serious complications.

External hemorrhoids during pregnancy

Pregnant women are especially susceptible to the development of external hemorrhoids, which most often develops during the first or second birth. The disease can develop both during pregnancy and during childbirth. External hemorrhoids during pregnancy develop as a result of pressure from the uterus on the blood vessels of the large intestine. The risk of developing the disease appears in the last months of pregnancy, when the fetus begins to grow rapidly, which provokes pressure on the lower part of the pelvis. It is necessary to treat external hemorrhoids only under the supervision of a proctologist, who, taking into account all the features of the expectant mother, will be able to choose the optimal treatment regimen that can eliminate the symptoms of the disease, thereby not harming the fetus and the pregnancy itself.

Complications of external hemorrhoids

External hemorrhoids with untimely or poor-quality treatment can lead to complications, such as hemorrhoidal thrombosis. If thrombosis is not treated in a timely manner, this condition can turn into purulent paraproctitis with the formation of pararectal fistulas.

Diagnostic methods for external hemorrhoids

Diagnosis - external hemorrhoids are exposed by a doctor during the initial examination of the patient. Diagnosing the disease is quite simple, since the bumps of hemorrhoids are well palpable, they can be seen when examining the anal canal. The size of compacted hemorrhoids can range from a small pea to a large nut. In addition, it is sometimes enough for a specialized proctologist to hear the patient's complaints and conduct an examination in order to make an initial diagnosis and prescribe immediate treatment. If necessary, the doctor prescribes instrumental examinations such as sigmoidoscopy or anoscopy. The research results allow the doctor to determine the stage of the disease, make a final diagnosis and prescribe the appropriate treatment.

External hemorrhoid treatment

Hemorrhoids need to be treated as quickly as possible, already at its first manifestations. The neglected form of the disease is practically not given to conservative treatment, but only to radical methods, therefore, external hemorrhoids should be treated correctly and only under the supervision of a proctologist. At the initial stages of the development of external hemorrhoids, the doctor prescribes drug treatment, which consists of the use of ointments, creams that relieve swelling of soft tissues, have anesthetic, anti-inflammatory. Rectal suppositories are recommended to be used only with internal hemorrhoids, therefore, with the external form of the disease, they are not prescribed.

If necessary, the doctor prescribes ointments and creams that contain hormones that prevent blood clots. Consider several effective drugs that are widely prescribed by doctors for the treatment of external hemorrhoids.

• Fleming's ointment is a homeopathic preparation with analgesic, vaso-strengthening, anti-inflammatory and bactericidal properties. Apply ointment for external hemorrhoids 2 times a day.
• Levomekol is an ointment with chloramphenicol, which has antimicrobial and anti-inflammatory effects.
• Hepatrombin G is a combined drug with a decongestant effect, improves blood flow to the rectum, and prevents the development of vascular thrombosis.

In addition to the above ointments, creams for the treatment of external hemorrhoids, there are others that are no less defective: Proctosan ointment, Proxodelil, Ultraproct and others. Oral pills are effective in the treatment of external hemorrhoids, among which are:

• Ginkor Fort - prescribed by a doctor at any stage of external hemorrhoids. The preparation contains only natural ingredients. Taking this drug allows you to prevent the formation of new nodes, reduce inflammation, and strengthen blood vessels.
• Detralex - used for the symptomatic treatment of external hemorrhoids. It has a venoprotective effect. Taking pills allows stagnant processes in the colon, increase capillary resistance. The course of treatment and the dose of drugs are prescribed individually for each patient.

Any medicinal product should be used only as directed by a doctor. Self-medication or uncontrolled intake of medications can lead to the development of side effects. Before using any drug for external or internal use, you need to read the instructions for use. If the disease is advanced, the doctor prescribes surgical treatment for external hemorrhoids, which includes excision of the hemorrhoids. The choice of surgical treatment is prescribed by the doctor depending on the degree of the disease and the possibilities of the clinic itself, where the patient is being treated.

Folk remedies for the treatment of external hemorrhoids

Despite the large assortment of drugs in the pharmaceutical industry, many seek help from traditional medicine, which has many recipes for the treatment of external hemorrhoids. External hemorrhoids treatment at home can be carried out using components of plant and animal origin. Consider a few recipes:

Recipe 1. Sea buckthorn oil compresses. It is enough to take a cotton pad, moisten it in sea buckthorn oil and apply to the anus at night.

Recipe 2. Potato lotions. Grind raw potatoes, squeeze out the juice, moisten a cotton pad with it and apply to hemorrhoids for 20 minutes.

Recipe 3. Healing herbal baths. For baths, you can use chamomile, sage, calendula, string. It is enough to brew a light herbal decoction, you can add propolis, leave for 30 minutes, pour it into a basin of water or a bath. You can take such baths 3 times a week for 20 minutes.