How is hemorrhoids treated. Hemorrhoids: treatment at home with folk remedies quickly. How to remove hemorrhoids with medications

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You can find tips on how to cure hemorrhoids at home folk remedies no operation method. They should not be neglected if the stage of development of the disease is not too advanced. In the presence of hemorrhoids or complications, it is better to visit doctors in order to avoid the risk of serious consequences. Find out what the disease is, what it manifests and how to cure it.

What is hemorrhoids

According to medical terminology, hemorrhoids are an increase in the size of vascular formations in the anus and under the skin near the anus. Formations include cavernous bodies - veins and arteries woven together. Normally, they do not increase in size, they are designed to hold feces and gases in the rectum. Nodes can jump out for the following reasons:

• hereditary predisposition to varicose veins;
• a sedentary lifestyle, a decrease in the tone of the walls of the veins;
• pregnancy in women, increased sex hormones in the blood;
• heavy physical activity;
• constipation, hard stools;
• stress, unhealthy diet, eating unhealthy foods.

Can hemorrhoids be completely cured?

To clarify whether hemorrhoids can be completely cured, proctologists respond positively, subject to complex therapy. The disease has several stages, which determine how it will be treated:

• the first is simple, initial, the nodes are enclosed in the intestinal lumen, do not go beyond the dentate line;
• the second - the nodes in the anus bleed, pain may appear, it is possible to cure it yourself;
• the third - hemorrhoids are reduced by hand;
• fourth - reduction is impossible, a neglected case, it will be possible to cure only with an operation.

If symptoms of bleeding from the anus, painful nodes, swelling, inflammation are found, you should consult a doctor. He will tell you what to do with hemorrhoids, what prescription drugs will help cure the symptoms. It may be necessary to subject the patient to surgery to remove or glue hemorrhoids. The disease can be completely cured by following the right methods.

How to treat

In order to effectively and properly treat hemorrhoids, you need to reconsider your diet, especially when an illness occurs due to constipation. special diet includes dishes that stimulate the functionality of the large intestine and normalize emptying. Thanks to its observance, complex treatment with the use of drugs and exercises, the statement becomes positive in the question of whether it is possible to cure hemorrhoids without consequences.

What can be treated

Effective laxatives included in the group of drugs that can treat hemorrhoids on their own include:

1. Duphalac is a hyperosmotic agent that changes acidity, increases blood pressure, and increases the amount of stool in volume.
2. Mucofalk - a natural remedy contains psyllium seeds, stimulates peristalsis.
3. Microlax - microclysters of the combined type, normalize the stool.

The following drugs belong to venotonic agents from the group than to cure hemorrhoids:

1. Tablets with active ingredients diosmin, hesperidin, troxerutin, chestnut and hazel extracts. Detralex, Phlebodia, Venarus, Troxevasin.
2. Phytotablets: Asklezan, Litovit, Ginkor fort - stimulate vascular metabolism, eliminate damage, normalize blood flow.
3. Ointments that relieve inflammation - Relief, Heparin, Beriplast.
4. Candles - Procto-glivenol, administered rectally.

Treatment of hemorrhoids

If the disease is running, then the treatment of hemorrhoids is carried out surgically. Indications for it are stage 3-4, which causes discomfort in the patient. What helps with hemorrhoids: hemorrhoidectomy performed under anesthesia. The skin and mucosa are excised with a scalpel, the pedicle of the vessels of the node is tightened, the defects are removed with a closed type of operation or left with an open one. It is possible to cure the disease by such a procedure without relapses.

Treatment of hemorrhoids without surgery

In addition to surgery, non-surgical treatment of hemorrhoids is performed. The choice of means for this therapy depends on the complaints and characteristics of the degree of hemorrhoids. It can be cured by:

• for bleeding - vasoconstrictor suppositories with adrenaline or mezaton (Relief, Procto-glivenol);
• from cracks - local hemostatic agents with thrombin and fibrinogen (Beriplast, Adroxon);
• ointments with analgesics anesthesin, lidocaine, neomycin - Nefluan, Emla;
• anticoagulants - heparin ointments, Nigepan, containing streptocid;
• antiseptics with iodine - Iodinol;
• anti-inflammatory drugs - non-steroidal Ketoprofen, Diclofenac and with corticosteroids Proctosedil, Ultraprokt, Aurobin;
• phlebotropic drugs - Troxevasin, Diosmin, Detralex.

In case of bleeding from the intestine, a sigmoidoscopy is prescribed to exclude the diagnosis of polyps or cancer. In case of relapse, minimally invasive interventions are used that can cure the disease:

• sclerosing - the introduction of substances into the vein to glue the blood flow;
• deserterization - ligatures are applied to the arteries near the node;
• ligation with latex rings - to stop the blood supply to the node;
• infrared coagulation - separates the node, restores the integrity of the vessels.

How to treat hemorrhoids at home

Complex therapy in adults, in addition to the use of local drugs, involves changing the diet, water balance and avoiding alcohol. If hemorrhoids worsen, lie down, apply a cool compress to the sore spot, treat with a weak solution of potassium permanganate and a warm chamomile bath. It will not be possible to cure the disease only by these methods, but it is possible to relieve the symptoms.

How to cure external hemorrhoids

Ointments can cure external hemorrhoids without resorting to candles. He is able to get out of the gut and cause unpleasant complications. How to get rid of hemorrhoids forever, suggest ways:

1. Apply Relief ointment with an applicator to treat knots. It contains substances from the liver of a shark, provides urgent assistance if the nodes are inflamed.
2. Ointments Troxevasin, Heparin, Vishnevsky liniment, Menovazin.
3. Tonic drugs - Detralex.
4. Hirudotherapy - treatment with leeches.

How to get rid of hemorrhoids

You won’t be able to get rid of hemorrhoids on your own, there is only a chance to reduce inflammation and cure pain:

• for the prevention of stool normalization, use kefir, figs, prunes, beets;
• do light gymnastics;
• drink more water;
• in the absence of candles, potato slices smeared with petroleum jelly will come in handy.

Treatment of hemorrhoids is carried out only in stationary conditions under supervision. At home, reduce the size of the bumps and cure the pain, which greatly torments, can:

• tablets Detralex, stimulating blood flow through the veins;
• Cyclo-3 forte - will reduce blood flow in the area of ​​​​the node, relieve acute pain and swelling;
• Bezornil - ointment to reduce the size of nodes, spread with a thick layer;
• ice candles;
• ointment of honey, propolis, onion juice and birch tar, smear daily;
• reception of infusion of tops of carrots.

Treatment of internal hemorrhoids

If the formations fall on the lumen of the rectum, we are talking about the internal type of disease. In the absence of exacerbation, the nodes are not visible, but require disposal. How to remove hemorrhoids, the doctor will tell. Medicines will help fight the disease. Therapy involves the use of:

• candles Relief;
• quince, beet preparations like candles, smeared with lard;
• stripped Kalanchoe leaf;
• tampons soaked in sea buckthorn oil, birch tar.

Folk remedies for hemorrhoids

In addition to drug therapy, the treatment of hemorrhoids with folk remedies is successfully used. These are baths, lotions, decoctions for internal use. Means that can cure the disease and remove pain include:

1. Propolis compresses - grind 15 g of the product, pour boiling water over it, leave for three days, the course of treatment is three weeks. The tool cures swelling, can soothe inflammation.
2. Celandine - a decoction of one and a half cups of dry grass per liter of boiling water is drunk three times a day, 300 ml before meals. Able to cure external nodes. Instead of a decoction, you can use lotions from a spoonful of dry raw materials with 500 ml of kombucha infusion.
3. Garlic ointment - mix 200 g with 15 ml of honey and 50 ml of milk. Boil, keep until a thick consistency. Lubricate knots to relieve chronic inflammation.

Alternative methods of treatment of hemorrhoids

At the first stages of the disease, the following folk methods are successfully used:

1. Microclysters with decoctions of calendula, chamomile, wormwood, strawberries or oils. Boil 80 g of dry raw materials in a liter of water for seven minutes, leave for six hours.
2. Tampons with sea buckthorn oil, propolis, potato, cabbage or beetroot juice. Soak gauze blanks with oil, infusion or freshly squeezed juice, insert overnight until symptoms are relieved.
3. Reception of herbal preparations - pour equal parts of dry herbs of strawberries, marigolds, plantain, cuff, coltsfoot, linden flowers, roses, pour boiling water, keep for a couple of 12 minutes. Infuse for an hour, drink 50 ml four times a day.

Video: how to cure hemorrhoids at home

Attention! The information provided in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment, based on the individual characteristics of a particular patient.

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Treatment of hemorrhoids at home with drugs and folk remedies, surgery to remove

The question of what helps with hemorrhoids worries many people who are faced with the disease. Patients are looking for remedies that can relieve the manifestations of pathology, since the symptoms of the disease greatly reduce the quality of life. Modern pharmaceuticals offers a wide range of drugs that can alleviate the patient's condition with hemorrhoids. When choosing drugs, their properties and composition should be taken into account. Treatment is recommended to be carried out according to the doctor's prescription. At home, to relieve pain and other signs of illness, you can use traditional medicine.

The essence of the disease and features of treatment

Hemorrhoids is a disease in which the veins and capillaries in the area of ​​the rectum and anus are strongly deformed, stretched, and increase in size. In this case, vascular plexuses are formed, which are called hemorrhoids in medical practice. The process is accompanied by acute pain, inflammation, bleeding of cavernous formations often appears, bumps fall out, bringing real suffering to a person. If in the first stages of the pathology, the hemorrhoids fall into place on their own, then with the further development of the disease, the patient is forced to adjust them independently. Often, with hemorrhoids, infection of wounds occurs, injury to the formations with solid feces, which provokes serious complications.

What to take for hemorrhoids? It is impossible to choose the best remedy, because all medicines have their own mechanism of action, they affect the body in different ways, depending on its individual characteristics. Medicines are selected in accordance with the clinical picture of the disease, the type and stage of the pathology. Patients with bleeding are indicated to take hemostatic drugs, for acute pain, painkillers are needed, among people with a tendency to form blood clots, treatment is carried out with the help of anticoagulants. When wounds become infected, decontaminating medicines are needed.

Important! Often, hemorrhoids require complex treatment, since the pathology is accompanied by several symptoms at once.

Remedies for bleeding

Hemorrhoidal changes in the rectal mucosa often cause bleeding. At the initial stages of the disease, this symptom is insignificant, does not pose a threat to human life. The situation is different with the appearance of massive bleeding, when there is a threat of anemia. To stop bleeding, suppositories, ointments and tablets are used that have the ability to narrow the lumen of blood vessels, thereby stopping blood loss.

Bleeding is the most common symptom of hemorrhoids.

Rectal suppositories

To get rid of bleeding, candles are used, including components such as zinc sulfate, lidocaine, sodium alginate, adrenaline. Homeopathic remedies on a natural basis have a good effect. The action of the drugs is to dry the damaged areas, narrow the blood vessels, restore their integrity. Lidocaine, in addition to stopping the blood, has a slight anesthetic effect.

List of effective hemostatic drugs in the form of suppositories:

• Relief Ultra - suppositories that have a powerful anti-inflammatory and astringent effect. The medicine has a moderate analgesic, antipruritic, bactericidal effect. The result is noted within a few minutes after the introduction of the candle;
• Anestezol - used for mild bleeding, has a drying effect, prevents the attachment of a bacterial infection, suppuration of wounds. Candles help get rid of the feeling of moisture in the anus by reducing the release of exudate;
• Ultraproct - the remedy relieves inflammation well, fights bleeding, eliminates itching, burning, soreness and other symptoms. The drug is effective for anal fissures, ulcers of the rectal mucosa;
• Proctosan is an anti-inflammatory drug with a strong astringent effect. The tool is used for internal and external hemorrhoids, well eliminates itching, irritability, pain;
• Alginatol - these suppositories include sodium alginate, quickly heal wounds and microdamages. The active components of the drug activate the process of skin regeneration, relieve inflammation and other manifestations of the disease.

Suppositories are inserted into the anus 2-3 times a day as prescribed by a doctor; for best results, it is first recommended to put a cleansing enema.

Rectal suppositories - a popular drug form for the treatment of pathology

To treat hemorrhoids with bleeding, funds in the form of ointments that have an astringent, drying effect help. Ointments are easy to use, easy to apply, can be used for external and internal hemorrhoids of all degrees. Popular drugs include:

• Vishnevsky's ointment is an effective and safe remedy, permitted among children and women in position. The medicine has an anti-inflammatory, wound healing, bactericidal effect;
• Relief is a unique drug with a complex effect. The ointment helps stop bleeding, relieves inflammation, eliminates pain, itching and discomfort during the disease;
• Proctosan is a remedy that includes lidocaine, bismuth, titanium dioxide and other components. The ointment has a hemostatic, wound healing, analgesic effect for hemorrhoids;
• homeopathic ointment Bezornil - includes bezoar, pearls, artificial musk, borneol and other excipients. The tool has a complex effect in pathology, fights bleeding well, nourishes the affected tissues with vitamins and minerals, has an anti-inflammatory, strengthening, regenerating effect.

It cannot be argued that hemorrhoids can be cured with the help of ointments only, often the treatment of the disease requires the use of other drug groups. Despite this, many ointments give an excellent effect, help to cope with bleeding and other symptoms.

Pain Relief Drugs

Pain always accompanies hemorrhoids, especially in grades 3 and 4 of the disease. In some patients, the pain syndrome is so severe that they can do without medications fails. To relieve this symptom, doctors prescribe medications of various groups. These include tablets, ointments and rectal suppositories.

Medicines in the form of tablets, ointments and rectal suppositories help to cope with pain.

Tablets

What helps with hemorrhoids with severe pain? The main task of painkillers in pathology is not just to combat discomfort, but also to have a positive effect on blood vessels, to eliminate the cause of the disease. For this, drugs that have a venotonic effect are used. Due to the restoration of the structure of the veins and capillaries, the pain of hemorrhoids is significantly reduced, and with regular use of the tablets they completely disappear.

Overview of commonly used drugs:

• Pilex is a drug that includes extracts of natural herbs and plants, used to restore the structure of blood vessels, reduce pain and other manifestations of pathology. Tablets are prescribed for hemorrhoids of 1 and 2 degrees;
• Hemoroidin is a drug that has a good analgesic and venotonic effect. Due to the unique composition, the drug has a positive effect on the vascular walls, strengthens them, reduces fragility and permeability. In addition, the tablets perfectly relieve inflammation and swelling;
• Ibuklin - the product contains ibuprofen and paracetamol. Due to this, the medicine has an anti-inflammatory, analgesic, antipyretic effect in the disease.

It is not recommended to take pills on your own with hemorrhoids. To choose a drug, you should listen to the advice of your doctor.

Important! Many remedies cause side effects. To prevent this phenomenon, you must remember that you need to take medication as directed by a doctor.

Ointments

Medicines in the form of ointments help to get rid of the pain syndrome in pathology. Many of them have a complex effect, while reducing pain, itching, inflammation and swelling. Painkillers include:

• Heparin ointment - quickly relieves pain and burning in the anus and rectum. Heparin in the composition of the remedy relieves the affected area of ​​blood clots and hematomas, helps to restore blood circulation;
• Troxevasin ointment is a venotonic agent with a combined effect. The tool fights pain, inflammation, swelling. Due to the positive effect on the vessels, the general condition of the tissues improves, all symptoms of the disease decrease;
• Ichthyol - this remedy is an excellent antiseptic that relieves the inflammatory process and pain syndrome. In addition, ichthyol has an antifungal, bactericidal effect.

Ointments are convenient for use in internal and external hemorrhoids. Many products come with a special nozzle that allows you to enter the ointment into the anus.

Ointments give a good result in the treatment of hemorrhoids, quickly eliminate the symptoms of the disease

Bactericidal and anti-inflammatory drugs

What is better for hemorrhoids and what means to use if the disease is accompanied by a strong inflammatory process and infection? In this case, drugs that have a disinfecting and anti-inflammatory effect will come to the rescue. This group includes the following medicines:

• drops from hemorrhoids Aescusan - have an anti-inflammatory effect, include horse chestnut extract and vitamins. The drug has an antithrombotic, decongestant, venotonic effect. It is recommended to drink the medicine 10-15 drops before meals, dissolving Aescusan in a small amount of water;
• ointment and suppositories Posterisan - the medicine helps to relieve inflammation, overcome the bacterial flora, and restore the structure of blood vessels. An effective remedy for the formation of hemorrhoidal cones, ulcers and anal fissures;
• Detralex - capsules for hemorrhoids, including diosmin and hesperidin. Due to this, the agent has a venotonic, anti-inflammatory, tonic, immunostimulating effect. Detralex is taken in 2-3 pcs. per day for 7 days;
• capsules for hemorrhoids Ginkor fort is another venotonic, anti-inflammatory agent used in the treatment of the disease. The preparation includes an extract of the ginkgo biloba plant and excipients;
• Methyluracil ointment is a powerful wound healing, bactericidal agent used for hemorrhoids. The drug activates the regeneration process, inhibits protein breakdown, increases local immunity, and fights infection. Apply a thin layer of ointment to the affected area 2-3 times a day.

Methyluracil ointment is an effective and safe remedy

Important! All drugs should be used in strict accordance with the instructions. You can not exceed the dose to get the best effect, such negligence often ends in complications.

Effective homeopathic remedies

Good result in the treatment gives homeopathy for hemorrhoids. Natural medicines have a number of advantages. They rarely cause side effects, have a good therapeutic effect, are approved for use among women in position, during breastfeeding, among small children.

Popular medicines:

• Graphites - a tool that includes graphite, helping to relieve itching, pain, burning sensation in case of illness. The drug prevents venous congestion, stimulates blood circulation, is effective in the treatment of hemorrhoids, anal fissures;
• Capsicum annum - a medicine based on the extract of hot pepper, providing a persistent reduction in itching and discomfort in the anorectal zone;
• Nux Vomica is a homeopathic remedy that prevents stagnant processes, eliminates the main symptoms of hemorrhoids;
• Aesculus - contains an extract of horse chestnut fruits, perfectly tones blood vessels, reduces their extensibility, fragility. In addition, the medicine has a beneficial effect on digestion, prevents constipation.

When using homeopathic remedies, you can not take several drugs of this group at the same time. It is not recommended to violate the schedule of taking medications, independently reduce or increase the dose.

Treatment of hemorrhoids in pregnant women requires special care

What drugs are allowed for pregnant women

Women who are expecting a baby often face a delicate problem. During this period, the treatment of the disease should be treated with all caution, because with the wrong choice of drugs, you can harm the health of not only the mother, but also the condition of the unborn child. During pregnancy, it is recommended to treat hemorrhoids using herbal preparations, as well as agents whose active ingredients are not absorbed into the mother's bloodstream, and therefore cannot cross the placenta to the fetus.

Hemorrhoid ointments for women in position

For local treatment of cavernous formations among pregnant women, the use of such drugs in the form of ointments is allowed:

• Fleming's ointment - eliminates the main manifestations of pathology, does not harm the mother and child due to the natural composition;
• sea ​​buckthorn ointment - a remedy that includes sea buckthorn oil, has an analgesic, anti-inflammatory, disinfecting effect;
• Gepatrombin G - reliably relieves thrombosis, stimulates blood circulation, increases local immunity.

Despite the seeming safety of these drugs, they should be taken strictly as prescribed by a doctor.

Safe candles

Rectal suppositories are suitable for the treatment of internal hemorrhoids. For pregnant women, candles of the following brands are allowed:

• Relief is an effective drug, including shark liver oil, allowed among women in anticipation of a baby. Relief quickly eliminates pain, inflammation, swelling, itching, burning;
• Calendula suppositories are another effective but safe natural remedy. Calendula helps to reduce the unpleasant symptoms of the disease, helps to heal wounds, microcracks, and get rid of the inflammatory process.

Suppositories are used to treat exacerbation of hemorrhoids in combination with other therapies, which include diet, lifestyle changes, and more.

Tablets

You can cure hemorrhoids by influencing its cause. Venotonic preparations help to cope with degenerative changes in blood vessels. The following medications are allowed during pregnancy:

• Venarus is a remedy based on natural flavonoids that increases the elasticity of blood vessels. Tablets are prescribed to women during pregnancy and lactation under the strict supervision of the attending physician;
• Phlebodia is a complex medicine that has a beneficial effect on the condition of the veins and capillaries of the whole organism. Tablets help prevent venous stasis, pathological changes in the walls of blood vessels, relieve inflammation and other symptoms of the disease.

Important! Many women refuse to treat hemorrhoids during pregnancy, not wanting to harm the baby. The use of safe medicines will allow you to cope with the pathology without causing the slightest harm to the child.

What to do with an exacerbation at home

Hemorrhoids are often accompanied by an acute course. If it is not possible to visit a doctor, folk remedies on a natural basis will help alleviate the symptoms of the disease.

Natural medicines will help relieve the exacerbation of the disease

Popular recipes:

• herbal baths. Local baths help to have a direct effect on the anorectal region, eliminate the main signs of the disease. To prepare a decoction, you can use chamomile, succession, St. John's wort, nettle, yarrow and other herbs. A decoction is prepared from a tablespoon of raw materials and a liter of boiling water. The remedy is insisted, poured into bath water;
• compresses. For local exposure, you can use natural oils (sea buckthorn, St. John's wort, calendula), mummy, propolis, aloe juice. These products have an excellent analgesic, anti-inflammatory, bactericidal effect;
• natural candles. For the preparation of suppositories, a decoction of chamomile, succession, mint is suitable. Potato candles relieve pain and inflammation well;
• to reduce the negative manifestations of the disease, you can take a decoction of wild rose or yarrow. A decoction is prepared from a tablespoon of raw materials and 250 ml of water. Drinking medicine is recommended instead of tea.

It is impossible to choose the most effective medicine for hemorrhoids. When prescribing a remedy, one should take into account the type, degree of pathology, the presence of concomitant diseases and other features. The doctor must select drugs. Only a specialist will be able to choose the optimal treatment regimen individually for each patient.

Good day, dear visitors of the project “Good IS! ", section" "!

In today's article, we will get to know you better with such a disease as hemorrhoids. So...

- a disease associated with thrombosis, inflammation, pathological expansion and tortuosity of the hemorrhoidal veins that form nodes around the rectum. This is the most common coloproctological disease, which affects an average of 12 people out of 100, and its share among diseases of the rectum is about 40%.

Hemorrhoids are equally common in both men and women. However, more often it occurs in men, since most women, at the first sign of the disease, seek the help of a doctor.

Causes of hemorrhoids

Predisposing factors for the appearance of hemorrhoids:

• , which increase pressure in the rectum, causing blood flow to the hemorrhoids, which contributes to their increase and subsequent loss;
• hereditary factors;
• pregnancy, childbirth. Being in this position, women experience increased pressure in the abdominal cavity, which can cause hemorrhoids;
• prolonged sitting in a sitting position, when the muscles of the perineum are relaxed, which leads to a weakening of the natural support of hemorrhoids;
• a sedentary lifestyle leads to stagnation of blood in the pelvis, which leads to an increase in hemorrhoids;
• leads to a significant acceleration of blood flow in the anal area, which can cause hemorrhoidal bleeding;
• excessive physical activity and weight lifting, while there is an increase in intra-abdominal pressure, which leads to prolapse of hemorrhoids;
• spicy and spicy foods cause irritation in the anal area;
• violation of the outflow of blood in the rectum;
• inflammatory and tumor processes in the intestine and liver;
• getting an infection.

Symptoms of hemorrhoids

- discharge of blood from the anus;
- prolapse of hemorrhoids from the anus;
- pain (permanent or only at the time of defecation);
- anal itching;
- perianal edema;
- secretion of mucus;
discomfort, feeling incomplete emptying, .

In most cases, hemorrhoids develop gradually. First, there is a feeling of itching, burning, heaviness in the anus, pain and constipation. Then the pain intensifies, hemorrhoidal bleeding occurs, prolapse of hemorrhoids occurs.

On the initial stages diseases, the nodes are easily reduced, but then they are constantly outside.

The danger of the disease is that thrombosis and even necrosis of the hemorrhoid can develop, which are characterized by a severe clinical picture.

Many people are too frivolous about this disease, as they consider hemorrhoids not a serious disease. However, it can also be the first symptom of colon cancer in the early stages of development. Therefore, there is a great danger of missing the most effective moment for the treatment of such a terrible disease.

Important! At the first symptoms of hemorrhoids, you should immediately consult a doctor.

Types of hemorrhoids

According to the mechanism of occurrence, hemorrhoids are divided into:
— congenital(hereditary);
— acquired.

Acquired, in turn, is divided into:
— primary- arisen as an independent disease;
— secondary- which is a symptom or complication of another ailment (for example,).

According to the place of localization, hemorrhoids are divided into:
— outer(subcutaneous);
— interior(submucosal).

Hemorrhoids can occur as a long uncomplicated process or in acute attacks.

chronic hemorrhoids

The most common variant of the course of hemorrhoids is a chronic relapsing process. The disease begins with a period of precursors, the patient notes discomfort in the anus: a feeling of discomfort, sensation of a foreign body, slight itching, increased humidity. Then there are rectal bleeding (the release of drops or trickles of scarlet blood at the end of the act of defecation). This period, which lasts from several months to several years, is characterized by long phases of remission, when there are no complaints. Therefore, in the initial stage of chronic hemorrhoids, patients rarely go to the doctor.

Gradually, the disease progresses. During bowel movements, pain appears in the anus, which is aggravated by a violation of the diet. Bleeding from the anus during defecation becomes constant, their intensity can be different, from blood blots to massive blood loss, leading to. An increase in internal hemorrhoids leads to their loss from the anus.

Depending on the degree of enlargement of hemorrhoids and the development of the dystrophic process in the fibromuscular frame holding them, four stages of chronic hemorrhoids are distinguished.

The first stage is characterized by the release of blood from the anal canal without prolapse of hemorrhoids.

In the second stage, the hemorrhoids fall out during defecation, after which they are reduced on their own.

The third stage is characterized by the fact that the nodes that fall out during defecation have to be set by hand.

At the fourth stage of development of hemorrhoids, the nodes fall out with coughing, the slightest physical exertion. It is not possible to insert them into the anal canal.

Complications of hemorrhoids

Acute hemorrhoids

As a rule, it is an exacerbation of chronic hemorrhoids. Acute hemorrhoids is a thrombosis or infringement of hemorrhoids and is manifested by pain in the anus and perineum, an increase and compaction of the nodes, a pronounced sensation of a foreign body,.

There are three degrees of acute hemorrhoids:

Thrombosis (formation of blood clots) without inflammation. External hemorrhoidal nodes of small size, tight-elastic consistency, moderately painful when touched. Characterized by complaints of burning sensation and itching, aggravated by defecation. There may be slight swelling and redness of the area around the anus.

Thrombosis complicated by inflammation of hemorrhoids. There is a pronounced swelling of most of the area around the anus, severe redness of the skin. Sharp pain in the anus, especially when walking and sitting. Palpation of this area and digital examination of the rectum are sharply painful.

Thrombosis complicated by inflammation of the subcutaneous tissue. The entire circumference of the anus is occupied by an "inflammatory tumor". Palpation of the nodes is extremely painful, so digital examination is impossible. On examination, purple or bluish-purple internal hemorrhoids are visible, which have fallen out of the lumen of the anal canal.

Acute hemorrhoids of the third degree is a condition that requires immediate medical attention.

In advanced cases, complications of acute hemorrhoids may develop:

- massive bleeding;

- swelling of the anus;

- purulent paraproctitis (purulent inflammation of the fiber);

- necrosis (necrosis) of the tissues of the hemorrhoidal node.

A sign of the onset of necrosis: the nodes turn black. At the same time, attempts to set the nodes back into the rectum on their own are especially dangerous, since there is a risk of blood poisoning. Removal of dead tissue is carried out in a hospital.

Conservative treatment

Important! Hemorrhoids is a chronic disease and conservative therapy in most cases does not allow you to completely get rid of the disease.

The main goals of conservative therapy are to reduce the frequency of annual exacerbations, their severity and duration. For radical treatment of hemorrhoids, outpatient methods or surgical treatment are used, depending on the stage and condition of the disease.

Indications for conservative treatment are the initial stages of chronic hemorrhoids and the acute course of the disease in its later stages.

With conservative treatment, it is important to remember about the preventive measures that are its mandatory component. We especially note that an indispensable condition for the successful treatment of hemorrhoids is the normalization of the activity of the digestive tract, the regulation of the consistency of intestinal contents and its transit through the colon.

Conservative therapy consists of:

General treatment. The basis of general treatment, in addition to preventive measures, is the use of phlebotropic drugs (such as venoruton and detralex), which affect the increase in vein tone, improve microcirculation in the cavernous bodies and normalize blood flow in them.

local treatment. Local treatment is aimed at eliminating the pain syndrome, thrombosis or inflammation of the hemorrhoids, accompanied by burning and itching, as well as their bleeding.

Pain in hemorrhoids is more often associated with the infringement of a thrombosed hemorrhoid or the occurrence of an acute anal fissure. Therefore, to eliminate the pain syndrome, the use of non-narcotic analgesics and local combined painkillers is indicated. For local treatment of hemorrhoids, drugs such as "Gepatrombin G", "Posterisan", "Procto-glivenol", "Aurobin", "Ultraprokt", "Nefluan" and etc.

Thrombosis of hemorrhoids is an indication for the use of local anticoagulants. This group of drugs includes "Hepatrombin G", "heparin" and "troxevasin" ointments.

As a drug for the local treatment of hemorrhoids, it has proven itself especially well. "Hepatrombin G". The drug consists of three components and contains the direct anticoagulant heparin, the glucocorticoid hormone prednisolone and the anesthetic polidocanol. Each component of the drug has its own beneficial effect in thrombosis of hemorrhoids. Heparin, disrupting the transition of prothrombin to thrombin, when applied topically prevents the formation of blood clots, in addition, it has anti-inflammatory and anti-edematous effects. Prednisolone has a powerful anti-inflammatory effect when applied topically, reducing swelling, itching and burning sensation. Polidocanol has a local anesthetic effect, equal in strength to lidocaine, but unlike the latter, polidocanol rarely causes allergic reactions.

In 70-80% of cases, thrombosis of hemorrhoids is complicated by their inflammation with the transition to the subcutaneous tissue and the perianal region. In this case, these drugs are used in combination with water-soluble ointments that have a powerful anti-inflammatory effect. These include "Levasin", "Levomekol", "Mafinid".

Bleeding is one of the main symptoms of hemorrhoids. Continuous bleeding for 1 hour is a sign of an acute process. To eliminate it, you can use suppositories containing adrenaline. In addition, local hemostatic materials are used, such as "Adrokson", "Beriplast", "Tahikomb", "Spongostan" composed of fibrinogen and thrombin. When introduced into the anal canal, they dissolve, forming a fibrin film.

Minimally invasive therapy

When conservative therapy does not bring the desired result, a more aggressive method of eliminating hemorrhoids is required. In the past, this meant a painful operation, with all the hardships of hospital treatment and the postoperative period. Currently, there are new comfortable, outpatient ways to deal with this ailment, which forever drove away a person’s fear of this disease. We will try to help you understand how these methods work, with which you can eliminate most hemorrhoids without surgery.

AT developed countries typical hemorrhoidectomy (surgical operation) is currently performed in only 17 - 21% of patients, and the rest use minimally invasive methods of treatment. At the same time, in Russia, the most common method of treatment is still hemorrhoidectomy, performed in 75% of patients, and minimally invasive methods are used only in 3%.

A contraindication for minimally invasive methods of treatment is thrombosis of hemorrhoids, acute and chronic paraproctitis, and others. inflammatory diseases anal canal and perineum.

A distinctive feature of the use of minimally invasive techniques in the treatment of hemorrhoids is that they are performed on an outpatient basis and do not require anesthesia, as well as the patient's stay in the hospital.

Doping with latex rings- a method of treating hemorrhoids, which consists in applying a latex ring to the leg of the hemorrhoid in order to stop its blood supply. This leads to necrosis (death) and rejection of the node during stool. The indication for use is chronic hemorrhoids of the 1st and 2nd stage. Perhaps limited use for hemorrhoids of the 3rd degree, when there are contraindications to more radical methods of treatment. It is performed on an outpatient basis, does not require anesthesia. The duration of manipulation is 1-2 minutes. The number of necessary procedures is from three to six with an interval of 7 days each. It has been used for the treatment of hemorrhoids of the 1st and 2nd degree in the EU countries for more than 15 years and is the "gold standard" in proctology. In Ukraine began to apply last years. The efficiency of the method is 85%.

Sclerosis- a method for the treatment of hemorrhoids, which consists in injecting a sclerosing substance (toxicsclerol) into the cavernous tissue of the node with the aim of its further obliteration. The indication for use is chronic hemorrhoids of the 1st and 2nd stage. Performed on an outpatient basis. Currently, it is used more often as an additional method in combination with other minimally invasive techniques. As an independent method of treating hemorrhoids, it is used to a limited extent.

Cryodestruction- a method of treating hemorrhoids, which consists in the destruction (destruction) of the cavernous tissue of the hemorrhoid as a result of exposure to ultra-low temperatures (-180 degrees Celsius). The method is used for chronic hemorrhoids of 1, 2 and 3 degrees. Performed on an outpatient basis. It was widely introduced into proctology in the late 80s and early 90s. With the advent of more advanced technologies, as well as due to possible complications currently in limited use.

infrared photocoagulation- a method of treating hemorrhoids, which consists in the use of infrared radiation to coagulate the vessels and cavernous tissue of the hemorrhoid. The technique is used on an outpatient basis. It is used as an additional method for bleeding hemorrhoids of 1 and 2 degrees to stop bleeding, when other methods for some reason cannot be used.

Surgical treatment of hemorrhoids

In cases where minimally invasive techniques are ineffective and cannot be applied, surgical treatment is indicated.

Operations to remove hemorrhoids, anal fissures, genital warts, polyps, fistulas of the rectum, epithelial coccygeal passage are performed under general anesthesia. Spinal anesthesia is widely used in anesthetic management of operations.

To remove hemorrhoids, in addition to the classical operation, it is also used Longo's operation and THD technique.

Operation Longo- a method of treating hemorrhoids, which consists in removing hemorrhoids with the help of a circular endostapler. The knife of the stapling apparatus circularly excised the entire cavernous tissue of the anal canal with simultaneous stitching of the mucosa around the entire circumference with titanium brackets.
Indication - chronic hemorrhoids 1 and 2 stages. Perhaps the use of stage 3 hemorrhoids in combination with anoplasty.
The duration of the operation is about 1 hour.
Requires general anesthesia or spinal anesthesia.

TGD (transanal hemorrhoidal dearterialization)- a method of treating hemorrhoids, which is based on the stitching of hemorrhoidal arteries under the control of an endorectal ultrasound sensor. The goal is the desolation of the cavernous tissue of hemorrhoids. It is used for chronic hemorrhoids of the 1st and 2nd stages, as well as for the 3rd stage of hemorrhoids in combination with anoplasty.
The operation requires general anesthesia or spinal anesthesia. The duration of the operation is about 1 hour.
Stay in the hospital for 1-2 days.
Disability in the postoperative period 1-2 weeks.

Classical hemorrhoidectomy and its various modifications- a method of treating hemorrhoids, which is based on the removal of hemorrhoids with simultaneous stitching of the vascular legs and restoration of the integrity of the anal canal mucosa. Rightfully considered the most radical and effective method removal of hemorrhoids. It can be used at any stage of the development of the disease. However, most often the indication is chronic hemorrhoids of 3 and 4 degrees, as well as complications of hemorrhoids in the form of thrombosis of hemorrhoids or bleeding.
Requires anesthesia or spinal anesthesia.
The duration of the operation is 30-40 minutes.
Stay in the hospital for 3-4 days.
Disability in the postoperative period 3-4 weeks.
The efficiency of the operation is 95-98%.

Treatment of hemorrhoids during pregnancy

If a future mother has this delicate disease, quite natural questions immediately arise: how to cure this ailment, when to start treatment, what means to use?

Treatment of hemorrhoids during pregnancy should be started as soon as the diagnosis is established. Usually conservative methods are used. Surgical removal of nodes is resorted to in extreme cases, only with the development of severe complications that threaten the health of the mother or child.

Before doing something, you need to carefully consider how to treat hemorrhoids during pregnancy, because it is necessary to help the woman and not harm the fetus. Mother and baby share blood flow, and many hemorrhoid medications during pregnancy are contraindicated due to possible adverse effects on the fetus. Therefore, preference is given to local funds.

The easiest way to treat external hemorrhoids during pregnancy. The nodes in this form of the disease are located in plain sight, and it is convenient to apply antihemorrhoidal creams and ointments to them. This may be "Gepatrombin G" - an ointment for hemorrhoids during pregnancy, which has proven itself very well. It prevents thrombosis of the node, eliminates its swelling, itching, relieves pain.

The Relief ointment containing shark liver oil perfectly treats the disease.

In addition to ointments and creams, both with external and internal arrangement of nodes, you can use candles for hemorrhoids - this is also acceptable during pregnancy. They are usually injected into the rectum once a day, preferably at night.

Candles containing several components at once are effectively removed from hemorrhoids: anti-inflammatory, decongestant, analgesic, blood thinning and strengthening the vessel wall. These are all the same "Gepatrombin G" and "Relief".

Tablets for hemorrhoids during pregnancy are usually not prescribed due to the possible impact on the child.

As an alternative to traditional methods, the treatment of hemorrhoids in pregnant women with folk remedies is allowed. Viburnum decoction, rowan juice, stone fruit infusion can be taken orally, but only if there is no allergy to these berries. And to strengthen the vascular wall, a decoction of carrots is well suited.

It is also permissible to combine the treatment of hemorrhoids during pregnancy with folk remedies with conventional ointments or suppositories.

It is better not to use baths with anti-inflammatory and hemostatic herbs as a remedy for hemorrhoids during pregnancy, since infection from the rectum into the genital tract is possible.

Sometimes you have to choose - how to treat this ailment during pregnancy - use folk remedies or medications. It is better, of course, to consult a doctor, because in some cases, the treatment of hemorrhoids with folk remedies during pregnancy is simply unacceptable, for example, in the acute form of the disease.

You should not postpone a visit to the doctor, because if the proctologist starts treating hemorrhoids as early as possible, and the treatment is carried out in full, it will be possible to avoid further development diseases in the postpartum period.

Alternative methods of treatment of hemorrhoids

Important! Before using folk remedies for hemorrhoids, be sure to consult your doctor!

Treatment of hemorrhoids with leeches. Leeches are widely used for hemorrhoids. They are able to activate the immune system of the whole organism, their biologically active substances suppress pathogenic microorganisms. Leeches cleanse the body of toxins, harmful toxic substances. Leeches, sucking blood, cause the outflow of blood from distant organs, which allows you to treat many diseases: hemorrhoids, diseases digestive system, cardiovascular diseases, kidney and bladder diseases and many other diseases, including postoperative complications.

Since the active substances secreted by leeches have anti-inflammatory processes, leeches with hemorrhoids have a positive effect. Circulatory disorder in the portal vein leads to stagnant processes in the abdomen. With hemorrhoids, leeches are placed directly on the coccyx or sacrum, in no case are they placed on the mucous membranes! The place where the leech is placed is wiped with alcohol and then with water so that the skin is clean. The leeches are placed in turn, taken with fingers near the head and put on the cleansed skin, as soon as the leech sticks, the next one is placed in the same way. It is recommended to put 3-4 leeches on the coccyx to get rid of pain in hemorrhoids and stop bleeding. The session usually lasts 15-20 minutes, the leech should fall off by itself, but if this does not happen, then it cannot be torn off, it is necessary to sprinkle the leech, and it will fall off. After the procedure, it is necessary to apply a bandage to the bite site for 2-3 days. Leeches for hemorrhoids should not be used by people with poor blood clotting, pregnancy. The course of treatment with leeches depends on the complexity of the disease and the patient's well-being.

There are cases when only 2 leeches save people from hemorrhoids, but, and if they do not cure completely, then at least the hemorrhoids do not progress for a long time.

Leeches for hemorrhoids prevent the recurrence of the disease, relieve venous congestion, normalize the work of the gastrointestinal tract due to the resorption of the resulting venous nodes.

- it is desirable to establish regular meals at the same time;

- People who are prone to constipation should eat more foods containing fiber and drink 1.5-2 liters of water per day. In addition, with frequent constipation, it is useful to eat black and bran bread, raw vegetables and fruits, prunes, oatmeal, buckwheat and barley porridge. Dietary fiber is an indigestible cellulose that is not digested by the intestines, but acts as a water adsorbent and is involved in the binding of bile acids that have carcinogenic activity, which leads to a decrease in blood cholesterol. Most of it is found in bran, vegetables and rye bread. Dietary fiber affects the quality of feces. By absorbing water, it increases the volume of feces, which leads to the stimulation of the intestines to promote its contents. Thus, in order to obtain the desired effect (that is, the prevention of constipation), along with the intake of foods containing dietary fiber, it is necessary to drink plenty of water;

- you should not eat too much flour and dairy, especially products made from white flour and whole milk. At the same time, fermented milk products are useful, especially those containing bifidus and lactobacilli;

- It is recommended to limit the consumption of food rich in animal proteins. These include meat, fish, eggs and cottage cheese. They can lead to constipation. However, a complete rejection of them will lead to a negative result - intestinal function may be impaired;

- undesirable foods for hemorrhoids are also cabbage, black bread, legumes, mustard, peppers and unripe fruits;

- useful are potatoes, meat, rice, honey, fish, as well as grated carrots, fresh apples, grapes, onion or its juice, which is taken 1 tablespoon 3-4 times a day;

- It is also useful to drink mineral waters, which stimulate the motor activity of the intestines. Especially recommended are highly and medium mineralized waters enriched with ions and sulfates, for example Essentuki mineral water. Every day you should drink 1 glass of water at room temperature 3 times a day. The water must be without gas.

Lubricate the anus. To make the contractions of the intestines become softer, you need to lubricate the anus with petroleum jelly. This is done with a cotton swab or just with your finger. Vaseline lubricates the rectum to a depth of about 1.5 cm.

Proper defecation hygiene. Defecation hygiene must be observed. Do not use hard toilet paper or paper containing chemical substances causing skin irritation. It is recommended to purchase non-flavored and non-colored toilet paper. Before use, you can slightly moisten it with tap water (the paper will become softer). It is good to use special oiled paper. Instead, wipes for the face soaked in a moisturizer are also suitable.

Cool water. Useful for hemorrhoids is the use of cold water. In old medical prescriptions, it is recommended to drink 1 glass of cold water before meals 3 times a day, if possible, take a cold shower and always wash after defecation. cold water anus area.

Get over the itch. If itching is felt during hemorrhoids, then it is recommended to refrain from scratching the anus, since you can injure the walls of the hemorrhoids and cause even more bleeding.

Don't lift heavy things. It is worth refraining from lifting weights, which is tantamount to straining in the toilet. This is especially not recommended for people with a predisposition to hemorrhoids. When moving or buying new furniture, it is better to hire movers or ask someone to help you move the weight.

Sit in the bath. Useful procedure sitting bath with warm water. In this case, you should raise your knees by 10-15 cm. This will not only reduce pain, but also improve blood circulation in the body, including in the rectum. This method of prevention is considered one of the best.

Restriction of alcoholic drinks and spicy food. A mandatory feature of the hemorrhoid diet is the exclusion from the diet of spicy, spicy, fried, smoked and similar foods, as well as strong alcoholic beverages: all this contributes to the expansion of the venous network and disruption of local blood flow. It is acceptable to use light wines, cocktails, punches, cider. You can expand the flavor range of food with the help of mild sauces, a moderate amount of fresh flavoring herbs: parsley, marjoram, basil, cumin, cilantro and others. This rule underlies the antihemorrhoid diet.

Control your salt intake. The use of a large amount of salt also negatively affects the circulatory system. The result is swelling of the veins, including the veins of the rectum. To avoid trouble, do not over-salt food.

Avoid hypothermia. With hemorrhoids, one should be wary, which leads to circulatory disorders. Illness in this case may escalate.

Watch your weight. To aggravate the situation of the patient with hemorrhoids can be his great weight. The heavier a person, the more pressure his lower limbs experience, so obese people often have problems with both varicose veins and hemorrhoids.

Pregnancy. Pregnant women, in order to avoid stagnation of blood in the veins, must definitely do gymnastics, walk more often and follow a diet that includes laxative foods. They also shouldn't wear tight belts.

Normalize physical activity. You must try to move as much as possible. With sedentary work, it is worth taking small breaks every hour, during which you can do light gymnastics or walk around. It is better to replace a soft seat in the workplace with a hard or semi-hard one.

Such gymnastics can be performed anywhere, no equipment or special environment is required. However, it is best to try to keep yourself in good physical shape by doing gymnastics, swimming, aerobics, etc., for which you can use the time after work. On weekends, it is useful to go out into nature for outdoor activities.

Don't overstress. However, you should not overstrain the muscles while exercising. In this regard, cycling, horseback riding and strength exercises are contraindicated.

Sedentary work. Those who work as drivers should not be behind the wheel for more than 3 hours in a row. During long trips, you should make small stops along the way in order to actively move.

When hemorrhoids occur, people involved in heavy physical labor should change jobs to easier ones.

Take good care of your health. It is necessary to constantly monitor your health, since any other disease can adversely affect the course of hemorrhoids. For example, diseases of the thyroid or pancreas, gastrointestinal disorders, etc. can lead to its complications. In this regard, it is necessary to be regularly examined in order to identify and begin treatment of diseases in time.

Consult your doctor promptly. Do not try to diagnose yourself, as a mistake can lead to a tragic result. Diagnosis should be done by a specialist in order for the treatment to be adequate and effective. Due to an incorrect diagnosis, the patient may discover a serious illness too late and start treating it.

With hemorrhoids, therapeutic exercises are very helpful. It is aimed at strengthening the abdominal muscles, buttocks and perineum, which helps to normalize blood flow in the rectal area.

A few exercises:

№1: to improve blood circulation, you need to walk with your knees high and crossing your legs, that is, putting one foot in front of the other.

№2: performed sitting on a hard chair. The back should be straightened, the body should be slightly tilted forward, the muscles of the anus should be strained. The exercise should be repeated 10 times.

№3: lying on your back, stretch your arms along the body. Counting slowly to 5, squeeze the buttocks, while simultaneously drawing in the rectum, then relax at the same count; repeat this exercise up to 15 times. Then take a few deep breaths in and out.

№4: perform lying on your back. The legs need to be straightened and raised by 45 °, after which they are spread apart and brought together again, crossing (imitation of the movement of shearing scissors). Repeat 10 times.

№5: starting position - lying face down. With an emphasis on the knees, palms and elbows, turn the pelvis alternately in both directions so that the buttocks touch the floor. Repeat 10 times.

№6: cross your legs, rhythmically strain the muscles of the buttocks and anus. Repeat 10 times.

№7: lying on your back with straight legs raised, perform an exercise that imitates the torsion of bicycle pedals. Repeat 10 times.

Which doctor should I contact for hemorrhoids?

Video

Hemorrhoids are a pathology that affects the vessels of the rectal region. The disease is characterized by a progressive course, gradually turning into chronic form. Periods of exacerbation are followed by periods of remission. In women, exacerbation of hemorrhoids is provoked by pregnancy, childbirth. In men, the provoking factor is physical activity - hard work, professional sports.

First aid for hemorrhoids is provided at home using simple methods of traditional medicine in the initial stages of the disease. Emergency care for advanced cases, complications is carried out in a surgical hospital. After an examination and a full examination, the attending physician will decide what to do for quick and effective care for the patient.

If hemorrhoids got out - take urgent measures. It will help to avoid the development of complications, alleviate the condition in the acute course of the disease.

Personal hygiene rules

With an exacerbation of the inflammatory process, the risk of secondary infection increases. To prevent complications, after using the toilet, wash the perineal area with cool running water. Use chilled herbal teas.

Procedures help relieve pain, inflammation in the event of a node coming out of the lumen of the rectum. After visiting the toilet, use soft paper, moisturizing wipes if the knot appears outside.

Limitation of physical activity

When exacerbated, minimize physical activity. Lie down more often. Walk slowly for short distances. If the hemorrhoid has crawled out of the lumen of the rectum, it is complicated by infringement, bleeding. Do not lift loads weighing more than 2 kilograms. Sports fans will have to postpone training.

During the recovery period, it is permissible to practice therapeutic gymnastics strengthening muscles pelvic floor. Perform exercises with the permission of your doctor. A proctologist, exercise therapy specialist will suggest ways to strengthen the muscles of the pelvic floor, improve blood circulation.

Where to go

If you managed to stop the pain syndrome from hemorrhoids at home, you need to see a doctor as soon as possible. Treatment of hemorrhoids is practiced by a surgeon, a proctologist. Visit the doctor in a planned manner, get recommendations for further treatment, prevention.

The doctor will give detailed recommendations on actions for hemorrhoids. Do not try to treat hemorrhoids on your own! If pain and bleeding cannot be reduced, immediate health care. Emergency surgical treatment will be required.

Treatment of hemorrhoids with suppositories

Ambulance for exacerbation of hemorrhoids is provided by rectal suppositories. The pharmaceutical industry offers local preparations.

A common, effective remedy for eliminating signs of inflammation and edema are suppositories based on sea buckthorn oil. You can buy it at a pharmacy without a doctor's prescription.

Suppositories are safe, without contraindications. Used for the treatment of pregnant women, lactating women, children younger age. The only contraindication is individual intolerance to the components of the drug.

Used for home use candles with an extract of celandine, oak bark. You can quickly remove inflammation, swelling in the damaged area. After applying the suppositories, the pain and burning sensation quickly disappear.

At the stage of recovery, suppositories containing pumpkin oil are prescribed. They have a tonic effect on blood vessels, a slight laxative effect, and prevent the development of constipation.

It is required to administer suppositories twice a day after emptying the intestines, cleansing or therapeutic enema. After the symptoms of acute inflammation disappear, treatment continues 1 time per day - at night before bedtime. It is more expedient for the introduction of candles to be positioned on the side. Press your knees to your stomach. Gently insert the suppository into the rectum to a depth of one and a half centimeters. After a couple of minutes, you will feel relief from the pain. Local preparations help in the fight against hemorrhoids.

Treatment with other drugs

If the patient has a secondary infection, suppuration has begun, the doctor prescribes antibacterial drugs with a wide range of pharmacological actions. You can quickly eliminate the symptoms of inflammation, prevent the spread of infection to the adjacent soft tissues surrounding the rectum.

In the treatment of hemorrhoids, when the bump came out, the drug Levomekol is recommended. It is characterized by antibacterial properties, a pronounced anti-inflammatory and wound-healing effect, helps relieve pain, swelling, and accelerates healing.

The drug Proctosedil is no less effective. Available in the form of ointments and suppositories. Ambulance for hemorrhoids is provided with anti-inflammatory ointments with heparin and anesthetics. treated with similar ointments.

A doctor can prescribe antibiotics. It is not recommended to try to take medicines on your own! The full course of treatment of the drug does not exceed 7 days. Contraindications to the appointment of antibacterial drugs - pregnancy, breastfeeding.

To prevent the formation of blood clots in the hemorrhoidal veins, drugs containing direct anticoagulants that strengthen the vascular walls are prescribed. Common drugs - Hepatrombin, Detralex.

The use of folk remedies

1. Steam baths with the addition of milk, onion juice. Put the onions on the bottom of the pottery, fill with milk. Put the dishes on the fire, simmer for 30 minutes. After the cleansing enema, sit over the hot solution.
2. Homemade candles from raw potatoes. A bean-sized candle is cut out of a washed raw potato. Enter at night. To facilitate the introduction of potato suppositories, they are smeared with sunflower oil.
3. Outpatient hemorrhoid exacerbations are treated with a mixture of unsalted cow butter and minced garlic. Garlic cloves are mixed with oil to make candles. The drug is injected into the rectum after a bowel movement.

First aid for exacerbation of hemorrhoids is ice candles. In a rubber tank - a finger from a glove - a decoction of chamomile is poured, frozen. The candle will relieve pain, burning, stop bleeding from hemorrhoidal veins.

Hemorrhoids during pregnancy and after childbirth

• How to treat hemorrhoids during pregnancy and while breastfeeding?

Causes of hemorrhoids in women during pregnancy and after childbirth (doctor's review) - video

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

Haemorrhoids- a disease in which there is an expansion of the veins in the anus and rectum.

Hemorrhoids in numbers and facts:

• Although hemorrhoids cause a lot of discomfort, most often they are easy to treat and prevent.
• In men, the disease occurs 3-4 times more often than in women.
• It is estimated that approximately 10% of the adult population worldwide suffers from hemorrhoids. It accounts for 40% of all diseases of the rectum.
• According to the Mayo Clinic, about half of people by the age of 50 begin to experience itching, discomfort, and bleeding in the rectal area. In most cases, these symptoms point to hemorrhoids.
• Most often, the disease affects people aged 45-65 years.
• Scientists believe that 75% of Europeans and Americans will experience hemorrhoids at some point in their lives.
• According to statistics, only 4% of people experiencing symptoms of hemorrhoids seek medical help.

Features of the anatomy of the rectum and hemorrhoidal veins

The rectum is the final section of the intestine. In humans, it begins at the level of the upper edge of the third sacral vertebra and ends at the anus. The main function of the rectum is the evacuation of feces.

The outflow of blood from the rectum is carried out through the system of the inferior vena cava. The venous vessels around the intestine form hemorrhoidal plexus. There are three venous plexuses:

• Subcutaneous. Located under the skin in the anus.
• Submucosal. It is located under the mucous membrane of the rectum, it contains the lower, middle and upper sections.
• Subfascial. It is located between the muscular layer of the intestinal wall and the fascia.

What is the difference between external hemorrhoids and internal hemorrhoids?

Depending on which veins are dilated and where the hemorrhoid is located, there are four types of hemorrhoids:

• Internal hemorrhoids. The veins that are inside the rectum under the mucous membrane are involved. Internal hemorrhoids usually do not cause pain, but painful bleeding can occur.
• Prolapsed hemorrhoids. The hemorrhoid stretches so much that it falls out of the rectum and is outside. Usually, if you press it a little, it is set back.
• External hemorrhoids. The node is located outside the anus, on the skin. Patients often experience pain and itching. The knots may crack and bleed.
• Combined hemorrhoids. It is a combination of internal and external hemorrhoids. Occurs in approximately 40% of patients.

Why does hemorrhoids occur?

The disease occurs when the veins of the hemorrhoidal plexus are stretched. The following factors may contribute to this:

• Great straining during stool in chronic constipation.
• Chronic diarrhea. It also leads to tension during bowel movements.
• Obesity. The more fatty tissue accumulates in the body, the more difficult it is for the heart to push blood through it. As a result, stagnation of blood begins in the veins of the lower body.
• Pregnancy. In pregnant women, the outflow of venous blood from the pelvic cavity is disturbed due to the enlarged uterus.
• Anal sex. Frequent anal intercourse can lead to irritation of the rectal mucosa and inflammation, which contributes to the development of hemorrhoids.
• hereditary predisposition. If the parents and close relatives of a person suffer from hemorrhoids, his risks also increase slightly.
• Improper diet: low protein in the diet, frequent use of alcohol, coffee, spicy food.
• Sedentary lifestyle. The development of hemorrhoids is facilitated by a long stay in a standing or sitting position, so the risks of the disease are increased in people of certain professions (office workers, surgeons who have to stand for a long time during operations).
• Intense physical activity, which increases pressure in the abdominal cavity, veins.
• Age. As we age, the walls of the veins weaken and stretch more easily.
• Inflammatory processes in the intestines.
• Frequent stress.

Symptoms

Possible symptoms of hemorrhoids:

• Painless bleeding. The patient may notice blood on the toilet paper or in the toilet bowl. Sometimes the bleeding is quite heavy. In this case, the blood is not mixed with feces, but covers it.
• Irritation, itching in the anus. They arise as a result of exposure to the skin of mucus, which is secreted in large quantities by the mucous membrane of the rectum.
• Knots protruding in the anal region.
• Discomfort, pain in the anus.
• Swelling in the anus.

Symptoms depend on where the hemorrhoid is located. Internal hemorrhoids usually have no symptoms, cause no pain or discomfort, and cannot be seen or felt. When passing feces, the surface of the hemorrhoid can be damaged, bleeding occurs.

Over time, the internal node begins to fall out of the anus. The prolapse is often accompanied by pain, discomfort, irritation.

External hemorrhoids most often look like a bump in the anus. Often, patients are concerned about symptoms such as itching, pain, bleeding.

stages

There are four stages of hemorrhoids (stages of prolapse of hemorrhoids):

Stage	Description
I	The nodes protrude into the lumen of the rectum, but their prolapse does not occur.
II	During a bowel movement, hemorrhoids prolapse, then their self-reposition occurs.
III	Knots fall out not only during bowel movements, but also with minor physical exertion. No self-repositioning of the nodes occurs: you have to set them back by hand.
IV	Dropped knots cannot be set even by hand.

Complications of hemorrhoids

• Bleeding with hemorrhoids. Sometimes bleeding with hemorrhoids is so strong that it leads to anemia. There are symptoms such as pallor, weakness, fatigue, headaches, dizziness.
• Thrombus formation. Blood clots (thrombi) can form inside the hemorrhoid, causing it to swell, become painful, and become inflamed.
• Infringement of the hemorrhoid. A common complication in III-IV stages of the disease. The muscle pulp of the rectum pinches the knot, as a result, blood circulation is disturbed in it. There is severe pain in the anus, sensation of a foreign body, swelling. The color of the dropped node changes: from pink or red, it becomes cyanotic-burgundy, black. Ultimately, necrosis of the node may occur due to impaired blood circulation. Sometimes a blood clot in the hemorrhoid leads to such consequences.
• Eczema. Sometimes this skin disease occurs as a result of constant irritation of the skin by mucus from the rectum.
• Inflammation of hemorrhoids. A fairly common complication. An infection can penetrate through damaged hemorrhoids.

What does a hemorrhoid look like?

Which doctor deals with the diagnosis and treatment of hemorrhoids?

Diagnosis and treatment of hemorrhoids are engaged in:

• proctologists– specialists in diseases of the rectum;
• coloproctologists– specialists in diseases of the colon and rectum.

In what cases should you see a doctor?

Often the first symptom of hemorrhoids that the patient notices is bleeding from the rectum. Many people do not go to the doctor, they believe that nothing serious is happening, they are treated folk methods or on the advice of family and friends.

When symptoms of hemorrhoids appear, you should always see a doctor. In most cases, bleeding during a bowel movement is actually due to hemorrhoids. But the reasons can be much more serious, up to rectal cancer. In this case, early diagnosis may help save a person's life.

If your stool has become very dark, like tar, if clots and blood impurities have appeared in it, you need to go to the hospital to figure out which part of the intestine is bleeding.

If you have been treating hemorrhoids for some time with folk remedies, and the disease does not go away, consult a doctor.

An ambulance should be called if you have severe bleeding, weakness, dizziness, or general well-being.

What questions should you ask your doctor?

It is better to make a list of questions in advance so that you do not forget anything during a conversation with a doctor. You may want to know the answers to the following questions:

• Why do I have these symptoms? What could possibly be the cause?
• Is there a risk of complications?
• What treatment will you give me? For what purpose? What effect is most likely to be expected?
• If the treatment turns out to be ineffective, what are you going to prescribe to me in this case?
• Is surgical treatment indicated in my case? Why is it shown/not shown?
• What else can I do on my own to cope with the disease?
• I have other health problems - will this affect the treatment of hemorrhoids?

Questions your doctor may ask you

The proctologist may ask you some questions:

• When did you have symptoms?
• How much inconvenience do they cause you?
• How do you eat? What products do you use more often? How much fiber is in your diet?
• How often do you drink coffee and alcohol?
• What usually makes your symptoms worse?
• What usually relieves your symptoms?
• Has anyone in your family had hemorrhoids or rectal cancer?
• Have you noticed other changes in your bowel function?
• Have you noticed blood on toilet paper, in the toilet bowl?

Patient examination

If you suspect hemorrhoids, the doctor conducts a digital examination of the rectum. The procedure is as follows:
1. The patient is asked to take off his clothes and take a knee-elbow position on the couch (standing on all fours, leaning on his knees and elbows).
2. The doctor puts on latex gloves and wets his index finger with Vaseline.
3. The doctor inserts his index finger into the rectum and feels it from the inside. At the same time, he can detect hemorrhoids and other pathological formations.

Diagnosis of hemorrhoids

Study Title	Description	How is it carried out
Anoscopy	During the procedure, the doctor examines the patient's rectum with a special tool, - anoscope, - which is introduced to a depth of 12 cm. Indications for anoscopy: stool disorders; discharge from the anus of pus, mucus, blood; hemorrhoids that cannot be felt during a digital examination of the rectum; suspected rectal cancer; warts, polyps and other formations; inflammation of the rectum.	An anoscope is a small rod or cone with a handle, hollow inside, with a plug. Anoscopes are reusable metal and disposable plastic. The doctor lubricates the anoscope with petroleum jelly and inserts it into the patient's rectum, examining its inner surface. The study makes it possible to detect not only hemorrhoids, but also other pathological processes in the intestine.
Sigmoidoscopy	A procedure during which a doctor, using a special instrument, sigmoidoscope, - examines the mucous membrane of the rectum and partially sigmoid colon. Inspection is possible to a depth of approximately 25-30 cm. A sigmoidoscope is a metal tube containing a light source and a device for pumping air.	The patient is asked to lie on the couch on his left side and pull his legs up to his stomach. The procedure is practically painless, so in adults it can be performed without anesthesia. In children, general anesthesia is most often used. The doctor lubricates the sigmoidoscope and inserts it into the patient's rectum. During insertion of the instrument, the patient is asked to take a deep breath. The doctor gradually advances the sigmoidoscope deeper, pumping air into the rectum with a pear. This helps to stretch the intestines and better examine it. If pain occurs or the instrument begins to move with great difficulty, the study is stopped.
Colonoscopy	A type of endoscopic examination, during which they are injected into the rectum and large intestine colonoscope- a tool that is a flexible hose with a light source and a miniature video camera. During a colonoscopy, the doctor may examine the patient's entire large intestine (approximately 150 cm). Colonoscopy for hemorrhoids can be prescribed in the following cases: suspicion of diseases of the large intestine; the patient has risk factors for colon cancer; the patient's age is more than 50 years, if he has not undergone this study for a long time.	During the procedure, the doctor inserts the colonoscope into the patient's intestines through the anus. The procedure is painless, but may be accompanied by discomfort. Some clinics offer to undergo a study in a state of medical sleep. A person is given a drug that induces deep sleep. Its action lasts for about an hour. This time is enough to conduct a colonoscopy. The patient can usually leave the hospital and go home the same day.
Biopsy	A biopsy is a study during which the doctor receives a fragment of the intestinal mucosa and sends it to the laboratory for examination. This is necessary when cancer is suspected.	A piece of mucous membrane for biopsy can be taken during an endoscopic examination.

Treatment

If the hemorrhoids are small and cause only minor discomfort to the patient, the doctor usually prescribes conservative treatment in the form of ointments, creams, and suppositories.

Candles for hemorrhoids

Hemorrhoid suppositories may contain medicinal substances that have a vasoconstrictive effect, help to cope with inflammation, swelling, pain and itching, improve mucosal healing and prevent infection.

The doctor may prescribe you suppositories Relief, Anuzol, Proctosedil, etc. Rectal suppositories with methyluracil are used to improve tissue regeneration. Usually candles are recommended to be used in the morning, in the evening and after each bowel movement. The duration of the course of treatment is determined by the attending physician.

Before using rectal suppositories, a thorough hygiene of the anus area should be carried out.

Ointment

Many ointments for hemorrhoids have the same healing effects as candles. The doctor may prescribe ointments, the main active ingredient of which is heparin (Heparin ointment, Gepatrombin G) - a substance that prevents the formation of blood clots.

Ointments are applied to the skin in the area of ​​hemorrhoids. Sometimes ointments are produced in special tubes with screw caps - such a cap must be inserted into the rectum and squeezed out a small amount of ointment, like an enema. The kit may include a special applicator for easy application of the drug. The frequency of use and duration of treatment is determined by the attending physician.

Tablets

Tablets and capsules for hemorrhoids, such as Venoruton, Vasoket, Detralex, Venarus, Phlebodia 600, strengthen and tone the walls of the veins, improve microcirculation. Your doctor may also recommend that you use dietary supplements to improve bowel function and normalize stools, such as Proctonis.

Laxatives for hemorrhoids

Laxatives are available in the form of tablets, granules for dissolution in water, drops for oral administration, microclysters. They help to cope with constipation, which aggravates the symptoms of hemorrhoids.

Do not use laxatives often and for a long time, especially without medical supervision. A "rebound effect" may occur - over time, constipation intensifies, and a person can no longer go to the toilet on his own, without medication. In addition, frequent unreasonable use of laxatives leads to electrolyte imbalance.

Operations for hemorrhoids

Minimally invasive interventions

Minimally invasive procedures are often resorted to when hemorrhoids are accompanied by pain and constant bleeding. They can be performed on an outpatient basis. They resort to the following methods of treatment:


Surgical interventions

The doctor may prescribe surgery if hemorrhoids have big sizes or other treatments did not help. Sometimes surgical treatment can be performed on an outpatient basis, in other cases hospitalization is required.

Types of operations for hemorrhoids:

Hemorrhoids: risk groups, how the disease develops, symptoms, treatment methods - video

Hemorrhoids: symptoms and complications, causes and mechanism of development, what diseases can lead to hemorrhoids, methods of diagnosis and treatment, the opinion of a coloproctologist - video

Surgical treatment of hemorrhoids according to the Longo method - operation video

How to deal with hemorrhoids at home?

There are some things you can do on your own to help relieve the symptoms of hemorrhoids. However, it is worth remembering that they will not help get rid of the disease:

• Warm baths help with hemorrhoids. You can take a bath or just sit in a bowl of water. It is necessary to place the anus area in warm water for 10-15 minutes 2-3 times a day.
• Careful hygiene of the anal area. You need to take a bath or shower daily, wash the anus area thoroughly.
• Do not use soap or other products on the anus that may cause irritation. Avoid using scented wet wipes that contain alcohol.
• Don't use regular toilet paper. It is better to use wet wipes, but without alcohol.
• Use cold. To relieve swelling in the anus, you can use cold heating pads, ice packs, a cloth soaked in cold water.

Diet for hemorrhoids

Diet for hemorrhoids has two goals: to prevent constipation and irritation in the rectal area. Key recommendations:

• Drink enough fluids. This will help make the stool softer, making it easier to pass through the intestines.
• Your diet should include more vegetables, fruits, grains. They contain plant fiber, which helps prevent constipation.
• Alcohol, coffee, strong tea should be avoided.
• Limit spicy foods, spices.
• It is better to take food in small portions, 4-5 times a day.
• Eat around the same time every day.
• Physical activity also helps to normalize bowel function.

Do I need to do enemas for hemorrhoids?

With hemorrhoids, 4 types of enemas are used:

• Cleansing. Used for constipation. Water at room temperature is injected into the rectum, which helps to get rid of feces. Also, cleansing enemas are used in preparation for diagnostic procedures, such as colonoscopy.
• Oil. Helps ease the passage of stool. 100 ml of sunflower, olive or vaseline oil at a temperature of 37 o C is injected into the rectum.
• Therapeutic. A solution of a medicinal substance is injected into the rectum, which helps to eliminate inflammation, bleeding. Often, folk remedies are used as therapeutic enemas: infusion of chestnut, wormwood, chamomile, oak bark.
• Hypertensive. A concentrated salt solution is injected into the rectum, for example, 10% sodium chloride or 30% magnesia. Due to this, fluid enters the intestinal lumen, which dilutes the stool and facilitates their discharge.

Before using any type of enemas, be sure to consult a doctor.

Folk methods of treatment

Herbal remedies for hemorrhoids and other traditional medicines can help relieve symptoms and improve the condition, but they will not address the cause. Before using them, you should consult your doctor. All information below is provided for informational purposes only.

Sea buckthorn oil for hemorrhoids

Medicinal effects of sea buckthorn oil for hemorrhoids:

• Strengthening the vascular wall due to vitamin C.
• Reduction of the inflammatory process and the fight against infection due to organic acids, tannins.
• Reduce swelling.
• Acceleration of healing of the mucous membrane.

For hemorrhoids, sea buckthorn oil and suppositories are used. They can be bought at pharmacies. Soak a piece of gauze with oil and make a bandage on the area of ​​​​external hemorrhoids at night.

Propolis for hemorrhoids

Medicinal effects of propolis for hemorrhoids:

• Prevention of infection due to the content of natural natural antibiotics.
• Blood thinning, preventing its stagnation in hemorrhoids and the formation of clots.
• Reduction of edema in the anus.
• Improving the healing of the skin, mucous membranes, preventing bleeding.
• Fight against itching and pain due to drying and cauterizing action.

Folk recipe for ointment with propolis:

• Take 100 grams of butter (not salted) or animal fat. Place in a saucepan.
• Put on fire, bring to a boil.
• Add 10 grams of purified propolis.
• To stir thoroughly. Infuse for 30 minutes, until completely cooled.

Mode of application: apply to hemorrhoids in the morning and evening, as well as after each bowel movement, 2-3 times a day.

Potato for hemorrhoids

Folk recipes for the use of potatoes for hemorrhoids were common among Russian peasants of past centuries. Medicinal effects of raw potatoes in hemorrhoids:

• Reducing pain, itching, irritation.
• Improved mucosal healing.
• Reduced swelling and inflammation.
• Strengthening the vascular wall due to vitamin C.

Ways to use raw potatoes for hemorrhoids:

• Thoroughly wash the potato so that there is no dirt left on it, grate it on a fine grater. Squeeze juice from the resulting slurry, do microclysters of 30 ml at night for 10 days.
• Make bandages with grated raw potatoes at night.

Chamomile for hemorrhoids

Medicinal effects of chamomile for hemorrhoids:

• Reducing inflammation.
• Pain reduction.
• Antiseptic action - prevention of infection.

With hemorrhoids, a decoction of chamomile is used. Cooking:

• Pour two tablespoons of dried flowers with one glass of boiling water.
• Put in a water bath for 20 minutes.
• Cool, strain.

The use of chamomile decoction for hemorrhoids:

• For hygiene of the anus.
• In the form of lotions for the night.
• In the form of sitz baths - in this case, you will have to prepare more broth. It should be warm, but not hot. Baths are done within 10-15 minutes, the total duration of the course is 8-10 days.
• Microclysters at night for 8-10 days, 40-50 ml of decoction.

Chinese patches for hemorrhoids

Currently, on the Internet you can often see Chinese patches and musky ointment for hemorrhoids for sale. Do they help to cope with the disease?

Chinese plasters most often contain medicinal plants. Thus, they are a means of traditional medicine. They may alleviate the symptoms of hemorrhoids in the early stages, but there is no reliable data on their effectiveness.

Musk is widely used in oriental folk medicine. Its effectiveness has not been proven. AT Western countries This substance is mainly used in perfumery.

Folk method for the treatment of hemorrhoids - video

Exercise for hemorrhoids

Physical activity can lead to increased symptoms of hemorrhoids, especially if they are associated with heavy lifting. Most of the time, the deterioration is temporary. If exercise does not make you feel worse or worsen your symptoms, there is no point in giving up.

Disease prevention

In most cases, the prevention of hemorrhoids is reduced to the prevention of constipation:

• Eat more fiber-rich foods: vegetables, fruits, whole grains. This will help make the stool softer and increase its volume, improve discharge.
• Use dietary fiber supplements. Consult your doctor first.
• Drink more. 6-8 glasses of fluid daily will help soften the stool and improve its passage. But it is better to refuse alcoholic beverages altogether.
• Don't be patient if you feel like going to the toilet. The longer you wait, the harder the stool becomes.
• Be physically active. Regular exercise helps improve bowel function.
• Don't sit too long. If you have a sedentary job, take breaks periodically, get up, walk around.

Hemorrhoids during pregnancy and after childbirth

Among women haemorrhoids most often occurs during pregnancy, after childbirth . The reasons:

• An enlarged uterus compresses the veins, disrupting the outflow of blood from the rectum.
• During pregnancy, women often experience constipation. This makes you push harder and longer in the toilet, increases blood pressure in the hemorrhoidal plexus.

How to treat hemorrhoids during pregnancy and while breastfeeding?

During pregnancy and breastfeeding, not all drugs for the treatment of hemorrhoids can be used. You need to see a doctor to prescribe treatment. In addition, you must follow the recommendations described in the paragraph "How to deal with hemorrhoids at home?".

Causes of hemorrhoids in women during pregnancy and after childbirth (doctor's review) - video

Can you have sex with hemorrhoids?

Having sex with hemorrhoids is not contraindicated. But you need to remember some rules:

• Anal sex is not worth it. It can lead to damage to the intestinal mucosa, increasing the symptoms of hemorrhoids.
• In bed, you need to choose positions in which you do not experience increased stress.
• Do not have sex for too long, remember about moderation.

What is the code for hemorrhoids in the ICD?

The general code for all types of hemorrhoids in the ICD-10 is I84. Codes for individual forms of the disease:

• I84.0 Internal hemorrhoids with thrombosis;
• I84.1 - strangulated, bleeding, ulcerated, prolapsing internal hemorrhoids;
• I84.2 - uncomplicated internal hemorrhoids;
• I84.3 - external hemorrhoids with thrombosis;
• I84.4 - strangulated, bleeding, ulcerated, prolapsing external hemorrhoids;
• I84.5 - uncomplicated external hemorrhoids;
• I84.6 - residual hemorrhoidal marks on the skin;
• I84.7 - unspecified hemorrhoids on the skin;
• I84.8 Strangulated, bleeding, ulcerated, prolapsing hemorrhoids, unspecified;
• I84.9 Uncomplicated hemorrhoids, unspecified.

Do hemorrhoids increase the risk of cancer?

No, hemorrhoids do not lead to cancer. But the symptoms of these diseases are often very similar. Therefore, in any case, it is worth visiting a doctor and undergoing an examination.
There are contraindications. Before use, you should consult with a specialist.