Hemorrhoids in women: signs, symptoms,treatment

Update: October 2018

Hemorrhoids are a common non-infectious disease.
Of all studied diseases of the rectum, hemorrhoids are the most
famous. According to statistics, twenty percent of the population suffer
this ailment. According to some data, it is believed that 8 out of 10 people
between the ages of 25 and 60 there are hemorrhoidal problems in this or that
a different degree. The disease with the same frequent affects women and

What begins hemorrhoids? With blood stasis in the pelvis
for various reasons, it is collected in the cavernous bodies. With
blood overflow, veins stretch, form
hemorrhoid or bump. Hemorrhoids are a painful disease,
but does not pose a serious threat to human life and health.

Hemorrhoid Symptoms

There are two main types of hemorrhoids, they differ
the location of hemorrhoids – internal and external.
Therefore, the symptoms of these two forms of illness are different and
diverse.  Every woman has a disease
differently, some people have symptoms earlier, others

The first signs of hemorrhoids in women are the most initial.
symptoms that should be consulted
to a specialist. With первой стадии заболевания легче справиться с
disease, you should not bring hemorrhoids to a neglected state.
The first stage lasts several months or years. Onчальный геморрой —
his symptoms are:

  • discomfort, discomfort in the anus
  • burning, slight itching
  • slight difficulty with feces

Withзнаки наружного геморроя:

When hemorrhoids are located low in the rectum,
The symptoms of such hemorrhoids are very characteristic. Nodes go outside
around the anus, singly or in groups, this
accompanied by:

  • Burning, itching – inflammation in this disease provokes
    the formation of excess mucus that is standing out from the rectum
    leads to irritation, itching in the anus.
  • Discomfort in the anus – the feeling of a foreign body in a straight line
    gut feeling heavy, after stool there is a feeling of incomplete
    bowel movements.
  • Pain in the rectum – varying intensity from intermittent
    tingling, severity up to strong jerking pains.
  • Bleeding is a very characteristic sign of hemorrhoids, this is blood on
    feces or on toilet paper after emptying. It comes from
    injuries to the sites of fecal masses. If bleeding
    significant, then after defecation, blood can be released droplets,
  • Loss of hemorrhoids – at first this happens
    only when straining, after defecation the nodes themselves
    set off, but when the disease progresses, the patient
    you have to reset the hemorrhoids yourself. In running
    In cases where swelling and inflammation are severe, it becomes impossible to do so.

Withзнаки внутреннего геморроя:

Symptoms of internal hemorrhoids are similar to external ones, also women
experiencing discomfort, burning, itching, pain in the rectum and anus,
bleeding, especially if there are constipation. But see
hemorrhoids is impossible because with internal hemorrhoids
they do not fall out. It is difficult to diagnose, so the doctor
have to use additional instrumental methods

Withзнаки острого геморроя:

So can occur for the first time diagnosed hemorrhoids and
exacerbated chronic process:

  • Sudden sharp pain, even at the slightest movement, tingling,
    jerking, impossible to sit, walk. Draining her sharply
  • The node becomes bluish, swollen, tense
  • The temperature rises when it gets into the stranded node

Хронический геморрой протекает волнообразно:  периоды
ремиссии, благополучия  — сменяются  периодами
exacerbations, relapses. During relapses appear similar
symptoms of hemorrhoids in women.

Withчины возникновения геморроя у женщин — отличительные

Физиологические features организма женщины таковы, что в
addition to the general reasons why this is so unpleasant
disease like hemorrhoids:

  • Weight lifting
  • Hard physical work
  • Onрушение стула
  • Sedentary lifestyle
  • Malnutrition

several more are added:

  • During menstruation, women may develop symptoms for the first time.
    hemorrhoids, then recur during menstruation. Prerequisites for
    this is the overflow of blood vessels, increased flow
    blood to the pelvic area before menstruation.
  • Некоторые  заболевания женских половых органов тоже
    provokes stagnation of blood in the pelvic region, especially if they
    are chronic.
  • Psychological causes – women are more emotional in
    comparing with men, they endure stresses worse, sometimes get stuck
    on the problem. Psychological causes of hemorrhoids in women are stronger
    срабатывают, чем у men.
  • Women more often than men lead a sedentary lifestyle;
    women professions – hairdressers, salespeople, accountants, office
    workers are sedentary, sedentary work. After all, the lack of
    movement leads to stagnation in the pelvic area that
    provokes the development of signs of hemorrhoids in women.
  • Women more often than men are fond of diets, which in most cases
    cases of disrupting stools, leading to constipation, the most obvious reasons
  • Now walking is replaced by driving a car, limiting
    motor activity. Женщины в этом не отстают от men.
  • Pregnancy and childbirth – another factor contributing to stagnation
    blood. During pregnancy, the uterus squeezes the pelvic vessels,
    increases blood circulation in the pelvic veins.


  • Finger Examination – The Most Informative, Simple
  • Anoscopy – the device is inserted 13-14 cm into the rectum,
    estimated node sizes, number, complications.
  • Ректоскопия — самый информативный method. Introduced tool on
    depth up to 30 cm, the rectum and sigmoid colon are examined.
  • Irrigoscopy – X-ray study. Not performed
    only for the detection of hemorrhoids, and for the overall clinical picture in

Differential diagnostics

Some symptoms of hemorrhoids are characteristic of other pathologies:

  • Anal fissure
  • Polyps
  • Rectal injuries
  • Cancer of the rectum and anal canal
  • Crohn’s disease
  • Helminthiasis
  • Paraproctitis

Hemorrhoid treatment

Hemorrhoid treatment проводится врачом-проктологом или хирургом,
includes 3 directions:

  • conservative, with the use of drugs;
  • small surgical (conducting small invasive
  • operational.


Patients with hemorrhoids need moderate exercise.
which strengthens the muscles of the perianal region and rectal course.
The following physical activities are recommended:

  • regular walks;
  • skiing;
  • Swedish walking;
  • yoga classes;
  • jogging;
  • fitness;
  • swimming.

Such kinds of sports are strictly prohibited:

  • Weightlifting;
  • Horseback Riding;
  • bicycle riding;
  • body-building;
  • extreme sports.

Patients with this disease are recommended regular
perform the following set of physical exercises:


In a horizontal position, the legs rise at a sharp angle,
periodically divorced and crossed (up to 30 – 40 times);

Vertical scissors

Onходясь лежа, приподнять ноги, но не разводить их в стороны, но
alternately lower one, raise the other. Running 30 – 40


Feet raise 45 degrees from the prone position and raise them
as widely as possible. Выполняется до 20 time.


In a horizontal position, raise the legs with the pelvis so that
so that they are perpendicular to the horizontal surface.
The pelvis is supported from the back by the arms.

Buttock movement

Sit on the floor, stretch your legs forward, then perform the “steps”
buttocks. For this, one buttock is raised alternately,
a “step” is made, then another. Feet “walking” is not
are involved.


In a horizontal position, raise the legs straightened at 45
degrees, hold them up like this for 30 seconds. After rest
repeat the exercise, extending the fixation time to 45,
60, etc.

Small bridge

Lie on your back, stretching your arms along the body. Then raise the pelvis
fix yourself in this state while simultaneously squeezing your buttocks.
Return to the original position. Повторяется до 50 – 60 time.


In a position on all fours, slowly arching his back, then
just slowly bend it down. Run 50 repetitions.


In a standing position to walk in place, raising your knees high,
which should be above the hips. Then the exercise becomes more complicated: one
raised leg drops, crossed with another,

Diet food

The dietary guidelines should be followed when
exacerbations and prophylaxis:

  • Food processing

All dishes should be boiled, steamed or
baked (without crust).

  • Temperature

Avoid eating too hot, too cold food.
The optimal food regime should be from 15 to 60 degrees.

  • The granularity of power

The entire daily ration should be divided into 5 – 6 meals.
in small portions, which will reduce the load on the digestive
tract, on the intestine (rectum).

  • Drinking mode

During the day should consume at least 1.5 liters of free
liquids (non-carbonated mineral water, teas, compotes, herbal
decoctions). A sufficient amount of fluid liquefies the feces,
that prevents the development of constipation.

The diet should include the following foods:

  • a large amount of fiber (vegetables, fruits, bread
    from coarse flour);
  • cereals: buckwheat, pearl barley, oatmeal, millet;
  • dairy products;
  • any nuts and dried fruits;
  • any greens;
  • low-fat varieties of meat, fish, poultry;
  • leaver;

It is strictly prohibited to use:

  • fried, hard-boiled eggs;
  • rice, decoys;
  • legumes, cabbage (increase flatulence);
  • pasta;
  • fresh bread and pastries;
  • pickles, pickles;
  • smoked meat;
  • canned food of factory origin;
  • semi-finished products;
  • spices, spices, mustard, horseradish, garlic;
  • strong drinks: tea, coffee
  • chocolate, confectionery;
  • alcohol;
  • strong broths, mushrooms.

Консервативное treatment

Conservative therapy is carried out in a complex, including external
the use of drugs and taking them inside. Systemic
treatment включает use of the following drugs:

  • Laxatives

Appointed to stimulate intestinal motility and with
prolonged constipation. The most effective, safest is
lactulose (duphalac). It is possible to take Forlax (lavacol),
exported, weak weakfish (based on vegetable raw materials), mukofalk.
It is also recommended to use glycerin candles for constipation.
which are allowed during pregnancy. These suppositories are entered into
the rectum, cause irritation of its nerve receptors,
softening fecal masses.

  • Venoprotectors

This группа препаратов снижают хрупкость сосудов за счет
strengthen their walls, normalize microcirculation in the anorectal
areas that reduce swelling in the affected area, which reduces inflammation.
Recommended means for oral administration: Venarus, phlebodia,
escuzan, detralex, detraven, troksevazin, troxerutin, doppelgerts
(only natural ingredients are included). Also
recommended for oral administration to prevent development
bleeding from hemorrhoidal wed calcium chloride, vikasol,

Preparations for the local treatment of the disease:

Relief Advance

  • Relief advance 450 rub (suppositories, ointment)

Benzocaine – the main active agent, the rest
auxiliary: paraffin, shark liver oil, propylene glycol.
Action: Pain reliever, wound healing, antibacterial,
antiedematous, vasoconstrictor – renders hemostatic
Effect. It is inserted twice a day into the anus (suppository or
ointment in the applicator).


  • Ultraprokt 660 руб. (suppositories, ointment)

Ingredients: Fluocortolone Hexonate, Fluocortolone Pivalate and
cinchocaine hydrochloride. Action: Suppresses itching, inflammation,
It relieves pain, has an antihistamine effect. Ointment injected
special cap in the anus or squeezed on a napkin
for application to the anal area, candles are inserted rectally 1
once a day.


  • Procto-Glevenol 400 руб.

The main components: tribenozid + lidocaine. Action: Lidocaine
quickly relieves pain, itching, tightness of the skin. Tribenozide reduces
vascular wall permeability, increases vascular tone, reduces
swelling, inflammation.


  • Proktozan 370-400 руб.

Main ingredients: bufeksamak, bismuth and lidocaine. Action:
Bufeksamak acts anti-inflammatory by suppressing
production of prostaglandins (cause pain). Lidocaine is having
local anesthetic effect, bismuth provides astringent and
drying effects. Ointment (suppository) is applied (injected) on
anorectal area (in the anal hole) once a


  • Troxevasin гель – 200 руб.
  • Troxevasin нео – 300 руб.

The main active ingredient is troxerutin. In Troxevasin Neo +
Heparin + Vitamin B5 Action: Venotonic, venoprotective
action, relieves swelling, inflammation, prevents clotting
blood, has an antioxidant effect. Reduces breakage
capillaries, strengthens the vascular wall, increases the tone of blood vessels. On
gel / ointment is applied twice daily to the affected


  • Aurobin 300 руб.

The main components: prednisone, dexpanthenol, triclosan and
lidocaine. Action: Prednisolone is a glucocorticoid,
relieves allergic, inflammatory reactions. Besides,
reduces the permeability of the vascular wall, increases its tone.
Lidocaine suppresses pain and burning, dexpanthenol has
regenerating effect. Triclosan – antiseptic, warns
microbial and fungal infection. Используется once a day.


  • Hepatrombin свечи 160 руб.
  • Hepatrombin гель 160 -250 руб.

Components: Gel – heparin, allantoin, dexpanthenol. Candles –
heparin, polidocanol, prednisone. Action: Heparin Blocks
thrombus formation, improves microcirculation, eliminates swelling and
inflammation. Allantoin has an anti-inflammatory effect,
improves tissue metabolism, cell proliferation. Dexpanthenol
accelerates heparin absorption and tissue regeneration (granulation,
epithelization). Prednisolone is a hormonal component that has
anti-inflammatory action. Onносится мазь однократно в сутки
(suppositories in the rectum once a day).


  • Onтальсид 480 руб.

The main component is alginate. Action: Provides local
hemostatic effect, has a regenerating and
anti-inflammatory properties. Suppositories are introduced twice in

Minor surgery

About 80% of patients undergo hemorrhoid treatment with
minimally invasive interventions. Indications for the appointment of sparing
surgical treatment:

  • internal hemorrhoids, accompanied by prolapse of nodes and / or their
    rapid “growth”;
  • frequent go copious bloody discharge from the back
  • knot infringement;
  • thrombosis of the nodes;
  • chronic constipation without the effect of conservative treatment.


  • acute inflammation of the vulva, vagina, perianal area;
  • severe extragenital pathology;
  • old age

Overview of minor invasive interventions:

  • Disarterization

Effective in the presence of multiple hemorrhoids 2 – 3
stage, anal fissure, benign tumors of the rectum.
The essence of the operation is the ligation of the arteries that feed the nodes.
For this purpose, a rectoanoscope with a sensor is inserted into the anus, under
video monitoring doctor performs artery bandaging. As a result
hemorrhoidal bumps, without getting nutrition, necrotic and

  • Cryodestruction

The method is based on the effect on the affected nodes cooled
to -200 degrees with liquid nitrogen. �Only the hearth “freezes”
lesions, healthy tissues are not affected. As a result узел
necrotic and painlessly separated. In addition to hemorrhoids
this method can remove warts, papillomas and other
benign formations. Effective in the treatment of combined
internal and external forms of the disease.

  • Sclerotherapy

The method is based on the introduction of sclerosing substance into
hemorrhoids that leads to blood sticking
vessels, overgrowing them with connective tissue. It is painless,
leads to a quick decrease of the node.

  • Ligation with latex rings

It is carried out in case of loss of nodes. The essence of the method – clamping legs
node special latex ring, which leads to a violation
power node and its necrosis. In the future, the node disappears. This
the procedure does not cause pain, the only negative – a feeling
foreign body in the rectum.

  • Photocoagulation

Its implementation is effective in 1 – 2 stages of the disease. The essence
manipulation is the effect on the vessels that feed
hemorrhoid, infrared ray, causing them
overgrown with connective tissue that leads to malnutrition
node. The coagulator radiating infrared rays is applied to
the hearth in 4 – 5 points, which causes burns and coagulation of proteins –
coagulation. Subsequently, the node dies off, is separated.

Benefits of minimally invasive treatment

  • low invasiveness;
  • lack of scars;
  • speed of the procedure;
  • low risk of bleeding;
  • seams are not imposed;
  • short recovery period;
  • without anesthesia.


It is based not only on the removal of the hemorrhoid, but
and the elimination of the venous plexuses beneath it, which
prevents the recurrence of the disease. Indications for
radical surgery:

  • no effect after the minimally invasive method
    treatment, stage 3 disease;
  • fourth stage hemorrhoids;
  • frequent complications (paraproctitis, bleeding) at any stage
  • external hemorrhoids;
  • nodes of considerable size, preventing bowel movements.

The most frequently carried out 2 types of radical operations:
hemorrhoidectomy (removal of external and internal nodes), surgery
Longo (removal of hemorrhoids simultaneously with the mucous

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