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.
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
- 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
- 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
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
- 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
Some symptoms of hemorrhoids are characteristic of other pathologies:
- Anal fissure
- Rectal injuries
- Cancer of the rectum and anal canal
- Crohn’s disease
Hemorrhoid treatment проводится врачом-проктологом или хирургом,
includes 3 directions:
- conservative, with the use of drugs;
- small surgical (conducting small invasive
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;
- Swedish walking;
- yoga classes;
Such kinds of sports are strictly prohibited:
- Horseback Riding;
- bicycle riding;
- 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,
Onходясь лежа, приподнять ноги, но не разводить их в стороны, но
Feet raise 45 degrees from the prone position and raise them
In a horizontal position, raise the legs with the pelvis so that
Sit on the floor, stretch your legs forward, then perform the “steps”
In a horizontal position, raise the legs straightened at 45
Lie on your back, stretching your arms along the body. Then raise the pelvis
In a position on all fours, slowly arching his back, then
In a standing position to walk in place, raising your knees high,
The dietary guidelines should be followed when
exacerbations and prophylaxis:
- Food processing
All dishes should be boiled, steamed or
baked (without crust).
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;
It is strictly prohibited to use:
- fried, hard-boiled eggs;
- rice, decoys;
- legumes, cabbage (increase flatulence);
- 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;
- strong broths, mushrooms.
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:
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.
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:
Benzocaine – the main active agent, the rest
Ingredients: Fluocortolone Hexonate, Fluocortolone Pivalate and
The main components: tribenozid + lidocaine. Action: Lidocaine
Main ingredients: bufeksamak, bismuth and lidocaine. Action:
The main active ingredient is troxerutin. In Troxevasin Neo +
The main components: prednisone, dexpanthenol, triclosan and
Components: Gel – heparin, allantoin, dexpanthenol. Candles –
The main component is alginate. Action: Provides local
About 80% of patients undergo hemorrhoid treatment with
minimally invasive interventions. Indications for the appointment of sparing
- internal hemorrhoids, accompanied by prolapse of nodes and / or their
- 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:
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
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.
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.
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
- 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