Shameful - a disease: everything you were afraid to ask but wanted to know
Hemorrhoids are a common adult disease. Men suffer more often than women. The essence of the pathology is the defeat of venous caverns in the rectal zone. The cavities are created by nature as a “gasket” for stable tightness of the closure of human sphincters. Hemorrhoids in men arise in connection with a disturbed outflow process and stagnation in cavernous bodies.
The mechanism of development of pathology involves inflammatory and dystrophic changes in the walls, muscle fibers and ligament, which ensure the fixation of venous formations. The result is saccular nodes that fall out and into the lumen of the rectum.
The clinical course of the disease does not depend on gender. However, doctors highlight a masculine feature - late treatment with the formed non-guided nodes. Because of this, as early as 30–35 years old, a chronic form of hemorrhoids with complications is detected in young people.
The first signs of pathology
The first signs of hemorrhoids in men are intermittent. At the beginning of the disease, patients note:
- incomprehensible itching and sputum in the anus,
- the feeling of fullness, a foreign body, intensifying during bowel movements and after the act, then passes.
Symptoms form stagnation of blood in the dilated pelvic veins. Swelling of the sphincter folds, irritation of the rectal mucosa, and increased mucus production occur. The manifestation of a man is associated with the use of alcoholic beverages, fatty fried and spicy foods, overeating, weight lifting.
The local symptoms are added: nervousness, irritability, insomnia, decreased potency. The ability to work and the nature of a previously calm person are violated.
Proctologists believe that from the manifestation of the initial symptoms to the expressed clinical signs of hemorrhoids, several months or years pass. The term depends on the individual capabilities of the body to provide compensation for changes.
At the first stage of the disease, men do not pay attention to the appearance of small external nodes in the form of subcutaneous cones. Blood is rarely found on toilet paper or a toilet.
Symptoms of acute hemorrhoids are determined by the severity, depending on vein thrombosis, the severity of the inflammatory reaction.
How to determine hemorrhoids in men
The diagnosis becomes clearer in the second stage of the disease. Symptoms are so unpleasant for the patient that it is impossible not to notice them. There is pain in the anus. First, only during bowel movements, then while walking and sitting. Itching turns into a burning sensation. Bleeding accompanies every bowel movement. Red blood is found on feces, spray on the toilet. Possible trickle leakage.
The feeling of a foreign body is formed by enlarged and falling hemorrhoidal nodes. After a bowel movement, they self-adjust.
Further development of the disease without treatment leads to complications:
- the nodes creep out of the internal anal canal during physical exertion, walking, coughing, sneezing, do not adjust themselves,
- thrombosis occurs with acute pain, infringement of the sphincter muscles,
- cracks in the anus are formed under the influence of trauma to the mucous membrane with solid feces,
- bleeding becomes constant, the allocation of blood is possible outside the act of defecation.
Around the anus appears puffiness, skin irritation to pseudo-eczema. It is difficult for a man to sit, it is impossible to drive a car.
In the fourth stage, the wall of the node is necrotic, the infection joins. Inflammation extends beyond the anatomical boundaries of the rectum to adjacent tissues. The patient's body temperature rises sharply, pus impurities appear in the discharge. Putrid odor is caused by the rejection of dead tissue and decay products.
Pain in the lower rectum becomes intense, emptying is painful for a man. Fear of pain is added to the causes of constipation. During the pathology, a vicious circle forms when the patient himself prevents the healing of a tissue defect.
The given clinic is characteristic for the development of chronic hemorrhoids. With a daily blood loss of 50 ml, the patient will soon have signs of anemia (anemia): weakness, dizziness, headaches. In the late stage, men have:
- pronounced neurosis with sharp mood swings,
- loss of appetite and weight loss,
- decreased potency.
Such a sign of hemorrhoids in men as impotence, sometimes worries the patient so much that he prefers to hide hemorrhoids and consult a sex therapist or urologist. On examination, the main reason is clarified.
The risk of developing chronic prostatitis is increasing, as the infection spreads through the venous and lymphatic vessels. Previous sports become impossible. Relatives notice a change in character.
It is easy for a proctologist to identify the disease. If the patient is shy about a female doctor, then you can find a clinic and choose a man to whom the patient is able to entrust his problems. At the reception, the doctor examines the external passage, palpates the internal nodes.
A sigmoidoscopy method helps to visualize changes within the rectum. Carrying out is necessary to distinguish signs of hemorrhoids from cancer of the rectum, polyps. The procedure is not pleasant, but an adult can tolerate.
General tests indicate inflammation (increased leukocytosis, ESR), anemia (a decrease in red blood cells, hemoglobin). Typically, blood clotting properties are tested using the prothrombin index. An increase signals a tendency to thrombosis.
In the initial stage, blood in the stool helps to identify an analysis of the Gregersen reaction.
In order to differential diagnosis of intestinal cancer, a man is offered to undergo tests for tumor markers. Timely determination of the stage of the disease is necessary for the correct appointment of treatment.
Why does the disease appear?
The causes of hemorrhoids in men allow us to identify a risk group. It includes representatives of the stronger sex:
- not limiting themselves in the use of fried and smoked meat dishes, hot spices, prone to overeating, overweight,
- alcohol drink lovers
- passive, sedentary persons who avoid walking, playing sports,
- by profession, forced to observe a sitting position for a long time,
- whose work is associated with weight lifting.
Chronic inflammatory diseases of the intestine, liver, prostate gland, and bladder become the cause of blood stagnation.
Lifting weights increases intra-abdominal pressure, causing an increase in the tone of the sphincters in the anus. Dangerous conditions are created for rectal diseases. Similar problems arise in weightlifting athletes, men who are passionate about bodybuilding.
Proctologists believe that 80% of patients have hereditary insufficiency of the structure of the venous walls - fast collagen consumption, low level of synthesis. Close relatives often suffer from hemorrhoids.
Men from a group of sexual minorities in an intimate relationship irritate, stretch the mucous membrane and anal sphincter. The process becomes the immediate cause of hemorrhoids and cracks.
Psychologists say that men are more likely to experience negative emotions, inner feelings, and stress. Violation of the nervous regulation of the tone of the rectal sphincters and blood vessels can be the result of unexpressed anger, anxiety, uncertainty.
Constipation and malnutrition
The hemorrhoid mechanism of an improper diet with a neglect of men to vegetables, fruits, cottage cheese, cereals is difficult to overcome in middle age. Young men have a prejudice that their potency depends on the amount of meat and spices eaten.
In fact, the accumulation of meat food in the intestines in the absence of fiber requires prolonged digestion, consumes enzymes, and significantly slows peristalsis.
This contributes to constipation, straining during bowel movements. Pressure provokes the formation of stagnation in the venous network of the pelvis, which forces hemorrhoid cones to crawl out into the intestinal lumen.
Smoking and alcohol
Alcohol and nicotine addiction act directly on the walls of blood vessels with toxic substances formed during absorption. The inferiority of the structure helps to “wear out” faster, leading to dystrophy.
The attempts of some young men to replace alcohol with non-alcoholic beer are not justified. Any drink of this type contains at least 5% pure alcohol. According to narcologists, addicted men are able to "get" the dose they need for addiction with the volume they drunk.
Low mobility and “sedentary” work (for drivers of transport, dispatchers, programmers, heads of institutions and companies) creates the effect of a compress or “heat pad” under the buttocks, which heats and dilates the venous vessels. The “standing” professions of men also lead to blood retention in the lower parts of the body (guarded by teachers, sellers, hair stylists).
Treatment of hemorrhoids in men
Doctors warn of the inappropriateness of independent attempts to treat the disease with alternative methods. In an integrated approach with early treatment of hemorrhoids, there are enough funds to prevent the transition to a complicated course. It is possible to guarantee a cure only if the man complies with the doctor's recommendations on nutrition, regime measures, smoking cessation and alcohol. Otherwise, relapses occur.
Consider the options for the most effective treatment, depending on the stage of the disease.
In the initial stage, to correct violations, it is enough to follow a diet, engage in special exercises, give up smoking and alcohol. For painful sensations, rectal suppositories, baths with homemade decoctions of herbs of anti-inflammatory action are recommended.
In the second stage, in addition to dietary restrictions and exercise therapy, a course of treatment with drugs of the venotonic group is carried out, candles are selected for local anesthesia and antibacterial effect. Recommended selection of minimally invasive techniques:
- Sclerotherapy - a drug is injected into the vessel with a needle, causing scarring of the node.
- Cryotherapy - the effect of low temperature liquid nitrogen is used.
- Coagulation by current, laser beam, heat flux is carried out by special equipment, leads to the decline and death of the node.
- The application of a latex ring on the “leg” disrupts tissue nutrition, unnecessary ones disappear.
What is the best way to treat a particular patient, the specialist will tell. The disadvantage is the possibility of relapse of the disease.
In the third and fourth stages, ointments are more suitable for precipitated nodes. Intramuscular administration of antibiotics is practiced to limit infection. The nodes themselves will not disappear. It does not make sense to use minimally invasive methods, since inflammation already concerns pararectal fiber. The choice of surgical technique is determined by the spread of the inflammatory process, the size and number of nodes.
Conservative treatment consists in the indispensable use of diet, exercise therapy and medications, depending on the prevailing symptom of the disease, stage of pathology.
For pain relief, suppositories and ointments with anesthetic components are prescribed. Recommended:
- Relief Advance.
- Proctosedyl M.
If there is a suspicion of thrombosis in the area of the nodes, the best result is given by preparations with anticoagulants (heparin ointment, Nigepan suppositories, Hepatrombin).
If the leading symptom is bleeding, medications with hemostatic properties are indicated, venotonics (suppositories with adrenaline, phenylephrine, tribenoside) - Relief, Procto-Glivenol. Inside, Vikasol is prescribed.
Ointments and suppositories of local action help get rid of severe inflammation:
With intense itching, drugs with corticosteroids are used (Proctosedil, Hepatrombin G, Aurobin ointment, Ultraproct).
For the course of treatment, in addition to local drugs, vasoconstrictive tonic drugs in tablets and capsules are prescribed:
A sure means to relieve tension in the anal area is exercises aimed at supporting the muscles of the anus, and the ligamentous apparatus of the rectum.
Workers in a sitting position are recommended to engage in 5-10 minutes every 2 hours. You can, without departing from the computer, strain the buttocks in turn and together, retract the anus 50-100 times.
In the morning in a prone position, it is necessary to provide a load on the abdominal press. For this:
- carry out swings with straight legs,
- "Scissors" while holding the legs at an angle of 45 degrees to the floor,
- repeated squats without taking off the heels,
- "Bridges" on the shoulder blades and feet with the rise of the body.
For those who wish, it is recommended to maintain a static position at the point of maximum deviation of 60 seconds.
Means for treating male hemorrhoids at home
Home remedies complement the anti-inflammatory and hygienic procedures. Traditional medicine recommends that you make your own ointments based on petroleum jelly, tar birch tar, honey, sea buckthorn oil.
Is it worth the time to “invent a bicycle” if the pharmacy has a wide selection of the necessary funds?
Sedentary baths with a decoction of chamomile, calendula, oak bark, sage are known for their mild anti-inflammatory effect.
The classical methods of operations for hemorrhoids, in contrast to minimally invasive techniques, will require general anesthesia or spinal anesthesia, patient preparation (enemas), and a recovery period with rectal care. Shown in stages III – IV of the disease. For older men, the least traumatic tactic is chosen:
- Desarterization - involves ligation of an artery branch, limiting blood flow to the corpora cavernosa.
- Hemorrhoidectomy - the external node is removed along with the mucous membrane of the rectum, the skin is dissected in the anal area.
- Longo method - used in many clinics to treat internal hemorrhoids. The essence of the technique is not the excision of nodes, but the pulling up. The method leads to impaired blood flow, subsidence and scarring.
- Hemorrhoidotomy is an operation to excise nodes with plastic sphincter.
In the postoperative period, a liquid diet is prescribed for 2-3 days. Before healing, washing is necessary several times a day. Doctors monitor possible complications:
- severe inflammation
- the formation of fistulous passages,
- acute bleeding
- violation of the urination process,
- fecal incontinence
- cicatricial narrowing of the lumen of the anus.
Some men develop stool retention due to fear of a bowel movement.
The cost of treating hemorrhoids in different clinics
The cost of treatment in a clinic is determined by the choice of method, length of stay in the hospital, and other more specific indicators (location of the institution, scientific degree of the surgeon).
We give approximate prices in Moscow clinics. Regional centers in Russia set the price list of services slightly lower:
- Deserterization - in the regions within 21 thousand rubles, in Moscow - 39 thousand rubles.
- Sclerosis - about 9 thousand rubles. The price depends on the cost of the drug and the number of nodes.
- Infrared photocoagulation - 2.5-3 thousand rubles.
- Ligation with latex rings - up to 5 thousand rubles.
- Removing a single node with a laser - 6 thousand rubles., Three nodes - 18-20 thousand rubles. If more, then the cost reaches 60 thousand rubles.
- Hemorrhoidectomy costs 19 thousand rubles.
- Longo operation - 50 thousand rubles.
With hemorrhoids, prevention methods are also a treatment. They work best at the initial stage of the disease.
Men are not recommended:
- eat only meat dishes, get involved in kebabs, hot sauces,
- drink alcohol, smoke, drink a lot of coffee,
- pump muscles on simulators,
- sit or stand for a long time,
- have anal sex
- wait for the urge on the toilet with a newspaper,
To ensure rectal health, you should:
- daily include vegetables and fruits, cottage cheese, kefir,
- avoid constipation and diarrhea,
- drink liquids up to 1.5 liters to prevent hardening of feces,
- use mild laxatives for constipation,
- at least twice a day to wash the entire perineum, including the anus, if the bowel movement occurred outside the house, use wet wipes,
- Heavy workouts should be replaced with exercises, walking, swimming.
At any age, a man should be shown to a doctor with problems in the rectal area. False shyness is expensive for patients. Hemorrhoids are not cured by folk methods. The disease requires medical examination and appointments.
Bit of theory
The body of each of us is pierced by blood vessels. Arteries, arterioles, capillaries, venules, veins ... They all differ in size, location and purpose.
What are hemorrhoids? This is nothing but the plexus of various vessels, including venous. Normally, everyone has hemorrhoids, and there is no problem. However, if there is a violation of blood circulation and blood stasis, hemorrhoidal nodes gradually increase, unpleasant symptoms appear and the disease develops as a result.
Hemorrhoids can manifest themselves in different ways: itching, burning, and discomfort. If severe pain and bleeding occurs, then we are talking, as a rule, about acute hemorrhoids. And in the case of a chronic process, you can detect traces of blood and encounter prolapse of the nodes.
In addition, hemorrhoids has its own classification - it is divided by the location of the enlarged nodes. Hemorrhoids are internal when the node is located inside the rectum, and external when the nodes are palpated in the subcutaneous zone. There is also a combined form in which, alas, the patient encounters both the first trouble and the second.
Scientific and technological progress has played a trick on us: computers are firmly chained Homo sapiens to the chair opposite the monitor. Perhaps now your loved one, spending 40 hours a week behind a work chair, is suffering from the first symptoms of hemorrhoids.
And, of course, hesitate to talk about it. People who work sitting for a long time fall into the main risk group, but, alas, not the only one. Hemorrhoidal nodes can be “disturbed” by overextending the body by lifting weights, painful minutes in the restroom (yes, we're talking about constipation), bad eating habits and even a passion for alcohol.
Simple rules: what can be done now
But let's take action. To combat the occurrence of hemorrhoids, you will have to compensate for hours spent sitting. Take a regular break - get distracted from work every hour for 10-15 minutes: do exercises or take a walk to the neighboring department. Out of hours, it’s very important to come up with an “active” hobby: jogging in the mornings, skiing on weekends or at least long walks are also a good and pleasant way of prevention. The second important point is food. A healthy diet will help normalize, in turn, the bowel movement. In a word, the best way to prevent the terrible is to fight what the terrible causes.
What to treat
Today, there are a great many remedies for the treatment of hemorrhoids. The main thing is not to forget that your lifestyle and nutrition will always play an important role. Especially popular are topical preparations - gels, suppositories, ointments and creams. When using local remedies, you need to remember that an integrated approach is important in treatment: not only eliminate painful symptoms, but also take care of the condition of the veins. Therefore, venotonics are also used in the treatment of hemorrhoids - drugs that improve venous tone. For example, Detralex ®, which helps not only reduce the symptoms of hemorrhoids, but also prevent the occurrence of exacerbations (1,2). For the treatment of acute hemorrhoids (3) Detralex ® 1000 mg is often used. tablets N 18 (2) - it is easy to recognize it by the red wave on the package of the drug, 1 such package is designed for 1 course of treatment of acute hemorrhoids (2).
Also, in some cases, doctors may suggest using various types of surgical interventions.
Do not be shy!
In fact, this folkloric popularity of hemorrhoids is a phenomenon. Even sexually transmitted diseases have not gained such fame in people's minds. With the enthusiasm of a fifth grader, almost every one of us is ready to recall a couple of jokes about the most uncomfortable disease. Often, pranksters do not think that hemorrhoids are really a serious problem. Let's put humor aside and finally agree: if you find symptoms that cause anxiety - you can not tell your family, but be sure to take measures and consult a doctor for advice. Today, a course of venotonics may be enough for treatment, and tomorrow the problem can be solved in a much more unpleasant way. And then, by the way, you by no means will be able to hide your uncomfortable diagnosis from your relatives.
- Grateful L. A. "Combined pharmacotherapy is the key to successful treatment of acute and chronic hemorrhoids." Consilium Medicum. Surgery, 2014 (2), p. 70
- See Medical Instructions for Detralex ® 1000 mg. RU LP - 003635
- According to the results of the PrIndexTM study “Monitoring of doctor’s appointments” conducted by Ipsos Comcon LLC in the spring of 2018 in 16 cities of Russia with the participation of 4270 doctors of outpatient practice of 16 specialties, who accepted 501,880 patients and completed 1,028,285 appointments in 7 working days
CONTRAINDICATIONS ARE AVAILABLE. READ THE INSTRUCTIONS FOR USE.
Causes and symptoms of the disease
Hemorrhoids - what is it? Hemorrhoids occurs due to dysfunction of veins running in the anus.
With the defeat of a vein running under the skin and located closer to the anus, large nodes that protrude outward form. The internal form of hemorrhoids occurs with dysfunction of a deep vein located under the mucosa.
In this case cones of different sizes are located in the rectum, on the outside they are almost invisible. Cones and nodes cause narrowing of the rectum, which prevents the normal separation of feces.
They are compressed, the passage of feces is accompanied by damage to the walls of the rectum and blood vessels. Constant scuffs and tears cause frequent bleeding.
The disease can begin unnoticed. Most men ignore mild symptoms.which include:
- recurrent constipation
- pain and burning during bowel movements,
- discomfort during exertion (weight lifting, strength exercises).
Itching and burning can be triggered by the release of inflammatory fluidaccumulating in the rectum. Frequent irritation of the anus causes redness.
The appearance of a rash, small swelling. Constipation causes vascular microfractures, with defecation in the stool you can detect drops of blood.
Hemorrhoids found in the initial stage are treated with venotonics and anticoagulants in the form of capsules and tablets. A balanced diet will help to improve the condition. with a predominance of fiber, vegetables, fruits and low-fat dairy products.
In the photo below, you can see how hemorrhoids look in men at the initial stage:
Now, let's move on to the next question: “What does hemorrhoids look like and how to treat it in the first stage?” If untreated, the disease flows into the next phase.
Symptoms worse constipation becomes more frequent, often they alternate with diarrhea. Strong stress during bowel movements causes a sharp flow of blood, veins can not cope with the load, small nodes appear.
They can not be determined by rectal examination, when the veins are in a relaxed state, but with ultrasound changes in the veins are already noticeable. Additional symptoms characteristic of this phase include:
- pain in the anus and rectum, aggravated by bowel movements,
- the appearance of small cracks in the anus,
- apathy, insomnia, loss of appetite.
For treatment rectal suppositories with venotonic, decongestant, analgesic effect are used.
With periodic pain, anticonvulsants or mild antidepressants can be taken. Below is a photo of the stage of hemorrhoids:
Let's talk about the second stage of hemorrhoids, a photo and treatment that will need to be done to prevent complications. From the second phase of hemorrhoids, its signs can no longer be ignored.
The disease begins to manifest itself more often. With external hemorrhoids, the nodes begin to concentrate near the anus and protrude from it during bowel movements.
The patient can grope them on their own by inserting the index finger into the anus. The inner bumps will be detected by the proctologist during an in-depth rectal examination.
- severe pain during bowel movements that does not pass after the bowel is released,
- constant discomfort in the anus,
- crack deepening,
- blood is found not only in feces, but also on linen, toilet paper, toilet walls,
- swelling in the anus,
- periodic temperature increase.
With constant microcracks of the tissues and mucous membranes, the wounds heal poorly, inflammation occurs that causes fever, burning, pain, general apathy and weakness. At this stage, treatment cannot be delayed, the disease develops rapidly.
Possible transition to the chronic phase, characterized by alternating acute attacks with periods of remission.
Treatment of hemorrhoids 2 and subsequent stages should be prescribed only by a doctor. Folk recipes are used to strengthen the body, improve overall health, relieve irritation, itching and burning.
From home remedies warm baths with decoctions of herbs help: chamomile, calendula, yarrow, eucalyptus. Medicinal teas that strengthen the immune system are indicated.
Means with antibiotics can treat microdamages: chloramphenicol, syntomycin, tetracycline. To reduce hemorrhoids and normalize blood flow, venotonics and anticoagulants in tablets and capsules are used.
Now that you know a little more about the second degree of hemorrhoids, a photo is the next topic that will surely interest you:
Hemorrhoids of the third stage - what is it? For the third phase of hemorrhoids persistent pain, pursuing the patient not only with bowel movements and tension, but also at rest.
It becomes difficult for the patient to walk and sit on hard surfaces. Deep anal fissures appear that can become infected with feces.
Permanent inflammation causes the appearance of pus, severe swelling. Rectal bleeding is possible, accompanied by pain, burning, constant itching.
External nodes may fall out during bowel movements, the patient is forced to refuel them after each visit to the toilet. At this stage, it makes sense to apply minimally invasive techniques - for example, ligation of hemorrhoidal nodes with latex rings.
The procedure blocks the access of blood to the cones, they die and are eliminated from the body on their own. Attacks of pain can relieve novocaine or lidocaine blockade, implying chipping of the area around the anus with the appropriate drugs.
Water-based gels can help remove pain, itching and burning, ointments are undesirable. When infections are detected, antibiotic injections are used.
To relieve pain at home, you can use rectal suppositories with novocaine, cold sessile baths with chamomile or potassium permanganate. With frequent bleeding, a change in diet is necessary. Food should include vitamin supplements, beef liver, pomegranate juice.
Below is a photo of stage 3 hemorrhoids in men:
Running hemorrhoids - a disease that can provoke very unpleasant consequences. Among them are anemia, tissue necrosis, malignant tumors of the rectum.
During this period, body temperature is always elevated, which indicates constant inflammatory processes. Hemorrhoidal nodes are extensive and painful, they cannot be inserted inside their ear.
Possible daily rectal bleedingprovoking anemia. Deep anal fissures almost do not tighten, inflammation constantly appears on the skin, passing into purulent fistulas.
Independent defecation is impossible, the separation of feces occurs only after cleansing enemas. The last stage of hemorrhoids requires immediate surgery.
Resection of hemorrhoidal nodes is done with a conventional or laser scalpel, after the operation, a long recovery is necessary.
Herbal teas and decoctions that strengthen the body's defenses are useful. A photo of hemorrhoids at the last stage is presented below: