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Treatment of hemorrhoids with exacerbation at home

Like any pathology of a chronic form, hemorrhoids pass through the stages of remission and exacerbation (inflammation) during their formation and formation. The duration of each of the stages depends entirely on the therapy used, the person’s lifestyle, and compliance with all the instructions of the treating doctor. If there is a failure in diet and physical activity, then exacerbation of hemorrhoids may begin.

How often aggravated hemorrhoids, how to relieve pain and inflammation? It is necessary to expand on the topic of the acute stage of hemorrhoids, so that a person who encounters a problem knows what measures are more effective in his case.

Description of the disease and causes of the acute condition

Exacerbation of hemorrhoids treatment requires immediate. The pathological condition develops due to severe stretching of the veins of the rectum. They form two separate plexuses in the intestine (inside and outside). The inner plexus is formed under the intestinal mucosa, from it, after a certain period, hemorrhoidal nodes (inside) are formed.

Plexus outside is formed in the thickness of fiber under the skin in the anus. Its gradual stretching leads to the formation of pathology outside the anus. Doctors call many factors that lead to the formation of this disease. So what can chronic hemorrhoids exacerbate from?

  1. Failure to diet. Consumption of salty, spicy or spices leads to stimulation and stagnation of blood flow to the pelvic area.
  2. Lack of physical activity. A prolonged stay in one position entails stagnation of blood in the veins of the pelvis (this process can be eliminated with the help of special gymnastics).
  3. Digestive system problems. Hemorrhoidal nodes with blood form with constipation or chronic diarrhea.
  4. Weight lifting. With excessive physical exertion, the muscle tissue of the sphincter is very tense, this provokes the loss of hemorrhoids.
  5. The main causes of exacerbation of hemorrhoids in women are pregnancy and delivery. When the baby grows in the womb, the uterus grows, and an exacerbation of chronic pathology occurs.
  6. Overheating of the body. Very hot baths, saunas, showers will entail the development of hemorrhoids.

As it became clear, exacerbation of hemorrhoids has a variety of causes.

And can hemorrhoids worsen after antibiotics taken to treat serious pathologies? Yes, antibacterial agents can give impetus to the development of pathology.

Symptoms of the acute period

What exacerbates hemorrhoids is understandable, now you should understand what symptoms you need to pay attention to. The most severe and at the same time debilitating sign of the acute stage of the pathology is a strong pain syndrome in the anus. Often the discomfort is so pronounced that a person can neither stand nor sit. Especially unbearable pain becomes during bowel movement. As a result, the patient is afraid to be full and in every way tries to defecate less frequently, thereby exacerbating the course of the disease as a whole. Constipation becomes chronic. Hard feces injure the intestines, which is already difficult for inflammation.

Exacerbation of hemorrhoids is also characterized by specific symptoms:

  • Nervous Disorders
  • High temperature
  • General poisoning by decay products.

When the outer aggravated hemorrhoids what to do? It all depends on the stage of the disease, but the problem can be radically solved only by surgical methods. With inflammation of the hemorrhoids, intense bleeding can open, which quickly leads to the development of anemia.

Emergency medical care

Many with exacerbation of hemorrhoids are interested in what can be done at home. Symptoms of exacerbation of pathology develops spontaneously. With severe pain, you can drink an anesthetic and make a cold compress on the anus. To do this, dissolve a little manganese in chilled water and moisten the bandage. Cold soothes pain and discomfort, and potassium permanganate disinfects.

If hemorrhoids worsen, what should I do on working days? If the work is sedentary or associated with weight lifting, you should take a sick leave. The ideal body position in the acute period is bed rest.

If the patient has constipation, do not push, trying to empty the intestines completely. The correct solution is a cleansing enema. Only do it with extreme caution. At the first symptoms of an acute period, you must make an appointment with a doctor. Treatment should be prescribed by a specialist, independent methods, experiments on oneself are fraught with complications. It is important to realize that the timely help of doctors makes it possible to put the pathology into a state of remission.

Traditional treatment

First aid for exacerbation of hemorrhoids, which occurs with bleeding and pinching of hemorrhoids, is in stationary conditions. Treatment is primarily aimed at eliminating pain, for which analgesic medications are used, for example, Diclofenac, Nise.

When the inflammatory process has switched to fiber under the skin and tissue around the inflamed node, the doctor prescribes local anti-inflammatory drugs, for example, Levomekol, Levasin. If blood clots are diagnosed on the nodes, venotonics are used - blood thinners, such as Heparin, Hepatrombin. If bleeding has opened, therapy involves the use of rectal suppositories with adrenaline, which provokes vascular spasm and stops the blood.

Local medicines (gels, ointments) have the same qualities as candles. It is proved that their use is more rational when hemorrhoids undergo an exacerbation. They do not injure inflamed nodes, are easily applied to painful areas of the anus. Such drugs perfectly relieve inflammation and eliminate pain, quickly tighten mini-cracks and disinfect the place.

How to cure acute hemorrhoids

If an exacerbation of hemorrhoids is diagnosed, how to treat it, the doctor will tell in detail. Treatment of pathology depends on:

  1. Stages of the disease
  2. General condition of the body,
  3. Clinics of the process.

It is very important to approach the issue treatment carefully if a woman carries a child.

Exacerbation of hemorrhoids and its treatment at home involves only the provision of first aid. In the inflammatory process, if it is very difficult for a person, measures must be taken before the doctor arrives. With pain and inflammation should:

Put ice on the sore spot

  • The patient should lie down; when sitting, the bumps become inflamed even more,
  • If necessary, you can cleanse the intestines with an enema,
  • Apply a bactericidal cold compress to the problem area.

Aggravation always develops rapidly, affecting the surrounding tissue. It is important to visit a doctor as soon as possible or call an ambulance. With internal hemorrhoids, candles can help you feel better. They will reduce itching, eliminate pain, and reduce inflammation.

The suppository will relieve pain and burning, dissolve blood clots, soothe the painful area. It should be entered in the knee-elbow position. Before the procedure, you need to do an enema.

The most commonly used candles are:

  1. Proctosan
  2. Vibrokol,
  3. Anuzol
  4. Hamamelis
  5. Hepatrombin G,
  6. Aurobin,
  7. Ultraproct
  8. Nigepan.

When the candle is in the anus, it is necessary to lie down a little at rest for the suppository to dissolve and begin to act.

Inflamed hemorrhoids are treated with drugs:

These same medicines will help with inflammation of the cones outside.

How to quickly relieve exacerbation of hemorrhoids for pregnant women? Women who have a baby are prescribed the safest medicines. It is necessary to treat pathology in pregnant women with the help of suppositories with glycerin, sea buckthorn oil, propolis.

Also, women in position can be assigned:

Candles dissolve, in their composition there are extracts of herbs, natural oils and plant extracts. Ointments are often prescribed - especially to those patients who have external bumps and are inflamed. Medicines are also used in the form of tampons.

And how to treat exacerbation of chronic hemorrhoids? Therapy is performed with venotonics, ointments that eliminate bleeding, pain and inflammation. Most often, exacerbation is treated with the following medications:

  • Aesculus
  • Relief Advance,
  • Aurobin,
  • Ultraproct
  • Tetracycline ointment,
  • Heparin ointment.

These drugs for inflammation use:

  1. For hemorrhoids outside (you need to apply the product to the nodes),
  2. For hemorrhoids inside (inject a swab with the medicine into the anus).

How to remove pain? Medicines of general and local effects will help. Inflammation and pain relieve:

  • Beornless
  • Fleming Ointment,
  • Heparoid Lechiva,
  • Relief Advance,
  • Proctosan
  • Israeli emulsion Nifedipine.

How to relieve exacerbation of hemorrhoids using absorbable ointments? These medications can help relieve symptoms without surgery. Nodes will become smaller in size. Medications are not allowed for pregnant women and children. In the inflammatory process, the doctor often prescribes heparin ointment, hepatrombin. Effective resorption agents: Levomekol, Vishnevsky ointment.

Eliminate exacerbation using tablets. In the acute stage, non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed. They help with pain and reduce inflammation. If the disease has passed into the acute stage, it is necessary to take drugs that affect the vascular system and weaken the pain syndrome:

Also, in a difficult situation, the doctor may prescribe painkillers. Injections are done in the coccygeal zone. Injections can be prescribed both for internal and external acute hemorrhoids. An injection eliminates pain as quickly as possible. If the nodes hurt, apply novocaine blockade. It’s impossible to say exactly how long the exacerbation of hemorrhoids lasts, everything is individual, the main thing is to see a doctor as soon as possible.

Diet for acute hemorrhoids

What can trigger an exacerbation of chronic hemorrhoids? Violation of diet. Therapy for hemorrhoids involves bed rest and a special diet. Eating in the acute period eliminates the consumption of food, which can cause constipation. This protects the digestive tract, as well as the hemorrhoidal cones, from irritation.

If hemorrhoids reminded of itself again, how long does the exacerbation last? Usually the period is 5 days, but may be longer. At this time, special attention should be paid to nutrition. All spicy, fatty, fried, smoked and canned foods are excluded from the diet, since it is these dishes that contribute to the influx and stagnation of blood in the abdominal cavity.

Alternative medicine

How to relieve exacerbation of hemorrhoids at home in folk ways? Such therapy should be carried out after consultation with a doctor, in addition to conservative treatment. Alternative methods are often used when it is impossible to urgently get to the clinic.

To stop bleeding, lotions and baths can be made. An oak decoction of bark is prepared. It has an astringent effect and helps the active healing of injured nodes. Propolis, honey have a disinfecting and anti-inflammatory effect. They are used topically as applications.

Whatever the causes of exacerbation of hemorrhoids in men or women, baths from chamomile broth can help.No less popular medicine is sea buckthorn oil, which must be treated with the anus. Rectal suppositories can be made independently.

Here are some simple cooking recipes:

  • From potatoes you need to make a mini-candle in the form of a cone with a rounded end on one side. The suppository is introduced into the anus twice a day. If hemorrhoids is external, apply grated potatoes in the form of a compress.
  • It will take 100 g belladonna, 0, 2 kg of butter, 40 ml of an aqueous suspension of propolis. For candles, you can use solid propolis.
  • Prepare 20 g of extract propolis, 80 g of wax and petroleum jelly, a little cocoa butter. All components must be melted in a water bath, drained into special forms for rectal suppositories. After the mass hardens, suppositories are injected into the anus twice a day.
  • Fat and alcohol should be taken in equal proportions, add 40 g of propolis. Mix the ingredients and insist in the dark for 10 days. Then send to a fire, boil until the alcohol evaporates. Add fat, pour into molds.

Candles should be stored in the refrigerator. It is necessary to treat pathology in the acute stage with the help of suppositories until the negative symptoms disappear. The course of treatment is 7-14 days. If necessary, the course can be carried out again.

For proctological problems, cold baths are used. They well eliminate the symptoms of exacerbation. For the procedure, you need to take only boiled chilled water, about 18-20 ° C. The procedure takes 5 minutes.

In the absence of bleeding, hemorrhoids are also used in warm baths. They are made on the basis of:

Natural ingredients eliminate pain, reduce inflammation. Cold packs are also effective. In order to make them, you need to take sterile gauze, a solution of the drug, a plastic film or oilcloth, so that the base does not dry for a long time.

Cold packs are the best. They eliminate pain and inflammation, remove exacerbation. Gauze is moistened in cold water, changed when it warms up. A good solution would be to purchase a heating pad that needs to be filled with ice.

Cold compresses are prohibited if there is inflammation in the pelvic organs. Alternative methods of therapy should be used in combination with medications. If there is sharp pain, severe bleeding, pus from the anus, you must urgently consult a doctor, undergo treatment in a hospital. In such a situation, independent treatment can turn into complications.

Why hemorrhoids worsen and how to treat it, after studying the tests, examination results, the patient’s condition, the doctor will tell. It is important to understand that the sooner a sick person seeks medical help, the easier and more effective the treatment.

What is hemorrhoids?

With this disease, hemorrhoidal veins become inflamed, their pathological expansion occurs, thrombosis, tortuosity occurs, nodes form around the rectum. Hemorrhoids - one of the most common coloproctological diseases. In diseases of the rectum, the disease occupies 40% of the total. The disease is equally common in both men and women. However, it is worth noting that women often turn to the doctor, so the neglect of the disease is characteristic of the male group. Hemorrhoids are divided into several types:

  • Mechanical occurrence: acquired and congenital. Acquired can occur as an independent disease (primary) and become a complication of any ailment, for example, prostate adenoma, cirrhosis of the liver (secondary type).
  • Location: hemorrhoids can be subcutaneous (external) and submucosal (internal).
  • Chronic hemorrhoids are a common variant of the disease, a recurring process.

The disease proceeds in the form of a long uncomplicated process with acute attacks.The treatment of hemorrhoids with exacerbation is best entrusted to the doctor, he will correctly determine the type of ailment and prescribe therapy.

Acute hemorrhoids

Acute hemorrhoids are usually an exacerbation of a chronic form. In this case, the hemorrhoidal nodes are infringed, thrombosis occurs, pain in the perineum or anus is manifested. At the same time, the nodes are compacted, enlarged, a “foreign body” is felt, and sometimes the temperature rises. Acute hemorrhoids has three degrees:

  • Thrombosis without an inflammatory process. External nodes are small, moderately painful when touched. Patient complaints of burning, itching, which intensifies with bowel movements. Around the anus, redness and slight swelling are observed.
  • Thrombosis with inflammation of the hemorrhoids. Severe edema and severe redness around the anus. Sharp pains while sitting and walking. Extremely painful sensations during palpation and digital examination of the rectum.
  • Thrombosis with inflammation of the subcutaneous tissue. The circumference around the anus is in the form of an "inflammatory tumor." Extreme pain on palpation of the nodes, finger examination is impossible. Cyanotic-crimson internal nodes fall out of the anus. This is an exacerbation of chronic hemorrhoids, treatment must be started immediately.

In advanced cases, complications are possible: edema of the anus, massive bleeding, purulent inflammation, necrosis of the hemorrhoid. A sign of necrosis is blackening of the nodes. At the same time, it is extremely dangerous to correct nodes, it is possible to infect healthy tissues. Dead tissue is removed only in a hospital.

Exacerbation of hemorrhoids: causes, treatment

The causes of hemorrhoids often become the following factors:

  • Constipation In the rectum, pressure increases, while blood flow increases to the hemorrhoidal nodes, and this can contribute to their increase and further loss.
  • Pregnancy, childbirth. Often in women during childbirth in the abdominal cavity, pressure increases, and this leads to the formation of hemorrhoids.
  • Hereditary factors.
  • A sitting position in which a person spends most of his time. At the same time, the muscles of the perineum relax, and this leads to the fact that the natural support of the nodes weakens.
  • With a sedentary lifestyle, blood stagnates in the small pelvis, this can lead to an increase in nodes.
  • Alcohol abuse causes increased blood flow in the anal area, this provokes hemorrhoidal bleeding.
  • Weight lifting, excessive physical effort can increase intra-abdominal pressure, and this causes hemorrhoidal nodes to fall out.
  • Spicy and spicy food can cause irritation in the anal area.
  • Tumors and inflammatory processes of the rectum and liver.
  • Infection
  • The outflow of blood in the rectum is impaired.

Treatment of hemorrhoids during an exacerbation should be carried out by an experienced specialist, so as not to harm and provoke complications.

Conservative treatment

Hemorrhoids is a chronic disease, therefore, with conservative therapy, most often there is no complete recovery. Conservative treatment of hemorrhoids with exacerbation brings relief, relieves pain symptoms. The main goal is to reduce the frequency of annual exacerbations, the duration and severity of the disease. With the radical treatment of hemorrhoids, outpatient methods are used, as well as surgical treatment. It all depends on the condition and stage of the disease.

Indications for conservative treatment are the initial stages of the chronic form, as well as an acute course in the later stages.

A mandatory part of conservative treatment is preventive measures. The necessary conditions for a successful outcome of treatment should be: normalization of digestion and regulation of intestinal consistency, as well as the transit of food coma through the colon.

Express methods to relieve pain

If an exacerbation of internal hemorrhoids has occurred, treatment can be started at home. To alleviate the symptoms, you can use a fairly simple method: make a sedentary cold bath, which will be based on medicinal herbs, such as chamomile. A rectal candle made from raw potatoes helps a lot.

Effectively, they quickly remove inflammation, freeze the anal area with ice candles made from medicinal herbs. Prepare such a tool in advance, and in case of emergency, let it always be in your freezer. Preparation: take a collection of herbs and make a decoction, oak bark, calendula, and chamomile will enter here. Pour into molds and freeze. Cold constricts blood vessels, while blood flow is restored, hemorrhoids are reduced.

Express methods include witch hazel. He not only relieves pain, relieves swelling, but also stops bleeding. This tool is very popular among patients. For home use, buy grass at the pharmacy (in the form of a liquid or ointment). If necessary, apply to a gauze swab and attach to a painful area.

Exacerbation of hemorrhoids: treatment at home

Both cold (mentioned above) and a warm sitting bath will help relieve painful symptoms at home. For its preparation, various medicinal herbs are suitable (wormwood, St. John's wort, sage, oak bark, calendula). Put a few tablespoons of herbal tea in a basin and pour two liters of boiling water over it, cover with a cloth or a lid on top. Once the liquid has cooled to 30 degrees, the broth needs to be filtered. It is recommended to take a sitz bath for at least 20 minutes. After the procedure, the anus must be lubricated with sea buckthorn oil. Such treatment of hemorrhoids during exacerbation will help to heal cracks and wounds faster.

To harden the anus, it is useful to carry out contrasting baths, sitting alternately in a cold and warm broth of medicinal herbs or ordinary water. Contrast procedures strengthen blood vessels and improve blood flow.

Decoctions

Treatment of hemorrhoids in the acute stage at home will be effective if you act on hemorrhoids both from the inside and outside. Review your diet and take healthy decoctions and infusions. They help improve intestinal motility, therefore, eliminate constipation. In addition, blood circulation improves, which is important for inflammation of hemorrhoids.

Decoction from the mountaineer of the cheeky: pour two tablespoons of boiling water on one tablespoon of grass. Leave to insist for six hours, but better all night. You need to take the drug three times a day for the third part of the glass, the volume of the glass is enough for a day.

Good at home helps a rosehip broth. Active substances contained in fruits heal wounds and strengthen the walls of veins. Preparation of broth: with a half liter of boiling water, pour one spoonful of dried rose hips, you can knead them in advance with a spoon. Insist an hour. Drink half a glass before meals.

Garlic candles

If an exacerbation of hemorrhoids has occurred, treatment at home can be carried out using garlic suppositories. They already at the first application give a result, disinfect the affected area, relieve pain. A clove of garlic must be cleaned and cut in half, after which you need to dip it in the interior fat or vegetable oil. Insert a garlic candle into the anus is best at night before bedtime.

Also, the garlic version can be prepared in the following way: grind 2-3 cloves using a blender or meat grinder, add a little softened butter. From the foil, you need to make cone-shaped molds and fill them with composition. Freeze in the freezer. Ready to use.

What hemorrhoids are called acute?

An acute attack of hemorrhoids is characterized by a sharp and sudden onset of symptoms of the disease, such as discomfort, pain, burning and itching in the anus. Moreover, acute hemorrhoid symptoms can appear both in a person who has never before suffered from hemorrhoids, and in a patient with a chronic course of this disease. In the first case, they talk about the system of form, and in the second - about the exacerbation of the chronic pathological process.

Thus, if the patient did not notice the manifestations of chronic hemorrhoids, then the pronounced symptoms of the acute stage of this disease will not allow itself to be left unnoticed.

Infringement of hemorrhoids

Internal hemorrhoids are diseases of the anus, which are characterized by varicose vessels of the submucosa of the rectum, which are located above the dentate line.

In the initial stages, the pathological process is asymptomatic, since the nodules are small and are constantly inside the anal canal. But, starting from the second stage of hemorrhoids, varicose veins of the rectum begin to sag through the anal ring. From the beginning, this happens only during bowel movements, and over time, and when sneezing, coughing, laughing, etc.

Outward nodules irritate the anal ring, resulting in muscle spasm. Spasmodic muscles of the anal valve compress the vessels supplying the nodes, which leads to impaired blood circulation, swelling and increased pain.

Illiterate and untimely treatment of acute hemorrhoids is fraught with the development of anorectal thrombosis, because blood stagnates in the strangulated cone, which thickens over time. In addition, prolonged pinching of the cone in the anal valve threatens to necrosis of its tissues, which requires only surgical treatment.

Infringement of hemorrhoids

Internal hemorrhoids are diseases of the anus, which are characterized by varicose vessels of the submucosa of the rectum, which are located above the dentate line.

In the initial stages, the pathological process is asymptomatic, since the nodules are small and are constantly inside the anal canal. But, starting from the second stage of hemorrhoids, varicose veins of the rectum begin to sag through the anal ring. From the beginning, this happens only during bowel movements, and over time, and when sneezing, coughing, laughing, etc.

Outward nodules irritate the anal ring, resulting in muscle spasm. Spasmodic muscles of the anal valve compress the vessels supplying the nodes, which leads to impaired blood circulation, swelling and increased pain.

Illiterate and untimely treatment of acute hemorrhoids is fraught with the development of anorectal thrombosis, because blood stagnates in the strangulated cone, which thickens over time. In addition, prolonged pinching of the cone in the anal valve threatens to necrosis of its tissues, which requires only surgical treatment.

Hemorrhoidal Thrombosis

Anorectal thrombosis (hemorrhoids thrombosis) is a complication of hemorrhoids, which is based on the formation of a blood clot inside a varicose vein of the rectum. This complication can develop both with external and with rectal hemorrhoids.

The blood clot that has formed inside the node presses on its walls and irritates the pain receptors, so the patient feels severe pain in the anus. Moreover, the pain syndrome is quite difficult to stop and this can be done only after the elimination of the thrombus.

Pain in the anus with anorectal thrombosis is permanent. Defecation provokes an increase in pain, so patients specifically suppress the urge to defecate. But this does not alleviate the condition, but only exacerbates it, because such a bear service leads to constipation.

What triggers the development of acute hemorrhoids?

We figured out the mechanism for the development of an acute attack of hemorrhoids, but what can provoke the appearance of pronounced symptoms of the disease. Specialists were able to identify a number of factors that individually or in combination contribute to exacerbation of hemorrhoids. The following belong to them:

  • excessive physical activity. This applies to loads that are associated with weight lifting, as they provoke an increase in pressure inside the abdominal cavity and overflow of hemorrhoids with blood,
  • disruption of the intestines. This refers to both constipation and diarrhea. In the first case, solid fecal lumps damage nodules, causing an acute attack of hemorrhoids. In addition, during constipation, the patient will push hard, which leads to an active flow of blood to the nodes. In the second case, liquid feces irritate the mucosa of the rectum and nodes, causing their inflammation,
  • errors in the diet. The use of smoked meats, marinades, pickles, donated and fatty foods contributes to the activation of blood flow to the rectum, which is undesirable for hemorrhoids,
  • drinking alcohol. Very often, gatherings after a glass of strong drink lead to exacerbation of hemorrhoids, since alcohol increases the pressure in the vessels of the anus,
  • lack of motor activity. Prolonged sitting in one position creates a fertile ground for hemorrhoids, since blood stagnates in the vessels of the rectum.

How does exacerbation of hemorrhoids manifest?

The main symptom of acute hemorrhoids is pain in the anus, and the pain is pulsating and twitching, and also increases with movements, bowel movements, coughing, sneezing, sitting on a hard surface and even when lying down.

Also, patients may complain of the following:

  • itching and burning in the anus,
  • discharge of blood from the rectum during bowel movements,
  • general weakness
  • fever
  • nausea
  • pain in the lower abdomen, tailbone and lower back.

In addition, an obligatory sign of an acute attack of hemorrhoids is the presence of an external and fallen internal node in the anus.

Symptoms of acute external hemorrhoids

The external hemorrhoids are clearly visible to the naked eye, since it is located near the anal ring. External nodules are covered with skin and look like a rounded painful seal with a bluish tinge. Such cones are characterized by severe swelling and inflammation, which can spread to neighboring tissues.

Symptoms of internal acute hemorrhoids

Internal hemorrhoids can be seen on their own only after they begin to fall out, and this is the second stage of the disease.

Internal nodules that have fallen out are also very painful and have signs of inflammation. Such cones differ from external hemorrhoids in that they are covered with the rectal mucosa, and not with the skin.

What is the danger of the acute stage of hemorrhoids?

In a patient with hemorrhoids, treatment of an acute attack should be started immediately after the onset of symptoms, since the lack of adequate therapy or its untimelyness threatens the development of life-threatening complications.

First of all, pinching or thrombosis of the node can result in tissue necrosis, which can only be removed surgically. In addition, the necrosis of the hemorrhoids is dangerous development of the infectious process, which in turn will lead to acute or chronic paraproctitis, and in a severe case, even to blood poisoning.

What triggers the development of acute hemorrhoids?

We figured out the mechanism for the development of an acute attack of hemorrhoids, but what can provoke the appearance of pronounced symptoms of the disease. Specialists were able to identify a number of factors that individually or in combination contribute to exacerbation of hemorrhoids. The following belong to them:

  • excessive physical activity.This applies to loads that are associated with weight lifting, as they provoke an increase in pressure inside the abdominal cavity and overflow of hemorrhoids with blood,
  • disruption of the intestines. This refers to both constipation and diarrhea. In the first case, solid fecal lumps damage nodules, causing an acute attack of hemorrhoids. In addition, during constipation, the patient will push hard, which leads to an active flow of blood to the nodes. In the second case, liquid feces irritate the mucosa of the rectum and nodes, causing their inflammation,
  • errors in the diet. The use of smoked meats, marinades, pickles, donated and fatty foods contributes to the activation of blood flow to the rectum, which is undesirable for hemorrhoids,
  • drinking alcohol. Very often, gatherings after a glass of strong drink lead to exacerbation of hemorrhoids, since alcohol increases the pressure in the vessels of the anus,
  • lack of motor activity. Prolonged sitting in one position creates a fertile ground for hemorrhoids, since blood stagnates in the vessels of the rectum.

How does exacerbation of hemorrhoids manifest?

The main symptom of acute hemorrhoids is pain in the anus, and the pain is pulsating and twitching, and also increases with movements, bowel movements, coughing, sneezing, sitting on a hard surface and even when lying down.

Also, patients may complain of the following:

  • itching and burning in the anus,
  • discharge of blood from the rectum during bowel movements,
  • general weakness
  • fever
  • nausea
  • pain in the lower abdomen, tailbone and lower back.

In addition, an obligatory sign of an acute attack of hemorrhoids is the presence of an external and fallen internal node in the anus.

Symptoms of acute external hemorrhoids

The external hemorrhoids are clearly visible to the naked eye, since it is located near the anal ring. External nodules are covered with skin and look like a rounded painful seal with a bluish tinge. Such cones are characterized by severe swelling and inflammation, which can spread to neighboring tissues.

Symptoms of internal acute hemorrhoids

Internal hemorrhoids can be seen on their own only after they begin to fall out, and this is the second stage of the disease.

Internal nodules that have fallen out are also very painful and have signs of inflammation. Such cones differ from external hemorrhoids in that they are covered with the rectal mucosa, and not with the skin.

What is the danger of the acute stage of hemorrhoids?

In a patient with hemorrhoids, treatment of an acute attack should be started immediately after the onset of symptoms, since the lack of adequate therapy or its untimelyness threatens the development of life-threatening complications.

First of all, pinching or thrombosis of the node can result in tissue necrosis, which can only be removed surgically. In addition, the necrosis of the hemorrhoids is dangerous development of the infectious process, which in turn will lead to acute or chronic paraproctitis, and in a severe case, even to blood poisoning.

How to determine that hemorrhoids have passed into the acute stage?

The appearance of severe pain in the anus and the presence of inflamed nodules in the anus allows the experienced proctologist to immediately make the correct diagnosis. The specialist also conducts rectal digital examination and anoscopy, but only after stopping the pain syndrome.

If necessary, additional studies can be prescribed, such as sigmoidoscopy, fibrocolonoscopy, ultrasound examination of the soft tissues of the anus, abdominal organs and others.

How to treat acute hemorrhoids?

The first question that interests patients with acute hemorrhoids is what to do and how to treat it. But in this case, any initiative is unacceptable.At the first signs of an acute attack of the disease, you need to contact a professional - a proctologist. In district clinics, this specialist is not always on staff, so his surgeon performs his duties.

The main objective of treatment for hemorrhoids, which is in the acute stage, is to relieve pain, which in turn will alleviate the patient's condition.

Treatment of hemorrhoids in the exacerbation phase can be medicamentous, surgical or combined, that is, combine the first two methods. Also, with the permission of the attending doctor, the main antihemorrhoid treatment can be supplemented with the use of folk remedies that will accelerate recovery.

Infringement of hemorrhoids

Internal hemorrhoids are diseases of the anus, which are characterized by varicose vessels of the submucosa of the rectum, which are located above the dentate line.

In the initial stages, the pathological process is asymptomatic, since the nodules are small and are constantly inside the anal canal. But, starting from the second stage of hemorrhoids, varicose veins of the rectum begin to sag through the anal ring. From the beginning, this happens only during bowel movements, and over time, and when sneezing, coughing, laughing, etc.

Outward nodules irritate the anal ring, resulting in muscle spasm. Spasmodic muscles of the anal valve compress the vessels supplying the nodes, which leads to impaired blood circulation, swelling and increased pain.

Illiterate and untimely treatment of acute hemorrhoids is fraught with the development of anorectal thrombosis, because blood stagnates in the strangulated cone, which thickens over time. In addition, prolonged pinching of the cone in the anal valve threatens to necrosis of its tissues, which requires only surgical treatment.

Hemorrhoidal Thrombosis

Anorectal thrombosis (hemorrhoids thrombosis) is a complication of hemorrhoids, which is based on the formation of a blood clot inside a varicose vein of the rectum. This complication can develop both with external and with rectal hemorrhoids.

The blood clot that has formed inside the node presses on its walls and irritates the pain receptors, so the patient feels severe pain in the anus. Moreover, the pain syndrome is quite difficult to stop and this can be done only after the elimination of the thrombus.

Pain in the anus with anorectal thrombosis is permanent. Defecation provokes an increase in pain, so patients specifically suppress the urge to defecate. But this does not alleviate the condition, but only exacerbates it, because such a bear service leads to constipation.

What triggers the development of acute hemorrhoids?

We figured out the mechanism for the development of an acute attack of hemorrhoids, but what can provoke the appearance of pronounced symptoms of the disease. Specialists were able to identify a number of factors that individually or in combination contribute to exacerbation of hemorrhoids. The following belong to them:

  • excessive physical activity. This applies to loads that are associated with weight lifting, as they provoke an increase in pressure inside the abdominal cavity and overflow of hemorrhoids with blood,
  • disruption of the intestines. This refers to both constipation and diarrhea. In the first case, solid fecal lumps damage nodules, causing an acute attack of hemorrhoids. In addition, during constipation, the patient will push hard, which leads to an active flow of blood to the nodes. In the second case, liquid feces irritate the mucosa of the rectum and nodes, causing their inflammation,
  • errors in the diet. The use of smoked meats, marinades, pickles, donated and fatty foods contributes to the activation of blood flow to the rectum, which is undesirable for hemorrhoids,
  • drinking alcohol. Very often, gatherings after a glass of strong drink lead to exacerbation of hemorrhoids, since alcohol increases the pressure in the vessels of the anus,
  • lack of motor activity. Prolonged sitting in one position creates a fertile ground for hemorrhoids, since blood stagnates in the vessels of the rectum.

How does exacerbation of hemorrhoids manifest?

The main symptom of acute hemorrhoids is pain in the anus, and the pain is pulsating and twitching, and also increases with movements, bowel movements, coughing, sneezing, sitting on a hard surface and even when lying down.

Also, patients may complain of the following:

  • itching and burning in the anus,
  • discharge of blood from the rectum during bowel movements,
  • general weakness
  • fever
  • nausea
  • pain in the lower abdomen, tailbone and lower back.

In addition, an obligatory sign of an acute attack of hemorrhoids is the presence of an external and fallen internal node in the anus.

Symptoms of acute external hemorrhoids

The external hemorrhoids are clearly visible to the naked eye, since it is located near the anal ring. External nodules are covered with skin and look like a rounded painful seal with a bluish tinge. Such cones are characterized by severe swelling and inflammation, which can spread to neighboring tissues.

Symptoms of internal acute hemorrhoids

Internal hemorrhoids can be seen on their own only after they begin to fall out, and this is the second stage of the disease.

Internal nodules that have fallen out are also very painful and have signs of inflammation. Such cones differ from external hemorrhoids in that they are covered with the rectal mucosa, and not with the skin.

What is the danger of the acute stage of hemorrhoids?

In a patient with hemorrhoids, treatment of an acute attack should be started immediately after the onset of symptoms, since the lack of adequate therapy or its untimelyness threatens the development of life-threatening complications.

First of all, pinching or thrombosis of the node can result in tissue necrosis, which can only be removed surgically. In addition, the necrosis of the hemorrhoids is dangerous development of the infectious process, which in turn will lead to acute or chronic paraproctitis, and in a severe case, even to blood poisoning.

How to determine that hemorrhoids have passed into the acute stage?

The appearance of severe pain in the anus and the presence of inflamed nodules in the anus allows the experienced proctologist to immediately make the correct diagnosis. The specialist also conducts rectal digital examination and anoscopy, but only after stopping the pain syndrome.

If necessary, additional studies can be prescribed, such as sigmoidoscopy, fibrocolonoscopy, ultrasound examination of the soft tissues of the anus, abdominal organs and others.

How to treat acute hemorrhoids?

The first question that interests patients with acute hemorrhoids is what to do and how to treat it. But in this case, any initiative is unacceptable. At the first signs of an acute attack of the disease, you need to contact a professional - a proctologist. In district clinics, this specialist is not always on staff, so his surgeon performs his duties.

The main objective of treatment for hemorrhoids, which is in the acute stage, is to relieve pain, which in turn will alleviate the patient's condition.

Treatment of hemorrhoids in the exacerbation phase can be medicamentous, surgical or combined, that is, combine the first two methods. Also, with the permission of the attending doctor, the main antihemorrhoid treatment can be supplemented with the use of folk remedies that will accelerate recovery.

Drug therapy

To stop pain in the anus, specialists use drugs that contain anti-inflammatory substances and local anesthetics. The choice of drug is based on the type of hemorrhoids.

With external hemorrhoids, ointments, gels or creams are used, and with rectal localization of the pathological process, rectal suppositories. Also, tablets are prescribed to treat an acute attack of the disease, but local dosage forms allow you to quickly achieve the desired result.

With internal hemorrhoids, the following candles are most effective:

  • Proctosan
  • Procto-glivenol,
  • Relief Advance,
  • Anestezol.

The listed rectal suppositories contain local anesthetics, which quickly relieve soreness, itching and burning in the anus. Rectal inserts can also be used, which include belladonna extract, which has pronounced antispasmodic and analgesic effects.

With a pronounced inflammatory process in the anus, the preference is given to suppositories that contain hormonal substances, since they have strong anti-inflammatory, antipruritic and decongestant therapeutic effects. Such drugs are Proctosedil M suppositories, Relief Ultra and Ultraproct.

With anorectal thrombosis, it becomes necessary to use drugs with heparin, which belongs to anticoagulants, that is, it resolves blood clots. In this case, the candles of choice can be Hepatrombin G and Nigepan.

With anorectal thrombosis, ointments such as Hepatrombin G, Troxevasin or heparin ointment are prescribed. If the attack is accompanied by severe pain, ointments Relif Advance, Proctosedil, Ultraproct, Aurobin and others can be used.

Local antihemorrhoid therapy is combined with the use of tablet preparations that have phlebotonizing and angioprotective therapeutic effects, namely:

The listed drugs increase the tone of the veins of the anus and directly affect the cause of hemorrhoids - venous insufficiency.

With severe pain syndrome, a proctologist may prescribe painkillers such as Pentalgin, Nimesil, Ketanov, Ibuprofen and others to alleviate the patient’s condition. If painkillers are ineffective, novocaine blockade can be performed.

If an acute attack of hemorrhoids is accompanied by constipation, laxatives are used, the most effective of which are Dufolac and Normase.

Infringement of hemorrhoids

Internal hemorrhoids are diseases of the anus, which are characterized by varicose vessels of the submucosa of the rectum, which are located above the dentate line.

In the initial stages, the pathological process is asymptomatic, since the nodules are small and are constantly inside the anal canal. But, starting from the second stage of hemorrhoids, varicose veins of the rectum begin to sag through the anal ring. From the beginning, this happens only during bowel movements, and over time, and when sneezing, coughing, laughing, etc.

Outward nodules irritate the anal ring, resulting in muscle spasm. Spasmodic muscles of the anal valve compress the vessels supplying the nodes, which leads to impaired blood circulation, swelling and increased pain.

Illiterate and untimely treatment of acute hemorrhoids is fraught with the development of anorectal thrombosis, because blood stagnates in the strangulated cone, which thickens over time. In addition, prolonged pinching of the cone in the anal valve threatens to necrosis of its tissues, which requires only surgical treatment.

Hemorrhoidal Thrombosis

Anorectal thrombosis (hemorrhoids thrombosis) is a complication of hemorrhoids, which is based on the formation of a blood clot inside a varicose vein of the rectum. This complication can develop both with external and with rectal hemorrhoids.

The blood clot that has formed inside the node presses on its walls and irritates the pain receptors, so the patient feels severe pain in the anus. Moreover, the pain syndrome is quite difficult to stop and this can be done only after the elimination of the thrombus.

Pain in the anus with anorectal thrombosis is permanent. Defecation provokes an increase in pain, so patients specifically suppress the urge to defecate. But this does not alleviate the condition, but only exacerbates it, because such a bear service leads to constipation.

What triggers the development of acute hemorrhoids?

We figured out the mechanism for the development of an acute attack of hemorrhoids, but what can provoke the appearance of pronounced symptoms of the disease. Specialists were able to identify a number of factors that individually or in combination contribute to exacerbation of hemorrhoids. The following belong to them:

  • excessive physical activity. This applies to loads that are associated with weight lifting, as they provoke an increase in pressure inside the abdominal cavity and overflow of hemorrhoids with blood,
  • disruption of the intestines. This refers to both constipation and diarrhea. In the first case, solid fecal lumps damage nodules, causing an acute attack of hemorrhoids. In addition, during constipation, the patient will push hard, which leads to an active flow of blood to the nodes. In the second case, liquid feces irritate the mucosa of the rectum and nodes, causing their inflammation,
  • errors in the diet. The use of smoked meats, marinades, pickles, donated and fatty foods contributes to the activation of blood flow to the rectum, which is undesirable for hemorrhoids,
  • drinking alcohol. Very often, gatherings after a glass of strong drink lead to exacerbation of hemorrhoids, since alcohol increases the pressure in the vessels of the anus,
  • lack of motor activity. Prolonged sitting in one position creates a fertile ground for hemorrhoids, since blood stagnates in the vessels of the rectum.

How does exacerbation of hemorrhoids manifest?

The main symptom of acute hemorrhoids is pain in the anus, and the pain is pulsating and twitching, and also increases with movements, bowel movements, coughing, sneezing, sitting on a hard surface and even when lying down.

Also, patients may complain of the following:

  • itching and burning in the anus,
  • discharge of blood from the rectum during bowel movements,
  • general weakness
  • fever
  • nausea
  • pain in the lower abdomen, tailbone and lower back.

In addition, an obligatory sign of an acute attack of hemorrhoids is the presence of an external and fallen internal node in the anus.

Symptoms of acute external hemorrhoids

The external hemorrhoids are clearly visible to the naked eye, since it is located near the anal ring. External nodules are covered with skin and look like a rounded painful seal with a bluish tinge. Such cones are characterized by severe swelling and inflammation, which can spread to neighboring tissues.

Symptoms of internal acute hemorrhoids

Internal hemorrhoids can be seen on their own only after they begin to fall out, and this is the second stage of the disease.

Internal nodules that have fallen out are also very painful and have signs of inflammation. Such cones differ from external hemorrhoids in that they are covered with the rectal mucosa, and not with the skin.

What is the danger of the acute stage of hemorrhoids?

In a patient with hemorrhoids, treatment of an acute attack should be started immediately after the onset of symptoms, since the lack of adequate therapy or its untimelyness threatens the development of life-threatening complications.

First of all, pinching or thrombosis of the node can result in tissue necrosis, which can only be removed surgically. In addition, the necrosis of the hemorrhoids is dangerous development of the infectious process, which in turn will lead to acute or chronic paraproctitis, and in a severe case, even to blood poisoning.

How to determine that hemorrhoids have passed into the acute stage?

The appearance of severe pain in the anus and the presence of inflamed nodules in the anus allows the experienced proctologist to immediately make the correct diagnosis. The specialist also conducts rectal digital examination and anoscopy, but only after stopping the pain syndrome.

If necessary, additional studies can be prescribed, such as sigmoidoscopy, fibrocolonoscopy, ultrasound examination of the soft tissues of the anus, abdominal organs and others.

How to treat acute hemorrhoids?

The first question that interests patients with acute hemorrhoids is what to do and how to treat it. But in this case, any initiative is unacceptable. At the first signs of an acute attack of the disease, you need to contact a professional - a proctologist. In district clinics, this specialist is not always on staff, so his surgeon performs his duties.

The main objective of treatment for hemorrhoids, which is in the acute stage, is to relieve pain, which in turn will alleviate the patient's condition.

Treatment of hemorrhoids in the exacerbation phase can be medicamentous, surgical or combined, that is, combine the first two methods. Also, with the permission of the attending doctor, the main antihemorrhoid treatment can be supplemented with the use of folk remedies that will accelerate recovery.

Drug therapy

To stop pain in the anus, specialists use drugs that contain anti-inflammatory substances and local anesthetics. The choice of drug is based on the type of hemorrhoids.

With external hemorrhoids, ointments, gels or creams are used, and with rectal localization of the pathological process, rectal suppositories. Also, tablets are prescribed to treat an acute attack of the disease, but local dosage forms allow you to quickly achieve the desired result.

With internal hemorrhoids, the following candles are most effective:

  • Proctosan
  • Procto-glivenol,
  • Relief Advance,
  • Anestezol.

The listed rectal suppositories contain local anesthetics, which quickly relieve soreness, itching and burning in the anus. Rectal inserts can also be used, which include belladonna extract, which has pronounced antispasmodic and analgesic effects.

With a pronounced inflammatory process in the anus, the preference is given to suppositories that contain hormonal substances, since they have strong anti-inflammatory, antipruritic and decongestant therapeutic effects. Such drugs are Proctosedil M suppositories, Relief Ultra and Ultraproct.

With anorectal thrombosis, it becomes necessary to use drugs with heparin, which belongs to anticoagulants, that is, it resolves blood clots. In this case, the candles of choice can be Hepatrombin G and Nigepan.

With anorectal thrombosis, ointments such as Hepatrombin G, Troxevasin or heparin ointment are prescribed. If the attack is accompanied by severe pain, ointments Relif Advance, Proctosedil, Ultraproct, Aurobin and others can be used.

Local antihemorrhoid therapy is combined with the use of tablet preparations that have phlebotonizing and angioprotective therapeutic effects, namely:

The listed drugs increase the tone of the veins of the anus and directly affect the cause of hemorrhoids - venous insufficiency.

With severe pain syndrome, a proctologist may prescribe painkillers such as Pentalgin, Nimesil, Ketanov, Ibuprofen and others to alleviate the patient’s condition. If painkillers are ineffective, novocaine blockade can be performed.

If an acute attack of hemorrhoids is accompanied by constipation, laxatives are used, the most effective of which are Dufolac and Normase.

Surgical treatments

In cases where conservative therapy is powerless, the specialist considers the issue of surgical intervention. When choosing a method of operation, the advantage is given to minimally invasive techniques, since they are painless, quickly performed and do not require a long rehabilitation period.

With anorectal thrombosis, a thrombectomy operation is performed, during which a hemorrhoids are opened and a thrombus is removed.

After stopping the acute inflammatory process, the following minimally invasive operations can be performed:

  • sclerosing of nodes, when a substance is glued into the hemorrhoids with a needle, which glues its walls,
  • ligation of nodes with latex rings, when a latex ring is pushed onto the neck of the nodule with a ligator, which compresses the vessels supplying the formation, as a result of which it dies,
  • cryodestruction of the hemorrhoids when it is destroyed using liquid nitrogen,
  • deserterization of the hemorrhoids, when the vessels that supply it with blood are tied with thread,
  • photocoagulation and laser coagulation when nodules fall off when exposed to infrared / laser beams.

In contrast to minimally invasive surgical techniques, hemorrhoidectomy is performed only in a hospital under general anesthesia and requires long-term rehabilitation. Therefore, you do not need to bring your state to extremes and seek help from specialists in the early stages of hemorrhoids.

Infringement of hemorrhoids

Internal hemorrhoids are diseases of the anus, which are characterized by varicose vessels of the submucosa of the rectum, which are located above the dentate line.

In the initial stages, the pathological process is asymptomatic, since the nodules are small and are constantly inside the anal canal. But, starting from the second stage of hemorrhoids, varicose veins of the rectum begin to sag through the anal ring. From the beginning, this happens only during bowel movements, and over time, and when sneezing, coughing, laughing, etc.

Outward nodules irritate the anal ring, resulting in muscle spasm. Spasmodic muscles of the anal valve compress the vessels supplying the nodes, which leads to impaired blood circulation, swelling and increased pain.

Illiterate and untimely treatment of acute hemorrhoids is fraught with the development of anorectal thrombosis, because blood stagnates in the strangulated cone, which thickens over time. In addition, prolonged pinching of the cone in the anal valve threatens to necrosis of its tissues, which requires only surgical treatment.

Hemorrhoidal Thrombosis

Anorectal thrombosis (hemorrhoids thrombosis) is a complication of hemorrhoids, which is based on the formation of a blood clot inside a varicose vein of the rectum. This complication can develop both with external and with rectal hemorrhoids.

The blood clot that has formed inside the node presses on its walls and irritates the pain receptors, so the patient feels severe pain in the anus. Moreover, the pain syndrome is quite difficult to stop and this can be done only after the elimination of the thrombus.

Pain in the anus with anorectal thrombosis is permanent. Defecation provokes an increase in pain, so patients specifically suppress the urge to defecate. But this does not alleviate the condition, but only exacerbates it, because such a bear service leads to constipation.

What triggers the development of acute hemorrhoids?

We figured out the mechanism for the development of an acute attack of hemorrhoids, but what can provoke the appearance of pronounced symptoms of the disease. Specialists were able to identify a number of factors that individually or in combination contribute to exacerbation of hemorrhoids. The following belong to them:

  • excessive physical activity. This applies to loads that are associated with weight lifting, as they provoke an increase in pressure inside the abdominal cavity and overflow of hemorrhoids with blood,
  • disruption of the intestines. This refers to both constipation and diarrhea. In the first case, solid fecal lumps damage nodules, causing an acute attack of hemorrhoids. In addition, during constipation, the patient will push hard, which leads to an active flow of blood to the nodes. In the second case, liquid feces irritate the mucosa of the rectum and nodes, causing their inflammation,
  • errors in the diet. The use of smoked meats, marinades, pickles, donated and fatty foods contributes to the activation of blood flow to the rectum, which is undesirable for hemorrhoids,
  • drinking alcohol. Very often, gatherings after a glass of strong drink lead to exacerbation of hemorrhoids, since alcohol increases the pressure in the vessels of the anus,
  • lack of motor activity. Prolonged sitting in one position creates a fertile ground for hemorrhoids, since blood stagnates in the vessels of the rectum.

How does exacerbation of hemorrhoids manifest?

The main symptom of acute hemorrhoids is pain in the anus, and the pain is pulsating and twitching, and also increases with movements, bowel movements, coughing, sneezing, sitting on a hard surface and even when lying down.

Also, patients may complain of the following:

  • itching and burning in the anus,
  • discharge of blood from the rectum during bowel movements,
  • general weakness
  • fever
  • nausea
  • pain in the lower abdomen, tailbone and lower back.

In addition, an obligatory sign of an acute attack of hemorrhoids is the presence of an external and fallen internal node in the anus.

Symptoms of acute external hemorrhoids

The external hemorrhoids are clearly visible to the naked eye, since it is located near the anal ring. External nodules are covered with skin and look like a rounded painful seal with a bluish tinge. Such cones are characterized by severe swelling and inflammation, which can spread to neighboring tissues.

Symptoms of internal acute hemorrhoids

Internal hemorrhoids can be seen on their own only after they begin to fall out, and this is the second stage of the disease.

Internal nodules that have fallen out are also very painful and have signs of inflammation. Such cones differ from external hemorrhoids in that they are covered with the rectal mucosa, and not with the skin.

What is the danger of the acute stage of hemorrhoids?

In a patient with hemorrhoids, treatment of an acute attack should be started immediately after the onset of symptoms, since the lack of adequate therapy or its untimelyness threatens the development of life-threatening complications.

First of all, pinching or thrombosis of the node can result in tissue necrosis, which can only be removed surgically.In addition, the necrosis of the hemorrhoids is dangerous development of the infectious process, which in turn will lead to acute or chronic paraproctitis, and in a severe case, even to blood poisoning.

How to determine that hemorrhoids have passed into the acute stage?

The appearance of severe pain in the anus and the presence of inflamed nodules in the anus allows the experienced proctologist to immediately make the correct diagnosis. The specialist also conducts rectal digital examination and anoscopy, but only after stopping the pain syndrome.

If necessary, additional studies can be prescribed, such as sigmoidoscopy, fibrocolonoscopy, ultrasound examination of the soft tissues of the anus, abdominal organs and others.

How to treat acute hemorrhoids?

The first question that interests patients with acute hemorrhoids is what to do and how to treat it. But in this case, any initiative is unacceptable. At the first signs of an acute attack of the disease, you need to contact a professional - a proctologist. In district clinics, this specialist is not always on staff, so his surgeon performs his duties.

The main objective of treatment for hemorrhoids, which is in the acute stage, is to relieve pain, which in turn will alleviate the patient's condition.

Treatment of hemorrhoids in the exacerbation phase can be medicamentous, surgical or combined, that is, combine the first two methods. Also, with the permission of the attending doctor, the main antihemorrhoid treatment can be supplemented with the use of folk remedies that will accelerate recovery.

Drug therapy

To stop pain in the anus, specialists use drugs that contain anti-inflammatory substances and local anesthetics. The choice of drug is based on the type of hemorrhoids.

With external hemorrhoids, ointments, gels or creams are used, and with rectal localization of the pathological process, rectal suppositories. Also, tablets are prescribed to treat an acute attack of the disease, but local dosage forms allow you to quickly achieve the desired result.

With internal hemorrhoids, the following candles are most effective:

  • Proctosan
  • Procto-glivenol,
  • Relief Advance,
  • Anestezol.

The listed rectal suppositories contain local anesthetics, which quickly relieve soreness, itching and burning in the anus. Rectal inserts can also be used, which include belladonna extract, which has pronounced antispasmodic and analgesic effects.

With a pronounced inflammatory process in the anus, the preference is given to suppositories that contain hormonal substances, since they have strong anti-inflammatory, antipruritic and decongestant therapeutic effects. Such drugs are Proctosedil M suppositories, Relief Ultra and Ultraproct.

With anorectal thrombosis, it becomes necessary to use drugs with heparin, which belongs to anticoagulants, that is, it resolves blood clots. In this case, the candles of choice can be Hepatrombin G and Nigepan.

With anorectal thrombosis, ointments such as Hepatrombin G, Troxevasin or heparin ointment are prescribed. If the attack is accompanied by severe pain, ointments Relif Advance, Proctosedil, Ultraproct, Aurobin and others can be used.

Local antihemorrhoid therapy is combined with the use of tablet preparations that have phlebotonizing and angioprotective therapeutic effects, namely:

The listed drugs increase the tone of the veins of the anus and directly affect the cause of hemorrhoids - venous insufficiency.

With severe pain syndrome, a proctologist may prescribe painkillers such as Pentalgin, Nimesil, Ketanov, Ibuprofen and others to alleviate the patient’s condition. If painkillers are ineffective, novocaine blockade can be performed.

If an acute attack of hemorrhoids is accompanied by constipation, laxatives are used, the most effective of which are Dufolac and Normase.

Surgical treatments

In cases where conservative therapy is powerless, the specialist considers the issue of surgical intervention. When choosing a method of operation, the advantage is given to minimally invasive techniques, since they are painless, quickly performed and do not require a long rehabilitation period.

With anorectal thrombosis, a thrombectomy operation is performed, during which a hemorrhoids are opened and a thrombus is removed.

After stopping the acute inflammatory process, the following minimally invasive operations can be performed:

  • sclerosing of nodes, when a substance is glued into the hemorrhoids with a needle, which glues its walls,
  • ligation of nodes with latex rings, when a latex ring is pushed onto the neck of the nodule with a ligator, which compresses the vessels supplying the formation, as a result of which it dies,
  • cryodestruction of the hemorrhoids when it is destroyed using liquid nitrogen,
  • deserterization of the hemorrhoids, when the vessels that supply it with blood are tied with thread,
  • photocoagulation and laser coagulation when nodules fall off when exposed to infrared / laser beams.

In contrast to minimally invasive surgical techniques, hemorrhoidectomy is performed only in a hospital under general anesthesia and requires long-term rehabilitation. Therefore, you do not need to bring your state to extremes and seek help from specialists in the early stages of hemorrhoids.

Traditional medicine

As we have already said, folk remedies can be used only by agreement with the treating doctor and only as a supplement to the main antihemorrhoid treatment, since it is impossible to get rid of hemorrhoids only with the help of traditional medicine.

The following folk remedies will help alleviate the condition and accelerate recovery in an acute attack of hemorrhoids:

  • sea ​​buckthorn oil. This natural medicine can be used in the form of an ointment, lubricating the external cones with it, or applied rectally, soaking it with a cotton swab,
  • ice candles. For the preparation of such candles, ordinary water or decoctions of medicinal plants, such as nettle, yarrow oak bark, chamomile, grass, and others, are used. The effectiveness of using herbal decoctions in this case will be higher,
  • raw potato rectal inserts. Small cylinders cut from potatoes are inserted into the anus 1-2 times a day. Starch released from such suppositories perfectly stops bleeding and relieves inflammation,
  • cool baths. For baths, you can use cool solutions of potassium permanganate, sea salt, mummies or infusions of medicinal plants. With this procedure, you can quickly stop bleeding, relieve pain and inflammation in the anus.

There are many more popular ways to treat hemorrhoids, but remember that they can only be used after consulting a professional.

What triggers the development of acute hemorrhoids?

We figured out the mechanism for the development of an acute attack of hemorrhoids, but what can provoke the appearance of pronounced symptoms of the disease. Specialists were able to identify a number of factors that individually or in combination contribute to exacerbation of hemorrhoids. The following belong to them:

  • excessive physical activity.This applies to loads that are associated with weight lifting, as they provoke an increase in pressure inside the abdominal cavity and overflow of hemorrhoids with blood,
  • disruption of the intestines. This refers to both constipation and diarrhea. In the first case, solid fecal lumps damage nodules, causing an acute attack of hemorrhoids. In addition, during constipation, the patient will push hard, which leads to an active flow of blood to the nodes. In the second case, liquid feces irritate the mucosa of the rectum and nodes, causing their inflammation,
  • errors in the diet. The use of smoked meats, marinades, pickles, donated and fatty foods contributes to the activation of blood flow to the rectum, which is undesirable for hemorrhoids,
  • drinking alcohol. Very often, gatherings after a glass of strong drink lead to exacerbation of hemorrhoids, since alcohol increases the pressure in the vessels of the anus,
  • lack of motor activity. Prolonged sitting in one position creates a fertile ground for hemorrhoids, since blood stagnates in the vessels of the rectum.

How does exacerbation of hemorrhoids manifest?

The main symptom of acute hemorrhoids is pain in the anus, and the pain is pulsating and twitching, and also increases with movements, bowel movements, coughing, sneezing, sitting on a hard surface and even when lying down.

Also, patients may complain of the following:

  • itching and burning in the anus,
  • discharge of blood from the rectum during bowel movements,
  • general weakness
  • fever
  • nausea
  • pain in the lower abdomen, tailbone and lower back.

In addition, an obligatory sign of an acute attack of hemorrhoids is the presence of an external and fallen internal node in the anus.

Symptoms of acute external hemorrhoids

The external hemorrhoids are clearly visible to the naked eye, since it is located near the anal ring. External nodules are covered with skin and look like a rounded painful seal with a bluish tinge. Such cones are characterized by severe swelling and inflammation, which can spread to neighboring tissues.

Symptoms of internal acute hemorrhoids

Internal hemorrhoids can be seen on their own only after they begin to fall out, and this is the second stage of the disease.

Internal nodules that have fallen out are also very painful and have signs of inflammation. Such cones differ from external hemorrhoids in that they are covered with the rectal mucosa, and not with the skin.

What is the danger of the acute stage of hemorrhoids?

In a patient with hemorrhoids, treatment of an acute attack should be started immediately after the onset of symptoms, since the lack of adequate therapy or its untimelyness threatens the development of life-threatening complications.

First of all, pinching or thrombosis of the node can result in tissue necrosis, which can only be removed surgically. In addition, the necrosis of the hemorrhoids is dangerous development of the infectious process, which in turn will lead to acute or chronic paraproctitis, and in a severe case, even to blood poisoning.

How to determine that hemorrhoids have passed into the acute stage?

The appearance of severe pain in the anus and the presence of inflamed nodules in the anus allows the experienced proctologist to immediately make the correct diagnosis. The specialist also conducts rectal digital examination and anoscopy, but only after stopping the pain syndrome.

If necessary, additional studies can be prescribed, such as sigmoidoscopy, fibrocolonoscopy, ultrasound examination of the soft tissues of the anus, abdominal organs and others.

How to treat acute hemorrhoids?

The first question that interests patients with acute hemorrhoids is what to do and how to treat it. But in this case, any initiative is unacceptable.At the first signs of an acute attack of the disease, you need to contact a professional - a proctologist. In district clinics, this specialist is not always on staff, so his surgeon performs his duties.

The main objective of treatment for hemorrhoids, which is in the acute stage, is to relieve pain, which in turn will alleviate the patient's condition.

Treatment of hemorrhoids in the exacerbation phase can be medicamentous, surgical or combined, that is, combine the first two methods. Also, with the permission of the attending doctor, the main antihemorrhoid treatment can be supplemented with the use of folk remedies that will accelerate recovery.

Drug therapy

To stop pain in the anus, specialists use drugs that contain anti-inflammatory substances and local anesthetics. The choice of drug is based on the type of hemorrhoids.

With external hemorrhoids, ointments, gels or creams are used, and with rectal localization of the pathological process, rectal suppositories. Also, tablets are prescribed to treat an acute attack of the disease, but local dosage forms allow you to quickly achieve the desired result.

With internal hemorrhoids, the following candles are most effective:

  • Proctosan
  • Procto-glivenol,
  • Relief Advance,
  • Anestezol.

The listed rectal suppositories contain local anesthetics, which quickly relieve soreness, itching and burning in the anus. Rectal inserts can also be used, which include belladonna extract, which has pronounced antispasmodic and analgesic effects.

With a pronounced inflammatory process in the anus, the preference is given to suppositories that contain hormonal substances, since they have strong anti-inflammatory, antipruritic and decongestant therapeutic effects. Such drugs are Proctosedil M suppositories, Relief Ultra and Ultraproct.

With anorectal thrombosis, it becomes necessary to use drugs with heparin, which belongs to anticoagulants, that is, it resolves blood clots. In this case, the candles of choice can be Hepatrombin G and Nigepan.

With anorectal thrombosis, ointments such as Hepatrombin G, Troxevasin or heparin ointment are prescribed. If the attack is accompanied by severe pain, ointments Relif Advance, Proctosedil, Ultraproct, Aurobin and others can be used.

Local antihemorrhoid therapy is combined with the use of tablet preparations that have phlebotonizing and angioprotective therapeutic effects, namely:

The listed drugs increase the tone of the veins of the anus and directly affect the cause of hemorrhoids - venous insufficiency.

With severe pain syndrome, a proctologist may prescribe painkillers such as Pentalgin, Nimesil, Ketanov, Ibuprofen and others to alleviate the patient’s condition. If painkillers are ineffective, novocaine blockade can be performed.

If an acute attack of hemorrhoids is accompanied by constipation, laxatives are used, the most effective of which are Dufolac and Normase.

Surgical treatments

In cases where conservative therapy is powerless, the specialist considers the issue of surgical intervention. When choosing a method of operation, the advantage is given to minimally invasive techniques, since they are painless, quickly performed and do not require a long rehabilitation period.

With anorectal thrombosis, a thrombectomy operation is performed, during which a hemorrhoids are opened and a thrombus is removed.

After stopping the acute inflammatory process, the following minimally invasive operations can be performed:

  • sclerosing of nodes, when a substance is glued into the hemorrhoids with a needle, which glues its walls,
  • ligation of nodes with latex rings, when a latex ring is pushed onto the neck of the nodule with a ligator, which compresses the vessels supplying the formation, as a result of which it dies,
  • cryodestruction of the hemorrhoids when it is destroyed using liquid nitrogen,
  • deserterization of the hemorrhoids, when the vessels that supply it with blood are tied with thread,
  • photocoagulation and laser coagulation when nodules fall off when exposed to infrared / laser beams.

In contrast to minimally invasive surgical techniques, hemorrhoidectomy is performed only in a hospital under general anesthesia and requires long-term rehabilitation. Therefore, you do not need to bring your state to extremes and seek help from specialists in the early stages of hemorrhoids.

Traditional medicine

As we have already said, folk remedies can be used only by agreement with the treating doctor and only as a supplement to the main antihemorrhoid treatment, since it is impossible to get rid of hemorrhoids only with the help of traditional medicine.

The following folk remedies will help alleviate the condition and accelerate recovery in an acute attack of hemorrhoids:

  • sea ​​buckthorn oil. This natural medicine can be used in the form of an ointment, lubricating the external cones with it, or applied rectally, soaking it with a cotton swab,
  • ice candles. For the preparation of such candles, ordinary water or decoctions of medicinal plants, such as nettle, yarrow oak bark, chamomile, grass, and others, are used. The effectiveness of using herbal decoctions in this case will be higher,
  • raw potato rectal inserts. Small cylinders cut from potatoes are inserted into the anus 1-2 times a day. Starch released from such suppositories perfectly stops bleeding and relieves inflammation,
  • cool baths. For baths, you can use cool solutions of potassium permanganate, sea salt, mummies or infusions of medicinal plants. With this procedure, you can quickly stop bleeding, relieve pain and inflammation in the anus.

There are many more popular ways to treat hemorrhoids, but remember that they can only be used after consulting a professional.

How to eat with acute hemorrhoids?

Since errors in nutrition are a provocative factor in an acute attack of hemorrhoids, a diet is a mandatory component of antihemorrhoid treatment.

When drawing up a menu, a hemorrhoid patient should be guided by the following rules:

  • smoked foods, pickles, marinades, fatty and fried foods are excluded from the diet, and sweets, bakery and pasta are also limited,
  • it is not recommended to use products that support the fermentation processes in the intestines - cabbage, grapes, radish, radish, fat cottage cheese and others,
  • most of the menu should consist of foods that are rich in fiber. These include cereals, vegetables, fruits, bran,
  • be sure to include dairy products with a low percentage of fat content in the diet,
  • a single serving of food should not exceed 300 grams,
  • compliance with the drinking regime - 8-10 glasses of pure water per day,
  • complete rejection of alcohol.

Compliance with these rules will help alleviate acute symptoms, prevent constipation and accelerate recovery.

How to prevent exacerbation of hemorrhoids?

Prevention of the appearance of acute symptoms of hemorrhoids is not at all complicated and consists in the following:

  • increased physical activity due to sports (swimming, walking, running, gymnastics), as well as performing warm-ups during active sedentary work,
  • a healthy and balanced diet that complies with the above rules,
  • rejection of bad habits,
  • compliance with the rules of hygiene of the anus, and in particular the replacement of the use of toilet paper by raising water at room temperature,
  • timely access to a proctologist at the first sign of hemorrhoids.

The causes of the disease

Chronic hemorrhoids can worsen from time to time. The most common causes of exacerbation of hemorrhoids in men are:

  • weight lifting
  • weightlifting,
  • any physical work performed with muscle tension,
  • eating spicy, smoked, sour and salted foods,
  • alcohol abuse
  • constipation
  • sedentary work,
  • sedentary lifestyle,
  • individual structural features of the rectum (thin walls of the intestine and veins, structural features and location of the veins),
  • psychological stress, stress, nervous tension.

According to medical statistics, both men and women suffer from hemorrhoids. But in men, this disease is more common.

After the first visit to a doctor and the course of treatment, a man must change a lot in habits and lifestyle. Do not refuse the proposed course of treatment, since each subsequent complication is often stronger than the previous one.

Manifestations of the disease in men

In chronic hemorrhoids, the nodes are located inside the rectum (with internal hemorrhoids), or in the anus (with external hemorrhoids).

They are constantly filled with blood.

Exacerbation of chronic hemorrhoids may begin suddenly.

Symptoms of exacerbation are the symptoms listed below (two or more at the same time).

  1. An increase in hemorrhoids.
  2. Soreness and high sensitivity of hemorrhoids.
  3. Severe pain in the rectum, anus, tissues surrounding them.
  4. Bleeding from damaged hemorrhoid cones.
  5. Iron deficiency anemia with severe bleeding.
  6. Inflammation of the mucous membrane of the rectum and surrounding tissues.
  7. Pinched hemorrhoids in the anus.
  8. Thrombosis of hemorrhoidal nodes (clogging of dilated veins with blood clots).
  9. Prolapse of nodes from the anus.
  10. Ulceration of the surface of the nodes, necrosis of tissues and mucous membranes.
  11. Sepsis as a consequence of infection of nodes and adjacent tissues.

Blood during bowel movements - not uncommon with exacerbation of the disease. During this period, enlarged nodes are easily injured by feces. The nodes are broken and the patient sees scarlet or dark blood in the feces. If during the attenuation of a chronic disease of the blood a little (or not at all), then with exacerbation of hemorrhoids, blood is present in large quantities. Bleeding from hemorrhoids can be strong and prolonged.

In men, severe bleeding from the rectum occurs more often than in women. Systematic blood loss causes iron deficiency anemia, which requires a separate treatment.

Pain is a constant companion of the patient with exacerbation of hemorrhoids. Going to the toilet becomes torture, it is difficult for the patient to sit, walk.

Sharp, severe pain during bowel movements, itching in the anus, aching, throbbing, pulling pains in a sitting position and even during sleep cause a lot of problems. Pain during and after defecation is accompanied by a burning sensation.that can’t calm down for a long time.

A man often experiences pain in the anus and lower abdomen with any muscle tension, a sharp shift in body position, touching the hemorrhoidal cones, during coughing, sneezing. Before the urge to empty the intestines, the patient feels pressure, "bursting" in the lower abdomen. Drop-down nodes can be restrained by the muscles of the anus. This usually occurs during bowel movements.

If there are nodes that the patient cannot fill on his own, the skin around the anus begins to "get wet", inflamed and ulcerated. Infection from affected nodes and tissues can pass into the blood vessels and in the patient blood poisoning or paraproctatitis may begin (purulent inflammation of the skin and tissues surrounding the rectum).

If an infection begins to develop in the affected tissues, the patient rises in temperature, lethargy and weakness appear.

In case of fever with exacerbation of hemorrhoids, the patient should call an ambulance or contact a medical institution. The same should be done if the bleeding lasts more than half an hour.

Now that you know about the signs and symptoms of acute hemorrhoids, home treatment is the next important topic that we will discuss in this article.

Using minimally invasive procedures:

And can hemorrhoids pass by itself? About this in our article.

Conclusion

Exacerbations of hemorrhoids cannot be tolerated. The doctor at the time of admission will be able to determine what complications should be expected and how to avoid them.

Based on the results of the inspection, proctologist prescribes a set of drugs and procedures for treatment at home or in a hospital. We hope, thanks to our article, you could learn a lot more about acute hemorrhoids, how to treat this disease and what exactly.

Watch the video and find out why pills do not always help get rid of hemorrhoids:

What to do to reduce sharp pain during exacerbation of hemorrhoids?

A treatment aimed at stopping painful symptoms and eliminating the true cause of inflammation of the rectum is always prescribed by a doctor. But what to do with exacerbation of hemorrhoids if a visit to a proctologist is currently not possible? Let's talk in more detail about the first aid that the patient will be able to provide for himself.

  • Cold in the form of a water-manganese compress on gauze, lotions of chilled sea-buckthorn oil or herbal decoctions of calendula, chamomile, string, candles made of ice is the first aid in exacerbating hemorrhoids, which will instantly reduce intolerable pain by relieving swelling. Cold procedures are contraindicated for women during menstruation.
  • Fresh potatoes will be the answer than to treat exacerbation of hemorrhoids, if there is no medicine at hand. Grated potato mass, wrapped in gauze, folded in several layers, is applied to the sore spot. A lotion will reduce the inflammatory process and will contribute to the blood outflow from the anal veins.

What else can relieve exacerbation of hemorrhoids?

  • The position of the body lying on your back relieves the load from the muscles of the anus, allowing the pain to decrease. Therefore, stand and sit as little as possible.
  • Sedentary baths with cool water or herbal infusion several times a day will relieve swelling and eliminate pain symptoms,
  • Replace toilet paper after defecation by washing the perianal area with cool water, do not use gels and foams with fragrances and dyes that can cause an allergic reaction,
  • Enema with a decoction of chamomile - first aid for exacerbation of hemorrhoids. A cleaned intestine reduces pressure on the rectum at the anus - the pain recedes,
  • If you plan to remove hemorrhoids in a short time, then do not allow constipation. Attempts in the toilet while getting rid of feces can greatly complicate the course of the disease. A balanced diet containing coarse fiber, plant fiber, dairy products, a sufficient amount of drinking water per day, exactly what the patient needs during this period,

How many days does an exacerbation of hemorrhoids with anal bleeding last?

Scarlet blood after defecation is a common phenomenon with exacerbation of hemorrhoids. Precautions for damage to the arteries - soft regular stool of the patient to fecal the masses daily did not injure erosion, enabling them to heal.

The grass is stingy - a faithful assistant in this problem.Herbal infusion not only has both a mild laxative and a powerful hemostatic effect.

In the treatment of inflammation of the rectum with spotting, enemas with medicinal solutions of hydrogen peroxide 3% or tannin are most often used. Tannin increases protein coagulability, forming a protective film, which helps to narrow the blood vessels and reduce pain. Improvements are noticeable after three days. After stopping the bleeding, the procedure is canceled.

With prolonged severe bleeding, you must immediately consult a doctor.

How to treat exacerbation of hemorrhoids with medication?

Conservative therapy with pharmacological drugs is primarily aimed at stopping the inflammatory process, reducing edema and relieving pain symptoms. The following tools are used for this:

  • Voltaren, Movalis, Nise, Diclofenac, Ibuprofen, combined drugs: ultrapokt, proctoglivenol - painkillers and anti-inflammatory drugs with general and local effects,
  • Febotoniki Troxevzin and Detralex - drugs that increase the tone of veins,
  • Anticoagulants are indicated for thrombosis of hemorrhoidal cones.
  • An exacerbation with bleeding internal nodes responds well to adrenaline suppository treatment. Anal suppositories cause spasm of blood vessels, stopping the blood.
  • Adrokson, Spongostan, Beriplast - hemostatic drugs used for external bleeding cones. Internally, nodes are more convenient to treat with the help of anal suppositories, and external ones with ointment.

Such a serious problem as acute hemorrhoids is faced by almost all people suffering from this disease in one form or another. An acute attack of hemorrhoids can be the result of prolonged internal or external hemorrhoids, even if before that it was asymptomatic. And it can also occur in people who before that did not suspect the presence of the disease at all.

The main feature of exacerbation of hemorrhoids is the presence of pronounced symptoms. So if you feel acute pain with hemorrhoids, there is no time to think what to do. Urgently see a doctor for help.

Common Causes of an Acute Process

It is important for people who suffer from hemorrhoids, as well as those who have not yet encountered this ailment, to know what factors can lead to the acute stage of hemorrhoids:

  • Errors in nutrition. Exacerbation of hemorrhoids can occur after excessive consumption of spicy, spicy, smoked, pickled products, as well as alcohol. They increase blood flow to the pelvic organs. Therefore, within a few hours after such a feast, characteristic symptoms may appear. In people with chronic hemorrhoids, exacerbation can happen even after drinking a single glass of alcohol,
  • Violation of the stool. Prolonged constipation or persistent diarrhea can also lead to exacerbation of hemorrhoids. In both cases, favorable conditions are created for the loss of hemorrhoidal plexuses and their infringement. Infringement occurs due to spasm of the anal sphincter,
  • Long stays or a sedentary lifestyle. In these cases, blood stasis forms in the pelvic organs, hemorrhoidal nodes are overfilled with blood, they swell and increase in size. With exacerbation of hemorrhoids, the nodes fall out of the rectum, they are thrombosed and infringed,
  • Weight lifting. As a result of a sharp rise in something heavy or as a result of regular physical activity, acute hemorrhoids can also occur.

To determine therapeutic tactics, it is important to find out the cause of the exacerbation of the disease, and eliminate it.

The main symptoms of the disease

The signs of acute hemorrhoids are very diverse, but pain is the dominant position.The pain during exacerbation is twitching, acute, with the slightest exertion (coughing, sneezing, movement) intensifies. It can last from a few seconds to several minutes.

As a rule, with exacerbation of hemorrhoids, the pain is so severe that a person is not able to move and sit. Yes, and remove it is quite problematic. As a result of severe pain, a person is not able to go to the toilet.

Symptoms of acute hemorrhoids are as follows:

  • Acute external hemorrhoids are characterized by a node in the anus. It is edematous, firm to the touch, has a cyanotic color and is sharply painful,
  • Acute internal hemorrhoids are not visually visible, however, with a digital examination, a seal is found. And his feeling causes a sharp pain,
  • Bleeding occurs when a thrombosed or pinched node ruptures. When the knot breaks, the patient’s pain decreases, he begins to feel a little better and it seems that the exacerbation of hemorrhoids has safely passed,
  • The inflammatory process is a complication of exacerbated hemorrhoids, and most often it occurs with thrombosis.

Doctors distinguish 3 degrees of thrombosis:

  1. 1st degree - thrombosis of the node is observed, accompanied by severe pain. But there’s no inflammatory process yet,
  2. 2nd degree - there is an acute inflammation of hemorrhoids, which does not go beyond the site of the node. With this degree of thrombosis, the patient develops edema and redness of the tissues around the anus,
  3. 3rd degree - inflammation spreads to the tissues surrounding the anus, and captures the subcutaneous tissue. The patient feels pain not only in the anus, but throughout the perineum. Marked swelling is noted, exudate is released from the anus, which causes skin irritation, burning and itching.

When acute hemorrhoids are accompanied by an inflammatory process, this condition can manifest itself in elevated body temperature, general weakness and malaise.

If you do not consult a doctor in time, this condition can turn into purulent paraproctitis.

Acute hemorrhoids during pregnancy are also not uncommon, because this condition predisposes to the development of the disease. In pregnant women, the acute phase is just as painful and requires immediate medical attention. Only he can prescribe appropriate treatment for a woman.

Treatment methods

Many are interested in the question of what to do with acute hemorrhoids? There is only one option - it needs to be treated, and the sooner the better. Treatment of hemorrhoids with exacerbation is a process that can take a long time, because it is important to eliminate the acute phase and relieve pain.

The doctor prescribes the appropriate treatment depending on the results of the diagnosis and determining the degree of the disease. It is possible that surgical intervention may be required. Nevertheless, proctologists prefer to use a whole range of measures in the fight against acute hemorrhoids, which include both conservative and surgical (if necessary) methods.

The first problem that needs to be solved is how to relieve acute pain with hemorrhoids so that the patient can return to his usual life. After all, pain in this condition is extremely strong, and you do not need to endure them, but you need to take action.

Medications

To relieve acute pain with hemorrhoids, the doctor prescribes various medications. It can be different dosage forms: suppositories, ointments, tablets. Topical preparations produce a faster and better effect, it is only important to choose the right medication.

How to treat acute hemorrhoids? Suppositories, ointments and gels quickly eliminate the symptoms of the disease. Also, as part of complex therapy, tablet forms of medications intended for internal use are often prescribed. They help eliminate such a cause of hemorrhoids as venous wall weakness.

Candles are quickly absorbed into the blood. They are designed to relieve pain, inflammation, swelling.There is a wide range of suppositories that a doctor can prescribe for acute hemorrhoids: suppositories with calendula, propolis, sea buckthorn, methyluracil, glycerin, with belladonna.

The most popular in the acute phase of the disease are suppositories: Relief Ultra candles, Posterisan forte, Proctosan, Natalsid, Hepatrombin G, Procto-Glivenol, Anuzol. All these drugs can be purchased at a pharmacy without a prescription, and they are effective enough to relieve inflammation, anesthesia and stop bleeding from the anus.

With the external form of hemorrhoids and prolapse of the nodes, ointments and gels help well. The most effective of them: Heparin ointment, Proctosedil, Relief, Levomekol, Proctozan, Bezornil, Hepatrombin G, Aurobin, Troxevasin, Troxerutin. Ointments are applied directly to the affected areas, and for greater effectiveness, compresses and dressings are applied overnight, which have analgesic and anti-inflammatory effects.

If you choose drugs in tablet form, then with an acute attack of hemorrhoids usually prescribed: Detralex, Flebodia 600, Venoruton, Ginkor forte, Movasin, Movalis, Glivenol and others.

Often, a proctologist prescribes tablets in combination with ointments and gels. Ingesting drugs enhances the action of local drugs, tone capillaries and blood vessels, and helps relieve inflammation.

If the aforementioned medications do not help relieve acute pain, doctors take emergency measures. These include:

  • Candles with adrenaline. The hormone adrenaline helps relieve even severe inflammation, and you can buy a medicine only by prescription,
  • Novocainic blockade in the sacrum - quickly relieves even a severe attack. It can be prescribed during pregnancy and lactation. However, this method should not be abused, and it should be performed by a qualified specialist who will carefully calculate the dose and monitor the patient's condition.

Surgery

Treatment of acute hemorrhoids may involve surgical treatment, mainly after relieving the exacerbation. An operation should not be afraid, especially since in many cases it can permanently (and with the right way of life, forever) relieve a person of a problem. Today, proctologists prefer minimally invasive interventions, among which are:

  • Ligation of hemorrhoids with latex rings - crushing the knot legs with a special latex ring, which as a result leads to necrosis,
  • Desarterization - ligation of the vessels that feed the nodes,
  • Photocoagulation and laser therapy - removal of nodes using infrared or laser radiation,
  • Sclerosis - the introduction to the node of a special drug, a sclerosant, which causes the walls of the node to grow together,
  • Cryodestruction - exposure to hemorrhoidal nodes with cold.

All of these methods are very effective. But, it should be noted that no self-respecting doctor will prescribe a minimally invasive intervention until an acute attack of hemorrhoids is removed, since in this case undesirable complications are not excluded. Therefore, surgery, as a rule, is preceded by appropriate conservative treatment aimed at achieving a period of hemorrhoid remission, and only after that the possibility of surgical intervention is discussed with the patient.

More radical interventions, such as Milligan-Morgan hemorrhoidectomy, or Longo surgery, are prescribed to patients in the late stages of hemorrhoids, as well as in cases where doctors have reason to believe that minimally invasive techniques will be ineffective.

Folk remedies

Some extreme people try to treat acute hemorrhoids at home, using various folk remedies to eliminate symptoms.However, they do not think that exacerbation of hemorrhoids is a condition that requires immediate medical attention.

Undoubtedly, folk remedies contribute to the treatment of hemorrhoids, however, in its acute phase, they should be used as part of complex treatment, and not as monotherapy. Otherwise, the disease is fraught with the development of complications. Yes, and it’s unlikely that it will be possible to remove severe pain with folk methods.

As a common remedy, the doctor may recommend, in addition to the main treatment:

  • Sea buckthorn oil - with external hemorrhoids, it is recommended to make gauze lotions, with internal hemorrhoids - insert tampons moistened in oil overnight in the anus,
  • Ice candles - ordinary ice candles help to temporarily relieve pain and stop bleeding,
  • Potato candles - they help relieve mild pain with hemorrhoids and inflammation. It is necessary to cut out a candle of suitable size from peeled potatoes and insert it into the anus for a while.

Diet during an exacerbation of hemorrhoids

Diet is an integral part of the treatment of hemorrhoidal disease. Proper nutrition in acute hemorrhoids allows you to avoid unwanted troubles, such as constipation or diarrhea, which adversely affect the course of the disease and can aggravate it at times.

So, the diet for acute hemorrhoids looks something like this:

  • Taboo for fatty, salted, pickled, fried, smoked, flour products, as well as instant food,
  • The inclusion of a large amount of fiber in the diet: vegetables, fruits, dairy products,
  • Drinking a sufficient amount of liquid - 1.5-2 liters of water per day,
  • Fractional nutrition - small portions 5-6 times a day,
  • Exclusion of coffee, tea, ban on alcoholic beverages.

In fact, following all these simple rules is not so difficult, especially if you realize that after a short period of time they will lead to a significant relief of the condition.

Like any chronic disease, hemorrhoids in its course pass through the stages of exacerbation and calm. The duration of each of them depends on the lifestyle, heredity and treatment of the disease. Exacerbation of hemorrhoids most often occurs as a result of a violation of the diet or changes in physical activity. What to do in such a situation and whether treatment at home is possible, read on.

Why is it exacerbating?

Hemorrhoids occur due to overstretched blood of the veins of the rectum. They form two plexuses in it - internal and external. The first is located under the intestinal mucosa and each internal node is formed from it. The external plexus is located in the thickness of the subcutaneous fat around the anus, its stretching leads to external hemorrhoids.

Excess blood in the venous plexus occurs due to excessive blood flow or impaired discharge. An important role in the formation of the disease is played by hereditary vascular wall weakness. It lacks smooth muscle and elastic fibers, which leads to its rapid and persistent stretching. Blood stasis and increased abdominal pressure provoke this process.

The very beginning of the disease proceeds imperceptibly for a person and only the first exacerbation of hemorrhoids makes him aware of the problem. Often, he already has a history of varicose vein disease, which is also a consequence of a venous wall defect. The causes of exacerbation of hemorrhoids can be the following:

How does it manifest?

Symptoms of exacerbation occur suddenly and are most often associated with bowel movements. The most common ones are pain in the anus and blood secretion. Soreness can be expressed in varying degrees: from a mild burning sensation to unbearable sensations. Severe pain leads to the inability to empty the intestines, constipation and exacerbates the pathological process.

Symptoms of bleeding from the anus are also expressed differently. It can be traces of red blood on feces, on toilet paper, drops in the toilet or blood flow in a stream. The most severe exacerbations lead to severe blood loss, up to hemorrhagic shock. A small chronic loss of blood can be complicated by anemia, the symptoms of which are manifested in the form of weakness, shortness of breath and pallor of the skin. More often this situation develops in men, as women are more adapted to permanent loss of blood. Bleeding exacerbates only the internal and combined hemorrhoids, the external nodes do not bleed.

Symptoms such as acute throbbing pain in the anus, edema of the subcutaneous fat of the anal area and an increase in body temperature indicate an exacerbation of thrombosis of the hemorrhoid. The severity of the inflammatory process distinguishes the severity of exacerbation:

Symptoms of exacerbation of chronic hemorrhoids in advanced stages are accompanied by prolapse of internal nodes. In this case, pinching is likely, which is a serious complication of the disease. It is impossible to treat pinching at home - this can lead to necrosis of the node and the attachment of pyogenic microflora.

Can it be cured?

An aggravated disease should be treated under the supervision of a physician or in a hospital. Massive bleeding, severe exacerbation and infringement of nodes should be treated in stationary conditions.

First aggravated hemorrhoids - this is also the first call to a doctor. If this is temporarily not possible, then treatment should be started at home. Strict adherence to the diet will help relieve symptoms of exacerbation, with the exception of spicy, spicy, oily foods and alcohol from the diet. With an exacerbation of moderate and severe severity, food should be easily digestible, contain an increased amount of protein and vitamins. You can make porridge on water or diluted milk, eggs omelette, steam or baked meatballs from lean meat (chicken, turkey, beef), boiled and baked fish for meals during this period.

A sufficient amount of vegetables should be consumed - they contribute to the normalization of stool and contain a large amount of vitamins. Sweet fruits such as melon, grapes, bananas, peaches should be limited - they cause flatulence and contribute to an increase in intra-abdominal pressure. When the temperature rises, the patient should drink at least 2 liters of water per day, provided that he does not have heart failure or kidney disease.

General therapy

Drugs containing diosmin, a substance that strengthens the venous wall and stimulates venous outflow of blood, will help relieve symptoms of exacerbation. At the height of the disease, a loading dose of the drug should be taken:

This course should be followed for 7-10 days, after which the tablets are taken in a maintenance dose, which is indicated in the instructions. Treatment can be continued with the course for up to six months at home.

Treating bleeding and severe anemia may require a transfusion of plasma or platelet mass. Intramuscular administration of etamsylate contributes to the formation of a blood clot in the area of ​​the defect in the vascular wall and stops blood loss.

Treatment of constipation is carried out with a mild laxative - duphalac, lactulose, drops of guttalax. Laxatives reduce fecal density, which prevents damage to hemorrhoids. With regular bowel movement, the rectal ampoule does not experience excessive stretching, and the bowel movement does not require significant effort.

Local therapy

Internal hemorrhoids should be treated with rectal suppositories, and external and combined ointment. The choice of drug depends on which symptoms of the disease prevail:

Ointments have a similar composition and name, so the treatment of external hemorrhoids differs only in the form of the drug.

Folk methods

Treatment of exacerbation of hemorrhoids at home is possible if it did not occur for the first time and proceed according to a typical scenario. The choice of remedy also depends on which symptoms prevail:

  • To stop bleeding at home, you can make candles from ice, cool lotions and sessile baths. A decoction of oak bark can be added to water - it has an astringent effect and promotes the healing of a vascular wall defect. Cold is also used to relieve pain and inflammation.
  • To speed up the healing of nodes, you can make candles from propolis, honey, potatoes and inject them into the rectum at home.

To prevent exacerbations, after defecation, wash with cool water and soap and refuse to use toilet paper. Twice a year (spring and autumn) can be taken with phlebotonics and multivitamins to strengthen the vascular wall. It is necessary to monitor the regularity of the stool, taking laxatives as necessary. The diet of a patient with hemorrhoids should contain a sufficient amount of fiber (vegetables, fruits), which regulates the activity of the intestine. Adequate motor activity during remission improves blood circulation in the pelvis and prevents exacerbations.

Hemorrhoids among proctological diseases that are not associated with an infectious agent are considered the most common ailment. Many are familiar with its manifestations, approximately 15% of the world's population suffer from this disease.

Specialists distinguish several stages of the development of the disease, one of the most serious is acute hemorrhoids.

Signs of hemorrhoids with exacerbation

Symptoms of exacerbation of hemorrhoids manifest themselves very clearly, as soon as they begin to bother the patient, he must definitely seek the help of a specialist.

  • Infringement of the prolapsed hemorrhoids with the rectum. Over time, they swell, and die, however, the process can provoke inflammation, and is accompanied by acute pain,
  • Thrombosis, a clot of sintered blood, located inside the node, leads to exacerbation of hemorrhoids.

Whatever the reasons, hemorrhoids are manifested by the following symptoms:

  • Pain piercing or jerking. It can be caused by the least movement, the patient cannot walk and sit normally, and during bowel movements the pain is intensified many times. The nodes are so painful that it is impossible to even touch them, this is caused by increased sensitivity of tissues in the anus,
  • External change of nodes, they swell, tighten and turn blue, this gives them a characteristic appearance,
  • High fever, appears with inflammation, within which a blood clot forms.

Symptoms can be confused with infectious colitis, in which the temperature rises, and there is inflammation of the hemorrhoids. In this case, the symptoms will be supplemented with loose stools, abdominal pain, in some cases, colitis leads to vomiting and intoxication.

In most cases, an exacerbation is a direct continuation of chronic hemorrhoids, but sometimes the disease begins with it.

A chronic disease proceeds without causing concern to a person, however, with it, the likelihood of manifestation of an acute form increases, after exacerbation, these symptoms appear. The disease can remain invisible long enough until something appears that triggers the disease.

The flash may cause:

  • Being in one place for a long time, in a sitting or standing position,
  • Smoked and pickled foods and seasonings,
  • Drinking alcohol
  • Constipation, diarrhea,
  • Do a lot of physical activity.

What to do with exacerbation of hemorrhoids

Hemorrhoids are a common pathology that occurs in adults. A non-infectious disease affects the rectum. A proctological illness may not bother a person for a long period, developing gradually and turning into a chronic stage. Such hemorrhoids occur in waves, remissions with periods of exacerbation are possible. When subsiding, the symptoms disappear, and the aggravation is manifested by intense pain, complications. Therefore, it is important to conduct timely treatment of hemorrhoids with exacerbation, to find suitable methods in the fight against proctological ailment.

Causes of exacerbation

The first cause of exacerbation of hemorrhoids is considered to be weakness of the blood walls or venous inferiority. With a constant influx of a significant amount of blood, the veins in the pelvic area are filled, expand, creating. Often such a process does not appear immediately, but gradually. But it also happens that the symptoms of an ailment rapidly increase, leading to a worsening of a person's condition.

Basically, hemorrhoids worsen due to the following reasons:

  • sedentary lifestyle - if a person sits or stands for a long time, there is a violation of blood flow, as a result of this hemorrhoidal formations are overflowing with blood,
  • stool disorder - a disease can appear not only in case of constipation, but also diarrhea. For example, with difficult bowel movements, increased pressure in the middle of the peritoneum is obtained, or the mucous membrane is damaged by fecal stones. Watery stools lead to inflammation of the nodes, pathogenic microorganisms begin to settle in them,
  • pregnancy, childbirth - at the time of bearing the baby, the growing fetus begins to squeeze the pelvic veins, causing a change in blood flow, stagnation and difficult bowel movements. Hemorrhoids in women occur during childbirth, the expectant mother is pushing, while the abdominal pressure increases, due to which the cones are filled with blood,
  • improper nutrition - a person can eat a salty, fried, spicy food or a large amount of sweets, a digestive system is disturbed, constipation appears and blood flow in the small pelvis increases,
  • excessive physical exertion - are considered the main causes of hemorrhoids in men. By lifting weights, muscle tissue is squeezed, veins are filled with blood, and then cavernous formations fall out of the anus.

Often, an attack of hemorrhoids occurs due to psychological factors. The disease intensifies due to experienced stresses, depressive states, severe mental disorders.

Exacerbation of hemorrhoids is manifested by severe symptoms that occur quite quickly. The patient's condition is aggravated, he is not able to adhere to his former lifestyle.

The main symptoms of exacerbation of hemorrhoids:

  • hemorrhoid cones crawl out
  • unbearable soreness and inflammation of the rectum,
  • signs of intoxication,
  • rectal bleeding from the anus,
  • increase in body temperature.

The main unpleasant sign of a proctologic disease is pain. It occurs instantly after bowel movement, sneezing, coughing. Such an exacerbation of hemorrhoids lasts several minutes, or even hours.

It is often painful for a person to sit, stand or move. The feeling of pain is so unbearable that psychogenic constipation occurs, the patient does not want to go to the toilet, his appetite disappears.

How long does the exacerbation of proctologic disease last?

The duration of hemorrhoids exacerbation mainly depends on the individual characteristics of the person, as well as:

  • the intensity of the symptoms of the disease,
  • severity of development
  • complications
  • the presence of mating diseases
  • age of a person.

In addition, the duration of the course is determined by when exactly the patient seeks medical attention. Often the exacerbation lasts 7 days, then the symptoms subside, remission sets in.To achieve this, integrated effective methods are used.

Drug treatment

Medications are prescribed depending on the presence of hemorrhoids symptoms. Since the main symptom is pain, pain medications are used.

The methods of drug therapy for exacerbation are as follows:

  1. Analgesics (Ketonal, Diclofenac) - NSAIDs or injections are used with caution, as they reduce blood coagulation. The drugs show anesthetic effect, remove edema, redness.
  2. As a local effect, rectal suppositories are prescribed (for example, Ultroproct, Hepatrombin G) - they will eliminate pain and improve human well-being.
  3. Local anti-inflammatory drugs (Vishnevsky ointment, Levomekol) - the use of the ointment is permissible if the inflammation has passed to tissues, fiber.
  4. Heparin, Troxevasin ointment - indispensable for thrombosis of hemorrhoid cones.
  5. Venotonic (Heparin, Hepatrombin) - contribute to blood thinning and are aimed at resolving thrombosis.
  6. It is possible to treat exacerbation of hemorrhoids accompanied by bleeding with suppositories with adrenaline (Proctosedil, Methyluracil, Anuzol) - they lead to vasospasm, stopping the blood. The hemostatic drugs (Adrokson, Spongostan) have the same effect. Itching, burning can be treated by the same means.
  7. Venotonic (Detralex) - if taken together with topical drugs - the effectiveness of acute hemorrhoid therapy will increase.
  8. Ointments and candles Relief - help deal with anal fissures. It contains natural substances with a strong wound-healing effect. Perfectly heal wounds, and relieve the pain of a candle with belladonna.
  9. Antibiotic therapy (Olestesin, Levomekol, Tetracycline) - is used to treat acute, chronic hemorrhoids, which is accompanied by the presence of purulent compartment from the anus, an increase in body temperature.

A comprehensive set will show a positive and quick result, but with hemorrhoids started, surgery can not be dispensed with.

Useful remedies at home

Reviews of exacerbation of hemorrhoids and treatment at home confirm that some symptoms can be completely removed at home, resorting to alternative methods, traditional medicine. Aloe juice, which is applied to the anus, helps a lot. It must be freshly pressed. When using it, you need to cancel the use of chemicals containing aloe.

Also, patients respond well to such a plant as a butcher's broom. It helps to improve blood circulation and tone the veins. One spoon is brewed with a glass of boiling water. It is used as a compress, as well as for washing the anus.

Fresh beets help cope with hemorrhoids. It is rubbed on a grater, the gruel is applied to the affected area, covered with a napkin. The compress must be kept for 20-30 minutes, rinse the anus thoroughly and grease sea buckthorn.

To stop bleeding, heal cracks at home, use apple cider vinegar. The compress is kept for 10 minutes and washed off. At first, a burning sensation can be felt, which then passes.

Drug treatment

Special ointments and suppositories help get rid of prolapse and inflammation of the nodes. Treatment of hemorrhoids with Vishnevsky ointment passes through an exacerbation of the ailment, the remedy allows you to remove the inflammation of the hemorrhoidal nodes. Without consulting a doctor, you can also use Bezornil, Levomekol, Fleming's ointment. All of them remove the external manifestations of hemorrhoids.

In case of internal hemorrhoids, rectal suppositories are recommended for use, for example, sea buckthorn, with propolis, ichthyol, "Posterisan". Contraindications can only be individual reactions to some components.

Topical anticoagulants

Anticoagulants are also used - drugs for the treatment of hemorrhoids during exacerbation. This group includes heparin and troxevasin ointment, “Hepatrombin G”. All of them help with thrombosis of hemorrhoidal nodes.

Most often, thrombosis is complicated by inflammation and the transition to the perianal region and subcutaneous tissue. The named drugs must be combined with anti-inflammatory ointments "Levasin", "Mafinid".

If bleeding does not stop within an hour, then this is an acute process. To stop it, you need to use candles with adrenaline. Hemostatic materials are also used: Adrokson, Takhikomb, Beriplast, Spongostan, they consist of thrombin and fibrinogen. Inside the anal canal, they form a fibrin film upon resorption.

Minimally invasive methods

If a conservative technique has not yielded results, doctors resort to eliminating hemorrhoids. Modern medicine has painless minimally invasive methods that do not require anesthesia or even the patient’s stay in the hospital. These methods include:

  • Doping with latex rings.
  • Sclerosis.
  • Cryodestruction.
  • Infrared photocoagulation.

Hemorrhoids during pregnancy

A special word should be said about hemorrhoids during pregnancy. In this position, it is important to alleviate the condition of the woman and not harm the fetus. Self-medication is excluded here, all actions must be coordinated with the doctor. Preference is given to local means, so as not to interfere with the bloodstream, which in the mother and child is one for two. You can use ointment "Hepotrombin G", "Relief". It is possible to use candles. Tableted drugs are generally excluded.

From folk remedies at home, you can take mountain ash juice, viburnum broth, carrot broth.

Baths are not recommended for pregnant women, as infection in the genital tract from the rectum can be very dangerous.

In acute forms of hemorrhoids, you should immediately contact a gynecologist to exclude a threat to the development of the fetus.

Watch the video: External hemorrhoids: pictures, photos of prolapsed, images of small large piles. Thrombosed (February 2020).

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