External hemorrhoids - treatment, ointments, suppositories, creams, folk remedies. How to cure external hemorrhoids

Proctological problems of the rectum are a frequent companion of the weaker half of humanity. Why do external hemorrhoids occur in women and how to treat inflammation of the nodes?

The disease causes discomfort and symptoms

Hemorrhoidal disease is varicose veins in the lower rectum. Accompanied by thrombosis, pain, rectal bleeding and other unpleasant symptoms. The disease can be internal or external.

The pathology is often diagnosed in women during pregnancy and after childbirth. It appears in middle and old age.

Often the disease occurs without visible signs. Only the acute course and advanced form begins to give women unpleasant sensations.

Symptoms of external hemorrhoids appear

  1. rectal bleeding during bowel movements;
  2. enlargement of hemorrhoids and their prolapse from the anus;
  3. pain in the anus;
  4. inflammation and swelling of nodes;
  5. node thrombosis;
  6. in the most advanced cases - gangrene.

External hemorrhoids are varicose veins located under the skin in the anus.

What does it look like? Externally, these are folds of skin (fringes) framing the anus from the outside.

If you ignore treatment, over time they take the form of large petals. In this case, the patient feels discomfort not only while walking.

Fringes can cause irritation, itching, swelling of the top layer of skin and disruption of its structure. External hemorrhoids contribute to the formation of anal fissures. Cracks originate at the bases of the nodes. If you contact a proctologist in a timely manner, they can be treated with conservative methods.

A hemorrhoid with acute thrombophlebitis causes a complication in the form of a dense formation in the anus, which is shaped like a round colon. This complication is accompanied by severe pain, which usually goes away after 7 to 10 days. The blood clot does not go away.

Reasons for appearance

Constipation causes inflammation of hemorrhoids

Factors that can trigger the development of hemorrhoids are the following:

  • low physical activity;
  • pregnancy and difficult childbirth;
  • constant constipation;
  • strong physical activity;
  • addiction to spicy and spicy foods;
  • pathologies of the pelvic organs;
  • absence of valves in the draining veins of the hemorrhoidal plexus.

There are primary and secondary pathologies. The cause of primary hemorrhoids is a hereditary predisposition.

The development of a secondary disease can be caused by:

  1. portal hypertension, when there is a violation of blood circulation in the portal vessels;
  2. stagnation of blood in the inferior vena cava;
  3. constant constipation;
  4. heart failure;
  5. sedentary work.

During pregnancy and after childbirth

Thrombosis and prolapse of nodes are a common occurrence during pregnancy and lactation

Self-medicating during pregnancy is harmful and even dangerous. This is especially true in the first trimester, when the formation of the baby’s internal organs occurs. And all medications, even those intended for external use, are potentially dangerous to the fetus.

In pregnant women, local remedies are used to treat the initial stage of hemorrhoids and preference is given to natural ingredients.

During this period, steam and sitz baths are strictly contraindicated for patients. To treat external hemorrhoids, lotions and ointments based on natural ingredients are used.

You need to approach the treatment of hemorrhoids with caution even during lactation! Medicines through the mucous membrane of the rectum can be absorbed into the blood and pass into breast milk. During breastfeeding, women are recommended to use products with natural ingredients for the treatment of proctological diseases of the rectum.

During pregnancy and after childbirth, the use of certain drugs for the treatment of hemorrhoidal disease must be agreed with the attending physician.

Help at home

Sitz baths with potassium permanganate relieve inflammation and reduce itching

Acute inflammation of external hemorrhoids is a reason to refuse physical activity and be treated with bed rest.

During this period, you should not struggle with constipation. On the contrary, it is better to try to hold stool for several days. The diet can include: beef broth, egg white omelette, boiled and minced lean meat, slimy rice porridge with water, white crackers (3-4 pieces per day), 4-6 cups of lightly sweetened tea per day.

Cold soaks in the first two days will help relieve the pain.

Cotton pads or swabs soaked in a weak solution of potassium permanganate are applied to the inflamed nodes. The procedure is performed for 1.5 - 2 hours, applying lotions every 15 - 20 minutes.

Folk remedies

To treat the initial stage of external hemorrhoids, you can try drinking an infusion of medicinal herbs. To prepare it, you need to take equal quantities of senna leaves, licorice fruits, coriander fruits, buckthorn bark, and yarrow. Brew 1 tablespoon of the mixture with a glass of boiling water and leave for half an hour. A glass of infusion should be drunk before bed.

with medicinal herbs - the most effective remedy for external hemorrhoids. Healing plants act on blood vessels, reducing the inflammatory process.

Traditional recipes give positive results only at the initial stage of the disease, when there are no serious complications.

Traditional treatment

The fastest and most effective treatment can only be prescribed by a proctologist after an examination.

Treatment of external hemorrhoids in women involves conservative treatment methods. Any therapy for a chronic illness is temporary. You should adjust your habits that cause an exacerbation of the disease. These include poor nutrition, excessive exercise, and alcohol abuse.

Medicines

Drug treatment involves the use of:

  • general and local painkillers;
  • anti-inflammatory drugs;
  • applications with ointments;
  • cleansing enemas;
  • phlebotonic agents.

To relieve pain, non-narcotic analgesics (Ketonal, Voltaren, Nise, Movalis, Diclofenac) are prescribed. I can also prescribe combination drugs (Hepatrombin G, Proctoglivenol, Ultraproct).

Ointments for external hemorrhoids with an anti-inflammatory effect (Vishnevsky ointment, Levasin, Levomekol) are used for applications if the inflammatory process has spread to the skin and subcutaneous fat around the hemorrhoid.

The action of which is aimed at increasing the tone of the veins, are indicated for the treatment of acute and chronic forms of hemorrhoids. One of these drugs is Detralex.

To eliminate rectal bleeding, suppositories with adrenaline or local hemostatic agents (medicine Spongostan, Adroxon, Beriplast) are used.

Thrombosis of nodes

The goal of treating hemorrhoids complicated by acute thrombophlebitis is the resorption of the blood clot. The patient is advised to adhere to bed rest for several days. Eat light foods, stop smoking and alcohol.

To resolve a blood clot, the patient is prescribed:

  • warm sitz baths for 10 - 15 minutes with a solution of potassium permanganate;
  • suppositories 2 times a day (cocoa butter - 2 g, streptocide - 0.08 g, xeroform - 0.1 g, novocaine - 0.12 g, belladonna extract - 0.015 g);
  • ointment applications (ointment composition: castor oil - 200 g, anesthesin - 2 g, tar oil - 6 g, xeroform - 6 g).

If within 10 days after the start of treatment the density of the thrombus remains the same, a decision is made about surgery.

Operations to remove blood clots from hemorrhoids:

  1. Thrombectomy is a surgical method for treating hemorrhoids. During surgery, the hemorrhoid is cut and the blood clot is removed through the incision. The intervention does not require general anesthesia or hospital observation.
  2. In case of complications, the external hemorrhoidal node is completely removed. The operation is also indicated for frequent thromboses.

Hemorrhoid removal

How are external hemorrhoids removed?

Surgical intervention is required in complicated forms

For treatment, effective minimally invasive methods or combinations thereof are used. This includes ligation of hemorrhoidal veins with Doppler ultrasound, ligation of hemorrhoidal nodes with latex rings, sclerotherapy, infrared coagulation, etc.

The advantages of these techniques are low trauma and minor pain. Different methods are used to treat hemorrhoids at different stages:

Prevention

To prevent the development of hemorrhoids, experts recommend:

  1. when working sedentarily, take 2-3 breaks to perform simple exercises, allocating 5-7 minutes for them;
  2. review your diet;
  3. give up spicy food and alcohol.

To prevent the disease, you can perform the following exercises:

  • walk, raising your legs high, bending them at the knees;
  • swing your legs alternately forward, then back, to the side;
  • bend in different directions, from a standing position, with your feet shoulder-width apart;
  • in a standing position, hands on the belt, legs together, strain the muscles of the buttocks, while trying to retract the anus;
  • squat on your toes, while spreading your knees wide.

The gymnastic complex ends with the first exercise.

External hemorrhoids in women are dangerous due to vein thrombosis and the development of rectal cancer. Delaying a trip to the hospital can lead to a chronic course and a lifelong struggle with pathology.

Important materials

With external (subcutaneous) hemorrhoids, the nodes are easily palpable in the anus. They can be completely painless, with mild symptoms, or they can cause real inconvenience. This disease spares neither men nor women.
Factors that provoke the appearance of external hemorrhoids are unhealthy diet, mainly dry food. Often external hemorrhoids develop in women after childbirth. During lactation, it is especially important not to delay going to the doctor, so as not to harm yourself and your baby with self-medication.

Where to start treating external hemorrhoids and how to get rid of pain and discomfort? How to treat hemorrhoids after childbirth? Folk remedies can relieve symptoms no worse than pharmaceutical ointments and suppositories. But to cure hemorrhoids completely, you only need complex therapy; folk advice, unfortunately, is not enough. Sometimes it is possible to get rid of acute hemorrhoids only after surgery. In the early stages there are ways to improve the condition.

Stages and symptoms of external hemorrhoids

There are 3 degrees of development of external hemorrhoids. At the initial stage, there may be itching and burning, slight pain after defecation. The nodes cannot be felt, or they are small and not painful. During this period, you can get rid of unpleasant symptoms at home, using traditional methods of fighting the disease or popular ointments.

The next stage is characterized by the appearance of blood after defecation, the nodes increase in size.

At stage 3, the nodes become painful, difficult to reduce, pain occurs not only after defecation, but also when walking or when the patient simply sits.

Sometimes stage 4 of the disease is distinguished, accompanied by thrombosis, necrosis and other complications.

Official medicine also distinguishes chronic external hemorrhoids. When periods of exacerbation are replaced by remission of the disease. Treatment of chronic hemorrhoids should be long-term and complex.

Complications of external hemorrhoids

With worse development, blood clots may form in hemorrhoids. Thrombosed external hemorrhoids are an acute form of the disease. It develops with prolonged stagnation of blood in the hemorrhoidal venous plexus. The blood thickens, and the resulting clot bursts the nodes from the inside. Thrombosed hemorrhoids are accompanied by severe pain.

The thrombosed external one turns blue and swells. Touching him is unbearably painful. It can only be treated under the supervision of a doctor. With active complex therapy, surgery can be avoided.

As a rule, acute external hemorrhoids are accompanied by severe inflammation. Pain with progressive inflammation spreads to surrounding tissue nodes, and the temperature may rise. Treatment of external hemorrhoids with folk remedies in the acute stage will no longer help relieve symptoms.

The best choice in the fight against external nodes is ointments

External hemorrhoids - how to treat? For external hemorrhoids, it is better to use ointment rather than suppositories. Among antihemorrhoids, Relief products are especially popular.

It has a convenient applicator that allows you to treat both external and deeper hemorrhoids. Therefore, with Relief ointment you can treat any type of hemorrhoids at home.

Relief products (ointments and suppositories) are prepared using natural ingredients, in particular substances obtained from shark liver. Relief ointment relieves pain, reduces bleeding, dries out nodes, and treats inflammation well. According to the instructions, Relief products can be used at home during pregnancy and lactation, but only after agreement with the gynecologist and pediatrician. Children under 12 years of age should not be treated with Relief ointment - there are appropriate warnings in the instructions.

You can buy Relief ointments and suppositories at any pharmacy without a prescription.

Symptoms of hemorrhoids are also well treated by other remedies - hemorrhoid ointment Troxevasin, heparin ointment, Vishnevsky ointment, and so on.

In parallel with the use of the ointment, you need to take medications that tone the veins, for example, Detralex. After childbirth and during lactation, you should consult your doctor before using any tablets or ointments!

Traditional medicine against external hemorrhoids

How to quickly cure hemorrhoids: If you have minor external hemorrhoids, folk remedies will perfectly help cure its symptoms. In addition, traditional methods can relieve women from discomfort after childbirth and during lactation. At this time, using the remedies offered by traditional medicine can harm the baby. But remember that when breastfeeding, you must coordinate all treatment methods with your doctor, otherwise the baby may develop allergies.

There are numerous folk remedies against this disease that can relieve unpleasant symptoms. External hemorrhoids: treatment with baths, lotions, decoctions for internal use, homemade ointments, and so on. Choose the method that suits you best.

For example, compresses with propolis will help reduce pain and other unpleasant symptoms. You can do them yourself at home. Grind 13–15 grams of propolis, pour a glass of boiled water. You need to infuse the product for 3 days, and then apply compresses regularly for 2-3 weeks. This treatment is well suited against the inflammatory process. The swelling subsides, the nodes quickly decrease. This method is suitable for breastfeeding.

At home, you can try to treat external hemorrhoids (after childbirth) with celandine. For example, in this way: for a liter of boiling water you need to take one and a half glasses of chopped herbs. Leave the product at home for several hours. Drink 300 ml warm before meals.

You can also make a lotion with celandine: 1 tablespoon of dried herb is mixed with half a liter of kombucha infusion. The mixture is kept for a couple of days in a cool, dark place (at home this could be a pantry). The remedy is ready. It is better to do lotions at night.

But be careful with celandine. It is poisonous in large quantities. During lactation, such treatment is not suitable.

Garlic remedies against hemorrhoids will help overcome pain and burning. For example, at home you can prepare the following ointment: boil 200 grams of peeled and washed garlic + a teaspoon of natural honey + a quarter glass of milk. When it boils, keep it over medium heat until it thickens, then cool. This remedy is suitable for treating both men and women during lactation. Apply the ointment to the nodes every evening and you can cure the inflammation. You can use folk advice if you are not allergic to the components of medicinal preparations.

Another popular method is hirudotherapy, when the disease is treated with leeches. It is believed that after leech bites you can get rid of painful nodes. But it is better to do such procedures not at home, but in a good clinic. Hirudotherapy has contraindications, including the lactation period.

Remember 3 rules in the fight against hemorrhoids: proper nutrition, more movement and an integrated approach to combating the main symptoms.

Follow these rules and you will forget about pain and discomfort. And remember - treating hemorrhoids at home does not replace professional therapy under the guidance of a competent doctor. The treatment method is selected based on the results of a clinical examination. Without leaving home, you cannot get rid of the signs of hemorrhoids forever using folk remedies and ointments purchased on your own.

Anal fimbriae. To get rid of it or not?

Often the appearance of anal fimbria is mistaken for an external hemorrhoid. But it's not exactly the same thing. Anal fimbriae are small folds of skin around the anus. They most often occur in women after childbirth, but can also appear in men. Unlike hemorrhoids, they do not cause pain to the patient. But they can interfere with hygiene procedures and cause discomfort when wearing tight-fitting underwear. If you suspect that this disease has occurred, contact a proctologist. The process of removing fimbriae using modern methods is quick and almost painless. Experts note the advantage of removing fimbriae using the radio wave method. The recovery period after such an intervention is from 3 weeks to a month. The only condition is that the surgical method is possible only after cessation of lactation. If the fimbriae do not bother the patient, they are not treated. They do not cause harm to the body.

Education: Graduated from the Russian National Research Medical University. N.I. Pirogov, Faculty of Medicine. Took advanced training courses. Primary specialization is in coloproctology at the State Research Center of Coloproctology. Worked at the City Scientific and Practical Center for Coloproctology of St. Petersburg.

Experience: Proctologist. Medical practice experience – 25 years. Author of more than 40 articles on medical topics. A regular participant in conferences and symposia, where problems of modern medicine are covered.

Provides highly qualified diagnosis and treatment of many diseases: hemorrhoids, anal fissures, various diseases of the colon, successfully diagnoses neoplasms of the perianal area and rectum in the early stages. Also conducts examinations of children.

External hemorrhoids are quite common. With this form of the disease, the size of the saphenous veins in the anal area increases. Venous nodules then form. Their number and size depend on the severity of the disease. In any case, it is very important to start treatment for external hemorrhoids on time. To do this, you should consult a doctor who will diagnose and select adequate therapy.

To answer the question of how to treat external hemorrhoids, you need to establish the reasons for its development. The disease appears under the influence of a number of unfavorable factors. Among them:

  • genetic abnormalities in the structure of blood vessels;
  • strength sports;
  • insufficiently active lifestyle;
  • lifting heavy objects;
  • drinking large amounts of alcohol and spicy seasonings;
  • constipation;
  • pregnancy;
  • childbirth.

Under the influence of these factors, the veins of the pelvis and perineum become filled with blood. When the vascular wall loses its elasticity, it stretches. This is what causes hemorrhoids to appear. If they are localized outside the lumen of the anal canal, we are talking about the development of external hemorrhoids.

How to cure external hemorrhoids? You need to make serious adjustments to your lifestyle. Otherwise, the disease will return constantly. In such cases, only surgical removal of hemorrhoids will help.

The main cause of the pathology is disturbances in diet, which provoke constipation. An insufficiently active lifestyle can also lead to similar problems.

At the initial stage of development, the pathology is treated without the use of drugs. It is possible to cope with the disease if you follow the following recommendations of proctologists:

Drug treatment

To answer the question of how to get rid of external hemorrhoids, you need to determine the stage of the pathology, the age of the patient and take into account some other circumstances. Many people are interested in whether the disease can be cured using conservative methods. This can be done only at an early stage of the development of the disease.

Ointments and tablets are actively used to treat external hemorrhoids. In this case, rectal suppositories are usually used to combat the internal form of the disease. With the correct use of medications, external hemorrhoids can be successfully treated in men and women.

To combat this disease The following systemic drugs are used: detralex, posterisan, chemoroidin. The tablets can be used independently for stage 1 hemorrhoids. In more serious cases, you should consult a doctor.

Many people are interested in how to quickly cure external hemorrhoids. It is quite difficult to do this without the use of local remedies. That's why doctors often prescribe ointments. They successfully help treat external hemorrhoids in women during pregnancy.

To cope with external hemorrhoids, the following drugs are prescribed for treatment:

  • heparin ointment;
  • Vishnevsky ointment;
  • proctosan;
  • aloe cream;
  • relief

A specialist should select a specific product. Before treating external hemorrhoids, the doctor conducts a thorough diagnosis and prescribes adequate medications.

Non-surgical methods

External hemorrhoids can be removed using non-invasive methods. They are considered safer than surgery because they do not have a strong effect on the body.

How to remove the manifestations of hemorrhoids? For this purpose, procedures such as cryotherapy, laser coagulation, and sclerotherapy may be prescribed. However, external hemorrhoids cannot be treated by ligation with latex rings. This procedure is effective only for the internal form of the disease.

Sclerotherapy

The Longo operation is also actively used. During its implementation, the mucous membrane is removed using special equipment.

After the operation, the patient needs to undergo systematic examination. Thanks to this, it will be possible to detect a relapse of the disease in time. If no mistakes were made during the operation, hemorrhoids do not return for 5-6 years.

Traditional treatment

There are many effective remedies in the arsenal of traditional medicine - ointments based on honey, wax, aloe, etc. How to cure external hemorrhoids using home methods? To do this, you can use the following recipes:

It is important to consider that these funds cannot be used during the period of exacerbation of the disease. The presence of individual intolerance is also a contraindication.

Possible complications

One of the main complications that can occur in the external form of the disease is thrombosis of hemorrhoids. This disorder is characterized by stagnation of venous blood, which is accompanied by its subsequent thickening.

The thrombus provokes distension of the deformed plexus wall. As a result, a person may experience severe pain in the affected area. Discomfort increases significantly with movement or coughing. The appearance of the node also changes: it acquires a bluish tint, and there is redness around it. When touched, severe pain occurs.

This process is accompanied violation of general health. A person’s temperature rises and general malaise develops. In some cases, the inflammatory process also affects the perineal area, involving the external genitalia.

If you do not start treating the acute form of thrombosis in time, there is a risk of developing paraproctitis and the formation of fistulas, which are artificial holes in the tissues adjacent to the rectum.

It is quite possible to cope with the disease. This is a curable disease that can be treated with drugs. How long treatment for external hemorrhoids will last depends on the severity of the disease and the presence of concomitant pathologies. In any case, the treatment tactics should be selected by the doctor after a thorough diagnosis.

Hemorrhoids are a delicate disease, the number of which among the population is about 40%, with 30% allocated to external (external) hemorrhoids, which are often called the “royal disease”, since the main reason for ego development is a sedentary lifestyle. What is external hemorrhoids, what are its causes and symptoms, how to treat external hemorrhoids?

How do external hemorrhoids develop?

Hemorrhoids are a non-infectious inflammatory disease in which pathological expansion of the veins of the external hemorrhoidal plexus occurs, followed by the formation of nodes and lumps. Unlike internal hemorrhoids, external hemorrhoids are characterized by the formation of hemorrhoids outside - near the rectum. An important factor in the course of the disease is that severe symptoms appear only during an exacerbation. Therefore, everyone who has encountered the symptoms of this disease should know how to treat external hemorrhoids and prevent its recurrence. With external (external) hemorrhoids, a pathological enlargement of the saphenous veins occurs around the anus, where nodular formations or lumps of different sizes develop. The size and number of nodes depends on the degree of the disease, but in any case they are located around the opening of the colon. External hemorrhoids photo allows you to examine the presence of pathological formations.

Hemorrhoidal nodes with external hemorrhoids are visible from the outside, may have a dark blue color, and be larger than 3 millimeters in size. During the period of remission, the disease can be practically unnoticeable, but during an exacerbation (relapse) it begins to increase in size, become inflamed, the skin around it becomes red, pain and difficulty with defecation occur.

Reasons for the development of external hemorrhoids

The main reason for the development of external hemorrhoids lies in the disruption of blood outflow from the cavernous perianal zone, which causes stagnation in the hemorrhoids and the appearance of compactions (bumps). The following factors and reasons can provoke such a pathological process:

  • Violation of metabolic processes;
  • Frequent constipation.
  • Hormonal disorders.
  • Sedentary lifestyle.
  • Alcohol abuse.
  • Smoking.
  • Pregnancy, childbirth.
  • Genetic predisposition.


In addition to the above reasons, external hemorrhoids can develop against the background of internal diseases such as diseases of the cardiovascular system, tumors of the pelvic organs, intestines, and cirrhosis of the liver. The cause of external hemorrhoids can be determined only after the results of the examination, which will be prescribed by a proctologist.

Degrees of external hemorrhoids

In proctology, there are 3 degrees of external hemorrhoids, which have different clinical pictures and stages of their development.

  • 1st degree - stagnant processes in hemorrhoids pass without inflammation. It is visually difficult to see changes and the presence of lumps, but upon examination and palpation, the nodes are slightly increased in size and feel dense to the touch.
  • 2nd degree - hemorrhoidal nodes become inflamed, swelling and hyperemia appear, the nodes are enlarged in size and dense. Their increase can be determined by palpation or visual inspection.
  • 3rd degree - inflammation spreads to the subcutaneous tissue, perianal area. The area in the anal canal area is painful, the bumps reach large sizes, hemorrhoids are dense, purple or bluish in color.

The clinical picture of external hemorrhoids is quite pronounced, especially during an exacerbation of the disease. In the remission phase, a person suffering from external hemorrhoids feels itching in the anal canal, often bleeding appears during bowel movements, and the presence of a foreign body in the anus is constantly felt.

There is practically no pain, but significant discomfort does not allow a person to lead a normal lifestyle. If, in the presence of such symptoms, the patient does not rush to see a doctor, the disease progresses, becomes chronic, and often worsens. In the acute form of external hemorrhoids, strangulation of the hemorrhoids occurs with the subsequent development of thrombosis. During this period, the following symptoms are observed:

  • Discharge of mucus from the anal canal.
  • Pain in the area of ​​hemorrhoidal lumps, which is constantly present and intensifies when defecating or sitting.
  • Itching and burning of the anus.
  • Tingling in the anal area.
  • Bloody discharge.
  • Prolapse of hemorrhoids.
  • Increased body temperature.
  • General intoxication of the body.

In some cases, with advanced forms of the disease, a necrotic gray coating may appear on the strangulated nodes. The patient’s condition is quite serious, and failure to see a doctor in a timely manner can lead to serious complications.

External hemorrhoids during pregnancy

Pregnant women are especially susceptible to developing external hemorrhoids, which most often develop during the first or second birth. The disease can develop both during pregnancy and during childbirth. External hemorrhoids during pregnancy develop as a result of pressure from the uterus on the blood vessels of the large intestine. The risk of developing the disease appears in the last months of pregnancy, when the fetus begins to grow rapidly, which provokes pressure on the lower part of the pelvis. External hemorrhoids should be treated only under the supervision of a proctologist, who, taking into account all the characteristics of the expectant mother, will be able to select the optimal treatment regimen that can eliminate the symptoms of the disease, thereby not harming the fetus and the pregnancy itself.

Complications of external hemorrhoids

External hemorrhoids with untimely or poor treatment can lead to complications such as thrombosis of the hemorrhoid. If thrombosis is not treated in a timely manner, this condition can develop into purulent paraproctitis with the formation of perirectal fistulas.

Methods for diagnosing external hemorrhoids

The diagnosis of external hemorrhoids is made by a doctor during the initial examination of the patient. Diagnosing the disease is quite simple, since the lumps of hemorrhoids are easily palpable and can be seen when examining the anal canal. The size of compacted hemorrhoids can vary from a small pea to a large nut. In addition, sometimes it is enough for a specialized proctologist to hear the patient’s complaints and conduct an examination in order to make a primary diagnosis and prescribe immediate treatment. If necessary, the doctor prescribes instrumental studies, such as sigmoidoscopy or anoscopy. The research results allow the doctor to determine the stage of the disease, make a final diagnosis and prescribe appropriate treatment.

Treatment of external hemorrhoids

Hemorrhoids need to be treated as quickly as possible, already at its first manifestations. The advanced form of the disease practically does not respond to conservative treatment, but only to radical methods, so treatment of external hemorrhoids must be carried out correctly and only under the supervision of a proctologist. At the initial stages of the development of external hemorrhoids, the doctor prescribes drug treatment, which consists of the use of ointments, creams that relieve swelling of soft tissues and have analgesic and anti-inflammatory properties. Rectal suppositories are recommended for use only for internal hemorrhoids, so they are not prescribed for the external form of the disease.

If necessary, the doctor prescribes ointments and creams that contain hormones that prevent the formation of blood clots. Let's look at several effective drugs that are widely prescribed by doctors for the treatment of external hemorrhoids.

  • Fleming's ointment is a homeopathic drug that has analgesic, vascular strengthening, anti-inflammatory and bactericidal properties. You need to apply ointment for external hemorrhoids 2 times a day.
  • Levomekol is an ointment with chloramphenicol, which has antimicrobial and anti-inflammatory effects.
  • Hepatrombin G is a combined drug that has an anti-edematous effect, improves blood flow to the rectum, and prevents the development of vascular thrombosis.

In addition to the above ointments and creams for the treatment of external hemorrhoids, there are others that are no less defective: Proctosan ointment, Proxodelil, Ultraproct and others. Tablets for oral administration are effective in the treatment of external hemorrhoids, among which are:

  • Ginkor Fort - prescribed by a doctor at any stage of external hemorrhoids. The drug contains only natural ingredients. Taking this drug helps prevent the formation of new nodes, reduce inflammation, and strengthen blood vessels.
  • Detralex - used for the symptomatic treatment of external hemorrhoids. Has a venoprotective effect. Taking tablets allows stagnation in the colon and increases capillary resistance. The course of treatment and dose of drugs is prescribed individually for each patient.


Any medication should be used only as prescribed by a doctor. Self-medication or uncontrolled use of medications can lead to side effects. Before using any drug for external or internal use, you should read the instructions for use. If the disease is advanced, the doctor prescribes surgical treatment of external hemorrhoids, which includes excision of hemorrhoids. The choice of surgical treatment is prescribed by the doctor depending on the degree of the disease and the capabilities of the clinic where the patient is being treated.

Folk remedies for the treatment of external hemorrhoids

Despite the large range of drugs from the pharmacological industry, many turn to traditional medicine for help, which has many recipes for the treatment of external hemorrhoids. External hemorrhoids can be treated at home using components of plant and animal origin. Let's look at a few recipes:

Recipe 1. Compresses with sea buckthorn oil. Just take a cotton pad, soak it in sea buckthorn oil and apply it to the anus overnight.

Recipe 2. Potato lotions. Raw potatoes need to be grated, squeeze out the juice, moisten a cotton pad with it and apply to the hemorrhoids for 20 minutes.

Recipe 3. Therapeutic herbal baths. For baths you can use chamomile, sage, calendula, and string. It is enough to brew a light herbal decoction, you can add propolis, leave for 30 minutes, pour into a bowl of water or a bath. You can take such baths 3 times a week for 20 minutes.

Hemorrhoids in women are a common disease that brings no less trouble to beautiful women than to men. It may occur even more often in women, but they seek help less often.

They think it’s a shame, but the problem becomes even greater, because such a specific illness needs to be treated at the initial stage, especially considering that girls have more aggravating factors than boys.

It is important to remember that hemorrhoids, whether external or internal, will not go away on their own. Whatever stage it is at, you need to contact a specialist. Even if you are not sure that you suffer from this particular disease, it would be a good idea to contact a proctologist to rule out or promptly begin to treat hemorrhoidal formations.

We will look at the characteristics of hemorrhoids in women, its symptoms and first signs in the initial stage, as well as modern methods of treating hemorrhoids, including at home using suppositories, ointments and folk remedies. Hemorrhoids are varicose veins of the rectum with the formation of hemorrhoids (twisted, thrombosed areas of veins).

Depending on the location, “activity” (tendency to fall out and self-rectify) of the nodes and the presence of complications, hemorrhoids can be classified as follows:

  1. Internal hemorrhoids - hemorrhoids are located at a relative distance from the ampullary part of the rectum;
  2. External hemorrhoids - hemorrhoids are located in close proximity to the anus;
  3. Hemorrhoids with accompanying anal fissure;
  4. With prolapse of hemorrhoids;
  5. Complicated by thrombosis of nodes - often the main symptom is intense bleeding from the rectum.

Causes of hemorrhoids in women

Hemorrhoids are a disease whose appearance can be caused by various factors. The pathogenesis of this disease is based on impaired blood flow in the pelvic area. Among the main etiological and provoking factors, the following should be highlighted:

  1. Sedentary image of professional activity (long-term sitting leads to stagnation of blood in the pelvis, disruption of the inflow of arterial and outflow of venous blood from organs);
  2. Pregnancy - during pregnancy, the volume of circulating blood in the bloodstream in women increases significantly, and the blood flow to all organs increases accordingly. A sedentary image of a pregnant woman provokes venous stagnation and increases the risk of developing hemorrhoids;
  3. Labor - the main reasons for the development of hemorrhoids during childbirth are: the pressure of an enlarged uterus on the pelvic organs, leading to impaired circulation, as well as a significant increase in intra-abdominal pressure;
  4. Frequent constipation, the appearance of which is associated with poor nutrition (insufficient consumption of plant fiber);
  5. Intense physical activity and heavy lifting that does not correspond to the physical capabilities of the body;
  6. Sharp intensive loss of body weight;
  7. Compounded heredity and predisposition to blood clotting pathologies and thrombus formation;
  8. Frequent practice of anal sex;
  9. Regular use of laxative medications not for therapeutic purposes, but for the purpose of losing weight;
  10. Natural age-related changes in the body.

First signs

The very first manifestation is a feeling of discomfort in the anus. It may occur during bowel movements, sitting or walking. Itching, burning, sensation of a foreign object - all this indicates inflammation of the venous nodes.

Let us highlight the first signs of hemorrhoids in women:

  • Feeling of discomfort, burning, itching;
  • slight bleeding while going to the toilet;
  • Inflammatory processes of the anus;
  • Pain, tingling, cutting during bowel movements;
  • Prolapse or swelling of hemorrhoids;
  • Copious secretion of mucus.

Over time, the signs of hemorrhoids intensify. Swelling of the anus and heaviness in the groin appear. It becomes difficult to walk and painful to sit. If a hemorrhoid is pinched, a woman experiences sharp, very severe pain.

The nodes themselves can be detected if you touch the anus: they feel like tubercles under the skin. In advanced cases, the nodes may fall out.

Hemorrhoids in women should be differentiated from some other diseases of the rectum due to the similarity of symptoms - benign and malignant tumors, polyps, anal fissures, infectious pathologies, etc. The disease often occurs suddenly, so treating hemorrhoids at home is very popular. The “classic” picture of hemorrhoids in women is based on the following symptoms, which you should pay attention to first:

  • Discomfort in the anus and rectal projection;
  • Soreness (most often the pain is dull aching in nature) in the rectal area when in a sitting position and during defecation;
  • Determination of a well-palpable seal in the anal area;
  • A burning sensation or intense itching in the anus;
  • Hyperemia of the skin in the anal area;
  • Swelling of the subcutaneous fatty tissue in the anus (in a sitting position, patients are bothered by discomfort and the sensation of a foreign body in the rectum);
  • Discharge of blood from the rectum during defecation. Blood is on the surface of the stool and has a bright red color;
  • Difficulty in bowel movements and frequent constipation;
  • Prolapse of hemorrhoids, which can be reduced independently after defecation (second stage of the disease) or with the help of fingers (third stage). As the disease progresses, the nodes may fall out without physical activity or bowel movements.

Stages of hemorrhoids

It should be noted that the more advanced the disease, the more radical the method used to treat it. The development of hemorrhoids occurs in 4 stages:

  1. It is characterized by swelling and bulging of captive, sometimes bleeding hemorrhoids. There is an increase in the vascular pattern of the mucous membrane, as well as minor anatomical changes in the longitudinal muscle;
  2. At this point, hemorrhoidal cones increase in size, become denser and more painful. During defecation, they come out (this is a reversible process, they go back on their own). Not only blood oozes from the rectum, but also inflammatory fluid - it irritates the anus, causing uncontrollable itching and discomfort. Women become very nervous. And already at this stage, almost 80% of them turn to a doctor for help;
  3. It occurs against the background of increasing anal itching and frequent bleeding. Prolapsed hemorrhoids require manual or instrumental reduction. During laboratory research, morphological changes in muscle tissue are detected, indicating the predominance of dystrophic processes and loss of elasticity;
  4. There is also a group of particularly persistent women who engage in ineffective self-medication and “spit on some doctor.” They have a unique chance that the 4th stage of the disease will soon develop! I don’t even want to talk about wild discomfort, pain, suffering. We will describe only the main symptoms: severe bleeding during bowel movements, lumps of different sizes inside and outside the anus, the inability to reduce hemorrhoids in any way (even manually), blood clots appear.

In general, despite certain causal features, the symptoms of hemorrhoids in women and girls are typical and no different from those in men.

What does hemorrhoids look like in women photo

Most often, female hemorrhoids are caused by varicose veins. To imagine what hemorrhoids look like in women, first of all, you should know at least the basics of anatomy learned in school. Being the last section of the intestine, the rectum bears a colossal load.

This is what hemorrhoids look like in women in the photo in an advanced stage

A dense venous network runs throughout the rectum. Flowing quite slowly, the blood can stagnate in places, dilating the vessels and forming nodes. In the lumen of the veins, arterial vessels can be observed. What hemorrhoids look like in women and what photo hemorrhoids look like in men - there is no gender difference.


The photo shows stage 1 of hemorrhoids in women

A slight difference occurs only in the causes that provoke the disease. Many factors influence how hemorrhoids manifest in women. This list can include the period of gestation, childbirth, stress, lifting unbearable weights, and more. Hemorrhoids in girls are mainly caused by intense weight loss and prolonged sitting at the computer.


Photos of hemorrhoids during pregnancy

There are many cases where hemorrhoids during pregnancy are mainly caused by natural constipation. If treatment is not started in time, an even bigger problem will arise after childbirth.


The photo shows hemorrhoids during pregnancy

Very often, hemorrhoids during pregnancy can be caused by the fetus itself. The larger it is and its location is lower, the more pressure it puts on the intestine, provoking stagnation of blood and the formation of nodes. Hemorrhoids in girls who have not reached full maturity are becoming more common during their first pregnancy.

Hemorrhoids after childbirth photo

Hemorrhoids after childbirth cause a lot of discomfort. If you start it during this period, it will develop into chronic. Symptoms of hemorrhoids in women at this time are caused by the enormous load during pushing.


In the photo, a woman has hemorrhoids after childbirth

During this period, hemorrhoidal cones can easily fall out. There is a fact that during difficult childbirth, hemorrhoids in children can be triggered by strong pressure of the birth canal. Hemorrhoids after childbirth, left without treatment, will lead to inflammation that can cause a malignant tumor. Postpartum female hemorrhoids require special hygiene.

The first signs of hemorrhoids in women photo

In each case, the first signs of hemorrhoids in women are individual. Often they are not paid attention to, and the initial stage of hemorrhoids photo with timely treatment is completely curable.


The first signs of hemorrhoids in the photo

Signs of hemorrhoids in women are expressed with a burning sensation, tingling, itching of the anus. Inflammation and swelling often occur. Signs of hemorrhoids in women are often expressed by heaviness in the intestines, increasing towards the anus. Traces of blood noticed on linen or toilet paper should also alert you. Stage 1 hemorrhoids in women can only be manifested by mucus discharge.

Symptoms of hemorrhoids in women photo

Pain that occurs during bowel movements, the presence of blood, sometimes copious amounts - all these are symptoms of hemorrhoids in women. Precursors of the disease, such as symptoms of hemorrhoids, usually develop sequentially in women.


Symptoms of hemorrhoids in women in the photo

At the very beginning, discomfort is caused by an unpleasant feeling of a foreign body in the intestine. It is he who is a frequent harbinger of the disease. Frequent trauma to intestinal tissue can cause the development of tumors. Signs of hemorrhoids in women such as itching and burning are often wave-like, causing a lot of inconvenience.

What external hemorrhoids look like in women photo

External hemorrhoids in women are characterized by protrusion of nodes or their loss, which causes additional stretching of the skin. Cones can be of different sizes.

Photo 1 Photo 2

External hemorrhoids in women greatly complicate the process of sitting. The prolapsed tissues become swollen, their color depends on the stage of the disease of external hemorrhoids in women. The symptoms of female hemorrhoids and the symptoms of hemorrhoids in men are no different from the photo. External hemorrhoids in women increase the risk of infection.

What internal hemorrhoids look like in women photo

Photo 3 Photo 4

Internal hemorrhoids are most common in women and have fairly clear symptoms. It is not possible to see what hemorrhoids look like in women due to the location of the nodes in the middle of the rectum. Increasing with swelling, the nodes cause unpleasant heaviness and tingling.

Photo 5 Photo 6

Internal hemorrhoids in women, due to the pressure of the lumps, cause microcracks into which moisture, sweat get in and cause pain and pinching. Sometimes internal bleeding occurs.

The internal type is much easier to cure than other types of hemorrhoids in women. Read more in the article hemorrhoids - what are they on our website.

Complications

If untreated, hemorrhoids can develop into some more dangerous diseases and conditions: iron deficiency anemia (occurs due to massive one-time or regular blood loss), acute thrombophlebitis, fistulas, anal fissures, secondary infection, suppuration of pathologically enlarged and tortuous lesions.

Classification

There are 3 types of disease according to the location of hemorrhoids:

  1. Internal hemorrhoids, in which the nodes are located under the mucous membranes of the rectum, but higher than the border of the dentate line. Localization - the place of the internal plexus of veins;
  2. With external hemorrhoids, the hemorrhoids are located below the dentate line;
  3. Combined hemorrhoids are a combination of internal and external types of disease.

The degree of development of hemorrhoids depends on which of the four successive stages it is in.

Which doctor treats hemorrhoids in women?

In women, a proctologist treats and diagnoses hemorrhoids. It is this specialist who conducts examinations, prescribes therapy, gives all possible recommendations, and also tries to support the patient.

Not all clinics have a proctologist, since his specialty and direction are quite narrow; most often he works either in hospitals or in private medical clinics for a fee.

Diagnosis of the disease

The diagnosis of female hemorrhoids can be made already during a visual examination of the anal area, during which swollen, hyperemic, dense hemorrhoids are determined, sometimes ulcers covered with blood clots are visible on their tops.

  • A rectal examination reveals the presence of internal nodes and other pathology of the rectum (polyps, tumors);
  • Sigmoidoscopy - examination of the rectum and rectosigmoid region for concomitant pathology;
  • Anoscopy is performed to assess the condition of the anal canal mucosa. The examination is carried out with a special apparatus - an anoscope;
  • Colonoscopy allows you to evaluate the condition of the entire intestinal mucosa.

Patients often feel ashamed in front of the proctologist and hope that the disease will go away on its own, but such behavior is completely wrong. The disease can only get worse and worsen, so when the first signs appear, you should immediately seek medical help.

Do not try to diagnose or self-medicate yourself, as this is very difficult. In addition, this disease can be confused with other serious diseases of the rectum.

Treatment of hemorrhoids in women

In the case of hemorrhoids in women, the initial stage of the disease allows treatment at home without hospitalization. While the second and third require a stay in a hospital. More advanced cases or stage four are treated only with surgery.

How to quickly treat hemorrhoids in women? Symptomatic medications are used that have analgesic, anti-inflammatory, decongestant, and absorbable effects. Below are the names of the most effective medications.

The most popular ointments for hemorrhoids are:

  • Troxevasin ointment;
  • Heparin ointment;
  • Hepatrombin G;
  • Posterisan;
  • Relief;
  • Aurobin;
  • Bezornil.

This form of medicine is most effective in eliminating the external manifestations of the disease. For internal hemorrhoids, rectal suppositories are prescribed; they best relieve inflammation and eliminate painful symptoms.

List of the most common drugs:

  • Hepatrombin G;
  • Posterisan;
  • Suppositories with adrenaline;
  • Procto-glivenol;
  • Belladonna candles;
  • Candles with sea buckthorn;
  • Relief Ultra;
  • Suppositories with propolis.

In cases where local treatment is not effective enough, the doctor will recommend combining suppositories and ointments with venotonic drugs in the form of tablets or capsules. The following medications are prescribed for oral administration:

  • Phlebodia;
  • Detralex;
  • Aescusan;
  • Troxerutin.

Before starting treatment, you should see a doctor and get advice from a proctologist on the use of medications. You should not self-medicate by relying on advice or reviews on the Internet, especially for pregnant women.

Diagnostics

Diagnosing hemorrhoids is never difficult. A visual external examination of the anus, as well as a digital rectal examination, allows one to suspect the development of this disease.

For differential diagnosis with other pathological conditions of the large and small intestine, advanced research methods are used:

  • Sigmoidoscopy (allows you to thoroughly examine the condition of the mucous membrane of the lower part of the sigmoid and the entire rectum);
  • Irrigoscopy;
  • Colonoscopy (performed to assess the condition of the colon throughout);
  • Fecal occult blood test;
  • Biopsy if necessary - if a malignant neoplasm is suspected;
  • Ultrasound of the abdominal organs.

Minimally invasive treatment methods

When conservative treatment methods at home do not bring the expected result, surgery is performed using minimally invasive methods:

  1. Sclerotherapy - the essence is the introduction of a substance with a sclerosing effect into the hemorrhoidal node. It causes the dilated veins to flatten and stick together. Simultaneous sclerosis of no more than two hemorrhoids is recommended, but the procedure can be repeated after two weeks;
  2. Phtocoagulation is carried out using a light guide, which is brought to the hemorrhoidal node until complete contact. The radiated thermal energy contributes to the desolation and gluing of venous vessels;
  3. Alloying with latex rings. This treatment method is based on placing latex rings on the hemorrhoid nodule. It puts pressure on the vessels carrying blood, thus closing the possibility of feeding the nodular formation, which gradually dries out and after four days finally dies, then coming out through the anus. The ring is made of natural material. One latex ring reaches five millimeters in outer diameter and one millimeter in inner diameter;
  4. Cryotherapy is the treatment of nodular formations with a very low temperature, which decreases to two hundred degrees. The manipulation is performed using a cryoprobe apparatus. The cryoprobe is connected to a balloon inflated with nitrogen. The supply of nitrogen is regulated using tubes connecting the balloon and the cryoprobe. Treatment of the disease with this device gives a noticeable effect at any stage of the disease, excluding the fourth. At the last stage of the disease, hemorrhoids spread over a large area. The source of his defeat is too large. Doctors can only prescribe in this situation a surgical intervention called hemorrhoidectomy.

All minimally invasive interventions are performed on an outpatient basis, using special equipment and local anesthesia. The procedure does not last long, after which the patient is under the supervision of doctors for some time, then goes home. Recovery after the intervention occurs in a short period, there are practically no complications.

How to treat hemorrhoids in women at home

Folk remedies are used to treat hemorrhoids in women as an auxiliary remedy to reduce inflammation. From folk recipes it is clear that they prefer local effects at home using tampons, lubricants, and baths:

  1. Sitz baths. There are several herbs that are great for treating hemorrhoids. These include oak bark, chamomile, celandine and calendula. They have antibacterial and analgesic properties. To prepare the product, you need to take one type of herb or make a mixture of herbs, take them in equal quantities, pour boiling water over them. The product is allowed to brew. As soon as it cools down a little, you can start sitz baths. In addition to herbs, a cool bath of a weak solution of potassium permanganate will also help;
  2. To narrow the blood vessels and strengthen their walls, you can apply ice, regular ice or chamomile infusion. Ice cubes should be placed in clean gauze and applied briefly to avoid hypothermia;
  3. Mix tsp. honey, propolis, birch tar, petroleum jelly, sea buckthorn oil. This makes an excellent product to lubricate the pine cones before going to bed or make compresses on a napkin. This treatment is effective and harmless; it should be used for 10 days;
  4. Microclysters from beet juice (50 ml) are injected warm into the rectum overnight;
  5. Lotions that are applied directly to the nodes themselves help treat the disease. For example, a piece of cloth can be generously moistened with a decoction of herbs and applied to the nodes for several hours. These can be simple lotions made from cold water, or lotions with an infusion of wild strawberry leaves.

Before using any, even the most effective folk remedy for hemorrhoids, you should definitely consult with a specialist. Only proper treatment will give positive results.

Prevention

As you know, early warning is much better and cheaper than long and painful treatment. Fortunately, hemorrhoids are a disease that we can influence and quite successfully for the better. To understand what would be the best form of prevention, it would be advisable to return to the factors causing the disease and try to minimize them, if it is not possible to eliminate them altogether:

  • Do not lift heavy objects frequently. If you must lift heavy objects, do not hold your breath while lifting;
  • Monitor proper bowel function, eat right and avoid causing constipation and diarrhea. The diet should contain fiber, liquid, vegetables and fruits. Only healthy balanced fractional food. 4-5 times a day, especially during pregnancy, drink plenty of fluids and timely empty the body;
  • Do not strain the anus during bowel movements, do not sit for hours in the toilet reading an interesting book or newspaper;
  • Avoid prolonged sitting and try to be physically active. Moderation is the key to good health. If your profession requires you to sit in a chair for a period of time, take frequent breaks to perform moderate physical activity such as walking or swimming;
  • Preventive measures are necessary not only for those who fear a recurrence of the disease, but also for those who have relatives suffering from hemorrhoids or simply want to protect themselves from the possible occurrence of the disease.

Video: Hemorrhoids - symptoms, signs and treatment



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