What to do if painful sensations occur with hemorrhoids?

Varicose veins of the rectum and anus are called hemorrhoids. The structure of the venous wall changes with the formation of hemorrhoids, which begin to bleed and become inflamed. Many remedies have been developed to help relieve pain from hemorrhoids at home quite quickly.

What is this disease: be aware

Many patients do not even really understand what is happening to them. This misunderstanding causes continuous troubles - they don’t go to the doctor, listen to dubious advice from friends, and engage in inappropriate self-medication. If you know at least a little how the disease develops, what changes in the body at this time, what suffers and what it is fraught with, a person will at least refuse frivolous advice from the outside and will not harm himself.

Hemorrhoids are called varicose veins of the venous plexuses of the walls of the rectum in the anal canal, which is fraught with the formation of hemorrhoids. These nodes/bumps can become inflamed, bleed quite heavily, and even fall out. The disease occurs due to elementary pathology of blood circulation in the vessels of the plexuses of the lower parts of the rectum. This causes the veins to dilate and often lead to thrombosis, which can lead to serious bleeding.

With this disease, venous tone decreases, the vascular wall relaxes, because the incoming blood presses on it. This is how varicose veins of the rectum arise and a hemorrhoidal node is formed.

Further, thrombosis may form inside the node due to impaired blood circulation - this is an acute stage of the disease that requires urgent intervention from specialists. Hemorrhoid pain and inflammation only intensify.

The danger of the disease also lies in the fact that until a certain time it may not bother the patient. The natural tone of the vascular walls decreases, these walls stretch over time from blood pressure, and the disease progresses. If a person does not ignore the symptoms that have already appeared, everything is reversible and it is not necessary to operate on vein pathology. But with advanced disease, external nodes appear, and there may be prolapse of the venous plexuses, which often brings the patient to the surgical table.

Stages of the disease

First

There is no pain, sometimes there are small smears of blood from the anus.

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Second

Hemorrhoids appear and correct themselves. May occur with slight bleeding.

Third

Nodules appear when sneezing and coughing, and cannot be corrected on their own - this must be done manually.

Fourth

Constantly present nodes begin to become inflamed. The pain is severe. Frequent and heavy bleeding.

Treatment for hemorrhoids often involves surgery. But in any case, it is possible to alleviate the patient’s suffering by taking a number of medications. As a rule, conservative treatment brings results only in the initial stages of the disease.

What are the signs to identify the disease?

First of all, hemorrhoids hurt. This is the most basic sign that should lead the patient to the doctor. First, unpleasant sensations arise in the anal area; they do not go away even after defecation.

The pathology is accompanied by:

1. Burning and itching sensations in the anus;
2. Sticky mucus discharge;
3. Redness of the skin in the anal area;
4. Anal fissures;
5. Severe flatulence.

At the initial stages of exacerbation of hemorrhoids, the short-term symptoms are not very strong and not very pronounced. Exacerbations occur, as a rule, with stool disorders, during pregnancy (especially in the last stages), after a breakdown in diet or after an alcoholic feast.

How can pregnant women get rid of pain?

In pregnant women, the risk of getting such an unpleasant “sore” as varicose anal veins increases significantly. This is due to hormonal changes in the body, increased blood circulation in the mother-child system and increasing pressure from the fetus on the pelvic organs.

In some cases, hemorrhoids are practically asymptomatic and do not bother the expectant mother in any way. However, most often in the last trimester or immediately before childbirth, the disease makes itself felt by an increase in nodules and severe pain. How can you relieve discomfort during such a crucial period?

First of all, you should seek professional help. It is the attending doctor who will determine the degree of pathology, tell you which medications will help get rid of the pain syndrome and will not harm the growing fetus.

In most cases, expectant mothers are contraindicated in medications with hormonal ingredients, belladonna extracts, and many medications with anesthetic components. Thus, choosing the right medication on your own is quite difficult.

Do not think that traditional medicine methods are absolutely safe for pregnant women. For example, oral administration of herbal infusions and decoctions is contraindicated. In addition, warm and cool sitz baths are not recommended.

Pregnant women need to monitor the functioning of the digestive tract and avoid constipation, which can provoke hemorrhoidal disease. Another important recommendation is regular walks in the fresh air.

Well, the main rule in the fight against pain from hemorrhoids is early contact with specialists. Timely identification of negative symptoms will allow timely treatment to begin and avoid deterioration of the condition during labor.

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Why do hemorrhoids hurt?

Many people, during the next exacerbation, ask only one question: how to relieve pain from hemorrhoids. The main causes of pain should not be ignored - it signals that an inflammatory process is developing in your body (and this is always a danger). Also, pain from hemorrhoids may indicate damage to the tissues of the rectum.

Due to inflammation, the walls of the anus and the skin around it become thinner and more tender. And if rocky feces pass through the intestine, the walls are quickly injured. This is dangerous due to the formation of anal fissures - painful and long-lasting wounds.

Mechanism of pain

In most cases, pain from hemorrhoids occurs during bowel movements, while walking or sitting. Its origin is associated with the presence of nerve endings located in the rectum and anus, which are involved in the pathological process. It is these nerve receptors that send impulses to the brain, resulting in unpleasant sensations.

The main causes of pain with hemorrhoids are:

• injury to the mucous membrane of the rectum and skin around the anus with feces;
• inflammatory process.

Pain may occur after hemorrhoid surgery. In this case, they are an absolutely normal phenomenon caused by intervention in the patient’s body, and with tissue healing they go away on their own. If postoperative pain bothers the patient, the doctor may prescribe painkillers for a short period.

Pain is characteristic of both chronic and acute hemorrhoids. The mucous membrane of the anal canal and the skin around the anus becomes thinner and is easily damaged by the passage of feces. This leads to the formation of long-term non-healing cracks in the anus, through which infections and microbes enter, forming an inflammatory process.

In the absence of adequate treatment, anal fissures become chronic, turning a person's life into a series of unbearable torments. This adversely affects the physical and psychological state of a person, reducing the quality of life.

Not wanting to constantly experience severe pain, patients begin to avoid bowel movements and refuse food in order to go to the toilet less often. As a result, the problem is aggravated by constipation, feces harden and, moving along the rectum, further injure the mucous membranes and hemorrhoids. It turns out to be a kind of vicious circle.

Pain and stages of the disease

In the early stages, few people wonder how to relieve the pain of hemorrhoids. The symptoms are not particularly pronounced; pain, if it occurs, is short-lived and goes away on its own. A person only experiences slight discomfort: it seems to them that there is a foreign body in the rectum (this happens during and after bowel movements). But the disease progresses, and it becomes increasingly difficult to ignore negative signs.

The disease develops under the influence of the following factors:

• You lead a sedentary lifestyle;
• Doing excessive physical activity (lifting weights);
• You make mistakes in nutrition;
• Abuse alcohol;
• Often there are malfunctions in the digestive tract, constipation;
• Pregnancy and childbirth themselves contribute to the development of hemorrhoids.

Sedentary lifestyle

Excessive exercise

Do you abuse alcohol?

Pregnancy and childbirth
Internal hemorrhoids hurt a lot: the internal nodes grow and become inflamed. Pain usually occurs during bowel movements. It looks like fullness, pulsation and burning inside the anal canal are also felt.

At the second stage, these symptoms are also accompanied by pain in the lower back, back, and a feeling of heaviness in the intestines. Constipation, flatulence, and diarrhea may be more common than usual.

The third and fourth stages are almost constant pain. This is an already advanced disease when the nodes simply fall out. At the third stage, the person himself can somehow straighten them, but at the fourth stage the patient is not able to do this on his own. The inflamed nodes hurt so much that even touching them with toilet paper causes severe pain in a person. With node thrombosis, the pain is literally unbearable: it is difficult for the patient to sit, he moves with pain. No analgesics work in this situation. Such a difficult case can only be saved by surgery.

Prevention

1. Reviewing your daily diet. It is recommended to eat healthy foods, not eat dry foods, drink enough water, and avoid fatty, spicy and salty foods.
2. Active lifestyle. Daily walks, yoga, gymnastics, morning exercises will prevent blood from stagnating in the pelvic organs.
3. Passing a medical examination twice a year.

Advice! Women are advised to wash themselves after defecation and avoid uncomfortable and tight underwear.

Hemorrhoids are a serious condition that is best treated in the early stages. To avoid unpleasant consequences, doctors recommend monitoring your health and seeking medical help in a timely manner.

How to relieve pain from hemorrhoids

The patient should ask the doctor how to quickly relieve pain from hemorrhoids. Not to friends and relatives, but to a doctor who knows the history of your illness. Experts are sure: you should not endure pain, you should definitely alleviate your condition.

Home remedies that explain how to relieve pain from hemorrhoids:

• To relieve swelling and reduce inflammation, you can apply a cold compress with ice. It's simple: put pieces of ice in a small bag, and apply this bag to the sore spot for 10 minutes every hour until the symptoms subside.
• Cool phyto-lotions. Take clean gauze and soak it in a decoction of chamomile, plantain, as well as calendula, knotweed, and possibly nettle. These components remove manifestations of the inflammatory process, improve blood flow, and block spasms.
• Cool sitz baths. They help with not very severe pain. To do this, add a healing decoction or infusion to a suitable container. You can take agave leaves or raw potatoes. For severe pain, this method is ineffective.
• Aloe can be used in other ways. Freshly cut leaves of this plant are washed, freed from the skin, and the important inner thick part is grated on a medium-sized grater. The juice is squeezed out of this mass, gauze is moistened with it, and then it is applied to the hemorrhoid area.
• Raw potatoes are also used not only for sitz baths. Grate the tuber on a fine grater, place this mass on a sterile napkin. Wrap it and also apply it to the affected area of ​​the anus. 15 minutes of exposure to the compress is enough. After the procedure, wash the anal area with cool water.

Actions during exacerbation

If hemorrhoids appear, take immediate measures. It will help avoid the development of complications and alleviate the condition during the acute course of the disease.

1. Lie down in bed and try to move less. It's better to lie on your side. Calm down, relax. Excessive nervous and physical stress leads to increased pressure in the pelvis and worsening of the condition.
2. If you feel the urge to defecate, do not push. Straining increases pressure in the pelvic cavity and worsens the condition. Hemorrhoids become pinched and fall out. Bleeding from hemorrhoidal veins and complications may develop.
3. A prerequisite for treatment for exacerbation of hemorrhoids is correction of the diet and diet. Eliminate spicy, salty foods, fatty, fried foods from your daily diet. Avoid baked goods, confectionery products, alcohol, carbonated drinks - they provoke constipation and worsen conditions during exacerbation of hemorrhoids. Immediate help during an exacerbation is to drink plenty of fluids. The stool becomes softer and passes without causing discomfort to the patient.
4. Include plant fiber in your diet. Prunes and dried apricots have a laxative effect.
5. Do therapeutic enemas at home. Cleanses the intestines, heals ulcers and cracks, eliminates signs of inflammation. Enemas should be done at home with caution so as not to injure the walls of varicose veins.

   Therapeutic enemas at home

6. To prevent constipation, use mild laxatives. Use with caution - diarrhea is dangerous. To prevent an inflamed hemorrhoid from popping out, control the frequency and nature of stools with diet.

Personal hygiene rules

When the inflammatory process worsens, the risk of secondary infection increases. To prevent complications from developing, after visiting the toilet, wash the perineal area with cool running water. Use chilled herbal infusions.

The procedures help relieve pain and inflammation if the node comes out of the lumen of the rectum. After visiting the toilet, use soft paper and moisturizing wipes if the knot appears outside.

Limiting physical activity

During an exacerbation, minimize physical activity. Lie down more often. You should walk slowly, over short distances. If the hemorrhoidal node has come out of the lumen of the rectum to the outside, it is complicated by strangulation and bleeding. Do not lift loads weighing more than 2 kilograms. Sports fans will have to postpone training.

During the recovery period, it is permissible to practice therapeutic exercises that strengthen the pelvic floor muscles. Perform exercises with the permission of your doctor. A proctologist or exercise therapy specialist will suggest ways to strengthen the pelvic floor muscles and improve blood circulation.

Where to contact

If you manage to relieve pain from hemorrhoids at home, you should consult a doctor as soon as possible. Treatment of hemorrhoids is practiced by a surgeon and proctologist. Visit your doctor as planned, get recommendations for further treatment and prevention.

The doctor will give detailed recommendations on what to do for hemorrhoids. Don't try to treat hemorrhoids on your own! If pain and bleeding cannot be relieved, emergency medical attention is needed. Emergency surgical treatment will be required.

What to do if the pain is very severe

If you have pain due to hemorrhoids, what can you do to relieve it if it is very severe? You can use general pharmaceuticals (tablet form), as well as local products (ointments, suppositories, gels). And I must say that the second option is definitely preferable. When using such medications, the pain-relieving components immediately reach their destination. This means that the effect will be felt faster.

Rectal suppositories are most often used for hemorrhoids:

1. The active substances of the suppositories are released inside the body, absorbed very quickly, and therefore alleviate the patient’s condition;
2. The choice of suppositories is wide - there are suppositories for children, for expectant mothers, for patients with bleeding from the anus;
3. They are easy to use, it is very important as soon as the candle enters the anal canal, do not walk - lie down for at least 15-20 minutes.

It is more appropriate to use ointments with an analgesic effect if acute pain occurs during bowel movements. They do not act for a long time (like the suppositories described above), but at the same time they facilitate the process of bowel movement.

Painkillers

Medicines that have an analgesic effect block impulses passing along nerve fibers. Analgesic drugs for relieving pain from hemorrhoids can come in different forms: tablets, rectal suppositories, ointments, gels. Some of them have a cooling effect, which helps reduce itching and burning in the anal area.

Pills

If hemorrhoids do not hurt much, tablets are used for treatment:

1. Analgin. Popular analgesic. It is effective for half an hour, the dosage for an adult is 1-2 tablets 2-3 times a day. The main advantage of the drug is its low cost and availability in pharmacies. The negative side of using the medicine is frequent allergies, intolerance to the components of the drug. The drug is not recommended for use by pregnant women and children under 12 years of age.
2. Nurofen. A medicinal product with a wide range of uses. Belongs to the group of antispasmodic and anti-inflammatory drugs. The main advantages are speed of action (5-10 minutes), special formulas for children. The disadvantage of use is a wide list of contraindications.

Ibuprofen

An analgesic with a powerful anti-inflammatory effect, it is actively used to treat hemorrhoids. Ibuprofen is a non-steroidal anti-inflammatory drug. Its main advantage is its wide range of applications and speed of action. The negative side of use is an impressive list of side effects with long-term use.

Paracetamol

Medicine, analgesic. Increases the permeability of the vascular wall during inflammation. It is used infrequently for the treatment of hemorrhoids, mainly if the patient is intolerant to Nurofen. The main positive side of using the drug is its rapid analgesic effect and low cost. The negative side is a large number of side effects; it is contraindicated for pregnant women and children under 6 years of age.

Pain relieving ointments

Ointments and gels containing lanolin, vitamins B, A and E will help relieve acute pain from hemorrhoids. They not only help to significantly reduce inflammation, but also promote the rapid healing of anal fissures. Some representatives of ointments:

1. Heparin ointment. It has a healing effect on damaged veins and helps relieve pain. The main advantage of the ointment is its low price and rapid pain relief. The disadvantage of the medicine is allergic reactions.
2. Proctosedyl. A medicine that helps patients quickly get rid of unbearable pain from hemorrhoids. The drug contains the glucocorticosteroid substance Hydrocortisone. According to patient reviews, improvement in health with inflammation of the veins occurred after starting to use the drug.

Ointment Relief

A medicine based on herbal components, used to treat hemorrhoids at different stages. Vegetable oils, glycerin and vitamin E relieve inflammation of hemorrhoids and reduce pain. The main advantage of using Relief ointment is its herbal composition, which can be used by both adults and children. The downside is the allergic reactions that the drug causes.

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Painkiller suppositories

As a rule, pain-relieving suppositories contain the same components as tablets, but act locally, locally, due to which the effect on hemorrhoids and blockade of pain impulses occurs much faster:

1. Betiol. Rectal suppositories, which can have a complex effect on damaged vessels, and not only relieve inflammation, stop bleeding. The downside of the medication is its high cost and some side effects with long-term use.
2. Gepasolone. Suppositories are intended for the treatment of hemorrhoids and cones. In this form, the medication is easier to use and effectively has a therapeutic effect on bumps and inflammation.

What pain-relieving suppositories are recommended for hemorrhoids?

The selection of suppositories is really large. Probably the most popular candles are Relief.

This sought-after drug is made from shark liver. Suppositories quickly relieve pain and heal anal fissures very well. This is a reliable option that has virtually no contraindications. It is prescribed for pregnant and lactating women, as well as during the postoperative period.

Among the alternatives to Relief:

• Anestezol – anesthetizes, heals, relieves inflammation;
• Neo-Anuzol – relieves pain, has an antibacterial effect, dries out weeping hemorrhoids;
• Proctoglivenol – fights pain, reduces inflammation, tones veins;
• Ginkor Procto – relieves itching and pain in the rectal area, is a venotonic;
• Suppositories with adrenaline - block severe pain, stop bleeding (they are not prescribed to hypertensive patients and elderly patients);
• Belladonna suppositories resist pain and spasms; this is a natural medicine with a minimal list of side effects.

Anestezol

Neo-Anuzol

Proctoglivenol

Ginkor Procto

Of the other forms of painkillers for hemorrhoids, the most famous are heparin ointment, Relief and Levomekol ointments. A heparin-based drug really relieves pain and reduces itching, but it is not used for bleeding. Relief ointment is actually an analogue of candles with the same name. Levomekol is an excellent inexpensive drug with a minimum of contraindications; it is quite often prescribed for postpartum hemorrhoids.

Diagnostics

To find out the cause of pain in the anorectal region and peritoneum, it is necessary to undergo diagnostic measures with a proctological examination. Arriving at the appointment, the patient must report exactly where hemorrhoids hurt, unless, of course, the patient has already encountered the pathology before. Perhaps the symptoms are associated with other pelvic diseases.

The doctor palpates the intestine and examines the anus. When identifying internal hemorrhoidal inflammation, instrumental examination with an anoscope (anoscopy) is used. During this examination, the proctologist inserts a device into the anus to examine the condition of the intestinal mucous tissue.

Additional instrumental measures include:

• irrigoscopy;
• coloncopy;
• sigmoidoscopy.

Urine and blood tests are mandatory. With a comprehensive diagnostic approach, it is possible to accurately determine the factor provoking pain and prescribe effective therapy.

Differential diagnosis

Pain in the coccyx and abdomen with hemorrhoids is similar to signs of other diseases.

Similar symptoms of hemorrhoids occur with:

Sphincter injury

• polyps;
• tumors;
• anal fissures;
• Crohn's disease;
• helminthiasis;
• diabetes;
• psoriasis;
• acute paraproctitis.

Soreness in the lower peritoneum indicates an inflammatory process in the appendages, appendix, urolithiasis, inguinal hernia, constipation, diarrhea, flatulence.