Treatment of hemorrhoids without surgery - methods and methods of minimally invasive therapy, medications and folk remedies

Hemorrhoids are a disease of the rectum that occurs in almost half of humanity. The symptoms of the disease are quite unpleasant, and a long absence of therapeutic action leads to complications, which significantly changes a person’s quality of life. Modern medicine offers effective treatment for hemorrhoids without surgery. But can all stages of proctological disease be eliminated without the intervention of a surgeon?

Short description

Hemorrhoids are varicose veins of the anus and rectum, in which prolapse of hemorrhoids occurs. The disease has a variety of factors of formation. More about the causes and symptoms below.

The reasons for the development of hemorrhoids are as follows:

  • sedentary lifestyle;
  • poor nutrition;
  • constipation;
  • physical activity (a common cause of the disease in men);
  • stressful situations, experiences;
  • heredity;
  • pregnancy, childbirth;
  • bad habits.

Symptoms of hemorrhoids:

  • itching, burning in the anus;
  • pain during defecation;
  • feeling of incomplete bowel movement;
  • bleeding from the anus, noticeable in the stool or on toilet paper.

Hemorrhoids can be acute or chronic. The first is characterized by a sudden increase in symptoms, the second is characterized by a long course (it can be months or even years).

Signs in the chronic form are subtle and sluggish. This is the whole danger, so doctors recommend periodic preventive examinations.

Can hemorrhoids be cured completely and permanently?

Hemorrhoids are a polyetiological disease that occurs at any age. There are many risk factors under the influence of which this pathology develops. Detecting it at an early stage and timely therapy can lead to a complete cure. The more severe the stage of the disease, the more difficult it is to get rid of the pathology. When complications develop, surgical methods are used.

Identifying the disease when the first symptoms appear will simplify treatment and prevent further development. The problem is the absence of obvious signs at the onset of hemorrhoidal disease. It may be manifested by slight discomfort in the rectum, itching or mucus discharge, and sometimes there may be a sensation of a foreign body in the rectum after defecation. These symptoms may be manifestations of the initial stage of the disease, when bumps have already appeared.

When can you do without surgery?

It is possible to cure hemorrhoids without surgery, based on individual characteristics, the degree of the disease, and the characteristics of the course. The proctologist establishes appropriate methods, based on the diagnostic results obtained.

But this applies to everyone; the sooner treatment for hemorrhoids begins, the more favorable it will be. A person will be able to forget about annoying symptoms for a long time.

In the first or second stage of the disease, it can be cured without surgery, using only drug therapy (ointments, suppositories, tablets). The effectiveness of such treatment will depend on the totality of the approach.

In addition to using medications, you will need:

  • adjust your diet;
  • adjust your lifestyle;
  • maintain hygiene.

When a patient has stage 3-4 of the disease, medications will only relieve unpleasant symptoms for a while, but they will not be able to cure hemorrhoids forever without surgery. This does not mean that you will need to remove hemorrhoids using a scalpel. Modern proctology involves certain minimally invasive treatment methods that help you forget about the disease for a long time or completely.

The main difference between these methods of therapy and standard surgical interventions is the least trauma and short rehabilitation. Whether hemorrhoids are treated completely or temporarily without surgery will depend on the individual characteristics of the person.

Doctors' recommendations for a complete cure for hemorrhoids

The best treatment for hemorrhoidal disease is timely treatment. Early diagnosis and compliance with all specialist recommendations play a big role in obtaining a positive result. It is necessary to make lifestyle adjustments and establish proper nutrition by the hour. It is important to give up bad habits, establish a work and rest schedule, avoid stress, and increase physical activity. If you follow all the recommendations, you will be able to avoid the disease and its complications.

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Drug therapy

Conservative treatment in the first stages of development is based on pharmacological agents. Complex therapy will be required, aimed at relieving symptoms and influencing any mechanisms of pathology.

You can cure hemorrhoids without surgery if you use:

  1. Tablets (Venoruton, Detralex) - help normalize blood circulation, systemic pressure, and strengthen the walls of blood vessels.
  2. Suppositories for hemorrhoids (Proctosan, Relief, Prostopin) - combined suppositories have a beneficial effect on pathological disorders. They remove swelling, pain, inflammation, rectal bleeding, redness, help heal microcracks, and strengthen blood vessels.
  3. The use of ointment (Hepatrombin G, Proctosedyl, Methyluracil, Proctosan) - helps cure external hemorrhoids, relieves local symptoms (burning, itching, redness, swelling, inflammation), preventing the formation of blood clots.

Medicines for hemorrhoids are selected in accordance with the presence of symptoms, external or internal illness, associated pathologies, and adverse allergic manifestations to the constituent components of the drug.

Reviews

Andrey, 38 years old, Krasnodar: “It was a shame to go to the doctor with hemorrhoids, as a result the disease became advanced. The hospital offered a non-surgical treatment method. I agreed to sclerotherapy. The procedure was carried out quickly, all the nodes disappeared in about 2 weeks. The operation is painless and effective.”

Anna, 26 years old, Yakutsk: “Pain began to appear during bowel movements. I immediately consulted a doctor. The specialist prescribed suppositories and ointments. He advised me to make baths from hemorrhoidal collection. Within a week there were obvious improvements. Thanks to timely treatment, it was possible to get rid of the disease without surgery.”

Minimally invasive methods

Minimally invasive surgical interventions help eliminate prolapsed hemorrhoids without pain and blood at stage 2 of the disease. This is not considered a completely surgical treatment, although it does involve manipulation of the nodes.

You can treat hemorrhoids without surgery with:

  1. Sclerotherapy – prescribed for rectal proctological disease. The measure consists of introducing a sclerosant (this is a substance) into the hemorrhoidal formation, causing the connection of blood vessels. As a result, the blood stops circulating in the node, gradually begins to dry out, and then disappears. If there are a lot of cones, the procedure is repeated after 14 days.
  2. Cryodestruction - bumps can be removed using a certain device filled with liquid nitrogen. Under the influence of low temperatures, the nodes disappear, begin to dry out, and fall off. The advantage of the method is the absence of bleeding, manipulation without anesthesia.
  3. Infrared photocoagulation – used for stage 1 or 2 disease with unexpressed lumps. Infrared rays are used, after which the vessels and veins connect and coagulate, because of this, blood does not enter the node, and it dies. The advantage of the action is the absence of pain and quick execution.
  4. Laser coagulation - hemorrhoids are treated using this method in surgery, pathological nodes are removed. Under the influence of targeted radiation, the capillaries stick together and blood circulation stops. The method is quite safe and effective, often performed without anesthesia.
  5. Ligation with latex rings - one node is ligated, the leg is compressed, and blood ceases to supply the cavernous formations. After which the lump is destroyed and comes out at the time of defecation.
  6. Desarterization - removal of hemorrhoids is achieved by tightening the arterial capillaries that supply the nodes with blood. The method is prescribed for varicose veins of the rectum, and is effective even at the last stage of development.

The positive properties of minimally invasive methods of treating hemorrhoids without surgery are a low risk of complications, high efficiency, painlessness, manipulation in an outpatient clinic, and a short rehabilitation period.

However, will these methods be able to get rid of hemorrhoids without surgery forever? Even a specialist cannot be sure here, since the procedure only deals with the symptoms, and not the main cause. So relapses are not excluded.

Modern methods of non-surgical treatment

The first stage of hemorrhoids is diagnosed very rarely, since it flows latently or with minimal manifestations. But if the diagnosis is made in a timely manner, then the main condition for effective therapy is a radical change in lifestyle, and only then medications and minimally invasive technologies.

Lifestyle change

A healthy lifestyle (healthy lifestyle) is the key point in answering the question of how to cure hemorrhoids without relapses and complications. It is also the basis for the prevention of hemorrhoidal disease. To feel confident every day, you need:

  • move actively, switch from a car to a bicycle, pedal more often - this will relieve the problem of congestion in the pelvis;
  • regular physical exercise will make the intestines work actively, improve peristalsis, and provide oxygen to all tissues of the body: walking, Nordic walking, simple morning exercises;
  • Kegel gymnastics will tighten and strengthen the pelvic floor muscles, optimize blood flow in the anal area, its principle is alternate tension and relaxation of the pelvic muscles, varying in speed and intensity (as if you are pushing with constipation or giving birth);
  • Avoiding heavy lifting will help you forget about hemorrhoids forever, so as not to increase pressure in the pelvic organs;
  • drink enough clean water per day (40 ml per 1 kg of a person’s weight, but not less than 8 glasses/day) - this will help you forget about constipation;
  • get rid of bad habits: taboo alcohol, nicotine, drugs: their action destroys the walls of the veins, destroys their valve system;
  • do not resort to laxatives without a really serious reason - focus on the daily consumption of foods high in fiber.

It is important not to hold back the desire to empty your bowels, not to endure it, but to go to the toilet immediately, at the first urge. This will help avoid tension during defecation, will not affect the pressure in the rectum, and will not injure the rectum mucosa.

Diet

When treating hemorrhoids, it is important to follow the basic principles of nutrition:

  • exclusion from the diet of salty, spicy, smoked, spicy foods - everything that increases blood flow to the pelvic area;
  • inclusion of foods with dietary fiber in the daily menu will improve intestinal motility and soften stool;
  • carefully observe the norms of drinking plain water;
  • exclude coffee, alcohol, energy drinks, soda, which stimulate an increase in intra-abdominal pressure, causing swelling of hemorrhoids.

A balanced diet is a 50% guarantee of no recurrence of the disease throughout your life.

Products allowed and prohibited for hemorrhoids are presented in the table:

Recommended foods for hemorrhoidsStrictly Prohibited Products
Green tea, rosehip infusion, bran infusionBlueberries, quince, barberry
Prunes, raisins, dried apricotsBananas
Beetroot in all varieties, except cannedPotato
Peas, celery, turnips, cauliflowerLegumes
Vegetable soups, brothsOnion garlic
Lean meat: turkey, rabbit, chicken, vealMushrooms
Buckwheat, millet, pearl barley, barleySemolina, rice
Soft-boiled eggs, omelettesHard-boiled or fried eggs
Honey, brewCake, brownie, chocolate
Vegetable caviarAll canned food
Soaked herringPasta
Jellied fish, meatBread, pastries, pastries, puff pastry
Sweets – biscuits or crackersSeasonings
You can have a little kefir, mild cheese and low-fat cottage cheeseLimit salt to 2 g/day

Conservative drug therapy

Medicines are the most serious method of treating hemorrhoidal disease in the initial stages of its development.

The quality and combination of remedies selected by the proctologist directly determine whether hemorrhoids can be completely cured, whether a relapse will occur, and how long the clear period will last. The treatment uses tablets, ointments, rectal suppositories of various pharmacological groups. The main ones are presented in the table:

Group of drugsMechanism of action
Anticoagulants: Viatromb, Lavenum, TromblessPreparations:
  • prevent the formation of blood clots;
  • reduce prothrombin activity, make blood less viscous;
  • suppress inflammation;
  • prevent thrombosis of nodes;
  • reduce tissue swelling

The downside is the risk of bleeding with minimal trauma to the membrane of the node

Hemostatics: Natalsid, Sodium Alginate, Alginatol, ReliefThe drugs are antipodes of coagulants, increase blood clotting, and are used for heavy bleeding from the rectum
Venotonics: Detralex, Phlebodia, Venarus, Troxerutin, TroxevasinVenotonics are an integral part of the non-surgical treatment of hemorrhoids:
  • stimulate vein tone;
  • improve vascular permeability;
  • locally change microcirculation;
  • remove tissue pastiness;
  • stop inflammation
Immunomodulators: Relief, Natalsid, Proctosan, ProctosedylSubstances activate autoimmunity and prevent secondary infection
Analgesics: Anestezol, Papaverine, Fleming ointment, OlestezinPain is relieved; in case of severe pain, novocaine blockades are used or corticosteroids are prescribed (Prednisolone)

ethnoscience

Non-surgical treatment of hemorrhoids in the initial stages involves many different methods using traditional medicine recipes. After carrying out therapeutic actions, you need to monitor your condition so as not to miss the development of an allergy to herbs or other side effects.

Effective treatment of hemorrhoids using traditional recipes:

  • baths - when the anus hurts, you can use herbal infusions by adding them to water. The plants used are chamomile, sage, oak bark, etc. Bath procedures should be performed once a day for 15 minutes until the liquid cools down; manipulation relieves inflammation, has an analgesic effect, helps wounds and cracks heal;
  • microenemas - for internal hemorrhoids, enemas are done with different decoctions (with St. John's wort, chamomile, sea buckthorn oil). To carry out the manipulation, you need to lie on your side and slowly introduce the product into the anal canal; permissible oil quantity – no more than 60 ml;
  • compresses – you can get rid of hemorrhoids with the help of anti-inflammatory compresses made from potatoes and cabbage leaves;
  • special preparations for hemorrhoids - purchased in pharmacies and used for brewing, drinking like tea; the product strengthens the walls of blood vessels, normalizes blood flow, and has a mild anti-inflammatory effect.

Do not forget that treatment of hemorrhoids without surgery at home using the methods described above should be carried out under the supervision of a doctor and only after his appointment.

Is it possible to cure hemorrhoids without surgery?

Non-surgical methods for treating hemorrhoids are not highly effective. In this chronic disease, they provide only a temporary therapeutic effect and prolong the period of remission. A final cure can only be achieved through surgical intervention, otherwise acute pain will continue to remind itself during the next exacerbation.

When is surgery needed?

Advanced hemorrhoids, which develop at stages 3-4, must be treated surgically. At these stages, the cones are very mobile, often come out and become injured. If the nodes are not removed, complications may occur (severe bleeding, thrombosis, sepsis, node separation).

And to the question of whether it is possible to remove hemorrhoids without surgery, the doctor will answer and select a suitable scheme.

How to cure hemorrhoids without surgery

In the absence of timely treatment, the size of hemorrhoids gradually increases, while the foci of pathology fall out of the anus. The condition is dangerous and cannot always be eliminated by drug treatment or the prescription of local drugs. It is important to prevent such extensive pathologies and to promptly examine the rectum for hardening of hemorrhoids. When making a diagnosis, general recommendations are:

  • to relieve pain, it is appropriate to use painkillers; doctors focus on using ointments and suppositories rectally;
  • it is important to adhere to a therapeutic diet so that fatty, fried and smoked foods do not provoke another inflammation;
  • at all stages of the disease, venotonics should be taken orally, especially suitable for bleeding;
  • it is important to get rid of chronic constipation, in the presence of which pathogenic neoplasms begin to bleed;
  • superficial self-medication is fraught with the risk of complications, so it is better not to experiment with your health.
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But sometimes you can’t do without a scalpel

Despite all the temptingness of treating a disease without surgery, there are cases when it is still not possible to do without a scalpel and shedding a certain amount of blood - a “full” and “full-blooded” operation with powerful anesthesia and all the attributes inherent in the case is required.

This is the situation:

  • with constant prolapse of internal nodes that occurs after each bowel movement, therefore, with individual cases of stage 2 hemorrhoids and all variants of stages and;
  • with all cases of complicated hemorrhoids (moreover, suspicion of tissue malignancy is an absolute indication for emergency surgery).

However, there cannot be any “iron standards” for carrying out a full-scale operation - in each individual case a specific decision is made. Taking into account all the factors that determine the individual characteristics of the course of the disease in each individual patient.

Rules for treatment at home

Strange as it may sound, treatment for hemorrhoids should begin by replacing toilet paper. Cheap, gray in color, too rough for the delicate skin of the anus and can injure it. If you are unable or unwilling to completely stop using toilet paper, replace it with high-quality, white paper, or replace it with wet wipes.

Ideally, after each visit to the toilet (especially after bowel movements), it is advisable to wash yourself with cool water and blot dry (do not wipe vigorously!) with a loose gauze swab or a soft absorbent cloth.

In our country, bidets designed specifically for this purpose are becoming increasingly popular. If the dimensions of the plumbing unit allow, you can install a separately located bidet. But even for a small toilet, you can choose a suitable model: for example, a bidet lid. It is easily mounted on any toilet, easy to use and extremely convenient. Depending on the complexity of the design, purchasing a bidet lid will cost from 1,500 to 160,000 rubles.

If problems arise with the bowel movement, the end of the rectum should be lubricated with Vaseline.

Maintain proper nutrition. Do not consume a lot of salt, as this will inevitably lead to an increase in hemorrhoids, which, in turn, can cause various complications, ranging from simple constipation to thrombosis.

A patient with hemorrhoids should not exert excessive effort or lift heavy weights - this creates increased blood pressure in the pelvic area and can have a detrimental effect on the hemorrhoids.

Do not touch the affected area, much less scratch it. Inflamed hemorrhoids are quite fragile and microcracks quickly form on them, which slow down the healing process.

By following these rules, you can get rid of hemorrhoids in a matter of days.

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