How to remove hemorrhoids indications methods techniques complications recommendations

Hemorrhoids are a serious disease that affects the veins of the anal canal. As a rule, it occurs against the background of frequent constipation and a sedentary lifestyle. The disease is chronic and often recurs. In the initial stages, hemorrhoids bring minor discomfort, manifesting only as pain and itching in the anal area. But as the pathological process progresses, serious complications can arise that significantly worsen the patient’s quality of life. Thus, the formation of hemorrhoids is accompanied by their loss and strangulation, which leads to thrombosis of the choroid plexus. In the final stages, the nodes fall out at the slightest physical exertion, which causes bleeding and severe pain. Therefore, every patient faces the question: how to get rid of hemorrhoids and what modern techniques exist to effectively eliminate them?

What are hemorrhoids

One of the most common diseases of the vascular system is hemorrhoids, which are varicose veins in the rectum, accompanied by impaired blood flow.
Vascular formations can be located both in the anus and throughout the rectum. If the disease manifests itself outside (at the entrance to the anus), such formations are called nodes; if inside (above the boundaries of the anal canal), they are called lumps. The decrease in venous tone occurs gradually. Depending on the degree of relaxation of the vessel walls, 4 stages of pathology are distinguished. If at the first stage of the disease the pain is still mild, then as the varicose changes progress, nodes and lumps begin to fall out, which causes acute pain.

Quick treatment of hemorrhoids at home is advisable only in the first stages of the disease, which are characterized by the following symptoms:

a pressing sensation in the anus, similar to the presence of a foreign body;
the appearance of itching in the perianal area;
during the act of defecation there is discomfort, pain;
the appearance of mucous substances and blood in the stool.

How are stage 2 hemorrhoids treated?

With hemorrhoids in the second stage, there is a significant increase in hemorrhoids, in addition, the inflamed formations are increasingly found on the outside. And if hemorrhoids come out, then it is by no means asymptomatic - pain and bleeding will definitely bother you.

At this stage of the development of the disease, the muscles themselves are still capable of returning the displaced nodule to its place, but the condition requires mandatory medical attention. Treatment once the disease begins to progress is much more difficult.

In this case, you definitely need to see a specialist who will prescribe effective treatment. It includes the same drugs that are recommended for the treatment of stage 1 of the disease, but the therapy is supplemented with other drugs, for example, those with a laxative effect (if the patient is bothered by frequent constipation).

Difficulty defecating worsens the course of the disease, leading to the appearance of anal fissures and the development of complications

If the pain is significant, the specialist will prescribe an anesthetic or non-narcotic analgesic.

If the hemorrhoidal lump is not outside, but inside, that is, internal hemorrhoids develop, then it is better to use topical agents in the form of ointments or suppositories to reduce pain:

Ultraproct;
Gepasolone;
Aurobin;
Proctoglivenol;
Nefluan et al.

Exacerbation of the disease in 80% of cases provokes the development of hemorrhoidal thrombosis.

Exacerbation of the disease in 80% of cases provokes the development of hemorrhoidal thrombosis

Lumps filled with bloody or purulent exudate may remain inside or fall out. Thrombosis is accompanied by bleeding, swelling and severe pain. How to treat this complication?

First of all, it is recommended to use local anticoagulants, the best of which are Troxevasin and Heparin ointments. They can also be used in combination with water-soluble agents: Levomekol, Levosin, Manifid.

You can tell that therapy is helping by the fact that the pain subsides, and the bleeding becomes more scanty and stops. If this does not happen and the bleeding does not stop, then treatment includes local medications, which, when absorbed, form a film of fibrin:

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Beriplast;
Androxon;
Tachycombe;
Spongostan.

In addition to the means of official medicine, folk methods can be used at these stages. In addition, many of them help if hemorrhoids come out during pregnancy or childbirth. After all, medications naturally have fewer side effects, but before using them, you need to consult a proctologist.

Treatment of hemorrhoids

Methods and methods of therapy are selected based on the clinical picture of the course of the disease, its form and stage. To determine the extent of pathological changes, it is necessary to undergo a diagnostic examination by a proctologist, which is carried out using a visual examination, rectal examination, probing, anoscopy or sigmoidoscopy.

After obtaining an accurate picture of the development of the pathology, a decision is made regarding the method of getting rid of the problem. The goal of therapy is to prevent the formation of blood clots, strengthen blood vessels and eliminate pain, which is achieved through:

drug therapy (includes topical agents, oral medications, rectal suppositories);
enemas;
minimally invasive therapy (ligation, disarterization);
radical surgery (hemorrhoidectomy, stapled hemorrhoidopexy, sclerotherapy);
folk remedies.

Regardless of the chosen method of getting rid of the problem, an integrated approach is required. Along with therapeutic methods, it is necessary to adhere to a special diet, perform therapeutic exercises, and neutralize the effects of factors that provoke the appearance of hemorrhoidal cones (weight lifting, sedentary lifestyle, unbalanced diet, etc.). If you have digestive problems and chronic constipation, laxatives should be used.

Longo method

Longo's method
Hemorrhoidectomy was replaced by the Italian method of treating hemorrhoids, Longo, in honor of a surgeon from Italy. The doctor suggested cutting the rectal mucosa and the vessels that carry plasma to the cones. During the operation, the fallen nodes are eliminated. In our country, this operation is carried out only for 5-6 years. During that time, the method gained great popularity and was able to replace radical hemorrhoidectomy in many cases.

Surgical assistance consists of resection of a small area of mucous tissue. In this case, the cones are not excised, but pulled up with further fixation. This manipulation reduces blood flow to the veins. To suture the mucous membrane in the resection area, titanium staples and a special stapler are used.

Longo's surgical intervention lasts no more than a quarter of an hour, and local anesthesia is used. The operation is characterized by low morbidity with a good therapeutic effect and a low probability of complications or relapse. Very often the method is used for operations on elderly patients or patients with severe additional pathologies.

Treatment at home quickly

During diagnosis, a coloproctologist determines the size and number of nodes and prescribes therapy depending on the severity of the pathology. The need for inpatient treatment of patients arises in the last stages of the disease, when there is a risk of formation and pinching of blood clots. At home, you can prevent the transition of varicose cavernous bodies from the initial form to severe or chronic.

There are no fundamental differences in the treatment of the initial form of the disease at home and in a hospital setting. The effectiveness of both methods of therapy depends on the patient’s accuracy of compliance with the doctor’s recommendations. The sooner measures are taken after the first signs of pathology are detected, the greater the chances of getting rid of the problem quickly and at home.

Radical surgery

The only radical method to remove hemorrhoids forever is hemorrhoidectomy - excision of hemorrhoids with part of the rectum mucosa and subsequent plastic surgery. Proctologists emphasize that conservative therapy relieves the severity of the process and prolongs remission, but only surgery completely eliminates the disease.

Despite the many disadvantages of classical hemorrhoidectomy (pain, general anesthesia, trauma, long-term remission), it is the only one that allows you to get rid of hemorrhoidal disease, and gives relapses in only 5% of cases.

There are:

closed version (the wound is sutured with catgut);
open (a coagulation knife is used, the wound remains unsutured);
submucosal hemorrhoidectomy (the most gentle operation, with short-term rehabilitation);
Longo's method or circular excision of the rectum mucosa above the dentate line.

All three methods are still actively used by surgeons, but the only absolute indication for radical surgery is advanced hemorrhoids of the third or fourth stage. At stage 4, it is sometimes necessary to use minimally invasive techniques to prepare for classical surgery.

Drug treatment

Quick medical treatment of hemorrhoids at home involves the use of general (systemic) or local (topical) pharmacological drugs. To increase the therapeutic effect, it is recommended to combine systemic and topical agents. Pathogenetically based groups of drugs used in the treatment of varicose veins are aimed at solving problems such as:

reducing the severity of pain;
elimination and prevention of thrombosis of nodes;
relieving inflammation;
stopping bleeding.

The basis of systemic therapy is phlebological drugs that help reduce the fragility of capillary walls and normalize blood flow. The effect of phlebotonics is enhanced by the use of local drugs, which can be in the form of ointments, creams, gels, rectal suppositories, hemostatic sponges. To eliminate the problem at home, the proctologist prescribes medications that primarily belong to one of the main groups of antihemorrhoidal drugs:

non-steroidal anti-inflammatory drugs;
glucocorticoids;
analgesics;
antispasmodics;
venotonic drugs;
laxatives;
anticoagulants;
hemostatics;
immunostimulants.

Local therapy

When choosing medications for local treatment of a disease at home, you should start from the dominant symptoms and use those medications that are aimed at eliminating the most disturbing signs. To reduce the manifestations of pain, relieve spasms and improve general condition, local antispasmodics are used:

name: Proctosedyl;
characteristics: ointment based on hydrocortisone, has anti-inflammatory, anesthetic, antibacterial effects, prevents the formation of blood clots, is indicated for internal and external hemorrhoids, chronic rectal fissures, can cause a burning sensation in the anus;
method of use: the drug should be applied in a thin layer to the site of inflammation after bowel movement, it can be used for no more than 7 days in a row;
advantages: contains a broad-spectrum antibiotic, increases the elasticity of capillaries;
Disadvantages: contraindicated during pregnancy, breastfeeding.

For hemorrhoidal thrombosis, complicated by an inflammatory process, combined topical medications should be used. Medicines in this group contain thrombolytic and anti-inflammatory components and have a multifactorial effect. One of the effective liniments that have a quick effect is Hepatrombin G:

name: Gepatrombin G;
characteristics: combined drug, available in the form of an ointment, has an antithrombotic, anti-edematous, anti-inflammatory effect, stimulates epithelization, prescribed for thrombosis, varicose veins, all forms of hemorrhoids, contraindicated in the presence of infectious or fungal lesions, hemophilia, may cause irritation, rash, angioedema edema;
method of application: the ointment is applied to external nodes 2-4 times a day, massaging is not recommended;
advantages: fast regenerating effect;
disadvantages: exceeding the recommended dosage leads to a slowdown in regeneration processes.

If the inflammatory process during thrombosis spreads to the subcutaneous tissue of the perianal area, there is a need to use agents with a pronounced anti-inflammatory effect. An effective glucocorticosteroid containing an antibiotic is Nefluan. The drug has antibacterial activity against gram-positive cocci and gram-negative bacilli:

name: Nefluan;
characteristics: the drug, which belongs to the pharmacological group of glucocorticosteroids, contains several active components (lidocaine hydrochloride, neomycin sulfate, fluocinolone acetonide), which have an antibacterial and analgesic effect, quickly relieves inflammatory processes, is indicated for infectious and inflammatory diseases of the rectum, cannot use if you are hypersensitive to lidocaine; the most common side effects are an allergic reaction and hyperemia;
method of application: the gel is applied to clean skin in the anal area and injected into the rectum 3 times a day for 1-2 weeks;
advantages: high efficiency, fast action;
disadvantages: when treating extensive lesions of the mucous membrane, it can cause severe side effects.

Treatment at home with candles

The modern pharmaceutical industry offers a wide range of rectal suppositories, the use of which is convenient at home. With the help of suppositories, most problems arising from hemorrhoids can be solved. Suppositories quickly relieve anal fissures, itching, burning, and stop bleeding, but as an independent means of treating thrombosis they are ineffective. The method of administration and dosage is prescribed by the doctor, based on the severity of the clinical manifestations of the disease:

name: Procto-glivenol;
characteristics: rectal suppositories, which contain two active ingredients lidocaine (acetanilide derivative) and tribenoside (glucofuranoside), the drug has an anti-inflammatory and local anesthetic effect, is indicated for the treatment of external and internal hemorrhoids of mild or moderate severity, rarely causes side effects, the drug does not used in pediatric practice and not prescribed during the first trimester of pregnancy;
method of administration: to eliminate acute symptoms, 1 suppository should be administered rectally twice a day; as the clinical picture improves, you can switch to administering suppositories once a day;
benefits: quickly reduces the severity of symptoms;
disadvantages: high price.

The natural component composition of the German drug Relief provides quick effect and safety for using candles at home. This pharmaceutical company's rectal suppositories are designed to solve various problems arising from hemorrhoids. For long-term use and use as a prophylactic agent, the classic version of suppositories is suitable:

name: Relief;
characteristics: the active components of the suppositories are shark liver oil and phenylephrine hydrochloride, the drug stimulates vascular tone, promoting their narrowing, which stops bleeding, Relief is prescribed for stages 1 and 2 of hemorrhoids due to its pronounced regenerative effect, contraindications to the use of the drug are thromboembolic disease and granulocytopenia , side effects are very rare;
Directions for use: suppositories should be administered into the rectum in the morning, evening and after bowel movements, treatment lasts until the desired result is achieved;
advantages: suitable for long-term use.
disadvantages: high cost.

Suppositories produced by a domestic manufacturer have a multicomponent composition and are well absorbed by tissues. Ease of use and quick effect make these candles one of the most popular among customers. If you follow the recommendations specified in the instructions for the drug, side effects are rare:

name: Anestezol;
characteristics: a combination drug that includes benzocaine, bismuth subgallate, zinc oxide, menthol, suppositories have a rapid analgesic effect, relieve inflammation, promote regeneration, facilitate bowel movements, the medicine is indicated for all forms of hemorrhoids and the presence of anal fissures, can cause diarrhea , itching and burning, suppositories are contraindicated for children under 18 years of age and pregnant women;
method of use: the maximum therapeutic effect is achieved if, before introducing the suppository, you do a cleansing enema or empty your bowels naturally; the suppositories should be administered rectally 1 or 2 times a day;
advantages: affordable price, fast action;
Disadvantages: cannot be used for bleeding.

Products for internal use

Effective treatment of hemorrhoids at home involves taking internal medications that have a multifactorial effect on the body. Tablets are selected based on the existing problems and the degree of the disease. Anticoagulants and venotonics are intended to eliminate the cause of the appearance of nodes and bumps. Drugs in this group have a normalizing effect on systemic blood flow, helping to improve microcirculation in cavernous formations. Venarus has a positive effect on the functional state of vascular walls:

name: Venarus;
characteristics: the tablets have an angioprotective and venotonic effect, promote the resorption of blood clots, prevent their formation, the active components are diosmin and hesperidin, the drug is indicated for venous insufficiency and acute hemorrhoids, breastfeeding women are contraindicated in taking the tablets, common side effects are diarrhea, nausea, vomiting;
Directions for use: in acute forms of the disease, take 3 tablets 2 times a day for 4 days, after which the dose is reduced to 2 tablets twice a day;
advantages: high efficiency;
disadvantages: frequent side effects.

Among modern phlebotropic agents, Detralex has the most extensive evidence base. The medicine based on bioflavonoids has high clinical effectiveness due to the micronization of its constituent components. This is the only representative of the group that contains a complex of flavonoids:

name: Detralex;
characteristics: a complex phlebotropic drug containing hesperidin, linarin, isorhoifolin, diosmetin, the result of the potentiating interaction of the components is an increase in the venotonic effect, stimulation of venous blood flow, tablets are indicated for use as symptomatic treatment of acute hemorrhoids, in case of hypersensitivity to the constituent substances, use is contraindicated, it may cause diarrhea, dyspeptic disorders;
Directions for use: tablets are taken with meals twice a day (at lunchtime and in the evening), in case of exacerbation of hemorrhoids, the dose is 6 tablets for 4 days;
advantages: rapid onset of effect;
Disadvantages: presence of side effects.

In the early stages of the disease, pathological processes can be stopped by using herbal remedies based on medicinal herbs. Such products consist of natural ingredients and are well tolerated by patients. Popular herbal tablets that have a quick positive effect are Hemorroidin:

name: Hemorroidin;
characteristics: tablets consisting of 15 herbal components that have a healing effect, use is indicated in the treatment of internal and external forms of varicose vessels of the rectum, normalizes the functioning of the intestines, liver and blood pressure, relieves spasms, stops bleeding, if there is an individual intolerance to the constituent substances, take contraindicated, rarely causes side effects;
Directions for use: 1 tablet orally 3-6 times a day after meals, the full course of therapy is up to six months;
advantages: no side effects;
disadvantages: duration of administration.

How to remove hemorrhoids in 1 day

Recently, minimally invasive methods for the treatment of hemorrhoidal disease have been increasingly used. These procedures can relieve a person of a delicate problem in just one, even in a day hospital setting. The operation does not require hospitalization, and the patient goes home on his own feet.

Popular methods for removing hemorrhoids:

Ligation of the hemorrhoidal pedicle with latex rings. This procedure is used to treat hemorrhoids in advanced stages (2 and 3). The essence of the intervention is to ligate the leg of the node using latex rings (using a special apparatus).
The operation is considered low-traumatic and painless.
After this, as a result of a disruption in the blood supply, the node undergoes necrosis and is rejected on its own. This usually happens after two weeks. The postoperative period is characterized by a milder course, and minor damage remains at the site of the hemorrhoid, which heals quickly.
Hemorrhoids at the 1st or 2nd stage of formation can be cured using infrared coagulation. This minimally invasive surgical method is also used in cases of bleeding. The technique consists of point coagulation (cauterization) of the hemorrhoidal pedicle at its base in three places, which helps stop the flow of blood into the cavernous bodies. As a result, such therapy with infrared rays ensures independent rejection of the node. No more than 3 nodes can be coagulated in one procedure.
Sclerotherapy of hemorrhoids is a procedure that eliminates the problem of hemorrhoids at stages 1, 2 and 3 of its development. It is also successfully used to stop bleeding from cavernous bodies of the rectum. The technique is based on the introduction directly into the node itself of a special substance (sclerosant), which provokes the collapse of the walls of blood vessels. Thus, ischemia develops and the hemorrhoidal node disappears on its own. This procedure can be used as a preparatory step for hemorrhoidectomy or latex ligation.
The cryotherapy method will help to effectively overcome the disease. This technique differs in that low temperatures are used in treatment (up to 200 degrees Celsius). The main instrument (cryoprobe) supplies liquid nitrogen to the tissues from a special cylinder through tubes.

All of the above treatment methods are effective at stages 1 and 2, 3 of the development of hemorrhoidal disease. In more advanced and severe cases, surgeons prefer surgery using the Longo method (hemorrhoidopexy using titanium staples).

Your doctor will tell you how to remove a hemorrhoid after an examination. In many cases, an individual approach to each patient is required. And do not forget that proper nutrition and physical activity will help to avoid relapse and complications.

THERE ARE CONTRAINDICATIONS CONSULTATION WITH YOUR DOCTOR IS REQUIRED

Author of the article Alexey Alexandrovich Egorov, proctologist

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Cleansing enemas

You can quickly cure hemorrhoids at home by introducing special solutions into the anus that help normalize intestinal function. Cleansing enema is used for constipation to remove accumulated feces. The procedure involves injecting a solution into the rectum through a soft rubber tube with a plastic tip. The temperature of the injected solution should be 35-37 degrees (cold can cause increased peristalsis, hot can cause pain).

To quickly eliminate irritation and stop bleeding, microenemas with sea buckthorn oil are used. Having a pronounced tonic and epithelization effect, sea buckthorn oil promotes the healing of cracks and eliminates the main factor in the development of the disease - constipation. The microenema procedure is carried out as follows:

place 50 ml of sea buckthorn oil in a metal container;
heat the composition to room temperature;
collect oil in a rubber bulb for douching;
lie on your side and slowly introduce the solution into the anus;
wait at least 30 minutes. (if there is no urge to defecate, leave the solution inside overnight).

Treatment of stage I disease

Yes, at this stage the nodules have not yet appeared, but this does not mean that there is no need to worry. On the contrary, timely treatment prescribed by a proctologist will prevent further loss.

In most cases, complex therapy is prescribed, including the use of medications. Ointments for external use and rectal suppositories are successfully used.

Table No. 1. Popular effective remedies for the treatment of hemorrhoids

Name of the drug	Active components and action	Features of application
Heparin ointment	The active ingredient is heparin, which is an excellent anticoagulant	Eliminates the symptoms of hemorrhoids in acute and severe cases of the disease.
Gepatrombin G (gel)	Heparin is an anticoagulant; prednisolone is a glucocorticoid with an anti-inflammatory effect; Lauromacrogol is an anesthetic.	Prescribed for treatment and preventive purposes.
Sea buckthorn candles	Sea buckthorn oil has many properties: antibacterial, regenerating, antitumor.	Numerous reviews confirm the effectiveness and safety of this product.
Fleming's ointment	A homeopathic remedy that contains healing extracts of calendula, witch hazel and aesculus. Has a powerful bactericidal and anti-inflammatory effect.	Improvements are observed a few days after the start of use.
Relief (rectal suppositories)	Phenylephrine hydrochloride is a vasoconstrictor, hemostatic agent; shark liver oil is rich in vitamins, microelements, has an antibacterial and immunomodulatory effect; Cocoa butter softens, reduces swelling and inflammation.	Gives a lasting therapeutic effect.
Anuzol (rectal suppositories)	An extract from belladonna leaves helps when hemorrhoids hurt a lot and is an active healing substance; xeroform relieves inflammation that occurs in blood vessels and strengthens their walls; glycerin dries mucous tissues and eliminates inflammation.	The stool is colored black, which should not cause concern.
Troxevasin (gel)	Troxerutin is an active venotonic, has angioprotective, anti-inflammatory, anti-edematous and antioxidant effects.	They are often prescribed at later stages, when the node has already come out.

In case of significant venous insufficiency, a specialist may recommend therapy using systemic venotonic agents.

Baths

Ice water is a quick help for hemorrhoids at home, but you cannot be zealous in using such procedures; they are only indicated for relieving acute pain. The duration of a cold water bath should not exceed 5 minutes; the procedure can be performed twice a day. To treat a chronic form of the disease that is in remission, hot and steam baths with the addition of medicinal herbs are used:

Sitz hot baths. Place the prepared raw materials (dried St. John's wort leaves, chamomile or calendula flowers, onion peels) into a container with water (temperature should be 36-40 degrees). Submerge the affected area under water for 30 minutes, then gently pat dry with a towel and apply a topical medication. The course of therapy consists of 10 procedures.
Smoke (or steam) procedures. This method is suitable for external forms of pathology and helps to quickly eliminate pain. To carry out the procedure, you need to prepare a container in which to place a hot clay brick. Healing ingredients, which can be onion broth, milk, garlic sap or birch tar, are periodically sprayed onto the hot brick. Sick for 15-20 minutes. assumes a sitting position over the container on half-bent legs with emphasis on the hands. The procedure should be repeated until pain symptoms disappear completely.

Diet

Much in this clinical picture depends on the usual food. For example, if a person eats fatty and spicy foods, it will be very difficult for him to cure hemorrhoids forever. The attending physician recommends choosing five meals a day in small portions, and it is important not to overeat, especially not to overeat at night. Below is a list of prohibited food ingredients:

spicy foods, smoked foods, pickles, marinades;
alcoholic, carbonated drinks;
pasta, confectionery;
potatoes, starchy foods;
fast food, fast food.

As for the recommended food ingredients, a short list of them is presented below:

raw fruits, vegetables;
cereals;
vegetable oils;
dairy products;
fatty fish, meat.

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Special gymnastics

With varicose veins, increased physical activity is prohibited, but moderate exercise helps to quickly get rid of the disease at home. Special physical exercises help strengthen the muscles of the rectal canal, ensure blood flow and filling of the blood vessels of the pelvic floor. Systematic exercise eliminates congestion in the perianal area. To restore the functional abilities of the muscles of the pelvic region, you should regularly perform the following set of exercises:

Kegel exercises. Take a position lying on your back, legs bent at the knees, feet pressed to the floor, contract the pelvic muscles, squeezing the sphincter. You should hold the tension for 3 to 10 seconds, then relax for 10 seconds. and repeat the exercise 10 more times.
Walking on the buttocks. Sit on the floor with your legs straight. Tighten your gluteal muscles and lift one buttock, moving it forward. Repeat the movement with the other leg. You should move in this way for 10-15 minutes.
Birch. From a lying position on your back, raise your pelvis with your arms bent at the elbows. Take turns raising your legs up. If possible, keep the body, pelvis and legs in one line. You should hold the pose as long as you can.

What not to do if a hemorrhoid has fallen out

A considerable number of patients have the following vision of solving the problem: hemorrhoids are a disease of a sedentary lifestyle, therefore, in order to fight it, you need to move a lot. This is true, but during an exacerbation period this rule does not work. And prolapse of a hemorrhoid can be considered just such an exacerbation.

If the plexus of veins has come out, movements must be limited!

If the nodes have fallen out, the patient should not:

Walk. The most reasonable thing is that you need to lie on your back to reduce the load on the muscles of the rectal area.
Use regular toilet paper. Even such a habitual action is prohibited. You can only wash yourself with cold running water (as a last resort, use gentle wet wipes, doing this as delicately as possible).
Wear tight underwear, tight trousers and shorts, as these things definitely put pressure on the pelvic organs.
Lie on something soft. The soft surface of a bed or sofa does not contribute to recovery. The base must be rigid.
Sitting on the toilet for a long time. If you are sitting because you cannot have a bowel movement, give a laxative enema.

How to treat with diet

Patients diagnosed with hemorrhoids in most cases suffer from constipation. To solve this problem and to facilitate the process of defecation, laxatives can be used, but the most effective home treatment for impaired gastrointestinal motility is diet. The principles of dietary nutrition are to follow a diet, eat healthy foods and exclude junk food from the diet:

Authorized Products	Prohibited Products
Products with soft dietary fibers, dried fruits	Butter pastries
Fruits (apples, bananas)	Puff pastry products
Porridge (buckwheat, oatmeal)	Animal fats
Products high in plant fiber (vegetables, bran)	Spices
Dairy products	Fatty meats and fish
Oil	Eggs (fried and hard-boiled)
Low-fat soups	Pasta
Coffee, jelly, strong tea
Alcohol
Canned food, pickles, smoked meats

Causes

One of the common etiological factors is hereditary predisposition. Such people have weakness of the venous walls. In most cases, such patients are predisposed not only to hemorrhoids, but also to varicose veins of the lower extremities. However, this does not mean that you will definitely develop the disease.

A number of different factors can cause hemorrhoids:

passive lifestyle. Insufficient activity leads to congestion and, as a consequence, to dilation of the veins. You should walk, do exercises or gymnastics every day;
problems with the digestive tract. Poor nutrition affects the functioning of the entire gastrointestinal tract. It is better to replace fatty, fried, smoked, salty foods with vegetables and fruits, as well as foods rich in fiber. Chronic constipation, prolonged and painful acts of defecation - all this can cause the development of hemorrhoids;
constant lifting of weights. Loaders and bodybuilders are at risk. Exhaustive physical labor leads to a powerful flow of blood to the pelvic organs;
pregnancy and childbirth. Serious stress during pregnancy can provoke activation of the pathological process;
overweight;
infectious processes in the pelvic organs;
neoplasms or inflammation of the digestive system;
violation of venous outflow from hemorrhoidal veins.

Proper nutrition is a good prevention of external hemorrhoids

Folk remedies

At the initial stage of the disease, it is effective to use herbal remedies prepared according to folk recipes. Traditional medicine does not deny the benefits of medicinal herbs. Plants that have an antihemorrhoidal effect and can be used to prepare infusions, decoctions and lotions at home are elderberry, horse chestnut, wormwood, knotweed, chamomile, and oak bark. Folk remedies for hemorrhoids are made from a variety of components, which can be:

medicinal herbs (aloe, calendula, etc.);
honey;
salo;
onion;
garlic;
Bay leaf;
raw potatoes;
Birch tar;
mumiyo;
soda;
salt.

Before using homemade products, you need to know the important nuances of treatment:

natural components affect the symptoms of the disease, reducing their severity, but do not always have an effect on the cause of the problem;
herbal medicines have a cumulative effect, and until the concentration of nutrients in the body reaches the norm required for treatment, the disease can develop into an acute form;
strict adherence to the dosage of active substances specified in the recipes is required to prevent the occurrence of an allergic reaction;
The side effects of homeopathic remedies have been studied less than those of traditional medicine.

Using Vaseline

Thanks to its safe composition of a mixture of mineral oils and solid paraffin, Vaseline is used as a base for the preparation of healing ointments. A product based on Vaseline and streptocide provides a quick softening and analgesic effect. The process of preparing anti-hemorrhoid cream consists of the following steps:

grind tableted streptocide (10 tablets);
Place 25 g of Vaseline in a clean and dry container;
pour the crushed powder into a container with Vaseline;
Bring the resulting mixture until smooth.

External hemorrhoids should be lubricated with Vaseline ointment every day before going to bed. The duration of treatment depends on the severity of symptoms. Often the effect occurs quickly - within 1-2 weeks. To alleviate the condition during an exacerbation, you can prepare an ointment from propolis and petroleum jelly at home. To do this, you need to melt Vaseline, lanolin and propolis (in a ratio of 11/1.5/1) in a water bath, cool the resulting mixture and apply it to painful areas.

Using soda

Carbonic acid and sodium acid salt can be used to treat hemorrhoids at home. Depending on the area of formation of nodes and bumps, the method of using soda is chosen - enemas, baths, lotions or compresses. Warm soda baths, for the preparation of which you need to dissolve 5 tbsp, will help eliminate pain. soda in 2-3 liters of water.

You can stop the inflammatory process using a mixture of soda, mumiyo, vegetable oil and milk. Preparation of the solution consists of mixing all components (5 g of soda, 100 ml of mumiyo dissolved in water, 15 ml of vegetable oil, 200 ml of milk). The resulting mixture can be used for enemas or preparing baths. To achieve a lasting effect from soda treatment, it is necessary to perform the procedure at least 10 times.

cucumber

Of all the vegetable crops, cucumber is the most widely used for medicinal purposes for hemorrhoids. A decoction obtained from borage has a vascular strengthening effect; suppositories made from cucumber pulp restore vascular walls and soothe irritated mucous membranes. Drinking cucumber juice internally helps to loosen the intestines and soften stool. An ice compress of cucumber juice quickly relieves acute pain.

To eliminate bleeding of hemorrhoids and cones, you can prepare a tincture of cucumber stems at home, which should be taken before meals three times a day, 100 ml:

prepare cucumber tops (to do this, cut them into pieces of equal length and dry);
chop dry stems;
Pour 100 g of finished raw material into 1 liter of purified water;
put the mixture on the fire, bring to a boil;
Cool the broth, strain and leave for 1 hour.

Mumiyo

The exact origin of the organo-mineral product has not yet been fully studied, but its biological activity has already been proven. Shilajit-based products have a quick effect and are used to relieve pain and relieve inflammation. Before treatment at home with mumiyo, you should know that this product has a number of contraindications:

during pregnancy and breastfeeding;
age under 12 years and over 65 years;
with diagnosed cancer or suspected malignancy.

Traditional medicine suggests using mumiyo for both external and internal use. An ointment based on mumiyo and honey gives a local analgesic and softening effect. To prepare the product, you can use one of several options:

Mix 3 parts honey and 1 part mumiyo until smooth;
Add peach oil to the mummy (in a ratio of 1 to 1), store the mixture in the refrigerator;
Mash aspen buds (2 tablespoons), add to them an equal amount of vegetable oil and 5 g of mumiyo.

You can achieve complete resorption of hemorrhoidal cones at home by combining external and internal use of mumiyo. A quick effect is achieved by a remedy whose recipe involves dissolving a small amount of mumiyo in a glass of cabbage brine. Homeopathic medicine should be taken twice a day until symptoms are completely eliminated.

Potato

To prepare folk antihemorrhoids based on potatoes, raw tubers or fresh juice of the product are used. During an exacerbation of the disease, enemas from potato juice should be given. The high content of starch in tubers helps accelerate tissue regeneration and healing of cracks. The juice is prepared by squeezing a potato tuber grated on a fine grater. Enema must be carried out for 10 days in a row.

Microelements contained in raw potatoes have a decongestant, anti-inflammatory and analgesic effect. Using potato suppositories will help you get rid of the disease quickly. To prepare herbal candles, it is necessary to use mature tubers, from which oblong bars of a streamlined shape are cut. Homeopathic suppositories are administered rectally in the evening for 2-3 weeks. The suppository comes out in the morning during bowel movements; you should not remove it yourself.

Prolapse of hemorrhoids

If the pathology is not treated in the initial stages, after a few years the hemorrhoids begin to fall out not only during bowel movements. Troubles of this kind can occur even with slight straining, be it coughing, sneezing or walking at a fast pace.

At first, the prolapsed plexuses are easily reduced by the usual contraction of the sphincter muscles. But the ongoing process of dystrophy and loss of sphincter muscle tone lead to the fact that they have to be adjusted manually.

What to do when a knot falls out

A disregard for the problem can lead to the fact that the nodes cannot be straightened at all. Venous bumps of a purplish-red or bluish color will stick out from the anus. During certain periods of the disease, this does not cause painful sensations when palpated. The plexuses are easily repositioned back into the rectum, but with almost any straining they immediately fall out.

How can you cure hemorrhoids during pregnancy?

The question of methods of treating hemorrhoids in pregnant women and the need to use pharmacological drugs is decided individually. When using local medications, one should keep in mind the relative contraindications of heparin-containing drugs, which include pregnancy. Systemic drugs based on sodium alginate are approved for use in all trimesters. To treat the external form of the disease, it is effective to use Fleming Ointment and Bezornil cream, and the symptoms of internal hemorrhoids are eliminated by Relief and Neo-Anuzol.

Prevention

To avoid hemorrhoids and forget about this health problem forever, doctors recommend following the following preventive measures at home:

to live an active lifestyle;
give up all bad habits, including unhealthy diet;
regularly perform contrast showers;
reduce physical stress on the body;
control stool, avoid constipation;
observe the rules of personal hygiene;
take vitamins daily.

How to treat at home

Today you can find many ways to treat hemorrhoids using folk remedies. You can use raw potatoes for this. Grate fresh potatoes and apply to the affected area. Internal hemorrhoids, the lump located inside the rectum, can be treated. To do this, a candle cut from a tuber is inserted inside.

Treatment at home can be carried out using candied honey, which is injected into the anus. You can first lubricate the affected area with sea buckthorn oil.

Treatment of cones can be carried out using the following methods:

grate carrots and beets, put on gauze and make a compress before going to bed;
soak a gauze pad with cocoa. Apply until the inflamed vein ruptures and subsequently heals;
Brew a spoonful of chamomile in a glass of water and rinse the anus with the decoction;
administer suppositories based on propolis and aloe every day before bed for 10 days.

But how to remove bumps from hemorrhoids and relieve severe pain when pinched? To do this, you need to carefully insert the knot inside, and then insert or apply ice to the affected area. Cold provokes vasoconstriction and a decrease in swelling.

If hemorrhoids come out, you can remove them at home not only with cold compresses, but also with the help of vegetable oils and aloe juice, which you need to lubricate the anus for a week.

For treatment, you can use other methods to combat the problem. Hirudotherapy is considered quite effective.

How to reduce an inflamed node using medicinal leeches:

Wash the back hole thoroughly. This should be done without soap with fragrances, since leeches do not like odors.
Place several individuals on one node.
After the leech is pumped, it will fall off on its own. After this, the knot will dry out and shrink.