How to get rid of itching from hemorrhoids: how to relieve the burning sensation in the anus

What is itching with hemorrhoids?

The main culprit of itching in the anus is the inflammatory process, which occurs due to certain circumstances. Among them:

Exudate release. In an advanced form of the disease, the rectal valve cannot contain the pathological fluid secreted by inflamed capillary or venous vessels into the rectum. This secretion is irritating to the skin of the anorectal area. The itching is enhanced by bacterial particles found in the exudate.
Damage to cavernous formations. Hemorrhoids constantly increase in size, stretching the rectal canal, as a result of which its mucous membrane is damaged by hardened feces. Pathogenic microorganisms enter the wounds, which causes burning and itching.
Epithelization of tissues after intervention. The anus may itch after surgical removal of hemorrhoids. Unpleasant sensations result from the healing of wound surfaces. This process does not require drug therapy, since it is a natural reaction of the body. When the stitches heal, the itching will stop.

Prevention

To prevent the appearance of similar symptoms with hemorrhoids and avoid problems with how to remove them, you should follow several general rules, namely:

completely give up addictions;
lead a moderately active lifestyle;
If possible, avoid physical and emotional stress;
eat properly and nutritiously;
regularly perform hygiene procedures for the perineal area;
undergo a full medical examination several times a year, which will help identify the disease.

An integrated approach to therapy and implementation of preventive recommendations will help completely stop the manifestation of such unpleasant clinical manifestations.

Hemorrhoids are accompanied not only by severe inflammation, which causes pain, but also by bleeding, burning and itching.

It is better to combat these symptoms comprehensively, since only combined treatment will achieve the desired effect.

At the same time, when there is a burning sensation, it is important to maintain personal hygiene and it is permissible to use traditional methods of treatment, which, if used correctly, will enhance the positive effect. Any treatment methods for diagnosing hemorrhoids should be agreed with your doctor

Any treatment methods for diagnosing hemorrhoids should be agreed with your doctor.

With the right approach, the burning sensation can be eliminated within the first two days of intensive treatment.

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Why do hemorrhoids itch?

The causes of itching of the anal passage are a variety of conditions. This may be a sign of other diseases in the anorectal area or rectum (cancer, helminthiasis, herpetic or syphilitic infection, and others). Before treating a pathology, the doctor must give the patient an accurate diagnosis. The following factors have a direct impact on the occurrence of itching:

impaired liver function due to abuse of fatty foods and alcoholic beverages;
development of portal hypertension;
infection of the anal area with fungi or viruses;
difficulties with bowel movements;
decreased quality of anal hygiene;
increased physical activity;
passive lifestyle.

Diagnostics

To choose an effective remedy for itching, you need to correctly determine the cause of its occurrence. This work should be left to specialists.

The examination will be carried out by various doctors, from a pediatrician to a dermatologist and gynecologist. You need to undergo the examinations prescribed by them:

mucosal biopsy;
palpation;
endoscopic examination;
stool analysis;
sigmoidoscopy;
proctography;
blood for sugar;
smears for genital infections.

A correct diagnosis makes it possible to quickly solve a delicate problem.

How to treat itching with hemorrhoids

Inflammation of hemorrhoids is treated by a proctologist. After diagnosis, the specialist will prescribe a comprehensive treatment, which includes:

correction of nutrition and physical activity;
taking antibacterial and anti-inflammatory drugs;
baths with soothing tinctures and decoctions;
ointments and gels - they have an excellent calming effect, their action is aimed at eliminating swelling and inflammation of the anorectal area.

The correct treatment regimen prescribed at an early stage of the disease will help avoid surgical removal of hemorrhoids and cope with the disease at home. If the itching does not disappear after the inflammation of the hemorrhoids is relieved, then additional diagnostics are needed to identify other causes of unpleasant symptoms. Treatment is based on an expanded range of drugs to cover all types of internal damage. This includes medications for:

eliminating infection;
improving blood circulation;
resorption of blood clots;
restoration of vascular walls and others.

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Antimicrobial ointment

Often, discomfort in the anus is caused by a variety of infectious processes of fungal or bacterial origin. The infectious agent especially easily enters the anal area from the genitals of women. In this case, a remedy is needed that effectively works against various microbial agents, since it is not always possible to identify the specific type of microbe.

The following ointments have been used for many years:

"Tetracycline";
"Gentamicin";
"Ichthyol";
"Levomekol";
"Clotrimazole".

Triderm ointment deserves special attention in this pharmacological group. This remedy effectively treats both fungal and bacterial infections, as it has a multicomponent composition. The antifungal component clotrimazole is active against the most common fungi, and the antibacterial component gentamicin has a wide spectrum of effects on many gram-positive and gram-negative microorganisms. The product is quite safe and can be used for several days until the condition improves.

Source: tutzud.ru

Medicines

Itching, burning and bleeding in the anus indicate an acute course of the disease. The goal of drug treatment is to relieve inflammation, eliminate pain, and stop bleeding. Medicines are prescribed that affect microcirculation in cavernous formations, reducing the fragility of capillary walls. Pain syndrome is relieved with the help of Analgin, Citramon and other drugs from the group of non-narcotic analgesics. To stop inflammation, the following groups of drugs are used:

non-steroidal anti-inflammatory drugs;
corticosteroids;
phlebotonics;
antibiotics;
antispasmodics;
laxatives.

Depending on the type of hemorrhoids, different dosage forms of drugs are used. For internal pathology, rectal suppositories are preferable. They help get rid of itching, remove the inflammatory process of the rectal mucosa. When the disease is external, proctologists often prescribe ointments and gels. The duration and frequency of drug treatment is determined by the doctor in each individual case.

Candles

Rectal suppositories help get rid of itching in the anus. They are placed 2-3 times a day after stool. Before insertion, hygiene of the perianal area is necessary, after which the suppository is inserted so that it remains in the anus and does not penetrate the rectum. To do this, the base of the medication must be held with a gauze pad for the first 2 minutes (until dissolved). The best suppositories that help get rid of other symptoms of the disease are:

Anuzol. One suppository contains xeroform, belladonna extract, belladonna leaves, and zinc sulfate. You should light the candle before going to bed for 10-14 days. Possible side effects: headache, tachycardia, constipation or diarrhea. There is also an extensive list of contraindications: intestinal atony, pregnancy and lactation, prostate hypertrophy, angle-closure glaucoma and others.
Natalsid. The active substance is sodium alginate, which has a wound-healing and anti-inflammatory effect. Apply rectally 2 times/day for 7-14 days. Adverse reactions may occur in the form of allergic manifestations on the skin. Contraindications: children under 14 years of age, individual intolerance to the components.
Anestezol. The composition of the suppositories includes bismuth subgallate, benzocaine, zinc oxide, menthol. Suppositories are used for both internal and external hemorrhoids, 1 piece/day for no longer than 10 days in a row. Adverse reactions: burning sensation in the rectum, pronounced laxative effect. Contraindications: children under 12 years of age, hypersensitivity to components.
Symetrid. Active ingredients: trimecaine, racemic menthol, fluocinolone acetonide, bismuth subgallate. Suppositories are administered into the rectum 1 time/day for 5 days. Undesirable reactions of the body manifest themselves in the form of side effects of glucocorticosteroids (Itsenko-Cushing syndrome, steroid diabetes mellitus and others). Contraindications: pregnancy, child under 2 years of age, intolerance to ingredients.

Creams

Ointments and creams help get rid of itching during external inflammation of hemorrhoids. The latter have a lighter consistency, are absorbed faster, and do not leave marks on clothes. Apply the creams in a thin layer to the cleaned area of the anus 1-2 times a day and rub in until completely absorbed. The most popular means:

Troxevasin gel. The main component of the drug is troxerutin, which quickly relieves itching and burning in the anorectal area. Used for 3-4 weeks without interruption. Possible adverse reactions: urticaria, dermatitis, eczema. The gel is not prescribed for open wounds at the site of application or hypersensitivity to the main component.
Relief. The active ingredient is shark liver oil, phenylephrine hydrochloride. Used both externally and inside the anus. To get rid of itching, apply up to 4 times a day for 1-2 weeks. Adverse reactions to uncontrolled treatment: hypertension, convulsions, pulmonary edema. Relief is not prescribed for decompensated heart failure, severe arterial hypertension, severe pathologies of the liver or kidneys.
Venorm. Active components of the cream: extract from horse chestnut, buckwheat, sweet clover extract, calendula, mantle and other plants. For hemorrhoids, apply to the affected area 2-3 times a day for 1-1.5 months. The cream has no side effects. Contraindication is hypersensitivity to the components.

Ointment

For external hemorrhoids, the most effective medicine is ointment. This dosage form should be used after bowel movements and careful hygiene. As a rule, ointment for itching for hemorrhoids is applied 1-3 times a day, unless specifically directed by a doctor. The following medications will help you quickly and effectively get rid of burning and inflammation of hemorrhoids:

Ultraproct. The composition contains: fluocortolone hexonate, fluocortolone pivalate, cinchocaine. Prescribed 2–4 times/day for 2–4 weeks. With longer therapy, atrophic skin changes and allergic manifestations may develop. Contraindications: first trimester of pregnancy, syphilis, tuberculosis, virus or fungal infection at the site of application.
Proctosan. Active ingredients: bufexamac, bismuth, lidocaine, titanium. To get rid of itching, apply the ointment 2 times a day for no longer than 7 days in a row. With prolonged treatment, skin irritation is possible. Proctosan should not be used for tuberculosis, syphilis, or allergic dermatitis.
Levomekol. Main substances: methyluracil, chloramphenicol. For hemorrhoids, apply 1 time at night for 10 days. Among the adverse reactions, skin rashes are observed. Levomekol is not prescribed for hypersensitivity to the components.
Aurobin. The drug contains active substances: prednisolone, D-panthenol, lidocaine. If the symptoms of hemorrhoids worsen, the ointment is applied 3-4 times a day for 5-7 days. Side effects include thinning and dry skin. Contraindications: tumor processes, viral, bacterial, fungal diseases of the skin.
Fleming's ointment. Consists of components of plant origin. Contains: calendula, horse chestnut, witch hazel, menthol. Additional Ingredients: Zinc Oxide, Vaseline. Homeopathic ointment is prescribed for hemorrhoids as follows: apply 3 times a day for 1 week. No side effects were recorded. Contraindications for use: children under 2 years of age, intolerance to the components of the drug.
Nefluan. Contains lidocaine hydrochloride, neomycin sulfate, fluocinolone acetonide. For hemorrhoids, Nefluan is injected into the anal canal up to 3 times a day for 10–14 days. If used incorrectly, systemic allergic reactions (urticaria, laryngeal edema, anaphylactic shock) may occur. Contraindication: hypersensitivity to the components.
Vishnevsky ointment. Liniment consists of three parts: xeroform, castor oil, birch tar. When hemorrhoids are inflamed, it is recommended to apply lotions to the perianal area. To do this, apply liniment to a wide strip of sterile gauze, apply it to the location of the hemorrhoids, secure the compress with an elastic bandage and keep it for at least 2 days, changing the gauze every 12 hours. The treatment is not accompanied by side effects. Do not apply the drug to a contaminated surface.

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Anti-inflammatory ointment

Anal itching remedy is not only a remedy for hemorrhoids. The skin and mucous membrane in this area are quite easily injured, and a variety of microbial flora are no less easily attached. Therefore, discomfort can be caused by an inflammatory process. In such a situation, ointments containing non-steroidal anti-inflammatory drugs can be used.

The following ointments are deservedly popular:

"Indomethacin";
"Diclofenac".

On the other hand, the NSAID group, even in the form of an ointment, has a fairly wide range of contraindications and side effects. Therefore, the use of such ointments should be as short as possible and truly necessary.

The same caution is required for ointments based on hormonal components, namely steroid hormones. For example:

"Hydrocortisone ointment";
"Ultraproct";
"Flucinar."

These drugs are effective against anal itching and other painful sensations. Any of the above remedies can be used if discomfort in the anus is associated with allergic or atopic dermatitis, or various other skin diseases.

It should be remembered that this group of ointments requires a balanced approach in prescription, therefore, as a means of self-help it can only be used as a last resort.

Treatment at home

People are often interested in how to get rid of itching from hemorrhoids without medications, because in some cases, for example, during pregnancy, the use of medications is prohibited. If a hemorrhoid itches, then you must follow the rules:

expand your drinking regime, since to achieve a soft concentration of feces you need to drink about 30 ml of clean water per 1 kg of body weight per day;
develop a diet that contains a lot of fiber, because plant fibers help form normal feces;
reduce the consumption of foods that cause irritable bowel syndrome: fatty, salty foods, strong tea, coffee, spicy seasonings;
It is optimal to alternate between rest and work time.

Baths

To quickly heal hemorrhoids, you need to take regular baths at home. Treatment is carried out in three ways: in cold, warm, hot water. To enhance the effect, it is recommended to take baths with the addition of medicinal ingredients: manganese, medicinal herbs, salt, soda. The procedure requires a basin and water. Cold baths take about 2–5 minutes, and hot baths at a temperature of no more than 60 ° C - until the water cools completely. Recommendations for use:

It is recommended to take baths 2 times a day: in the morning and at night;
frequency of treatment – 7 days;
You can make steam baths, for the preparation of which add 5-6 cloves of crushed garlic to boiling water, cover the top with a wooden lid with a 2 cm hole and sit on top for 20 minutes before going to bed.

Diet food

Against the background of regular constipation, a person develops complications in the form of itching, burning, fistulas and cracks in the anal passage. Regulating the consistency of intestinal contents with the help of products that enhance peristalsis will help get rid of unpleasant symptoms. This:

raw vegetables: beets, tomatoes, lettuce, carrots, zucchini, pumpkin, cauliflower;
rich in sugars: honey, syrups, jam;
dietary fiber: bran, wholemeal bread, oatmeal, pearl barley, barley, buckwheat;
vegetable oils: take 1 tbsp at night or in the morning on an empty stomach. l. flaxseed, olive or sunflower.

Prohibited products:

pickles;
smoked meats;
marinades;
Rye bread;
alcoholic drinks;
coffee;
fatty meats;
legumes

Minimally invasive methods

In the early stages of the disease, in the absence of complications, minimally invasive techniques can be used for treatment. Popular:

Infrared photocoagulation. Physical impact is carried out with an infrared ray on the stem of the hemorrhoid, as a result of which it dies. Treatment is carried out using local anesthesia. The advantage of the method: the process takes 10 minutes, there is a minimum of postoperative complications. Cons: high price, impossibility of the procedure if the node is located near the dentate line, limited amount of exposure (one node per session).
Sclerotherapy. A chemical substance is used as a sclerosant that acts on the vascular pedicle of the hemorrhoid. According to statistics, the effectiveness of treatment reaches 90%. Disadvantage of the treatment: the procedure cannot be performed on patients with thrombosis or strangulation of the node.
Ligation. The essence of the method is the application of a latex ring to the stem of the node, which is deprived of nutrition due to this and dies over time. The procedure is well tolerated, but only one nodule can be ligated during one session. The disadvantage of treatment is the presence of multiple contraindications:
nonspecific ulcerative colitis;
proctitis, paraproctitis;
anal fissures;
location of the node next to the jagged line.

Operation

There are indications for which surgery is a necessary condition for the treatment of hemorrhoids. Among them are rectal prolapse with profuse bleeding, stage 3 of the disease, danger of thrombosis, unbearable itching and ulceration, and ineffective drug treatment. There are also contraindications to surgery. This:

oncology;
heart failure;
diabetes;
immunodeficiency states;
old age;
impossibility of using general anesthesia.

Removing hemorrhoids surgically involves the use of a laser, a regular scalpel, a circular stapler, and radio waves. After the operation, the doctor may prescribe local treatment (Hypozol spray, Ketorolac ointment, bactericidal patch and other drugs). Surgical options:

Hemorrhoidectomy. The oldest method of getting rid of nodes involves excision according to Milligan-Morgan. The procedure is performed by suturing the pedicle of the hemorrhoid. For manipulations, a scalpel knife or an electric coagulator is used. There is only one advantage of the method – it saves a person from suffering. Among the disadvantages:
complex operation;
high price;
severe blood loss;
long rehabilitation;
a number of complications (inflammation, suppuration, tissue necrosis, relapses).
Longo method. It is performed under local anesthesia. The patient's affected area of the mucosa is cut off, after which the intervention site is stitched with staples. The operation has multiple advantages: a short and painless recovery period, efficiency (15 minutes), no defects remain, and is allowed at any stage of the disease. Among the disadvantages:
not always a good result with external nodes.

Folk remedies

Our ancestors treated itching in the anus with a broom in the bathhouse. Today, this method cannot always be applied, so it is better to consider more universal methods of treating hemorrhoids:

Clay compress. Reduces swelling, helps get rid of itching, relieve inflammation. Dilute clay powder for treatment, purchased at a pharmacy, in water until it becomes a homogeneous paste. Place the mixture on a cloth, apply the compress to the hemorrhoid, secure with a band-aid, keep the lotion for 2 hours daily until the symptoms disappear.
Herbal decoctions. You can get rid of itching by washing with herbal infusions, which is done several times a day. To do this, dry herbs yarrow, chamomile and nettle are mixed in equal quantities. Two tbsp. l. The herbal mixture must be crushed, pour 200 ml of boiling water, leave for 1 hour. Strain the broth and wash the anorectal area several times a day, especially after bowel movements.
Propolis. The beekeeping product heals even wet hemorrhoids. Take 100 g of any fat, soften it to a liquid consistency, add 10 g of crushed propolis. Cook the medicine over low heat for half an hour, stirring. Use the ointment after each bowel movement for 12 days.

Factors causing anal discomfort

Discomfort sometimes appears in the anus due to various factors. It may indicate the development of certain diseases:

gynecological pathologies;
haemorrhoids;
allergic dermatitis;
helminthic infestation;
anal fissure;
fungal infections;
scabies, pediculosis;
diabetes mellitus, pancreatic and liver diseases;
infectious diseases.

External factors can also cause unpleasant symptoms in the anus:

stress;
poor nutrition;
increased sweating;
tight synthetic underwear with rough seams;
poor hygiene.

Typically, these unpleasant sensations occur around the anus and then spread to the entire groin area. The discomfort may be short-lived. insignificant or longer with a bright manifestation. In the anal area, compactions and a burning sensation may also appear . The appearance of any alarming signs is a signal to make an appointment with a proctologist and undergo a comprehensive examination.