How to cure hemorrhoids without surgery: basic techniques

Inflammation of hemorrhoids spreads among the young population. This contributes to several factors - a sedentary lifestyle, irrational nutrition, bad habits. Therefore, the question of how to cure hemorrhoids without surgery is relevant among people of working age.

In medicine, there are minimally invasive methods of treatment, which have become an alternative to surgery. Their main principle is minimal trauma during the procedure and quick rehabilitation of patients. All methods are practically painless, do not cause complications.

Ligation of hemorrhoids by latex rings

Ligation is an atraumatic procedure for removing hemorrhoids. Its essence is the clamping of the inflamed node at the base with latex rings. As a result, blood supply and nutrition cease, the node gradually dies off, disappears and is eliminated from the body during defecation. This is painless for the patient.

Latex rings are made of hypoallergenic material. They are installed with the help of a ligator( a special instrument) both permanently and outpatiently. There are two methods of latex ligation - vacuum and mechanical.

Indications: internal hemorrhoids 1, 2 and 3 degrees.

The algorithm for performing the procedure :

1. An anoscope( instrument with optics) is inserted into the rectum lumen, with which the proctologist has good access to the treatment area.
2. The ligator captures the hemorrhoids and passes into the latex ring, which tightly surrounds it at the base.
3. During the procedure, the doctor conducts a dialogue with the patient in order to find out whether there are painful feelings, how intense they are. If necessary, make a local anesthetic in the hemorrhoids to reduce its sensitivity.

Most often, patients have several nodes inflamed at once. Their removal is carried out in several visits. Initially, you can wear only one ring. Atrophy of hemorrhoidal inflammation occurs within 10 days. After the node comes out of the rectum, you can alloy the following.

Contraindications: bleeding disorders, hemorrhoids during an exacerbation, paraproctitis( infectious disease of the rectum), anal fissures.

Treatment of hemorrhoids with sclerotherapy

Sclerotherapy( another name sclerosing) is a bloodless method of treating hemorrhoids due to stopping blood supply to the node. This is achieved by injection of the sclerosant. The medicinal substance is injected into the lumen of the hemorrhoidal node, it interacts with the endothelium( inner layer), the walls are glued together. Gradually, the node decreases in size, atrophies. In its place a scar is formed. The procedure is carried out on an outpatient basis, does not require anesthesia.

In the initial stages of the disease, this method can be used as an independent one. Treatment of stage 3 hemorrhoids requires a comprehensive approach, sclerotherapy is used in conjunction with other methods. The larger the node size, the less effective the procedure. With hemorrhoids of stage 4, sclerosing is performed before the forthcoming doping or operation.

Advantage: it can be used in patients of any age, lack of ─ recurrence of the disease after 1-1,5 years.

Contraindications :

• exacerbation of hemorrhoids;
• ulcerative colitis;
• Crohn's disease is a chronic inflammation of the whole gastrointestinal tract( gastrointestinal tract);
• paraareth fistula;
• anal cracks;
• is an allergy to sclerosing drugs.

After manipulation, there is a risk of complications. If the technique is violated, pain symptoms may appear, the intensity of which is individual. If immediately after the injection the bleeding started, it means that the needle has entered the nearby artery. Such a complication does not pose a danger to life, bleeding is easily stopped. In men with inflammation of the prostate gland there is a risk of getting into it a sclerosant.

Infrared coagulation

Infrared coagulation is one of the non-surgical methods for treating hemorrhoids, which is based on the effects of infrared rays.

The mechanism of action is as follows:

1. Thermal energy directed to a specific location causes a minor burn.
2. On the mucosa of the rectum a spike is formed, due to which the blood supply of the hemorrhoidal node stops.
3. Gradually it decreases in size and dies.

The procedure is carried out using the device ─ infrared coagulator. Through the LED, a focused heat beam is directed to the hemorrhoid area. The duration of exposure is from 0.5 to 3 seconds. Reaching the tissues, the light flux turns into heat. The longer the exposure, the deeper the coagulation( coalescence of small particles).

Indications for prescribing procedure :

• inflammation of nodes 1 and 2 stages;
• combined hemorrhoids - inflamed nodes are inside and outside;
• Removal of residual phenomena after alloying with rings ─ microscopic bleeding.

Only one node can be coagulated per session. The interval between the procedures is 2 weeks. After treatment, the patient may have frequent urge to defecate, weight in the lower abdomen, discomfort in the perineal region. If the node is rejected, there may be a slight bleeding.

Contraindications :

• fistulas of the rectum;
• anus fracture;
• cryptitis ─ inflammation of the sinuses of the rectum;
• thrombosis of hemorrhoids;
• proctitis ─ inflammation of the rectum;
• purulent paraproctitis.

Cryodestruction with hemorrhoids

This is a non-surgical treatment for hemorrhoids by exposing tissues to low temperatures. Under the action of liquid nitrogen, the intercellular and intracellular fluid freezes. The structure of tissues is disturbed, metabolic processes are stopped, microcirculation of blood is disturbed. As a result of hypothermia tissue dies.

The duration of the procedure depends on the size of the hemorrhoids. The larger the zone of damage, the longer the cryodestruction. On average, the session lasts from 0.5 to 2 minutes.

Stages of atrophy of the hemorrhoidal node:

1. Freezing process ─ Sensitivity disappears, the tissue becomes dense and pale, the patient can feel a slight tingling or burning sensation.
2. Redness of the node and marked swelling around it, which develop in the first 3 hours after the procedure.
3. Formation of bubbles with liquid in the first day.
4. The stage of slow necrosis, which lasts from 2 to 6 weeks, with simultaneous scarring.
5. Knot rejection and complete recovery of rectum functions.

Cryotherapy is actively used to treat patients who have not only internal but also external hemorrhoids. As an alternative, it is prescribed in the event that surgical treatment is contraindicated, or if conservative therapy is ineffective. After the procedure there is no bleeding, it is painless. Relapses are rarely recorded.

Contraindications :

• Acute inflammatory process of the rectum;
• thrombosis of hemorrhoidal veins;
• purulent paraproctitis.

Medication for hemorrhoids

Treatment of hemorrhoids without surgery is possible with the help of pharmacological drugs. For topical use prescribe suppositories, ointments. For oral administration or injection ─ tablets, capsules, solutions.

With hemorrhoids 1 and 2 stages without surgery, you can get by using only medicines. The third and fourth levels of pathological changes in the nodes require complex measures, where medications are used in conjunction with other methods of treatment.

The objectives of drug therapy :

• anesthetize the acute period of the disease, eliminate discomfort in the anus;
• to reduce the puffiness and size of the hemorrhoids;
• strengthen the walls of blood vessels, increase their tone;
• facilitate physiological emptying of the intestine;
• to prevent the attachment of bacterial infection;
• to reduce the risk of complications.

Medication is mandatory prescribed during periods of exacerbation of the disease, with the transition of the acute stage into a chronic one.

Drug groups and their action :

• Anesthetic ointments, gels ─ relieve inflammation, itching, pain, improve blood flow, reduce discomfort in the perianal area, reduce the permeability of the walls of the capillaries. Preparations ─ Aurobin, Ultraprotect, Nefluian, Proctoglivenol.
• Suppositories and ointments, restoring tissues, accelerating the healing process ─ Methyluracil, Levomekol, sea-buckthorn candles.
• In the presence of thrombi appoint sucking drugs topical application( ointment) - Heparin, Proctosedil, Troxevasinum, Gepatrombin.
• In case of bleeding, use blood-restoring means ─ Androckson and Beriplast( solutions and sponges), hemostatic sponges ─ Tachycombe, Spongostan, suppositories Relief.
• Chlorophyllite oil solution is used in the form of lotions, which anesthetize, relieve inflammation, facilitate well-being.

Symptomatic treatment for exacerbations includes the administration of non-steroidal anti-inflammatory drugs( Nurofen, Diclofenac, Ibuprofen).To stop bleeding, use calcium chloride, Vikasol, Etamsilate. To prevent the formation of thrombi appoint acetylsalicylic acid, Trental, Aspekard.

Since hemorrhoids are always accompanied by constipation, patients take medications that eliminate this symptom :

• candles ─ Glycerol, Bisacodyl, Mikrolaks;
• Herbal preparations ─ Herbion Laxana, Regulax, Senalex;
• enhances peristalsis ─ Regulax, Guttalax, Slabilen;
• prebiotics ─ Lactofiltrum, Lactusan, Eubikor, Prelax.

More on the treatment of constipation with hemorrhoids →

Traditional medicine

Another method for treating hemorrhoids without surgery is folk. Inflammation of the nodes is well treated with herbal decoctions, infusions, lotions, therapeutic baths, proper nutrition.

To the treatment of folk remedies, it is necessary to be approached with caution, it is better to consult the specialist first. For example, if there are polyps in the intestine with hemorrhoids, the use of herbs can provoke their degeneration into a malignant tumor.

There are prescriptions for the treatment of inflammation of the nodes in the home:

Candles made from fresh potatoes. .

.Take one root, wash thoroughly under running water. From the core, cut a small piece in the form of a rectal suppository. Lubricate the candle with Vaseline and enter into the rectum. It is better to spend the procedure at night. Potato accelerates the process of tissue renewal, due to the included phytoncides it does not allow infection. Indications - hemorrhoids 1 and 2 stages with small bleedings.

Lotions from fresh carrot or beet juice .Wash vegetables, peel and squeeze juice. Take gauze, cotton or linen cloth, soak it with juice. Apply in the anus area, periodically moistening the tissue. The procedure is done before bedtime for 30-45 minutes. Vegetable juice reduces pain and inflammation, resolves thrombi. Indications - comprehensive treatment of hemorrhoids of the 3rd degree.

Sitting baths .Make herbal decoction of one of the plants ─ chamomile, sage, St. John's wort, peeled onions, calendula. Fill two pelvis ─ one with warm, the other a cool decoction. Sit in each pelvis alternately( for 3 minutes).The total duration of the procedure is 20-30 minutes. It has a tonic effect on blood vessels, increases blood flow, eliminates stagnation, reduces the size of the knots, calms and relieves pain, relaxes the intestines, facilitates its emptying. Indications - treatment of hemorrhoids 4 stages.

The choice of non-surgical therapy for inflammation of hemorrhoids depends on the severity of the disease, the age of the patient, and the concomitant diseases. To achieve a quick and lasting result, preference is given to an integrated approach to the treatment of hemorrhoids.

Author: Natalia Avramenko, doctor,
specially for Moizhivot.ru

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