Treatment of hemorrhoids with exacerbation

Hemorrhoids are common among adults. The disease affects the rectum and has a non-infectious nature.

This proctological disease develops gradually over time, flowing into a chronic form.

This stage proceeds in waves, and the remission phase is replaced by a period of exacerbation. When fading away, all unpleasant symptoms fade away without disturbing the patient.

Exacerbation of hemorrhoids brings a lot of trouble to the patient due to severe pain with the ensuing complications.

Why timely treatment of hemorrhoids is so important during an exacerbation, how it is carried out and what methods exist, it is worth understanding in more detail.

Causes of exacerbation of hemorrhoids

The most important reasons for the development of hemorrhoidal disease are venous insufficiency and weakness of the walls in the blood vessels.

With a constant flow of a large amount of blood, the veins in the pelvic region fill, enlarge and form hemorrhoids.

This process is not formed immediately, it is gradual. Sometimes the symptoms increase, worsening the patient's condition.

Doctors identify several main reasons for the development of hemorrhoids:

• Long stay in one position. A sedentary lifestyle, in which a person is often in a sitting position or standing, provokes an exacerbation of hemorrhoids. This is due to impaired blood flow, after which the hemorrhoids fill with blood.
• Improper diet. Improper nutrition disrupts the digestive system. This can be served by the abundance of fried, fatty, spicy, salty, sweet dishes. As a result, the patient begins to suffer from constipation, blood flow increases in the small pelvis. All these factors directly affect the exacerbation of the disease.
• Stool disorders. With hemorrhoids, diarrhea or constipation is unacceptable. Both types of problems with bowel movements lead to an exacerbation of the disease. With constipation, the abdominal muscles are under intense pressure. Hard stool can damage the delicate lining of the rectum. With diarrhea, liquid feces can bring hemorrhoids into an inflamed state by populating them with dangerous pathogenic bacteria.
• Heavy loads. This factor affects the male half of the population. When lifting or carrying heavy objects, there is strong pressure in the muscles of the abdominal cavity. The pelvic veins overflow with blood, increasing the risk of cavernous formations coming out of the anus.
• Pregnancy and labor. A woman during the period of carrying a baby experiences many inconveniences. The developing fetus puts pressure on the veins in the small pelvis, which leads to impaired blood flow, congestion, and constipation. During childbirth, a woman experiences pushing, which is additional pressure inside the peritoneum. As a result, the hemorrhoids overflow.

Particular attention is paid to the psychological factor. Any stressful situations, depression, psychoemotional stress can significantly worsen a person's condition, including an exacerbation of hemorrhoids.

Exacerbation symptoms

With an exacerbation of hemorrhoids, the patient experiences pronounced symptoms. It manifests itself instantly and very quickly.

The patient's state of health worsens, he is not able to lead the usual way of life. What signs indicate that the disease has worsened:

• strong pain;
• bleeding from the anus appears;
• hemorrhoids come out of the rectum;
• body temperature rises;
• deterioration in general health;
• signs of intoxication.

The most important symptom is pain syndrome. It manifests itself with lightning speed after the act of defecation, coughing or sneezing.

This state lasts from minutes to several hours. Sometimes the patient cannot be in a sitting position or stand, move.

The pain syndrome is so strong that psychogenic constipation occurs when the patient is afraid of bowel movements, refusing to eat.

In the acute form of hemorrhoids, bleeding occurs. This is facilitated by the rupture of blood clots of a tricky formation, in which the pain subsides.

Due to the weakening of the pain effect, some patients believe that the acute phase has passed.

Hemorrhoids swell in the acute phase, they turn blue and thicken. When they reach large sizes, they fall out.

As a result, the consequences are manifested - thrombosis, infringement, necrotization, intoxication.

Possible complications

The danger of the acute phase of hemorrhoids is that unpleasant consequences may appear in the form of complications.

In this case, medical attention is required, often they resort to surgical intervention.

Anal bleeding

In complex forms of the disease, hemorrhoidal bleeding from the rectal area can become profuse.

This process does not depend on the acts of defecation. This condition is unacceptable, since it threatens a dangerous disease - the development of acute anemia.

Internal organs experience a lack of oxygen due to a sharp decrease in hemoglobin levels.

In patients, the pulse becomes more frequent, the level of blood pressure sharply decreases, the skin becomes pale, a feeling of weakness is manifested.

Colitis

With an exacerbation of the disease, the pathological process spreads to neighboring organs. Often with hemorrhoids, the mucous membrane of the large intestine becomes inflamed.

As a result, there is a violation of the gastrointestinal tract, bloating, flatulence, spastic pains appear, and the intestinal walls are damaged (spastic and ulcerative colitis).

Paraproctitis

This complication is represented by purulent inflammation of the tissues surrounding the rectum.

In addition to the inflammatory process, in the acute form of hemorrhoids, infection with pathological bacteria can join.

Pathogenic microorganisms are represented by streptococci, staphylococci, Escherichia coli.

The patient experiences severe growing pain in the anal canal, perineum and lumbar region.

There is a sharp rise in body temperature, weakness, chills due to general intoxication of the body.

This is facilitated by the retention of feces and urine in the body. At the first such signs, the patient urgently needs medical surgical assistance.

During surgery under general anesthesia, it is important to identify and eliminate a purulent abscess or phlegmon.

When an acute phase of hemorrhoids is detected, in order to prevent the development of complications, medical assistance must be provided. The sooner measures are taken, the sooner the patient will recover.

First aid

Unpleasant symptoms during exacerbation of hemorrhoids can appear suddenly. With such manifestations, you should immediately contact a proctologist for an appointment.

But what should a patient do in case of an exacerbation until the moment he gets to the attending physician?

• For unbearable pain, take pain relievers or apply ice to the affected area. A small amount of manganese is dissolved in ice water, a bandage is impregnated with this solution. Ice water will have an analgesic effect, manganese promotes disinfection. In addition, a bag with ice cubes is applied to the affected area. You can make a cool bath based on herbal decoctions.
• To reduce the load on muscle tissue in the anus, the patient is advised to lie down. This state allows you to relax and not strain the muscles of the anus. It is not recommended to stand or sit during this period.
• With constipation, you can not push to cleanse the intestines. An alternative option would be cleansing enemas, which will gently have the desired effect.
• In order to prevent the development of complications, they must rush to see the attending physician. You cannot self-medicate. Only the correct treatment prescribed by the doctor can help the patient cope with the disease.

The acute phase of hemorrhoids can last for about a week. The duration of the course of the disease depends on the duration of the disease, symptoms, and the presence of complications.

With proper and timely treatment, it goes into remission.

Treatment

At the first signs of illness and attacks of hemorrhoids, they must seek help from a specialist.

The doctor will carry out a set of diagnostic measures and prescribe an individual treatment for hemorrhoids during an exacerbation.

Complex therapy is often used. It includes medication, folk remedies, and a special diet. Special attention is paid to prevention.

Systemic medicines

When prescribing drug therapy, attention is paid to non-steroidal anti-inflammatory drugs and antispasmodics.

The first group is aimed at pain relief, removal of puffiness in cavernous formations in adjacent tissues.

Antispasmodics include papaverine to quickly relieve spastic reactions in the rectum and reduce the pain effect.

These drugs are used in the acute phase of hemorrhoidal lesions at elevated temperatures, intoxication, deterioration of the general condition.

These include the following medicines:

• Diclofenac;
• Ibuprofen;
• Ketorolac;
• Nise;
• arched.

Some drugs help blood clot. They are taken with caution in case of massive bleeding.

The complex therapy of the acute phase of hemorrhoidal disease includes venotonic drugs.

They are based on natural flavonoids that strengthen the venous walls. They are responsible for increasing blood flow, promote tissue regeneration, and have an anti-inflammatory effect.

What drugs are we talking about:

• Venarus;
• Detralex;
• Troxevasin;
• Phlebodia;
• Aescusan with hemorrhoids;
• other.

Using venotonic drugs, the healing process is faster. But their reception should be careful and only under the supervision of the attending physician due to contraindications and undesirable consequences.

Preparations for external and local use

For acute and chronic hemorrhoids, treatment is prescribed with the use of combined medicines.

They effectively relieve pain, reduce inflammation, and prevent the formation of blood clots.

These drugs include:

• Anusole;
• Hepatrombin G;
• Procto-Glivenol;
• Ultraproject.

Prescription of medications depends on the symptoms of the acute phase of the disease and the presence of exacerbations.

All drugs for hemorrhoidal disease are divided into several groups:

• Antiseptics. In case of purulent-inflammatory processes in the area of ​​subcutaneous fat and nearby tissues, doctors prescribe Levomekol, Vishnevsky's ointments and Ichthyol.
• Antithrombotic drugs. When blood clots form in hemorrhoids, heparin ointment, Troxevasin gel, suppositories Gepatrombin G, Nigepan are used.
• Hemostatic agents. Suppositories containing adrenaline, in the acute phase of the disease, effectively stop bleeding by vasospasm. Often they use drugs Relief based on shark liver, Natalsid from extract of brown seaweed, hemostatic sponges.

When using complex treatment with systemic drugs with topical medications, the patient's condition significantly improves after a week.

Medicines stop all symptoms, the disease goes into remission. In severe forms of the disease, there is a need for surgical intervention.

Cryodestruction, ligation, dearterization, hardening are used. These methods are carried out only after the elimination of acute symptoms.

Folk remedies

Often, alternative therapy is used for complex treatment. Before using it, be sure to consult a doctor and carry out only under his supervision.

What recipes are effective:

• Potato candles. Raw potatoes have anti-inflammatory, hemostatic effects. Before use, do a cleansing enema. A rectal suppository is cut out of the pulp of the potato, which is inserted into the anus before going to bed.
• Carrot candles. Carrot suppositories perfectly kill bacteria, heal wounds. A candle is cut out of a peeled carrot, an hour before bedtime, it is inserted into the anus. To improve the effect, you can grease the candle with natural honey.
• Ice candles. They have anesthetic, hemostatic effect. For these purposes, purified water is frozen in prepared foil molds in the form of suppositories in the freezer. Instead of water, you can use herbal decoctions. Gently insert the candle into the anus for 20-30 seconds. The time is gradually increased to 1.5 minutes.
• Microclysters. They are made on the basis of medicinal herbs, making decoctions from them. Oak bark, bird cherry berries, chestnut fruits are suitable. The action is aimed at stopping the blood and astringent effect. Enemas effectively relieve burning, itching, inflammation.
• Infusion of calendula. Perfectly heals injuries, promotes tissue regeneration. From the infusion make enemas, compresses, washing. Many patients add it to baths, make ice candles out of it. Instead of calendula, you can use sage, nettle, yarrow, blueberries.

A positive effect is observed when using drug therapy in combination with folk recipes.

Good results in recovery can be achieved with the help of a special diet. Aggressive and junk food that irritates the intestinal mucosa should be avoided.

Some food can lead to constipation, which is also unacceptable in case of exacerbation of hemorrhoidal disease.

Eliminate all bad habits and drink a sufficient amount of purified water. At the first signs of illness, they do not postpone a visit to the doctor so that complications do not arise.

Taking any medications or using alternative therapies should be agreed with the attending physician. Self-medication is prohibited.

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