According to statistics, paraproctitis is in fourth place in the line of diseases in the field of proctology. More often than this disease in acute and chronic forms, only pathologies such as colitis, anal fissures and hemorrhoids are found. According to scientists, this disease affects 30 to 40 percent of 100 who seek help from a proctologist.
Description of the disease
Paraproctitis is a purulent formation that occurs in the tissues surrounding the rectum. First, the inflammatory process begins in the blind pockets of the anus.
This process is accompanied by heaviness, burning sensations and wetting of the anus, as well as pain and lumbago in the rectum. Then, as a result of the accumulation of purulent masses, the crypt accumulates so much pus that it can open up on its own. After its opening, purulent accumulations enter the rectum.
How to use Vishnevsky ointment for hemorrhoids
Vishnevsky ointment is recommended for paraproctitis, fistulas, hemorrhoids and other pathologies of the anorectal area. Treatment of hemorrhoids with liniment according to Vishnevsky is carried out according to the scheme prescribed by the proctologist. In order to prepare for therapy, the patient needs to make compresses with a solution of weak manganese on the inflamed external nodes for 3 days.
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A gauze bandage is soaked in the solution and applied to the affected area for additional disinfection, preparing the mucous tissue for the subsequent use of the ointment. Disinfecting procedures are carried out 3 times a day, after defecation and washing the anorectal area. If the patient has acute pain, it is recommended to use local anesthetics.
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After preparation, you can begin direct treatment using liniment:
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- A strip of bandage is prepared, generously lubricated with ointment, and applied to the external formations of hemorrhoids.
- The application is secured with adhesive tape and left for two days. During this time, as the application dries, it should be replaced with a fresh one. Usually replacement is carried out twice a day.
- Another version of therapy involves applying the application three times a day, leaving it on for two hours.
- To obtain greater therapeutic effectiveness, proctologists recommend that after two days of treatment, before going to bed, do sitz baths with potassium permanganate for another 2 days.
After several days of treatment, inflammation disappears and swelling decreases. Additionally, you can make compresses with sea buckthorn oil or rosehip solution.
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How to use Vishnevsky balm for internal hemorrhoids? You can also treat internal hemorrhoids with Vishnevsky balm. To do this, you need to apply the medicinal composition rectally to the area using a tampon or microenema. To enhance the effect, the proctologist prescribes additional antihemorrhoidal agents with a wide spectrum of effects (venotonics). Venotonic drugs help strengthen vascular and capillary walls and increase circulation in the pelvic organs.
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What can cause the disease?
Various factors can spread the formation of paraproctitis, but the dominant one may be the entry of infection into the internal environment of the pelvic organs.
Common ways that infection can manifest are:
- Pathogens such as staphylococci, streptococci, E. coli and others enter the pararectal area from the rectum.
- Stagnation of the anal canal duct also contributes to the penetration of infection into the pararectal area.
- Any localization of chronic infection, even not related to the intestines, can cause the penetration of a microbial pathogen.
- Receiving injuries to the internal area of the anus, both natural and from surgical intervention, can lead to inflammation of the pararectal area.
What is the effect of ointment for hemorrhoidal disease
The use of Vishnevsky balm for hemorrhoids is due to the rapid recovery of the patient.
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This effectiveness of therapy is noted due to the existing antihemorrhoidal capabilities of the drug:
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- quick relief of swelling;
- elimination of inflammation;
- acceleration of healing;
- destruction of pathogenic microbes;
- cleansing of purulent contents;
- acceleration of regeneration.
Vishnevsky balm for hemorrhoids helps to quickly reduce the pain of the cones. After applying the product, an airtight film is formed on damaged tissues, protecting the wounds from infection and harmful microorganisms.
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The ointment warms, increasing blood flow to the area of inflammation. Thanks to the warming effect, inflammation intensifies, quickly producing an infiltrate with its further breaking out. Applying the ointment after the pus breaks through, the product cleanses and dries the wounds, accelerating healing and regeneration. Most often, the balm is used for external hemorrhoids, but in some cases, it can be administered rectally using tampons into the anus.
Is antibiotic therapy effective?
This condition is removed surgically. Only in exceptional situations is it possible to treat paraproctitis with antibiotics.
This becomes acceptable if the purulent formation is localized close to the skin and does not form a fistula . In other cases, treating the disease at home is ineffective and soon becomes chronic.
The most effective way to cure paraproctitis is surgery .
However, there are cases in which there are contraindications for its implementation. This may be the period of lactation or the presence of concomitant diseases in the body. Surgery is also contraindicated when the patient is in remission. Effective means of getting rid of pathology in an inoperable way are:
- the use of baths and lotions;
- the use of suppositories with antibiotics for paraproctitis (ichthyol suppositories, suppositories with propolis, with methyluracil, Anuzol, Posterizan, Ultraproct, Olestesin);
- applying Vishnevsky ointment;
- procedures with therapeutic enemas filled with infusions of Sage, Yarrow, Chamomile and Calendula.
Important! If the disease is in a chronic stage, stopping it using folk methods is useless! Using remedies such as suppositories, antibiotics and lotions can only stop the inflammation process. For remission to occur, it is necessary to get rid of purulent accumulations. Only surgery can help here.
When a patient is diagnosed with paraproctitis, treatment with antibiotics without surgery is prescribed if there are concomitant inflammatory processes in the human body that triggered its development, or other factors that only a proctologist can identify by collecting a wide range of tests.
Groups of antibacterial agents
A competent approach to stopping the disease with the help of antibacterial agents will significantly reduce its development. Antibiotics for the treatment of paraproctitis are selected exclusively by the attending physician based on the identification of the causative agent of the infection.
This is carried out by obtaining research data on bacteria with the determination of a pronounced microbial pathogen in relation to groups of antibiotic medications.
Today, the following groups of antibactericidal varieties are applicable:
- semisynthetic penicillins;
- cephalosporins;
- macrolides.
These groups may be present in various medications. Depending on the scale of the inflammatory process, they can be in the form of suppositories containing antibiotic components, tablets, capsules, injections.
If, based on an in-depth study, the above diagnosis is made, the dosage of antibiotics for paraproctitis without surgery is prescribed by the attending physician.
Names of antibacterial agents by group
- Semi-synthetic penicillins include: Oxacillin, Amoxicillin, Ticarcillin, Azlocillin.
- Cephalosporins include: Bayotax, Bastum, Betasporina, Bidroxil, Biotraxon, Biotum, Boncephin.
- Macroclids include: Erythromycin, Roxithromycin, Clarithromycin, Oleandomycin, Azithromycin, Josamycin, Midecamycin, Spiramycin.
In addition to the listed antibiotic agents by group, there are other antibacterial components for local treatment that contain antibacterial components.
Important! What antibiotics to take for paraproctitis can only be decided by the attending doctor, so you should not self-medicate and choose your own cure to eliminate the source of infection!
Main symptoms and types of inflammation
Paraproctitis is an infectious process in the subcutaneous tissue. When bacteria enter the wound, a painful focus develops, which seems to melt it from the inside, forming a large amount of purulent fluid and an abscess. He looks for a way out and makes a fistulous tract outside or inside the rectum. The more active the pathology is, the more soft tissue is damaged in the lower abdomen.
Symptoms of paraproctitis completely depend on the type of disease:
- Subcutaneous form: a large abscess is located around the anus and protrudes like a tubercle. The doctor observes swelling and severe redness, which is accompanied by fever, weakness and chills. It hurts a person to sit, lie and do everyday activities. The main problem is going to the toilet and performing natural needs. The pain may intensify when carrying heavy objects and may bother you after walking.
- Submucosal form: less common and characterized by less severe pain. In addition to the subcutaneous tissue, the mucous membrane in the rectal canal and lower intestine suffers from the inflammatory process. The swelling may be smaller in size, but difficulties begin with the passage of feces and the hemorrhoids are severely damaged, causing minor bleeding.
- Ichiorectal view: the most difficult option for diagnosis. Inflammation forms in the depths of the anus and is completely invisible upon visual inspection. A person may complain of nagging pain that prevents him from pushing on the toilet and increases sharply with any movement. Only after a few days the temperature rises and characteristic swelling around the sphincter begins.
- Purulent paraproctitis: it is always accompanied by the formation of one or more fistulas filled with inflammatory fluid. The pain becomes throbbing and goes away only after opening the abscess. If a fistulous wound has formed in the rectal canal, the patient notices mucus and blood streaks coming out with the feces. In women, inflammation often affects the back wall of the vagina. Then fluid appears from the perineum, which threatens to infect the fallopian tubes and ovaries.
The latter form, if untreated, easily develops into chronic. The patient will experience exacerbations and suppuration after any stress, a sore throat or acute respiratory infection, or simple hypothermia. Each time the area of inflammation will become wider. This may result in the breakthrough of another fistula directly into the abdominal cavity and life-threatening purulent peritonitis.
Another complication you should be aware of is necrotizing paraproctitis. It is caused by a special type of putrefactive bacteria and anaerobic organisms, which is difficult to treat with antibiotics. The disease in this case develops very quickly. In just a few days, the entire perineum swells, the skin becomes unnaturally bluish and impossible to touch. High temperature brings severe weakness and low blood pressure, headache and chills. In this case, urgent surgery and even removal of a section of the rectal canal is required.
Relief of microbial pathogens with local methods
In addition to the generally accepted groups of systemic antimicrobial medical sources introduced into the site of infection through the circulatory system, local antibactericidal solutions produced in the form of ointments, gels, and bulk powders are also applicable in pharmacology. They eliminate inflammation only at the site of its localization.
Typically, such drugs are prescribed in the postoperative period. But in exceptional cases, the doctor can prescribe them for patients undergoing therapeutic measures in an inoperable form.
They promote rapid healing of inflammatory processes and prevent complications associated with microbial pathogens. These are mixed ointments:
- Levomikol is a drug containing antibiotics and regenerating components. Heals and has an anti-inflammatory effect.
- Levosin - in addition to the anti-inflammatory and antibacterial effect, relieves pain.
- Fuzimet - has an antimicrobial, restorative and healing effect.
The use of medicinal ointments is carried out daily. First, the wound is treated with an antiseptic, then dried and one of the above compounds is applied to it.
Ointment preparations are applied in an even layer around the wound, avoiding application inside. The regeneration process occurs without this action.
How Vishnevsky ointment was created
In the last century there were many wars that resulted in a large number of injuries to civilians and military personnel. Due to the use of flamethrowers, mass toxic substances, and powerful explosives, complex damage of thermal and chemical nature was observed. It was blood poisoning that became a frequent cause of death in the wounded, even when the operations were carried out successfully - there was not enough antiseptic.
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At the beginning of the 20th century, the doctor A. Vishnevsky discovered a unique multicomponent remedy, which was called Vishnevsky ointment (liniment). The word liniment means the external use of a medicinal composition with a thick consistency similar to jelly. However, people simply call the dosage form Vishnevsky ointment.
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The medicine was used by surgeons, assessing its effectiveness as the best remedy for wound healing. Some doctors did not support the use of the product, believing that oxygen did not pass through the drug layer, slowing down regeneration. But such reviews were unfounded, and the product became increasingly popular. And the peak of popularity of the effective composition according to Vishnevsky occurred during the Second World War. Thanks to this drug, many people were saved.
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Positive and negative effects of Vishnevsky balm
The main advantages of Vishnevsky ointment include:
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- naturalness of the composition;
- minimum restrictions and contraindications;
- combined effects on the affected area;
- affordable cost of the drug.
The disadvantages of Vishnevsky ointment include:
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- narrow focus;
- fat content of the composition;
- specific smell;
- After use, traces of the product remain on the laundry, which are difficult to wash off.
