Everything you need to know about rectal hemorrhoids

What to do when hemorrhoids came out? Is self-medication possible, and what methods of therapy are there? Inflammation of hemorrhoids often ends with their prolapse. This process is accompanied by pain, bleeding and severe discomfort. This condition should not be ignored, as it can lead to complications.

Causes and signs of hemorrhoidal prolapse

Hemorrhoids are the most common disease in proctology. Due to the latent course of the initial phase, pathology is detected only at stage 2, and treatment usually begins even later, which is associated with the patient’s shyness.

In medicine, I distinguish 4 stages of hemorrhoids, each of which has certain symptoms and the strength of its manifestation. The initial phase of development usually occurs in a latent form, so the disease remains undetected for a long time. The patient's complaints appear only when hemorrhoids are advanced, which is often accompanied by protrusion of the inflamed nodes outward.

When and why do hemorrhoids appear? The formation of hemorrhoids occurs mainly at stages 3 and 4 of the disease. This process can also be observed in the second phase, but it does not manifest itself so clearly.

If we consider the general reasons for the development of nodes, then these include:

• impaired blood circulation in the intestinal vessels;
• insufficient oxygen supply to the rectum;
• decreased elasticity of the walls of hemorrhoidal veins;
• venous stagnation in the lower intestines;
• thrombosis;
• chronic constipation.

Hemorrhoidal cones fall out when the disease is neglected and certain factors occur. Thus, lifting heavy objects is a common cause of external hemorrhoids in men. In women, the disease worsens during pregnancy, which is affected by the pressure of the uterus due to the growing fetus.

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Frequent hemorrhoids occur in patients with regular constipation. The provocative factor in this case is straining during bowel movements and changes in the stool structure. If the feces are too dense or dry, then the protrusion of the inflamed nodes outward is accompanied by their ruptures, which causes bleeding.

At stage 3, hemorrhoids can fall out without any particular reason; for example, suddenly getting up from the couch or standing for a long time is enough. The last phase of the disease is accompanied by constant protrusion of cones, which is why it is called external hemorrhoids.

Causes of the disease

Hemorrhoids most often develop for the following reasons:

• Genetic predisposition to this disease. For example, if close relatives suffer from hemorrhoids, then the person’s risk of also developing hemorrhoids increases.
• A sedentary lifestyle, especially if it is part of a professional activity. For example, it has been proven that drivers, programmers, operators and many other workers are more likely to develop hemorrhoids than other professionals.

This is justified by the fact that with insufficient mobility, severe stagnation develops in the human pelvic organs, which provokes poor circulation and the development of hemorrhoids.

• Constipation, especially chronic, can also lead to acute hemorrhoids with all the ensuing consequences. The fact is that strong straining overstrains the intestines, which is why painful nodes are pushed into the anus.
• Moreover, with heavy bowel movements, a person risks the formation of a crack in the intestinal mucosa.
• Frequent lifting of weights, especially if done abruptly by an untrained person, damages the ligamentous structure, which also causes hemorrhoids.

Important! Not only lifting weights, but also excessive sports activities can also easily give rise to the appearance of painful hemorrhoids.

• Infection in the anus.
• Frequent use of laxatives and enemas, which irritate the rectal mucosa.
• Stress and nervous disorders can not only cause chronic migraine, but also serious disorders in the gastrointestinal tract, including the development of hemorrhoids.
• Disruptions in the hormonal system.
• Inflammatory process or the presence of cancer pathologies in the intestines.
• Poor nutrition. This includes frequent consumption of spicy and fatty foods, coffee, salty foods, as well as drinking alcoholic beverages.
• Treatment with strong antibiotics or long-term use of them contributes to the development of dysbiosis, which weakens the functioning of the entire intestine.
• Constant overeating.
• Various liver diseases.

It is worth mentioning separately about hemorrhoids during pregnancy. The fact is that while carrying an unborn child, major changes occur in a woman’s body, as the fetus presses on the abdominal walls, which leads to an increase in intra-abdominal pressure. This, in turn, causes the development of this disease.

What to do if hemorrhoids appear for the first time

Prolapse of hemorrhoids indicates that it is time to visit a specialist. However, if this happens for the first time, the patient can set the bumps back on their own.

When hemorrhoids first appeared, what should you do ? Before going to the doctor, you can straighten the protrusions inward at home, which should be done based on the following recommendations:

1. Before taking any action, wash your hands thoroughly and prepare latex gloves. You should also treat the anal area, but do it carefully so as not to damage the node.
2. If pain is present, it must be relieved with painkillers.
3. The dropped knot is set in a sitting position with the knees spread to the sides.
4. The procedure is carried out slowly, with one finger. Once the knot is in the rectum, you must quickly remove your finger and strongly squeeze the buttocks and sphincter.
5. After completing the procedure, you should take a horizontal position for 20 minutes to prevent re-loss.

The above actions give only a temporary effect, which will allow you to wait until you visit the doctor. Therefore, you should not abuse such self-medication.

If you can’t get to a specialist in the next few days, then after reducing the hemorrhoids, you can resort to traditional medicine. Baths based on chamomile, calendula and oak bark are excellent in this case. The water itself should be warm, and you should stay in it for no longer than 10 minutes.

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When you can’t set dropped knots yourself

The appearance of a symptom such as protrusion of lumps in the anal area indicates the progression of hemorrhoids. It should be understood that any self-medication in this case is a temporary measure. In order not to cause the disease to worsen, you need to contact a proctologist as soon as possible.

What to do if hemorrhoids come out and hurt a lot? If the formation of hemorrhoidal cones is accompanied by burning, itching and pain, then the only thing a person can do is take a painkiller and go to the clinic. It is dangerous to adjust nodes yourself in the presence of such signs.

In addition, under no circumstances should you try to straighten the lumps yourself if the disease has reached stages 3–4. Any attempts to return the fallen nodes to their place may result in their ruptures and bleeding.

Hemorrhoids in remission, without exacerbation

: July 13, 2020 at 1:57 pm

Hemorrhoids are a pathological disorder that most of the disorders face. The disease is caused by damage to the vessels of the rectum. After the veins overflow, the walls of the vessels expand and hemorrhoids appear.

The disease can have 2 stages:

Everything is clear about the progression of the disease, but many patients do not know what is meant by remission of hemorrhoids. To understand this, it is necessary to determine the clinical manifestations.

Clinical picture of hemorrhoids without exacerbation

Attacks of hemorrhoids, although severe, do not last long. When their symptoms pass, the remission stage begins. Clinical manifestations become less pronounced. Most often the patient develops:

• Discomfort after bowel movement;
• Droplets of blood may appear in the stool;
• From the moment of defecation, the patient may experience pain.

The general condition of hemorrhoids during remission improves significantly. During this period, a person can return to his normal life. Unfortunately, hemorrhoids in remission can quickly turn into a severe form. It all depends on the factors that lead the disease to relapse.

As soon as the patient feels better, he forgets about the diet and does not control his bowel movements. The patient also begins to lift weights and sit at the computer for a long time.

To keep chronic hemorrhoids in remission for a long time, you must adhere to the following rules:

• Do not forget about medicinal baths to prevent the inflammatory process from progressing;
• The diet must include fiber;
• Intimate hygiene should be performed every day. Especially after bowel movement;
• You shouldn't sit in one place for a long time. Light jogging and long walking will improve the condition;
• Keep heavy lifting to a minimum;
• Perform exercises to train the anus.

Chronic hemorrhoids without exacerbation must continue to be treated in order to completely get rid of the disease. The doctor will help you plan a course of therapy and diet.

Treatment of non-aggravated hemorrhoids

Despite the fact that during remission the patient feels better, do not forget about therapy. At this stage, the patient’s task is to improve the functional state of the intestines. It is important that constipation does not appear, then chronic hemorrhoids in remission can be completely eliminated.

First of all, the following foods should be excluded from the diet:

• Bread made from the highest grade flour;
• Spices;
• Coffee;
• Strong tea;
• Drinks containing alcohol;
• Fatty meats;
• Canned foods.

When internal hemorrhoids go into remission, the patient should eat at least 5 times a day. In this case, the amount of liquid you drink should be more than 2 liters.

Chronic internal hemorrhoids will remain in remission longer if the patient’s menu consists of the following products:

• Vegetables containing fiber;
• Fruits;
• Black bread. If desired, you can use bran bread;
• Cereals, except rice and millet;
• Dairy products;
• Soups;
• Fish;
• Poultry meat.

To ensure that the patient’s condition with internal hemorrhoids without exacerbation is satisfactory, it is recommended to drink infusions of coriander, licorice, water lily or yarrow. It is best to take the decoction half an hour before bedtime.

Danger of knots falling out

It is impossible not to treat protruding hemorrhoids, since this disease is not only accompanied by discomfort and pain, but can also lead to a number of complications.

The most common pathological process against the background of advanced hemorrhoids is the destruction of tissue in the intestinal area. When feces pass through them, the likelihood of infection and infection increases significantly. Also, the lack of timely treatment can lead to the following consequences:

• development of the inflammatory process in organs located near the intestines;
• dysfunction of the sphincter muscles;
• involuntary leakage of feces;
• tissue necrosis on the intestinal walls;
• vein thrombosis;
• the appearance of purulent accumulations in the rectum;
• anal fissures.

In addition, hemorrhoids in the last phases of development are accompanied by constant bleeding, which often causes anemia. Therefore, if hemorrhoids appear after childbirth or during pregnancy, the woman should definitely seek help from a specialist.

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What kind of disease

Hemorrhoids swell and eventually fall out of the anal canal

This disease is often said to be ordinary varicose veins, only in the intestines. In reality, everything is somewhat more complicated. Each person normally has three hemorrhoids at birth. These are special structures, experts call them cavernous formations.

As in our entire body, blood flows in and out regularly in these nodes. In a healthy person, hemorrhoids are small in size and cannot be felt at all. Under unfavorable conditions, which are discussed in detail below, hemorrhoidal plexuses increase in size, bleed, and become inflamed.

Modern medicine distinguishes four stages of the disease. Their key features are listed below in ascending order:

1. The disease manifests itself as discomfort in the intestines. For example, immediately after defecation there is a feeling as if the intestines are still too full. Blood drops and smears appear on toilet paper and/or on the stool itself. Sometimes a burning and itching sensation is felt in the anal area (you can feel one or the other).
2. The first obvious and very characteristic signs: during defecation, enlarged hemorrhoids fall out of the anal canal, which immediately retract spontaneously.
3. A new one is added to the existing symptoms: nodes that have fallen out of the intestines can no longer be set on their own; this can only be done manually. Not only defecation, but also any physical effort can lead to prolapse of the nodes.
4. The condition of the intestines is such that hemorrhoidal plexuses can fall out at any time. Their manual adjustment becomes impossible in principle. Pinched nodes, the development of anemia due to frequent bleeding, various inflammatory processes and concomitant intestinal diseases cannot be excluded.

The symptoms listed above are characteristic of chronic hemorrhoids. If the disease worsens, the person experiences pain, sometimes difficult to bear. As well as significant discomfort, for example, when sitting or defecating.

How to protect yourself from hemorrhoidal prolapse

The appearance and prolapse of nodes in the anus can not only be treated, but also prevented. To do this, you should adhere to basic rules:

• promptly treat stool problems;
• regulate daily bowel movements;
• avoid stress and physical overload;
• adjust nutrition and drinking regime;
• if there is slight suspicion of hemorrhoids, consult a proctologist;
• monitor anal hygiene;
• Partially or completely avoid spicy and smoked foods, as well as alcohol.

Hemorrhoids have come out , what should I do to avoid re-protrusion? After proper medical care, the patient should change some of his habits and lifestyle. So, a history of this disease is a reason to reconsider your diet and start exercising. It is worth remembering that exercise should be moderate, and lifting heavy weights is strictly prohibited.

Types of hemorrhoids

Based on the location of the nodes, they are distinguished:

• external or external hemorrhoids are characterized by the location of nodes outside the anus just under the skin, inflammation affects the external plexuses of blood vessels;
• internal or rectal - localized inside the rectum, during exacerbation, the bumps can fall out, pathology occurs due to the weakness of the vascular wall and high intra-abdominal pressure, the first signs are latent;
• combined hemorrhoids - a combination of external and internal, inflamed nodes are located both outside the anus and in the lumen of the rectum.

How the disease develops

Hemorrhoids have a reputation as a rather insidious disease and, as a rule, do not occur immediately. For a long time, a person does not even suspect that he is prone to getting it, and the pathology develops at this time.

The initial stage can take from several months to several years. The symptoms at first are quite vague. Often, future patients of proctologists experience mild discomfort in the rectal area or mild itching . Most people do not pay attention to these signs, associating them with poorly performed hygiene procedures.

Over time, defecation brings more and more discomfort. Blood discharge becomes more intense and itching intensifies . The patient is plagued by a phantom feeling that there is a foreign body in the anus. This indicates that the disease is progressing.

If hemorrhoids are not treated, it will lead to significant blood loss. The nodes can become pinched and cause severe pain, which can only be relieved with analgesics. Large wound surfaces can provoke suppuration and subsequent tissue necrosis.

Early stage diagnosis

It is important to consult a doctor in time when the initial symptoms of hemorrhoids appear, since at this stage treatment will be more effective and easier than in advanced cases.

Typically, diagnosing the disease is not difficult. The doctor will assess the patient's condition visually and by palpation.

External hemorrhoids are well diagnosed in this way. Seals are visible around the anus, sometimes they protrude outward and can be felt under the skin using the finger.

To identify the combined or internal form of hemorrhoids, examination with a finger is not enough, since the internal nodes cannot be felt this way. In this case, the proctologist may resort to endoscopic examination of the rectal mucosa.