One of the most common human diseases is hemorrhoids, whose popular name - pochechuynaya disease. This disease occurs in every tenth person, especially if it leads a sedentary lifestyle, and among all the diseases of the rectum is a little less than half.

What Are Hemorrhoids

Hemorrhoids called varicose veins end rectum and anus without specific clinical manifestations. Almost always it is a long long-term illness that does not require the intervention of the surgeon.

The main cause of hemorrhoids are chronic constipation, arising from a many-defecation, that is when the patient is in the toilet, trying to induce defecation, not three to five minutes, as usual, and before half an hour. All this time the patient makes an effort and try to get rid of the stool, which leads to a sharp increase in pressure in the vessels of the pelvis and hinders the outflow of venous blood. This leads to varicose veins Varicose veins - the operation is inevitable?   in the rectum or hemorrhoids.

Types of Hemorrhoids

Location varicose veins in the anus can distinguish the external hemorrhoids, internal, combined (mixed) and complicated. External hemorrhoids or "fringe" located on the edge of the anus, is clearly visible when viewed in the drawing apart the buttocks and knots it usually occupy the entire circumference of the anus. "Fringe" is called dense folds to touch the anus in the form of petals or compacted skin polyps. More often it zapustevshie hemorrhoids.

When an internal hemorrhoid Hemorrhoids - a shameful disease   nodes are located above are round or spindle-shaped, and a wide base. Color internal hemorrhoids bluish, purple or pale pink. If the base unit in the form of a thin legs, then the node is prone to loss and to infringement. Often combined with external hemorrhoids internal, then it is called combined.

The clinical course of hemorrhoids is acute or chronic.

Causes and symptoms of acute hemorrhoids

Acute hemorrhoids do not come from nowhere, it usually develops on the background of chronic hemorrhoids. The causes of acute hemorrhoids two: loss of internal haemorrhoid and infringement of his muscles of the rectum or thrombosis Thrombosis - the cause of heart attack and stroke   hemorrhoids. The immediate cause (trigger) is a strong pressure for constipation, weight lifting, shaking in the car and so on.

In acute hemorrhoids patients complain of severe pain in the anus and the presence of dense swollen nodes. The pain intensified when walking, sitting, and physical work. There may be a delay of a chair, and even urinating, because the patient is afraid of these procedures, it is also trying to eat less, fewer trips to the toilet. Often develops bleeding (often drip, but it could be jetting). Against the background of such changes, and the physical condition of the patient's emotional state, he becomes irritable, not sleeping. If joins the inflammatory process, the temperature rises.

Complications of acute hemorrhoids

In hemorrhoids blood circulation, leading to their first ulceration, and then necrosis (tissue death). Open wounds are the gateway for the introduction of infectious agents, which are sufficient in this area of ​​the body. Developing inflammatory processes, sometimes very heavy. Pain thus amplified and distributed to the entire crotch. The patient loses efficiency. Such processes are dangerous by the fact that they affect the condition of the entire body: high fever, affects all organs and tissues, but especially the cardiovascular system. After contact with agents of purulent infection in the blood develops sepsis - a serious complication that can lead to death of the patient.

Treatment of acute hemorrhoids

Hemorrhoid treatment begins with the appointment of rest (bed rest), and a light meal. There are conservative and operative treatment. The most effective drug treatment for hemorrhoids Hemorrhoid treatment - a long, difficult but possible   is the use of drugs, strengthens the walls of blood vessels, in particular, detraleks. The dosage regimen Detraleks simple: two tablets - three times a day (or three tablets - twice a day) - four days; then, two tablets - twice a day - three days, after which the drug is continued for one tablet - twice a day for a month. Admission detraleks usually combined with local treatment: sit-manganese and chamomile baths, rectal suppositories and ointments (gepatrombin, heparin and trokserutinovaya ointments, suppositories and ointment metiluratsilom, ketoprofen, diclofenac, indomethacin, candles Relief, ointment and suppositories Relief Advance and others).

With the ineffectiveness of conservative treatment, the combination treatment is carried out, including conservative and surgical methods.

After treatment, the patient warned that he must take care of their chair to give up heavy loads, cycling and so on - all of which can cause an attack of acute hemorrhoids.

If hemorrhoids causes only mild discomfort, your doctor may recommend a patient-counter ointments and suppositories, the ingredients of which, for example, hydrocortisone Hydrocortisone - a drug that could save the life of the patient Can relieve pain and itching - at least temporarily. In most cases, these agents should not be used longer than one week. They can cause side effects such as rashes, inflammation and skin thinning.

Minimally invasive procedures

External hemorrhoids can be removed by simple procedures which quickly bring relief. Prolonged bleeding and / or pain may recommend the following treatments:

Ligation of hemorrhoids. During this procedure, the doctor puts on the base of the haemorrhoid one or two latex rings. These rings blocking blood flow to the hemorrhoid and it is torn away, usually within one week. Ligation of hemorrhoids can cause the patient considerable discomfort and bleeding that begins, usually in 2-4 days after the procedure, and is seldom strong.

Injection (sclerotherapy). The hemorrhoid injected solution under the influence of which it is reduced and its tissues replaced by connective tissue. This procedure is less painful, but often less effective than ligation sites.

Coagulation of hemorrhoids - a hemorrhoid treatment with laser, infrared rays or extreme temperatures. This method of treatment rarely causes side effects, but connected with them a high risk of relapse.

Surgical treatments

If you can not cure hemorrhoids in other ways, the patient can be assigned to surgery.

Hemorrhoidectomy, or hemorrhoid removal. During the operation, the doctor removes tissue forming the hemorrhoid. This may be used various techniques. In some cases, surgery is performed under local anesthesia with a sedative; More often, however, the patient is given general anesthesia. It is the most effective way to treat hemorrhoids, but it also causes the greatest number of complications. Among these complications - temporary difficulties with bowel movement, urinary tract infection, pain.

In a more gentle version of this operation, doctors removed hemorrhoid and block blood flow to it. But after such an operation, there is a fairly high probability of recurrence of hemorrhoids.

Home remedies

To increase the effectiveness of other therapies used, the patient must take certain measures to treat hemorrhoids at home. In particular, at least twice a day thoroughly and carefully wash the anal area. As usual soap can aggravate symptoms, use a mild shower gels. You also need to do a warm and / or cold compresses, which will significantly ease the pain and discomfort. While the symptoms of hemorrhoids will not go, do not use the normal (dry) toilet paper. Use wipes that contain alcohol.

If necessary, the pain can be removed with the help of non-prescription drugs such as acetaminophen and ibuprofen Ibuprofen: anti-inflammatory drug .

Patients with hemorrhoids Hemorrhoids - a shameful disease   should pay special attention to your diet. It is necessary to include in the diet as much as possible of fiber - it is important to prevent constipation Constipation - Watch out for food , Because of which the symptoms may worsen. Regular physical activity is also very useful in the treatment of hemorrhoids. At least four workouts a week of at least half an hour will bring significant relief and help prevent the recurrence of the disease.