The benefits of proper nutrition
Nothing will help prevent exacerbation better than trying to eliminate or minimize risk factors for the development of pathology. The list of non-drug methods opens with diet correction. We are not talking about any frightening restrictions for hemorrhoids. It is enough to follow the following simple recommendations from doctors for treatment by correcting nutrition:
• Consumption of foods containing fiber. It is this substance that retains fluid in the stool. Constipation and the need for significant straining in the toilet disappear. This is important in protecting against hemorrhoid attacks.
• Don't forget about water. The average volume of fluid consumed for hemorrhoids is 1.5-2 l/day.
• If you have hemorrhoids, you should eat frequently (every 2.5-3 hours), but in smaller portions.
• Avoid foods that cause constipation: marinades, smoked meats, pickles. Alcohol consumption is significantly limited.
Remember that a small amount of a prohibited product eaten will not cause significant harm if the portion is compensated by an adequate amount of vegetables, fruits, and grains. However, systematic use of foods from the list of prohibited items will aggravate constipation and cause aggravation.
Need for movement
Everyone knows the saying that movement is life, but only a few follow it. Few people can force themselves to exercise regularly, but reasonable physical activity eliminates the second of the factors leading to hemorrhoids - stagnation of blood in the veins of the small pelvis.
It is believed that the most beneficial types of physical activity are gymnastics, walking, exercise on an exercise bike, and swimming, but exercises involving weight lifting, on the contrary, will lead to exacerbation or development of hemorrhoids. It is better to cross out weightlifting from the list of suitable sports that can cure hemorrhoids without medication.
For people who want to treat the manifestations of the disease by changing the motor mode, even special gymnastics have been developed. List of the simplest exercises against hemorrhoids:
• Alternating tension and relaxation of the gluteal muscles in a standing position with crossed legs.
• Alternate contraction and relaxation of the pelvic floor muscles while sitting on a hard chair with the torso slightly tilted forward.
• A whole list of exercises called “Kegel exercises” has been developed for women. More often they are prescribed for gynecological problems, after childbirth, but are no less effective for training the muscles of the anus for hemorrhoids.
Reviews
Victor Over the past few years I have been seriously involved in bodybuilding. The last couple of weeks I began to feel discomfort in the anus. I decided not to wait for miracles and went to a proctologist for an examination. The doctor diagnosed the first stage of internal hemorrhoids. I prescribed Aurobin ointment for treatment. I did not like using the ointment - the smell is quite specific, and it is difficult to introduce the required amount of medicine into the anus. I decided to read more about using Aurobin on the Internet. It turned out that it is also produced in the form of candles, reviews spoke of their effectiveness. I liked this option better. Now I use it at night every day. Several days have already passed, and the severe pain has passed. I hope for a full recovery.
Anna After giving birth, I had some complications. The doctor prescribed Aurobin in the form of suppositories. The medicine has an affordable price - up to 300 rubles - and has proven to be quite effective. I use it for prevention purposes.
Ivan I work in an office, which means constantly sitting at a computer. I travel from and to work by car, and relax by sitting on the couch in front of the TV. I never thought about additional physical activity. And the result of my sedentary lifestyle was hemorrhoids. At first I didn’t pay attention to the rare signs of discomfort. But over time, the pain became stronger and more frequent. On the advice of the pharmacist, I bought various rectal suppositories and ointments, but the effect did not last long. Soon the pain began to cause severe discomfort, even walking became difficult. I had to see a proctologist. It turned out that hemorrhoids were in an advanced stage. The doctor recommended Aurobin ointment. There were doubts, because so many remedies had been tried, and the contraindications were alarming. But still there was nowhere to go. I bought it and started treatment. After 3 days there was practically no pain, the nodes began to shrink. I was afraid to use it for a long time; after all, it’s a hormonal drug. After a week I stopped using it, but the nodes resolved during the period of therapy. I was pleased with the result.
Hygiene, healthy lifestyle
When talking about hygiene, many people think exclusively about taking a bath or shower, which is not entirely correct. The list of medical recommendations regarding hygiene measures is as follows:
• Replace hard toilet paper with soft one, since with hemorrhoids the tissues of the nodes are too vulnerable and quickly begin to bleed.
• During an exacerbation, it is preferable to take a shower after each bowel movement. In many Eastern and Asian countries, it is still practiced after each visit to the toilet to wash, rather than use paper, which is a more gentle procedure in terms of preventing hemorrhoids.
• Hot baths and washing are strictly prohibited. It is better to do this with warm or room temperature water.
During hygiene procedures, you can do this exclusively with water without using soap or gels containing a lot of synthetics: dyes, stabilizers, fragrances. For comprehensive treatment, it is better to purchase the most natural detergents.
It is equally useful for treatment to wear underwear and clothing made from natural materials that have good hygroscopicity. Also, the underwear should not press or rub the delicate skin of the genitals and perianal area.
The list of available non-drug treatments is not complete without mentioning stress prevention. Doctors say that inflammation of hemorrhoidal veins is often caused by them, and more than one psychological article is devoted to this mechanism of hemorrhoids. It is important for a person to be able to cope with depression, anxiety, and get rid of negative emotions.
Available treatments for hemorrhoids
Non-drug therapy does not work as quickly as desired, and surviving an exacerbation is quite difficult, given the nature of the symptoms. It is the medications that will help to quickly relieve the signs of the disease.
The list of medications is long. The following may be prescribed for treatment:
• Suppositories for early hemorrhoids.
• Ointments or creams to relieve symptoms of hemorrhoids.
• Tablets or capsules for severe hemorrhoids.
A list of the most popular treatments is presented below.
Relief ®
This is a whole list of products of different compositions and with the main active ingredient shark liver oil. Manufacturers for hemorrhoids produce:
• Relief. An additional component of the product is phenylephrine hydrochloride. Belongs to the group of vasoconstrictor substances. The action is aimed at reducing swelling and tension of hemorrhoids.
• Along with shark liver oil, Relief Ultra contains a glucocorticosteroid, a hormonal substance, as a result of which the product has pronounced anti-inflammatory activity.
• In addition to the main component, Relief Advance contains the anesthetic benzocaine. This is a powerful pain reliever.
Suppositories and ointment without a hormonal component are prescribed up to 4 times a day, and the Ultra form - up to 2 times. Before administering the product, it is necessary to cleanse the intestines. It is better to do this naturally and only in exceptional cases use an enema. The course of treatment is determined individually. If glucocorticosteroid hormones are used for hemorrhoids, the use of the medication should not exceed 6 days.
Contraindications
Aurobin ointment may be contraindicated in the simultaneous treatment of the following diseases:
- syphilis;
- dermatomycosis;
- tuberculous rash in the anal area;
- herpes rash in the rectal area;
- some forms of dermatitis;
- rosacea.
Also, the drug is not prescribed under the following circumstances:
- vaccination period;
- presence of Cushing's syndrome;
- pregnancy, especially the first trimester;
- children's age up to 1 year.
When treated with this ointment, despite the presence of contraindications, an allergic rash and increased itching in the treated area may appear. Treatment with this drug may be okay for some people, but should be done with caution:
- children's age from 1 year;
- diabetes;
- cataract;
- low hemoglobin level;
- glaucoma;
- heart disease;
- kidney and liver diseases;
- reduced immunity;
- HIV infection;
- AIDS.
If the product is used only for its intended purpose and in accordance with the recommendations of the proctologist, hemorrhoids soon cease to cause discomfort, and after completing the treatment course, congestion in the vessels resolves and the nodes disappear.
Suppositories, according to reviews, are much more convenient to use than ointment in the treatment of internal hemorrhoids
Proctoglivinol and Gepatrombin ® products
Suppositories sold under the name Proctoglivenol contain two active ingredients. The analgesic effect develops due to lidocaine, and the improvement in the structure of the vascular wall is due to the tribenoside included in the composition. Directions for use: 1 suppository 2 times a day during an exacerbation. As the symptoms subside, switch to a maintenance dose - 1 supp. 1 r/day.
Hepatrombin G is a remedy for complications. These suppositories have anti-edematous, antithrombotic, regenerative, anesthetic and anti-inflammatory effects. They are carried out using the following funds:
• Lauromacrogol.
• Prednisolone.
• Heparin.
Suppositories are prescribed 1-2 times a day. The course for hemorrhoids is determined individually.
Ointments Bezornil, Aurobin and Levomekol ®
An equally effective method to help treat pathology is the use of ointments or creams, for example Bezornil. The product for local therapy contains musk of artificial origin (muscone), bezoar, calamine, pearls and amber. The components provide antimicrobial, astringent and drying effects. You need to use ointment for hemorrhoids at least 2 times a day, and preferably after each bowel movement.
Aurobin for hemorrhoids. The product contains lidocaine, D-panthenol (regenerating), triclosan (antiseptic), prednisolone (potent anti-inflammatory effect). Used for hemorrhoids 2 times a day for a course of no more than 5-6 days.
Levomekol for hemorrhoids. One of the safest means for external drug therapy, approved for use even in pregnant and lactating women. The main active components of Levomekol are methyluracil, which has regenerative and moderate immunostimulating effects (due to activation of interferon synthesis), and chloramphenicol, an antimicrobial substance. On average, you need to be treated with Levomekol for 9-10 days, applying the ointment 2-3 times a day.
Troxevasin ® for hemorrhoids
The product has been used for a long time and has proven its effectiveness. The active component of the product is troxerutin, which is associated with all of the following properties of Troxevasin:
• Anti-inflammatory.
• Decongestant.
• Venotonic.
• Anticoagulant.
• Antioxidant.
It is recommended to apply ointment for hemorrhoids 2 times a day. For external hemorrhoids, you can make compresses or bandages from gauze soaked in the product. The doctor will tell you how much to treat the pathology in each specific case.
Analogs
If there are contraindications or individual immunity to the drug, the attending physician selects another remedy.
The Aurobin analogue can be selected from the following options:
- Agiolax is a drug made from plant components. Available in powder form for oral administration.
- Proctosedyl is prescribed only in the acute form of the disease; it is not recommended to use it for prophylactic purposes or for longer than prescribed by the doctor.
- Proctosan - consists of painkillers and healing substances. Treatment with this drug can be extended up to a month.
- Gepazol is a combined potent agent in the form of an ointment. Treatment lasts about a week.
If a decrease in symptoms is not noticed within a week, it is recommended to inform your doctor.
Proxedil is one of the analogues of Aurbin ointment
Zinc ointment ®
The product helps to effectively overcome the disease. Zinc ointment is produced by various pharmacological companies under different brands, so when purchasing, you should pay attention to studying the information about the percentage of the component in the ointment. To ensure proper effectiveness, it must be at least 20%.
In some cases, in order for medications to remove hemorrhoids even faster, manufacturers add additional active substances to the topical product. They can be beeswax, local anesthetics (lidocaine, benzocaine), mineral oils. Zinc ointment has astringent and antiseptic properties, while the rest depends on additional ingredients. You need to use the product 1-2 times a day, taking into account the recommendations of your doctor.
More information about proper treatment
The ointment is used up to 4 times a day. Before applying to the affected area, it is important to carry out hygiene procedures to clean it of contaminants. When the symptoms decrease, you can reduce the number of treatment procedures to 1-2 times a day.
Advice. With hemorrhoids, it is important to adhere to hygiene of the perineum and anus to prevent infection from entering the inflamed area. Therefore, it is recommended to rinse these areas after each bowel movement.
Aurobin is also available in suppository form. Before placing the suppository into the anus, it is necessary to lightly moisten it with water to dissolve the surface layer. Then you need to take a horizontal position and administer the medicine. After the treatment procedure, you must wash your hands thoroughly with soap.
Surgical methods for treating hemorrhoids
Drug therapy helps block incipient hemorrhoids. In cases where stages 3-4 are diagnosed, it is difficult to treat exclusively with medication. In this situation, they resort to surgical correction, that is, an operation to remove hemorrhoids.
Hemorrhoidectomy
The most applicable procedure for hemorrhoids. The intervention was developed by surgeons of the last century Morgan and Milligan. There are several modifications or methods of performing the operation:
• Classic. It involves complete removal of the nodes using available surgical instruments (nowadays, lasers and electrocoagulators are more often used to reduce blood loss). Not only the nodes themselves are subject to excision, but also the underlying mucosal tissue, which increases the healing time and makes the operation more traumatic. Rehabilitation with the classical method of intervention can take about 1 month.
• Closed. Introduced somewhat later by Ferguson and therefore bears his surname. It differs from the first option in that the intervention ends with tissue suturing, which shortens the rehabilitation period.
Ligation and coagulation
Hemorrhoidectomy is not the only option for surgical removal of hemorrhoids. The list is long. One commonly used method is ligation. It is performed using special rings made of latex, or by applying sutures. As a result of the procedure, the blood supply to the node is stopped, its walls collapse, and over time it falls off, leaving a scar. After the node falls off, the latex ring is excreted in the feces.
The list will continue with coagulation. Electro- or photocoagulation is used. The first procedure for hemorrhoids is performed using electric current. Intervention, unfortunately, does not provide a 100% guarantee of recovery.
Without taking adequate measures to prevent recurrence of hemorrhoids. In some cases, scar deformation, pain, and sphincter spasms may occur. Photocoagulation is good for primary hemorrhoids. Bleeding is considered a complication of the procedure, and the disadvantages include the fact that only 1 node can be treated in this way per 1 intervention.
Sclerotherapy, disarterization and cryodestruction
Sclerotherapy consists of introducing a special substance into the lumen of the nodes - sclerosant. As a result of treatment, the lumen of the vein “collapses”. Complications are rare.
Hemorrhoids can also be removed using cryodestruction. The method is based on the effect of low temperatures on the pathological focus. Cryodestruction will help eliminate the disease at any stage of the disease. For initial hemorrhoids, it does not require hospitalization.
Currently, a method such as disarterization is often used. During the intervention, the blood vessel feeding the hemorrhoids is ligated. Blood no longer flows into the pathologically dilated veins and they gradually “collapse.” The procedure does not require long-term rehabilitation and allows you to relieve hemorrhoids in the shortest possible time.
The list of radical treatment methods will be completed by Longo surgery. The intervention is carried out using a specially created device, and the time spent on the procedure rarely exceeds 25-30 minutes. Unfortunately, the method is only suitable for relieving internal hemorrhoids.
Advantages of Aurobin over other drugs
An effective combination of substances quickly eliminates symptoms and is often used to prevent recurrence.
Aurobin ointment is sold in a tube; the kit includes instructions describing the drug and method of use.
The medicine has the following advantages:
- ease of use;
- rapid anti-pain effect;
- elimination of such unpleasant symptoms as itching and burning in the shortest possible time;
- excellent absorption of the ointment;
- elimination of swelling in affected areas;
- elimination of inflammation;
- improved blood circulation;
- increasing local immunity.
Note! When using this product, oily discharge from the anus is possible. It is recommended to use thick underwear.
