This article is co-written by Sarah Gehrke, RN. Sarah Gerke is a registered Texas nurse. She received a master's degree in nursing from the University of Phoenix in 2013.
The number of sources used in this article is 27. You will find a list of them at the bottom of the page.
Hemorrhoids can occur in everyone and at any age. With this disease, veins in the rectum or around the anus increase. Hemorrhoids are the result of increased pressure on the veins of the pelvis and rectum, which is usually associated with constipation, diarrhea, or excessive tension when passing stools. Sometimes hemorrhoids can develop due to obesity, weight lifting, or pressure on the veins of the lower abdomen during pregnancy. Fortunately, in most cases, external hemorrhoids can be eliminated on their own, without medical assistance. There are various methods that can relieve pain, discomfort and itching with hemorrhoids.
Treatment Methods Without Surgery
What treatment of proctologic disease at home is considered effective? Such a pathology as hemorrhoids requires complex treatment, which includes systemic therapy with oral medications. Also, local therapy using ointments, creams and suppositories.
Moisturizers will reduce discomfort, and rectal suppositories will strengthen hemorrhoidal vessels and stop bleeding.
Without a doctor’s prescription, it is possible to purchase and use Levomikol ointment, which is based on chloramphenicol.
The drug is a combined antimicrobial agent
This tool is applied with a cotton swab to the area of the external formed hemorrhoidal nodes twice a day. Ointment has anti-inflammatory and bactericidal properties.
Another remedy that can be used without the advice of a doctor is Fleming's homeopathic ointment. It is recommended to apply ointment to the nodes 2 or 3 times a day for a week. The tool effectively relieves pain and has an anti-inflammatory effect. Excellent inhibits the growth and activity of bacteria, and also strengthens the walls of blood vessels.
Trays of infusion of herbs or warm water can be used at home.
You can add potassium permanganate there
In a basin filled with infusion or water, you need to sit down and breed the buttocks. In this position, you need to be about 5 minutes. Trays of cold water will help stop bleeding.
Can be used to treat hemorrhoids lotions.
A gauze napkin is folded in several layers, after which it is impregnated with a medicine or herbal infusion, then it is placed in the anal passage for 20 minutes.
Regardless of the course of the disease and stage of development, drugs that tonic the walls of venous vessels are mandatory. These drugs include Detralex, Venarus and many others. These medications by normalizing the tone of the vessels of the rectum provide anti-inflammatory and decongestant effect. Thereby accelerate the healing process of the patient.
How to remove hemorrhoids in 1 day
Recently, minimally invasive methods of treating hemorrhoidal disease are increasingly being used. These procedures can save a person from a delicate problem in just one, even in an inpatient setting. The operation does not require hospitalization, and the patient goes home on his own legs.
Popular hemorrhoids removal methods:
- Bandaging the legs of the hemorrhoid with latex rings. This procedure is used to treat hemorrhoids in the later stages (2 and 3). The essence of the intervention is to ligate with the help of rings from latex of the node legs (using a special apparatus).
The operation is considered less traumatic and painless.
All of the above treatment methods are effective at stages 1 and 2, 3 of the development of hemorrhoidal disease. In more advanced and severe cases, surgeons prefer the Longo method of surgery (hemorrhoidopexy using titanium brackets).
How to remove a bump of hemorrhoids will tell the doctor after the examination. In many cases, an individual approach to each patient is required. And do not forget that avoiding relapse and complications will help proper nutrition and physical activity.
CONTRAINDICATIONS ARE AVAILABLE
CONSULTING YOUR DOCTOR NEEDED
Article author Egorov Alexey Alexandrovich, proctologist
A Few Facts About a Delicate Disease
External hemorrhoids are often called a "sedentary" disease. And no wonder! After all, the underlying cause of the development of the disease is a sedentary lifestyle. Everything else needs to be addicted to junk food (fast food, pickles, canned foods, etc.), bad habits, being overweight, and even bad heredity.
Today, people at risk for proctologic problems are unlikely to prevent an “acute” disease. Ordinary office workdays with 10-hour sitting at a computer and harmful snacks, car trips, unwillingness to pay attention to physical exercises - all this leads to a gradual weakening of the venous network in the small pelvis, the formation of hemorrhoidal nodes. The situation is complicated by the fact that in the initial stages the disease develops almost asymptomatically. Even if the future patient notices problems with stools and a minor pain syndrome, he will probably attribute this to general fatigue, and he will prefer to postpone the trip to the doctor for a long time.
External hemorrhoids are much easier to detect at stages 1 and 2 of development than the internal form of the disease.
Doctors are used to “pleasing” patients with disappointing predictions. According to experts, this disease is chronic. Even if the patient manages to get rid of external hemorrhoids with conservative or folk remedies, then after some time the disease will again manifest its painful symptoms. That is why proctologists advise using radical methods of treatment - removal of external hemorrhoids using minimally invasive or full-fledged surgical operations.
However, before agreeing to the removal of hemorrhoids, it is necessary to remember the complications arising after operations, including:
- Suppurations and inflammatory processes. Often occur with classical hemorrhoidectomy. The reason for their development is the ingress of pathogenic microbes into fresh wounds. Since it is rather difficult to ensure sterility and hygiene of the perianal zone (especially after surgery), this complication occurs in almost every second patient.
- Narrowing the anal canal. Removal of hemorrhoids should be done by an experienced coloproctologist surgeon. With an incorrect procedure, namely, illiterate seams, the anal canal is narrowed. Correcting such a defect is possible only by repeated operation.
- Bleeding. It is possible to remove hemorrhoids without blood loss only in rare cases. Often patients report anal bleeding during the rehabilitation period. This is due to poor cauterization of blood vessels in the process of excision of nodes.
- Problems with bowel movements and urination. Some patients after surgery have problems with the work of the excretory system and gastrointestinal tract. Often they arise on psychological grounds. Patients are simply afraid to empty their intestines, as, in their opinion, this will provoke an attack of severe pain.
- Weakness of the anal sphincter and prolapse of the external segment of the rectum. This complication is observed with damage to nerve endings during the operation. They remove it with medication or repeated surgical intervention.
It is because of these complications that patients do not want to resort to radical treatment to the last, even when they have no other choice (for example, with complicated hemorrhoids in 4 stages).
But one of the most common complications is severe pain, tormenting patients after the end of the anesthesia and until the mucosa is restored after surgery. That is why many people seek to find a painless treatment for external hemorrhoids that can be used at home.
We treat symptoms in the initial stages
If you do not know how to get rid of the external hemorrhoid and a number of other unpleasant symptoms of the disease, you will have to consult a doctor. After the examination and appointment of tests, the specialist will provide you with a list of medications that will help remove hemorrhoids. At the initial stages of development, the progression of the disease can be stopped with drugs, if they are selected taking into account the characteristics of the course of the disease, the patient's contraindications.
External hemorrhoids are successfully treated with ointments, gels, rectal suppositories and tablets. The basis of drug therapy are venotonic drugs, anticoagulants, hemostatics, anti-inflammatory drugs, anesthetics. With their help, you can eliminate:
- itching and burning in the rectum,
- pain syndrome,
- reduce the size of hemorrhoids,
- stop anal bleeding,
- get rid of cracks
- improve the condition of the venous network,
- prevent thrombosis in the "bumps".
Most drugs that can be used to remove hemorrhoids have an extensive list of contraindications. Before treating at home, consult a proctologist, and carefully read the instructions for use.
External hemorrhoidal nodes and the perianal region can be treated with ointments under the trade name Troxevasin, Relief, Procto-Glivenol, Heparin Ointment. These drugs will help reduce swelling of the nodes, relieve soft tissue inflammation, and normalize blood circulation in the pelvis. Apply them daily 2-4 times a day until the unpleasant symptoms are eliminated. Some drugs, in addition to the venotonic effect, have a slight analgesic effect.
Severe pain, characteristic of any kind of proctological ailment, is stopped by anesthetics. You need to choose them with caution, especially during pregnancy and lactation. They can be produced both in the form of candles and tablets, and in liquid form (gels). The most popular drugs with the names Proctozan, Aurobin, Proctosedil, Relief Advance, as well as candles with belladonna extract (belladonna).
From bleeding with hemorrhoids, hemostatic agents should be used, for example, Natalsid. It will help reduce bleeding, accelerate the healing of anal fissures and tissue regeneration. It will also be useful to use immunomodulating drugs in the form of suppositories and ointments. The same Posterisan will have a beneficial effect on the state of the venous network, restore damaged soft tissues and blood vessels, and reduce itching and burning in the rectum.
You can make the treatment of external hemorrhoids more effective with the help of Detralex and Phlebodia tablets. Usually, they are taken in courses of at least 2-3 months duration. Thanks to the complex effect, remove the external proctological ailment in the initial stages in several courses.
Drug treatment is best combined with diet therapy. A proper diet normalizes the work of the intestines, reduces the manifestation of a number of symptoms.
Treatment during pregnancy and after childbirth
In some cases, the removal of external hemorrhoids cannot accompany traditional medical treatment. For example, during pregnancy, most drugs are prohibited. In such a situation, it is possible to remove the external hemorrhoid, itching and pain only with the help of folk remedies and drugs based on natural components.
To combat anal fissures, incessant itching and inflammation of the mucosa, sea buckthorn suppositories are used. Among their only contraindications can be called only individual intolerance and allergic reactions. Troxevasin will be able to affect hemorrhoids both externally (if used in the form of an ointment), and from the inside. However, before using the medicine in the form of capsules, you should consult your doctor.
Relief can also be used during the period of gestation, but under the supervision of a gynecologist. These suppositories can cause uterine tone, therefore, prescribe the drug with caution. It is better to deal with pain, inflammatory processes and hemorrhoids with the help of Ultraproct, especially if the hemorrhoids crawled out in the third trimester.
To stop the pain, you can use folk remedies. Compresses and candles from fresh potatoes, honey and ice suppositories, bathtubs with decoctions of medicinal herbs - all this will save you from painful symptoms of a delicate ailment. With advanced forms of diseases, pregnant women can be prescribed minimally invasive methods of treatment, however, before the operation, doctors carefully study all the possible risks for both the child and the mother.
Features of external hemorrhoids
Before turning to the question of how to cure external hemorrhoids, let's talk about the main causes of the onset of the disease in men. The main cause of hemorrhoids is a violation in the functioning of the veins. With dysfunction of a large vessel lying under the skin in the anus, an external form of the disease occurs.
Gradually, they grow and begin to protrude from the anus. At first, such prolapses occur only during bowel movements, but in the absence of treatment, the nodes become too large, the sphincter muscles can no longer hold them.
Cones begin to fall out at the slightest exertion.: sneezing, coughing, laughing, weight lifting, or abrupt movement.
The protruding external nodes rub on the skin and underwear, irritation and inflammation occur. The bumps narrow the passage of the rectum, making the normal exit of feces impossible.
Each trip to the toilet is accompanied by excruciating pain, constipation occurs, which can alternate with diarrhea. Very often, external hemorrhoids are combined with cracks in the anus.
Can external hemorrhoids be cured? Yes, the earlier the disease is diagnosed, the higher the chances of success.
At the first signs of hemorrhoids - bumps at the anus, constipation, pain during bowel movements - you need to contact a therapist who will give a referral to a proctologist.
The doctor will conduct an external examination, palpation, examination with an anoscope. After diagnosis, treatment will be prescribed.
Here you can see a photo of external hemorrhoids:
Now that you have more or less learned about external hemorrhoids, treatment is the next topic that we will cover in this article.
The best means for complex therapy
How to treat external hemorrhoids in men? To reduce protruding nodes, tone vessels and treat anal fissures use a combination of several medicines.
Usually, the doctor prescribes a complex of painkillers, venotonic and antitumor drugs. It is recommended to combine oral drugs with medications for external exposure.
Below we will talk in more detail about what helps with external hemorrhoids.
How to cure hemorrhoids quickly? External hemorrhoids are well treated with drugs based on natural and synthetic fats.
Ointments quickly heal painful wounds, stop bleeding, reduce swelling and create the thinnest protective film on the skin. Try remedies with different effects: analgesic, wound healing, anti-inflammatory.
List of the best remedies from this group for the treatment of external hemorrhoids:
- Levomekol. An ointment with chloramphenicol, which actively helps with various inflammations. It treats deep cracks, reduces external swelling, prevents suppuration.
It is used for rubbing and applications. There are few contraindications, it is recommended to use courses of 5-6 days with a mandatory break. Hepatrombin G. Ointment based on heparin and prednisone, which reduces the size of the protruding nodes. Tones up blood vessels, strengthens their walls, normalizes blood flow. Reduces pain, prevents inflammation and microtrauma.
The drug is rubbed into the skin and protruding hemorrhoidal nodes, it is possible to be administered orally with a cotton swab or a special plastic tip. Treatment lasts 1-2 weeks, the drug is contraindicated for internal tumors of any nature and severe forms of chronic gastrointestinal diseases. Vishnevsky ointment. Natural preparation based on birch tar, xenoform and castor oil. Quickly heals cracks and abrasions, has a disinfecting and anti-inflammatory effect.
It is more convenient to apply the ointment in the form of compresses, applying it to the inflamed nodes and covering it with a plastic film. The compress is kept for 2-3 hours or left overnight.
In the therapeutic regimen for treating external hemorrhoids, tablets or capsules for oral administration must be included. Они улучшают кровоток, предупреждают воспаления и рост узлов.
Препараты хорошо совмещаются с мазями и ректальными свечами. Наиболее действенные из них:
- Detralex Diosmin-based tablets and hesperidin, improve the condition of blood vessels and prevent their deformation. The tool acts gently, but effectively, suitable for the treatment of all stages of hemorrhoids.
After a course of 14 days, the external nodes are significantly reduced. Tablets are not recommended for diabetes, autoimmune diseases, an individual allergic reaction. Diclofenac. An agent with a pronounced analgesic, anti-inflammatory, antipyretic effect.
It is used for anal fissures and large dropping out nodes, the treatment lasts 10-14 days. Tablets are contraindicated in diseases of the gastrointestinal tract and malignant tumors. Lachesis. Homeopathic medicine with rattlesnake venom extract. It reduces inflammation and swelling, has antipyretic, analgesic and wound healing effects.
6-8 granules are used per day, dissolving them until completely dissolved. The course lasts up to 3 weeks.
To treat inflammation and prevent complications, there is a whole range of antibiotics for internal and external use. Well-proven chloramphenicol and synthomycinthat are taken 2 times a day before meals. The course of treatment is 5 days.
Potent drugs have a number of contraindications, with an overdose, side effects are possible in the form of itching, rash, dizziness or nausea.
With external hemorrhoids, ointments with antibiotics cannot be dispensed with. On inflamed nodes it acts well syntomycin or tetracycline ointment with the same active components.
These drugs are rubbed into the skin and mucous membranes or used as night compresses. Facilities can not be used for longer than 4-5 days in a row, with an overdose, they cause peeling of the skin, redness and itching.
Rectal suppositories more commonly used to treat internal nodes. However, some drugs are effective in external forms.
When dissolved, fat-containing components flow out of the anus, beneficially affecting the skin around the anus and protruding cones.
Candles are useful for deep anal fissures, they anesthetize, soften tissues, increase their elasticity and tear resistance. For healing damage candles Olestesin with sea buckthorn oil, Prostopin with honey and beeswax are suitable.
Candles with glycerin will help improve bowel movements and prevent constipation; drugs with lidocaine, benzocaine, and belladonna are used for pain relief.
Alternative methods of treatment: affordable and effective
How to get rid of external hemorrhoids at home using natural remedies? With external hemorrhoids, a variety of sitz baths are most often used: cold, warm or steam.
Domestic ointments will help cope with anal fissures, and home rectal suppositories are used to improve bowel movements. To complement the treatment is a variety of infusions, decoctions and medicinal teas. In order for the therapy to bring maximum benefit, these funds are used in courses of 10-14 days.
- For bathing herbs with a restorative, bactericidal, restorative effect are suitable: pharmacy chamomile, nettle, plantain, birch buds, wormwood, yarrow, sage, calendula.
A handful of raw materials is brewed with 2 liters of boiling water, heated for 5-7 minutes, infused and filtered. Warm infusion helps to remove swelling and inflammation, cold soothes inflamed nodes and reduces their size. The procedure is best done before bedtime, after it the area of the anus is smeared with home ointment.
The mixture is heated in a water bath, whipped and stored in the refrigerator. The ointment can be rubbed into the skin and mucous membranes or used for mini-compresses, applied to a bandage and covered with wax paper. Reduce external swelling and nodes cool compresses will help. Use a tincture of bay leaf or calendula flowers. 1 tbsp. a spoonful of raw materials is poured with boiling water, insisted in heat for 2-3 hours, filtered.
The cotton fabric is wetted in the infusion, slightly wrung out and applied to the perineum for 1 hour. The compress should be closed with a plastic film and fixed with an elastic bandage.
Minimally invasive treatments for external disease
How to remove the external hemorrhoid, if conservative treatment does not help? The proctologist can offer one of the gentle invasive techniques. This is an intermediate option between conventional surgery and drug therapy, giving good results.
The choice of method depends on the condition of the patient. Generally minimally invasive options are practiced in stage 3 disease., but with rapidly growing nodes, they can be appointed already in the second phase.
The benefits of minimally invasive interventions include:
- minimum contraindications
- lack of general anesthesia,
- short recovery period,
- minimum discomfort during and after the procedure,
- the possibility of conducting on an outpatient basis, without hospitalization,
- variety of options.
For small but growth-prone nodes, sclerotherapy is recommended.. The essence of the technique is the introduction of a bonding agent into damaged vessels using a special curved needle.
Under its influence, the internal cavities quickly overgrow with connective tissue, the vessels narrow, their walls become denser, the nodes contract, freeing the lumen of the anus.
Such an operation is suitable for stages 2 and 3 of external hemorrhoids. Contraindications will be malignant tumors in the rectum, severe chronic diseases, the risk of thrombosis.
Many men are concerned about the situation when a hemorrhoid has fallen. Treatment in this situation is carried out using desarterization.
Desarterization is recommended in the presence of large drop-out nodes, not suitable for people prone to thrombosis. During the procedure, performed using an anoscope, the doctor bandages the arteries that feed each node.
Blood stops flowing to the cones and they quickly die. The operation is performed under local anesthesia, after 3-4 days the patient fully restores working capacity.
How to remove cones of external hemorrhoids, if they are quite impressive in size? Large nodes can be destroyed by ligation with latex rings.
A medical latex limiter is put on the leg of each node, completely stopping the flow of blood. After 2-3 days, the neoplasm disappears without leaving a bleeding wound.
The procedure is not used in acute inflammatory processes and heavy rectal bleeding, it is contraindicated in inflammation and thrombosis. I want to note that this method is an effective treatment for external hemorrhoids.
With stage 2 hemorrhoids, photocoagulation is often used. The growing nodes are treated with a laser that stimulates the rapid growth of connective tissue. The cavities fill up quickly, the shape of the veins is smoothed.
The procedure helps to strengthen the vascular walls, performed under local anesthesia. During the operation, you can not only reduce the nodes, but also remove papillomas, condylomas and other benign neoplasms from the walls.
Minimally invasive techniques combine speed of execution and a reduced risk of relapse. When observing the diet and eliminating bad habits, the patient forgets about hemorrhoids for 10-12 years, in many cases he manages to recover once and for all.
With external hemorrhoids, minimally invasive techniques are ineffective. Large nodes, prone to inflammation and pinching, can be removed only by surgery, using a scalpel or electric knife. In the latter case, the tissue is cauterized, which reduces the risk of bleeding.
How to get rid of external hemorrhoids if it is in an advanced stage? The most popular the operation is performed according to the method of Milligan-Morgan.
It can be conducted open or closed. In the first case, the nodes are bandaged at the base, and then excised together with a small amount of the mucous membrane surrounding them. The threads are tightened, but the wounds are left open.
With a closed operation, they are sutured. An operation is possible with cutting the mucosa and removing the affected part of the vessel through it. The choice of method depends on the doctor and the patient's condition.
Operation in progress in a hospital, under general anesthesia or epidural anesthesia. The recovery period depends on the method.
So, how long is external hemorrhoid treated if the Milligan-Morgan method has been used? With the open method, it takes 1-1.5 months, with the open it is reduced to 3 weeks.
Relapses are possible, but with proper nutrition and the absence of provoking factors, they occur no sooner than after 12-15 years.
In some cases, doctors recommend Longo surgery.. It is less traumatic and suitable for debilitated patients.
During the operation, the nodes are stitched and tightened, freeing the lumen of the rectum, but are not cut off.
Over time, the displaced parts of the vessels overgrow with connective tissue, the nodes decrease in size, the vascular walls become more dense and elastic. Advantages of the method in it painlessness, absence of cuts and bleeding.
How long does external hemorrhoids last after Longo surgery? So, as the operation is done in a hospital, the recovery period does not exceed 2 weeks. Remission depends on lifestyle, in the absence of provoking factors, hemorrhoids will not return.
How to cure external hemorrhoids in a short time? External hemorrhoids are characterized by prolapsed nodes, painful anal fissures, extensive external edema that interferes with walking and sitting. To quickly alleviate the condition of the patient, you can use complex express means.
Anesthetics in the form of injections can relieve pain. An injection of novocaine or lidocaine stops an acute attack and lasts for several hours. Ointments and suppositories with menovazine and menthol will help reduce itching, burning and other unpleasant sensations.
With extensive inflammation, antibiotics help. A combination of injections with ointments works best, while it is worth choosing drugs with one active substance. For example, the effect of levomecitin in injections will supplement Levomekol ointment. Drugs can not be used for longer than 5 days in a row.
External hemorrhoids are an unpleasant disease that can be dealt with with the help of systematic treatment. Starting with conservative therapy and alternative methods, you can get very good results.
If this treatment does not help, worth the advice of a doctor and decide on an operation or one of the minimally invasive techniques. Timely intervention will quickly improve the patient's condition and help to quickly restore health.
We hope our article helped you learn more about what to do if hemorrhoids crawled out, how to remove, the symptoms and treatment of the disease in men.