Treatment of haemorrhoids

Treatment methodology

Haemorrhoidal disease is not dangerous and life-threatening. However, it can make out life more difficult and disturb ordinary activities. Symptoms usually occur in certain cycles and last only a few days to weeks.

If you notice symptoms of the disease, do not despair them. It is best to visit a doctor who will evaluate your problems and perform needed examinations. Proper diagnosis and expert examination can also detect associated or more serious illnesses.

According to the classification and degree of the disease, the doctor chooses the appropriate treatment. In most cases, lifestyle modification and local treatment like an ointment or gel are enough. Increased drinking regime, or fiber rich diet, gradually leads to softening of the stool and facilitating its passage. This reduces the pressure on the haemorrhoids when emptying, causing irritation and inflammation. Ointments and gels, and the principle of chemical composition, can not be used preventively and over the long term. RECTOVENAL® Acute is therefore a popular choice for both a doctor and a pharmacist. Its natural composition and mechanism of action results in rapid relief without undesirable side effects and allergic reactions.

Proctology examination


1. step - lifestyle changing

The basis of treatment of haemorrhoidal disease is primarily the change of lifestyle and respect for regime measures.

It is important to be aware of the right eating habits, sufficient drinking regime and a reasonable number of appropriate physical activities.

Eating and drinking

It is recommended to eat regularly, more often and in smaller doses. Make enough time to eat to avoid unnecessary stress. Food should be rational, rich in fiber and, above all, not plywood. Nor do we need to lose enough fruit and vegetables. Beware, however, of vegetables that cause gas (legumes ...) and fruits containing small grains (strawberries, pears ...) - this should be avoided.

In particular, cooking, choking or light baking is suitable for the preparation of foods. It is important to modify food before cooking or eating by slicing, choking or grinding. Frying and grilling is not reccomended. Avoid spicy foods as well, and reduce sugary and sweetened foods. A very important part of lifestyle is adherence to the drinking regime. The adult person should drink at least 1.5l - 2l of fluids a day. However, it is not necessary to forget that the basis is pure water, which can be supplemented with tea or fruit juices. (tea with senna leaf or tea for support regular emptying with inulin, eg from Herbex). Exclude alcohol, caffeine and any bubble drinks.

TIPS

Haemorrhoids can be often worsen just because of our bad habbits.

Absolutely inappropriate is for example long hanging on the toilet - an unnatural long-lasting pressure on the loose rectum causes vessel expansion in a small pan. Unsuitable is also using of laxatives and intestinal showers. Sports is a very important part of our lifes, but we should know which kind of sports is suitable if we suffer from haemorrhoids. Strengthening or cycling are not reccomended. On the contrary, the ideal is fast walking.

See or download more detailed regimes and reccomendations from experts.

2. step - conservative treatment

Conservative treatment is chosen depending on the stage of haemorrhoids (usually in the early stages) and includes medication through special preparations for haemorrhoids in the form of ointments, suppositories...

Conservative treatment by method of administration

Local treatment

  • Applied directly to haemorrhoids
  • It does not resolve the reason of the disease but only mitigates its consequences
  • Includes local application of anti-inflammatory preparations in the form of ointments and suppositories:
    • glucocorticoid preparations - are reserved for acute inflammatory complications due to a rapid effect
    • application of local anesthetics - applied at the acute stage of pain suppression

Overall treatment

Mostly, oral medication (diosmin, hesperidin, aescin) This category also including ambulatory (littlebit)-invasive treatment of hemorrhoids as conservative treatment:

  1. Ligation of haemorrhoids is a procedure in which the haemorrhoid is tied off at its base,this cutting off the blood flow to the haemorrhoid. The haemorrhoid then shrinks and dies and, in about a week, falls off.
  2. Sclerotherapy is a fixative procedure typically prescribed for treating small, internal, first or second degree hemorrhoids. Sclerotherapy procedure employs a hardening chemical that scars the inflamed tissue, reducing the hemorrhoid’s blood-flow and thereby alleviating both the cause of the hemorrhoid and its symptoms.
  3. Laser therapy - destruction of the hemorrhoid by laser beam
  4. Cryo-destruction - destruction of the haemorrhoid. The disadvantage is the long separation of necroses.
  5. Electrotherapy (also called electrocoagulation) – Haemorrhoids are swellings containing enlarged blood vessels that are found inside or around the anal canal (back passage). In electrotherapy, a probe is used to apply an electric current to haemorrhoids causing them to shrink.It is an endoscopic invasive procedure using a special Hemoron device.
  6. Photocoagulation by infrared radiation
  7. The technique of office ligation of internal hemorrhoids was later modified and simplified using rubber bands by Barron. Itś called Barron's rubber band ligation
  8. Releasing anal sphincter

3. step - Surgical treatment

It is indicated in case of failure of conservative or miniinvasive treatment, if the haemorrhoids are of considerable dimension, in third or fourth stage. The disadvantage is hospitalization for 1 or 2 days and a longer recovery period. Currently, classical surgical treatment represents only 10% of haemorrhoid treatments, and new treatments are starting to be preferred, for example Long surgery (not covered by health insurance).

The principle of surgical treatment can be summarized in 4 basic groups:

  1. Excision of individual haemorrhoids (excision, cut-off)
  2. combination of ligature (fixation, gumming) and excision
  3. Circular Radical Excision (circular excision)
  4. Sphincterotomy

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