Treatment of chronic stage 4 haemorrhoids

Chronic haemorrhoids are a long-term pathology of the venous structures of the rectum and anus with the formation of external and internal haemorrhoids. The disease occurs in men and women under the influence of a number of factors.
At the medical proctology center in Ukraine, all problems related to haemorrhoids and its complications are addressed. We offer the latest treatment protocols used worldwide.

Disease manifestations – main symptoms

The symptoms of chronic combined haemorrhoids of stage 4 are extensive and manifested in the following:

• pain radiating to the coccyx-sacral region and lower extremities;
• pain syndrome that increases when changing body position, during defecation;
• bleeding;
• moistening of the anus;
• copious mucus discharge from the rectal canal;
• fever.

Severe disease progression worsens quality of life and requires immediate action. The risk of complications in the form of strangulation with necrotic tissue changes increases. Pathological protrusions become a trigger for the development of inflammation.

Treatment – features and methods

The proctology medical center in Ukraine offers quality diagnostics with modern equipment. Our specialists help clarify the diagnosis and prescribe appropriate treatment. While in 1–2 of the disease conservative treatment is more often prescribed, at stage 4 of combined chronic haemorrhoids surgery is unavoidable.

Treatment of haemorrhoids in men – features at stage 4

Chronic combined haemorrhoids in men develop with the same likelihood as in women. However, the condition occurs more often for several reasons:

• intense physical activity;
• straining and prolonged sitting on the toilet;
• obesity, lack of physical activity;
• age-related changes;
• bad habits.

Another significant problem in treating haemorrhoids in men is the intimacy of the clinical situation. Proctologists urge not to be embarrassed and to start treatment at an early stage of the disease.

Treatment of stage 4 haemorrhoids in women

Women are in a special risk group when it comes to developing haemorrhoids. This is due to physiological features: childbirth, weakness of the abdominal muscles, and active hormonal periods of life.
Treatment for women follows the same principles as haemorrhoid therapy in men. Age, the nature of clinical and medical history are taken into account.

Medication Treatment

Conservative therapy for chronic haemorrhoids is auxiliary in nature and is prescribed in the following cases:

• preparation for surgical intervention;
• postoperative rehabilitation;
• symptom relief;
• prevention of complications.

Unfortunately, it is impossible to solve the problem of stage four haemorrhoidal disease only with suppositories and tablets. However, there are popular medications that can help in treatment and symptom relief:

1. Detralex based on flavonoids: diosmin and hesperidin, which improve blood circulation and increase the resistance of capillaries to stress.

2. Procto-Glyvenol – rectal cream based on tribenoside and lidocaine for pain relief and increased vascular tone.

3. Relief – a powerful and effective Italian remedy based on phenylephrine that reduces swelling, itching, and exudation. The product has variations such as Relief-Advance and Relief-Ultra.

4. Posterisan Forte. A medication based on hormones and inactivated microorganisms. Suitable for persistent cases of the disease.

Proctologists recommend rectal suppositories and ointments based on natural ingredients, such as belladonna extract or sea buckthorn oil. Among folk remedies, sitz baths with strong decoctions of celandine, thyme, chamomile, string, or oak bark are especially noted for bleeding. Conservative methods and folk medicine are used only as symptomatic treatment. Over time, the symptoms return.

Laser treatment as the method of choice in haemorrhoid therapy

We offer the treatment of chronic fourth-degree combined haemorrhoids using a minimally invasive method – laser vaporization. The advantages of the protocol:

• precision and localized effect;
• safety and low risk of complications;
• bloodlessness, and therefore absence of secondary infection;
• rapid rehabilitation.

The laser prevents recurrence in the early or delayed postoperative period. During the operation, the patient does not feel pain or discomfort.

Why Us

Proctology specialists in Ukraine do not recommend delaying seeing a doctor. We know how to help you today. We treat haemorrhoids with surgical methods:

• operations using the HAR-LAR method;
• laser thrombectomy for grade 1-2 haemorrhoids;
• Longo operation for advanced pathology;
• transanal Doppler-controlled dearterialization of nodes;
• Milligan-Morgan operation.

All surgeries are performed under spinal-epidural anesthesia with the placement of an epidural catheter. We handle the treatment of pararectal fistulas, anal and chronic fissures, and presacral cysts.
Call and make an appointment with the proctologist by phone or on the clinic’s website. We address the most delicate health issues in both men and women.