Treatment of chronic stage 2 haemorrhoids

Chronic combined haemorrhoids stage 2 – this is an enlargement of the veins in the venous plexuses located in front of the anal opening and inside the rectum. The condition is accompanied by the enlargement and prolapse of nodes, pain, discomfort, and itching in the perineum. Haemorrhoids may cause bleeding, thrombosis, and strangulation of prolapsed tissues. Anal abscesses and fistulas should not be considered an inevitable complication of stage 2 haemorrhoids: these are separate conditions that require a precise diagnosis and appropriate treatment.

Symptoms of chronic combined stage 2 haemorrhoids

Clinical picture of the condition:

• Feeling of incomplete bowel emptying.
• Sensation of a “foreign body” in the rectum.
• Pain. Triggered by defecation, lifting heavy objects, dietary mistakes (consumption of spicy food, alcohol).
• Discomfort, itching in the perineum.
• Prolapse of nodes. They go back in on their own, rarely requiring outside medical help. Happens during bowel movements (strain needed) or significant increases in intra-abdominal pressure.
• Bleeding. Traces are found on hygiene products, stool. Color of discharge – bright red.

Stage duration – from 2-4 months up to 3-5 years. Depends on following doctors’ recommendations, diet, and living and work conditions.

Treatment specifics for men

Patients rarely seek specialized help. Probable reasons: intimate area, delicacy of the problem, constant busy schedule at work, denial of the problem, established stereotypes, fear of encountering a female doctor during the appointment. Men are brought to the clinic against the background of complications – development of anemia, prolapse and non-reducible haemorrhoids, strangulation of formations. Treatment is aimed at managing acute symptoms: adequate pain relief, antibiotic therapy, daily dressings. Surgical intervention is prescribed after stabilization of the condition – in 1-3 weeks.

Treatment features in women

Patients are referred for a consultation with a specialized doctor, a proctologist, after difficult and prolonged labor following an examination by an obstetrician-gynecologist. Women go to medical facilities at early stages. This is due to their careful attention to health. After the consultation and examination, a date for a minimally invasive procedure is set. Rarely, it is necessary to correct overall condition or eliminate acute symptoms.

Medication treatment for chronic combined stage 2 haemorrhoids

Medications prescribed for the condition:

• Venotonics. Positive effects: increase vein tone, strengthen the vessel walls.
• Laxatives. Indication – difficulty with bowel movements, which provokes pain and contributes to the prolapse of nodes.
• Hemostatics. Stop bleeding.
• NSAIDs. Properties: eliminate inflammatory processes. They relieve pain and discomfort in the perineum.
• Anticoagulants. Thin the blood. Indications – thrombosis.
• Local treatment. Baths with antiseptic solutions, suppositories.

Drug therapy does not eliminate the disease. It alleviates the acute condition, which leads to a delay in surgical intervention. Thus, the likelihood of complications increases.

Effective and fast treatment

Minimally invasive surgical treatment techniques available to clients of our clinic:

• Laser treatment of internal haemorrhoids is discussed according to individual indications, taking into account the degree of prolapse, symptoms and external component. The specific technique, number of treated areas and duration depend on the scope of the intervention. Pain, bleeding, and recurring symptoms may occur; No scarring or complications are guaranteed. Conditions of observation, discharge and recovery are determined after assessing the patient’s condition.
• Operation HAL-RAR. “Switching off” the artery by suturing or ligating the vessel. Combined with lifting of the rectal mucosa. Time – up to 120 minutes, which depends on the severity and extent of pathological changes. Advantages: low risk of complications and relapses, relative pain control. We perform it under ultrasound control with Doppler. Advantage: real-time blood flow assessment.
• Transanal disarterization of internal nodes. Ultrasound monitoring with Doppler.

Anesthesia techniques – local or spinal-epidural anesthesia. Advantages of regional techniques: quick effect (intrathecal administration of drugs), adequate intra- and postoperative pain relief (titration of drugs under the control of the general condition and well-being of the patient), prevention of complications, early activation. We offer clients to use spinal-epidural anesthesia, because it guarantees a comfortable stay for the client in the clinic.
Long-term drug therapy increases the chances of developing complications and lengthens the treatment period. Surgical intervention using minimally invasive techniques in the early stages helps prevent acute thrombosis and strangulation of formations, eliminate the disease and return the patient to normal life.
You can leave a request for laser removal of haemorrhoids or a consultation (check the cost when making an appointment) by phone or on the website.