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Treatment of chronic stage 3 haemorrhoids

Haemorrhoids occupy a leading position among all proctological diseases. Both women and men suffer from them, while men, as a rule, postpone visiting a doctor until the last moment and engage in self-treatment. This leads to a worsening of the situation and the development of stage 3 chronic haemorrhoids. At the same time, both internal and external haemorrhoids are affected. They do not disappear on their own, so professional medical help is required.

Symptoms of Stage 3 Chronic Haemorrhoids

Combined stage 3 chronic haemorrhoids in patients of both sexes manifest with the following symptoms:

  • severe discomfort in the anal area. The patient is troubled by itching, burning, and pain during defecation. If there are prolapsed nodes, the pain becomes constant;
  •  after the nodes have fallen out, it is already impossible to reposition them independently due to their significant size, as well as the stretching of muscles and ligamentous apparatus;
  • bleeding becomes severe and constant, anemia may develop;
  • swelling and inflammation of the anus, with the addition of bacterial infection;
  • appearance of anal fissures, fistulas, and other complications.

Features of treatment in men

Conservative treatment of chronic haemorrhoids in men includes the following methods:

  • diet that reduces the amount and severity of constipation;
  • moderate physical activity, avoidance of lifting heavy objects;
  • giving up bad habits;
  • microenemas with oils;
  • use of local medications.

Features of treatment in women

The specifics of the treatment of this Pathologies in female patients consist in the fact that during the pregnancy period surgical intervention is not performed. Only drug therapy with medications approved for pregnant women is possible. The treatment regimen is selected individually by the doctor for each patient, taking into account the severity of her condition, the presence of complications, and other factors. After childbirth and the end of the lactation period, preparation for surgery may be conducted.

Conservative treatment

In addition to preventive measures, medical drugs are also used in conservative treatment. These are primarily phlebotropic agents that increase vascular tone and normalize blood circulation in the corpora cavernosa. Also, there are non-narcotic analgesics to relieve pain caused by thrombosis of the inflamed node. For the same purpose, local painkillers and anticoagulants can be used.
If a large amount of blood is discharged from the anal opening for an hour or more, this is considered an exacerbation of the condition. Bleeding can be stopped using suppositories with adrenaline and local hemostatic materials. They will not completely cure haemorrhoids but will improve the patient’s condition for some time.

How to quickly and effectively get rid of it

Minimally invasive surgical interventions are a reliable way to remove inflamed haemorrhoids. However, they cannot be performed in cases of paraproctitis, thrombosis of these nodes, or other inflammatory diseases in the perineal and anal area. Initially, stabilization of the patient’s condition is required.

In our clinic, we remove chronic combined stage 3 haemorrhoids using modern laser techniques. Their advantages are:
  • low trauma;
  • pain control;
  • minimal blood loss;
  • short rehabilitation period;
  • minimal risk of complications.

In addition to haemorrhoids, we remove pararectal fistulas, anal fissures, presacral cysts, and rectal mucosal prolapse. To ensure the procedure is done with pain control for the patient, we use an epidural catheter. Both the surgery and the recovery period in this case proceed with minimal discomfort.
 

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    Sources and clarifications

    The material clarifies identified medical inaccuracies. Methods, contraindications, and recovery depend on the individual situation; the information helps prepare for a consultation.

    ASCRS: Haemorrhoid Guidelines, 2024 · NIDDK: Haemorrhoidal Disease

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