Treatment of combined haemorrhoids of grade 1

Combined first-degree haemorrhoids are an enlargement of the veins of the venous plexuses located in front of and behind the anal opening. This pathological condition does not cause discomfort to patients for a long time, which leads to the progression of the disease and the development of complications.

Symptoms of first-degree combined haemorrhoids

Clinical picture:

• Discomfort, unpleasant sensations in the rectum, itching in the perineum. Triggered by increased intra-abdominal pressure (coughing, sneezing, lifting weights, physical exercises), dietary mistakes (overuse of spicy food and alcohol). During periods of remission, symptoms are absent. Arterial thrombosis is accompanied by pronounced pain syndrome.
• Feeling of a “foreign body” in the rectum.
• Bleeding. Traces are found on personal hygiene items (toilet paper, wipes, towel), in fecal matter.
• Feeling of incomplete bowel evacuation.

Duration of the disease – from 2-3 months to 5 years.

Treatment Features in Men

Patients rarely seek medical help. Reasons: sensitivity of the problem, intimate area, constant busyness at work. Men with grade 1 haemorrhoids come to healthcare facilities when bleeding or anemia develops. Therefore, therapy is aimed at stabilizing the condition and combating complications. Surgery is performed after acute symptoms are resolved. Timing – 1-2 weeks.

Treatment Features in Women

Patients come to the clinic at minimal changes. This is due to women’s careful attitude toward their health, the formation of haemorrhoids after difficult and prolonged childbirth, and referrals from obstetricians-gynecologists. Minimally invasive procedures (laser removal) are performed after an initial examination and lab tests.

Medication Treatment

List of medications prescribed by doctors for the disease:

• Venotonics. Effects: increase tone and strengthen the vessel wall, reduce tissue swelling.
• Laxatives. Indication – prolonged constipation causing symptoms.
• Hemostatics. Action – stop bleeding.
• NSAIDs. Effect: reduce inflammation, which helps to relieve pain syndrome.
• Anticoagulants. Beneficial property – thin the blood. Indications – acute thrombosis. Do not dissolve formed clots.
• Local treatment. Baths with antiseptic solutions, suppositories. Effect – reduce inflammation.

Conservative therapy relieves the acute condition, eases the course of pathological processes. But it does not eliminate the disease and delays the timing of surgical intervention, which leads to complications.

Effective and rapid treatment

Minimally invasive surgical techniques performed in our clinic:

• Laser treatment of internal haemorrhoids is discussed on an individual basis, taking into account the degree of prolapse, symptoms, and the external component. The specific technique, the number of areas treated, and the duration depend on the volume of the intervention. Pain, bleeding, and recurring symptoms are possible; the absence of scars or complications is not guaranteed. Monitoring conditions, discharge, and recovery are determined after assessing the patient’s condition.
• HAL-RAR procedure. Dearterialization (“turning off” the artery by suturing or ligation) of haemorrhoidal vessels combined with mucosal lifting (raising) of the rectal mucosa. Performed under ultrasound control with Doppler (real-time blood flow assessment). Duration – 30-120 minutes. Advantages: low risk of complications and recurrence, relative pain control.
• Transanal dearterialization of internal haemorrhoids. Ultrasound control with Doppler.

Pain relief techniques – local or spinal-epidural anesthesia. We offer clients the option to use regional methods: quick effect, adequate intra- and postoperative pain relief. Advantages: effectiveness, complication prevention, early patient activation, possibility to maintain contact with the client.

Delayed seeking of specialized help and prolonged medication therapy increase the risks of intestinal bleeding, strangulation and necrosis of nodes, fistula and paraproctitis formation, and sepsis. Surgery eliminates the disease, returning the client to a life without pain and discomfort.