The appearance of painful nodes from the anus is a fairly common problem among women, especially during pregnancy and after the birth of a child. External haemorrhoids are characterized by the appearance of nodes from the anus, which causes significant discomfort and pain.
Main causes of the disease
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Women are more susceptible to dilation of haemorrhoidal veins than men. The main factors that provoke external haemorrhoids in women:
- overweight;
- sedentary work, insufficient physical activity;
- sitting on the toilet for a long time;
- diseases that cause coughing;
- constant constipation;
- diseases of the pelvic organs;
- excessive physical activity;
- alcohol abuse;
- pregnancy and childbirth.
According to the nature of the disease, it can be acute (thrombosis of haemorrhoidal veins) and chronic (stretched veins are constantly overflowing with blood). It is extremely important to seek medical help promptly to receive proper treatment. If therapy is incorrect or absent altogether, the disease becomes chronic.
How does it manifest itself?
It is not difficult to recognize external haemorrhoids, because the symptoms appear at the very beginning:
- pain and itching in the anal area, which becomes worse when sitting;
- severe cutting pain during defecation;
- swelling of lumps in the anus;
- sensation of a foreign body in the anus;
- the appearance of blood on linen or toilet paper.
In a chronic condition, the pain is much weaker; the disease can only be recognized by itching in the anal area.
The danger of haemorrhoids lies in the fact that thrombosis of the dilated veins of the rectum is possible at any stage, and with a long course of the disease, complications such as anemia, anal fissure, etc. can develop.
Features of treatment
The choice of treatment for external haemorrhoids in women depends on the clinical picture and the presence of concomitant diseases.
To do this, the doctor conducts an examination to assess the condition of the skin of the perianal area, sphincter tone, shape, scar changes and deformations of the anus, the presence of fistula openings and formations.
The main points that a specialist will evaluate when examining haemorrhoids: severity, pain, presence of contact bleeding.
Treatment after childbirth
An integrated approach is required to prevent stagnation of venous blood in the vessels of the pelvic floor. For this, the doctor individually selects medications; it is also recommended:
- follow a special diet;
- take a walk in the fresh air every day;
- avoid excessive stress and heavy lifting;
- do special gymnastics to strengthen the pelvic muscles.
Self-administration of any medications is strictly prohibited, because their effect can negatively affect the quality of breast milk.
Drug treatment
The possibility and effectiveness of treating external haemorrhoids without surgery depends on the stage of the disease. As a rule, ointments are prescribed for local Applications to relieve inflammation, stop bleeding, and normalize blood circulation in the veins. In advanced forms of the disease, painkillers and anti-inflammatory ointments are used to alleviate the condition during preparation for surgery.
Enzymes and probiotics are often prescribed to normalize the functioning of the gastrointestinal tract.
For maximum effectiveness of treatment, the elimination of constipation and diarrhea is required, which is achieved through nutritional correction. At night you need to do sitz baths and wash yourself with soap after each bowel movement.
Is it possible to treat with drugs and at home?
Haemorrhoids are an insidious disease, so any treatment methods must be prescribed by a proctologist. Only an experienced specialist will be able to establish the stage of the disease and select the right remedies. Starting to use any medications that have helped a relative or friend, like folk remedies, is extremely dangerous.
Some herbal recipes help relieve the inflammatory process and relieve unpleasant symptoms, but the main cause remains, and without eliminating it, the disease will progress and soon the symptoms will return with renewed vigor.
Therefore, if the listed symptoms of external haemorrhoids appear, it is better to immediately seek qualified medical help.
Effective and rapid surgical treatment
In cases of advanced forms of external haemorrhoids and the ineffectiveness of drug treatment, a decision is made about surgery.
In the early stages, sclerotherapy is possible, in which a special solution is injected into the haemorrhoid, which ensures its emptying, gluing and sclerosis.
For the internal component of the disease, HAL-RAR—ligation of the haemorrhoidal arteries with possible mucopexy—or laser tissue treatment is discussed in selected cases. For external nodes and thrombosis, the indications and methods differ. Any intervention may be accompanied by pain, bleeding and recurrent symptoms; the choice and expected recovery time are discussed after examination.
Haemorrhoidectomy is used for advanced forms of the disease. To remove nodes, the electrocoagulation method, a scalpel and scissors are used. Small wounds remain at the site of the removed node, which will gradually heal.
Only proctologist can choose the most effective method of surgical treatment. Recovery time depends on the stage of the disease and the type of surgery.
Why us?
Our medical center provides effective treatment for external haemorrhoids in women. Qualified specialists will select the most effective methods to quickly relieve unpleasant symptoms and prevent the development of complications.
The advantage of surgical treatment with us, regardless of the technique used, is the use of a special epidural catheter, which eliminates pain after surgery.
The clinic’s specialists treat not only external and internal haemorrhoids, but also other pathological conditions:
- acute and chronic fissures of the rectum;
- pararectal fistulas;
- presacral cyst;
- epithelial coccygeal ducts;
- prolapse of the rectal mucosa, etc.
For surgical treatment we use progressive techniques: HAL-RAR, Longo operation, Milligan-Morgan haemorrhoidectomy using the Liga Sure device, laser thrombectomy, which allows us to achieve high efficiency of therapy and minimize the recovery period.
Do not delay haemorrhoid treatment, make an appointment with a proctologist today to get rid of this delicate problem as quickly as possible with absolutely no pain!
Identified medical inaccuracies are clarified in the material. Methods, contraindications and recovery depend on the individual situation; information helps you prepare for the consultation.
ASCRS Haemorrhoids Guidelines 2024 · NIDDK: Haemorrhoidal Disease