Hemorrhoidal nodes fall out: causes, effective methods and methods of treatment, medical advice

Hemorrhoids are a common disease that develops due to weakness of the walls of the veins in the anus. It can appear in both women and men. Starting from the second stage of the disease, the rectum begins to fall out, pain appears, blood is released, hemorrhoids are formed. This ailment is not something dangerous: modern methods of therapy make it quite easy to cope with it. What to do if a hemorrhoid has fallen, photos of the consequences and drugs for therapy are presented in this article.

Classification of hemorrhoidal disease

Depending on the type and stage of the disease, the symptoms and treatment will differ. If the ailment is launched, only surgical intervention will help.

Symptoms that are very likely to say that the cause of the malaise is precisely in hemorrhoidal disease:

• itching at the anus;
• spotting after and during bowel movements;
• frequent constipation;
• prolapse of the rectum;
• nodes at the site of the anus;
• constant feeling of fullness of the intestines;
• pain during bowel movements.

Medicine distinguishes three types of hemorrhoids :

• internal, in which damage to the veins, blood vessels and capillaries develop inside the rectum;
• external, in which hemorrhoids fall out, rectum;
• mixed, which is characterized by a combination of symptoms of internal and external forms.

Each form can be successfully cured with the help of medications. The fastest therapy is in the first stage. If the patient reached the stage 3, then most often surgical treatment is necessary. If the fallen hemorrhoid is too large, it will be dissected, if it is small (up to a centimeter in diameter), it will simply be cut off with a scalpel. This is a relatively simple operation, and it is performed under local anesthesia.

Treatment is more difficult if internal hemorrhoids are complicated by nodular formations. In the absence of adequate treatment in the first and second stages of the disease, fairly complex operations have to be performed, and the patient is exposed to general anesthesia.

Symptoms of external hemorrhoids

For external, or, as it is also called, external, hemorrhoids, the following symptoms are characteristic:

• at the initial stage - pain in the anus, which is felt when straining;
• bleeding and mucus discharge during an act of defecation;
• at the second stage, a precipitated hemorrhoidal node appears, which is a blood-drenched ball of skin, the touch of which is extremely painful;
• in the absence of adequate treatment, the number of nodes will increase, sometimes it can reach 8-10 pieces;
• inflammation of the corpora cavernosa;
• itching and burning in the anus;
• venous thrombosis.

Most patients are embarrassed to turn to a proctologist with such a delicate problem and try to recover themselves. Drop-down hemorrhoids can be “pushed” back into the rectum - and approximately 60% of patients do so until the disease passes to the third stage. In this case, the nodes grow to a total area of ​​about 5-8 square meters. cm and cause severe pain.

Some patients take strong anesthetizing tablets to the last. But over time, they cease to help. In the third stage of external hemorrhoids, the patient has only one way out - to resort to surgical treatment.

Description of the stages of external hemorrhoids

Proctology distinguishes three stages:

• At the first treatment, you can even carry out alternative methods - and it will be effective. The nodules are still small - about a few millimeters in diameter, but they are already noticeable and already cause pain to their owner.
• At the second stage, the node increases in diameter, neighbors appear on it - the same, as yet small, nodules filled with blood. Palpation is very painful. Every toilet trip is a serious inconvenience.
• At the third stage, the nodes grow together in a dense formation with an infiltrate, and a serious inflammatory process develops. Previously dropped nodes begin to decompose. In this case, inflammation rises up the rectum. At this stage, hemorrhoids no longer fall out.

How to treat external hemorrhoids if it has reached the third stage? Only surgery can help. Patients should not worry about their health. The operations have been put on stream for a long time and do not bring serious health and well-being problems.

Common complications of external hemorrhoids are inflammation of the corpora cavernosa and venous thrombosis. They can be diagnosed at the same time. Thrombosis develops in one of the hemorrhoidal nodes. The patient has a sharp pain, it can appear after an act of defecation or on its own. The intensity of pain does not depend on the magnitude of thrombosis of the hemorrhoid.

When contacting a proctologist, a visual examination and palpation of the prolapsed hemorrhoidal node will be performed (photo below). It is a cyanotic site in the skin, inside of which there is blood and swelling near it, which gradually spreads to the entire perianal region. When pressing a finger on a node, the patient experiences a sharp, excruciating pain. Prolonged thrombosis is always accompanied by inflammation, therefore, a course of special drugs is required.

Reasons why hemorrhoids fall out

Provoking factors:

• passive lifestyle;
• the absence in the patient’s life of physical education, as a result of which stagnation of blood occurs in the pelvic organs, including in the rectum;
• weakness of the walls of veins and capillaries;
• blood density also affects the development of external hemorrhoids - you should occasionally drink a course of drugs to dilute.

All these reasons lead more slowly or faster to one outcome, as a result of which hemorrhoidal nodes fall out. Stagnation of blood in the pelvic organs and in the rectum provokes a violation of the outflow from the veins due to congenital or acquired insufficiency of the venous walls. If the patient leads a mobile lifestyle, does not abuse alcohol and junk food - such a process will not develop simply because problems with blood circulation do not begin.

Methods of modern surgical treatment

Hemorrhoidal node fell out: what to do? This question is being asked by tens of thousands of people daily. The problem of external hemorrhoids is very common, but it is delicate and “shameful,” so people are silent to the last and prefer to be treated at home. Sometimes traditional medicine methods help, and in some cases they are useless. The disease goes to the second, and then to the third stage. As a result, the answer to the question "Hemorrhoidal node fell out: what to do?" only one - contact a proctologist surgeon.

Before the operation, a complete examination of the body is carried out. If contraindications to excision and removal of hemorrhoidal nodes are found, you should first try minimally invasive treatment methods.

Contraindications include the following conditions:

• diabetes insulin dependent;
• oncological diseases;
• pregnancy;
• heart failure and some cardiological diseases;
• HIV and AIDS;
• the possibility of internal bleeding.

Due to the fact that most patients turn to a proctologist at the third stage of external hemorrhoids, surgery is necessary in 50% of cases. Sometimes it can be replaced by minimally invasive methods of therapy. General or local anesthesia - this choice does not depend on the patient, but on the proctologist. If inflammation from the nodes goes up the rectum, then general anesthesia may be required.

Minimally Invasive Intervention Techniques

These are painless methods for removing nodes using modern equipment:

1. Sclerotherapy is indicated for patients with poor blood coagulation, diabetes. It is carried out most often in the second stage of the disease. Allows you to get rid of pain already in one procedure. It is carried out both in private medical centers and in budget hospitals.
2. Infrared coagulation is a modern and painless method of help if hemorrhoids fall out. Helps to get rid of bleeding and pain, the node itself will remain in place. It is carried out using a special apparatus - a photocoagulator. Through an anoscope, the surgeon brings the tip of the device directly to the nodes of the external hemorrhoids. an action similar to laser radiation is carried out, as a result of which relief comes.
3. Ligation with latex rings allows you to get rid of the nodes. They are pulled off with a special tool, a latex ring is put on the base, which is compressed as tightly as possible. As a result, the access of blood stops. The node disappears with the ring on, and a stump of connective tissue remains at the site of rejection.

Suppositories and medications to relieve symptoms

The first stage of hemorrhoids can last for several years. But in most cases, in the absence of therapy, the patient is faced with the fact that a hemorrhoid has fallen out. How to treat this condition? Candles will help get rid of pain and prevent the development and loss of new ones. A pill will have a thinning effect on the blood, strengthen the walls of blood vessels, veins, capillaries.

For therapy, the following classes of pharmacological preparations are used:

• phlebotonics - regulate venous outflow, strengthen the walls of veins;
• angioprotectors - significantly fragility and patency of the walls of blood vessels;
• drugs that include nitrates have a relaxing effect on the sphincter during its spasm;
• non-steroidal anti-inflammatory drugs can relieve pain if a hemorrhoid has fallen, the duration of treatment with these drugs should not exceed two weeks - drug dependence may develop;
• preparations with enzymes and homeopathic remedies - reduce inflammation, help strengthen the walls of veins and capillaries.

List of popular drug names

If for many years it was possible to restrain the development of the disease by folk methods, then one day the patient will inevitably encounter the fact that a hemorrhoid has fallen out. How to treat this ailment?

1. Detralex is a popular phlebotropic drug. Heals veins throughout the body. Most often, patients prone to external hemorrhoids also suffer from varicose veins of the esophagus or lower extremities. Detralex helps with any of these diagnoses. The cost of one package of the drug is about a thousand rubles. It lasts either for a month or for two weeks - depending on what dosage of dragee was prescribed by a phlebologist or proctologist.
2. "Hemoroidin" is a tablet preparation whose action is primarily aimed at the venous network in the rectal region. The drug also has anti-inflammatory and analgesic effects - literally after taking two tablets, itching and burning in the anus are reduced. If a hemorrhoid falls out, what should I do? You can independently purchase "Hemoroidin" and take two to four tablets, but the visit to the doctor is still not canceled.
3. Heparin ointment is one of the cheapest pharmacy products. But that does not make it less effective. One package with one hundred grams of ointment costs about fifty rubles. Depending on the manufacturer, it may be called "Heparin" or "Heparin ointment." Helps to reduce the size of hemorrhoidal nodes. It has the ability to disperse the accumulation of blood, so it also helps with hematomas, bruises, swelling.
4. The composition of the ointment from external hemorrhoids "Proctosedil" includes special substances with anti-inflammatory effect - glucocorticosteroids. The composition is also enriched with heparin salts. The ointment has an analgesic effect, relieves itching and burning, has the ability to reduce the size of precipitated hemorrhoids (with regular use).
5. "Aurobin" is another popular ointment for external hemorrhoids. The composition contains prednisone - a hormonal substance. The ointment helps instantly from burning and itching, has a mild cooling effect, in the second stage it can help completely get rid of precipitated hemorrhoids, Alas, after stopping the use of the drug with prednisone, they may appear again. Hormonal components tend to help only while using the product.
6. "Hepatrombin G" is an ointment with anti-inflammatory, decongestant and analgesic effect on precipitated hemorrhoids. The main active ingredients are dexpanthenol and allantoin. “Hepatrombin G” with regular use reduces swelling of the tissue around the sphincter, prevents the accumulation of blood, can absorb small nodes in the initial stages of external hemorrhoids.

Treatment of a precipitated hemorrhoid with folk methods

Treatment with herbs and bee products is often even more effective than pharmacology. If a hemorrhoid occurs during pregnancy, almost all pills are prohibited. A number of ointments are also undesirable for use. And itching and burning make themselves felt, reduce performance and spoil the mood. If a hemorrhoid occurs during pregnancy, it is worth trying some of the equally effective alternative methods of treatment.

1. It is necessary to prepare an infusion of medicinal herbs and arrange daily baths. Mix one tablespoon of horse chestnut, oak bark, sage, chamomile. You can also add a calendula. Pour with a liter of water, bring to a boil, boil for about ten minutes and let cool. The bath should be taken with minimal dilution of the resulting infusion with clean water. The higher its concentration, the better. It should not be too hot - rather, barely warm.
2. Peel and cut into large pieces two onions. Pour 0.5 liters of hot cow's milk. let it brew for two hours. After the mixture has cooled, strain and dilute with a liter of clean water. Take a sitz bath for about twenty to thirty minutes. The optimal frequency is once a week.
3. Horse chestnut tree bark is poured with boiling water and steamed in a water bath for half an hour. Used for exacerbation - when bleeding increases. The bark of a horse chestnut tree is rich in tannins, which stop bleeding and have a beneficial effect on the state of the walls of veins, blood vessels and capillaries.
4. Honey and beekeeping products are universal remedies of traditional medicine. They are effective if the hemorrhoid has fallen after childbirth, and if it happened during pregnancy. You should not invent complex recipes - just grease the fallen nodes with fresh floral honey. This is a great decongestant and anti-inflammatory agent. Contraindication only - individual intolerance to the components of honey and allergic reactions to this product.
5. Aspen leaves have long been used to thin the blood. You can take inside the infusion of dry, crushed leaves of aspen, or arrange a bath. The infusion has anti-inflammatory properties, strengthens the walls of the veins. It also mildly reduces pain, burning and itching in the sphincter.

Prevention of external hemorrhoids

In order for the patient’s life not to be complicated by dropped hemorrhoids, it is enough to follow simple rules of prevention:

• with a forced sedentary lifestyle, once an hour to get up and do a light workout to disperse blood circulation;
• if there is a tendency to thick blood - once a year to drink a course of thinning drugs;
• once a week to engage in physical education, and if health allows - to buy a subscription to the gym;
• the diet should include fresh vegetables and fruits, if there is a tendency to constipation - beets, prunes and other laxative products must be eaten;
• alcohol should be completely excluded from the diet, since ethyl alcohol thins and destroys the walls of veins, blood vessels and capillaries - this process exacerbates the manifestations of hemorrhoidal disease;
• smoking also negatively affects the vessels - if the patient does not want to get a relapse of the disease, it is better to abandon this bad habit;
• at least two liters of pure water should be drunk per day - this habit will help to keep the blood liquid enough so as not to damage the veins and maintain a healthy blood flow;
• if there is a hereditary predisposition to diseases of the veins - once a year, drink “Detralex”, “Venoruton” or other drugs to help maintain healthy veins.