Everyone has hemorrhoids. This is a vascular pad of arteries and veins, which, together with the internal and external sphincter, ensures the fine sealing of the intestine. First and foremost, this is not a disease. Only when there are symptoms such as itching, bleeding during bowel movements, pain, pressure and foreign body sensation due to increased hemorrhoids is a hemorrhoid alveolar medically.
Four stages of the haemorrhoid alveoli:
Stage 1: The hemorrhoids are slightly enlarged and narrow the intestine output, From the outside is not to be seen, but the doctor can see the enlargement however with an Afterspiegel.
Stage 2: The hemorrhids are already so much widened that they protrude when the chair is pressed out. Subsequently, however, they slip independently back into the intestine.
Stage 3: The hemorrhoids are now already so large that they emerge from the anus during pressing, physical exertion or prolonged walking. They do not pull themselves back, they have to be manually fingered.
Stage 4: The hemorrhoids are so much enlarged that they push the entire inner lining of the anus outwards. Manually, nothing can be done. The medical expression for this stage is a fixed anterior procedure or after-prolapse.
Further treatment options
As a first measure, it is advisable for all affected persons to look for a balanced diet rich in fiber and plenty of fruit, vegetables and whole grain products. Also a sufficient fluid supply and regular movement promotes the intestinal activity and has a positive effect on the bowel movements. If the patient first notice signs, these can be treated temporarily with creams, ointments or supplements."Local anesthetics with the active ingredients lidocaine or quinisocaine are the first choice for itching and pain," Klämbt says. Preparations with hamamelis have an anti-inflammatory, astringent and bleeding effect. Bismuth salts promote wound healing and soothe the discomfort.
The systemic use of aescin or rutosides, which are also taken with venous complaints, may be attempted as an alternative or complementary method.
"Hygiene is also an important issue. The irritated anal area should be cleaned best after the bowel movement with soft toilet paper and additionally damp, perfume-free cloths, "advises the pharmacist. In addition, nourishing ingredients such as jojoba wax can be used. All these tips are only suitable for people with mild discomfort."For all others, only the doctor is the right contact. This determines the degree of severity precisely in the examination and knows which form of therapy is the right one - whether purely medically or surgically. "In cases of severe progression, the local application is indicated with glucocorticoids.(opm)
Hemorrhoid and haemorrhoid alveoli - a topic that is not a popular topic, although about 50 percent of the population is over 30 years of age - men are usually more likely than women. Nevertheless, complaints are rather concealed."An early treatment is important in this case, so that the hemorrhoid alveoli does not become worse," advises Dr. Richard Klämbt, President of the Apothekerkammer Bremen. If you notice slight discomfort, you can consult the pharmacy. Within the framework of self-medication, preparations with different active ingredients are available.