Hemorrhoids - diagnosis and therapy

If hemorrhoids are suspected, do not hesitate to consult a doctor as soon as possible - the best way to treat the hemorrhoids at an early stage is to go to a doctor. In a conversation, the doctor will first determine the symptoms and also ask targeted questions about the eating habits or the toilet.

Then the doctor will look at the anal area and palpate. Since the hemorrhoids are often deep in the anus and not always palpable, he will then perform a Nachspiegelspiegel (proctoscopy). The anal canal and its mucous membrane are examined with a small tube. This can be used to rule out various other causes, including serious illnesses such as carcinoma. This examination may be personally uncomfortable, but is routine for the doctor. As a rule, she is not painful.

Treatment of hemorrhoids

In order to avoid excessive pressure when using the toilet, you should keep the chair soft and ensure regular bowel movement. An increase in fiber content and adequate hydration help to bring the digestion back on track.

This process can be supported by exercise and exercise. Obese should try to reach their normal weight. In addition, careful hygiene in the anal region is important. Finally, pelvic floor exercise is helpful in promoting blood flow.

In addition, the following treatment options are used, depending on the stage:

  • Locally applied suppositories, ointments or creams help against the symptoms of smaller hemorrhoids (grade I)
  • Sclerotherapy: Small and medium-sized hemorrhoids (grade I - III) can be obliterated. For this purpose, a liquid is injected, through which the tissue shrinks.
  • An alternative to this is the ligature, in which the medium-sized hemorrhoids (grade II - III) are tied with a rubber ring. The blood supply is interrupted and the tissue dies or forms back.
  • Surgery: Grade III and Grade IV hemorrhoids must be surgically removed, for example, by the Longo OP, Doppler Hemorrhoidal Arterial Ligation (HAL), Stacker Method, or Rectal Anal Pexie (RAR).

All other medical treatment options are either no longer used because of complications or poor efficacy (for example, cold treatment, infrared coagulation) or not (yet) recommended for insufficient studies (for example electrotherapy).

Home remedies for hemorrhoids

If you suffer from hemorrhoids, a visit to the doctor is usually unavoidable. However, home remedies can help alleviate the discomfort caused by the hemorrhoids.

Here are some home remedies for hemorrhoids:

  • Take a hip bath, into which you give three liters of horsetail or oak bark tea, and then place a quark compress on the anus.
  • Mix honey and marigold ointment and rub the affected area regularly with the mixture.
  • Drink a large glass of cider or naturally cloudy apple juice daily.
  • Mix chamomile and clover in equal proportions, infuse one tablespoon with 0.25 liters of boiling water and let the tea soak for ten minutes. Drink three cups of chamomile clover tea daily.
  • Rub the affected area with a hamamelis ointment or use appropriate suppositories.
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