Acute Paraproctitis - acute inflammatory disease adrectal fiber. Infection from the rectum through the ducts of the anal glands can quickly penetrate into one of the adrectal tissue spaces - subcutaneous (most often), ischiorectal, pelviorectal, retrorectal (very rare).
The name of these spaces is also called the form of acute paraproctitis — submucosal, subcutaneous, isocorectal, pelvicorectal (pelvic rectal), retrorectal. Intra spinal abscess is sometimes distinguished, but this term is best used for chronic paraproctitis, since it is difficult to precisely localize the abscess cavity during the acute process. The inner opening of the ulcer is almost always the same, and there may be two or more external ulcers, and these external abscesses are often located on either side of the anus - behind or in front of the rectum (horseshoe paraproctitis). The “arc” of such an abscess passes behind, between the anus and the coccyx (more often) or in front of the anus (in women between the anus and rectovaginal septum). In this case, respectively, the posterior or anterior horseshoe acute paraproctitis is diagnosed, and on the one hand the abscess may be subcutaneous, and on the other ischeorectal, etc. Most often, more than half of all patients have an abscess located on the border of the skin and mucous membrane - subcutaneous submucous marginal acute paraproctitis.
The clinic of acute paraproctitis is characteristic of any adrectal suppuration: swelling, pain on palpation, pain, increasing, and sometimes sudden, aggravated when walking and sitting, coughing, defecation (not always), fluctuation in the center. The general condition worsens, subfebrile condition appears. Most of all, the general condition suffers from deep (ischiorectal, pelvic-rectal) ulcers, while locally with these forms of abscess the changes are minimal - there is almost no reddening of the skin, no fluctuation, and only a deep push by the tips of the fingers causes pain from the affected side.
With a deep (high) ischiorectal, pelviorectal or, especially, after acute rectal paraproctitis, the general condition of the patient can be severe (high fever, all signs of intoxication, pain in the depth of the pelvis), and local changes sometimes prove to be little demonstrative: no fluctuation depth of tissues on one or both sides with a jerk with fingers, unclear local pain of the walls of the anal canal during a digital rectal examination - and that's it, so the diagnosis is high, extrasfie The acute forms of acute paraproctitis are complex, and many such patients are treated for a long time with a wide variety of diagnoses, up to the flu. The main thing is to suspect paraproctitis, to remember about it.
The microflora of adrectal ulcers is usually vulgar, intestinal (most often a combination of staphylococcus and Escherichia coli). In rare cases, anaerobic flora prevails and a very heavy, extensive anaerobic or, especially in elderly cardiac patients, a putrefactive process occurs.
It is difficult to determine the internal opening of the abscess at the height of inflammation, with palpation only painful (“interested”) wall of the anal canal is determined, most often the back, since the deepest and widest anal crypts are located on the back wall of the anal canal and it is here that the primary cryptoglandular abscess. For accurate identification of the internal opening of the abscess, his puncture is used with the introduction of vital paint abscess into the cavity (better, with hydrogen peroxide), the stain of which is determined on a small gauze tuffer, gently inserted at a clamp into the rectum along the wall opposite to the abscess. It is quite enough to carefully punctate an abscess, evacuate pus and, without removing needles, inject dye into the cavity of the abscess (not forcing, so as not to imbibe the inflamed tissue and not form a false passage). The definition of the internal opening of the abscess is necessary, because in any case, whether it will or will not be sanitized, you need to know its location precisely so that later, if a fistula forms, it will be easier to perform a radical planned operation.
True acute paraproctitis is initially associated with the lumen of the rectum: the infection enters the adrectal tissue from the internal opening of the abscess (or later, fistula), which is located in one of the morganium crypts of the anal canal. A radical surgical treatment of acute paraproctitis consists in a wide dissection of the perianal abscess and the elimination of its internal opening in the anal canal.
Patients with primary acute paraproctitis in the abscess stage receive relatively little, the abscess is usually opened (its front wall is pierced) in the clinic, or the abscess is opened spontaneously after traditional home treatment - warm baths, compresses with ichthyol or with Vishnevsky ointment. In such cases, during external examination a small purulent wound is visible near the anus, and during a finger scan, it is almost always possible to establish the localization of the internal opening. With spontaneous or even surgical opening of the abscess without treatment of the internal opening of the abscess of radical cure does not occur, and therefore with acute paraproctitis (including the spontaneous opening of the abscess), radical intervention under anesthesia is shown.
The decision on the use of a radical operation in acute paraproctitis should be made only by a proctologist, and when such patients enter the general surgical hospital, they should simply open and drain the abscess on the perineum and warn the patient about a possible relapse of the abscess or the formation of rectal fistula. If this happens, the patient should be sent for a planned operation to the proctology department.
After opening the abscess, it is better to do it in a planned manner later, in a proctologic clinic, to professionally perform an operation for a complex pararectal fistula, than to try to radicalize acute paraproctitis by any means at once, without thinking about the future function of the locking device.
Causes of paraproctitis
The cause of paraproctitis, as well as any other inflammation, is infection. Pathogens usually spread from the rectum.
In the place of transition of the intestine itself into the anal canal there are special folds - crypts, or anal columns. They open anal glands that produce mucous secretion. It protects the intestinal wall from damage by fecal masses, and also slows the growth and reproduction of bacteria, which, for obvious reasons, are very numerous in the rectum.
Sometimes the lumen of one of these glands becomes obstructed, and the stagnant secret becomes a favorable medium for the reproduction of pathogenic microbes. A festering cyst is formed, from which inflammation spreads to the pararectal tissue, forming an abscess, purulent inflammation. This is the most common cause of the development of paraproctitis.
Less commonly, the infection enters the adrectal tissue with blood from other inflammatory organs (hematogenous pathway) or after injuries to the anal area and perineum.
Infections that reduce the general and local protective reactions of the body:
- concomitant acute or chronic infection
- hypovitaminosis, malnutrition,
- Crohn's disease,
- rectal fissures, hemorrhoids,
Classification of paraproctitis
By the nature of inflammation, paraproctitis can be acute or chronic. In chronic paraproctitis, fistulous passages form from the area of purulent inflammation, through which pus is constantly released to the skin surface or into the lumen of the anal canal.
According to the localization of purulent flowback, paraproctitis is divided into
- sciatic-rectal (ischeorectal),
According to the location of purulent fistula:
- Intra spinal cord,
Operational tactics and the likelihood of complications depend on the location of the focus and the nature of the purulent course.
By the nature of the pathogen:
This division is necessary for the choice of methods of treatment. Anaerobes - bacteria that exist without oxygen - cause more severe damage. Pathogenic anaerobes of the Clostridium genus are especially dangerous. Different types of them become the causes of diseases such as tetanus, gangrene, botulism, necrotic enteritis.
Symptoms of paraproctitis
Manifestations of paraproctitis can be common and local. Common symptoms are characteristic of acute inflammation, to which the body reacts like any other acute infection: fever, weakness, headache.
Local symptoms occur directly in the affected area. In acute paraproctitis, this is pain in the perineum, anus, sometimes - the buttocks or behind the pubis. Everything will depend on the location of the abscess. The deeper it is, the more vague the discomfort: due to irritation of the external (serous) membranes of neighboring organs (bladder, uterus, prostate), pain may radiate to various areas of the abdomen. In case of subcutaneous abscesses in the perianal area, you can see a reddened and swollen area (infiltration), in other cases, the doctor may feel the abscess through the rectum.
In chronic paraproctitis, the general symptoms are usually erased. The temperature is about 37, the patient begins to consider his weakness to be his normal state. Due to the fact that the pus constantly flows through the fistula that has formed (to put it more simply, at some point it “eats away” the surrounding tissues, breaking out), there is no pressure. Therefore, the pain is much weaker than in acute paraproctitis.
Complications of paraproctitis
If acute paraproctitis is not cured in time, pus can break through the skin - in this case a fistula forms and chronic paraproctitis develops. But more often the pus begins to spread through the surrounding tissues, forming extensive phlegmons (foci of purulent fusion of tissues). In severe cases, it can break into the peritoneum, causing peritonitis, or provoke sepsis (blood infection).
With long-term chronic paraproctitis, muscle fibers can be replaced by scar connective tissue (pectenosis), which disrupts the normal functions of the rectum: it is difficult to empty the intestines with a decorated stool, and liquid feces are not kept.
Paraproctitis is usually diagnosed on the basis of characteristic complaints, examination and digital rectal examination. Transrectal ultrasound of the pelvic organs helps to detect deep ulcers.
To determine the general condition of the patient, perform a clinical analysis of blood, urine, determine the level of glucose in the blood serum.
In chronic paraproctitis, the course of the fistula is determined by contrast radiography: the fistula is filled with a radiopaque substance and a series of images is taken.
Treatment of paraproctitis
Paraproctitis can be cured only by surgery. In acute cases, the abscess is opened and drained - create conditions for the free outflow of pus and wound. The source of infection (crypt) is also excised to prevent recurrence of the disease. Inside or inject antibiotics prescribed to destroy the root causes of the disease.
In chronic paraproctitis, despite the constant outflow of pus, until the end of the abscess cavity is not emptied, so it also has to be opened. After cleansing the area from purulent-necrotic (dead) masses, the fistulous course is excised and the tissue is sutured, leaving drainage. In the same way as in the acute process, antibacterial drugs are recommended.
After the operation with paraproctitis, a “slag-free” diet is prescribed for the first three days to minimize the formation of feces. The diet includes broths, eggs, cottage cheese, lean meat. Exclude any foods that contain fiber: cereals, cereals, fruits and vegetables. Starting from the fourth day, the diet is gradually expanded in order to achieve a natural soft bowel movement for 5–7 days.
Smoked meats, spices, canned foods and alcohol are prohibited for at least 3 months after the operation.
What it is?
Paraproctitis is a purulent inflammatory disease of the tissue that surrounds the rectum.
The infection enters the tissue through crypts (natural pockets of the rectum, which open into the peri-rectal tissue) with a decrease in local immunity, traumatization of the mucous membrane of the rectum, and constipation.
Also pathogenic flora can get here along with the bloodstream.
Causes of the disease
The main culprits of paraproctitis are anaerobic bacteria: E. coli, often in collaboration with staphylococci and streptococci.
The infection enters the tissue surrounding the rectum through the ducts of the glands (morgan crypts) that open inside the anal canal or through microdamages of the rectal mucosa.
Hematogenous / lymphogenous pathway of infection is not excluded. The causative agent of chronic foci of infection (caries, sinusitis, chronic tonsillitis) with the blood or lymph reaches the anal zone and multiplies in the periosteral tissue.
Factors provoking the development of paraproctitis:
- nonspecific ulcerative colitis,
- anal and rectal fissures,
- Crohn's disease,
- reduced immunity
- arteriosclerosis of rectal vessels,
- gynecological diseases in women and prostatitis in men
- surgery on the rectum.
The clinical picture of paraproctitis (see photo) varies significantly depending on the location of the purulent focus. At the beginning of the disease, there is a short period with malaise, weakness and headache. There is an increase in temperature above 37.5 ° C with chills.
With subcutaneous paraproctitiswhen the abscess is located near the anus under the skin, the symptoms are most vivid: a painful swelling in the anus, with redness of the skin over it. The pains gradually increase, acquiring an intense pulsating character, making it difficult to sleep, sit, defecation becomes extremely painful, softening appears over the tumor. This form of paraproctitis is most common.
Submucosal abscess is located under the mucous membrane of the rectum. Symptoms in this type of arrangement are similar to subcutaneous paraproctitis, however, pain syndrome and skin changes are less pronounced.
With ishiorectal abscess purulent focus is located above the muscle, raising the anus. Due to the deeper location of the abscess, local symptoms are more uncertain: dull, pulsating pains in the pelvis and rectum, aggravated by bowel movements. Changes in the skin in the form of redness, swelling, swelling occur later on 5-6 day from the appearance of pain. The general state of health is severe: the temperature may rise to 38 ° C, intoxication is expressed.
Most difficult to flow pelvicorectal abscess. This is a rare form of acute paraproctitis, when a purulent focus is located above the muscles forming the pelvic floor, it is separated from the abdominal cavity by a thin layer of peritoneum. Severe fever, chills, pain in the joints predominate at the onset of the disease.Local symptoms: pain in the pelvis and lower abdomen. After 10-12 days, the pain intensifies, there is a delay of stool and urine.
In a separate group emit necrotizing paraproctitis. This form of paraproctitis is characterized by the rapid spread of infection, is accompanied by extensive necrosis of soft tissues and requires their excision, after which large skin defects remain that require skin plastics.
Chronic paraproctitis manifested purulent fistula. The mouth of the fistulous passages can be located near the anus of the rectum or at a distance from it on the buttocks. The pain is usually not pronounced. From the mouth of the fistula often exudes pus with an admixture of feces. During the development of chronic paraproctitis, the opening of the fistula may close, there is a delay of pus, development of abscesses, new tissue defects appear, pus breakthrough and its outflow into the rectum and outward, necrotization and other tissue changes that significantly complicate the fistula. Thus, there are complex fistulous systems with branches of the fistulous course, abdominal depot and a lot of holes.
How does acute paraproctitis become chronic?
In acute paraproctitis, as the tissues melt and the ulcer increases in size, the patient's condition gradually deteriorates. Then the abscess breaks through - a fistula forms, and the pus comes out. The patient's condition improves, the symptoms subside. Sometimes after this there is a recovery. In other cases, the fistula remains - feces and gases are constantly entered into it, thanks to which the inflammatory process is maintained.
Reasons for the transition of acute paraproctitis to chronic:
- lack of adequate treatment,
- the patient's visit to the doctor after the abscess had opened,
- mistakes of doctors, insufficiently effective treatment.
Paraproctitis is a rather dangerous disease, as it proceeds with the obligatory formation of a purulent abscess. Doctors identify several possible complications of the disease under consideration.:
- purulent fusion of layers of the intestinal wall,
- excretion of fecal masses in adrectal fiber,
- breakthrough of pus in the retroperitoneal space,
Most often, the listed complications end with the development of sepsis - an infection entering the bloodstream, which is actually fatal for the patient.
And even if a purulent abscess has already been formed, but its breakthrough has been realized in an independent mode, then its contents fall into the crotch region, the anus. It seems to the patient that all the pus has gone out - all the more so since well-being improves dramatically. But in fact, in the absence of competent cleaning of the abscess, the installation of drainage, there is a high probability of the formation of a re-purulent abscess or fistula.
The complications of chronic paraproctitis include:
- deformity of the anal canal area
- rectal deformity
- cicatricial changes on the tissues,
- incomplete closure of the anal passage,
- pathological scarring of the walls of the anal passage,
- leakage of intestinal contents.
Important:if a fistula exists long enough, its tissue cells can turn into malignant ones. Doctors say that 5 years of regular recurrence and progression of paraproctitis fistula is enough to diagnose cancer.
The postoperative period at home
The basis of a successful recovery is proper nutrition in the postoperative period. It should include:
- In the first 3 days after the operation, the diet should be low-calorie, without slag. Patients are allowed to eat porridge on the water (rice, manna), steam cutlets, omelets.
- Then the diet can be expanded by adding boiled vegetables, baked apples, dairy products.
- Sharp, salty, fatty foods, alcohol are completely prohibited. It is necessary to refuse raw vegetables, legumes, cabbage, pastries and carbonated drinks.
- Completely excluded coffee, tea, chocolate.
With the passage of the postoperative period without complications, of course, the patient can go home, with the ligation he can carry out independently. For this you need:
- to treat the wound with hydrogen peroxide,
- wash it with an antiseptic (furatsilinom, dioksidinom),
- impose a sterile cloth with antibacterial ointment (you can use, for example, "Levomekol").
In addition, after each act of defecation, it is necessary to carry out a toilet of a postoperative wound, hygienic procedures. It is advisable to hold sessile trays with decoction of herbs (calendula, dandelion, sea buckthorn), as well as replace the transport material. After each chair, a thorough toilet of the perineum is necessary, sedentary baths and a new dressing are desirable. It is imperative to notify your physician when stool is delayed in order to conduct cleansing microclysters.
It is advised to use sanitary pads in the early days, as purulent discharge and local remedies may stain underwear.
If it is not possible to carry out adequate toilet wounds and care, you should contact the clinic (in the surgery room), where qualified specialists will be able to provide the necessary assistance.
At home, you will have to continue taking the following types of drugs:
- antibacterial drugs
- anti-inflammatory drugs
- pain medication.
Paraproctitis usually heals after surgery within 3-4 weeks.
Especially diets at paraproctitis no. But, for quick recovery, you must comply with the diet, which consists of the following recommendations:
- Try to eat food according to the regimen, at least 4-5 times a day, approximately in the same time.
- It is necessary at least once a day to take hot food (at lunch): soup, broth.
- Dinner is better to make light, limit meat products in the evening, a large amount of carbohydrates.
- It is better that all products are low-fat: lean meat, chicken breast, turkey, lean fish.
- Cooking is better for a couple, as well as boil or bake, but limit the use of food, fried in vegetable or butter and other fats.
- Soups and broths should be weak, secondary, and it is better to cook soups in vegetable broths. If you want to make meat or fish soup, then these products are boiled separately and added to the finished dish.
- Drink enough water: at least 1.5 liters per day.
What can you eat with paraproctitis?
- any kind of carrot
- tomatoes, cucumbers, radishes,
- onions and scallions, spinach,
- boiled beets,
- fruits of trees and shrubs,
- dairy products
- low-fat steamed meat and fish dishes,
- black bread,
- light soups,
- cereals (except rice),
- fruit and berry and herbal decoctions,
- infusions of prunes, lingonberries and rosehip.
- rice and semolina,
- strong tea, coffee, cocoa,
- flour products, including and pasta,
- spicy, smoked, sour, fat,
- white flour bread
- fatty food
- fast food,
The main objective after recovery is to prevent the recurrence of paraproctitis. Prevention consists of the following measures:
- elimination of constipation
- a diet that provides for the establishment of a regular light stool,
- maintaining optimal weight
- getting rid of hemorrhoids and anal fissures,
- thorough hygiene, rinsing with cool water after each bowel movement,
- the destruction of chronic foci of infection in the body,
- treatment of major diseases (diabetes, atherosclerosis, diseases of the gastrointestinal tract, etc.)
Prognosis for paraproctitis
A favorable prognosis for the treatment of acute paraproctitis is quite possible. However, this will require timely diagnosis and treatment. Therefore, it is imperative that the patient see a doctor immediately after the first symptoms of the disease are detected. Otherwise, if the disease is not treated for a long time, serious complications may arise for the patient's health. In particular, ignoring the symptoms of pathology can lead to the formation of fistulas and the flow of the disease into an acute form.
After surgery, during which the fistula was excised, the patient fully recovers. However, it is worth noting that the excision of fistula, which are located quite high, may be problematic. In some cases, fistulous passages cause the spread of purulent inflammation in the hard-to-reach areas of the pelvis, which ultimately causes a partial removal of the infection and, as a result, a recurrence of the disease. If during the operation the abscess was only opened without removing its connection with the intestinal lumen, full recovery is unlikely.
This is due to the fact that the patient has a rectal fistula, after which after some time there is a relapse of the disease.
What is paraproctitis?
The cause of inflammation are infections, most often such as Escherichia coli (E. coli), Proteus, Streptococcus, Staphylococcus.
In the immediate environment of the rectum, there are three fascial cellulose spaces: subcutaneous, isorectal and pelvic rectal intestinal.
Depending on which of the spaces is affected by inflammation and paraproctitis is of three types:
- subcutaneous paraproctitis,
- ishiorectal paraproctitis,
- pelvic rectal paraproctitis.
By the nature of the flow, acute and chronic paraproctitis is distinguished.
For all types of acute paraproctitis are common symptoms:
- sharp throbbing pains
- high body temperature,
- significant shift to the left in the blood test: increased ESR, leukocytosis appears.
Each type of paraproctitis has its own characteristic symptoms.
Purulent abscess is formed in the subcutaneous fatty tissue. If the abscess is located closer to the anus, then a tightness and soreness appear near the anal orifice. With a slight pressure on the abscess, it moves.
With a deeper location, there is no redness and compaction.
Body temperature rises to 37.5-38 ºС. When an abscess is formed, the temperature can be higher.
With this type of proctitis, dull pain appears, the body temperature rises to 38 ºС, there is a general malaise.
Redness of the skin is usually absent. When the digital examination of the rectum is detected, a seal is erupted that protrudes into the rectal lumen. The study causes sharp pain.
Pelvic rectal paraproctitis
This form of paraproctitis is the most severe.
An abscess is located high under the pelvic peritoneum. Its symptoms are similar to another type of paraproctitis - retrorectal paraproctitis. In this case, the abscess is located behind the rectum.
The condition of patients in these cases is severe, general intoxication of the body is observed, the body temperature rises to 40 ºС. However, local signs (changes in the anus) are expressed very slightly.
Such forms of paraproctitis are often not immediately recognized and are taken for pneumonia or any infectious disease.
Treatment of acute paraproctitis
With a formed abscess, urgent surgery is necessary. It consists in the opening of the abscess and its drainage.
If the seal is small and the temperature is low, then you can try to cure paraproctitis without surgery.
As a treatment, it is necessary to make hot (37-38 ºС) baths with potassium permanganate for 15-20 minutes. After the bath, a candle is inserted into the rectum.
For the treatment of paraproctitis, a candle is recommended, consisting of a dewy extract of 0.015 g, novocaine 0.12 g, xeroform 0.1 g, white streptocide 0.08 g, 4 drops of 0.1% epinephrine solution, cocoa butter 1.5-2 g. A compress from Vishnevsky ointment is applied to the anus. Candle before the introduction must be abundantly lubricate the same ointment.
Due to pain during bowel movements, bowel emptying is incomplete, therefore it is recommended to do cleansing enemas.
If this treatment does not help, then the infiltration increases and body temperature rises. In this case, surgery is necessary.
How to do cleansing enemas described in the article "Proctitis".
If this treatment does not help, then the infiltration increases and body temperature rises. In this case, surgery is necessary.
Timely and proper treatment ends with complete recovery.
Chronic paraproctitis (fistula of the rectum) is a pararectal fistula, which remains after a spontaneous abscess or after the opening of acute paraproctitis surgically.
After an abscess is opened during acute paraproctitis, the internal opening in the rectum usually does not disappear and forms a rectal fistula. Usually it opens into the crotch near the anus.
The disease can stop only in case of elimination of the internal opening in the rectum during surgery.
- fullopening at one end on the mucous membrane of the rectum, and the other end on the skin,
- incompleteopening only on the intestinal mucosa.
Symptoms of chronic paraproctitis
A sign of anus fistula is the presence of one or more external openings, from which thick pus is secreted, less often fecal masses and gases.
With the continued existence of such a fistula, the skin swells, irritation occurs around the anus.
While the external opening of the fistula openly exacerbations of paraproctitis practically do not develop. If the internal opening of the fistula closes with a scar, then the discharge stops and an apparent recovery occurs. But at the slightest damage to this scar, acute paraproctitis occurs again.
Types of fistula
There are four types of fistula depending on the location of the fistulous course in relation to the sphincter.
- Subcutaneous submucous fistula (intrasphincter fistula)). The fistula is located directly under the mucous membrane or in the subcutaneous tissue, inside the sphincter.
- Train spine fistulas. The fistula is sent out of the intestine, straight through the sphincter.
- Complicated or extrasphincter fistulas. Fistula from the rectum rounds the sphincter from the outside. The internal opening is located, as a rule, at the upper pole of the sphincter. Complicated fistulae are often horseshoe-shaped, have two fistulous course, which opens on the skin with two holes on either side of the anus.
- Incomplete fistula. This type of fistula has no external opening in the perineum. The fistula thus ends in a submucosa or in the sphincter, sometimes in the tissue behind the rectum.
Detect incomplete fistula difficult. The only sign indicating the presence of such a fistula, are small purulent discharge from the anus, and sometimes only itching in this area.
The study of such a fistula should conduct a surgeon. Sounding is carried out to determine the inner hole. In very difficult cases, an x-ray examination is performed - fistulography.
With the appearance of pain in the pelvis, mainly in the anus, you should immediately contact the surgeon who will diagnose and prescribe the appropriate treatment. As is known, surgical treatment is recommended for paraproctitis, which is why you should not self-medicate, since these actions will not help in solving the problem, but will only aggravate the situation.
In the postoperative period, it is allowed to use seating baths, which can be easily prepared at home. We offer the following recipes:
- Dilute 40 g of sea salt in 5 liters of warm water.In the absence of sea salt, use of table salt is allowed.
- Take 1 tablespoon of sea salt and 1 tablespoon of soda, add 200 ml of hot water to the listed components. Mix the resulting solution with 5 liters of water,
- Bring 2 liters of milk to a boil, add 4 medium-sized garlic cloves and 2 onions, then boil for 2 minutes. The resulting solution is ready to use after reaching a comfortable temperature.
- To prepare the bath on the basis of medicinal herbs will need the following components: chamomile, oak bark, sage, St. John's wort, a series. The listed components mix in equal proportions. Then take 50 g of the resulting collection and fill them with 0.5 liters of water, then put on a slow fire for 15 minutes. Over the next 40 minutes, the broth should be allowed to infuse, after which it should be thoroughly drained. The resulting decoction is added to the bath.
The time spent in these trays varies from 10 to 20 minutes. Liquid used should not be hot.
There are also various ways of making microclysters at home, but their use should be treated with extreme caution, because in some cases, the wrong implementation of microclysters can lead to the formation of microtraumas. The easiest way to prepare a solution for microclysters is based on the use of chamomile and calendula. To prepare it, take 3 tablespoons of calendula and 3 tablespoons of chamomile. These components carefully move and pour 0.5 liters of boiling water, then let it brew for 3 hours. After this time, you can use the infusion in the form of heat.
In addition, there are various folk recipes for infusions, tinctures, decoctions and teas used inside, due to which there is a general effect on the human body. We offer to your attention the most popular:
- Take 3 times a day, 40 ml of freshly squeezed red rowan juice. It is recommended to drink juice in 30 minutes - 1 hour before meals,
- Take plantain leaves, Althea root and Yarrow. Thoroughly mix the listed components in equal proportions. For the preparation of infusion will need 3 tablespoons of the resulting collection of herbs. Fill them with 0.5 liter of boiling water and let it brew for 12 hours. It is recommended to take 150 ml 3 - 4 times a day.
It is strongly recommended to consult with your doctor before using any of these traditional medicines.