Hemorrhoids in men - varicose veins of the external hemorrhoidal plexus, leading to blood stasis in the cavernous bodies of the rectum. This, in turn, causes the expansion and change of the shape of the veins with the formation of nodes around the rectum, inflammatory processes, thrombus formation.
According to various sources, the prevalence of pathology among the adult population is 20–80%. Hemorrhoids are found in both men and women, but men are more susceptible to it. The age group of risk is 30–60 years.
Causes of Hemorrhoids in Men and Risk Factors
The main causes of hemorrhoids in men include:
- hereditary factor (congenital vascular weakness and / or their dysfunction),
- persistent constipation
- prolonged diarrhea,
- abuse of laxative drugs
- frequent use of enemas,
- overweight, obesity,
- poor nutrition (including alcohol abuse),
- anal sex,
- horse riding, cycling and / or motorbike,
- excessive exercise
- sedentary lifestyle.
At risk are representatives of certain professions whose activities are related to static load, such as chauffeurs, pilots, programmers, teachers, office workers, hairdressers, porters, security guards, etc.
Forms of the disease
Hemorrhoids can be acute and chronic.
Depending on the localization of nodes:
- external (subcutaneous, external) - hemorrhoids are located outside the anus,
- internal (submucous) - hemorrhoids are located inside the rectum,
- mixed - hemorrhoids are located both inside the rectum and outside.
Hemorrhoids are found in both men and women, but men are more susceptible to it. The age group of risk is 30–60 years.
Stage of the disease
- Bulging of hemorrhoids without falling out of the anal canal, recurrent bleeding, perianal itching.
- The increase in nodes, their periodic loss during physical exertion, the dropped out nodes lower themselves.
- Regular bleeding, frequent loss of hemorrhoids, which are set only manually.
- Hemorrhoids do not reset or fall out again immediately after reposition.
Symptoms of hemorrhoids in men
Hemorrhoids in men begins with periodically manifested discomfort in the anus - burning, itching, pain sensations of varying intensity. Soreness usually accompanies the process of defecation, but in some cases arises spontaneously. Unpleasant sensations are aggravated when coughing, running, jumping. During a bowel movement, hemorrhoids (prolapse) may fall out from the anal canal, causing painful, bleeding cracks.
With the development of the pathological process, the nodes begin to fall out with less physical exertion, for example, when walking. Hemorrhoidal lesions are often inflamed, and also capable of infringing and necrotizing. Loss of hemorrhoids is accompanied by swelling, a feeling of fullness of the rectum, foreign body in the anus. Nodes are painful on palpation.
In the case of the external form of the disease, hemorrhoids are determined visually and are palpated in the form of soft tumor-like formations outside the anus. With internal hemorrhoids, the nodes are not visible, the disease is manifested by rectal bleeding - red blood is found on the surface of the feces, on toilet paper.
Bleeding from hemorrhoidal nodes may have different degrees of severity. Intense and frequent bleeding causes anemia.
Other signs of hemorrhoids in men include discharge from the anus of a watery or mucous nature, constipation, fecal incontinence, and heaviness in the lower abdomen (especially during exercise). With insufficient hygienic care due to constant irritation of the skin in the anus, eczema is formed.
In the event of a bacterial infection, inflammatory processes in the perineum develop, which may be accompanied by fever, chills, increased pain.
In chronic hemorrhoids in men, the clinical picture is similar, but less pronounced than in the acute form of the disease. Chronic hemorrhoids in men occur with alternating periods of exacerbations and remissions.
Diagnosis is carried out by a proctologist. The primary diagnosis is made on the basis of data obtained during an objective examination of the patient, as well as a digital rectal examination. In order to clarify the diagnosis with internal form of hemorrhoids, sigmoidoscopy and anoscopy are performed. If there is not enough data, use the colonoscopy method. In some cases, conduct an x-ray examination of the colon with contrast.
According to various sources, the prevalence of pathology among the adult population is 20–80%.
When bleeding from hemorrhoids may require angiography.
Differential diagnosis with rectal tumors, secondary syphilis, paraproctitis is necessary. The early stages of hemorrhoids are similar to some helminth infections.
Treatment of hemorrhoids in men
The treatment of hemorrhoids in men in the early stages is carried out by conservative methods.
Topically used anti-inflammatory, analgesic, if necessary antibacterial drugs in the form of ointments, gels, rectal suppositories, microclysters.
With significant bleeding from hemorrhoids, hemostatic drugs are prescribed, in the case of thrombosis, thrombolytics or anticoagulants are prescribed. With the ineffectiveness of drug therapy, thrombi are surgically removed.
Conservative treatment can be supplemented with a massage (point, rectal, canned or hardware).
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In the later stages of the disease, drug therapy is exclusively symptomatic. The main treatment is to remove hemorrhoids. Currently, preference is given to minimally invasive methods:
- sclerotherapy is a method in which a sclerosant is injected into a node — a drug under which the walls of the affected veins stick together, the blood flow in them stops, and the node is reduced in size and then dies
- infrared coagulation - the hemorrhoid is destroyed by infrared radiation,
- electrocoagulation - hemorrhoids are subjected to electric shock,
- cryodestruction - destruction by means of ultra-low temperature provided by liquid nitrogen,
- laser therapy - the hemorrhoid is destroyed by laser exposure,
- ligation with latex rings - the dropped out hemorrhoidal knot is tied up with a latex ring that compresses the knot, breaking and then stopping the blood circulation in it, which leads to its destruction.
In the later stages of the disease, when minimally invasive methods of treating hemorrhoids in men are ineffective, surgical treatment of hemorrhoids is performed using the method of hemorrhoidectomy - removing hemorrhoids by bandaging them and then excising them.
An important element of treatment is lifestyle modification. It is necessary to abandon bad habits, shows regular (but not excessive) exercise, a diet with the exception of spicy, spicy dishes, fatty foods. The share of refined products should be reduced by increasing the content in the diet of fermented milk products and coarse fiber - fresh and heat-treated vegetables, cereals, whole-grain flour products.
In order to prevent the development of hemorrhoids in men, the following measures are recommended:
- timely treatment of diseases of the gastrointestinal tract, causing chronic stool disorder,
- balanced diet,
- thorough toilet of the anal area after stool,
- Avoid excessive physical exertion, especially weight lifting,
- moderate but regular physical activity
- maintaining normal body weight.
Hemorrhoids: types, stages
The causes, symptoms, treatment of pathology will be presented to you later. Before this it is necessary to give a description of the disease itself, and also to tell about its main forms and types.
Hemorrhoids are the formation that is located on the walls of the rectum. It appears due to defects in the intestinal walls, as well as disruption of the blood vessels. In the process of progression of hemorrhoids, the walls of the vein greatly expand, and the blood stagnates and thickens. Subsequently, the inflammatory process begins. According to its location, the hemorrhoid can be internal and external. Also education has 4 main stages:
- 1 - nodes of small size and practically do not show themselves,
- 2 - the first signs of hemorrhoids are determined, the inflammatory process begins,
- 3 - nodes do not set up independently after falling out, but you can return them to their place by hand,
- 4 - there is no possibility to set right knots, a strong inflammatory process progresses, palpation turns out to be unbearably painful.
In addition to the described types, hemorrhoids can be congenital and acquired. The second type of pathology is found in 80 percent of all cases. Also, acquired hemorrhoids are an independent disease or a consequence of another pathology.
Why does he appear?
Often, representatives of the stronger sex are tormented by the question of what are the causes of hemorrhoids. In men, why does illness arise? Answer it is definitely not possible. The factors that contribute to the progression of the disease are still being studied. If you consult a specialist, then the doctor will probably be able to find the true cause of your illness. It can be individual for each person.
As you can see, men are more interested in this problem. Patient age usually ranges from 30 to 50 years. Young people are less likely to suffer. Indeed, representatives of the stronger sex are more often faced with a problem. Women may also have hemorrhoids, but most of them will immediately consult a specialist. Men do not want to talk about their problem to the last. When this occurs, a vicious circle, goes into the next stage of hemorrhoids. The causes of men in this pathology may be different. Consider why the disease develops, which are the main prerequisites for this.
Constipation and poor nutrition
Why do hemorrhoids appear? The causes of men, which can be called the main ones, are a violation of the digestive system and an obstruction of the bowels.
Most of the stronger sex refuse to eat properly. They prefer to eat fatty meat food, fast food, various sauces and a lot of spices. All this leads to the formation of slags and plaques in the vessels. Due to an insufficient amount of fiber, inhibition of intestinal activity occurs. As a result, constipation occurs. So, in the presence of nodes, most patients can not properly empty the intestines.
Alcohol use and smoking
Hemorrhoids cause men and has in the form of bad habits. Almost every second patient regularly consumes alcohol. Moreover, the higher their strength, the more likely the development of pathology.
During drinking and smoking, blood pressure rises. The veins of the lower limbs and pelvis are filled with blood. Vessels begin to stretch, forming knots. Exacerbated by morning diarrhea. After all, often after consuming a large amount of alcohol a person experiences intestinal disorders.
Strong physical exertion
In recent years, hard sports have become a very popular activity. Men for hours can carry dumbbells and barbells, without thinking about the consequences. Some representatives of the stronger sex are forced to lift weights in connection with their professional activities.
All such stresses lead to the development of hemorrhoids. In the presence of pathology, physical activity can provoke their loss. In this case, the continuation of classes will only aggravate the situation.
Professional activities and hemorrhoids
Causes in men are often associated with prolonged sitting. The disease develops among drivers, programmers, accountants, computer games lovers and just lazy people leading a sedentary lifestyle.
If a man has to sit up to 6 hours a day, then there is a stagnation of blood in the pelvic organs. Clothes can aggravate a situation: narrow swimming trunks, jeans, trousers. As a result, after a few years of such a lifestyle, a hemorrhoid arises.
Symptoms of the disease
Symptoms of pathology are usually manifested in a complex. At the very beginning of the disease a person may not notice the disease at all. However, in the absence of timely examination and treatment, the disease begins to manifest itself every day more and more.
- Most often patients complain of pain. It may be accompanied by itching, burning. The pain appears in the process of defecation and persists for some time after the act. In the later stages, the discomfort does not leave the patient at all.
- Most men suffering from hemorrhoids, mark the discharge of blood and mucus from the anus. This happens after a bowel movement or after lifting weights. It is worth noting that the higher the stage of the disease, the more serious the situation may be. In severe cases, the patient suffers from anemia, severe blood loss.
- Constipation and discomfort are permanent signs of hemorrhoids. To facilitate bowel movements, most patients use fast-acting laxatives, but this only aggravates the problem. A man suffering from hemorrhoids, always feels a foreign body in the rectum, he has a feeling of incomplete emptying.
- Loss of nodes is a clear sign of hemorrhoids, which appears at stage 3-4 of the disease. The patient can independently detect nodules in the anus. In most cases they are painful.
If you have one or more symptoms of pathology, you should definitely see a doctor. The specialist will describe in detail what causes hemorrhoids in men. The treatment will also be tailored to your individual needs.
You already know what are the causes of hemorrhoids in men. Women this pathology is less common. To get rid of the disease, the representative of the stronger sex is necessary to reconsider their lifestyle.
For a start it is worth switching to a normal diet. Try to eliminate fatty, heavy foods. Eat more fiber. It is contained in all types of vegetables and fruits, herbs. Drink more pure water, eliminate carbonated drinks and alcohol. Give preference to walking. Go to work on foot, and during the working day periodically walk through every two hours of uninterrupted sitting. Now you know what causes hemorrhoids. And treatments must be appropriate. If the disease develops due to constant training and stress, then such a sport should be excluded.
At the earliest stages of the disease, the patient may well improve his health with medications. However, the appointment must be made by the doctor after examination and testing. Much depends on the type of pathology.
For the treatment of external hemorrhoids are used ointment ("Hepatrombin", "Heparin", "Vishnevsky" and so on). They are applied exclusively to the cleaned anus. If the formation is located inside, then candles are recommended (“Proktoglvenol”, “Relief” and others). They should only be inserted after emptying the bowels. Often these forms of medication are combined with oral medications (“Detralex”, “Troxevasin”, “Venarus”). You can take medicine for a short time, and if there is no effect, you should think about other methods of correction.
Minimally invasive treatments
If there is no effect from medication, then you need to turn to other methods of treatment. The most popular are such methods as ligation and hardening.
When ligating, the hemorrhoid is compressed by a silicone ring. Thus, there is a cessation of nutrition of tissues, and hemorrhoids disappear. During sclerotherapy, the doctor injects the desired drug in separate nodes. Then they are replaced by connective tissue. After the described procedures, constant prevention of pathology is necessary.
A small conclusion: the results
From the presented article, you learned the main signs of hemorrhoids in men. And the main reasons are presented to your attention. Remember that at the first manifestations of the disease you need to consult a specialist. The sooner you begin treatment, the better the result will be. Do not take any drugs yourself. Improper therapy can only aggravate the problem.
Causes of disease
The basis for the development of hemorrhoids is two reasons - dysfunction of the vascular apparatus of the anorectal region and weakness of the rectal muscles.
In the submucosal layer of the rectum and under the skin of the anal region are located cavernous bodies, which consist of hemorrhoidal veins.
Various negative factors lead to a loss of tone of the walls of the venous vessels, as a result of which the balance between the inflow and outflow of blood from the hemorrhoidal veins is disturbed. These vessels do not cope with the load placed on them, as a result of which they overflow with blood, and their walls are stretched and deformed to form hemorrhoidal lumps.
In the absence of timely treatment, hemorrhoids increase and begin to fall out through the anal ring to the outside. This occurs through dystrophic changes in the longitudinal muscle of the rectum, which can no longer hold hypertrophic cavernous veins inside the rectal canal.
Provocative factors for hemorrhoids
The described pathological processes contribute to a number of factors provocateurs, namely:
- sedentary lifestyle,
- unhealthy and unbalanced diet,
- chronic constipation or diarrhea,
- alcohol abuse
- genetic predisposition
- excessive physical activity associated with weightlifting,
- volume of the pelvic organs,
- cirrhosis and others.
Depending on the location of the nodes, it is customary to distinguish three forms of hemorrhoids: internal, external, and combined.
Internal hemorrhoids are a varicose cavernous veins of the submucosal layer of the rectal canal, which are located above the dentate line of the anus. In the initial stages of the disease, the nodes are inside the anal canal, but over time they begin to fall out through the anal ring.
External hemorrhoids are the form of the disease in which the deformity and hypertrophy of the saphenous veins located below the dentate line around the anal ring occurs.
Combined hemorrhoids are the most severe form of the disease and implies the simultaneous presence of internal and external hemorrhoids.
The course of hemorrhoids is divided into acute and chronic.
Acute hemorrhoids is called a complicated course of the chronic form of the disease in the form of anorectal thrombosis.
Chronic hemorrhoids are divided into several stages.
In the clinical course of internal chronic hemorrhoids, the following stages are distinguished:
1st stage: hemorrhoids are small and are inside the anal canal,
2nd stage: the hemorrhoid reaches a size sufficient to sag through the anal ring that occurs during bowel movements. After an emptying of the intestine, the lump independently sets in the rectal canal,
3rd stage: hemorrhoids cones fall out of the anus during bowel movements, as well as with intense laughter, coughing, sneezing or lifting weights, but then return to the site on their own or the patients manually reset them,
4th stage: at this advanced stage, hemorrhoids fall out at the slightest exertion, but can no longer be set off independently.
In the clinical course of external hemorrhoids, there are three degrees, namely:
- first degree: at this stage of the disease, the outer cones are small and have no signs of inflammation,
- second degree: determined dense inflamed hemorrhoids on the background of edema and hyperemia of the anus tissues,
- third degree: the inflammatory process extends to all tissues of the anorectal region. In the anal ring are defined tumor formation, which are inflamed hemorrhoids cones cherry color. (see photo).
The first signs of hemorrhoids in men
The first signs of hemorrhoids in men can be the following:
- discomfort in the anal canal, especially after going to the toilet,
- feeling of incomplete emptying of the rectum during bowel movements,
- feeling of pressure in the rectal canal,
- itching and burning in the anus,
- pain in the rectum during bowel movements,
- the release of a small amount of blood during a bowel movement, which can be seen in scarlet drops on feces or toilet paper.
If a man does not turn to a specialist, the disease progresses: the symptoms described increase, becoming permanent, and hemorrhoids begin to fall out from the anus. Therefore, you can not ignore your problem or be ashamed of it, you need to contact the nearest medical facility to a proctologist or a surgeon.
Common symptoms in men with hemorrhoids
Hemorrhoids in men may manifest the following symptoms:
- frequent constipation, which arise from the overlap of the rectal canal lumen,
- mucus from the anus, which irritates the perianal tissue,
- hemorrhoidal bleeding during and after stool,
- soreness in bowel movements. With the infringement of hemorrhoids or tears of the anal ring, the pain becomes permanent,
- anal itching, which is caused by moist secretions from the anus, anal fissures and eczema of the perianal folds,
- sagging hemorrhoids cones,
- lower abdominal pain and lower back,
Signs and symptoms of internal hemorrhoids in men
Symptoms of internal hemorrhoids depend on the stage of the disease. At the initial stages, there may be no manifestations of the pathological process, but with the progression of the disease, the clinical picture of hemorrhoids is complemented by symptoms of its complications.
The presence of internal hemorrhoids can be the following symptoms:
- foreign body cleansing in the rectum,
- a feeling of fullness of the anus,
- rectal bleeding after bowel movement,
- itching and burning in the anus,
- pain in the anus during stool and after it,
- detection of tumor-like formations in the anus after defecation, etc.
Signs and symptoms of external hemorrhoids in men
External hemorrhoids can be independently recognized at the start of the disease, since they are located in the rectum and the patient can examine them with the naked eye.
External hemorrhoids differs from internal hemorrhoids, which is present from the first days of the disease. In addition, the pain bothers the patient even at rest.
Also, hemorrhoidal bumps of the outer localization are easily injured during bowel movements, sitting on a hard chair, tight underwear or clothing, which also causes severe pain.
Another symptom of external hemorrhoids is bleeding, which is manifested in the injury of hemorrhoids to the feces.
What is dangerous in men hemorrhoids?
In the absence of adequate treatment of hemorrhoids in men there is a risk of complications.
The most common effects of hemorrhoids are:
- anal tears. This complication occurs due to constipation, since the epithelium of the anal ring is damaged by hard feces,
- pinching of internal hemorrhoids in the anal ring. This consequence of the disease is accompanied by severe pain and dangerous necrosis of the fallen node,
- anorectal thrombosis. This complication occurs more often with external hemorrhoids and is characterized by the formation of a blood clot inside the hemorrhoid lump,
- hemorrhoid necrosis. This complication occurs against the background of infringement or thrombosis of the nodes, due to circulatory disorders,
- paraproctitis. In the human intestine there is a large number of different bacteria that can penetrate deep into the tissues of the anorectal zone through cracks, causing the formation of an abscess. Paraproctitis is dangerous because it can lead to infection of the blood.
How to treat hemorrhoids in men?
Hemorrhoids can be cured only with the help of complex therapy, which consists in the following principles:
- lifestyle correction: avoiding bad habits, maintaining an active lifestyle, exercise dosing,
- healthy and balanced nutrition: exclusion from the diet of foods that contribute to the disruption of the intestines and adequate consumption of foods rich in fiber,
- conservative therapy: a combination of taking systemic drugs with the use of topical agents,
- minimally invasive methods of surgical correction of hemorrhoids,
- radical surgical techniques.
Systemic hemorrhoidal therapy
For the treatment of hemorrhoids in both women and men, systemic venotonic preparations are used, which normalize the tone of the walls of the cavernous veins and reduce their permeability. Thus, venous congestion in the veins of the anorectal region is eliminated, tissue swelling and inflammation are reduced.
The most effective today are the following venotonics:
Topical treatment of hemorrhoids in men
Ointments, creams, gels and rectal suppositories are today an integral part of any anti-hemorrhoidal therapy. All drugs of local action, differ in their therapeutic effects. A wide range of pharmacological properties allows you to perform the following tasks for hemorrhoids:
- relief of pain, itching and burning in the anus,
- stop bleeding,
- resorption and prevention of blood clots,
- reduce the severity of inflammation,
- accelerate tissue repair.
Local remedies for the treatment of hemorrhoids in men may be the following:
- candles and ointments Relief,
- candles and ointment Prothrombin G,
- candles and ointment Proktozan,
- Rectal Capsules and Proctosedil Ointment
- Aurobin ointment,
- candles Natalsid,
- candles with sea buckthorn oil and others.
Minimally invasive surgical techniques
High efficacy in the treatment of hemorrhoids in men is observed after the following minimally invasive operations:
- ligation of nodes with latex rings,
- sclerosis of hemorrhoidal cones by injection of a special preparation-sclerosant,
- coagulation of hemorrhoidal cones by infrared rays,
- laser coagulation of hemorrhoidal cones
- dearterization of hemorrhoidal cones,
- destruction of hemorrhoidal cones by liquid nitrogen.
All minimally invasive techniques are aimed at stopping the blood supply to the hemorrhoidal lump, as a result of which it subsides or dies, leaving it during defecation.
Radical treatment is carried out with hemorrhoids of the third and fourth stages, as well as by the patient.
Hemorrhoidectomy and Longo's operation belong to radical operations on hemorrhoidal cones.
The essence of hemorrhoidectomy is to remove the varicose hemorrhoidal veins.
The Longo operation is the removal of a part of the mucous membrane of the rectal canal and the stitching of the edge of the operative wound, as a result of which the hemorrhoids are pulled inward, and due to lack of blood supply they subside with time.
Rectal suppositories are prepared from decoctions and infusions of medicinal herbs, such as chamomile, sage, tarragon, calendula, oak bark, yarrow, highlander, and also from vegetables - beet, potato or cucumber. Very often for the manufacture of candles use honey, lard, propolis, mummy, vegetable and butter.
How is hemorrhoids formed
The main cause of hemorrhoids is the dysregulation of the inflow and outflow of blood in the vessels of the primum gut. As a result, vascular plexuses are formed in the lower part of the large intestine. In this area of the digestive tract there are many large and small vessels. From the excess of blood, the veins expand, swell, and protrude the walls, resulting in a hemorrhoid.
Causes of hemorrhoids in men
The development of the disease is triggered by some mechanisms. The following are the causes of hemorrhoids in men, as a result of which the disease process can progress:
Passive lifestyle. The work of many men is associated with a sedentary manner, for example, driving a car for hours, spending a long time in a chair at the computer. Men such professions as programmers, office workers, truckers and the like, are most susceptible to the formation of hemorrhoids. A sedentary lifestyle leads to stagnation of blood in the pelvis. But still this does not mean that every office employee suffers from this ailment. And the whole thing is mobility at least outside working hours, for example, you can walk a bit, actively spend weekends and so on. Many office workers, after serving all day in a work chair, change to a car seat and drive home. So there is stagnation, which over time is complicated and leads to hemorrhoids.
Constipation. This is no less common cause of hemorrhoids, since the normal functioning of the gastrointestinal tract requires the presence of fiber contained in fruits and vegetables. Many men prefer more nutritious food, such as meat dishes. Meat, as you know, causes slagging of the intestine and impairs its performance. Spicy seasonings in meat dishes provoke blood flow to the pelvis, resulting in the expansion of the veins and as a result, hemorrhoids can form.
Drinking alcohol. This is an excessive use of alcohol, which also provokes the expansion of blood vessels, as a result of increased blood flow. Accordingly, the more alcohol enters the body, the more aggravated the stagnation process. This risk factor is more relevant to men, since men often abuse alcohol.
The disease is located near organs. Next to the rectum in men is the bladder and prostate gland.With the disease of these organs, inflammation can also touch the rectum, which, in turn, can provoke inflammation and varicose veins of the rectum.
Weight lifting This factor provokes the appearance of hemorrhoids in men, often lifting heavy objects, for example, in weightlifters or porters.
Age. This is a significant reason for the formation of the disease, because with age, the walls of blood vessels weaken as a result of aging. This process does not bypass anyone, but if in women the weakness of the vascular walls often leads to varicose veins, in men it leads to hemorrhoids.
Unfortunately, many men are not ready to abandon their usual way of life and get rid of factors that provoke not only hemorrhoids, but many other diseases. Based on the views of the majority of men - do not get rid of what, and so may not be. In this case, it remains only to learn to recognize the symptoms of hemorrhoids and to go to treatment in time to avoid exacerbations and painful disease progression.
Types of hemorrhoids in men
Hemorrhoids are divided into three types depending on the location of the inflamed vessels:
- External type - hemorrhoids are located under the skin around the anus,
- Internal type - hemorrhoids are located under the mucous membrane of the rectum 3 cm above the anus,
- Mixed type - hemorrhoids are located under the intestinal mucosa and around the anus.
The first signs of hemorrhoids
At the initial stage of development of hemorrhoids in men, signs are mild, the symptom is only a slight itching and burning, which men often do not attach importance to.
Important: In order to identify this disease for sure, it is necessary to understand the sensations. There is a sense of the presence inside the rectum of a foreign body. This sensation is caused by inflamed and swollen venous nodules. After emptying relief is not felt.
If the nodules began to fall out - this indicates a complication of the disease. Loss of knots is accompanied by the release of caustic mucus, causing inflammation and redness of the skin around the anus. Slime can be found on underwear or toilet paper.
Stages of development of hemorrhoids: symptoms
The development of the disease proceeds in stages. In both men and women, hemorrhoids go through the same stages:
- Stage 1 - openly symptoms usually do not appear. Venous nodes slightly enlarged. The first signs of hemorrhoids include slight burning and itching in the anus, but severe pain does not bother the man.
- Stage 2 - venous nodes are enlarged and may fall out. After emptying the nodules are restored to their original location. Sometimes you can see blood droplets on toilet paper.
- Stage 3 - pain aggravated, nodules greatly expanded and fall out not only during emptying, but also during the lifting of heavy objects. At this stage, the nodules can be adjusted to their original location, but bleeding occurs more often.
- Stage 4 - venous nodules fall out without any reason. Return them yourself is almost impossible. Nodules thrombose and cracks are formed.
In addition to the above symptoms of hemorrhoids, a man may be bothered by pain while walking and sitting. The pain can occur even at night. To touch you can find soft painful bumps. If the disease is neglected, the man constantly feels pain, and ulcers appear as an infection gets into the cracks. There are swelling, which, when inflammation can capture the entire perineum. Vital processes are hampered, urgent treatment is required. In case of severe bleeding, doctors resort to an operable treatment method.
How much time it takes to flow from one stage to another is impossible to say, since the process is individual for each person. The speed of transition from the first to the last stage depends on lifestyle, food, bad habits and heredity.
Consequences of the disease: complications of hemorrhoids
If you start treatment in a timely manner at an early stage, you can do without the complications and unpleasant consequences that make human life unbearable. But if you ignore the symptoms and do not take any measures, the hemorrhoids can turn into serious and dangerous diseases. The results of inaction may be as follows:
Cracks in the anal canal. If we do not pay attention to burning and itching in time, the disease gradually flows into the subsequent stages, at which cracks form, which serve as gates for various infections. If infections penetrate the fissures, purulent inflammation forms.
Pinched venous nodes. In the final stages, nodes often fall out, as a result of which they can be pinched. This is fraught with acute pain, severe inflammation of the tissues, which leads to necrotic processes.
Acute thrombosis. Hemorrhoids are also dangerous for the formation of blood clots in the venous nodules of the male rectum. Such a process is always accompanied by severe pain. The method of treatment in this case is emergency surgery to remove blood clots.
Ulcerative colitis. The rectum is part of the gastrointestinal tract. There are cases when inflammation spreads from the lower part of the rectum to other parts of the large intestine. This process leads to the formation of ulcers of the mucous membrane and disruption of the entire gastrointestinal tract.
Pararectal abscess. This is inflammation of the subcutaneous fat near the anus. During exacerbations, inflammation is accompanied by ulcers, or a pararectal fistula can also form, with the result that the infection enters the body of a man.
Gas gangrene. If hemorrhoids flow into the stage of ulcers, the pus can penetrate into the pelvic area. This extremely dangerous disease can be fatal to the patient.
Potency. Inflammation of hemorrhoidal vessels can spread to adjacent organs, including the testicles. In this case, the activity of sperm decreases. In advanced stages, it is fraught with sterility.
Crayfish. This is one of the most dangerous complications of hemorrhoids among men, as a result of which a malignant tumor of the rectum appears. Patients often confuse symptoms of inflammation of the venous nodes and oncology. If untreated, the disease will be fatal.
Treatment methods for hemorrhoids in men
This disease is treated quickly and easily only in the early stages, like many other diseases. The main condition for the treatment of hemorrhoids, not only for men but also for women - is a clear implementation of all the recommendations of the doctor. The course of treatment is important to conduct in accordance with the recommendations to complete. It is impossible to stop treatment while relieving symptoms, it is important to complete the course. An unfinished course of treatment increases the likelihood of a relapse.
At the first symptoms, you should immediately go to the hospital. A doctor who treats rectal diseases, including hemorrhoids, is called a proctologist. In modern medicine, the term "proctologist" is replaced by "coloproctologist", since the duties of the proctologist were supplemented with treatment of the large intestine.
In medicine, there are many ways to treat hemorrhoidal nodules. The treatment regimen is selected individually by the proctologist. With mild symptoms, the proctologist usually prescribes conservative therapy, that is, the use of medications, the use of ointments and suppositories. In the second or third degree of illness, the doctor prescribes medications and uses sparing methods of surgery: sclerotherapy or latex ligation. Only surgical intervention, namely hemorrhoidectomy, will help in the advanced stages. After surgical removal, treatment will be continued with drugs.
Recommendations proctologist for the treatment of hemorrhoids
First of all, the treatment of the patient should begin with the factors affecting the disease process. The patient needs to give up alcoholic beverages, reduce physical exertion and eat right.
This suggests that the treatment of hemorrhoids is not only surgery or ointment, but also the elimination of provoking factors.
The conservative method is used to treat the disease in its early stages. These include:
- Ointments and creams,
- Rectal suppositories (suppositories),
In the latter stages of the disease, radical methods are needed for treatment. This also includes such methods as sclerotherapy, photocoagulation or cryodestruction. If these methods were ineffective, then surgery is used.
Local action drugs for the treatment of hemorrhoids in men
For the treatment of this disease are most often used ointments and suppositories. Typically, pharmaceutical organizations develop drugs simultaneously in 2 forms.
Such drugs help relieve burning and itching, stop bleeding, dilute blood clots, relieve puffiness, reduce inflammation and restore damaged tissue and mucosa.
For the treatment of external appearance, ointment agents are mainly used. Ointment needs to treat the inflamed area. For the treatment of the internal form of the disease most often used candles, which envelop the mucous membrane and quickly eliminate the symptoms of hemorrhoids.
Popular Hemorrhoid Drugs
The most common drugs include candles and ointments Relief. They are based on shark liver oil. Relief Advance is often used to relieve pain. The preparations of the same company, but from the Ultra series, are intended for relieving inflammation and drying wounds in the rectum.
An analogue Relif is drug Proktozan. It has a similar effect. Its advantage is a faster effect compared with the previous drug. Proktozan is prescribed for the treatment of the disease in the later stages. But this tool contains many contraindications, respectively, it can only be used after consulting with a proctologist.
Heparin-based preparations, for example, Hepatrombin G, are used to liquefy blood clots in the venous nodes. It comes in the form of suppositories and contains various ingredients that help remove puffiness, reduce inflammation and eliminate pain.
Medication for systemic exposure
To cure hemorrhoids, complex treatment is required. Therefore, doctors often prescribe drugs for general exposure. The main forms of drugs are tablets and capsules.
Medicines are divided into two groups:
- NSAIDs (nonsteroidal anti-inflammatory drugs) - for the relief of areas of inflammation and removal of acute pain. Such medicines include Ketonal, Diclofenac. But such tools also have contraindications and side effects, such as ulceration of the stomach walls.
- Venotonics - remove congestion in the venous nodes, promote healing and improve the condition of the inflamed area. Detraleks, Troksevazin, Phlebodia 600, Ginkor Fort, etc. are popular among venotonics. Sometimes these drugs are used for prophylaxis.
The course of this disease in men is a complex and stressful process. In order to prevent the onset of the disease, it is necessary to carry out preventive measures that will avoid unpleasant illness and complicated treatment. These activities include:
- Changes in the composition and nutritional standards. It is necessary to take food in small parts and fractionally. It is desirable to exclude fatty and spicy foods, as well as alcoholic beverages. The diet should include fruits and vegetables containing fiber.
- Hygiene. After emptying, wash the outside area with cool water.
- Prevention of constipation. You can not strain, so you should follow a diet. Sometimes you can take laxative drugs, which are based on lactulose.
- With a sedentary lifestyle, you need to do a physical warm up every 15-2.5 hours for 15 minutes. Charging is needed in the morning.
Hemorrhoids are a disease that requires timely treatment. But not every man sees a doctor at the first symptoms of the disease, and delaying complicates further treatment. In order to prevent such a disease and the associated troubles, it is necessary to regularly carry out preventive measures.
Signs and symptoms of hemorrhoids in men
The main symptoms of hemorrhoids in men include the following phenomena:
detection of blood after a bowel movement,
the presence of blood in the feces,
pain in the anus,
loss of hemorrhoids.
The first signs of hemorrhoids may not appear immediately. In the initial stage of the disease, minor symptoms are often ignored. Also, signs of hemorrhoids can be individual or appear more or less than other symptoms.
The main signs of hemorrhoids in men
The main signs of hemorrhoids in men are characterized by such phenomena as:
frequent constipation caused by compression of feces by hemorrhoids,
feeling of discomfort, burning and irritation in the anus,
loss of hemorrhoids,
painful defecation and tingling,
Causes of hemorrhoids in men
Hemorrhoids in men is individual, therefore, it is unlikely that it will be possible to identify the specific causes of hemorrhoids in each patient.
However, there are several main factors contributing to the development of hemorrhoids in men:
heredity. The probability of illness increases with the number of cases of hemorrhoids in the male relatives of the patient,
sedentary lifestyle, professional activity. Special risk groups include drivers, accountants, programmers and office workers. A sitting position for several hours or more leads to a slower circulation in the pelvis, which is a favorable condition for the development of hemorrhoids,
congenital malformations (for example, lack of valves in the hemorrhoidal veins),
heavy physical labor or hobbies associated with lifting weights,
chronic bronchitis, intestinal obstruction and tumors in the pelvis are often accompanied by the formation of hemorrhoids,
chronic and frequent constipation caused by insufficient consumption of fiber (vegetables and fruits) and eating meat in large quantities, which leads to slow digestion and stagnation of food,
excessive drinking. With abundant libations there is an increased blood flow to the pelvic region. Especially susceptible to the formation of hemorrhoids lovers of hard liquor,
What is dangerous hemorrhoids in men?
The most important and most common danger of hemorrhoids is the presence of rectal bleeding. If a small amount of bleeding is noted after a bowel movement, it is not so dangerous. However, bleeding can gradually increase, which will inevitably lead to immediate hospitalization. Bleeding that lasts for an hour (or more) requires a radical method of resolving the problem — an operation.
Another dangerous consequence of hemorrhoids in men is the formation of blood clots in the hemorrhoidal veins. Blood clots fall into the prolapsed nodes and can lead to thrombosis. Failure to take action can cause necrosis of a certain area of the intestine, since the rectum feeds on blood from hemorrhoids.At the initial stage, conservative treatment is prescribed, but if the phenomenon begins to take on a chronic character, the patient will have surgery.
Paraproctitis is another dangerous complication of hemorrhoids, characterized by purulent inflammation of the adjacent tissues. At the first symptoms of paraproctitis, it is necessary to consult a surgeon. If you do not start treatment in time, the inflammatory process can seize other tissues, leading to fistula formation. Pus can enter the abdominal area or retroperitoneal space.
Another consequence of neglected hemorrhoids is the formation of anal fissures, the occurrence of edema and discharge. When the inflammatory process spreads to the surrounding tissues, swelling of the entire groin area is possible.
Consequences of hemorrhoids in men
In time, untreated hemorrhoids can lead to a number of consequences:
Hemorrhoidal anemia. A decrease in red blood cell count can cause anemia, characterized by symptoms such as fatigue, lethargy, poor appetite, pallor of the skin, dizziness, exhaustion, etc. Loss of blood in large volumes can cause acute anemia, requiring urgent removal of a hemorrhoid,
Jamming of hemorrhoids. In the later stages of possible loss of hemorrhoids. The process is very painful and often accompanied by pinching nodes. As a result, an inflammatory process develops, leading to tissue necrosis,
Cracks in the rectum. The majority of men suffering from hemorrhoids, there are cracks in the rectum. Cracks are dangerous because they can cause paraproctitis.
Nonspecific colitis. Untimely cured disease leads to inflammation of the intestinal mucosa and ulceration. Nonspecific colitis is accompanied by weakness, indigestion, bloody and mucous secretions and a general deterioration of health,
Cryptit Hemorrhoids prevent the cavities in the anal canal from being emptied (the morgan crypts), which provokes their inflammation - cryptitis. The consequences of cryptitis can be paraproctitis, purulent proctitis and internal fistula,
Thrombosis. Congestion and stagnation in the nodes of the blood can lead to the formation of blood clots. This condition is accompanied by very painful sensations. The inflammatory process can affect the surrounding tissues, resulting in necrosis,
Paraproctitis. The condition is characterized by inflammation of fatty tissue around the rectum. The disease gradually leads to suppuration and acute paraproctitis. At the same time, the patient’s condition greatly deteriorates, then intoxication of the organism begins,
Fistula. The most favorable conditions for the penetration of infection - the presence of a fistula. It can disturb quite often or not make itself known for years. If treatment with antibiotics does not give the desired result, they resort to surgery,
Gas gangrene of the pelvis. Very dangerous and difficult to treat condition. Occurs when pus enters the pelvic area,
Malignant tumors. If the fistula exists for a long time, it can transform into cancer. The most terrible and most dangerous consequence of hemorrhoids is rectal cancer. Postponing a visit to a doctor can cost life, as the symptoms of hemorrhoids and cancer are very similar. When blood is detected in the feces, it is necessary to conduct all the examinations prescribed by the proctologist in order to exclude the presence of a malignant tumor.