Treatment for Hemorrhoids and Natural Remedies

Certain lifestyle changes can help relieve the symptoms of hemorrhoids, including:

  • Drink about 2 liters of water or other non-alcoholic liquids every day,
  • Staying in a tub of cold water for 10 minutes several times a day, Cold water has a vasoconstriction effect and helps reduce blood flow and the diameter of blood vessels, unlike hot water that attracts a greater amount of blood, so it is contraindicated,
  • Attention to the ice because although it numbs the anus, it can cause burns if it is not applied correctly,
  • Regular exercise to prevent constipation, simply walk for one hour, 3 times a week
    If possible, it is best to walk outdoors in a green park because it relaxes and helps to distract yourself,
  • Avoid excessive strain during defecation,
  • Swimming in the sea for at least 15 minutes a day helps fight the hemorrhoids, swimming in the pool does well,
  • Suppositories and over-the-counter creams can temporarily relieve the painand itching of hemorrhoids.
    These treatments should only be used for a short time because long-term use can damage the skin,
  • Most creams are made of chestnut or aloe vera . Vaseline may be used for pain during bowel movement, but it should be applied only at the level of the anus, you do not have to push it too far into the rectum.


Medications for Hemorrhoids

Creams, ointments and suppositories
Creams, oils and suppositories available without a prescription can be used to relieve the swelling and inflammation that exists around the anus.
However, these products treat only the symptoms and not the hemorrhoids.
These types of medications should only be used for five to seven days at a time.
If it is used for longer than this it can irritate the skin around the anus.
Any medication used should be associated with proper diet and self-treatment tips.
Do not take other medicines at one time because they may contain similar ingredients.

Cortisone cream
In case of severe inflammation of the anus, the doctor may prescribe a cortisonecream . This cream contains powerful hormones called steroids. Cortisone
cream should not be used for more than a week because it can thin the skin around the anus.

Analgesics like paracetamol can relieve pain caused by hemorrhoids.
Products containing local anesthetic (analgesics) may be prescribed to treat painful hemorrhoids.
They should only be used for a few days because they can make the skin around the anus more sensitive.

Your doctor may prescribe a laxative if the patient is constipated.
This is a type of medication that can help empty your bowel.
Laxatives can be:

  • Mass-forming laxatives  – which contain fibers to make stool softer and heavier, this way increases peristalsis.
  • Osmotic laxatives  –  increases the osmotic water in the intestine that makes the stool softer.

Medicines for capillary fragility

Your doctor may prescribe Daflon 500 for capillary fragility.


Diet and Natural Products for Hemorrhoids

Diet is the most important part in treating and preventing hemorrhoids.
Good nutrition is the basis of intestinal health.

According to conventional medicine, the main problem is constipation, so there are:

  • Alcohol,
  • Fried food,
  • Spicy foods
  • Excess nuts or almonds.

These tips may be helpful but generally do not solve the problem, in fact the patient may have inflamed hemorrhoids and fissures even with diarrhea.
The consequence is that often the patient takes medication or undergo surgery.

Many people have solved the problem of hemorrhoids with other types of food, such as the blood type diet or the vegan / raw food diet.
Based on these types of food, the culprits of inflamed hemorrhoids are foods rich in starch and cereals.
The differences between the two are the recommended and avoidable foods.



1) Fiber
Fiber has a beneficial effect in relieving the symptoms of hemorrhoids.
It can soften the stool and increase the mass, so that reduce the tension in the walls of the intestine.
Seven clinical trials for a total of 378 participants showed that fiber improves symptoms, including pain, discomfort and itching.
There are many ways to get more fiber.
You can eat high-fiber foods like whole grains and vegetables.
Psyllium is a cheap powdered fiber supplement available in supermarkets.
Among other options are linseed. No matter the origin of the fiber, it is important to drink plenty of water, otherwise it can worsen constipation.

2) Bioflavonoids
Bioflavonoids are substances contained in fruits that stabilize and strengthen the walls of blood vessels, reduce inflammation.
They reduce the discomfort, anal pain and blood loss during an acute hemorrhoid attack.
Side effects of bioflavonoids are mild and infrequent, this treatment is useful for hemorrhoids in pregnant women (the tangeretin of flavonoids, however, should not be used by people taking tamoxifen for breast cancer ).
The main flavonoids are found in citrus fruits, hesperidin (diosmin).
The Daflon is a product made from citrus bioflavonoid and has been shown to improve symptoms in pregnant women after just four days of use and reduces

  • Pain,
  • Weight,
  • Bleeding,
  • Pruritus.

3) HAMAMELIS cream or tablets
This product is made from the bark and leaves of a plant called Hamamelis virginiana, also known as witch hazel. You should not take it internally, but should apply on the anal area in liquid form as distilled water from Witch hazel or oil.
Witch hazel is used to decrease bleeding from hemorrhoids because it acts as an astringent.
It can also relieve the pain, itching and swelling associated with hemorrhoids.

4) Rusco
The Rusco has a long tradition of use for hemorrhoids and varicose veins. It is often used when there is poor circulation in the veins.

How does Rusco work?
Although scientists have not confirmed the effectiveness of the butcher’s broom for hemorrhoids, the extract of Rusco has anti-inflammatory properties, we think it can improve the tone and integrity of the veins and reduce tissue swelling.
The active ingredient is called Ruscus aculeatus.
The butcher’s broom can be taken in the form of capsules or tea.
Tea can be boiled for 10-15 minutes 1 teaspoon in a glass of water.
A butcher’s bale should not be used by:

5) Indian chestnut The Indian chestnut
plant (Aesculus hippocastanum) is often recommended when there is poor circulation in the veins or chronic venous insufficiency. In physical therapy it is often used in conjunction with Asian Centella to relieve swelling, inflammation and strengthen the walls of blood vessels. The active ingredient is called escin. The chestnut can be taken as a tea or capsule-shaped. It can also be applied externally as a cream. People who have allergies or take anticoagulants should not take the chestnut from India.

We should only use products made with the seeds or bark of the young branches because other parts of the plant are poisonous.
Although rare, side effects are:

  • Kidney damage,
  • Severe hemorrhage ,
  • Equimoses
  • Damage to the liver.

Surgery for Hemorrhoids

Mini-Invasive Procedures
If a blood clot forms inside the external hemorrhoids, your doctor may remove the clot with a simple incision that gives quick relief.
For persistent pain or hemorrhoid bleeding, your doctor may recommend other outpatient treatments, including :

Elastic ligation
The doctor will insert one or two small bands of rubber around the hemorrhoidal base to reduce circulation.
To access the interior of the rectum, the doctor uses an Anuscope, a thin, flexible tube that is used to view and insert instruments for the procedure.
The hemorrhoids go into necrosis in about a week and fall along with the ribbons.
This procedure is effective and is still current.
Healing occurs in less than a month.
The procedure is performed in a hospital-day and, a few hours later, the patient can return home.
Among the complications there is bleeding after 2/4 days of ligation, but it is rarely severe.
When the hemorrhoids crust falls, you will notice large blood stains on toilet paper and underwear.
You can repeat the ligature in case of recurrence.

Injection (sclerotherapy)
In this procedure, the physician injects a chemical into the tissue to shrink the hemorrhoids.
While the injection causes little or no pain, it may be less effective than the elastic bandage.

Coagulation (infrared  or bipolar laser )
Coagulation techniques use laser, infrared rays or heat. The effect is to harden small internal hemorrhoids and bleeding.
Although coagulation causes few side effects, it has a higher rate of recurrence of hemorrhoids compared to treatment with elastic ligation.


Surgery to treat hemorrhoids

Some hemorrhoids can not be controlled with outpatient treatments or natural remedies because the symptoms persist or if the internal hemorrhoids are prolapsed. Fortunately, there are a number of mini-invasive surgeries that are less painful than the traditional removal of hemorrhoids (hemorrhoidectomy) and allow for a faster recovery.
These interventions are usually performed in an office or as an outpatient surgery in the hospital.



You may need surgery if there are large hemorrhoids, external hemorrhoids with internal daticing symptoms or persistent hemorrhoids that come back despite the elastic ligation.
In a traditional hemorrhoidectomy operation, the surgeon makes a small incision around the external hemorrhoidal tissue and removes the tissue from the hemorrhoids.
This works in 95% of the cases, the treatments have a low rate of complications.
The problem is that patients complain of strong postoperative pain.
The intervention does not involve an overnight stay in the hospital, but requires general anesthesia and most patients require analgesics or narcotics for pain.
Usually, patients can return to work after 7-10 days.
Despite the disadvantages, many people are happy to find a definitive solution to hemorrhoids.


Intervention for hemorrhoids with Long method

The hemorrhoidosis also called surgical stapling  or Long method is relatively new to the treatment of hemorrhoids, but quickly became one of the treatments of choice for third and fourth degree hemorrhoids.
The intervention of Longo does not remove the hemorrhoids , but the circular range of hemorrhoidal support tissue stretched and weak that allowed the hemorrhoids to prolapse downward.
This surgical technique is performed by hemorrhoidal prolapse of.

  • High school,
  • Third degree,
  • Fourth grade,
  • Anal prolapse

The advantages of this surgical technique are:
The intervention acts on the non-innervated tissues, so the patient will have little postoperative pain;
The anesthesia is local , but you can do a regional or general anesthesia;
The patient can return to daily activities within a week;

Pph kit (dilator, stapler and anuscope)

Description of the intervention

  • dilator is inserted into the anal canal that reduces the prolapse of hemorrhoids.
  • Through the dilator, an anuscope is inserted that allows the introduction of surgical tweezers.
  • Now you need to isolate or group the tissue to be removed into the rectum.
  • The surgeon makes a circular suture of mucosa and submucosa to be removed that is located above the prolapse of hemorrhoids. In this way, a sleeve of circular tissue (ring) is formed.
  • A stapler is introduced through the dilator. You can insert the wires through two holes in the stapler. It is an instrument with a cone-shaped head that penetrates beyond the sutured mucosa to be removed and incorporates it.
  • The suture strands are pulled to bring the anal mucosa into the stapler .
    Subsequently, the stapler:
    1. Cut and remove the tissue that had been prepared and sutured,
    2. Apply at the same time the staples  to correct and suture the anal mucosa.
  • The consequence is that the hemorrhoids return from the anus to the rectum.

The staples come out in time and are expelled from the body together with the stool.
The process takes approximately 30 minutes;



How long do hemorrhoids last?

The prognosis is subjective, heavily dependent on the degree of hemorrhoids and lifestyle changes.
If hemorrhoids are mild, you can avoid surgery.
Whoever eats fried potatoes and nutella every day will find it difficult to heal spontaneously, if you follow a healthy diet and regular exercise, you can solve this problem without the need for surgery.