Internal hemorrhoids are a common medical condition that affects millions of people worldwide. These inflamed blood vessels in the rectum can cause discomfort, pain and irritation. Fortunately, there are several effective treatment options to relieve symptoms and provide relief. Here, we are going to explore some of the best medications for internal hemorrhoids.
Sclerotherapy:
This no n-surgical procedure consists in the injection of a chemical solution directly into the hemorrhoid, which makes it breath and finally falls.
- Topical creams and ointments:
Creams and free sale ointments contain hydrocortisone or hamamelis can help reduce itching, swelling and discomfort associated with internal hemorrhoids.
Infrared photocoagulation:
Also known as coagulation therapy, this method uses infrared light to create scar tissue, which cuts blood supply to the internal hemorrhoid.
| Treatment option | Description |
|---|---|
| Hemorridectomy: | Surgical procedure consisting of the removal of hemorrhoidal tissue. |
| Elastic band ligation: | A small elastic rubber is placed around the base of the hemorrhoid, cutting its blood irrigation and causing it to wither in a few days. |
| Stool softeners: | To avoid effort during defecation, feces softeners are used that facilitate evacuation. |
It is crucial to go to the doctor to determine the most appropriate treatment option based on the severity of internal hemorrhoids and their general state of health. Remember to maintain a healthy lifestyle, including a diet rich in fiber and regular exercise, both to prevent and control the recurrence of internal hemorrhoids.
- Understanding Internal Hemorrhoids
- Choosing the right treatment for internal hemorrhoids
- Surgical treatments:
- Over-the-counter options for managing internal hemorrhoids
- Table: Comparison of over-the-counter options for internal hemorrhoids
- Prescription Medications for Internal Hemorrhoids
- Prescription Medications for Internal Hemorrhoids
- Exploring Natural Remedies for Treating Internal Hemorrhoids
- Non-surgical Procedures for Internal Hemorrhoids
- Surgical Interventions for Severe Cases
- Lifestyle Changes to Prevent and Manage Internal Hemorrhoids
Understanding Internal Hemorrhoids
Causes: Internal hemorrhoids develop when the veins of the rectum or anus swell or inflame. There are several factors that contribute to their appearance, such as chronic constipation, the effort when defecating, pregnancy, obesity and sedentary lifestyle. These factors increase the pressure on the rectal veins, which causes their enlarged and the consequent hemorrhoid formation.
Reality: Internal hemorrhoids are classified into four degrees, depending on their gravity. Degree I hemorrhoids are those that do not prolapse (stand out) beyond the rectum, while grade IV hemorrhoids are severe cases in which hemorrhoids are permanently prolapsed and cannot be manually pushed back.
- Symptoms: Internal hemorrhoids usually present various symptoms, such as rectal bleeding during or after defecation, presence of bright red blood in stool, itching, discomfort and pain in the anal region. In some cases, internal hemorrhoids can also cause a sensation of incomplete intestinal evacuation or the sensation of a bulk or swelling inside the rectum.
- Treatment options: The treatment of internal hemorrhoids depends on the severity of the condition. In mild cases, lifestyle modifications, such as increasing dietary fiber intake, staying hydrated and avoiding effort during defecation, can help relieve symptoms and prevent greater worsening of condition. Topical sale creams and ointments can also temporarily relieve itching and discomfort.
Expert Council: It is advisable to consult a healthcare professional if the symptoms persist or get worse, since it may recommend treatment options appropriate to individual needs. In some cases, procedures such as ligation with elastic band, sclerotherapy or surgical intervention to treat serious or persistent internal hemorrhoids may be necessary.
| Degree | Description |
| Grade I | Without prolapse |
| Grade II | Prolapse with effort, but it is spontaneously reduced |
| Grade III | Prolapse with effort and requires manual reduction |
| Grade IV | Prolapse that cannot be manually reduced |
Choosing the right treatment for internal hemorrhoids
1. No n-surgical treatments: In many cases, internal hemorrhoids can be effectively treated with no n-surgical treatments. These options are usually recommended for milder cases. A popular no n-surgical approach is the use of creams, ointments and free sales suppositories that contain ingredients such as Hamamelis or Hydrocortisone to reduce inflammation and relieve symptoms. Another no n-invasive treatment option is sclerotherapy, in which a chemical solution is injected into the hemorrhoid to reduce its size.
Tip: No n-surgical treatments can be a good first line of defense and, usually, it is sure to try them at home. However, if the symptoms persist or worsen, it is advisable to consult a health professional for additional evaluation and orientation.
Surgical treatments:
If no n-surgical treatments do not provide relief or if internal hemorrhoids are serious, surgical intervention may be necessary. The objective of surgical treatments is to remove or reduce hemorrhoids to relieve lon g-term symptoms. A frequent surgical intervention is hemorrhoidectomy, in which hemorrhoids are surgically removed. This procedure is usually reserved for serious cases or when other treatment options have been ineffective. Another surgical option is the ligation with elastic band, in which a small elastic band is placed around the base of the hemorrhoid, cutting its blood irrigation and causing it to breathe over time.
- Hemorridectomy: This surgery consists of the complete removal of hemorrhoids under general anesthesia. It is usually recommended for large or prolapsed hemorrhoids that have not responded to other treatments.
- Elastic band ligation: In this procedure, an elastic band is placed around the base of the hemorrhoid, cutting its blood irrigation. The hemorrhoid will shrink and fall in a week.
| Treatment | Description |
|---|---|
| No n-surgical treatments | Includes creams, ointments, suppositories and free sale sclerotherapy. |
| Hemorridectomy | Surgical removal of hemorrhoids under general anesthesia. |
| Elastic band ligation | Placement of an elastic rubber around the hemorrhoid to cut its blood irrigation and favor its contraction. |
Over-the-counter options for managing internal hemorrhoids
Topical creams and ointments: One of the most used free sale treatments for internal hemorrhoids are topical creams and ointments. These products usually contain ingredients such as hydrocortisone or hamamelis, which can temporarily relieve itching, inflammation and pain. When applied directly to the affected area, these creams and ointments help reduce inflammation when contracting the blood vessels.
- Hydrocortisone creams: Hydrocortisone creams, available in different concentrations, can help relieve itching and inflammation associated with internal hemorrhoids. It is important to follow the instructions provided and use the cream only as indicated.
- Hamameli s-based products: Hamamelis is a natural astringent that helps to get inflamed blood vessels and calm irritated tissues. Hamamelis wipes or compresses can be applied directly on the affected area to relieve pain.
Note: Although these free sale options can provide relief, it is essential to consult a healthcare professional if the symptoms persist or get worse. They can provide adequate diagnosis and recommend other treatment options if necessary.
Table: Comparison of over-the-counter options for internal hemorrhoids
| Treatment | Main ingredients | Purpose | Utilization |
|---|---|---|---|
| Hydrocortisone creams | Hydrocortisone | Relieves itching and inflammation | Apply a thin layer to the affected area as directed. |
| Witch hazel-based products | witch hazel | Constricts inflamed blood vessels and soothes irritated tissues | Apply directly to the affected area with wipes or compresses |
When considering over-the-counter options for treating internal hemorrhoids, it is important to carefully read and follow the directions on the product packaging. It is also advisable to consult a healthcare professional to obtain a proper diagnosis and guidance on the most appropriate treatment options based on individual needs and the severity of symptoms.
Prescription Medications for Internal Hemorrhoids
The medical community recognizes several types of prescription medications suitable for treating the symptoms of internal hemorrhoids. One of the most prescribed options is a topical cream that contains a corticosteroid, such as hydrocortisone. This powerful anti-inflammatory medication helps reduce swelling and irritation, providing quick relief. Another prescription medication is a rectal suppository or ointment that contains a vasoconstrictor such as phenylephrine. Vasoconstrictors work by constricting blood vessels, reducing blood flow to the affected area and relieving symptoms such as itching and burning.
Prescription Medications for Internal Hemorrhoids
- 1. Hydrocortisone Cream: This topical medication contains a corticosteroid that effectively reduces inflammation, providing rapid relief from itching, swelling, and discomfort. It can be applied directly to the affected area up to four times a day.
- 2. Phenylephrine suppository: Available in the form of a rectal suppository or ointment, phenylephrine-based medications are vasoconstrictors that help constrict inflamed blood vessels, relieving symptoms such as pain and burning. They should be used following the instructions of a health professional.
Note: Prescription medications should always be used under the supervision of a healthcare professional. It is essential to consult your doctor with any questions or potential side effects before starting a new medication.
Although prescription medications can provide effective relief from internal hemorrhoid symptoms, it is essential to take a comprehensive approach to treatment. This may include dietary changes, increasing fiber intake, drinking plenty of fluids, and adopting a regular exercise routine. Additionally, maintaining proper hygiene and avoiding prolonged sitting or straining during defecation can help prevent exacerbation of symptoms. Remember, always consult with a healthcare professional to determine the most appropriate treatment plan for your specific illness.
Exploring Natural Remedies for Treating Internal Hemorrhoids
1. Witch hazel: Witch hazel is a popular natural remedy for various skin conditions, including hemorrhoids. It contains tannins that can help reduce swelling and inflammation. Applying witch hazel to the affected area with a cotton ball can provide a cooling and calming effect. This natural remedy can be easily purchased in liquid extract form and is available in most pharmacies.
Note: Witch hazel is for external use only. Do not consume it or insert it into the rectum.
2. Aloe vera: Aloe vera is well known for its soothing and healing properties, making it a popular natural remedy for a variety of conditions, including hemorrhoids. It can help reduce inflammation and relieve discomfort. Applying pure aloe vera gel directly to the affected area can provide relief and promote healing. Be sure to choose pure aloe vera gel with no added fragrances or chemicals for optimal results.
- Make sure the affected area is clean and dry before applying aloe vera gel.
- Gently massage the gel onto the hemorrhoids.
- Leave it on for at least 20 minutes and rinse with warm water.
- Repeat this process several times a day for maximum relief.
3. Hot sitz baths: A hot sitz bath is a simple and effective natural remedy to relieve discomfort caused by internal hemorrhoids. This method involves submerging your lower body in warm water for 15-20 minutes, which helps reduce swelling and soothes the area. You can add Epsom salt or apple cider vinegar to your bath water for added therapeutic benefits. Repeat this process several times a day or as needed to get relief.
| Ingredients | Instructions |
|---|---|
| Epsom salt or apple cider vinegar | Add half a cup to a bathtub full of warm water. |
| Warm water | Sit in the bathtub, making sure the affected area is completely submerged for 15-20 minutes. |
Although these natural remedies can relieve internal hemorrhoids, it is essential to consult a healthcare professional for proper diagnosis and guidance. They can recommend the most appropriate treatment option based on severity and individual needs, as well as provide additional advice to manage symptoms effectively.
Non-surgical Procedures for Internal Hemorrhoids
1. Elastic band ligation: Elastic band ligation is a widely used non-surgical procedure for the treatment of internal hemorrhoids. It consists of placing a small elastic band around the base of the hemorrhoid, cutting off its blood supply. Over time, the hemorrhoid will shrink and fall off, usually within a week. This procedure is performed in the doctor’s office and is relatively painless. There may be some discomfort or a dull ache for a day or two after the procedure, but most people can resume normal activities immediately.
Rubber band ligation is a safe and effective non-surgical treatment for internal hemorrhoids. It has a success rate of around 80-90% in relieving symptoms and reducing hemorrhoids.
2. Sclerotherapy: Another non-surgical option to treat internal hemorrhoids is sclerotherapy. This procedure involves injecting a chemical solution into the hemorrhoid, causing it to shrink and eventually disappear. Sclerotherapy is usually performed as an outpatient procedure and does not require anesthesia. It is considered a relatively painless option and has a high success rate in relieving symptoms. However, several sessions may be necessary to achieve optimal results.
- Sclerotherapy is commonly recommended for people with smaller internal hemorrhoids or those who prefer a non-invasive treatment option.
3. Infrared coagulation: Infrared coagulation, also known as coagulation therapy, is a non-surgical procedure that uses infrared light to cauterize hemorrhoidal tissue. This causes the blood supply to the hemorrhoid to be cut off, leading to its shrinkage and eventual resolution. The procedure is performed in an outpatient setting and usually takes only a few minutes.
| Advantages of infrared coagulation |
|---|
| – Minimal discomfort |
| – Quick recovery |
| – High success rate |
Surgical Interventions for Severe Cases
There are several surgical interventions for the treatment of severe internal hemorrhoids. The objective of these procedures is to relieve symptoms, improve the quality of life and minimize the risk of recurrence. A usual surgical option is hemorrhoidectomy, which consists of the complete removal of hemorrhoids by means of splitting or laser therapy. Another procedure, known as the ligation of the hemorrhoidal artery (HAL), consists of placing a small elastic rubber around the hemorrhoid base to cut its blood irrigation and make it breathe and fall. In addition, there is a minimally invasive technique called hemorrhoidopexy with staples, which uses a circular stapler to retire and fix the hemorrhoidal tissue in its original position.
- Hemorridectomy: This surgical procedure consists of the split or laser removal of internal hemorrhoids. It is usually recommended in severe cases or when conservative treatments have been ineffective. Hemorrhoidectomy provides lasting relief, but can be associated with greater postoperative pain and a longer recovery period.
- Hemorrhoidal artery ligation (HAL): HAL is a minimally invasive procedure in which a small elastic rubber is placed around the hemorrhoid base, cutting its blood irrigation. This causes the hemorrhoid to breathe and fall over time. Hal is effective in reducing symptoms and has a shorter recovery period compared to hemorrhoidectomy.
- Hemorrhoidopexy with staples: also known as PPH (prolapse procedure and hemorrhoids), this intervention consists in using a circular stapler to comply and fix the hemorrhoidal tissue in its original position within the anal channel. Hemorrhoidopexy with staples is less painful than traditional hemorrhoidectomy and allows faster recovery.
It is important to note that surgical interventions for internal hemorrhoids should always be carried out by a qualified healthcare professional with experience in the specific procedure. The choice of surgical intervention may vary depending on each case, the severity of the symptoms and the general health state of the patient. Therefore, it is essential to consult with a healthcare professional to determine the most appropriate surgical option and analyze the possible risks and benefits.
Lifestyle Changes to Prevent and Manage Internal Hemorrhoids
1. Fibe r-rich diet: Maintaining a fiber diet is essential to prevent and treat internal hemorrhoids. The fiber adds volume to the feces, facilitating its evacuation and reducing tension in the rectal zone. Including foods such as fruits, vegetables, whole grains and legumes in their daily meals can effectively increase your fiber intake.
- Include fruits such as apples, berries and oranges in your diet.
- Consume many vegetables such as broccoli, spinach and carrots.
- Opt for integral products such as whole wheat bread and integral rice.
- Add legumes such as beans, lentils and chickpeas to their meals.
Tip: Gradually increase fiber intake to avoid swelling and gases. Drink a lot of water to soften the feces and facilitate their evacuation.
- Regular exercise: practice regular physical activity not only helps maintain a healthy weight, but also improves intestinal transit. Exercise stimulates the digestive system, reducing the risk of constipation, a common factor that contributes to the appearance of hemorrhoids. Simple activities such as walking, swimming or doing yoga can be beneficial to prevent and treat internal hemorrhoids.
- Avoid efforts: effort during defecation exerts excessive pressure in the rectal area, which increases the risk of developing or worsening internal hemorrhoids. To avoid the effort, be sure to respond promptly to the need to defecate and avoid staying a long time sitting in the toilet.
In summary, adopting a diet rich in fiber, exercising regularly and avoiding effort during deposits are essential changes in lifestyle that can help prevent and treat internal hemorrhoids. By incorporating these practices in their daily routine, you can improve your digestive health in general and reduce the inconvenience associated with this condition.
