Introduction
Hemorrhoids are not always in need of treatment. Only a hemorrhoidal disease is a reason for further therapy. The type of treatment depends on the general condition and the severity of the hemorrhoidal disease.
As a rule, surgery is not performed, so conservative treatment is usually sufficient. The following section deals with surgical treatment and the use of hemorrhoid cream. 3rd and 4th degree hemorrhoids are treated surgically.
Here there is the possibility of treatment by so-called submucous hemorrhoidectomy according to Milligan, Morgan and Parks, in which the vessels of the plexus are blocked and the hemorrhoidal node is cut out. The wound in the mucous membrane can be sutured or left open. The wound area is tamponaded.
After the operation, hip baths and softening of the stool with medication are necessary. A further treatment by means of surgical technique is the removal of the hemorrhoids with a special stapler (stacker hemorrhoidoplexy), which is able to cut out the hemorrhoidal ring and simultaneously suture the rectal mucosa all around in one step. This technique is used for very pronounced findings.
We do not operate on less pronounced hemorrhoids, i.e. 1st and 2nd degree hemorrhoids. In this case it is generally helpful to lose weight if you are overweight, to avoid bloating or clogging food and physical exercise, i.e. not sitting for too long. Bowel movement can also be regulated by a diet rich in fiber and mild laxatives, such as Indian flea seeds or bifiteral.
Sitting baths with chamomile extracts, i.e. careful anal hygiene, are also indicated for proper treatment. There are also locally effective ointments and suppositories containing anti-inflammatory agents and often also a local anesthetic that superficially numbs the itching and painful areas of the anal mucosa. In this way, the main symptoms of itching and pain are quickly and easily eliminated.
It should be noted, however, that the active ingredients of these locally effective drugs can affect the tear resistance of condoms. Furthermore, the doctor can treat 2nd degree hemorrhoids by means of a so-called rubber band ligature according to Barron. Here he places a firm rubber band on the base of the hemorrhoids, which ultimately leads to the death of the hemorrhoids by preventing the blood supply. This treatment is not painful. The hemorrhoids simply fall off after some time.
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