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Your doctor may also prescribe ointments containing cortisone . For example,
they contain prednisolone or hydrocortisone acetate. These agents inhibit the
immune system, which counteracts inflammation in the anus. Use cortisone
ointments only as long as your doctor has recommended. Used for a long time,
they can lead to skin atrophy. This means that the skin becomes irreversibly
thinner and therefore more vulnerable. In addition, cortisone ointments favor
fungal infections in the intestine .
Witch hazel in hemorrhoids
Preparations with witch hazel can relieve the symptoms of hemorrhoids.
Local anesthetic
Local anesthetics also help against itching and pain. These anesthetize the
affected area locally so that the patient no longer feels pain. Examples of
local anesthetics are benzocaine, cinchocaine and lidocaine .
Like cortisone ointments, local anesthetics may only be used for a short time.
The reason: they can cause allergies. If you have previously had an allergic
reaction to local anesthetics, you should tell your doctor about this before
starting hemorrhoid treatment.
Application of medication
The ointments can be placed directly in the anus using an applicator.
Alternatively, you can spread the ointment on a compress and use it as an
insert.
Some active ingredients are offered as anal tampons . These are suppositories
They remain in the anal canal and release their active
ingredient there. Conventional suppositories, on the other hand, release their
active ingredient in the upper parts of the intestine.
Be careful with laxatives!
Bowel movements can be very painful if you have hemorrhoid disease and cause
However, only use laxatives after consulting your doctor.
Some preparations only help against constipation for a short time and make the
intestines sluggish with prolonged use. This creates a new constipation.
Hemorrhoids become blocked, iced up or pinched off
Mild hemorrhoids (especially grade 1) are often obliterated. To do this, the
doctor injects desolating substances in the area of a hemorrhoid, for example
The blood flow into the hemorrhoid is blocked, the tissue
shrinks and solidifies. If done
correctly, it is painless for the patient. To treat all enlarged hemorrhoids,
however, several procedures are usually necessary.
Another option is to freeze the hemorrhoids with laughing gas or liquid
nitrogen. Doctors speak here of cryohemorrhoidectomy . Similar to infrared
coagulation, the chances of success are not very high.
The "binding" of the hemorrhoids offers better chances of success: rubber band
ligation or hemorrhoid ligature . The doctor sucks in individual hemorrhoids
The patient generally does not feel any pain.
The tissue dies due to the interrupted blood supply. The hemorrhoid falls off
Bleeding may occur. Hemorrhoid treatment using a rubber
band ligation is particularly carried out for 2nd degree (sometimes also 3rd
degree) hemorrhoids.
Operate hemorrhoids
The last option for hemorrhoid treatment is classic hemorrhoid surgery. The
hemorrhoids are cut out completely. This hemorrhoidectomy is indicated if the
symptoms cannot be alleviated with other treatment methods (such as
sclerotherapy ). Grade 3 and 4 hemorrhoids also often need surgery.
The hemorrhoidal tissue
can be removed using scissors, a scalpel or a laser. In some procedures, the
surgical wound in the rectum is sutured in whole or in part, in others it
remains open.
Modern methods of hemorrhoid treatment
They are considered gentler than a classic hemorrhoidectomy. An example is the
stacker operation according to Longo :
It is suitable for 3rd degree hemorrhoids: These are hemorrhoids that have
protruded from the anus (prolapse), but can still be pushed back easily. During
the procedure, a strip of the anal mucosa above the hemorrhoids is punched out
using a special stapler. Then you "pull" the collapsed hemorrhoids back into
Patients usually
need less painkillers afterwards and can leave the hospital earlier. However,
there are also disadvantages, including the increased risk of relapse: after
longo surgery, new hemorrhoids form more quickly and more frequently than after
Read more about the therapies
Read more about therapies that can help here:
Hip bath
Sclerotherapy
Hemorrhoids: home remedies
As a hemorrhoid patient, you can do a lot for your suffering yourself. For
example, you can take hip baths with anti-inflammatory tannins to relieve
To facilitate bowel movements, you can take
flaxseed along with plenty of fluids.
The various home remedies and advice are sometimes enough to make mildhemorrhoids go away.
But they also make sense for more advanced hemorrhoids:
they can alleviate the symptoms and support medical treatment.
Stabilization tapes
Between the vertebral arches - from the second cervical vertebra down to the
first sacral vertebra - there are ligaments made of elastic connective tissue (
ligamenta flava) that stabilize the spine together with muscles. Their
thickness increases from top to bottom.
These ligaments of the spine each begin laterally in the interior of the spinal
canal in the front area at the level of the articular processes, then pull
backwards to the spinous process, where they meet and delimit the
intervertebral hole (foramen intervertebrale) to the rear.
The spinal canal
The hole in the bony ring of the vertebrae is the vertebral hole. All vertebral
holes together form the vertebral canal (canalis vertebralis), in which the
spinal cord (medulla spinalis) with the surrounding spinal cord skins runs from
the brain down to the sacral area. The spinal canal is getting narrower from
top to bottom because the spinal cord inside is getting narrower as well.