Treatment of second stage hemorrhoids

Troxevasin is a widely known drug for venous insufficiency and other vascular pathologies.

The active substance of the drug is a synthetic analogue of the bioflavonoid rutin, or vitamin P, which has the following properties:

• antioxidant;
• healing;
• anti-inflammatory.

Troxevasin increases the tone of the venous walls and their density; reduces aggregation, or sedimentation, of platelets, and therefore prevents blood thickening and the formation of blood clots; reduces the permeability of vessel walls and thereby prevents the release of plasma into the tissue and the formation of edema.

Troxevasin is produced in two forms:

• in the form of yellow capsules in a gelatin shell (300 mg) for internal use;
• transparent yellow gel (2%) for topical use.

In addition to synthetic rutin, Troxevasin contains the following auxiliary components:

• Capsules: lactose monohydrate, magnesium stearate, colors E110 and E171, gelatin, quinoline.
• Gel: disodium EDTA, carbomer, triethanolamine, non-alkonium chloride solution, purified water.

When applied externally, the drug is well absorbed from the surface of the skin and a quick effect occurs.

When taken orally, it is quickly absorbed from the gastrointestinal tract, metabolized in the liver, and excreted by the kidneys and bile within one day.

It is prescribed for varicose veins, hemorrhoids, thrombophlebitis, phlebitis, phlebothrombosis, post-thrombotic syndrome, varicose dermatitis, edema and hematomas, etc.

Troxevasin is used in both forms for hemorrhoids.

What are hemorrhoids

Hemorrhoids are a very common disease, which is varicose veins of the rectum in the anus. Patients with this diagnosis make up approximately a quarter of all proctological patients, with men suffering three to four times more often than women. The exact cause of the disease has not been established. It is assumed that hemorrhoids develop due to a congenital deficiency of connective tissue.

There are acute and chronic forms of the disease. Nodes can be internal or external. About half of all patients suffer from the combined form

Hemorrhoids develop gradually:

• Discomfort in the rectum (foreign body sensation).
• Pain and bleeding during bowel movements.
• Prolapse of hemorrhoids.
• Infringement of nodes.

Treatment of the disease is complex:

• diet (the goal is to prevent constipation);
• drugs for oral administration;
• external preparations - ointments for hemorrhoids;
• rectal suppositories;
• surgical intervention, including minimally invasive methods.

Troxevasin is also prescribed for hemorrhoids, although not often. The choice of medication form and treatment regimen depends on the type of disease and the prevailing symptoms.

Treatment of hemorrhoids after childbirth

Unfortunately, almost every woman in the postpartum period faces such a problem as hemorrhoids. It usually occurs due to excessive tension in the muscles of the perineum and stretching of the hemorrhoidal veins during the pushing of the woman in labor. It has been noted that the development of hemorrhoids can begin during pregnancy, which is facilitated by weight gain and a sedentary lifestyle. In this regard, it is recommended to carry out regular prevention of hemorrhoids both during pregnancy and in the postpartum period. Often it is pregnancy and childbirth that become the very catalyst that provokes the development of hemorrhoids. And there are a number of reasons for this.

Causes of postpartum hemorrhoids

Firstly, during pregnancy (usually in the second and third trimester) and especially during childbirth (of course, if they occur naturally), the pressure of the enlarged uterus and fetus on the rectum becomes simply colossal, while blood flow to these places becomes much more difficult. When pushing, the sphincter muscles experience particular overload. This also includes intra-abdominal pressure, which is increased in most pregnant women in the later stages, not to mention situations where there is a multiple pregnancy.

Quite often, a pregnant woman may have only minor symptoms, but during childbirth, when intra-abdominal pressure rapidly increases, nodules and fissures can form. The severity of the lesions in this case depends on the individual characteristics of the woman in labor, the weight of the child, and the course of labor.

Frequent constipation can also provoke the appearance of hemorrhoids, which, alas, is not at all uncommon in pregnant women. This is due, first of all, to an increased amount of progesterone - the so-called pregnancy hormone, which can cause various kinds of digestive disorders, and also contribute to a slight weakening of the tone of the walls of blood vessels, which is fraught with more severe stretching of them, and mild intestinal atony. As a result of the described changes, the digestive process in a pregnant woman becomes slower, thereby causing constipation. Constipation, in turn, increases pressure on the rectum and contributes to blood stagnation. This results in the appearance of characteristic hemorrhoids (pictured).

Among other reasons leading to the formation of hemorrhoids, one can also highlight nutrition with foods that contain insufficient amounts of fiber, excess body weight (not only during pregnancy, but also before and after it), bad habits (smoking and alcohol), constant sedentary work, lifting heavy objects without proper training, as well as the use of hormonal drugs, which are often prescribed by doctors for complicated pregnancies. Therefore, it is advisable to think about all this even before pregnancy and childbirth.

It is especially worthwhile to be attentive to those women whose families have relatives who were or are suffering from hemorrhoids. In this case, there is a high probability that insufficient elasticity of the veins and, as a result, the risk of developing hemorrhoids, is a hereditary trait in your family.

Characteristic signs of hemorrhoids

At the very beginning of the development of the disease, at its first stage, characteristic signs indicating the presence of hemorrhoids are:

• discomfort in the rectum (pain, heaviness, itching, burning);
• the presence of blood in the stool after defecation;
• increased body temperature;
• general malaise;
• signs of intoxication of the body.

Subsequently, as the rectal veins enlarge, peculiar “bumps” or hemorrhoids are formed, which were mentioned just above. Their appearance is characterized by the second stage of the disease. All this is accompanied by pain (sometimes very pronounced) and inflammation. Particularly painful and prone to complications are internal hemorrhoids , when the nodes are located inside the anal canal. External hemorrhoids , despite their unesthetic appearance in terms of pain and complications, cause less trouble.

The second stage during pregnancy can persist for a fairly long period of time, however, undetected and untreated hemorrhoids during childbirth can progress to the next, third stage, which is characterized by the prolapse of nodes from the anus. If appropriate measures are not taken in time, the disease will progress to the last fourth stage, when it is almost impossible to move the hemorrhoids inward manually; they significantly increase in size, constantly bleed and become inflamed.

What are the dangers of hemorrhoids after childbirth and how to deal with this problem correctly?

You should know that hemorrhoids can occur not only during pregnancy, but directly during childbirth. Be that as it may, in the postpartum period, hemorrhoids can make the body even more vulnerable than usual. Therefore, it is so important to monitor your health so as not to trigger the development of the disease and promptly seek help from a specialist. It is known that after pregnancy and childbirth, a woman’s immune system needs some time to fully restore the body’s defenses. During this period, a disease such as hemorrhoids, for example, can only weaken them further. Let's add here the problems of caring for a child and breastfeeding him. Indeed, when the disease worsens, the bleeding that occurs in a young mother can contribute to infection with dangerous infections. There is also a high probability of developing anemia, paraproctitis, thrombophlebitis, and even necrosis of the external hemorrhoid when it is pinched. In addition, we should not forget that, based on numerous medical studies, hemorrhoids are recognized as one of the indirect causes of cancer. This should be taken into account by all those who consider hemorrhoids to be a minor disease that should not be paid attention to. Hemorrhoids will not go away on their own; they must be treated! Experienced proctologists at the ViTerra .

In the postpartum period, treatment of hemorrhoids is usually extremely gentle. Even at the third or fourth stage, when treatment of external hemorrhoids is already necessary, if the patient’s condition allows it, they try to postpone the time of surgical intervention to a later date.

What can help reduce the symptoms of the disease?

Typically, hemorrhoids after childbirth occur in an acute form: first there is itching, burning, discomfort, and a feeling of heaviness in the anus. Over time, the pain increases more and more, bleeding appears during the act of defecation, which can provoke anemia, which is especially undesirable for a woman after childbirth. Hemorrhoids increase significantly in size and they fall out. Every movement for a woman turns out to be very painful, it is difficult for her to walk, sit, even the act of defecation becomes extremely painful. The anal area becomes inflamed and cracks appear. In this case, immediate treatment is necessary.

• The first step is to improve your diet. This will not only ease the course of hemorrhoids, but will also be beneficial for the child, especially if the woman is breastfeeding.
• You can and should use local remedies that can cure hemorrhoids at home. Herbs, decoctions, tinctures - all of this can be used as external remedies for hemorrhoids.
• It is also worth making sure that you do not remain in an upright or sitting position for a long period of time. It is advisable to find at least a few minutes a day for special gymnastics, which helps strengthen the muscles in the pelvic area.
• Any medications should be taken with extreme caution. If your baby is breastfed, do not take any medications without first checking with your doctor. Only a qualified specialist will be able to prescribe medications that will not pass into your baby’s milk and, therefore, will not cause harm to his body.
• You should also be careful when using laxatives, which are often recommended for hemorrhoids. For pregnant and lactating women, such drugs are strictly contraindicated.
• Make an appointment with a proctologist at clinic No. 1 ViTerra Belyaevo, and then you can be sure that your health and the health of your baby are completely safe! The doctor will conduct an examination and prescribe you appropriate treatment, including the use of suppositories, ointments or tablets for hemorrhoids, recommend you a proper diet rich in fiber and avoid the problem of constipation, and also suggest walking more and doing a number of exercises to strengthen the pelvic muscles. Remember that if you have any suspicions about hemorrhoids, you should avoid wearing tight underwear, do not lift heavy objects, and do not put off visiting a specialist.

Prevention of hemorrhoids after childbirth

Prevention of hemorrhoids is an effective technique that, if it does not help to completely avoid postpartum hemorrhoids, will at least prevent its severe course. Such preventive measures should be carried out during pregnancy.

1. Women who are expecting a baby are advised to carefully monitor their diet to avoid constipation and other problems.

2. They should diversify their diet with natural food, fresh vegetables and fruits. Coffee, chocolate, pastries and fatty foods are best avoided. You should also avoid spicy foods, which can irritate the rectal mucosa, and legumes, as they cause severe gas formation.

3. When preventing hemorrhoids, the correct daily routine is considered very important. It is recommended to visit the toilet at the same time, preferably in the morning. During bowel movements, you should not push too hard so as not to provoke swelling of the hemorrhoidal veins. In addition, it is very important to maintain personal hygiene. Doctors advise that after each bowel movement, wash yourself with clean, cool water and wipe the anal area dry with soft toilet paper or a towel.

4. An important point in the prevention of hemorrhoids, especially postpartum, is physical activity. Despite the fact that heavy loads are contraindicated for pregnant women, light exercises will only benefit them. In addition, pregnant women are advised to walk a lot in the fresh air, which will not only help prevent hemorrhoids, but also strengthen the immune system.

5. Another method of prevention is Kegel exercises . Their essence is to alternately tense and relax the muscles around the anus and vagina. If you perform such exercises regularly, you can prevent not only postpartum hemorrhoids, but also uterine prolapse and laxity of the vaginal muscles.

As a parting word

We wish each of you that your postpartum period will be filled only with the most wonderful moments and joyful worries about your baby growing up every day, and not with sad thoughts and worries about how to independently cope with alarming symptoms that indicate the development of hemorrhoids.

Don’t let the disease get worse, love yourself and be extremely careful and attentive to the issue of maintaining your own health and, as a result, the health of your baby!

How to use for hemorrhoids

Troxevasin for hemorrhoids is prescribed both externally and internally. The treatment regimen differs for different forms of the disease.

Acute form

Troxevasin is most often prescribed specifically for acute hemorrhoids. The medicine copes well with the main tasks that arise with this form of the disease:

• relieves inflammation;
• reduces swelling in tissues;
• improves vascular tone;
• reduces platelet aggregation and prevents thrombus formation in varicose veins.

The use of both capsules and Troxevasin gel for hemorrhoids is especially effective.

According to the instructions for use, the course of treatment is usually two weeks. But only the attending physician should prescribe the dosage, and self-medication is unacceptable. It is usually recommended to take one capsule three times a day.

The gel is applied to hemorrhoids once (or twice) a day. To do this, take a gauze bandage, squeeze a little gel onto it and apply it to the external nodes

This treatment is quite effective in the acute form, it promotes a speedy recovery along with diet and giving up bad habits and prevents complications (bleeding from the anus, necrosis of hemorrhoids).

Chronic form

In this case, the main task is to prevent exacerbation of the disease. Usually one tablet of Troxevasin is prescribed once or twice a day as maintenance therapy, although this drug is prescribed for hemorrhoids quite rarely.

Is it possible to smear Troxevasin on hemorrhoids in chronic form? The gel is not used in this case, since varicose veins are not located outside, but in the lumen of the rectum, and its administration there is contraindicated.

Application of latex ligation

It is possible to eliminate hemorrhoids at the second stage of the disease using a low-traumatic and painless treatment method - latex ligation.

The essence of the technology is to throw special latex rings onto the base of the knot. This is done using a vacuum ligator. The device is placed in the area of ​​the hemorrhoid and the vacuum pushes out a ring that compresses the lower part of the formation.

The nutrition of the hemorrhoid gradually stops and it is reduced and spontaneously exits. The ring is small in size, with an outer diameter of only five millimeters.

The hemorrhoidal node dies after latex ligation after 1-2 weeks. The ring and reduced formation are removed during natural bowel movements.

During this manipulation, which lasts only 15 seconds, the patient does not experience any discomfort or pain. The patient lies on the couch with his knees tucked to his stomach and can even communicate freely with the proctologist.

In agreement with the patient, the doctor uses local anesthesia.

How to use Troxevasin for hemorrhoids

The external agent is applied only to intact areas of the skin or mucous membrane. If there are trophic changes, damage to the mucous membrane or skin, or bleeding hemorrhoids, it should not be used.

Apply troxevasin ointment for hemorrhoids twice a day: in the morning and before bed. Before use, wash the area of ​​skin or mucous membrane with cool water, then rub in the gel with massage movements.

Troxevasin capsules for hemorrhoids are taken with meals so that the components of the medicine do not irritate the gastric mucosa. The dosage is determined by the attending physician. The maximum content of the drug in the blood is observed seven hours after administration. The course of therapy is up to 4 weeks.

Note!

The description of the drug Troxevasin on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.

Contraindications

Troxevasin capsules and gel have contraindications:

• Oral administration is contraindicated in cases of hypersensitivity to rutin, exacerbation of chronic gastritis, stomach ulcers, duodenal ulcers, and during pregnancy (first trimester).
• The local remedy should not be used if you are hypersensitive or allergic to the components of the gel.

Troxevasin capsules and ointment are prescribed with caution for hemorrhoids:

• Children under 15 years old.
• For liver diseases.
• In case of renal failure.

If there is increased permeability of the vein walls, it is recommended to take Troxevasin against hemorrhoids along with vitamin C.

During pregnancy

Hemorrhoids often develop during pregnancy. During pregnancy, most medications are contraindicated or limited, including Troxevasin.

It should not be taken in the first trimester and during lactation; in the second and third - if the effect of therapy exceeds the likelihood of complications in the expectant mother and fetus.

Troxevasin can be taken for hemorrhoids during pregnancy only in cases of severe congestion:

• inflammation of the nodes;
• pain, itching.
• difficulty with bowel movements.

New medicine

In addition to the usual Troxevasin, you can see Troxevasin Neo on pharmacy shelves. The new drug is different in that it contains several active substances: troxerutin, heparin and dexpanthenol. Together they actively fight varicose veins.

Troxevasin Neo is available in gel and capsule form. Prescribed for external and internal hemorrhoids. The course of treatment is from two to three weeks.

Troxevasin Neo, if there is a tendency to form hemorrhoids, is indicated for use as a prophylaxis, which is carried out once every 4 months.

The drug has five pharmacological effects

1. Venotonic – reduces the stretching of veins, tension in the walls of capillaries, blood vessels and increases the movement of lymph.
2. Antioxidant - inhibits the oxidation of hyaluronic, ascorbic acids and lipids, which leads to improved blood microcirculation and reduces the risk of blood clots.
3. Angioprotective - reduces the permeability and fragility of small capillaries, increases the density of vascular walls and increases the transport of nutrients to tissues and organs.
4. Anti-inflammatory - prevents the removal of fluid and blood cells from the capillaries, resulting in reduced swelling and inflammation.
5. Antihemorrhagic - helps reduce pain and stop bleeding.

Reviews

Igor: Troxevasin can hardly be called an effective treatment for hemorrhoids, but in the initial stages it helps relieve unpleasant symptoms: itching, discomfort, swelling.

Alice: I treated hemorrhoids with Troxevasin during pregnancy. Indeed, the condition improved the very next day: the external nodes decreased, the pain subsided, and besides, it feels pleasantly cold when applied and thus brings relief.

Daria: I consider the use of Troxevasin for hemorrhoids as part of a complex treatment for non-advanced forms. It has a jelly-like consistency, is odorless, pleasant to use, and thanks to its cooling effect it quickly relieves discomfort.