Hemorrhoids are a fairly common disease in both men and women. However, female patients are most often affected.
Often this is due to professional characteristics and certain physiological conditions inherent only to the female body (menstruation, pregnancy, labor).
Hemorrhoids are varicose veins of the rectum with the formation of hemorrhoids (twisted veins of the thrombotic veins). Depending on the location, activity (tendency to prolapse and self-direction) of the nodes and the presence of complications of hemorrhoids can be classified as follows:
- 1) Internal hemorrhoids – hemorrhoids are located in relative distance from the ampulla of the rectum;
- 2) External hemorrhoids – hemorrhoids are in close proximity to the anus;
- 3) Hemorrhoids with associated anal fissure;
- 4) With the loss of hemorrhoids;
- 5) Complicated by thrombosis of the nodes – often the main symptom is intense bleeding from the rectum.
Causes of Hemorrhoids in Women
Hemorrhoids – a disease whose appearance can be triggered by various factors. The pathogenesis of this disease is based on impaired blood flow in the pelvic area.
Among the main etiological and provoking factors should highlight the following:
- 1) Sedentary image of professional activity (prolonged stay in a sitting position leads to stagnation of blood in the pelvis, impairment of arterial inflow and outflow of venous blood from organs);
- 2) Pregnancy – during pregnancy, the volume of circulating blood in the bloodstream of women increases significantly, and the blood flow to all organs increases accordingly. The sedentary image of a pregnant woman provokes venous congestion and increases the risk of hemorrhoids;
- 3) Generic activity – the main causes of hemorrhoids during childbirth are: pressure of the enlarged uterus on the pelvic organs, leading to impaired circulation, as well as a significant increase in intra-abdominal pressure (see how to treat hemorrhoids after childbirth);
- 4) Frequent constipation, the appearance of which is associated with poor nutrition (inadequate consumption of plant fiber);
- 5) Intense physical exertion and weight lifting, inappropriate physical abilities of the body;
- 6) Sharp intensive weight loss;
- 7) Burdened heredity and predisposition to pathologies of blood coagulation and tromboobrazovaniyu;
- Frequent practice of anal sex;
- 9) Regular intake of laxative drugs not for therapeutic purposes, but for the purpose of losing weight;
- 10) Natural age-related changes in the body.
Symptoms of hemorrhoids in women
Hemorrhoids in women should be differentiated from some other diseases of the rectum due to the similarity of symptoms – benign and malignant tumors, polyps, anal fissures, infectious pathologies, etc.
At the heart of the classic picture of hemorrhoids in women are the following symptoms, which should be paid attention first of all:
- discomfort in the anus and projection of the rectum;
- soreness (more often pains are dull, aching) in the rectal area when sitting in a sitting position and during an act of defecation;
- determination of a well-palpable seal in the anus region;
- burning sensation or intense itching around the anus;
- hyperemia of the skin in the anus;
And also the appearance of such symptoms should bother a woman:
- 1) Edema of subcutaneous fatty tissue in the area of the anus (in a sitting position, patients are disturbed by discomfort and foreign sensation in the rectum);
- 2) Isolation of blood from the rectum during the act of defecation. The blood is on the surface of the feces and has a bright red color;
- 3) Difficulties with bowel movements and frequent constipation;
- 4) Loss of hemorrhoids, which can be set off independently after an act of defecation (the second stage of the disease) or with the help of fingers (the third stage). As the disease progresses, the nodes may fall outside of physical activity and defecation.
See also: what hemorrhoids look like in women, photos of the initial, as well as other stages.
If untreated, hemorrhoids can develop into some of the more dangerous diseases and conditions: iron deficiency anemia (caused by massive one-time or regular blood loss), acute thrombophlebitis, fistulas, anal fissures, secondary infection, suppuration of pathologically dilated and tortuous lesions.
Diagnosis of hemorrhoids never causes difficulties. To suspect the development of this disease allows visual visual inspection of the anus, as well as digital rectal examination. For the differential diagnosis with other pathological conditions of the colon and small intestine, extended research methods are used:
- sigmoidoscopy (allows you to thoroughly examine the condition of the mucous membrane of the lower part of the sigmoid and the entire rectum);
- colonoscopy (performed to assess the condition of the colon for);
- analysis of fecal occult blood;
- biopsy if necessary – in case of suspected malignant neoplasm;
- Ultrasound of the abdominal organs.
See also, features of hemorrhoids in men.
Treatment of hemorrhoids in women
Depending on the severity, the presence of complications and the course of the pathological process, a scheme for the treatment of hemorrhoids in women is selected.
The very first stages of the pathological process respond well to conservative therapy with the use of sedatives, phlebotropic, hemostatic and analgesic drugs.
In order to strengthen the walls of blood vessels are used tablets drugs: Phlebodia, Detralex, Troxevasin, Diosmin. In the form of candles for the treatment of hemorrhoids are used drugs such as: Relief Ultra, Gepatrombin G, Aurobin – they can be used at home.
In addition, in the presence of inflammation, the use of microclysters and sessile trays with decoction of chamomile or oak bark is shown, which have a good anti-inflammatory and soothing effect. To relieve itching and swelling, the use of antihistamines and topical preparations with glucocorticosteroids is indicated.
With the course of the disease of moderate severity or the presence of complications, obvious loss of catch, you should resort to more effective methods of exposure: cryodestruction, sclerotherapy, infrared photocoagulation, ligation with latex rings.
TO radical surgery hemorrhoids in women should be resorted to in the event that the pathological process is strongly neglected and conservative therapy does not bring the desired effect, as well as regular loss and restraint of hemorrhoids.
Prevention of the disease in women
Which doctor to contact for treatment?
If, after reading the article, you assume that you have symptoms characteristic of this disease, then you should consult the proctologist for advice.