Sclerotherapy of hemorrhoidal nodes: a description of the method, features of the examination and feedback

Unfortunately, more and more people suffer from vascular diseases in recent years. Such pathologies can manifest themselves with different symptoms. Statistics show that women often turn to a doctor with complaints of varicose veins. Men are worried about hemorrhoids. But do not assume that the fairer sex is insured against the disease. Varicose-dilated veins and nodules in the intestine - a phenomenon not rare. There is pathology for various reasons: heredity, sedentary lifestyle, improper diet, heavy physical activity, wearing tight underwear. In women, the development of hemorrhoids, like varicose, is facilitated by pregnancy and childbirth.

A few centuries ago, this pathology was treated surgically. Now the medicine has stepped forward. Experts create better and less traumatic ways of correction. One of these is the sclerotherapy of hemorrhoids with the help of modern medications. It is about him that today's article will tell you.

Indications for manipulation

Sclerotherapy of hemorrhoidal indications has the following:

• Chronic hemorrhoids of the first stage;
• Recurrent nodes of the second stage;
• Hemorrhoids 3 and 4 stages (as a preparation for surgical treatment);
• Small multiple nodes inside the rectum, causing inconvenience and anxiety to the patient.

Determine if it is permissible in your case for such treatment, can only a doctor. Pay attention to the fact that prolonged inactivity leads to the progression of the disease. Often patients do not seek help in the early stages, when the probability of a positive outcome is high, because of the embarrassment and inconvenience. In this case, hemorrhoids continue to develop and move from one stage to another. When there are no more unpleasant symptoms, a person still asks for medical help. But it can be done only through surgical intervention.

Who should not make the sclerotherapy of hemorrhoids?

Despite the popularity and wide application of this type of treatment, not all patients get permission to carry out the manipulation. As you already know, an early call to a doctor gives you every chance of a positive outcome. Contraindication to the treatment of hemorrhoids with the help of sclerotherapy is the advanced stage of the disease. If the internal nodes merge with the external ones, the manipulation is replaced by a surgical intervention. Such a pathology is called combined hemorrhoids.

Contraindicated sclerotherapy of hemorrhoids, which bleed profusely. If there are thromboses, fistulas, anal fissures, then the manipulation is postponed or eliminated altogether. It is forbidden to do sclerotherapy to future mothers at any time of pregnancy. During lactation, treatment is not carried out. If necessary, the woman should stop breastfeeding for several days. Do not manipulate patients who are highly sensitive to the active (sclerosing) substance.

Preparations, their cost and method of purchase

If you plunge into history, you can learn that the sclerosis of hemorrhoids and varicose veins originates back in the late 18th century. At that time physicians and doctors used such sclerosants as peach oil, alcohol solutions, acid compounds. It is proved that these substances cause considerable harm to the human body. With the development of medicine, new medicines have been developed, which are now recognized as safe and effective.

You can buy sclerosing drugs without a special prescription, despite the fact that some of them are prescription. According to the patients, pharmacy chains sell drugs not in one piece, but in one piece. This is quite convenient, since one ampoule is enough for several injections, and its price is not so low. Most often in proctology the following medicines are used:

• "Ethoxysclerol" (0.5%, 1% and 3% solutions are produced) - 5 ampoules cost 1400, 1700 and 2500 rubles, respectively.
• "Fibro-Wayne" (0.5%, 1% and 3% solution costs 1,300, 1,500 and 2,300 rubles for 5 bottles).
• "Trombovar" (on sale there are 1% and 3% solutions, which cost from 1500 to 2500 rubles).

Preparation for the procedure

Despite the fact that the technique of sclerotherapy of hemorrhoids refers to low-traumatic, non-hospitalized interventions, it must be properly prepared. On the eve it is forbidden to eat fat and heavy food, to use allergens. Refrain from alcohol and foods that increase flatulence.

In the morning before manipulation it is necessary to refuse breakfast. If you want to eat strongly, it is acceptable to drink a weak tea with a cracker or low-fat broth. For how many hours before the injection you need to clean the intestines. If you can not go to the toilet yourself, which is often the case with hemorrhoids, use laxatives. What you can use in your case - the doctor will tell. It is not recommended to use long-acting drugs, for example, "Senade". Give preference to such medicines as "Glycerol", "Mikrolaks" and the like. Be sure to perform hygienic manipulations.

The technique of sclerosing the hemorrhoidal node

The procedure itself does not take much time. Injections are carried out no longer than 10-20 minutes. You can cut up to three knots at a time. If necessary, the doctor will schedule the next visit in 7-10 days.

During sclerosing, the patient is located on the operating table or a high couch. The doctor asks to take the most convenient for manipulation posture: lying on the back or side (legs should be pinched). Less often the knee-elbow position is required. Previously, a rectoscope is inserted into the anus. The doctor assesses the condition of the nodes and chooses the most suitable site for injection. The injection is made over the hemorrhoids, from above the dentate line. At this point, the epithelium is distinguished by a lack of sensitivity. During the injection, the patient does not feel any discomfort. If there is pain, it means that the injection is not performed correctly. The medicine is delivered slowly at a puncture depth of up to 2 centimeters. After the introduction of the solution, the needle is not removed immediately. It is necessary to wait a couple of minutes for the sclerosant not to leak out and cause bleeding.

Action of the drug: the principle of the drug

Sclerosis of hemorrhoids (hemorrhoids) begins immediately after the administration of the drug. The drug has an effect on the walls of the vessels, due to which the inflammatory process begins in them. This leads to scarring. Vessels are glued together and replaced after some time with connective tissue. Those channels that previously fed the hemorrhoidal node, are turned off. Due to this, the hemorrhoids decrease and its death gradually decreases.

For some time, the separated nodes come out in a natural way. Sometimes the patient does not notice it at all. A persistent effect is noted after the first procedure, but if additional injection is necessary after a while, then it is better not to abandon it. Recurrence of hemorrhoids in the treated area no longer occurs, since the main blood channels are disrupted. If you follow the recommendations of a specialist about pathology, you can forget for many years.

After sclerosing: recommendations

After sclerotherapy, the patient is under medical supervision for one hour. If there are no complaints and unforeseen complications, you can return to your business. It is important to follow the prescriptions and recommendations of the doctor:

• Refrain from heavy loads and heavy sports for a month.
• In case of painful sensations, you should take analgesics prescribed by a doctor ("Nayz", "Baralgin", "Paracetamol").
• Twice a year to prevent venous thromboembolism (Detralex, Venarus, Troxevasin).
• If necessary, use softening candles ("Sea-buckthorn", "Bisacodyl").
• Regularly undergo examinations (in the absence of complaints - once a year).
• To lead an active way of life, to move more, to go in for sports (swimming, biking, running).
• Abandon harmful food and alcohol, adhere to proper nutrition.

Advantages and disadvantages

Sclerotherapy of hemorrhoids as a method of treatment has a lot of advantages. But she also has minuses. You need to know about them every patient who is going to perform such treatment.

• The procedure is carried out easily and quickly, it is painless and has no harmful effect on the body.
• The drugs used are well tolerated, they are non-toxic.
• There is no need for hospitalization. Only a few hours you will have to stay in the hospital.
• Manipulation is suitable for all age groups. It is possible to treat elderly people who are contraindicated in surgical intervention.
• The effect is noticeable after the first injections.
• Several manipulations eliminate several hemorrhoids.

As for the minuses of sclerosis, we can say the following: manipulation does not solve the problem as a whole, it only eliminates its signs. In other words, if you do not change your lifestyle and prevent hemorrhoids, then a relapse is inevitable. Also, some patients refer to the minus cost of a mini-operation. How much is the sclerotherapy of hemorrhoids? The price depends on the stage of the disease and the number of injections. A patient with 1-3 degrees of progression of hemorrhoids will have to pay from 3 to 10 thousand rubles.

Patient's opinions

Sclerization of hemorrhoids reviews is different. But in most cases, patients are satisfied with the manipulation. Negatively respond about treatment are those people who after a while have new foci. Doctors say that most often these patients do not adhere to the main recommendations, which causes the recurrence of the disease.

Many people say that after sclerosing they almost immediately had pain. Also, patients were able to get rid of constipation, they normalized digestion, discomfort disappeared in the abdomen. The treatment led to a full recovery. Those people who adhered to medical recommendations, could not remember for years about hemorrhoids and its unpleasant symptoms.

Summarize

From the article you could learn a lot about the procedure for sclerosing hemorrhoids. Of course, every patient before the operation is interested in learning the feedback. But do not rely on them completely. Remember that each organism is individual. Consult your doctor and follow his directions. Live without hemorrhoids!