Hemorrhoids outside, also called external hemorrhoids, are identified by the position, usually next to the area closer to the rectum sorrounding the anus. How do I get the hemorrhoids back in ? Many of us will have asked ourselves this question.
Hemorrhoidal disease can cause symptoms that are rather unpleasant to manage. Let’s see now how to treat this widespread disorder.
Hemorrhoids outside, hemorrhoidal disease: what are we talking about?
Hemorrhoids are vascular cushions , physiologically located in the terminal tract of the rectum . Their role is to promote the expulsion of feces by reducing friction at the anal level and to maintain fecal continence .
In health conditions we do not notice the presence of hemorrhoids. Only when they are symptomatic do we speak of ” haemorrhoidal disease “. It is a widespread cause of pain in the anorectal region.
When hemorrhoids are pathological, they can increase in volume and prolapse, that is, slip out of the anal canal . Depending on the plexus from which they originate, hemorrhoids can be divided into internal hemorrhoids and external hemorrhoids:
- Internal hemorrhoids . They are found inside the anal canal. When they are pathological, they increase in volume inside the anus and are painful when passing stool , with possible bleeding and itching. They can prolapse outside the anus and re-enter on their own or with manual reduction.
- External hemorrhoids . They develop at the edge of the anus. When they are pathological they can cause acute painful symptoms , and complicate with the formation of clots inside them ( hemorrhoidal thrombosis ).
What are the causes and symptoms of hemorrhoidal disease?
The origins of the disorder are not yet clear. We speak of “multifactorial etiology” to indicate a series of contributing causes and predisposing factors , including:Hemorrhoids: Find out the degree of pathologyKnowing the hemorrhoidal pathology is the first step to live it serenely.
With a few simple interactive questions and a few clicks, you can begin to understand the severity of the disorder and how to treat it.
- Family predisposition;
- Chronic constipation ;
- Diarrhea ;
- Sedentary lifestyle;
- Excessive effort;
- Pregnancy ;
- Prolonged standing;
- Emotional stress ;
- Overweight and obesity .
As we mentioned, these factors cause a collapse of the structures present in the anus , with a protrusion or protrusion of the hemorrhoids towards the outside . The following symptoms may appear :
- Pain and itching
- Loss of bright red blood upon evacuation
- Prolapse (leakage of hemorrhoids from their physiological site) which can spontaneously return;
- Feeling of heaviness in the anorectal area.
How to bring back hemorrhoids according to the degree of the pathology?
If we still ask ourselves ” How do I get the hemorrhoids back?”, We immediately discover how to manage this disorder according to the severity of the clinical picture, which we can begin to learn about by carrying out the interactive “degree of pathology” test :
- First degree . There is a slight increase in internal hemorrhoidal congestion without prolapse. In this case, the hemorrhoids do not come out of the anal canal : there is no need for reduction.
- Second degree . There is a moderate increase in haemorrhoidal congestion and external prolapse which tends to return spontaneously : manual reduction is not necessary.
- Third degree . There is a serious haemorrhoidal congestion with external prolapse that requires manual reduction by accompaniment with the fingers , since the haemorrhoidal cushions have lost their physiological tissue elasticity.
- Fourth degree . External prolapse is permanent. The hemorrhoidal pads have lost the ability to remain in the anal canal after manual repositioning. In this case, surgery is necessarily used.
Speaking of manual hemorrhoid repositioning , we ourselves can do it. How? With the index finger protected by an adhesive film or finger cover, we gently press and with small touches on the prolapsed hemorrhoids, to reintroduce them to the physiological site. This is a simple maneuver , but to be performed carefully as the hemorrhoids are inflamed and painful.
How to stem and prevent the onset of symptoms?
We have seen how to make hemorrhoids outside return according to the degree of the pathology. In general, there are some important steps to take to try to alleviate the symptoms and prevent unpleasant relapses. Here’s what to do:
- Follow a balanced diet . We avoid “junk food” which can be irritating and contribute to worsening congestion and inflammation of external hemorrhoids. Instead, we prefer seasonal fruit and vegetables .
- Drink water . No to fizzy drinks and alcoholic beverages . We guarantee our body a water supply of about 1.5 / 2 liters per day . By doing so we will facilitate the natural intestinal transit, softening the stool and facilitating its expulsion.
- Adopt a correct lifestyle . We fight a sedentary lifestyle and nicotine abuse. Sitting too long could slow blood circulation and cause venous stagnation, aggravating the haemorrhoidal problem. Furthermore, smoking can lead to cardiovascular problems , worsening the local situation.
- Take care of your personal hygiene . We use a delicate and emollient cleanser , diluted in warm water. Let’s dry by dabbing with a cotton cloth. We do not rub and we do not use aggressive products.
- Use a local anti-hemorrhoid cream or gel . We can choose a product to be applied directly on the affected area, useful for giving freshness and relief and promoting the remission of bothersome symptoms .
- Carry out a light and non-strenuous physical activity . Practicing moderate and regular physical exercise can only promote blood circulation and regularize our intestines , two important aspects for reducing and preventing constipation and diarrhea. We choose swimming, moderate walking, gentle gymnastics. Attention to tennis , we avoid cycling , horse riding, rowing and bodybuilding in general.
