Which doctor treats hemorrhoids in women? Who to contact? The doctor who looks at the ass. What to expect from your doctor visit

Hemorrhoids is a very common disease among the fairer sex. It is especially susceptible to pregnant women and women who have recently given birth. Given the delicacy of the problem, many drag on to the last, and the disease continues to develop and progress, gradually turning into a chronic stage, which is fraught with complications and long-term treatment, up to surgical intervention.

Unfortunately, not all patients know which doctor treats hemorrhoids in women and cannot receive timely help, which is very important in the development of this disease.

Unlike men, women are most susceptible to developing this disease. Risk factors are:

• pregnancy and childbirth;
• frequent and chronic constipation, which also affects pregnant women;
• too frequent use of laxatives and cleansing enemas;
• violation of hormonal levels;
• improper nutrition;
• improperly selected diets.

Heredity is also an important factor. According to the available statistics, more than 60% of women have a predisposition to varicose veins, which can also provoke the development of hemorrhoids with a number of adverse factors: a sedentary lifestyle, sedentary work, lifting weights, stressful situations.

Why see a doctor?

Hemorrhoids are pathological changes in the veins of the rectum that require mandatory treatment. Disease in initial stage development is characterized by a number of unpleasant symptoms: severe irritation in the anal area, itching, blood after a bowel movement, painful bowel movements, the appearance of anal fissures and abrasions.

With the progression of the pathology, the patient's condition is aggravated: there are severe pains, their increase, inflammation and loss of the outside.

In the absence of timely treatment, hemorrhoids are dangerous for their complications: abscess (purulent inflammation of tissues), fistulas, proctitis. Today, the disease is successfully treated with medication. But with advanced stages of hemorrhoids, you have to resort to minimally invasive or radical surgery. In addition, some symptoms of the disease, such as rectal bleeding, are characteristic of other more serious diseases: polyps, diverticula, etc.

Which doctor should I go to for hemorrhoid treatment?

If unpleasant symptoms appear in the rectum or anus, a woman should consult a doctor - a proctologist or coloproctologist. These specialists are engaged in the diagnosis, treatment and prevention of diseases of the rectum and colon, anus and pararectal region:

• hemorrhoids;
• thrombosis of hemorrhoidal cones;
• trauma to the rectum and sphincter;
• benign or malignant neoplasms;
• sphincter cracks;
• prolapse of the rectum;
• rectocele (protrusion of the rectal wall towards the back of the vagina);
• anal itching, irritation.

Proctologist and coloproctologist are one and the same specialization. In 1997, the branch of medicine dealing with colon pathologies, proctology, was officially renamed coloproctology in accordance with European medical standards, and accordingly a specialist proctologist in a coloproctologist. You can contact any of these doctors.

The competence of the doctor-proctologist includes:

• initial admission to a patient complaining of discomfort in the anus or rectum: cracks in the anus, pain, spotting, problems with bowel movement, etc.;
• diagnostic examination, if necessary, instrumental examination (anoscopy, sigmoidoscopy, colonoscopy, irrigoscopy);
• treatment of hemorrhoids with medications and minimally invasive surgical methods;
• observation of the patient throughout the entire period of treatment.

Before drawing up a treatment plan, the proctologist first of all establishes the reasons that provoked the development of the disease in a woman. This makes it possible to determine the most effective treatment tactics, as well as to select preventive measures to alleviate the patient's condition, restore the quality of life and prevent the risk of hemorrhoids recurrence.

The choice of treatment method depends on many factors:

• the degree of progression of hemorrhoids;
• the presence of complications;
• type of hemorrhoids (external, internal, combined).

It should be added that minimally invasive methods of removing enlarged hemorrhoids are used to treat advanced hemorrhoids in stages 3 or 4. Radical operations are extremely rare and contraindicated in pregnant women, since general anesthesia is required. In the early stages of development, the disease can be successfully treated with drug therapy.

Who else can you contact besides the proctologist?

If for any reason it is impossible to get an appointment with a proctologist, a woman can seek help and advice from the following specialists:

• gynecologist - especially important for pregnant women and women who have recently given birth. Considering that in the postpartum period, the doctor will help you choose medications that are approved for use by pregnant and lactating women;
• therapist is a generalist specialist who has received special training in the diagnosis, treatment and prevention of diseases of internal organs. He may well diagnose hemorrhoids based on the existing symptoms, prescribe symptomatic medications to alleviate the condition and give a referral to a highly specialized specialist (proctologist). But the therapist cannot conduct a full examination.
• surgeon - specialists in this medical field study pathologies when acquiring a profession internal organs, including the large intestine. They can also examine and prescribe appropriate treatment.

It is always best to consult a doctor of this specialization with any profile disease. Proctology is no exception. Only a proctologist who treats hemorrhoids in women and men can select and implement competent and effective treatment.

Why is self-medication and untimely access to a doctor dangerous?

Hemorrhoids is a disease that requires long-term treatment. In women with a second or subsequent birth, there is a high probability of relapse of the disease, therefore, preventive measures are very important, which can only be advised by a doctor, given the general clinical picture.

Self-medication or untimely appeal to the proctologist threatens the following complications:

• iron deficiency anemia - develops against the background of frequent or profuse rectal bleeding;
• blockage of veins in hemorrhoids (acute thrombosis);
• paraproctitis (development of a purulent abscess in internal tissues);
• and as a result, constant inflammation and swelling of the rectal tissues;
• fecal incontinence.

Of course, it is allowed to use suppositories or hemorrhoid ointments to relieve your condition with severe pain or itching. But in the future, you should definitely contact a proctologist. At best, self-medication can be simply ineffective, at worst, it can significantly aggravate the situation, lead to a sharp progression of the disease and complications. For pregnant women, self-treatment of hemorrhoids is doubly dangerous, since the use of drugs without medical supervision can lead to premature birth, miscarriages and abnormalities in the development of the fetus.

This question is asked by people who find fallen out hemorrhoids or experience painful sensations during the process of bowel movement.

Proctology is a separate area of \u200b\u200bmedicine

So which doctor treats hemorrhoids? If you are faced with such a question, then discarding all false shame and completely unfounded constraints, you need to contact a proctologist. " Proctos"Means" straight».

Thus, proctologist Is a doctor who specializes in rectal diseases, one of which is hemorrhoids.

When should you visit a proctologist?

You should go to a proctologist if you suddenly feel discomfort in the anus, namely pain, burning, itching, bleeding from the anus during bowel movements or independently of it. Also, the reason for contacting this doctor is a feeling of a foreign body in the rectum or a feeling of incomplete emptying of the intestine and, of course, the presence of fallen out hemorrhoids.

Proctologists are highly qualified specialists, they will definitely not make fun of your problem, they will treat their patient with understanding and respect.

What if your hospital doesn't have a proctologist?

Contacting a proctologist for hemorrhoids is ideal. But, unfortunately, there are not so many such valuable specialists as we would like. So if you do not have such a doctor in the hospital, then you can contact a therapist if the hemorrhoids are chronic.

In acute hemorrhoids, you need to take a referral to the surgeon.

Some patients also need to consult a vascular doctor - an angiologist or phlebologist, because hemorrhoids are a consequence of the pathology of the rectal veins. You can also visit a nutritionist who will help you choose a diet for a patient with hemorrhoids.

How to prepare for the appointment?

Now you know which doctor to go to with hemorrhoids, but what to take with you to your appointment and how to prepare? First of all, don't worry. Remember in advance your usual diet, determine the type of your food, maybe you like spicy, salty, fatty? Be honest with yourself and your doctor about how often you exercise, how much you walk, whether you engage in any physical activity, such as running regularly.

Do not forget to talk about your bad habits and place of work, as well as mention how often you have stools, what kind of stool it is (liquid, lumpy, dry, etc.). Remember if any of your relatives suffered from varicose veins or hemorrhoids directly. All this information can be very valuable for a doctor, it will make it possible to more accurately diagnose the disease.

What to take with you when going to the doctor?

Be sure to take all the necessary documents with you to the appointment:

• the passport;
• insurance policy;
• plastic pension certificate (SNILS);
• war veteran's certificate, if any.

It is also advisable to have a diaper and shoe covers with you. If the hemorrhoids have reached the last stage of development and are in a period of exacerbation, hospitalization is likely to be necessary. Therefore, it makes sense to take the minimum set of things that you will need in the hospital for the first time.

What does a doctor do?

Perhaps the doctor will prescribe you additional instrumental examinations of the rectum, so before going to the proctologist it would be good to empty the intestines, you can resort to using a small enema if it does not work out on your own. There is absolutely no need to be afraid of examinations, because an experienced proctologist does not hurt the patient.

If women or men have obvious symptoms of hemorrhoids in the form of bleeding from the anus, the formation of hemorrhoids, severe pain when sitting or while walking, all this is a reason to seek medical help.

It is especially important to stop the process in time if hemorrhoids bother you during pregnancy.

In this regard, you need to know which doctor treats hemorrhoids.

Which doctor deals with the treatment of hemorrhoids

A doctor who treats women and men with a disease such as hemorrhoids is called a proctologist or coloproctologist; he can be found at the local polyclinic or at a paid medical center.

If the coloproctologist works most often in large cities, then the proctologist conducts the reception in the regional centers.

1. The doctor will carry out a full examination, find out the exact cause of the bleeding or other disorders, and prescribe the necessary treatment. The sooner the patient goes to a medical facility, the sooner he will get rid of discomfort and prevent the development of complications, especially during pregnancy.
2. Which doctor treats hemorrhoids more effectively? If we compare a proctologist and a coloproctologist, then in the first case, the doctor is engaged in the consultation and treatment of diseases of the rectum in women and men. The coloproctologist additionally treats diseases of the large intestine. In this regard, with pain in the lower abdomen, diarrhea, nausea, you need to go to a second, more specialized doctor.
3. The proctologist deals with the treatment of any stage of the disease. The attending doctor will examine the patient, if necessary, appoint, analyze the situation and prescribe effective treatment... During pregnancy, the patient will be taken under special control to avoid the development of complications during the period of gestation or during childbirth.

After recovery occurs, the patient should visit the doctor regularly to avoid relapse.

As a rule, the disease has a tendency to return after a few years if certain recommendations are not followed.

It is also necessary to visit a doctor at least once during pregnancy to make sure there is no cause for concern.

Who to contact in the absence of a highly specialized doctor

Quite often, due to the specifics of his activities, a proctologist works in a hospital or a private clinic, while in small regional centers, as a rule, there are no such specialists. Which doctor should a woman or man go to for any hemorrhoids, if visiting a paid consultation is not affordable?

If in the polyclinic at the place of residence there is no such doctor, with complaints you need to go to the local therapist or family doctor who will examine the patient and determine the presence or absence of hemorrhoids.

After that, the patient will receive a referral for additional examination to a doctor in another medical institution where there are specialists in the treatment of hemorrhoids.

During pregnancy, a woman must definitely inform a gynecologist who observes the development of the fetus. This is especially important if a decision is made to conduct additional treatment of hemorrhoids in pregnant women at home.

Also, a surgeon and another doctor who is well acquainted with human anatomy can give advice on treatment.

What is coloproctology responsible for?

Previously, this direction in science was called "proctology", but in 1997 it was officially renamed. Coloproctology is responsible for the treatment of all kinds of diseases of the colon, including hemorrhoids.

To obtain a medical specialty, future doctors receive basic higher education in the specialty "Surgery" or "General Medicine". Next, you need to undergo residency on the basis of the main profession and professional retraining in coloproctology.

After training, a qualification test is passed, a certificate is obtained, and only then a young specialist gets the right to treat diseases of the colon.

In general, a proctologist is a rather complex profession, since a doctor must have the skills of a surgeon, therapist and anesthesiologist. He also often monitors the condition of patients during pregnancy, since it is in this position that relapses often occur.

The doctor understands the anatomy of the rectum, so he is able to identify any process associated with disruption of the work of this internal organ.

What exactly does a proctologist do

A doctor treating hemorrhoids and other diseases of the rectum in women and men may have a different focus of his activities, depending on the place of work and responsibilities.

A doctor working at a polyclinic is primarily responsible for:

1. Reception of patients, consultation, manual and instrumental examination, including during pregnancy.
2. Writing a referral for additional tests and diagnostics.
3. Establishing an accurate diagnosis based on the data obtained, anamnesis and research.
4. Appointment of individual treatment.
5. Carrying out medical manipulations, if the patient is not sent to hospital for treatment.
6. Monitoring the course of the disease and adjusting the treatment regimen.

If the doctor works in a hospital, he receives patients who were sent to the hospital, conducts an examination and confirms the diagnosis. After that, nursing care for hemorrhoids is prescribed, the doctor independently monitors the treatment process every day.

If the patient complains of malaise, the proctologist changes the treatment plan, focusing on the individual characteristics of the patient. Also, in critical situations, emergency medical care is provided.

Coloproctological surgeons have the right to:

• Carry out any surgical interventions in an outpatient clinic.
• Treat men and women, including during pregnancy, using minimally invasive techniques in a day hospital.
• To prescribe conservative methods of treatment for diseases of the rectum.

How to prepare for a proctologist examination

Before going to an appointment with a doctor, a man or woman needs to cleanse the intestines the day before. For this, cleansing enemas are usually used before bedtime and in the morning on the day of visiting the clinic.

You must have a towel and wet wipes with you. It is important to provide the doctor with an outpatient card so that he can familiarize himself with the list of existing chronic diseases, undergone surgical interventions. This will allow you to determine the exact cause of the development of hemorrhoids and exclude the presence of other diseases.

After the examination is carried out and the cause of the ailment is found out, a treatment regimen is drawn up. The first step is to consider conservative methods that can cure the disease at an early stage, which include physiotherapy for hemorrhoids and medications.

In addition to treating hemorrhoids, the patient will have to:

• To refuse from bad habits ;
• Observe the physical activity regime;
• Eat rationally;
• Engage in therapy for heart disease, intestinal infections.

Surgery, surgery to remove hemorrhoids? will be allowed only if there is no effect from taking medications and other methods do not help a man or woman.

A coloproctologist will tell you how to properly treat hemorrhoids and which doctor to go to in the video in this article.

Hemorrhoids are very common, especially among middle-aged and young people. This is due to a sedentary or, conversely, an overly active lifestyle, the characteristics of the profession and other factors. When the first symptoms appear, patients, given the delicacy of the problem, do not rush to see a doctor and begin to self-medicate or hope that everything will go away by itself.

However, in practice, such actions only lead to the progression and aggravation of the disease. Some may not even know which doctor treats hemorrhoids and where to go for help. Proctologist and coloproctologist deal with problems of hemorrhoids, as well as other pathologies of the rectum and perianal region. The latter is a general practitioner, as he specializes in problems of all parts of the colon.

Reasons for contacting a proctologist

If you find any abnormalities in the anal area, you should see a doctor who treats hemorrhoids. You should not engage in self-diagnosis, since there are a number of pathologies (cracks in the anus, tumors, etc.) that have symptoms similar to hemorrhoids. With the advice of a specialist in the field of proctology, it will be possible to accurately identify the disease and prescribe an effective treatment. In addition, periodic examinations by a proctologist are necessary for people who are at risk and have a high probability of developing hemorrhoids.

Who needs a regular check-up with a proctologist?

People who have an increased risk of developing hemorrhoids, or those who have been identified as susceptible to this disease, are recommended to be examined by a proctologist once a year. This is necessary for the timely detection and treatment of the disease in the early stages. Factors contributing to the occurrence of hemorrhoids include:

• sedentary lifestyle and sedentary work;
• frequent constipation;
• lifting heavy objects and excessive physical exercise;
• pregnancy and childbirth;
• genetic predisposition;
• alcohol abuse, spicy, salty and fatty foods;
• inflammatory diseases localized in the pelvic organs;
• vascular pathology.

• severe pain syndrome;
• the appearance of scarlet bleeding during bowel movements;
• swelling in the anal area;
• constipation;
• prolapse of hemorrhoids;
• discharge of mucus from the anus.

If the listed signs are found, it is imperative to visit a proctologist in a district clinic or in a private medical center. If in medical institution there was no such a narrow specialist, then first you can contact a therapist. After the examination and confirmation of the diagnosis, he will tell you which doctor you need to treat hemorrhoids. The patient may also need to consult an angiologist or phlebologist - specialists dealing with vascular pathologies.

At the first sign of hemorrhoids, you should make an appointment with a proctologist

Important: Hemorrhoids is a surgical pathology, therefore, in the absence of a proctologist, a general surgeon, who must be in the district clinic, can provide the necessary assistance in treatment.

How is the appointment with a proctologist and how to prepare for it?

At the first visit, the doctor is interested in the patient's complaints and symptoms, his lifestyle, previous operations, the presence of chronic diseases, bad habits and other important information. Do not be shy when talking about your problems, the more information the proctologist receives, the easier it will be for him to assess the patient's condition and get a complete picture of the causes of the disease. For some patients, so that they can feel more comfortable at the reception, it matters in the treatment of hemorrhoids, which doctor to see, male or female. When choosing a specialist, this point should be taken into account. After collecting the anamnesis, the doctor examines the patient and, if necessary, prescribes a referral for tests.
Before going to an appointment, you need to clarify whether you need special training. Most often, for the possibility of using instrumental methods of examining the rectum, the patient is recommended to do a cleansing enema in the evening and in the morning on the eve of a visit to the doctor. At the reception, you must take napkins, a towel and a disposable diaper.
The proctologist conducts the examination when the patient is in the supine position on the left side with bent knees or in the knee-elbow position. First of all, the doctor performs a visual examination and digital examination. He assesses the density and soreness of hemorrhoids, the general condition of the rectum and perianal zone.

Finger examination is the main method of diagnosing hemorrhoids used by a proctologist.

From instrumental research methods to clarify the diagnosis, the doctor can use:

• rectoscopy;
• anoscopy;
• colonoscopy;
• irrigoscopy.

After a complete examination and receiving the test results, the proctologist prescribes the necessary treatment. It can be conservative, minimally invasive, or surgical, depending on the stage of the disease and the severity of the symptoms.

All materials on the site are presented
for information, contraindications are possible, consultation with a doctor is MANDATORY! Do not self-diagnose and self-medicate!

The human body is very complex: the digestive tract consists of many different sections that perform strictly defined functions and have a unique anatomical structure relative to each other. Doctors, in addition to general therapeutic, pediatric or surgical practice, often choose a more highly specialized field, which they study throughout their careers. So, a little about doctors:

"What doctor treats the intestines?" - in a broad sense gastroenterologist. Gastroenterology - a large branch of medicine, which took upon itself the study of the functions, structure and pathological processes in organs associated with the digestive tract. Gastroenterologistdeals with the treatment of pathologies of the stomach and small intestine. More narrow specialties of gastroenterology are:

1. hepatology (studies the gallbladder, liver and bile ducts);
2. coloproctology(studies the pathology of the large intestine).

However, in case of poisoning or acute intestinal infection, consultation is necessary. infectious disease specialist (for example, with salmonellosis, shigellosis, acute intestinal infection). And with acute inflammatory processes in the intestine (for example, with inflammation of the appendix), help will be needed abdominal surgeon.

Asking the question to which doctor to go with hemorrhoids, you need to think about what kind of complaints you will name:

1. if you are worried about pain in the anus, but there are no obvious signs of hemorrhoids, then you need to contact a proctologist, gastroenterologist or therapist;
2. if there is no bleeding, the nodes do not fall out, but they hurt, then it is better to go to the proctologist, you can go to the surgeon right away;
3. if bleeding is present, the nodes fall out of the rectum and become cyanotic, then only the surgeon should be consulted.

Who treats hemorrhoids

If hemorrhoids develop, which doctor should you go to? The study of diseases and pathologies of the colon (rectum and colon) is a separate area of \u200b\u200bmedicine - proctology (since 1997 in the Russian Federation renamed to coloproctology). Accordingly, a doctor specializing in the treatment of diseases of the rectum (rectum) is called proctologist or coloproctologist... Hemorrhoids are the most common disease of rectum, therefore, when choosing which doctor to contact for hemorrhoids, you should focus on the proctologist.

Which doctor treats hemorrhoids - in short, it depends on the stage of development:

1. the therapist can prescribe treatment for stages 1-2, but with the obligatory consultation of a surgeon;
2. the surgeon will conduct a full proctological examination and refer you to the hospital if necessary.

Coloproctology is no less serious field of medicine than cardiology, nephrology, ophthalmology or any other narrow specialization. Do not feel embarrassed: a coloproctologist, like any medical professional, is obliged to keep medical confidentiality and observe medical ethics.

Where to find a proctologist

A proctologist can have a surgical or therapeutic specialization - the field of application of knowledge and the amount of assistance provided depends on this. In the absence of a highly specialized proctologist, an appointment in an outpatient clinic can be carried out by a surgeon.

The principle of organizing proctological care to the population consists of two links:

• polyclinic;
• hospital.

In other words, in state institutions, the reception of a proctologist is organized on the basis of a polyclinic (district, city, tied to production facilities). You can also apply for consultative medical help to private medical centers, some of which are accepted under compulsory medical insurance policies, which makes an appointment in a private clinic more accessible to the population.

If it is necessary to carry out complex examinations, operations, in case of emergency conditions, assistance is provided according to the proctological profile by a surgeon of a hospital (republican, regional, regional, city, district hospital).

Proctologist at the clinic

Depending on the size of the population in the region (city district, town, village, district, etc.), polyclinic institutions are required to organize one proctologist (a surgeon receiving in a proctology office) per 200 thousand population. When contacting the proctologist of the polyclinic, the patient can count on:

• reception and inspection;
• surveys not associated with the use of sophisticated equipment;
• prescribing conservative treatment or receiving a referral to a hospital or regional center for a complex examination;
• carrying out outpatient minimally invasive procedures not associated with the introduction of the patient into anesthesia, not threatening acute blood loss, not prescribing strict bed rest (for example, removal of single hemorrhoids);
• follow-up care after proctological operations performed in the hospital;
• clinical examination for proctological diseases.

Inpatient proctologist

It is most expedient, within the framework of optimization of medical care for proctological patients, to ensure the concentration of patients on the basis of a large medical institution - a republican, regional, city, regional hospital. A proctology department for 40-60 beds is being equipped, but with a small population, it is permissible to allocate beds in departments of the "purulent surgery" profile. Such concentration optimization of patients makes it possible to attract highly specialized doctors-proctologists (which are not available in all district hospitals: often a surgeon performs the functions of a proctologist).

In addition to the hospital for patients on the basis of the hospital, there should be a proctological operating room (possibly combined with operating purulent surgery), a small operating room and at least 1 dressing room.

In the proctology department there are patients not only with hemorrhoids, but also with other pathologies of the large intestine. At least 10% of patients are hospitalized with diseases of various parts of the intestine, severe ulcerative colitis and Crohn's disease.

Brief summary of specialists

Which of the doctors treats what:

1. Proctologist (coloproctologist) - a doctor who treats hemorrhoids and other pathologies of the large intestine.
2. Gastroenterologist - a doctor who treats the intestines.
3. Surgeon - a doctor who treats hemorrhoids by surgery.
4. Therapist - a doctor who gives referrals to other doctors and prescribes treatment based on the advice of other specialists.
5. Infectionist - a doctor who treats intestinal infections.
6. Hepatologist - a doctor who treats the liver and gallbladder (the gallbladder is one of the digestive organs, without whose secretory fluid it becomes complicated).

Most people do not want to touch on the topic of going to the doctor when such an unpleasant disease as hemorrhoids occurs. But absolutely everyone needs specialized advice. The lifestyle of a modern person: unhealthy diet, a profession associated with a sedentary lifestyle - and other factors sharply increase the risks of developing this colon disease, in which a doctor who treats hemorrhoids specializes - that is, a proctologist who treats and prevents diseases of the anus and colon intestines.
Hemorrhoids are more of an age-related problem, which, however, also affects young people. Among the obvious signs of this disease, itching in the anus, pain, the appearance of specific hemorrhoids and seals should be noted. With these symptoms, many ask: which doctor treats hemorrhoids? Unpleasant sensations can occur when anal fissures appear, but they do not heal on their own. But if you catch yourself in time, you can get rid of them, avoiding surgical intervention.

These two proctological diseases are characterized by special symptoms, recognizing which, a specialist can make a correct diagnosis. But patients themselves should know the main signs of these diseases and decide in time which doctor to go to.

When to see a proctologist?

• Anal itching, pain in the anus;
• The appearance of tumors and protruding nodes near the anus;
• Blood in the stool is dark in color or in the form of streaks;
• Discharge from the anus (pus, mucus, blood);
• Prolonged and frequent diarrhea or constipation (this is especially dangerous if they are not caused by food);
• Desires to defecate, which are false;
• Feeling of a foreign body in the anus.

If you find at least one of the signs mentioned above, you should think about your health. Moreover, now you know which doctor to contact. Almost all cases of early detection of hemorrhoids lend themselves to effective and fairly rapid treatment of hemorrhoids. Therefore, you need to immediately take action, and not deceive yourself, meaninglessly hoping that the problem will resolve on its own. This will only complicate the treatment. By contacting a specialist on time, you can permanently get rid of such a problem as hemorrhoids and start a new life - without worry and discomfort.

Most people do not want to touch on the topic of going to the doctor when such an unpleasant disease as hemorrhoids occurs. But absolutely everyone needs specialized advice. The lifestyle of a modern person: unhealthy diet, a profession associated with a sedentary lifestyle - and other factors sharply increase the risks of developing this colon disease, in which a doctor who treats hemorrhoids specializes - that is, a proctologist who conducts therapy and prevention of diseases of the anus and colon intestines.
Hemorrhoids are more of an age-related problem, which, however, also affects young people. Among the obvious signs of this disease, itching in the anus, pain, the appearance of specific hemorrhoids and seals should be noted. With these symptoms, many ask: which doctor treats hemorrhoids? Unpleasant sensations can occur when anal fissures appear, but they do not heal on their own. But if you catch yourself in time, you can get rid of them, avoiding surgical intervention.

These two proctological diseases are characterized by special symptoms, recognizing which, a specialist can make a correct diagnosis. But patients themselves should know the main signs of these diseases and decide in time which doctor to go to.

When to see a proctologist?

• Anal itching, pain in the anus;
• The appearance of tumors and protruding nodes near the anus;
• Blood in the stool is dark in color or in the form of streaks;
• Discharge from the anus (pus, mucus, blood);
• Prolonged and frequent diarrhea or constipation (this is especially dangerous if they are not caused by food);
• Desires to defecate, which are false;
• Feeling of a foreign body in the anus.

If you find at least one of the signs mentioned above, you should think about your health. Moreover, now you know which doctor to contact. Almost all cases of early detection of hemorrhoids lend themselves to effective and fairly rapid treatment of hemorrhoids. Therefore, you need to immediately take action, and not deceive yourself, meaninglessly hoping that the problem will resolve on its own. This will only complicate treatment. By contacting a specialist on time, you can permanently get rid of such a problem as hemorrhoids and start a new life - without worries and discomfort.

Hundreds of patients face hemorrhoids every day. This delicate problem causes many unpleasant symptoms and reduces the quality of life. The causes of the disease include a sedentary lifestyle, pathologies associated with impaired vascular function, intense physical activity and some other factors. When faced with a problem, many patients do not know which doctor treats hemorrhoids. To make the correct diagnosis and choose the most effective methods treatment, it is important to understand which doctor to contact for hemorrhoids and how to properly prepare for the examination.

Disease concept

Before you figure out which doctor to go to with the problem, you should find out what is hemorrhoids? Pathology consists in damage to the veins of the rectum. In this case, the vessels stretch, their integrity is violated, cavernous formations appear, which outwardly resemble nodes or bumps. There are several types of disease. Among them, an internal or external type of pathology is distinguished. In the first case, the nodes appear on the inside of the rectum. When outwardly, hemorrhoids fall out through the anus. This process is accompanied by severe pain during bowel movements, bleeding, burning, itching. In addition, the lack of treatment often leads to complications such as venous thrombosis, proctitis, paraproctitis, anemia and others.

Why you need to go to the doctor

Like any other disease, hemorrhoids gradually progress, which puts you at risk of developing certain complications. With pathology of 3 and 4 degrees, the patient may develop a strong inflammatory process, tissue suppuration, abscess, profuse bleeding, and infection of wounds. That is why you need to contact a specialist in the early stages of the disease. When the first signs appear, such as itching, burning, pain when emptying the intestines, a feeling of a foreign body in the anus, you should make an appointment with a doctor as soon as possible.

Important! A quick response to the problem and well-chosen conservative therapy will help to avoid serious complications and surgical treatment.

What specialist treats the disease

Hemorrhoid treatment for each patient is selected individually, depending on the diagnosis. Answering the question, which doctor treats hemorrhoids in women and men, it should be said that the main specialist dealing with the problem is a proctologist or coloproctologist. It is these specialists who are engaged in the diagnosis, treatment and prevention of pathologies that occur in the rectum.

Chief Specialist in the Treatment of Hemorrhoids - Proctologist

Indications for visiting a proctologist:

• all types of hemorrhoids;
• development of thrombosis of hemorrhoids;
• trauma to the anus and rectum;
• education in the anus of a benign or malignant nature;
• the formation of anal fissures;
• prolapse of hemorrhoidal cones;
• the development of inflammation and other negative symptoms.

Coloproctologist and proctologist are specialists of the same profile. Therefore, if you suspect you have hemorrhoids, it is recommended to contact one of these doctors.

What is the competence of a proctologist

Having found out that you should go to a proctologist with hemorrhoids, you need to figure out what role this specialist plays in the treatment of the disease.

Stages of examination by a proctologist:

1. Patient interview. The doctor reads the patient's medical history, verbally asks about the symptoms that disturb the person.
2. Finger examination on a proctological chair. Making a preliminary diagnosis.
3. Appointment of instrumental diagnostic methods.
4. Diagnosis (type, degree and features of the course of hemorrhoids).
5. Prescribing treatment.

Methods for diagnosing the disease

Hemorrhoids can be cured by making a correct diagnosis. For this, the patient can be assigned instrumental research methods, which are carried out in the clinic. These include:

• sigmoidoscopy. This method allows you to examine the patient's rectum, assess the condition of the mucous membrane using a special device equipped with a camera. The technique is painless, if necessary, the rectal area is anesthetized with local anesthesia;
• colonoscopy. The technique allows you to examine the rectum and sigmoid colon, is prescribed to patients with suspicion of the formation of tumors;
• anoscopy. Examination of the rectum is carried out using an anoscope. In addition to examination, with the help of the instrument, the doctor can take a smear for research, if necessary, introduce medicinal substances;
• radiography. X-rays are prescribed if there is evidence for that.

According to the doctor's prescription, the patient can be assigned various instrumental research methods.

Each of the diagnostic methods is quite informative, it allows you to accurately diagnose in 99% of cases.

Important! Usually, one of the techniques is enough to make a diagnosis, less often the patient is prescribed several procedures at once.

How to prepare for the examination

The date of the examination for hemorrhoids is assigned to the patient by a specialist. The doctor tells the patient in advance about the necessary preparation that will be needed to obtain the most accurate data:

• a few hours before the examination, you must refuse food. The patient is recommended to have supper, but the next day to go to the doctor on an empty stomach;
• the day before, it is not recommended to eat foods that cause fermentation in the intestines, you must give up cabbage, legumes, grapes, mushrooms, raisins and other dishes;
• before diagnostics, it is recommended to take a laxative, put a cleansing enema.

Before going to the hospital, a person is advised to take a towel, robe, change of shoes or purchase a special examination kit at the pharmacy. Simple preparation will help to make a diagnosis, choose the right therapy, and rather deal with the treatment of pathology.

If the hospital does not have a proctologist

What should the patient do if there is no proctologist in the medical institution at the place of residence? Usually a therapist deals with the disease in such cases. The doctor helps to find medications that will alleviate the patient's condition. It cannot be said that the therapist can completely replace the doctors of the proctologist and coloproctologist, but in case of a hopeless situation, his help is needed.

In addition to the therapist, in the acute course of hemorrhoids with such signs as bleeding, prolapse of hemorrhoids, intense pain, a person can consult a surgeon. This specialist will perform an examination and, if necessary, give a referral for an operation.

The role of the surgeon in the treatment of hemorrhoids

Special attention in the treatment of hemorrhoids in men and women should be given to a surgeon with a narrow specialty. The proctologist surgeon deals exclusively with patients with problems of the anorectal region. Patients are referred to him for whom drug therapy has not brought desired result, and the state of health is constantly getting worse.

The responsibilities of the surgeon include:

• examination of the patient, oral conversation, which helps to find out the chronology and features of the onset of symptoms;
• implementation of minimally invasive techniques aimed at removing hemorrhoids in an outpatient clinic, after which patients immediately go home;
• conducting operations in a hospital using techniques such as hemorrhoidectomy, hemorrhoidopexy;
• the appointment of drug treatment after surgery;
• control of the patient's well-being and the healing of stitches after surgery.

A proctologist or therapist may refer to a human surgeon. You can make an appointment with a doctor of your own free will.

The surgeon plays an important role in the treatment of hemorrhoids

What other specialists are involved in treating the problem

In addition to a proctologist and a surgeon, during the treatment of hemorrhoids, the patient may need to consult other specialists.

Gynecologist

A woman is often prescribed an examination by a gynecologist, since hemorrhoids often cause complications from the reproductive system. Another reason for varicose veins of the rectum is the period of pregnancy and childbirth. Every third woman suffers from the disease due to the pressure of the uterus on the pelvic organs, including the vessels of the rectum. The gynecologist will help you choose medications that are approved for use during this period, so as not to harm the health of the mother and child.

Phlebologist

Since hemorrhoids are directly related to vascular pathology, a person with this disease is shown an examination by a specialist dealing with venous diseases. Often, pathology is combined with varicose veins of the lower extremities. To restore the integrity of the vessels, the phlebologist prescribes the necessary treatment. These can be drugs to strengthen the vascular walls, restorative and venotonic drugs.

Gastroenterologist

Constipation is a common cause of hemorrhoids. Treatment of any disease always implies elimination of the causes of pathology. To treat constipation and other disorders of the digestive tract, the patient should see a specialist called a gastroenterologist. The doctor helps to find out the cause of constipation, to choose a therapy aimed at preventing them.

Comprehensive treatment of hemorrhoids involves examination by several doctors at once

Nutritionist

To choose a diet for an illness, a man or woman may need the help of a nutritionist. Your doctor will adjust your diet to help prevent stool and other digestive disorders. This socialist plays an important role during the recovery period of the patient after an operation to remove hemorrhoids.

Important! In severe cases of the disease, the patient may need to visit all of the above specialists.

Conclusion

Hemorrhoids are dangerous and unpleasant diseases. Treatment of the problem must be started early. A negligent attitude towards one's health with this pathology often ends in serious consequences that require surgical intervention. The main specialist dealing with the disease is a coloproctologist. The doctor helps to choose medicines, gives recommendations that are necessary to prevent complications. In addition to a coloproctologist, specialists such as a surgeon, therapist, gynecologist and some others are involved in the treatment of hemorrhoids. An integrated approach to the therapy of pathology and the implementation of the recommendations of all doctors will help you quickly cope with the disease, return to a full-fledged lifestyle.

If women speak about hemorrhoids in everyday life, then in a joking tone, describing a problem that is very worrisome and cannot be solved in any way. They prefer to remain silent about a real illness, and they do not dare to go to a doctor. Largely because sometimes they do not know which doctor to consult for a woman with hemorrhoids, and who a coloproctologist is. It is better to deal with this issue, and then the annoying illness will sooner cease to be a problem.

Which doctor should a woman go to for hemorrhoids

Hemorrhoids is a disease localized in the rectum. Therefore, a doctor who is well versed in the pathology of this part of the intestine will best of all help in its treatment. Such a doctor is called a proctologist or, in a more modern way, a coloproctologist. This specialist has in his arsenal not only knowledge of the pathology of the rectum, but also special tools for diagnostic and therapeutic manipulations.

For acute hemorrhoid emergencies (eg, bleeding), the assistance of a coloproctologist surgeon may be needed.

You can make an appointment with a proctologist directly or after receiving a referral from a therapist or gynecologist. The surgeon-coloproctologist also conducts reception on an outpatient basis, but he operates on patients in the hospital, where the ambulance workers bring the sick.

Who treats hemorrhoids: what kind of doctor, except for a proctologist

If a proctologist is not available at the local clinic, you should get a referral to a diagnostic center where such specialists are available.

• Phlebologist. Since the hemorrhoids that bother the patient are dilated venous vessels, you can consult a doctor who treats venous pathology. It is within the competence of this specialist to suggest which drugs to use to strengthen and improve the tone of the vascular walls, prevent thrombus formation, and choose a means for sclerotherapy.
• Surgeon. It will help with exacerbation of hemorrhoids, can carry out sclerotherapy of external nodes, prescribe therapy to prevent complications.
• Therapist. In chronic hemorrhoids, you can periodically be observed by a therapist, receiving the usual treatment.
• Nutritionist. It makes sense to consult this specialist if you suspect the onset of the disease, a predisposition to it, or in case of a high risk of its occurrence (with hard physical work, during pregnancy). The doctor will recommend a set of foods to relieve bowel stress, prevent constipation and establish regular bowel movements.

Hemorrhoids in a woman: which doctor to consult during pregnancy

Pregnant women often suffer from hemorrhoids. In the early stages, the disease almost does not manifest itself, but hormonal fluctuations, an increase in the load on blood circulation, mechanical compression of the veins prepare the ground for the onset of the disease. In the third trimester, hemorrhoids can manifest in full force, as the enlarged uterus can constrict the vessels, creating an obstacle to blood flow.

The need for treatment by a proctologist is determined by the stage of the disease.

• With an asymptomatic course, when a hemorrhoidal node is discovered by chance when examined by a gynecologist, he can also give some recommendations. For example, change your diet, include more physical activity in the daily routine. It is also helpful to visit a nutritionist.
• If the symptoms of hemorrhoids are troubling, this is a reason to get a recommendation from a proctologist. He will carry out the necessary tests and diagnostic procedures, select an adequate and safe treatment.
• In acute conditions - bleeding, thrombosis or pinching of nodes, surgical treatment may be required by a coloproctologist-surgeon. Or just a surgeon if there is no rectal specialist in the nearest hospital. Treatment and observation in this case is carried out in conjunction with the gynecologist in charge of pregnancy. Preference is given to minimally invasive, gentle techniques.

What doctor treats hemorrhoids in women after childbirth

Labor activity is associated with an increase in intra-abdominal pressure, the fetus, passing through the birth canal, compresses and compresses the large venous trunks of the small pelvis. Under these conditions, the venous outflow from the hemorrhoids is disturbed, which leads to their tension and increase. In some cases, their prolapse, thrombosis and infringement begin.

• Even if childbirth did not complicate the course of hemorrhoids, it can worsen in the early postpartum period, when the pelvic floor muscles and the intestines have not yet recovered. To avoid giving hemorrhoids a chance, you should ensure regular bowel movements with soft stools. To do this, it is worth visiting a nutritionist in order to develop an individual nutritional system that is good for the intestines and does not harm the baby during breastfeeding.
• The therapist or gynecologist should have sufficient competence to advise suppositories, ointments, baths and compresses suitable for the treatment of uncomplicated hemorrhoids in the early stages of the postpartum period.
• The phlebologist will suggest methods of influencing the venous vessels.
• Consultation and treatment with a proctologist is the most optimal solution to problems with hemorrhoids after childbirth.

For information on how to treat a disease during lactation, read in.

The most important thing for hemorrhoids in women is to admit their problem and begin competent treatment under the supervision of a doctor. To overcome the awkwardness, it is worth understanding two things: first, the disease is easier to overcome if you notice its first manifestations. And secondly, doctors, especially specialists, treat hemorrhoids in the same way as any other disease - a headache or a runny nose. And they sincerely want to help recover.

Hemorrhoids ranks first among all diseases of the rectum. The main reason for this is a sedentary and sedentary lifestyle.

Every third person in the world sooner or later discovers hemorrhoids. And many have no idea which doctor to go to and what treatment for this disease involves.

Symptoms

At the first sign of hemorrhoids, you should immediately consult a doctor who treats hemorrhoids.

The main symptoms of the disease are:

• Itching and burning in the anal region.
• Bleeding.
• Sensation of a foreign body in the rectum.
• Pain in the rectal area.

If a person is faced with the symptoms described above, then it is necessary to contact a specialized specialist in a proven clinic, since hemorrhoids develops very quickly.

If untreated, it becomes chronic, which can lead to unpleasant consequences.

A doctor who treats hemorrhoids will help to avoid possible complications and prescribe competent therapy. The main thing is not to be afraid and not to postpone treatment.

When detecting the first signs of hemorrhoids, do not hesitate to consult a coloproctologist to prevent complications!

Which doctor treats hemorrhoids?

Hemorrhoids most commonly occur in pregnant women and after childbirth. But even in nulliparous girls and women, hemorrhoidal veins become inflamed.

Nervous hemorrhoids are an excellent confirmation of this. After all, frequent stress and emotional situations affect the blood circulation and can provoke inflammation of the veins in the rectal area.

Many people postpone a visit to a specialist, simply not knowing what the doctor is called for hemorrhoids and whether they really have this problem. If, in the process of analyzing her symptoms, a woman has found at least the slightest coincidence with hemorrhoids, a visit to the doctor should not be postponed, but should be scheduled for the near future.

A woman needs to see a proctologist or coloproctologist for hemorrhoids. A proctologist is a doctor who treats hemorrhoids and other pathologies of the rectum. It is this specialist who treats hemorrhoids in women and conducts a visual examination, prescribes the necessary studies, and makes a diagnosis.

Unfortunately, at the moment, not every polyclinic has such a specialist, and then it is necessary to go to a hospital or a private clinic. In order to make an appointment and find out about the presence of the necessary specialist in a particular medical institution, it is enough to call the reception and make an appointment with the doctor.

If hemorrhoids occur during pregnancy, you need to contact a coloproctologist.

Many women believe that they can go to a gynecologist for hemorrhoids. In this case, the gynecologist must necessarily refer the woman to another specialist, since he cannot prescribe competent treatment and does not have the necessary knowledge.

Some do not go to the doctor because of shyness. Almost every third person suffers from hemorrhoids - and every day the doctor examines patients. If you refuse to visit a doctor, then sooner or later you will still have to go to him, since hemorrhoids are accompanied by severe pain and bleeding in the later stages, but then the treatment will be longer.

The symptomatology of hemorrhoids is similar to anal fissures and malignant neoplasms.

Can a doctor confuse hemorrhoids with oncology? A qualified specialist, thanks to diagnostic procedures and a complete examination, will not make such a mistake.

It is impossible to cure hemorrhoids without a doctor, especially if a person is not completely sure of his diagnosis.

How do doctors check for hemorrhoids?

In most cases, a doctor's examination and palpation reveal a hemorrhoid disease.

Difficulties may lie in the case of internal hemorrhoids, when the nodes cannot be felt with a finger method. Then the doctor prescribes diagnostic examinations of the rectum - colonoscopy or sigmoidoscopy. These techniques allow you to identify the stages of inflammation of the nodes and their location.

What is Coloproctology?

Coloproctology studies diseases of the colon, and the specialist who deals with this field is a coloproctologist. Even 20 years ago, a doctor was simply called a proctologist, and in 1997 he was renamed a coloproctologist. The task of a coloproctologist is to identify pathology and prescribe accurate and competent treatment of rectal diseases, which include hemorrhoids.

You can get the education of a coloproctologist only by studying in the specialty "Surgery" or "General Medicine". After that, they undergo postgraduate studies and retraining in a new specialty.

Coloproctology is a complex science. The physician must have knowledge of surgery, anesthesiology and therapy. That is why there are so few specialists in this industry at the moment.

When working in a polyclinic, the duties of a doctor:

The task of the doctor is to ensure a speedy recovery for his patient. If this is not possible or conservative methods do not have the desired effect, the person is sent to a hospital.

When working in a hospital, a doctor must:

After the patient has gone on the mend, the doctor waits for the result to be consolidated, conducts an examination and can discharge the patient for further treatment at home.

The doctor will give a sick leave for hemorrhoids if the disease is in the acute stage. With hemorrhoids of 2-3 stages, a sick leave is issued for 7 days, 4 stages - 10 days.

Coloproctologist surgeon

The doctor who removes hemorrhoids is a coloproctologist-surgeon. He treats if conservative methods have not had the desired effect. His responsibilities include:

• Reception of a patient after unsuccessful outpatient treatment or inpatient treatment.
• Performs surgical interventions.
• Prescribes medications after surgery.

In most cases, coloproctological surgeons work in hospitals and day hospitals... In the clinics, ordinary practicing proctologists are receiving visits.

What other specialists can you contact?

Living in a small village, neither in a hospital nor in a polyclinic, a coloproctologist may not be found. What if there is no proctologist and who can I contact? The following specialists will help if hemorrhoids are suspected:

For men, you can consult a local therapist, surgeon, phlebologist or urologist. For hemorrhoids, it is best to consult a proctologist, especially if the disease is in an acute stage.

A therapist, gynecologist, surgeon, and urologist may prescribe treatment to relieve symptoms, but this will not completely cure the condition.

Can a doctor fail to notice hemorrhoids? If a qualified coloproctologist is engaged in diagnostics, then any form of hemorrhoids will be identified.

The gynecologist, therapist and surgeon do not have the necessary instruments for examination, therefore, in the case of internal hemorrhoids, treatment is prescribed, relying only on symptoms.

Hemorrhoid treatment methods

The doctor for hemorrhoids in men and women, after the diagnosis, immediately suggests methods of treatment.

There are several types of treatment:

The opinion of doctors regarding treatment tactics depends on the stage of hemorrhoids and the presence of concomitant diseases.

Usually conservative methods are used, and only the last stages require surgical manipulations.

What a doctor can prescribe:

Minimally invasive treatments include:

Sclerotherapy

• Sclerotherapy. Introduction of a special substance into the nodes, which causes the nodes to die off.
  Ligation with latex rings. Rings are superimposed on the nodes, which disrupt blood circulation in the problem area - and it disappears.
• Photocoagulation. Under the influence of thermal energy, the node dies off, and a wound forms in its place.

Minimally invasive treatments do not require anesthesia or general anesthesia. At the last stage, minimally invasive methods do not always give a result - and they carry out a classic operation to remove hemorrhoids, which is performed under general anesthesia. Doctors' prescriptions should never be ignored, even if a standard operation to remove nodes was recommended.

Hemorrhoids - some people do not know a lot about this extremely unpleasant disease, have a wrong idea about its symptoms, about a doctor who treats hemorrhoids. This disease is becoming very common for a number of reasons, the main of which is a sedentary, sedentary lifestyle, which is led by almost all urban residents.

Why does hemorrhoids occur?

A person has an increased risk of developing hemorrhoids even at a young age if the following factors are present:

• chronic constipation
• passive lifestyle
• occupational risk - builders, drivers, office workers, accountants, programmers, salespeople
• lifting weights
• passion for various diets
• pregnancy and childbirth
• some sports
• genetic disposition
• alcohol abuse, fatty, spicy foods

Which doctor to go to with hemorrhoids?

When a person begins to be bothered by bleeding from the anus, the formation of any nodes in the anus, he wonders if this is not hemorrhoids? And which doctor treats hemorrhoids? Today, in an age of a sedentary lifestyle, everyone should know about the most characteristic symptoms this disease.

The main sign of incipient hemorrhoids is bleeding from the anus from slight to intense, prolapse of hemorrhoids, discomfort when sitting and walking, severe pain in this case, it may not be. If there is any bloody discharge from the anus, traces of blood on the feces, you should contact proctologist or coloproctologist.

Therefore, when a question arises - with hemorrhoids, which doctor should I go to? The unequivocal answer is to a coloproctologist or proctologist. Only a specialist, when conducting a thorough examination, will be able to establish the true cause of the bleeding. You should also know that hemorrhoids successfully disguise themselves as other diseases of the rectum, such as fissures in the anus, malignant tumors and other serious illnesses.

What does a coloproctologist treat?

Until recently, a doctor treating hemorrhoids and other rectal diseases was called a proctologist. In the modern nomenclature of doctors' specialties, diseases of the colon have been included in the competence of a proctologist, so now a doctor who treats hemorrhoids is called a coloproctologist.

How to prepare for a doctor's examination?

Before visiting a proctologist, you should cleanse the intestines 1 time in the evening, 1 time in the morning, it is most effective to put an enema. There are other options - micro enema with Microlax, it should be done on the day of the visit in the morning. Such preliminary preparation is required if the doctor considers it necessary to carry out rectoscopy.

Are there hemorrhoids without blood?

It happens in the initial stages, but bleeding is one of the signs of hemorrhoids, even with heavy bleeding. But this is not the only symptom of the disease.

Can hemorrhoids go away on their own?

Not. Hemorrhoids not only cannot disappear on their own, they tend to enlarge. Therapy medicines slightly slows down the progression and relieves symptoms in the acute process.

Are pain after hemorrhoid surgery inevitable?

Today, there are modern methods of minimally invasive surgical treatment of hemorrhoids, which provide getting rid of this disease without pain and subsequent problems.

With pain in the anus - a diagnosis of hemorrhoids?

Not. Hemorrhoids are not always painful, at the initial stage of the disease there may be no pain, only at an advanced stage, when inflammation occurs, nodes prolapse, acute pains occur. There can be many reasons for the appearance of various pains in the anus, therefore, timely diagnosis by a proctologist - a doctor who treats hemorrhoids is important.

Is the examination by a coloproctologist always painful?

When examined by a proctologist, pain can occur only if there are concomitant problems - tears, cracks, loss of nodes. A standard examination by a proctologist is painless.

Are hemorrhoids a disease of the elderly?

Not. In modern society, hemorrhoids occur in the younger generation under 30 as often as in those over 45. Often, the first signs of hemorrhoids appear in the majority at a fairly young age, progressing and intensifying in the future.

Are hemorrhoids treated with laxatives?

No, getting rid of constipation is not a cure for this disease, moreover, from diarrhea, irritation of the intestines - the symptoms and progression of the disease only intensify.

Is it possible to treat hemorrhoids only with folk remedies?

In the initial stages, herbs and dietary supplements can to some extent alleviate the manifestations of the disease, but any treatment should be comprehensive. Hemorrhoids are a disease in which one cannot self-medicate, since hemorrhoids do not decrease with age, but, on the contrary, increase, with disruptions in diet, constipation, constant relapses occur. And already in the later stages, combined conservative-surgical treatment is indispensable.

How should hemorrhoids be treated?

We found out which doctor treats hemorrhoids, now we have to find out - how can this ailment be cured today? Only a qualified doctor can prescribe an adequate, timely, modern treatment... In practice, there are no absolutely identical cases, each patient has a certain symptomatology, aggravation with other proctological problems and chronic diseases, therefore, the treatment is prescribed strictly individual, depending on the nature of the process and the stage of hemorrhoids. To date, in addition to traditional surgical and drug treatment, there are such modern methods of treatment of hemorrhoids on an outpatient basis as:

• sclerotherapy,
• photocoagulation of hemorrhoids,
• imposition of latex rings - ligation
• abroad, only a quarter of patients undergo surgical treatment, and the remaining 75% of patients undergo minimally invasive painless treatment of hemorrhoids.

Obviously, the problem is so delicate that many of us would rather endure pain and discomfort while moving or at rest than going to see a doctor with a specialty. proctologist or coloproctologist... Yes, this is the name of a specialist who is engaged in the diagnosis, treatment and prevention of intestinal diseases, including hemorrhoids.

Let's start from the very beginning. First, let's determine whether the symptoms that you feel are in fact the initial stage of hemorrhoids.

Why you need to see a doctor

In our age of rapid speeds, only technologies are really fast, and a person has almost completely stopped moving, leads a sedentary passive lifestyle in an office or car. Namely, this is one of the main causes of this disease. Its initial signs, at the appearance of which you should ask yourself the question of what the name of the doctor who treats hemorrhoids is, are:

• the appearance of painful sensations in the anal area;
• after emptying, droplets of blood are visible in the feces, blood may remain on the underwear;
• nodes are small, palpable in the anus;
• feeling of discomfort and pain when moving quickly or when a person tries to sit up, coughs or sneezes;
• mucous membranes;
• , sensation of a foreign object in the rectum;
• manifestations of puffiness and inflammation in the perineum.

If even the most of the above appear, you should immediately contact a proctologist. Only he, during a careful professional examination, will be able to identify the disease in its initial stages, prescribe the necessary conservative treatment and determine the reasons for its appearance. And there may be several of them.

Among the main ones, experts include:

• varicose veins of various localization in the body;
• the presence of bad habits such as drinking and smoking;
• work associated with sitting in the office or mental work, low physical activity;
• congenital or acquired vascular pathologies, genetic predisposition.

In women, this can also be associated with:

• the period of bearing the child, childbirth, their complications;
• frequent diets and fasting;
• lifting weights;
• artificial emptying of the intestine during weight loss.

And for men:

• with power sports;
• obesity;
• love for junk food - semi-finished products, spicy, salty, fatty foods, marinades and smoked meats.

With the combination of several factors, the risk of the disease increases significantly.

So, who treats hemorrhoids, which doctor does this, to whom to go, we have already found out - this is a coloproctologist. And if you suddenly began to worry about pain and bloody discharge from the anus, then you should quickly pay him a visit.

You should not diagnose yourself on your own, let alone self-medicate.

Hemorrhoids are a rather insidious disease, and its main symptoms are similar to those of oncology of the rectum or any part of the large intestine, fissures of the anus and other very serious pathologies. And only a professional, after an interview, anamnesis and a thorough diagnosis, if necessary, can determine which disease has overtaken you. And this is very important for the patient, since therapy in this case will be aimed specifically at getting rid of hemorrhoids. And in the case of a different diagnosis, for example, bowel cancer, you even save your life, as you will not waste precious time.

What doctor treats hemorrhoids in women and men, is there a difference?

No, in any case, you should consult a proctologist or coloproctologist, even if the hemorrhoid was diagnosed by a gynecologist or urologist. The attending physician should give a referral to his patient for an additional examination by a specialist.

When should you visit a proctologist?

Often a disease provokes a particular physiological state of a person at different stages of his life. Therefore, you should definitely contact a proctologist:

• in the last three months of pregnancy and after the birth of the baby. Nearly 70% of women experience hemorrhoid-like symptoms during pregnancy or after childbirth, such as prolapsed hemorrhoids;
• shortly before the onset climacteric women, during its course;
• if you have a lot of excess weight;
• if you move little during the day, you have to sit a lot due to certain circumstances;
• during rehabilitation period postoperative intervention for hemorrhoids;
• after forty years, if your close relatives suffered from intestinal cancer.

Since the disease at the initial stage is practically asymptomatic, then at least once a year each person should, with care for their health, undergo a preventive examination by a proctologist.

Remember that even small children are prone to the disease. Therefore, if you notice that he cries when he goes to the toilet, then he is in pain. And this is the reason for going to the doctor.

Duties of a coloproctologist surgeon. What does a coloproctologist treat?

Officially, the section of medicine that diagnoses, treats and deals with preventive measures of intestinal pathologies, including the colon and rectum, anus, as well as adjacent tissues, is called coloproctology. Although, out of habit, such a doctor is often called a proctologist.

The fact is that at the very end of the last century, in 1997, proctology, according to European standards of medicine, was renamed into coloproctology.

A proctologist is more of a surgical proctology. Unlike therapeutic proctology, it deals with emergency care in emergency situations. For example, with acute intestinal obstruction or rupture of hemorrhoids, causing severe bleeding.

The proctologist deals with the following pathologies:

• polyps and anal fissures;
• colitis and proctitis;
• paraproctitis;
• tumors of various origins;
• injuries to the organ, perineum and mucous membranes;
• intestinal prolapse;
• helminthiases;
• the presence of a foreign body;
• thrombosis of hemorrhoids;
• itching in the anus, irritation and inflammation.

What other doctor can cure hemorrhoids?

What doctor, surgeon or other specialist should you go to with hemorrhoids if there is no proctologist at the clinic or district hospital, and consultation and examination are urgently needed?

Of course, the ideal option is a coloproctologist. But, unfortunately, there are not so many specialists in this narrow profession as we would like.

Therefore, for emergency assistance, you can contact:

• Therapistespecially with chronic disease... He will be able to conduct an initial examination, prescribe medications to alleviate the condition, advise where to find a specialist. But he cannot carry out a full diagnosis.
• To the surgeonif the condition is acute and requires the immediate intervention of a specialist in this area.
• Nutritionistto adjust your diet.
• Phlebologist or another vascular doctor - an angiologist. After all, hemorrhoids are pathologies that occur in the veins of the intestine.
• To the girl to the gynecologist, as the disease worsens during pregnancy and after childbirth. And it is the gynecologist who can prescribe a treatment that will be safe for a woman who is carrying a child or nursing him.

But to diagnose the disease is 100% correct, to advise how to treat it most effectively and what drugs can only be a professional, a narrow specialist - a coloproctologist.

Why is a visit to the doctor obligatory for hemorrhoids?

The delicacy of the problem is always shameful. In most cases, potential patients go to the doctor when they no longer have the strength to endure. The acute period of the course of hemorrhoids greatly complicates the diagnosis and treatment. Indeed, during an exacerbation, it is impossible to use instrumental methods due to the fact that the perineal area is sufficiently inflamed, therefore, the risk of its further trauma is high.

The doctor relieves the acute inflammation, and the patient disappears. But he will definitely return again, only with even more pronounced and painful symptoms.

It is important to understand that persistent bleeding can cause anemia, iron deficiency in the body. And open wounds are wide gates for the entry of pathogenic bacteria. Therefore, intoxication of the body inevitably begins.

In addition, hemorrhoids at any stage of their development can cause:

• thrombosis - a very dangerous condition in which there is a blockage of veins with blood clots. This interferes with normal blood circulation, reduces blood flow, increases pressure in blood vessels, and causes a lack of oxygen in the body:
• necrosis mucous tissues of the anus and nodes, their death and complete decay.

Hemorrhoids in the first and second stages can still be cured conservatively. But the next stages of such therapy do not lend themselves to. The operation remains, which always has a high degree of risk and a difficult rehabilitation period.

Note!

Therefore, the sooner you see a doctor, casting aside false shame, the sooner you will cope with the problem and avoid numerous serious complications, including rectal cancer.

Required diagnostic procedures

First of all, the doctor makes an anamnesis based on the interview, where he asks the necessary questions and gets answers to them. Then he conducts a visual examination of the condition of the anus and proceeds to a rectal examination of the rectum. To do this, he puts on a glove, lubricates his finger with petroleum jelly and gently inserts it into the anus, feeling the state of the mucous membrane and the lower rectum.

Usually after that, even if the doctor has already made a diagnosis, for its clarification, detection, general blood count, other instrumental research methods -, are prescribed.

How to prepare for the appointment?

It should be remembered that a preliminary appointment must be made to narrow specialists. Therefore, it is worth taking care of this in advance.

A visit to a proctologist is associated with a number of simple manipulations aimed primarily at cleansing the intestines. They are necessary in order to be able to immediately carry out instrumental diagnostics of the intestine, for example, irrigoscopy or colonoscopy.

This is best done with cleansing enemas. They need to be done in the evening and morning. Use warm water, no more than two liters at a time.

You can use the drug Mikrolax (laxative). This procedure is carried out in the morning a few hours before the start of the examination.

A minimum of 48 hours should be adhered to, excluding from foods those that can cause bloating and gas formation.

You should go to the doctor on an empty stomach. This is necessary in order to immediately pass a laboratory blood test as prescribed by the doctor.

What to take with you when going to the doctor:

• outpatient patient record;
• the passport;
• pension certificate, if any;
• other documents for benefits;
• insurance policy;
• wet sanitary napkins;
• towel and disposable sheet
• changeable shoes or disposable shoe covers.

If you feel that you may be hospitalized, for example, in the case when the disease has reached its final stage and surgery is required, then take care of the minimum collection of things that you will need at first.

What does the doctor do, how does he diagnose (digital examination)?

If the examination takes place in a polyclinic, then the doctor:

• takes a patient in an equipped office, makes an anamnesis, reads an outpatient card, conducts an initial visual and rectal examination, using special instruments if necessary;
• gives direction to and;
• after a while, on the basis of research data, confirms or refutes the preliminary diagnosis;
• prescribes treatment individually in each case;
• can carry out mini-operations to alleviate the condition and for the sake of prevention if the patient does not go to the hospital;
• monitors the course of the disease and the course of treatment, corrects it.

Rectal-manual, or digital, examination is the main component of diagnostics, which allows to identify not only pathologies of the rectum and anus, but also other diseases of the abdominal cavity.

It is carried out on a special couch or in a gynecological chair, most often in the lying position on the left side after visual examination and palpation of the anus tissues. A medical glove, lubricated with a special solution, allows you to do this painlessly and comfortably. By gently inserting a finger into the anus, the patient is asked to first strain and then relax the sphincters. The presence of fistulas, hemorrhoids, their condition, the degree of damage to the skin, etc., is revealed.

Finger diagnostics is important not only as a method for determining the disease. It is also important for those who already have a hemorrhoid diagnosis. Therefore, each visit to the proctologist is necessarily associated primarily with tissue pulping, visual and rectal examination.

How should hemorrhoids be treated?

Before drawing up a treatment plan, the doctor must own the whole picture of what is happening in the patient's life, identify his bad habits that provoked the occurrence of hemorrhoids, prescribe a number of preventive measures, change living conditions, and then select an individual course of therapy in which he will provide for the presence of others diseases.

So, the fight against bad habits is the basis correct treatment... If they are not eliminated, hemorrhoids will come back with renewed vigor. Therefore, taking medications should be accompanied by:

• complete cessation of smoking and alcoholic beverages;
• playing sports or at least daily walking;
• proper nutrition;
• parallel treatment of cardiovascular pathologies and infectious diseases, cleansing the body.

Many of the above measures are aimed primarily at restoring stool, eliminating constipation and normalizing the digestive process.

Blood flow needs to be restored. For these purposes, rectal suppositories, baths with the addition of medicinal plants and drugs, various ointments and gels are prescribed. They will relieve inflammation, soreness, itching and irritation.

Is the treatment radical or conservative?

If the patient comes on time, then the treatment will be conservative (medication), using suppositories, ointments, tablets, massages and herbal medicine.

Well, if the disease is neglected, then minimally invasive surgical methods are used. Radical operations using a scalpel are performed much less frequently and under general anesthesia.

Modern methods of treatment are also represented by sclerotherapy, photocoagulation of hemorrhoids, ligation with latex rings.

Is it possible to treat hemorrhoids only with folk remedies?

No, in no case should you self-medicate with the use of biological additives and folk methods. Hemorrhoids is an insidious disease, and its development is provoked by many factors that a person does not depend on. Loose stools or, conversely, constipation. And they are associated with malnutrition, obesity, disruption of the digestive tract.

Therefore, treatment must be carried out comprehensive and professional, otherwise the case may end in a radical, surgical method... And this is not a guarantee that the disease will completely disappear.

Why is self-medication and untimely access to a doctor dangerous?

Hemorrhoids are dangerous by recurrence of relapses. That is why it is important to define a number of preventive measures and individual treatment. Only a proctologist can help with this. Otherwise, you will get the following complications:

• anemia, which has arisen against the background of constant, loss of blood, and with it, and so necessary for the body of iron;
• acute thrombosis or blockage of the veins of the hemorrhoids;
• acute inflammation of internal tissues, accompanied by purulent discharge, the so-called paraproctitis;
• the formation of fistulas and cracks in the anus, accompanied by constant inflammation and edema;
• fecal incontinence.

Of course, in order to cope with pain, you need to buy pain relieving ointments or suppositories at the pharmacy. But then immediately visit a specialist. Self-treatment may not be effective. This is at its best. And at worst - to aggravate the condition, cause dangerous complications.

This is especially true for young girls who have not yet given birth, and pregnant women. The use of medications on their own can provoke subsequent complications when carrying a child, miscarriages, premature birth.

Remember, you cannot diagnose yourself. You are risking your life. You can not do enemas, drink laxatives, take antibiotics without consulting a doctor. You even more damage the vessels, which are already under heavy stress, cause persistent manifestation of diarrhea, disrupting the natural process of defecation, and destroy the beneficial microflora.

If you find the first signs of hemorrhoids, you can not hesitate, you need to consult a doctor - a proctologist or coloproctologist. This must be done quickly, in a timely manner, discarding embarrassment and remembering that a proctologist is a doctor who will help to avoid surgery and serious consequences.