Complaints and symptoms that occur in patients with irritable bowel syndrome can be divided into three groups.
- Intestinal.
- Abdominal pain (uncertain localization (location), burning, dull, aching, constant, stabbing, twisting). They occur predominantly in the lower abdomen, often on the left. Pain, as a rule, intensifies after eating, decreases after defecation (emptying the rectum), passing gas, taking antispasmodic (relieving spasms, tension) drugs. In women, pain increases during menstruation (monthly bleeding from the uterus). An important distinguishing feature of pain in irritable bowel syndrome is the absence of pain at night.
- Feeling of bloating. It is less disturbing in the morning and worsens throughout the day, worsening after eating.
- Diarrhea (loose stools) usually occurs in the morning, after breakfast, the frequency of stools ranges from 2 to 4 times in a short period of time. There is no diarrhea at night.
- Constipation. Possible “sheep” feces (stool in the form of many hard small balls), pencil-shaped stool, as well as cork-like stool (discharge of dense, formed feces at the beginning of defecation, then the appearance of pasty or even watery stool).
- Discharge of mucus in the stool (quite common, especially in men).
- The stool does not contain any blood or pus.
- Related to other parts of the gastrointestinal tract.
- Belching with sour contents (is one of the symptoms of gastritis (inflammation of the stomach)).
- Nausea.
- Vomit.
- Bitterness in the mouth.
- Non-gastroenterological.
- Sense of anxiety.
- Fatigue.
- Tendency to depression (depressed mood, constant sadness).
- Mood swings.
- Sleep disorders - drowsiness during the day and insomnia at night.
Forms
There are four possible variants of irritable bowel syndrome:
- irritable bowel syndrome with constipation (hard or fragmented stool in >25%, loose or watery stool in
- irritable bowel syndrome with diarrhea (loose or watery stool in >25%, hard or fragmented stool in >25%);
- mixed form of irritable bowel syndrome (hard or fragmented stools in >25%, loose or watery stools in >25% of all bowel movements);
- undetectable form of irritable bowel syndrome (insufficient change in stool consistency to establish a diagnosis of irritable bowel syndrome with constipation, diarrhea, or a mixed form of the disease).
- individual solid fragments;
- the chair is decorated but fragmented;
- a decorated chair, but with a non-uniform surface;
- a chair shaped or serpentine, with a smooth and soft surface;
- soft fragments with smooth edges;
- unstable fragments with uneven edges;
- watery stools without solid particles.
Causes
- Stressful situations. A direct relationship between the onset of the disease and stress has been proven. A psychotraumatic situation can be experienced in childhood (loss of one of the parents), several weeks or months before the onset of the disease (divorce, bereavement) or in the form of chronic social stress that is currently occurring (serious illness of a loved one, workload).
- Personal characteristics. Can be genetically determined (caused by a change in a gene (mutation)) or formed under the influence of the environment:
- inability to differentiate between physical pain and emotional distress;
- difficulties in verbally formulating sensations;
- high level of anxiety.
- Genetic predisposition. Presence of people in the family suffering from gastrointestinal disorders, for example:
- irritable bowel syndrome;
- peptic ulcer of the stomach, duodenum (formation of ulcers in the stomach and duodenum);
- Crohn's disease (severe inflammation of all layers of the intestine);
- Hirschsprung's disease (impaired movement of intestinal contents through the intestines).
- Past intestinal infection. Less than a third of patients who experience an acute intestinal infection subsequently suffer from symptoms of irritable bowel syndrome.
- Shigella infection (dysentery) is an infection that primarily affects the large intestine. A characteristic symptom is stool mixed with mucus and blood.
- Salmonellosis (acute intestinal bacterial infection) is a disease characterized by a rise in temperature to high numbers (38.5-39 ° C), profuse vomiting, diarrhea, as well as headache and dizziness.
- Cholera is an intestinal infection that primarily affects the small intestine, the main manifestation of which is uncontrollable diarrhea.
- Irregular, irrational and unbalanced nutrition (eating on the run, dry food, overeating or, conversely, rare snacks).
- Uncontrolled use of certain medications (antibiotics, painkillers, opiates, laxatives, etc.).
- Poisoning (food, medicinal, poisonous mushrooms, etc.).
- Sedentary (sedentary) lifestyle.
Diagnostics
- Analysis of the medical history and complaints (when (how long ago) did complaints of abdominal pain appear, how long have the symptoms of the disease been present (have they been present for at least the last 3 months), bowel dysfunction, alternating periods of diarrhea and constipation, what is the patient suffering from? connects their occurrence, whether there were nervous stresses, what intestinal infections the patient suffered). The diversity and colorfulness of complaints is assessed, and the connection (if any) with life situations is identified.
- Analysis of the life history (past illnesses, intestinal surgeries, poisoning, living conditions, family composition, health status of relatives, features of professional activity, violations of the diet and nature of the diet, the presence of bad habits).
- Analysis of family history (whether any of your close relatives had intestinal disorders or other diseases of the gastrointestinal tract).
- Laboratory research.
- Clinical blood test (to identify possible anemia (anemia), leukocytosis (increased white blood cells in the blood during inflammatory diseases)).
- Biochemical blood test (to monitor the function of the liver, pancreas, the content of important microelements (potassium, calcium, sodium) in the blood).
- General urine test (to monitor the condition of the urinary tract and genitourinary system).
- Coprogram - stool analysis (undigested fragments of food and fat, coarse dietary fiber can be detected).
- Instrumental research.
- Ultrasound examination (ultrasound) of the abdominal organs (it is possible to exclude damage to intestinal tissue, which is absent in irritable bowel syndrome).
- Colonoscopy (a diagnostic procedure during which the doctor examines and evaluates the condition of the inner surface of the colon using a specially optical instrument (endoscope)).
- Fibroesophagogastroduodenoscopy (EGDS, FGDS) is a diagnostic procedure during which the doctor examines and evaluates the condition of the inner surface of the esophagus, stomach and duodenum using a special optical instrument (endoscope).
- Hydrogen breath test for intestinal bacterial overgrowth (SIBO) - determination of the hydrogen concentration in exhaled air after eating carbohydrates (sugar). If you have SIBO, the level of hydrogen in your exhaled breath will be high due to the formation of bacterial waste products in the small intestine.
- Consultations are also possible.
Treatment of irritable bowel syndrome
The goal of treatment for a patient suffering from irritable bowel syndrome is to achieve permanent resolution of symptoms and restoration of social activity.
Treatment in most cases is carried out on an outpatient basis (in the clinic and at home), hospitalization is provided only for examination and in case of difficulties in selecting therapy.
Non-drug treatment.
- “Relieving tension” - the patient should know that he has no damage to the intestines, all changes are reversible (and are functional in nature).
- Dietary recommendations.
- Table No. 4 for irritable bowel syndrome - general recommendations (exclude milk and dairy products from the diet, boiled meat, chicken, fish are allowed).
- A balanced and balanced diet (avoiding too fried, canned, too hot and spicy foods).
- For constipation, it is necessary to eat food containing a large amount of dietary fiber and liquid (fresh fruits, vegetables).
- For diarrhea (loose stools) - use products that cause a “fixing” effect (rice water, jelly, blueberry infusions, black currants (dried), blueberry jelly).
- Treatment:
- constipation (laxatives should be used only until stool normalizes (exclude constant use));
- diarrhea (loose stools) - taking antidiarrheal drugs.
- Taking painkillers (reducing abdominal pain), antispasmodics.
- Consultation with a psychotherapist. Psychotherapy, taking psychotropic medications according to strict doctor’s instructions.
- Treatment of depression, identification and elimination of traumatic factors.
Complications and consequences
Complications are associated with complications of diseases against which irritable bowel syndrome developed:
- gastritis (inflammation of the stomach);
- pancreatitis (inflammation of the pancreas);
- cholecystitis (inflammation of the gallbladder);
- cholelithiasis (formation of stones in the gall bladder).
- acute, suddenly developing abdominal pain;
- bloating;
- increased body temperature;
- pale skin, sweat on the forehead;
- nausea, vomiting.
Prevention of irritable bowel syndrome
- Sports activities (physical therapy, swimming, running).
- A balanced and rational diet, eating foods high in fiber (vegetables, fruits, greens), avoiding too fried, canned, too hot and spicy foods.
- Timely treatment of depression and neuroses.
For many people, the topic of poop is so personal that they don’t want to share it or talk about it with anyone. But they may not realize that sometimes it is useful to find out what kind of poop other people have, what form of stool they have, color and perhaps even smell. It's quite normal to show interest in this. The shape of your poop, exactly as well as the color, can suggest or hint at some possible malfunctions of the body. If you do not want to share very personal processes with other people, then we will help you keep the secret and tell you what shape and size feces are and what it can mean.
When visiting a doctor, it is not uncommon to hear a question regarding poop; the doctor may ask what shape, color, and how often you relieve yourself. Some people are stunned by such questions; they do not even understand the purpose of this question and how decisive a role it can play already at the interview stage, including speeding up treatment and making the correct diagnosis. English doctors decided to correct the problem of patient embarrassment and developed a so-called scale for assessing stool forms - the Bristol Stool Forms Scale.
The Bristol Stool Shape Scale was developed by doctors in England to more conveniently classify the shape of poop and was introduced into use in 1997.
With the help of the Bristol Stool Shape Scale, it is easier for patients to overcome the psychological barrier. Looking at clear pictures, a person can not describe to the doctor the shape of his excrement, but name the desired type or point to a picture depicting the most suitable shape of poop. It is also useful and convenient for self-testing at home.
Forms of stool according to the Bristol scale
The Bristol scale distinguishes 7 main types of stool. On the left side is an illustration of poop. In the middle – type numbering and a brief description. On the right side there is a transit scale - it indicates the time of formation of one or another type of feces. You can find other variations of the Bristol scale.
The Bristol Stool Shape Scale does not accurately diagnose the disease, since it only presents classifications of poop shapes. In the case of any disease, this data is not enough and parameters such as and must be taken into account. At home, this table is useful only for an approximate assessment of the condition of your intestines. Also, if necessary, it will facilitate your dialogue with the doctor and reduce the level of embarrassment.
What can the shape and size of feces indicate?
Now let's take a closer look at each of the types of poop described in the Bristol scale.
First type of stool
Individual hard balls that look like nuts are also called goat or sheep poop. Shit of this form is characteristic of acute dysbacteriosis. The first type of poop is hard and abrasive. Their dimensions are approximately 1-2 cm. Due to their hardness and prickliness, they can cause pain during fighting. With sheep poop, there is a high chance of anal canal damage and anorectal bleeding.
Second type of poop
This type of feces is a large, sausage-shaped poop with a lumpy structure. This type of feces is characteristic of constipation. The diameter of the poop is about 3-4 cm. Since the diameter of the maximum opening of the anal canal diaphragm is less than 5 cm, defecation is accompanied by damage and can cause a laceration of the anal canal. Due to being in the intestines for too long, about several weeks, the feces acquire such huge sizes. The reason for the formation of such stool can be chronic constipation, as well as hemorrhoids, anal fissures and delayed bowel movements. This type of stool can cause irritable bowel syndrome and small intestinal obstruction due to the constant strong pressure on the intestinal wall.
The third type of feces
This type of poop is similar to the previous one, with the exception of smaller sizes, about 2-3.5 cm in diameter. It has a sausage shape and cracks on the surface. A smaller diameter indicates that defecation occurs more often than with the second type. At the same time, the third type of bowel movements indicates hidden constipation. It is accompanied by minor flatulence, which is caused by dysbiosis. People with this type of stool typically suffer from irritable bowel syndrome. Such poop can cause all the adverse effects of the second type. It also contributes to a faster deterioration of hemorrhoids.
The fourth type of poop
The shape of these poops can be called a standard. The dimensions in diameter are about 1-2 cm, in length - usually within 18 cm. This type of shit is typical for defecation once a day.
Fifth type of feces
These poops are shaped like soft balls with distinct edges. The diameter of such a chair is 1-1.5 cm. Such feces are typical with 2-3 bowel movements per day. They, like the fourth type, are an excellent indicator.
The sixth type of feces
Signs of the sixth type are soft, fluffy stools with torn edges. If you can control the urge to defecate and are able to tolerate it if something happens, then this stool can be considered normal. It may characterize colon hyperactivity. The causes of such stool may include dehydration, overexertion, blood pressure, excessive sensitivity to certain spices, high mineral content in water or ingredients in food that cause a laxative effect.
Seventh type of feces
The seventh type includes loose stools, in other words diarrhea. This symbolizes diarrhea. At the same time, there may be paradoxical diarrhea. Paradoxical diarrhea is when a person has constipation and diarrhea at the same time. The lower parts of the intestine become clogged with feces, while up to 1.5-2 liters of liquid feces accumulate above them. This type of diarrhea occurs quite often, especially in young children and in weakened adults who are recovering from an illness.
As you can see, it is useful to observe the shape and size of stool. Shit can say a lot about the state of your body. Knowing the classification of feces, you can determine the normality of your stool and prevent some diseases in the early stages, as well as prevent others from developing. Of course, knowing the types of poop alone is not enough for a complete diagnosis. But enough to pay attention. We wish you stool of the correct shape. Relief!
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The development of diarrhea is the main sign indicating
the development of certain diseases that interfere with full-fledged work
gastrointestinal tract, but if the disease is protracted, it may
a malfunction of the entire body may occur, but timely treatment
helps to avoid these troubles.
For a healthy person, it is normal to have a bowel movement once a day, but loose stool in adults can be caused by a wide variety of reasons. With the development of diarrhea, the number of urges to go to the toilet increases significantly and bad stool can cause the development of a wide variety of diseases that require immediate treatment.
After a comprehensive examination, the doctor will be able to determine exactly why the unformed stool in adults. Causes This phenomenon can be very diverse and treatment cannot always be carried out independently at home.
Unformed stool in an adult, in a chronic form, maybe
provoked by the following reasons - food allergies, various infectious
diseases, toxic diarrhea, irritable bowel syndrome, reaction to
taking certain medications, oncology, exacerbation of ulcers, after
surgery to remove the gallbladder.
In case of poisoning with toxic substances (for example,
household chemicals or mushrooms), unformed feces becomes the first sign of failures occurring in the body. Always important
observe the rules of personal hygiene, otherwise there is a risk of disorder
digestion, which occurs as a result of eating dirty foods. Exotic
fruits that are unusual for the body can lead to such a reaction,
but after removing them from the diet, the stool returns to normal.
Loose stools in an adult that are bothersome
for a long time, makes you think about eliminating
unpleasant signs of a problem. There are a number of symptoms that indicate that
immediate medical intervention is necessary - frequent urge to go to the toilet,
frothy green stool, pain and heaviness in the abdomen, vomiting and
nausea, black stools, blood in the stool, high body temperature.
The appearance of loose stool mixed with blood may be the body’s reaction to a rotavirus infection or the first sign of the development of internal hemorrhoids. In this case, it is necessary to seek help from a doctor as soon as possible, since independent treatment will not bring a positive result and there is a risk of aggravating the situation.
If loose stools appear at the same time, and the stool becomes dark in color, these are the first symptoms of possible tumors in the intestines or stomach. Severe diarrhea and a white coating on the tongue indicate malfunctions in the body that need to be eliminated as quickly as possible.
Self-treatment of diarrhea at home involves a set of measures aimed directly at eliminating the signs and the very cause that provoked this condition.
To eliminate watery stools, a special diet and certain medications are prescribed. It is necessary to restore the correct water balance of the body - for this purpose, droppers with sodium chloride are used. Then the rehabilitation actions necessary for the regeneration of the weakened body are carried out.
Any disease has certain complications and
loose stools that bother you for a long time are not
exception, since severe dehydration develops as a result. Exactly
therefore, it is important to quickly restore the correct water balance - for this purpose
the patient is prescribed to drink plenty of plain water, and may also be prescribed
special solutions to which salt is added. Required with increased
Pay close attention to your own health if vomiting appears
reflexes, you need to drink liquid in small portions and often.
Treatment of diarrhea can also be carried out with special
medications, but only a doctor should prescribe them, since
Self-administration of medications does not always give positive results. If incorrect
therapy, antidiarrheal drugs cause damage to the mucous membrane
intestines. If loose stools are caused by inflammatory processes, it is necessary
A complex approach.
Regardless of what reason provoked the appearance of loose stools, it is better to refuse self-treatment, since in this case the unpleasant symptom is eliminated, and not the disease that led to a deterioration in well-being.
Causes of mushy stool
Many people have repeatedly encountered problems associated with sudden diarrhea and the need to quickly eliminate it. The condition is far from the most pleasant, and in order to be able to deal with it competently, you need to understand the reasons that cause it.
It is important to know that diarrhea can be caused by almost any disease. Thus, the body signals about impending danger. In view of this, if after taking several tablets of activated carbon the problem does not go away, you should consult a doctor.
Pasty stools can be caused by the following reasons:
- various forms of tuberculosis;
- thyroid diseases;
- malabsorption syndrome;
- stage of rectal cancer;
- kidney disease;
- vitamin deficiency.
There may be more reasons. It’s not worth the risk, and if activated carbon doesn’t help, you should contact a specialist.
Pasty stool in an adult
Many diseases change the nature and frequency of fecal discharge. Perhaps, during defecation, a burning sensation, pain will begin to arise, emptying will be incomplete and blood will begin to mix in. Frequent bowel movements are diagnosed when visiting the toilet more than three times a day. In an adult, at this time there is an increase in the mass and volume of feces, their color and consistency changes. With this combination of symptoms, there are frequent cases of mushy stool in an adult. The occurrence of diarrhea indicates a malfunction of the intestines. In other words, this means that there are problems with the absorption of fluid in the large intestine, resulting in dehydration of the blood flow. In order to avoid further troubles, frequent bowel movements are necessary. In the case of an adult, restoration of intestinal microflora and water balance is easier than in a child. If diarrhea lasts more than three days, you should seek help from a doctor.
Pasty stool in a child
The child’s digestive system is much more sensitive to the effects of unfavorable circumstances that disrupt its functionality and create indigestion, manifested in the appearance of diarrhea.
In young children, diarrhea can be life-threatening because it causes dehydration. If the child is a newborn, the cause of his diarrhea may be pathogenic bacteria that are completely safe for an adult, but pose a threat to the baby.
The main cause of mushy stool in a child is poor nutrition. Statistics from the Ministry of Health indicate that bottle-fed children are 6 times more likely to suffer from digestive disorders than breastfed children. This is explained by the fact that mixtures containing artificial substitutes are incompatible with the baby’s intestines.
Pasty yellow stool
Yellow diarrhea, like any other, performs the function of cleansing the body of pathogenic microbes, which, introducing infection, force us to fight them. Thus, infection is the main factor causing the appearance of yellow diarrhea. There are situations when disorders of this type are caused by inflammatory processes in the intestinal mucosa. Often, mushy yellow stools are due to poor digestion of food, indicating stomach diseases.
Among the main causes of yellow diarrhea is the so-called rotavirus infection. It is easy to recognize, because when it appears, the temperature rises instantly and the stool that appears on the second day becomes a gray mass. This infection does not end with intestinal problems alone. Almost always the situation is complicated by a runny nose, pain when swallowing and redness of the throat. Very often this condition is accompanied by a complete loss of strength and lack of appetite. This disease has received another name “intestinal flu” because it becomes more active during influenza epidemics.
Pasty stools with mucus
with mucus is a sign of dangerous internal changes in the digestive system of adults and children.Such symptoms can appear for very minor reasons: as a result of eating mucus-like foods or a common cold. If you eat fermented milk mixtures, cereals with mucus, berries and fruits, then you need to be prepared for the appearance of such mucous impurities.
It also happens that a runny nose, leading to changes in the nasopharynx, provokes the release of mucous drips into the esophagus, from where they enter directly into the intestines.
A similar phenomenon is possible as a result of infection (usually bacterial) entering the intestines. With dysentery, an acute form of mucus may occur.
Pasty stool in the morning
Everyone has probably experienced diarrhea in the morning. In itself, such a phenomenon means increased bowel movements; depending on the nature of the bowel movement, it can be acute or chronic.
If the appearance of mushy stool in the morning is chronic, it means that serious problems have accumulated in the body and medical intervention is necessary. If diarrhea in the morning occurs in isolated cases, you can try to determine the cause of its occurrence on your own. Most often, the person himself is to blame for the manifestation of this phenomenon. Diarrhea may appear in the morning due to taking medications that have a laxative effect. The intestines almost do not absorb the active substances of these drugs, but when they are excreted, diarrhea occurs.
Frequent mushy stools
Frequent diarrhea may indicate a wide variety of diseases of the digestive system. It is also possible that diarrhea acts as an independent disease. Frequent, pasty stools occur intermittently, with breaks of up to a month possible. The disease can have an acute and chronic course. The cause of acute diarrhea may be infection with one of the forms of intestinal infections. Violation of hygiene rules when handling fruits and vegetables, in other words, poor washing of them, can provoke the penetration of microbes into the digestive organs, which is the beginning of the disease. Excessively frequent stools (several dozen times a day), accompanied by discharge of blood and pus, characterized by attacks of nausea, vomiting and fever, indicate progressive salmonellosis. In the case of cholera, almost watery stools occur, leading to dehydration.
In case of frequent watery stools, accompanied by pain, bleeding, and mucus, a medical examination is necessary. Having found out the cause of frequent diarrhea, you should begin to treat the disease that caused it. You should adhere to the prescribed diet, avoiding foods that cause frequent mushy stools.
anonymous, Male, 29 years old
Hello. About three months ago I began to notice a change in the shape of my stool. He became a little flattened. After some time, it became thin, like a ribbon. After some more time, it seemed to be shaped almost like a sausage, but the edges were slightly flattened. Then again ribbon-like. For some time there was constipation, or rather a feeling of incomplete emptying, then again it was almost complete. There is no blood in the stool. There is undigested food, especially fruits and vegetables. This is how I suffer from various doubts. I thought it was cancer. Three times, once a month, I took a general blood test, all indicators were normal. Hemoglabin 150, ESR-7, leukocytes 4.66. Sometimes I feel itching in the anal area, sometimes it’s difficult to push. Then again I seem to walk easily, but not quite like a sausage. It can be easier to go after physical work than after a sedentary day. For some time I had stomach pain in the area of the nerve node. I took pancreatin and omeprazole, the pain seemed to go away. Pain in the intestinal region does not bother me at all. I consulted with a paramedic about blood tests, she said that with such an analysis there is unlikely to be oncology, and the cause should be looked for elsewhere. Please tell me if she is right about my symptoms and the results of blood tests? And what could it be?
anonymously
Thank you very much for the detailed answer! I recently had a medical examination. Donated blood for cholesterol, glucose, clinical. I also took a urine test. Everything is okay. Previously, I tested feces for eggworm testing, but nothing was found either.
anonymously
Thank you very much for the detailed answer! Can the diseases you listed be painless? The fact is that I don’t have any pain, I don’t have diarrhea, I feel good. The only concerns are slight itching in the anus, sometimes a burning sensation after defecation, during which you have to strain, and the shape of the feces, which most likely affects the psychological and emotional state, but not as painful. And another question, I read on the same Internet that an increased ESR, low hemoglobin and elevated white blood cells can indicate possible cancer. These indicators are normal for me, I feel good, I haven’t lost any weight, I eat well, no one in my family has ever had cancer, I have never smoked or drank alcohol, is it possible to rule out oncology based on this, or are these indicators in no way affect cancer, and it can develop even with excellent tests and health? It is very important for me to rule out oncology. The rest seems to be not so dangerous and can be treated.
Hello! Get examined by a coloproctologist. Your blood flow levels are normal and if you have no complaints, then you don’t have cancer, don’t worry. To be completely sure, you can donate blood for tumor markers (CA 72-4, CA 19-9, CA 242, CEA, AFP). Sincerely, Adelshina L.R.
anonymously
Thank you very much for taking the time to answer me! To be honest, you calmed me down, otherwise I had read on the Internet about ribbon-shaped stools, and that these were symptoms of cancer; I was depressed and stressed. And my complaints are mainly about ribbon-shaped stools, and then only on a psycho-emotional level. I'll follow your advice. I will donate blood and contact a specialist on this issue to resolve all doubts.
anonymously
This is most likely, since sometimes there is constipation, sometimes the anus itches, sometimes there is a burning sensation, when washing you feel that the anus seems to be slightly swollen and protruding, but almost immediately goes back. Can you please tell me a remedy for the prevention and treatment of hemorrhoids? I was told that baths with thyme help a lot. It’s just that my work is all on the road, and it’s very difficult to get to the doctor. Sometimes there is simply no time, and sometimes you have to make an appointment with some specialists half a year in advance.
First of all, you need to achieve daily bowel movements without straining. Those. There should be no constipation. In your diet, pay attention to fermented milk products, dried fruits, boiled and raw vegetables, vegetable oils, herbs, cereals, and nuts. For hemorrhoids, it is advisable to limit as much as possible hot, spicy, salty, fried foods, rich meat broths, mushrooms, legumes, black bread, fresh milk, sweet carbonated drinks, strong alcohol, strong tea and coffee, turnips, radishes, sorrel, and semi-finished products. After each act of defecation, it is better to wash yourself and lubricate the anal area and the lower part of the rectum with relief ointment. Place a rectal suppository at night (proctosedyl, hepatrombin G, ultraproct) for 7-10 days. The simplest and safest candles are sea buckthorn candles. But you definitely need to see a doctor! Sincerely, Adelshina L.R.
anonymously
Thank you very much for your complete and detailed answers! For your responsiveness, understanding, for getting into the situation and taking the time to answer! I will definitely use your advice! Good luck to you in your work and a quick recovery to your patients!
