Treatment

Treatment is either conservative or, in more severe stages of the disease, surgical, invasive. It is chosen for people who have health problems. 

The suitability of the correct method is chosen after the overall evaluation of the hemorrhoids. 

It is conservative in every single person with this disease. Medicines are used to improve the condition of the veins, in addition to topical preparations, with various suitable creams, gels, ointments, suppositories being available, but also a sitting bath.

Plus, regimen adjustment, instruction on proper defecation, lifestyle change, diet modification, sufficient fluids and fiber, restriction of spices, alcohol are necessary.

Local anal hygiene is important, especially immediately after the stool.

+ If necessary, sitting, sitting on the tools provided. But movement and exercise are also important.

You ask :
How to push a hemorrhoid?
With your finger and carefully, especially do not force against the resistance. 
At the 4th stage, repositioning, ie insertion, is not possible. 

From the invasive treatment it is, in the first line semi-invasive treatment  and minor interventions:

• rubber band ligation - Barron's ligature
• sclerotherapy - sclerotization of the varicose vein
• cauterization methods - electro, cryo, or laser photocoagulation, radiofrequency ablation HemoRf and other forms
• suitable for 3rd and 4th stage

The surgical approach is chosen in case of previous failure and in case of a difficult and complicated course. Hemorrhoidectomy or hemorrhoidopexy is possible.

What after the operation? 

Regime measures and principles need to be followed. Healthy sitting, sufficient hygiene, a general change in lifestyle, and therefore exactly as in prevention.

Pain 

Remember that in more than 60% of people affected by this disease, it is possible to treat conservatively. And with the help of diet modification, anal hygiene and venopharmaceuticals.

Prevention is important:

• food preparation - plenty of fiber, fruits, and vegetables
• Vitamin C and A, minerals, especially magnesium
• probiotics and psyllium, aloe vera, oak bark
• sufficient drinking regime
• physical activity and exercise
• less greasy food
• do not hold the stool or suppress it
• emptying without stubborn pressure on the stool suitable position
• do not sit on hard and cold, use pillows, seat wheels
• do not use laxatives
• use soft and unscented, uncolored toilet paper
• wipe the stool with moist napkins for intimate hygiene
• When sedentary lifestyle work, spread your legs to a higher position
• breaks in sitting and when standing for a long time - change of position
• beware of cycling
• maintain optimal body weight