Home Conditions Hemorrhoidal disease

Hemorrhoidal disease — guide.

Chronic hemorrhoidal disease is the permanent dilation of the anal venous plexuses, with acute episodes (bleeding, thrombosis, prolapse). It affects 30-50% of adults.

Also known as: chronic hemorrhoids hemorrhoidal disease
5 recommended OTC drugs
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In short: Chronic hemorrhoidal disease means a permanent dilation of the anal venous plexuses, with episodes of bleeding, thrombosis or prolapse. For discomfort, over-the-counter options include venotonics such as diosmin with hesperidin or ruscus, local creams and suppositories (Proctoglyvenol, hydrocortisone), and psyllium fiber that softens the stool. On HartaFarmacii you can compare the price of these OTC products across the major pharmacies — Dr. Max, Tei, Catena and HelpNet — with values updated daily. This information is for guidance only and does not replace a medical consultation; see a doctor if you have heavy or persistent bleeding.

Data verified on from public sources (OpenStreetMap, chain websites, ANM/MS) — updated daily.

OTC — adjuncts

What you can take alongside treatment

Informational only — HartaFarmacii is not an approved medical site. Talk to your doctor or pharmacist before taking any medicine. Don't self-medicate. Emergencies: 112.

When to seek urgent medical help

Any of these signs calls for prompt medical evaluation:

  • Heavy or persistent bleeding
  • Painful thrombosis
  • Irreducible prolapse
  • Over 50 years, bleeding — colonoscopy mandatory
  • Associated incontinence

What hemorrhoidal disease is

Hemorrhoids are normal vascular structures of the anal canal that contribute to stool continence. We speak of hemorrhoidal disease when these venous plexuses dilate permanently and produce symptoms: bleeding during defecation (red, fresh blood), prolapse (protrusion outward), itching, discomfort and, during acute episodes, painful thrombosis. They are very common, affecting 30-50% of adults. The main predisposing factors are chronic constipation and straining at stool, a sedentary lifestyle, pregnancy, obesity and prolonged sitting on the toilet. Although rarely dangerous, hemorrhoids should not be confused with other causes of rectal bleeding — in people over 50, bleeding requires colonoscopy.

Grades (for internal hemorrhoids)

  • I — bleeding, without prolapse.
  • II — prolapse during defecation with spontaneous reduction.
  • III — prolapse with manual reduction.
  • IV — permanent prolapse.

Treatment

Non-pharmacological measures:

  • Fiber 25-30 g/day.
  • Hydration 2 L/day.
  • Avoid straining at stool.
  • Warm sitz baths.
  • Local hygiene with water, not rough paper.

Pharmacological:

  • Diosmin + hesperidin (Detralex, Daflon) — acute episodes + chronic.
  • Suppositories, creams with rutosides, ruscus.
  • Topical hydrocortisone short term.
  • Topical lidocaine — analgesia.
  • Bulk laxatives (psyllium).

Interventional:

  • Rubber band ligation — for internal grade I-III.
  • Sclerotherapy.
  • Infrared coagulation.
  • Hemorrhoidectomy — grade III-IV.
  • Modern techniques: HAL-RAR, THD, laser.

Hemorrhoidal thrombosis — relative emergency

Severe acute pain with a hard nodule arising at the level of the anus, bluish. Surgical evacuation within 48-72h — less painful and rapid remission. After 72h — conservative treatment.

Medical disclaimer: the information in this guide is for informational purposes only and does not replace the advice of a doctor or pharmacist. For diagnosis and treatment, consult a healthcare professional.

Compared medicines

Medicines used for hemorrhoidal disease

This list is indicative, generated automatically from DCI/category matching. It is not a medical recommendation — consult your doctor before starting any treatment.

This list is not a medical recommendation. Consult your doctor or pharmacist.

Search the pharmacy

Medicine categories for hemorrhoidal disease

Beyond the OTC products listed above, you can also browse whole medicine and supplement categories, with prices compared across the major chains (Dr. Max, Catena, Tei, HelpNet) and CANAMED as the official ceiling price for prescription items.

Step by step

How to find a pharmacy fast for hemorrhoidal disease

Open the interactive map and grant location permission — you'll see pharmacies sorted by distance with their opening hours and a one-tap route in Google Maps. For overnight or weekend trips, switch on the 24/7 filter to keep only the on-call ones. For hemorrhoidal disease some medicines need a prescription — make sure you have a valid one (electronic or paper) before you leave, to avoid wasted trips.

For chronic treatment, save your favourite pharmacy in the app and check prices on the comparator — OTC differences between chains can hit 20-40%, while CANAMED-capped Rx items have a fixed maximum but may carry promotions. If your treatment for hemorrhoidal disease runs on a monthly script, schedule pickup a few days before you run out.

Left untreated

Possible complications

See also

Related symptoms and conditions

Symptom

Constipație

Constipația = sub 3 scaune pe săptămână, scaune dure, efort de evacuare. Afectează 15-20% din populație, mai ales femei, vârstnici, sedentari.

 Symptom

Hemoroizi

Hemoroizii sunt vene dilatate la nivelul rectului/anusului. Interni (deasupra liniei dentate — sângerare) sau externi (dureroși, trombozați). Afectează 30-50% adulți.

 Condition

Varice și insuficiență venoasă

Varicele sunt vene dilatate, tortuoase la membrele inferioare. Insuficiența venoasă cronică include varice, edeme, modificări trofice. Afectează 25-30% adulți.

Frequently asked

What else would you like to know?

Surgery — mandatory?
No — for grade III-IV or complications. Many cases are controlled with diet, venotropics, minimally invasive interventions.
Detralex continuously?
For an acute episode — 3 tablets 2x/day for 4 days, then 2 tablets 2x/day for 3 days. For chronic — 2 tablets/day for 2-3 months in courses.
Why do they come back?
If constipation and diet are not corrected, they recur. The intervention treats the episode, not the cause.
Pregnancy — hemorrhoids?
Very common. Diosmin and topical creams are safe. Non-pharmacological measures are essential. They usually improve postpartum.

See also

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