The pathogenesis of hemorrhoids is multifactorial. Predisposing factors include heredity, portal hypertension, straining to defecate, and pregnancy. Internal hemorrhoids are classified into four groups.

First-degree internal hemorrhoids do not protrude, cannot be palpated by digital examination, and require anoscopy for diagnosis.

Second-degree hemorrhoids protrude with defecation, but reduce spontaneously.

Third-degree hemorrhoids protrude and require manual reduction.

Fourth-degree hemorrhoids are irreducibly prolapsed

Composition:

Active principle: Calcium dobesilate. Capsule: Calcium dobesilate 500 mg, colour (E132), excipients for capsule.

Indications and usage:

Microangiopathies, in particular diabetic retinopathy. Clinical signs of chronic venous insufficiency in the lower limbs (Pain, cramps, paresthesia, oedema, stasis, dermatosis), as adjuvant in superficial thrombophlebitis. Haemorrhoidal syndrome, microcirculation disorders of arteriovenous origin.

Dosage:

Generally 500 to 1000 mg - 1 capsule once or twice a day - to be taken with the main meals. Treatment duration, which is generally between a few weeks and several months, depends on the disease and its evolution. Dosage should be adapted individually according to the severity of the case.