{"id":16216,"date":"2023-05-01T13:09:04","date_gmt":"2023-05-01T13:09:04","guid":{"rendered":"https:\/\/cdhf.staging.not4prod.com\/?p=16216"},"modified":"2025-12-01T14:30:22","modified_gmt":"2025-12-01T14:30:22","slug":"prevention-et-traitement-des-hemorroides","status":"publish","type":"post","link":"https:\/\/cdhf.ca\/fr\/prevention-et-traitement-des-hemorroides\/","title":{"rendered":"H\u00e9morro\u00efdes : Pr\u00e9vention et traitement"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Les h\u00e9morro\u00efdes sont une affection douloureuse et embarrassante li\u00e9e \u00e0 un effort excessif lors de la d\u00e9f\u00e9cation et \u00e0 la constipation&nbsp;<a href=\"https:\/\/doi.org\/10.3748%2Fwjg.v18.i17.2009\"><sup>[1]<\/sup><\/a>. Elles se d\u00e9veloppent lorsque la concentration de veines situ\u00e9e dans le rectum ou l&#8217;anus gonfle et s&#8217;\u00e9tire.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Il existe deux types d&#8217;h\u00e9morro\u00efdes, class\u00e9es en fonction de leur emplacement<a href=\"https:\/\/doi.org\/10.3748%2Fwjg.v18.i17.2009\"><sup>[1]<\/sup><\/a>. Les h\u00e9morro\u00efdes internes se produisent dans la partie inf\u00e9rieure du rectum, la section terminale du gros intestin, et sont g\u00e9n\u00e9ralement indolores. Les h\u00e9morro\u00efdes externes se forment sous la peau autour de l&#8217;anus, provoquant une irritation et des l\u00e9sions de la peau. Si un caillot de sang commence \u00e0 se former \u00e0 l&#8217;int\u00e9rieur de ce type d&#8217;h\u00e9morro\u00efdes, il peut provoquer une douleur importante. Le caillot se dissout g\u00e9n\u00e9ralement et laisse derri\u00e8re lui un exc\u00e9dent de peau.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Il existe de nombreuses fa\u00e7ons de pr\u00e9venir et de traiter les h\u00e9morro\u00efdes. Cela comprend une combinaison de traitements en vente libre et de changements dans les habitudes alimentaires.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Comment puis-je savoir que j&#8217;ai une h\u00e9morro\u00efde?&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La plupart des h\u00e9morro\u00efdes ne provoquent pas de sympt\u00f4mes notables.&nbsp;&nbsp;Une \u00e9tude portant sur des patients soumis \u00e0 un d\u00e9pistage de routine du cancer a r\u00e9v\u00e9l\u00e9 que 39&nbsp;% d&#8217;entre eux avaient des h\u00e9morro\u00efdes, et que plus de la moiti\u00e9 ne signalaient aucun sympt\u00f4me<a href=\"https:\/\/doi.org\/10.1007\/s00384-011-1316-3\"><sup>[2]<\/sup><\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Quand elles causent des sympt\u00f4mes, cela provoque&nbsp;<a href=\"https:\/\/doi.org\/10.1053\/j.gastro.2004.03.001\"><sup>[3]<\/sup><\/a>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Saignement<\/li>\n\n\n\n<li>Douleur<\/li>\n\n\n\n<li>Protrusion anale<\/li>\n\n\n\n<li>D\u00e9mangeaisons<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Facteurs de risque des h\u00e9morro\u00efdes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vous pouvez r\u00e9duire la possibilit\u00e9 de d\u00e9velopper des h\u00e9morro\u00efdes en comprenant leurs facteurs de risque. Plusieurs de ces facteurs peuvent \u00eatre g\u00e9r\u00e9s par une combinaison de changements alimentaires, d&#8217;exercices physiques et d&#8217;autres m\u00e9dicaments.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les facteurs de risque les plus importants sont les suivants<a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2018\/0201\/p172.html#afp20180201p172-b5\"><sup>[4]<\/sup><\/a>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Effort et constipation&nbsp;:<\/strong>&nbsp;Ajoutent une pression excessive sur les veines de l&#8217;anus et du rectum, ce qui peut les faire s&#8217;\u00e9tirer et gonfler.&nbsp;<\/li>\n\n\n\n<li><strong>Ob\u00e9sit\u00e9&nbsp;:<\/strong>&nbsp;Elle est souvent associ\u00e9e \u00e0 un r\u00e9gime pauvre en fibres et \u00e0 d&#8217;autres probl\u00e8mes gastro-intestinaux.<\/li>\n\n\n\n<li><strong>Grossesse<\/strong><a href=\"https:\/\/www.cfp.ca\/content\/54\/2\/189.short\"><sup>[5]<\/sup><\/a><sup>&nbsp;<\/sup>: Plus d&#8217;une femme sur quatre aura des h\u00e9morro\u00efdes pendant une grossesse en raison de la pression abdominale suppl\u00e9mentaire et des changements hormonaux.<\/li>\n\n\n\n<li><strong>Diarrh\u00e9e chronique<\/strong><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMcp1204188?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\"><sup>[6]<\/sup><\/a><strong>:<\/strong>&nbsp;Elle peut provoquer une inflammation dans l&#8217;anus ou le rectum.<\/li>\n\n\n\n<li><strong>Di\u00e8te pauvre en fibres<\/strong><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMcp1204188?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\"><sup>[6]<\/sup><\/a><sup>&nbsp;<\/sup><strong>:&nbsp;<\/strong>Cela peut occasionner des efforts et de la constipation.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Quand devrais-je consulter un m\u00e9decin?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Si vous remarquez r\u00e9guli\u00e8rement du sang dans vos selles, une protrusion, des d\u00e9mangeaisons ou des douleurs, il est peut-\u00eatre temps de consulter votre m\u00e9decin. Le m\u00e9decin peut proc\u00e9der \u00e0 un examen physique de l&#8217;anus et du rectum pour rechercher des signes d&#8217;h\u00e9morro\u00efdes ou de prolapsus&nbsp;<a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2018\/0201\/p172.html#afp20180201p172-b5\"><sup>[4]<\/sup><\/a>.<sup>&nbsp;<\/sup>&nbsp;En plus de sugg\u00e9rer des changements au mode de vie et des traitements, ce premier rendez-vous permet de d\u00e9celer de possibles affections plus graves comme le cancer colorectal<a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2018\/0201\/p172.html#afp20180201p172-b5\"><sup>[4]<\/sup><\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Traitement et pr\u00e9vention des h\u00e9morro\u00efdes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vous pouvez pr\u00e9venir les h\u00e9morro\u00efdes en effectuant les changements particuliers suivants&nbsp;<a href=\"https:\/\/doi.org\/10.3748%2Fwjg.v18.i17.2009\"><sup>[1]<\/sup><\/a>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Changements alimentaires&nbsp;:<\/strong>&nbsp;Mangez plus d&#8217;aliments riches en fibres, buvez plus d&#8217;eau et traitez toute constipation ou diarrh\u00e9e \u00e9ventuelle&nbsp;<a href=\"https:\/\/myhealth.alberta.ca\/Health\/Pages\/conditions.aspx?hwid=hw213495\"><sup>[7]<\/sup><\/a>. Vous pouvez \u00e9galement ajouter des suppl\u00e9ments de fibres ou des amollisseurs de selles pour r\u00e9duire davantage les efforts. Si vous avez du mal \u00e0 effectuer ces changements, vous pouvez demander conseil \u00e0 un ou une di\u00e9t\u00e9ticienne.<\/li>\n\n\n\n<li><strong>Changements de mode de vie&nbsp;:<\/strong>&nbsp;Rester actif en faisant de l&#8217;exercice et en \u00e9tant moins longtemps assis peut \u00e9galement vous aider. Si vous travaillez devant un ordinateur, il peut \u00eatre utile de vous procurer un bureau debout ou de programmer une minuterie pour vous lever et vous promener p\u00e9riodiquement.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">De plus, certaines h\u00e9morro\u00efdes peuvent \u00eatre trait\u00e9es par un bain d&#8217;eau chaude appel\u00e9 bain de si\u00e8ge<a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2018\/0201\/p172.html#afp20180201p172-b5\"><sup>[4]<\/sup><\/a>.Cela implique l&#8217;immersion des fesses et des hanches dans l&#8217;eau chaude pendant 20 minutes apr\u00e8s les selles, et deux ou trois autres bains de si\u00e8ge par jour peuvent aider \u00e0 r\u00e9duire l&#8217;irritation et \u00e0 apaiser la douleur et le gonflement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Il existe \u00e9galement de nombreux rem\u00e8des en vente libre qui procurent un soulagement temporaire. Ces pr\u00e9parations comprennent souvent deux ou plusieurs des \u00e9l\u00e9ments suivants&nbsp;<a href=\"https:\/\/doi.org\/10.3748%2Fwjg.v18.i17.2009\"><sup>[1]<\/sup><\/a><sup>,<\/sup><a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2018\/0201\/p172.html#afp20180201p172-b5\"><sup>[4]<\/sup><\/a><sup>,<\/sup><a href=\"https:\/\/www.goodrx.com\/conditions\/hemorrhoids\/what-works-for-hemorrhoids\"><sup>[8]<\/sup><\/a>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Astringents (hamam\u00e9lis)&nbsp;:<\/strong>&nbsp;Prot\u00e8gent les zones irrit\u00e9es et soulagent la sensation d&#8217;inconfort ou de br\u00fblure.<\/li>\n\n\n\n<li><strong>Agents protecteurs (oxyde de zinc)&nbsp;:<\/strong>&nbsp;Prot\u00e8gent la peau et les zones irrit\u00e9es pour pr\u00e9venir le dess\u00e8chement et procurer un soulagement apaisant.<\/li>\n\n\n\n<li><strong>D\u00e9congestionnants (ph\u00e9nyl\u00e9phrine)&nbsp;:<\/strong>&nbsp;R\u00e9tr\u00e9cissent les vaisseaux sanguins pour soulager les br\u00fblures et les gonflements.<\/li>\n\n\n\n<li><strong>St\u00e9ro\u00efdes&nbsp;:<\/strong>&nbsp;R\u00e9duisent les gonflements, les rougeurs et les d\u00e9mangeaisons.<\/li>\n\n\n\n<li><strong>Anesth\u00e9siques topiques&nbsp;:<\/strong>&nbsp;Procurent un soulagement cibl\u00e9 de la douleur.<\/li>\n\n\n\n<li><strong>Flavono\u00efdes (diosmine) :\u00a0<\/strong>Ces compos\u00e9s bioactifs sont utilis\u00e9s pour r\u00e9duire la douleur, le gonflement et les saignements qui accompagnent les h\u00e9morro\u00efdes.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ce produit peut ne pas vous convenir. Toujours lire l\u2019\u00e9tiquette et suivre le mode d\u2019emploi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Les h\u00e9morro\u00efdes sont une affection tr\u00e8s r\u00e9pandue caract\u00e9ris\u00e9e par l&#8217;\u00e9tirement ou le gonflement des vaisseaux sanguins dans l&#8217;anus ou le rectum. Si cette affection est souvent asymptomatique, elle provoque parfois des douleurs, des irritations et des saignements dans les selles.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Un m\u00e9decin peut aider \u00e0 d\u00e9tecter de possibles affections plus graves et vous proposer une strat\u00e9gie pour g\u00e9rer les h\u00e9morro\u00efdes&nbsp;: manger davantage de fibres, boire plus d&#8217;eau, prendre des bains chauds et utiliser des amollisseurs de selles. De plus, des traitements en vente libre peuvent vous apporter le soulagement dont vous avez besoin.<\/p>\n\n\n<div class=\"gradient-divider\"><\/div><div class=\"sponsor-block wp-block-cdhf2022-cdhf-sponsor\"><p><span>Cet article est commandit\u00e9 par <\/span><a href=\"https:\/\/www.hemovel.com\/fr?utm_source=cdhf_fr&amp;utm_medium=article_video&amp;utm_campaign=cdhf_hemovel\"><span><u>Hemovel<\/u><\/span><\/a><strong>\u00ae<\/strong><span>, une marque d\u00e9pos\u00e9e appartenant \u00e0 Norwell Sant\u00e9 Grand Public Inc. <\/span><span>Ce produit peut ne pas vous convenir. Lisez et respectez toujours l\u2019\u00e9tiquette.&nbsp;<\/span><\/p><div class=\"sponsor-details\"><\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>R\u00e9f\u00e9rences<\/strong><\/p>\n\n\n\n<ol style=\"list-style-type:1\" class=\"wp-block-list\">\n<li>Lohsiriwat V. Hemorrhoids: From basic pathophysiology to clinical management.&nbsp;<em>World Journal of Gastroenterology<\/em>. 2012;18(17):2009. doi:10.3748\/wjg.v18.i17.2009<\/li>\n\n\n\n<li>Riss S, Weiser FA, Schwameis K, et al. The prevalence of hemorrhoids in adults.&nbsp;<em>International Journal of Colorectal Disease<\/em>. 2011;27(2):215-220. doi:10.1007\/s00384-011-1316-3&nbsp;<\/li>\n\n\n\n<li>American Gastroenterological Association Medical Position statement: Diagnosis and treatment of hemorrhoids .&nbsp;<em>Gastroenterology<\/em>. 2004;126(5):1461-1462. doi:10.1053\/j.gastro.2004.03.001&nbsp;<\/li>\n\n\n\n<li>Mott, T., Latimer, K., &amp; Edwards, C. (2018). Hemorrhoids: diagnosis and treatment options.&nbsp;<em>American family physician<\/em>, 97(3), 172-179.<\/li>\n\n\n\n<li>Staroselsky, A., Nava-Ocampo, A. A., Vohra, S., &amp; Koren, G. (2008).&nbsp;Hemorrhoids in pregnancy.&nbsp;<em>Canadian Family Physician<\/em>,&nbsp;<em>54<\/em>(2), 189-190.<\/li>\n\n\n\n<li>Jacobs D. Hemorrhoids.&nbsp;<em>New England Journal of Medicine<\/em>. 2014;371(10):944-951. doi:10.1056\/nejmcp1204188&nbsp;<\/li>\n\n\n\n<li>Hemorrhoids. MyHealth.Alberta.ca Government of Alberta Personal Health Portal. https:\/\/myhealth.alberta.ca\/Health\/Pages\/conditions.aspx?hwid=hw213495. Consult\u00e9 le 21 juin 2022.&nbsp;<\/li>\n\n\n\n<li>Hemorrhoid cream overview, uses and alternatives &#8211; goodrx. https:\/\/www.goodrx.com\/conditions\/hemorrhoids\/what-works-for-hemorrhoids. Consult\u00e9 le 21 juin 2022.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Les h\u00e9morro\u00efdes sont une affection douloureuse et embarrassante li\u00e9e \u00e0 un effort excessif lors de la d\u00e9f\u00e9cation et \u00e0 la constipation&nbsp;[1]. Elles se d\u00e9veloppent lorsque la concentration de veines situ\u00e9e dans le rectum ou l&#8217;anus gonfle et s&#8217;\u00e9tire.&nbsp; Il existe deux types d&#8217;h\u00e9morro\u00efdes, class\u00e9es en fonction de leur emplacement[1]. Les h\u00e9morro\u00efdes internes se produisent dans [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":16210,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[111],"tags":[140],"class_list":["post-16216","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article-fr","tag-hemorroides-fr"],"acf":{"article_writer":[6901]},"featured_image_src":"https:\/\/cdhf.ca\/wp-content\/uploads\/2023\/03\/treating-hemorrhoids.webp","author_info":{"display_name":"Sophie Allan","author_link":"https:\/\/cdhf.ca\/fr\/author\/sophie-allen\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>H\u00e9morro\u00efdes : Pr\u00e9vention et traitement - Canadian Digestive Health Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cdhf.ca\/fr\/prevention-et-traitement-des-hemorroides\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u00e9morro\u00efdes : Pr\u00e9vention et traitement - Canadian Digestive Health Foundation\" \/>\n<meta property=\"og:description\" content=\"Les h\u00e9morro\u00efdes sont une affection douloureuse et embarrassante li\u00e9e \u00e0 un effort excessif lors de la d\u00e9f\u00e9cation et \u00e0 la constipation&nbsp;[1]. Elles se d\u00e9veloppent lorsque la concentration de veines situ\u00e9e dans le rectum ou l&#8217;anus gonfle et s&#8217;\u00e9tire.&nbsp; Il existe deux types d&#8217;h\u00e9morro\u00efdes, class\u00e9es en fonction de leur emplacement[1]. 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