How to make baths for hemorrhoids From chamomile or with potassium permanganate

Useful properties and types

Almost everyone is at risk for hemorrhoids, since the disease often occurs with little physical activity, poor diet, constipation, pregnancy and childbirth. A person is accompanied by unpleasant symptoms - inflammation and bumps in the anus, bleeding, cracks, pain not only during movement, but also during rest.

The disease develops rapidly, moving from one stage to another. Treatment is becoming longer and longer and often the only way to cope with it is surgery.

You will act completely wisely and save yourself from a lot of trouble in the future if you start the fight immediately, at the first manifestations of the disease. In this case, sitz baths will provide effective help, especially with external hemorrhoids.

As the disease progresses and internal hemorrhoids appear, the use of such procedures alone will no longer be enough.

Depending on the water temperature, baths are divided into 5 types.

Hot baths

Relieves pain and inflammation, has an antibacterial effect. The water temperature is no more than 40 degrees, otherwise you can burn the delicate skin of the perineum and rectum. Contraindicated for exacerbations of symptoms. Effective at the beginning of the disease, at stages 1 and 2.

The water temperature can be determined with a thermometer, or you can do it the old fashioned way, like for a baby, by dipping your elbow into the water. If after a minute the skin can withstand it, then the temperature is acceptable. Hot water should not exceed the maximum - 50–60 degrees.

1. Fill the basin halfway with water, pour out the prepared medicinal mixture and sit down, first spreading your perineum with your hands.
2. As it cools, add hot water.
3. When finished, blot the perineum with a soft, lint-free cotton cloth and lubricate it with an antibacterial gel containing aloe, rosehip or coconut oil.

Take 20 minutes. The course usually ranges from 10 to 14 procedures, after a 4-day break it can be repeated.

The best time is before bed to avoid catching a cold.

Most Popular:

• from a mixture of herbs;
• with onion peel;
• burdock root;
• mumiyo;
• garlic;
• oak bark;
• St. John's wort;
• calamus;
• calendula;
• chamomile flowers.

Contraindicated for large hemorrhoids, fissures in the anus and exacerbation of inflammation, after surgery for hemorrhoids, as they can provoke bleeding.

Warm baths

Most often prescribed, including in the postoperative period. The water temperature is close to body temperature. They heal cracks, get rid of infections, strengthen the walls of blood vessels, eliminate stagnant processes, restore the skin and mucous membranes. Mixtures of herbs, chopped garlic, potassium permanganate, coconut oil, sage, aloe, St. John's wort, and calendula are used as medicinal raw materials.

The duration of the procedure is no more than 25 minutes, the frequency is from 1 to 3 times a day.

The course is continued for 10 to 14 days, after which a break is taken. Then you can use other components.

Important: before starting the session, a cleansing enema is required, otherwise the effect with warm water will be minimal.

Cool

Used for exacerbations. They help quickly relieve pain and stop bleeding. The temperature of boiled water is from 18 to 20 degrees, no more. Herbal infusions, sea salt, honey, young nettle leaves, plantain, and celandine are used.

Although cold water itself is an excellent analgesic.

1. Boil water for at least 15 minutes, then cool to the required temperature.
2. Prepare the infusion in advance and freeze it in cubes so that the medicinal raw material can be added to the water to maintain the desired temperature.
3. Add the first portion of this ice immediately before sitting in the basin.

You need to start the procedure with 1-2 minutes, or even better with 30 seconds, so as not to catch a cold. Gradually increase the time to 5–10 minutes, no more. Focus on your feelings.

Cool baths are usually done up to 2 times a day for 10 days.

Smoke

They have powerful anesthetic properties, have some contraindications and side effects, and are difficult to use. Used quite rarely.

Preparing a bath requires preparation.

1. Find a fireproof container that can withstand high temperatures, such as a tin bucket or can. It is best to place a wooden lid on top with a hole for the crotch no more than 5 cm in diameter. You can do it yourself.
2. Heat a large brick or stone, place it in the middle of the container, pour or pour on top: birch tar; chopped garlic cloves; onion peel.
3. Then sit down, spreading your buttocks with your hands. Use fewer ingredients if the smoke is too hot.

The procedure lasts no more than 10 minutes once a day. The number of sessions is at least 10, every other day.

Steam

Such baths are effective for internal hemorrhoids and severe pain. Mixtures of medicinal herbs are used: chamomile, St. John's wort, sage, as well as onion peels, horsetail, and oak bark.

A solution of boiled milk with the addition of steamed onion peels is excellent. Pour a boiling solution of medicinal ingredients into an enamel bucket with a volume of at least 3 liters, cover the surface with a lid prepared in advance with a hole in the middle, sit down, and wrap yourself in a blanket.

Perform the procedure until all the steam disappears, 10–15 minutes. 10 procedures are required every other day.

When finished, it is advisable to lubricate the perineal area with Vaseline.

The pain will disappear instantly, but you should be extremely careful, otherwise you can burn the perineum or damage the integrity of the hemorrhoidal cones.

The use of hot baths

Hot sitz baths for hemorrhoids have a rather conventional name. During this procedure, infusions based on medicinal plants are usually used, the temperature of which does not exceed 40 °C.

This indicator is not accidental, since the epithelium in the anal area is sensitive and should not be exposed to too high temperatures. Under the influence of hot baths, pain is reduced, inflammation is relieved and healing of the affected area is accelerated.

The use of hot baths is allowed only for mild hemorrhoids, in the absence of acute symptoms (including bleeding).

You will learn whether it is possible to take a bath with hemorrhoids and how to properly carry out this water procedure by reading our expert’s article.

With chamomile

Chamomile baths for hemorrhoids are widespread due to the healing properties of the plant.

The medicinal culture effectively eliminates bacteria in the rectal area, has an anti-inflammatory effect, and relieves itching and pain.

The algorithm for performing baths is presented in the table.

Chamomile baths for hemorrhoids, in the absence of contraindications, should be performed until complete recovery.

You can find much more information about the benefits of chamomile for hemorrhoids, its qualities and features of use in the article by our specialist.

With burdock

You can also overcome hemorrhoids with the help of burdock-based baths. This plant is characterized by a rich composition, helps in the fight against bleeding, discomfort, infections and inflammation. You can prepare baths from the root of the culture or burdock thorns.

A root bath is made according to the following scheme:

• take fresh or dried burdock root (approximately 100-120 g);
• if the raw materials are dug up independently, they are thoroughly washed;
• the root is cut into 2 parts, poured with warm water (2 l) and brought to a boil;
• continue to cook the mass over low heat until a rich brown color appears;
• the liquid is cooled to the required temperature and poured into the basin;
• then water is added to the resulting solution.

Such baths should be done for 20-23 minutes. It is very important that the anal area is completely immersed in the solution, then the effect will be maximum.

The second recipe is based on burdock thorns. Cooking algorithm:

• put 3 liters of water on low heat, add thorns (approximately 155 g) to the container with liquid;
• the solution is boiled for 20 minutes, after which it is filtered and poured into a basin.

It is recommended to take baths with burdock extract daily. The course of therapy is 7 days.

With St. John's wort

For external hemorrhoids, bath procedures based on St. John's wort are highly effective. They help relieve inflammation and regenerate tissue in the rectal area. To prepare a bath, you need to pour warm water into a basin, dilute a decoction of St. John's wort in it (200 g of the plant per 2 liters of water, cook for 20 minutes).

Sit in the prepared solution for 8-12 minutes, then wipe with a cotton cloth and apply an ointment for hemorrhoids, which will be prescribed by the doctor.

During hot baths, it is necessary to monitor the water temperature. The liquid should not cause discomfort and should not be too cold.

Why are baths effective in treating hemorrhoids?

Benefits of the procedures:

1. High efficiency. Baths, especially cold ones, relieve pain almost instantly.
2. Easy to do.
3. Low cost.
4. Almost absolute safety if you follow all recommendations. Often prescribed to young children and pregnant women.

General properties of all baths for hemorrhoids at home:

• rapid relief of pain;
• relieving inflammation in the perineal area;
• healing of anal fissures and microtraumas;
• stopping bleeding, reducing the size of nodes;
• reducing the number of relapses;
• in some cases, getting rid of the disease completely.

There are many recipes that normalize digestion, eliminate constipation, and promote smooth bowel movements. These factors are one of the main factors that cause hemorrhoids.

Treatment of the disease should begin with a review of your diet, regardless of its stage and symptoms. It is necessary to improve the functioning of the intestines first, otherwise any treatment will be useless.

Chamomile baths for hemorrhoids

There are quite a lot of recipes that involve the use of chamomile. So, how to do chamomile baths for hemorrhoids?

They can be divided into regular decoction baths or steam baths with chamomile. To solve the question of how to prepare chamomile baths for hemorrhoids, you will need a small container (basin or bucket), dried chamomile flowers and a maximum of half a liter of water. To prepare a chamomile bath, pour the mixture into a container, then pour water and leave for 10 minutes. Then you need to sit on a bucket or in a basin, wrap yourself warmly in a blanket, and stay in this position for no more than 5 minutes. To alleviate the symptoms of the disease, a similar procedure should be used several times a day, the course should be at least 3-5 days.

Regular chamomile baths for hemorrhoids are made using an already prepared infusion. To do this, pour 2 tablespoons of dried flowers into one glass of boiling water and leave for an hour with the lid closed. The resulting liquid is used not only for hemorrhoids, but also for the diagnosis of anal fissure. Based on it, they take sitz baths and make microenemas, which is most often necessary for internal hemorrhoids.

Chamomile flower infusion

The recipe for microenemas includes the following ingredients:

• chamomile (flowers);
• yarrow (leaves);
• mint (leaves).

They are collected in a ratio of 2:2:1, respectively. Then two spoons of this mixture are poured with boiling water (1 glass), allowed to brew and cool, and then filtered and the remaining warm liquid is used for microenemas, preferably overnight.

Their use is often not recommended, since chamomile, when used in excess, harms the intestinal microflora.

Yarrow leaves for hemorrhoids

You can also try making a bath from this plant using an infusion prepared in a water bath. For this:

• Place the dried collection in an enamel bowl.
• Fill it with warm water.
• Close tightly.
• Place in a water bath.
• Remove after a third of an hour.
• Strain half an hour after removal.

The ingredients must be taken in proportion: 1 part collection to 10 parts water. It is noteworthy that baths for hemorrhoids with the manifestation of inflammatory processes are made only from pure collection, without admixtures of other plants. In this case, the analgesic effect will be greater.

It would be a good idea to consult your doctor. He can explain which chamomile baths to take for hemorrhoids, how to do the baths correctly, for whom baths for hemorrhoids with chamomile infusion are recommended, and for whom they are contraindicated.

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What you need to have

Buy a new enamel or plastic basin that you will place in the bathtub and sit in it.

But the most convenient is considered to be a sitz medical bath on the toilet, which you can buy at a pharmacy, medical equipment stores or order on the Internet. The bath vessel is made of plastic or porcelain, placed directly on the toilet and equipped with a special gutter so that excess water flows there.

Prepare a soft cloth with which you will wipe yourself after finishing the procedure. Terry and waffle towels are not suitable. The former can leave lint on the inflamed tissues of the perineum, while the latter are too rough for these purposes, it will simply hurt you.

It is necessary to boil and cool the water in advance, if necessary, and also prepare the medicinal raw materials that you will use - herbal decoctions, potassium permanganate, sea or Epsom salt, onion peels, finely chopped garlic, propolis, etc.

Sitz bath therapy should begin with a visit to your doctor. It is very important to correctly determine the time and frequency of procedures, duration of treatment, select ingredients and follow recommendations.

Is it possible to take baths after surgery?

During the recovery period, after surgery to remove hemorrhoids, it is recommended to carry out complex therapy using warm sitz baths. The procedures help prevent the occurrence of complications in the form of pus and inflammation. In this case, it is recommended to make baths with potassium permanganate.

Rehabilitation after the intervention reaches 30 days. Otherwise, treatment with water therapy lasts up to 1 week.

In addition to medications, folk remedies are used for inflammation of the venous collection in the rectum. Baths for hemorrhoids are warm, hot and cool. Steam procedures are distinguished separately. Therapy depends on the course of the disease and symptoms. Traditional methods have some contraindications for pregnant women. Before using herbal teas, it is recommended to consult with your doctor.

We recommend: The most effective methods for treating external hemorrhoids

Best Recipes

Manganese baths for hemorrhoids

Being one of the best antiseptics, potassium permanganate loses its properties in hot water and can cause burns to the mucous membranes if the granules are not thoroughly dissolved.

Therefore, it is not suitable for taking hot baths, only for warm or cold ones.

1. Dilute a few grains of the substance in a mug of water, bringing the solution to a rich crimson color.
2. Dissolve the crystals well, then strain through several layers of gauze.
3. Then add to the prepared bowl of warm water and sit for 15 minutes. The color of the solution here should be pale pink.

At the end of the procedure, it is important to lubricate the perineum with coconut oil after drying it with a soft cloth. It is sold in pharmacies, stimulates the immune system and accelerates tissue healing.

The result is a double effect: on the one hand, the destruction of pathogenic microflora, on the other, an accelerated process of regeneration of the skin with beneficial substances from coconut.

You can use sea buckthorn oil, any other fatty oil or cream.

Repeat the procedure 2-3 times a day until complete healing.

If your skin is prone to allergies, delicate and sensitive, it is better to avoid potassium permanganate.

In this case, a solution of furatsilin is suitable.

With Epsom, sea or regular salt

Salt baths can be warm or cool. But the greatest effect is given by hot water, about 40 degrees. It will quickly relieve pain, is an antiseptic, and will increase the production of blood platelets.

1. For 2-3 liters of hot water you need 500 g of any salt.
2. Dissolve well, dilute to 40 degrees, take until completely cooled 2-3 times a day, approximately 10 minutes, preferably before bedtime.
3. Wash the perineum with fresh water, let it dry on its own, lubricate it with a cream that contains aloe or honey.

Particularly effective in the initial stages of hemorrhoids. Course duration is 3–5 days.

Baths for hemorrhoids with soda

The procedure is extremely simple, but quickly relieves the most unpleasant symptoms.

1. Fill the bathtub with warm water until you can sit in it up to your waist.
2. Dissolve 4-5 tablespoons of baking soda and sit there for 15 minutes.
3. After the procedure, dry the perineal area and lubricate with greasy cream or Vaseline.

With onion peel

It is better to soak it in cold water and leave it overnight. In the morning you will get a saturated brown solution, which must be brought to a boil, but not boiled.

In this case, it will retain all its beneficial properties.

If you don't have much time, you can boil the husks until they become dark in color.

Cool to 37 degrees. These baths are used hot. It is advisable to add chamomile decoction to it. The procedure time is no more than 20 minutes.

With garlic

Prepare the mixture, chop the head and add it to 5 liters of boiling water. After 2–3 hours, filter the infusion.

Recipe with propolis

Due to its properties, propolis is effective in the treatment of any stage of hemorrhoids; it has antibacterial, anti-inflammatory, and venotonic effects. Prevents infection of anal fissures and promotes their healing. Relieves swelling, reduces hemorrhoids.

For baths, 3 liters of warm water and 50 ml of an alcohol solution of propolis diluted in it, purchased at a pharmacy or prepared independently, are enough.

You can prepare a smoke bath by dripping a little tincture onto a hot stone.

The effect of cold baths

Baths with cool water for the treatment of hemorrhoids are indicated during exacerbations of the disease. Such procedures will help relieve inflammation, eliminate pain, and stop bleeding. The water temperature for such treatment should be no more than 20 °C.

Herbal Recipes

Cool baths are most often based on herbal recipes. Decoctions from the following plants are usually used:

• nettle;
• plantain;
• celandine.

A bath of celandine and nettle has a good effect. In tandem, these plants have a hemostatic effect. 2 tbsp. l. dry nettle, pour 1 glass of water, leave in a heat bath for 1.5 hours. An infusion is first prepared from celandine (100 g of plant per 200 ml of water), and then frozen in the freezer. Then the patient takes a sitz bath of nettle, and at the end of the procedure, wipes the anal area with an ice cube made from an infusion of celandine.

Before using this method of getting rid of hemorrhoids, as a rule, first consult a doctor. It is not always possible to use ice to treat the disease, so the decision of the proctologist should be key.

You can find out how hemorrhoids are treated with celandine and what recipes traditional medicine offers from this medicinal plant by reading our author’s material.

Many people are interested in whether it is possible to make a cold bath from oak bark. This method of treatment is also practiced. Recipe:

• take oak bark, sage, chamomile, St. John's wort, pour boiling water over it;
• leave for 120 minutes;
• cool to the desired temperature;
• pour into a basin, immerse in a container.

The duration of therapy is 5-8 minutes.

With potassium permanganate

Baths are also often made from potassium permanganate for hemorrhoids. Potassium permanganate has become widespread for hemorrhoids due to its healing properties.

The substance has an effective disinfecting effect, and is also able to eliminate inflammatory processes and cope with swelling.

The most common baths with potassium permanganate for hemorrhoids are presented in the table.

Potassium permanganate is a relatively aggressive substance, so it should be used in small doses and after a doctor’s permission. Only in this case will baths for external hemorrhoids with potassium permanganate be beneficial.

Herbs and herbal mixtures

These are mainly warm or cool baths. The herb is sold at the pharmacy; you can also use filter bags. A decoction is prepared according to the instructions for use, 500 ml per session. Pour into a basin, dilute with water at the required temperature to 3 liters, so that the inflamed area is completely immersed in water.

They relieve pain, relieve inflammation, tone, eliminate congestion, normalizing blood flow in the veins of the rectum.

Mixtures of herbs are often used, for example:

• aloe with garlic;
• chamomile flowers with plantain leaves;
• calendula flowers with aloe;
• St. John's wort herb with sage;
• leaves of young nettle with celandine - better cool;
• calendula flowers with chamomile.

Ask your doctor what herbs and temperature conditions are best to use. Only he can determine the actual effectiveness of this procedure in a particular case.

Rules for the procedure

Baths for hemorrhoids are done in time depending on the desired result at home. The procedure is influenced by the temperature of the water and the stage of inflammation. Cool baths require up to 5 minutes. Hot procedures are carried out until the broth and water have cooled.

Cool water therapy is performed according to special instructions. To do this, you will need to pour 1 liter of boiled water into a basin along with a decoction or infusion. Then the patient sits in the container, and therapy is carried out for up to 3 minutes. The procedure must be performed in the morning and evening.

Therapy with warm water or decoction is carried out 2 times a day. After surgery to remove hemorrhoids, the procedure is performed at a temperature no higher than 35°C. Hot therapy is carried out every day in the morning and evening for 1 week. The temperature of the water or broth should not exceed 60°C.

Smoke baths for hemorrhoids are carried out using a metal can. Pour hot water into the container and add ground garlic. To do this, use 6 slices of the ingredient. The can is then covered with a wooden lid with holes. The diameter of each hole should be up to 200 mm. The patient needs to sit on the lid. The procedure is carried out for 1/3 hour (20 minutes). Steam baths for hemorrhoids are performed only once a day. The course of treatment is 3 days. Otherwise, pine baths are used, following the same principle.

To increase the effectiveness and usefulness of therapy, it is recommended to add healing components to the water. The ingredients must have antibacterial and anti-inflammatory properties. Therefore, potassium permanganate, herbal infusions and decoctions are used for water therapy.

In some cases, only salt or soda is added. Precautions must be taken when using these components.

Preparing for baths

To begin therapeutic activities, you will need to prepare a basin. Pharmacies sell special medical baths. If necessary, use such a container. The medical basin is made of porcelain or plastic. The bathtub is easy to use and is installed on top of the toilet.

Several popular recipes

Chamomile flowers

Chamomile is known as a powerful anti-inflammatory agent, so baths with a decoction of its flowers are the most popular.

1. The decoction is prepared at the rate of 2 liters of boiling water, 3-4 tbsp. l. herbs.
2. Leave for 2 hours, filter.
3. Pour into a basin and sit for 10 minutes, up to 3 times a day, until the inflammation and pain go away.

It has antipruritic, decongestant, antiseptic and wound-healing effects, quickly relieves painful symptoms, itching and burning.

For more detailed information about the effects of chamomile and how to use it for hemorrhoids, read this article.

Oak bark

It has astringent, drying, healing, regenerative properties.

1. For 1 liter take 6 tbsp. l. bark.
2. Keep in a water bath for 45 minutes.
3. Leave for 2 hours.
4. Cool, filter and perform the procedure according to the doctor’s recommendations.

The decoction is also used as a cool lotion for external hemorrhoids.

Celandine

Able to dry wounds and heal them quickly, helps stop itching and inflammation.

Take 1.5 cups of raw material per 3 liters of water, bring to a boil, and leave for 8-12 hours.

Strain and warm up a little. Duration: 30 minutes once a day, preferably at night, until symptoms are completely eliminated.

With calendula flowers

Has an antipruritic effect, eliminates burning sensation.

Make a decoction at the rate of 1 tbsp. l. marigolds per 200 ml of boiling water. It is necessary to prepare at least 1 liter of solution. Leave for 1 hour, strain.

Sit in the warm solution for 15 minutes once a day.

With a series

The water is hot, at least 37 degrees. Prepare the mixture at the rate of 100 g of raw materials per 2 liters of boiling water. Leave for 30 minutes

filter, check temperature, duration – 7 minutes.

With bay leaf

For 5 liters of boiling water, 100 g of bay leaf, leave for 30 minutes, strain, pour into a basin, take a bath until the solution cools.

Relieves swelling and itching, has an antimicrobial effect.

Warm bath option

In most cases, these baths are used to treat inflamed hemorrhoidal cones. The procedures help eliminate itching sensations, relax sphincter muscles, fight germs, heal anal fissures, and increase vascular tone. The temperature for warm baths should not differ from the human body temperature and be within 36-37 °C.

With chamomile

Warm baths with chamomile for hemorrhoids help strengthen the vascular walls and provide a disinfecting effect. Thanks to the comfortable water temperature, muscles can naturally relax. The principle of preparing a bath is similar to a hot one:

• chamomile inflorescences are poured with water, boiled, and infused;
• bring the broth to a comfortable temperature, pour into a basin;
• are dropped into the container.

Course duration is 10-11 days. It is necessary to carry out the healing effect every day for 15-16 minutes, preferably in the evening.

With oak bark

Oak bark baths for hemorrhoids have proven themselves as a hemostatic and disinfectant. But most often oak bark is used in combination with other plants. The following recipe is popular:

• oak bark, horsetail, steelhead root are taken in identical proportions;
• raw materials are crushed and mixed;
• 4 tbsp. l. pour 1 liter of boiling water over the mixture, place on the stove over low heat, and cook for 5-6 minutes.

The broth is cooled, filtered, and used for sitz baths.

Oak bark can be used in combination with chamomile, sage and horse chestnut. The ingredients are crushed and mixed. The resulting mass is poured with boiling water and left for 12 hours. Before taking a bath, the broth must be filtered. The duration of exposure is no more than 30 minutes.

Our expert tells us more about the benefits of oak bark for hemorrhoids and the specifics of using this ingredient in the treatment of proctological diseases.

With onion peel

Another effective bath for hemorrhoids is with onion peels. To prepare the solution, take onion peels, add water and cook until a brown tint appears. Then you need to strain the broth into a basin, add a little mumiyo to it. The temperature of the solution should not exceed 37 °C. The duration of the healing effect is about 20 minutes.

• We recommend reading an article by our specialist proctologist on how to correctly and competently use onions for hemorrhoids.
• We also advise you to carefully study the article on the use of mumiyo for hemorrhoids, as well as contraindications to the use of this remedy.

Baths for hemorrhoids during pregnancy

During such a delicate period, any manipulations should be carried out only with the permission of a doctor.

Hot and cold baths are prohibited. Warm ones can be taken with the addition of herbal decoctions. Procedures with potassium permanganate during pregnancy will also give quick and effective results.

Warm bath recipe for pregnant women:

• mix dried chamomile flowers, plantain and nettle leaves in equal parts;
• Add 20 g of the mixture to 2 liters of boiling water;
• leave for 3 hours;
• filter, pour into a basin;
• add warm water to a volume of at least 5 liters;
• sit down, gently spreading your buttocks;
• time – 7 minutes;
• Duration: 2 weeks, 1 time per day at night.

In this case, only allergic reactions to the components can serve as a contraindication.

Baths after surgery to remove hemorrhoids

After surgery, it is recommended to take warm baths with herbal decoctions (calendula, chamomile, thyme, St. John's wort, mint or sage). 2 tbsp. l. dry raw materials are poured with a glass of boiling water. The liquid is infused for 15-20 minutes, then filtered and a solution is made by adding 1 liter of boiled water. Herbal baths help relieve pain and reduce the risk of wound infection.

To speed up the healing of the operated area, take baths with sea salt. Sea salt stimulates tissue regeneration. In the process of preparing a medicinal solution, 500 g of sea salt (without additives) is dissolved in 3 liters of boiled water.

After surgery, baths can only be taken after consulting the attending physician. The treatment course lasts at least 5 days.