external hemorrhoidsExternal hemorrhoids were one of the most common types of hemorrhoids. They were caused by pathological expansion of the venous plexuses under the skin, which were located far away from the dentate line of the anus. They were also caused by blood clots or by the growth of desmotic tissue. The basic cause of the disease was anatomical and infectious factors. The inducements included eating habits, living habits, drinking, pregnancy, and so on.
External hemorrhoids were mainly manifested as discomfort in the anus, dampness and dirtiness, and sometimes itching. The typical symptoms were soft tissue masses in the anus, which may be accompanied by pain, foreign body sensation, swelling sensation, blood in the stool, itching, etc. If the hemorrhoids are not properly treated after rubbing, long-term blood in the stool may cause fatigue, pale face and other anemia-related symptoms. Among them, the swelling and pain of the coagulated external hemorrhoids were obvious. When the external hemorrhoids were inflamed and infected, it would seriously affect the body and life. The external hemorrhoids and variceal external hemorrhoids might suddenly bulge, but there were generally no obvious symptoms and did not have much impact on the body. For external hemorrhoids without symptoms, non-surgical treatment could be used, such as adjusting lifestyle, avoiding spicy food, drinking alcohol, warm water bath, or external application of hemorrhoid cream. For surgical treatment, it was necessary to choose hemorrhoidectomy or stripping and ligation according to the specific situation. Once it is found that you may have external hemorrhoids, it is recommended to see a doctor in time and treat it under the guidance of a doctor.
The best treatment for hemorrhoidsThe treatment of hemorrhoids depends on the severity of the condition. There is no "best" method that is suitable for all situations.
For hemorrhoids with no symptoms or mild symptoms, such as mild pain, bloody stool, itching, expulsion, etc., there was usually no need for special treatment or conservative treatment. The conservative treatment methods were as follows:
- "Adjusting your living habits: avoid sitting for a long time, maintain a moderate amount of exercise, control the time you go to the toilet, eat more fresh vegetables and fruits, and keep your stool unobstructed.
- Sizz bath: Sizz bath twice a day, soaking the anus in warm water for about fifteen minutes each time. You can also use warm water with a small amount of potassium Permanganate added in an appropriate proportion. During the process, you can add an appropriate amount of hot water to maintain the water temperature. This helps to promote blood circulation, prevent bacteria infection and inflammation, and relieve pain.
- Drug treatment: Hemorrix cream (such as Ma Yinglong Hemorrix Ointment, Xiaozhi Ointment, etc.) or suppository (such as Puji Hemorrix Suppository, etc.) can be applied or stuffed into the affected area of the anus. Before applying, the anus can be washed clean and taken a warm water bath for ten minutes to improve the absorption ability of the medicine. Some traditional Chinese medicines (such as flavescent sophorum, Chinese arborvitae, and ledebouriella) could also be used to boil the medicine for local cleansing to relieve local pain and reduce inflammation.
When hemorrhoids are very serious or there is a clinical emergency, such as internal hemorrhoids prolapsed and embedded, causing severe pain outside the anus, hemostatic external hemorrhoids or inflamed external hemorrhoids that affect life, frequent bleeding and huge blood volume, internal and external medication is ineffective, huge hemorrhoids that almost block the anus and pain accompanied by inflammation, etc., surgery should be considered. Different types of hemorrhoids had different surgical methods:
- Internal hemorrhoids: Simple suturing, internal hemorrhoidectomy, etc. can be used.
- External hemorrhoids: There were also techniques such as stripping and removal of coagulated external hemorrhoids, and external hemorrhoidectomy.
- Mixed hemorrhoids: External stripping and internal ligature, incision and suturing, etc. can be used.
In addition, the fixative therapy was mainly suitable for patients with internal hemorrhoids, age>70 years old, or poor physical fitness, such as rubber band banding (using a rubber band to ligate the bottom of the hemorrhoid to necrotize the hemorrhoid), injection therapy (injecting a stiffening agent at the top of the hemorrhoid, combined with rubber band banding, the effect was better), and infrared curing therapy (using the characteristics of infrared heat penetration to coagulate, denature, and necrotize the affected tissue).
How to treat hemorrhoidsThe treatment for hemorrhoids is as follows:
1. ** Drug Treatment **:
- After local disinfection, you can use hemorrhoid gel, dampness and itching lotion for local treatment. You can also use hemorrhoid-eliminating ointment (containing bear gall powder, garden burnet root, meteorite and other Chinese medicinal herbs, which can cool blood and stop bleeding, reduce swelling and pain, clear heat and relieve itching), dampness and itching ointment (does not contain hormones, can clear heat and dampness, dispel wind and relieve itching), you can also use Kochia fruit, pomegranate peel, flavescent ginseng, corktree bark, Sichuan pepper, white moss bark, Angelica and other Chinese medicine to clear heat and dampness, dispel wind and relieve itching, or use calamine lotion. If the symptoms are serious, you can take the Runzao Anti-itching capsule. Generally, it will take effect after about a week. However, the use of all drugs must be carried out under the guidance of a doctor.
2. ** Sizz bath treatment **: You can use 1:5000 potassium Permanganate for the treatment of Sizz bath, which can play a role in disinfection.
3. ** Life conditioning **:
- In terms of diet, one should abstain from spicy food, eat more light food, eat more bananas, sesame oil, honey and other foods that moisten the intestines and make the stool soft. One should avoid eating spicy stimulation, fried, grilled, high-oil, high-fat and indigestible food to prevent dry stool and constipation.
- Avoiding squatting and sitting for a long time, so as not to cause obstruction of perianus venous return, causing perianus varices and worsening hemorrhoids.
- Maintain the cleanliness and hygiene of the perianus, wash the affected area every day, and avoid external stimulation such as scratching.
- He should exercise appropriately to keep the stool unobstructed and avoid dry stool and constipation.
The symptoms of internal hemorrhoidsThe main symptoms of internal hemorrhoids are as follows:
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2. ** Prolapsed hemorrhoids **: This symptom will appear in the middle and late stages of internal hemorrhoids. At first, the hemorrhoids will only prostrate during defecation and can be reset automatically after defecation. In the later stages, the hemorrhoids may not be able to be retracted in time and become entrapped. The hemorrhoids are easily infected, inflamed, swollen, and painful.
3. ** mucus flow out **: The long-term stimulation of the hemorrhoid on the mucus membrane will cause an increase in secretion.
4. ** Anal itching **: Due to secretion or stimulation of hemorrhoids, the area around the anus is wet and dirty, and it is easy to cause itching and acne.
5. ** Anal pain **: Simple internal hemorrhoids generally do not have pain. If there is inflammation, swelling, hemorrhoid with blood clot formation or entrapment, there will be severe pain. Sometimes, it may only feel the anus swelling or difficulty in defecating.
The pictures of internal hemorrhoids included pictures of internal hemorrhoids with stool bleeding, pictures of internal hemorrhoids with entrapment, pictures of internal hemorrhoids after falling out, pictures of internal hemorrhoids in stages one, two, three, symptoms of internal hemorrhoids, pictures of internal hemorrhoids under a microscope, pictures of three types of internal hemorrhoids, pictures of internal hemorrhoids bleeding, etc. However, the contents of these pictures could not be directly provided.
Method to eliminate hemorrhoidsThere were two main methods to eliminate hemorrhoids: conservative treatment and surgical treatment.
The conservative treatment included:
1. Drug treatment: Hemorrhore cream, hemorrhoid suppository, such as buprocaine, etc. Before using hemorrhoid cream, it is recommended to clean the anus with water, and then gently apply it on the surface of the hemorrhoid. He could also use some traditional Chinese medicine, such as flavescent ginseng, Chinese arborvitae, and ledebouriella for treatment. The boiled traditional Chinese medicine could also be used for local cleansing. You can also choose to use the solution of potassium Permanganate to smoke and wash, and then use hip bath treatment. Warm water will be used to mix the solution of potassium Permanganate into a 1:5000 solution. The hip bath will allow the solution to fully contact the hemorrhoids to achieve local anti-inflammatory effect. You can also use salt water hip bath twice a day. Or use traditional Chinese medicine hip bath, you can go to the hospital to open the traditional Chinese medicine decoction and then take a hip bath.
2. Warm water hip bath: This is a simple and effective auxiliary treatment method that can promote blood circulation in the anus and improve symptoms.
3. Levator ani exercise: helps to improve hemorrhoids symptoms.
4. Dietary control: Pay attention to light diet, eat more fruits and vegetables, avoid spicy, greasy, stimulating food. Cultivate good defecation habits, wash regularly and keep the area around the anus clean.
The surgical treatment included:
1. Simple hemorrhoidectomy, hemorrhoidectomy, external hemorrhoid dissection, internal hemorrhoid dissection, injection therapy, etc. The specific surgical methods needed to be selected by professional doctors according to the actual situation of the patient.
2. Sclerosing agent injection method: By injecting a stiffening agent (e.g., 5% carbolic acid vegetable oil, salt morrhuate, etc.), the hemorrhoid meatball will produce a sterile inflammation reaction, causing the sub-mucus tissue to undergo inflammation, thereby eliminating the meatball.
3. The rubber band method: The rubber band is tied to the root of the internal hemorrhoid to block the blood supply of the hemorrhoid, so that the hemorrhoid will be healed after chronic blood loss, necrosis, and shedding.
4. Ultrosonic-guided hemorrhoidal artery ligations: A proctoscope with a Doppler-ultrasound probe was used to detect the hemorrhoidal artery and then perform accurate suturing and ligations. The goal of eliminating the fleshy ball was achieved by blocking the blood supply of the hemorrhoids.
How to get rid of hemorrhoids?The treatment of hemorrhoids depends on the specific condition. There are mainly the following:
1. ** Conservative treatment (suitable for patients with mild symptoms)**
- ** Dieting habits adjustment **: Maintain a light diet, avoid spicy and stimulating foods such as chili, mustard, garlic, etc., drink more water, exercise appropriately, keep stool unobstructed, and prevent constipation and diarrhea.
- ** Sizz bath **: Sizz bath twice a day, soak the anus in warm water for about 15 minutes. You can also use boiled Chinese medicine (such as Chinese medicine such as sophorum, Chinese arborvitae, and ledebouriella) for local cleansing, which helps to relieve the pain of hemorrhoids and reduce inflammation.
- ** Medication **
- ** oral medicine **: Diosmin tablets can be used under the guidance of a doctor. It can enhance the elasticity and tension of blood vessels, promote circulation, and relieve pain and swelling. However, some patients may have adverse reactions such as dizziness and headache after taking it. Do not take it for allergic patients.
- ** External medicine **: You can use hemorrhoid cream (such as Ma Yinglong hemorrhoid cream, hemorrhoid ointment, etc.) or suppository. The usage is usually to clean the anus first, then take a warm bath for 10 - 15 minutes and then apply the ointment on the affected area or use a suppository. It can play a role in swelling, pain relief and bleeding control.
- ** Sclerosing agent injection **: It is suitable for patients with internal hemorrhoids without complications, especially those who have early bloody stool and have not prolapsed. Sclerosing agent injection into hemorrhoids has a better hemostatic effect. It is also suitable for patients who cannot receive surgery. This method has good treatment effects, few complications, and few infections. It is simple and less costly.
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2. ** Surgery (suitable for severe hemorrhoids or when conservative treatment is ineffective)**
- ** Internal hemorrhoids **: Can be treated by simple ligature, internal hemorrhoidectomy, and other surgical methods.
- ** External hemorrhoids **: There were the removal of coagulated external hemorrhoids, and the removal of external hemorrhoids.
- [Mixed hemorrhoids: There are external stripping and internal ligature techniques, removal and suturing techniques, etc.] When conservative treatment could not alleviate the symptoms, the hemorrhoids became more and more serious, such as severe shedding, needing to be stuffed back after defecation or shedding when walking, severe bleeding (massive bleeding after defecation), and seriously affecting the quality of life, surgery could be considered. For example, after the leather ring under the microscope or sclerizing agent treatment was ineffective, surgery could be considered.
Which ointment is good for hemorrhoids?The following ointment has a good effect on hemorrhoids:
1. ** Ma Yinglong Musk Hemorriids Ointment **: It has the effects of clearing heat and drying dampness, promoting blood circulation and reducing swelling, removing necrotic tissue and promoting muscle growth. It can be used to treat hemorrhoids and anus fissure caused by damp-heat and blood stasis. The symptoms are stool bleeding or pain. It can also be used to treat perianus acne. When using it, it should be noted that it is for external use and is forbidden to be taken internally. During the use of the medicine, do not smoke, drink, and spicy, greasy, and stimulating foods to keep the stool unobstructed. It is prohibited for those who are allergic to this product. It should be used with caution for those with allergic constitutions. It should be used with caution for pregnant women and athletes.
2. ** Bear Gall Hemorrids Ointment **: It has the effects of clearing away heat and detoxifying toxins, and reducing dampness and sores. It is used to treat pain and itching caused by hemorrhoids, wounds on the anus, redness, swelling, and running water. The side effects were not clear, but pregnant women were prohibited and athletes should use it with caution. Topical drugs are forbidden to be taken internally. Cold, greasy, and spicy food should not be eaten during the medication period.
3. ** Jing Wanhong Hemorriids Ointment **: It has the effects of clearing heat and detoxifying, removing blood stasis and relieving pain, astringent and hemostatic. It can be used to treat initial internal hemorrhoids, anus fissure, perianus, mixed hemorrhoids, etc. Athletes should use it with caution.
4. **
5. [Compound Carraghenate Ointment: It also has a certain treatment effect on hemorrhoids.]
In addition to the above drugs, there were also other ointment for treating hemorrhoids in the clinic. It could be used according to the specific conditions of the patient and under the guidance of a professional doctor. If you need to treat hemorrhoids, it is recommended to go to a regular hospital for treatment. Under the guidance of a professional doctor, the treatment should be standardized to avoid blind self-medication to avoid adverse reactions.
How to deal with hemorrhoids outside?If the hemorrhoid is outside, you can take the following treatment methods:
1. ** Sizz bath **:
- You can take a warm water bath, such as a simple warm salt water bath, usually twice a day; you can also take a bath with potassium Permanganate water, usually 15 minutes each time, 2 - 3 times a day. Sitting in a basin filled with potassium Permanganate solution (prepared according to a certain ratio, can be bought from the pharmacy and used according to the instructions) for 10 - 15 minutes, which helps to improve perianus blood circulation and relieve symptoms.
- You can also use traditional Chinese medicine to take a hip bath. You can go to the hospital to prescribe traditional Chinese medicine. After boiling it, wait for the water temperature to be suitable for the hip bath.
2. ** External medicine **:
- You can use hemorrhoid ointment or hemorrhoid suppository. Most of the ointment and suppository sold on the market have the effect of clearing heat and promoting dispiritedness, promoting blood circulation and reducing swelling. For patients with external hemorrhoids, clean the anus with water before using hemorrhoid ointment, and then gently apply hemorrhoid ointment on the surface of hemorrhoids. For patients with internal hemorrhoids, suppository such as compound carragherates suppository and Anticancer ointment can help stop bleeding, relieve pain, reduce swelling and relieve pain.
3. ** Better diet **:
- He adjusted his diet structure and increased the intake of fiber foods, such as fruits, vegetables, and whole wheat bread. He ate a light diet, ate less greasy food, avoided spicy and stimulating food, ensured smooth defecation, and avoided constipation or diarrhea.
4. ** Levator ani exercise **:
- Levator ani exercises can relax the muscles of the anus and promote local blood circulation, which can effectively relieve symptoms and help prevent perianus diseases.
5. ** Surgery Treatment **:
- If the above conservative treatment methods are not effective, and the pain or swelling are more serious, surgical removal can be chosen, such as internal hemorrhoid encircling and hemorrhoid detachment.
If there are any symptoms of discomfort, it is recommended to go to the hospital as soon as possible to clarify the specific condition and give corresponding treatment. All the above drugs must be used under the guidance of a doctor. They should not be used blindly to avoid accidents.
Is it possible for the ointment to cure hemorrhoids?The main function of the ointment was to fight fungi, treat and prevent skin infection. It was suitable for suppurative skin diseases, surface infection, minor wounds, mild burns, mosquito bites, and so on. Although there was information that suggested that the ointment could be used to treat hemorrhoids and other diseases, most of the information indicated that it was mainly used for anti-infection. It was suitable for skin damage or suppuration, and not for hemorrhoids. Because some hemorrhoids did not have a bacteria infection, using the ointment at this time had no effect. Moreover, if you were used to using the ointment, the effect might be weakened if you used the ointment again. In the future, if there was really a bacteria infection, you might be resistant. Therefore, it was not recommended to use the ointment to treat hemorrhoids.
The ointment cured the bleeding hemorrhoidsThe main function of the ointment was to fight fungi, and some hemorrhoids were not infected by bacteria. At this time, using the ointment to wipe the affected area was ineffective, so under normal circumstances, the ointment could not be used to treat hemorrhoid bleeding. Different treatment methods should be adopted according to the degree of bleeding. For mild intermittent bleeding, general treatment methods can be used, such as hot water hip bath and adjustment of diet structure; Ma Yinglong hemorrhoid cream can also be applied, oral hemorrhoid pills and other drugs can be used for treatment; For patients with large bleeding volume and frequent bleeding, surgery can be considered.