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 symptoms of internal hemorrhoidsThe main symptoms of internal hemorrhoids are as follows:
1. * *
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.
The best treatment for hemorrhoidsThere were three principles for the treatment of hemorrhoids: first, for those without symptoms, such as no pain, blood in the stool, itching, expulsion, or if the symptoms were not obvious, they could not be treated; second, the treatment of hemorrhoids should be based on conservative treatment, such as adjusting diet, applying hemorrhoids cream, sitting bath, and other methods to stabilize the condition and prevent the attack, which did not necessarily require surgery; The third was surgery. When medication could not alleviate the condition after a period of time, or when the hemorrhoids were severe (such as uncontrollable bleeding, frequent rectocele, etc.), surgery could be considered. The details were as follows:
** 1. Conservatively treated **
1. ** Medication **
- Under the guidance of a doctor, drugs such as Diosmin Tablets and Mayinglong Hemorhoid Ointment can enhance the elasticity and tension of blood vessels, promote circulation, and relieve pain and swelling. However, some patients will have dizziness, headache and other adverse reactions after taking Diosmin Tablets, so allergic patients should not take it. You can also use the ointment to eliminate hemorrhoids. When using it, first clean the anus, then take a warm water bath for ten minutes and apply the ointment to the affected area. It can reduce swelling, relieve pain and stop bleeding. He could also use Chinese medicines such as sophorum sophorum, Chinese arborvitae, and ledebouriella to boil them into medicine for local cleansing to relieve the local pain of hemorrhoids and make the inflammation subside.
2. ** Sitting bath **
- He would take a hip bath twice a day and soak his anus in warm water for about fifteen minutes.
3. ** Fixed therapy (suitable for internal hemorrhoids, patients older than 70 years old, or patients with poor physical fitness)**
- ** Rubberband Ligation Technique **: Use a rubber band to tie the bottom of the hemorrhoid, causing the hemorrhoid to necrotize.
- ** injection therapy **: Injecting a sclerizing agent at the top of the hemorrhoid. It is more suitable for patients with internal hemorrhoids without complications (especially those who have early bloody stool without expulsion) and patients who cannot receive surgery. The hemostatic effect is good, the complications are few, and the infection is rare. The treatment method is simple and the cost is relatively low. It is better to combine it with rubber band sterilization.
- ** infrared ray coagulation therapy **: The infrared ray has a strong penetrative property to coagulate, denature, and necrotize the affected tissue.
** 2. Surgery **
1. ** Internal hemorrhoids **: Can be treated by simple ligature, internal hemorrhoidectomy, and other surgical methods.
2. ** External hemorrhoids **: There were the removal of coagulated external hemorrhoids, and the removal of external hemorrhoids.
3. [Mixed hemorrhoids: There are external stripping and internal ligature techniques, removal and suturing techniques, etc.] Pay attention to keep the anus clean after the operation. You can use a 1:5000 solution of potassium Permanganate for hip bath. Disinfect and change the dressing every day to promote the normal healing of the wound.
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 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 are hemorrhoids caused?The occurrence of hemorrhoids is mainly related to the following factors:
1. ** Blood circulation obstruction related **
- Sitting for a long time and standing for a long time at work or in life would affect the local blood circulation, causing the venous return of the anus to be blocked, and it was easy to form hemorrhoids.
- After humans walked upright, the venous pulse pressure of the anus canal increased when they sat or squatted to defecate, causing venous congestion or blood stasis, which was also related to the formation of hemorrhoids.
- During pregnancy, as the fetus grew, the abdominal pressure increased, and the enlarged uterus pressed against the anus, causing the venous return to be blocked, which easily formed hemorrhoids.
2. ** Dietary factors **
- Long-term consumption of spicy and stimulating food, such as chili, raw onions, ginger, raw garlic, hot pot skewers, etc., will cause blood to rush to the anus and induce hemorrhoids.
- If the diet is too fine and lacks enough fiber, it will make the stool dry, increase the difficulty of defecation and the degree of exertion, and easily cause hemorrhoids; excessive drinking, irregular diet, etc. can also cause irritation to the anus and anus, affect venous blood flow, and make the venous plexuses congested, leading to hemorrhoids.
3. ** Bad defecation habits **
- Playing with mobile phones and reading books during defecation would prolong the defecation time, cause blood stasis in the anus and anus, and cause hemorrhoids.
- Constipated, the stool is too hard or difficult to defecate, the blood vessels around the anus are under excessive pressure, causing the blood vessels to expand and become congested, causing hemorrhoids; Long-term diarrhea will cause abdominal pressure to increase, the number of defecation will increase, the time of defecation will increase, and the anus and anus will be stimulated frequently, causing the blood vessels to expand and become congested, causing hemorrhoids.
4. ** In terms of hygiene and infection **
- If they did not pay attention to private hygiene, the muscles around the buttocks would contract and relax rapidly when the couple slept together. Some liquid would flow back to the anus. If they did not clean it in time, there might be an infection, which would form swelling and hemorrhoids.
- Anal infection can cause inflammation of the hemorrhoidal venous plexi, causing the elastic tissue of the venous wall to weaken, and the resistance to it to be insufficient. The veins will expand and become varices. As the varices worsen, they will form hemorrhoids, causing hemorrhoids.
The most effective ointment for hemorrhoidsThere was no absolute ointment that was the most effective in treating hemorrhoids. Different ointment was suitable for different symptoms and people. The following are some common and effective hemorrhoids ointment:
1. [Mayinglong Musk Hemorhoids Ointment: It has the effects of clearing away heat and drying dampness, promoting blood circulation and reducing swelling, and removing necrotic tissue and regenerating muscle. It is used to treat hemorrhoids and anus fissures caused by dampness and heat. The symptoms are stool bleeding or pain. It can also be used to treat perianus acne.] The adverse reactions and contraindications are not clear, but it should be noted that it should be used externally and should not be taken internally. During the use of drugs, do not smoke, drink, and spicy, greasy, and stimulating foods. Keep the stool unobstructed. It is prohibited for people allergic to this product. It should be used with caution for people with allergic constitutions. It should be used with caution for pregnant women and athletes.
2. [Bear gall hemorrhoid cream: It has the effects of clearing heat and detoxifying toxins, and treating sores. It is used to treat pain and itching caused by hemorrhoids, wounds on the anus, redness, swelling, and running water.] The adverse effects were not clear. Pregnant women were prohibited to use, and athletes should use it with caution. It was a medicine for external use and was forbidden to be taken internally. During the medication, it was not advisable to eat cold, greasy, and spicy food.
3. Jing Wanhong Hemorriids Ointment: It has the effects of clearing heat and detoxifying, removing blood stasis, relieving pain, astringent bleeding, and is used to treat initial internal hemorrhoids, anus fissure, perianus, mixed hemorrhoids, etc. The adverse reactions and contraindications were not clear. Athletes should use it with caution.
4. Compound Carraghenate Ointment was also an ointment commonly used to treat hemorrhoids.
In addition, there were also anti-hemorrhoids ointment and others that could be used to treat hemorrhoids. If you have hemorrhoids, it is recommended to choose the appropriate ointment according to your specific situation under the guidance of a professional doctor.
Is it true that the ointment cured hemorrhoids?The ointment was beneficial for improving the infection of external hemorrhoids, but not all hemorrhoids could be cured with the ointment. The pathogenic factors of hemorrhoids were related to wind, dampness, heat, dryness, qi deficiency, blood deficiency, etc. The main function of antibiotics was to fight fungi. For hemorrhoids that had not been infected by bacteria, using antibiotics ointment to wipe the affected area had no effect. If it was an external hemorrhoid infection, the use of ointment might help to improve the symptoms, but it could not be considered that ointment could cure all 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.