Do you know how to treat hemorrhoids?

Now, do you know what disease has an incidence rate of up to 95% in the United States? It's hemorrhoids. Hemorrhoids are a very common disease in the anal area. Basically, nine out of ten people suffer from this disease. Moreover, the number of people suffering from this disease will increase with age, and pregnant women are one of the groups with the highest incidence rate. So many people want to know, how to treat hemorrhoids?

1. Non-surgical treatment

Asymptomatic hemorrhoids do not require treatment; symptomatic hemorrhoids do not require radical treatment; non-surgical treatment is the main treatment.

(1) General treatment

It is suitable for most hemorrhoids, including the early stages of thrombotic and incarcerated hemorrhoids. Pay attention to your diet, avoid alcohol and spicy foods, increase fiber foods, eat more fruits and vegetables, drink more water, change bad bowel habits, keep bowel movements smooth, take laxatives when necessary, and clean the anus after defecation. For prolapsed hemorrhoids, be careful to gently push the hemorrhoids back with your hands to prevent them from falling out again. Avoid sitting or standing for long periods of time, do appropriate exercise, take a sitz bath in warm water (which may contain potassium permanganate) before going to bed, etc.

(2) Local medication treatment

It has been widely used, and the medicines include suppositories, ointments and lotions, most of which contain Chinese herbal ingredients.

(3) Oral medication

Drugs are usually used to treat varicose veins.

(4) Injection therapy

It is more effective for grade I and II bleeding internal hemorrhoids; the sclerosant is injected around the venous plexus in the submucosal layer to cause inflammatory reaction and fibrosis, thereby compressing and closing the varicose veins; the treatment can be repeated after 1 month to avoid injecting the sclerosant into the mucosal layer and causing necrosis.

(5) Physical therapy

Laser therapy, cryotherapy, direct current therapy and copper ion electrochemical therapy, microwave thermocoagulation therapy, and infrared coagulation therapy are less commonly used.

(6) Rubber band ligation

The root of the hemorrhoids is ligated to block its blood supply and cause the hemorrhoids to fall off and necrotize; it is suitable for II and III degree internal hemorrhoids, and is more suitable for giant internal hemorrhoids and fibrotic internal hemorrhoids.

2. Surgery

(1) Indications for surgery

Conservative treatment is ineffective, hemorrhoids are severely prolapsed, large fibrotic internal hemorrhoids, injections and other treatments are not effective, and there are anal fissures, anal fistulas, etc.;

(2) Surgical principles

Reset the prolapsed anal cushion through surgery and preserve the structure of the anal cushion as much as possible, so as to minimize the impact on the ability to control bowel movements after surgery.

(3) Preoperative preparation

When there are ulcers or infections on the surface of internal hemorrhoids, first perform conservative treatment such as laxatives and warm water sitz baths, and then perform surgery after the ulcers have healed; do intestinal preparation.

(4) Surgical method

① Thrombosed external hemorrhoidectomy is suitable for patients whose pain does not ease or the swelling does not shrink after conservative treatment of thrombosed external hemorrhoids. ② Traditional hemorrhoidectomy, namely external peeling and internal ligation. ③ Circumcision of hemorrhoids (Whitehead procedure) is a classic procedure in textbooks, which can easily lead to anal stenosis and is rarely used in clinical practice. ④PPH surgery: hemorrhoidal rectal mucosal circumcision and stapling with stapler. It was created by Italian doctor Longo and began to be promoted in 1998. It is mainly suitable for prolapsed III-IV grade mixed hemorrhoids, annular hemorrhoids, and some severely bleeding II grade internal hemorrhoids. The mechanism of PPH in treating prolapsed hemorrhoids: circular resection of 2 to 3 cm mucosa and submucosal tissue at the lower end of the rectum to restore the normal anatomical structure, i.e., the anal cushions are returned to their original position; the resection of the submucosal tissue blocks the blood supply of the superior hemorrhoidal artery to the hemorrhoidal area, causing the hemorrhoids to shrink after surgery. Compared with traditional hemorrhoidectomy, PPH surgery has shorter operation time, less postoperative pain, faster recovery and fewer complications, but the equipment is more expensive.

(5) Postoperative treatment

Observe for any complications, pay attention to diet, and keep bowel movements smooth.

According to the two major treatment methods provided above, due to the prevalence of hemorrhoids, my country's treatment technology is also very good. Therefore, if you have hemorrhoids, you must not endure it, but seize the time to choose the treatment method you think is best. Otherwise, if a small problem is delayed into a big one, it will not be so easy to treat.