Hemorrhoids, commonly known as hemorrhoids, are common anorectal diseases caused by congestion or congestion and swelling of the venous plexus at the anal canal or lower rectum. This seemingly embarrassing but very common disease troubles many people. Due to the particularity of the location of hemorrhoids, many patients often choose to endure the disease silently and are unwilling to seek medical advice. However, hemorrhoids are not incurable. As long as we understand it, our confidence in defeating it will be doubled. 1. Causes of hemorrhoids There are many causes of hemorrhoids, mainly including the following aspects: 1. Bad living habits: sitting or standing for long periods of time and lack of exercise can easily lead to poor blood circulation around the anus, thus causing hemorrhoids. 2. Improper diet: Excessive intake of spicy and irritating foods can easily lead to gastrointestinal dysfunction, increase anal pressure, and thus induce hemorrhoids. 3. Constipation: Long-term constipation will cause excessive pressure on the anus, leading to varicose veins around the anus and the formation of hemorrhoids. 4. Pregnancy: During pregnancy, the uterus compresses the pelvic veins, which can easily lead to hemorrhoids. 2. Symptoms of hemorrhoids The symptoms of hemorrhoids mainly include the following aspects: 1. Blood in stool: Hemorrhoid patients may have fresh blood in stool or blood on toilet paper when defecating. This is because the hemorrhoids are squeezed and the blood vessels rupture. 2. Anal pain: Patients with hemorrhoids may feel pain around the anus, and may also have a feeling of heaviness, especially during bowel movements. 3. Anal itching: Patients with hemorrhoids may experience anal itching, which is caused by hemorrhoid secretions irritating the skin around the anus. 4. Anal prolapse: When hemorrhoids are severe, symptoms of anal prolapse may occur, that is, the hemorrhoid core prolapses from the anus. 3. Diagnosis and treatment of hemorrhoids 1. Diagnosis. The diagnosis of hemorrhoids is mainly based on the patient's clinical manifestations, physical examination and necessary auxiliary examinations. Typical hemorrhoid symptoms include blood in the stool, pain, anal itching and prolapse. Doctors can often make a preliminary diagnosis by taking a detailed medical history and carefully examining the patient's anal area. If further confirmation is needed, anoscopy may be used, which is an examination method that visually observes the internal structure of the anus and helps to determine the type, location and severity of hemorrhoids. 2. Treatment. There are many ways to treat hemorrhoids, and the specific method should be based on the severity of the patient's symptoms, the type of hemorrhoids, and personal circumstances. ①Drug treatment: Easily deal with mild to moderate hemorrhoids. For many patients with hemorrhoids who are just starting to develop or have mild symptoms, drug treatment is often the first choice. Topical medications such as hemorrhoid creams and hemorrhoid suppositories can be applied directly to the hemorrhoid area to reduce inflammation, stop bleeding, and relieve pain. These medications usually contain soothing ingredients that can help patients quickly relieve discomfort. In addition to topical medications, some oral medications such as hemostatics and anti-inflammatory drugs can also play an auxiliary role in treatment. They can reduce the inflammation caused by hemorrhoids and further relieve the patient's pain. ②Physical therapy: comfortable relief, good auxiliary treatment effect. When medication is not enough to completely relieve symptoms, physical therapy can be a powerful adjunct. Cold and heat are two common physical therapy methods. Cold can reduce pain and swelling in the hemorrhoid area, while heat can increase blood circulation and relieve muscle tension. Sitz baths are another very effective physical therapy method. By soaking the anal area in warm water, it not only cleans the anus, but also effectively relieves itching and pain. This treatment method is comfortable and convenient, making it a preferred choice for many patients. ③Surgical treatment: Complete cure, but must be selected with caution. For severe hemorrhoids, or when medication and physical therapy are ineffective, surgical treatment may be necessary. Surgical methods include traditional hemorrhoidectomy and modern minimally invasive surgery, such as stapled hemorrhoidal circumcision. These surgeries can usually completely cure hemorrhoids, but they require a certain amount of recovery time after surgery, and attention should be paid to postoperative care and follow-up. 4. Prevention and care of hemorrhoids 1. Prevention: The key to preventing hemorrhoids is to develop good living habits and eating habits, avoid sitting or standing for long periods of time. Promote blood circulation around the anus through proper exercise. The diet should be light and easy to digest, eat more fruits and vegetables rich in fiber, such as beans and vegetables, avoid consuming too much spicy and irritating food, and avoid drinking alcohol. Increase blood circulation, promote gastrointestinal motility, keep bowel movements smooth, and avoid constipation. 2. Nursing: Nursing is equally important for patients who already have hemorrhoids. Pay attention to the hygiene around the anus, keep the anus clean and dry, change underwear frequently to avoid infection. Wash the anus with warm water after defecation, and avoid rubbing it hard. Perform anoscopy regularly to keep abreast of changes in the condition. If you have severe difficulty defecating, seek medical attention in a timely manner. Although the incidence of hemorrhoids is high, as long as you understand its causes, symptoms, diagnosis and treatment methods, take early prevention and actively treat it, it can be effectively cured. Author: Huang Tiqiang, Guangxi Zhuang Autonomous Region Nationalities Hospital |
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