Surgical treatments

People who have not been treated for a long time or who have formed larger mixed hemorrhoids or florid hemorrhoids should be treated surgically. The aim is to remove the hemorrhoidal nucleus or make it embolized or atrophied by mechanical methods such as suturing. Electrocoagulation or laser irradiation is also effective. Acute thrombosis of external hemorrhoids, the need for immediate incision, remove the blood clots, general external hemorrhoids more without special treatment. In recent years, a new technique for treating hemorrhoids has emerged - suprahemorrhoidal mucosal circumcision, also known as PPH surgery. The theoretical basis is mainly based on the new understanding of the pathogenesis of hemorrhoids. PPH surgery is a special instrument called "PPH anastomosis", the hemorrhoids above the rectal mucous membrane prolapse band to do ring-shaped excision. During the surgery, the anus is first dilated, and the rectal mucosa is closed with a ring of sutures at about 4 centimeters above the dentate line (the junction line between the rectum and the anal canal), and then the PPH anastomosis is inserted into the anus, and the prolapsed mucous membrane band can be excised down after tying up the sutures and striking the anastomosis. The whole procedure of this surgery takes only about half an hour. Because the rectal mucosa above the dentate line is innervated by visceral nerves, the patient has almost no pain after the surgery; and because the surgery not only removes the prolapsed rectal mucosal band, but also blocks the terminal anastomotic branch of the arterial vein at the end of the rectum, which eliminates the root cause of hemorrhoids, so the effect is more ideal. For some hemorrhoids that are very difficult to treat with traditional therapies, such as mixed hemorrhoids, circumferential hemorrhoids, severe hemorrhoidal prolapse, prolapse of the anus, etc., PPH surgery also has a very good therapeutic effect. In addition, PPH surgery has a disadvantage of being more expensive. This is mainly because the PPH anastomosis can not be produced in the country, and is currently completely dependent on imports.

Internal medicine, external medicine and sticker therapy

Internal medicine, external medicine and sticker conservative treatment can improve the symptoms, not only the effect is slow, and it is difficult to eliminate the lesions, not complete. It is also very costly and has side effects on the body.

Ultra-low temperature, ultra-high temperature therapy

Liquid nitrogen freezing, laser, microwave, electronic (including low-frequency, radio frequency, capacitance field, ionization and electric oscillation) and other various therapeutic instruments, its therapeutic principle is the use of ultra-low or ultra-high temperature to produce a cold or thermal effect, oscillation of the ionization into the biophysical effect, the capacitance effect of the electric field, thus playing a role in making the focal point of the tissue protein coagulation, vascular embolism closure, electrocautery, and so on. Embolism closure, electrocautery coagulation hemostasis, cutting, tissue denaturation, necrosis off or hardening atrophy and other therapeutic purposes, still belong to the sclerosis and withered hemorrhoids therapy type of repetition reproduction, with the results of surgical therapy is similar.

Ligation, ligation therapy

will make the anal part of the blood circulation is blocked, easy to produce bruising edema, pain, defecation difficulties.

Injection therapy

Currently at home and abroad much use of injection therapy, both drugs injected into the hemorrhoidal nucleus to treat hemorrhoids. Clinical usually use the injection of the main hardening and shrinking agent and withered hemorrhoids necrotic shedding agent two. Sclerosing agent is suitable for all stages of internal hemorrhoids, currently more commonly used in clinical practice, but the drug-induced aseptic inflammatory reaction disappears, the fibrosis contraction and extrusion effect is gradually slowed down, hemorrhoidal nucleus is prone to recurrence. If the injection site is too shallow, it is easy to cause mucosal ulceration mucosal abscess, too deep easy to cause the sclerosis of the Tsuen Wan layer of tissue, the amount of drug is too large, can cause necrotic hemorrhage, the drug penetrates outside the dentate line can cause severe pain in the anus, edema, or thrombosis; necrosis agent dosage is often too large can cause postoperative necrotic hemorrhage or infection necrotic surface formation of ulcers, especially extensive tissue necrosis or infection, not only the treatment time is long, but also scarring The contraction can cause anal stenosis sequelae.

Traditional Chinese medicine of the coating red withered hemorrhoids, withered hemorrhoidal nail therapy

Because of the toxic side effects of the reaction is large, the patient's pain is greater, the course of treatment is longer, and now the clinical rarely used. Internal hemorrhoids withered hemorrhoid injection therapy even on the basis of this improvement, so this hardening and withered hemorrhoid therapy is not the ideal therapy.

The treatment of hemorrhoids

The treatment of hemorrhoids first of all to keep the bowel movement, eat easy to digest, less scum of the food. Diet should be coarse and fine with less strong tea, coffee, alcohol and less spicy food to reduce the stimulation of the anal canal. Warm water sitz bath should be taken after bowel movement, and local application of hemorrhoid suppository or hemorrhoid cream. Depending on the condition, injection treatment, cryotherapy and physiotherapy can be taken. Severe cases can be treated surgically, including ligation, rubber band ligation, hemorrhoidectomy and so on.

Different hemorrhoids different treatment

Diabetic patients with hemorrhoids should consider the treatment of hemorrhoids in combination with the severity of diabetes. It is best to wait until the condition is stabilized before choosing the appropriate treatment for hemorrhoids.

Stroke patients due to the disease limitation of limb activity function, sedentary prone to hemorrhoids. For mild paralysis or semi-paralysis in the crutches can be down to the ground with the help of activities, the use of early prevention and treatment of the principle, such as appropriate exercise and according to the condition of the surgical or non-surgical therapies; for severe paralysis of completely bedridden patients, regardless of the severity of the hemorrhoidal symptoms, are to internal, external drug conservative treatment is appropriate, such as cool blood dixie soup decoction, musk hemorrhoidal ointment external application.

The incidence of pediatric hemorrhoids is low, and the treatment is appropriate to use traditional Chinese medicine external treatment and other simple and painless treatment methods. Usually pay more attention to adjust the diet, let the children eat more fresh vegetables, fruits and honey; after the stool or before going to bed with warm water to wash the anus, in order to improve the blood circulation in the anus.

The elderly due to the anal part of the nerves, blood vessels, muscles, ligaments and so on have been flaccid and weak, very easy to suffer from hemorrhoids. Treatment is particularly tricky. It is best to use internal intestinal moisturizing hemorrhoids of Chinese medicine, while external Chinese medicine fumigation or applying the cream or plug to cure hemorrhoids and other conservative therapy.

Treatment of external hemorrhoids - home treatment measures

A, home treatment measures

1, more water and fiber: constipation is the biggest cause of hemorrhoids, so in order to prevent and control constipation, we must drink more water and eat more fiber-rich foods (see constipation treatment). Apples, beets, Brazilian nuts, green cauliflower, kale vegetables, carrots, green beans, guar bran, emperor beans, pears, peas, psyllium and whole grains, are good choices.

2, lubricate the anus: once you increase fiber and water intake, your stool will become softer and more beneficial. You can also apply some petroleum jelly to your anus to further promote smooth bowel movements and reduce pain. Use a cotton swab or your finger to dab some petroleum jelly and apply it half an inch inside your anus.

3, do not squat toilet too long: each time you sit on the toilet time is best not more than 5 minutes, especially do not read while the toilet, which is extremely unhygienic habits.

4, clean: when you finish defecating, your responsibility is not yet over. It is important to gently clean your anus. Some toilet paper is rough and some contains harsh chemicals. Use colorless (white), odorless toilet paper. It is best to install a body cleanser at home and rinse after each bowel movement.

5, do not sit still for a long time: do not sit in a chair for hours on end, even if you have to, you should get up and move around for at least 5 minutes every hour.

6, do not lift heavy objects: lifting heavy objects or laborious exercise, as if defecating too hard, if you are prone to hemorrhoids, should avoid excessive force.

7, do not scratch the affected area: hemorrhoids affected area may be itchy, but do not scratch to ease the discomfort, that will damage the rectum's fragile venous walls, making the situation worse.

8, sitting in a warm bath: soaking your buttocks in warm water may be one of the best ways to treat it. Warm water improves circulation to the affected area, helps shrink the swollen veins here, and stops the pain.

9. Use medication: There are a variety of creams and plugs on the market that are designed to treat hemorrhoids. Although, these medications usually don't make your problem go away, and most of them are topical pain relievers, they can relieve some of the discomfort. Don't use ibuprofen and aspirin for pain; they can aggravate bleeding.

10, weight control: Overweight people are more likely to develop hemorrhoids because they put more pressure on their lower extremities. As a result, they are also more prone to varicose veins.

11, Push in with your hand: Sometimes hemorrhoids refer to a protrusion of the lining of the anus outward rather than an enlargement of the veins. If you have this kind of protruding hemorrhoid, try pushing it back into the anus. A hemorrhoid that hangs out can easily evolve into a blood clot.

12, sitting in the circle on the sting pillow: this hollow cushion, quite suitable for people who need to sit for a long time, especially when your hemorrhoids flare up.

13, pregnant women how to prevent hemorrhoids: pregnant women are especially prone to hemorrhoids, partly because the uterus is situated just above the blood vessels connected to the veins of the anus (so that blood flow is blocked). If you are pregnant, a treatment for hemorrhoids is to lie on your left side for about 20 minutes every 4-6 hours. This reduces the pressure of the weight of your lower body on the vital blood vessels.

14, turtle can treat hemorrhoids For varicose hemorrhoids, or hemorrhagic internal hemorrhoids, eat turtle has a certain effect, but for connective tissue external hemorrhoids, eat turtle is useless.