symptom picture of hemorrhoids
symptom picture of hemorrhoids: 1
symptom picture of hemorrhoids: 2
symptom picture of hemorrhoids: 3
symptom picture of hemorrhoids: 4
symptom picture of hemorrhoids: 5
treatment method of symptoms
1. Non-surgical treatment
asymptomatic hemorrhoids do not need treatment; Symptomatic hemorrhoids do not need radical cure; Non-surgical treatment is the main method.
(1) General treatment is suitable for most hemorrhoids, including the initial stage of thrombotic and incarcerated hemorrhoids. Pay attention to diet, avoid alcohol and spicy food, increase fibrous food, eat more fruits and vegetables, drink more water, change bad defecation habits, keep defecation unobstructed, take laxatives when necessary, and clean anus after defecation. For prolapsed hemorrhoids, pay attention to gently hold back the hemorrhoid block by hand to prevent it from coming out again. Avoid sitting for a long time, do proper exercise, warm water (which can contain potassium permanganate) and take a bath before going to bed.
(2) Topical medication has been widely used, including suppositories, ointments and lotions, most of which contain traditional Chinese medicine.
(3) Oral drugs are generally used to treat varicose veins.
(4) Injection therapy has a better effect on bleeding internal hemorrhoids of degree I and II; Inject sclerosing agent around submucosal venous plexus to cause inflammatory reaction and fibrosis, thus closing varicose veins; Treatment can be repeated after 1 month to avoid necrosis caused by injecting sclerosing agent into mucosa.
(5) Physical therapy: laser therapy, cryotherapy, direct current therapy, copper ion electrochemotherapy, microwave thermocoagulation therapy and infrared coagulation therapy are seldom used.
(6) The root of hemorrhoid is tied with rubber ring to block its blood supply, so that the hemorrhoid falls off and becomes necrotic; It is suitable for II and III degree internal hemorrhoids, especially for huge internal hemorrhoids and fibrotic internal hemorrhoids.
2. Surgical treatment
(1) Conservative treatment for surgical indications is ineffective, hemorrhoid prolapse is serious, internal hemorrhoid with large fibrosis is poorly treated by injection, and anal fissure and anal fistula are complicated;
(2) The principle of operation is to restore the prolapsed anal pad by surgery, and to preserve the structure of the anal pad as much as possible, so as to affect the fine defecation control ability as little as possible after operation;
(3) Before operation, if there is ulcer or infection on the surface of internal hemorrhoid, laxative and warm water hip bath should be used for conservative treatment first, and then operation should be performed after the ulcer heals; Do intestinal preparation.
(4) Operation mode ① Thrombotic external hemorrhoid dissection is suitable for patients whose pain is not relieved or the mass is not reduced after conservative treatment. ② Traditional hemorrhoidectomy is external dissection and internal ligation. ③ Hemorrhoidal excision (Whitehead), a classic operation in textbooks, easily leads to anal stenosis, which is rarely used in clinic at present. ④PPH operation: stapling procedure for prolapse and hemorrhoids. Created by Italian doctor Longo, it began to be popularized in 1998, and it is mainly suitable for prolapsed III-IV mixed hemorrhoids, circular hemorrhoids, and partial II internal hemorrhoids with severe bleeding. The mechanism of PPH in the treatment of prolapsed hemorrhoids is as follows: 2 ~ 3 cm mucosa and submucosal tissue at the lower end of rectum are excised circularly, and the normal anatomical structure is restored, that is, the anal pad is returned; The resection of submucosal tissue blocked the blood supply of the superior hemorrhoid artery to the hemorrhoid area, which made the hemorrhoid atrophy after operation. Compared with traditional hemorrhoidectomy, PPH has the advantages of shorter operation time, less postoperative pain, faster recovery and fewer complications, but the equipment is more expensive.