Before the operation, patients always ask me: Dr. Lin, why do I get hemorrhoids? Can my hemorrhoids be cut clean? Will my hemorrhoids relapse after the cut? My answer is: we try to deal with symptomatic hemorrhoids as much as possible. As for the recurrence after surgery, it also has a lot to do with living habits and bowel habits. At this time, some friends may be unhappy, not in a hurry, and listen to me slowly.
First of all, we must understand what the concept of "hemorrhoids" is. The guideline defines it like this: Hemorrhoids are divided into internal, external and mixed hemorrhoids. Internal hemorrhoids are the pathological changes and displacements of the anal cushion (anal vascular cushion), vascular plexus and arteriovenous anastomosis; external hemorrhoids are the expansion of the subcutaneous vascular plexus at the distal side of the dentate line, blood flow stasis, thrombosis or tissue Hyperplasia, according to the pathological characteristics of the tissue, external hemorrhoids can be divided into four categories: connective tissue, thrombosis, varicose and inflammatory external hemorrhoids; mixed hemorrhoids are the fusion of internal hemorrhoids and the corresponding external hemorrhoid vascular plexus. Such a professional thing is psychologically rejected by the masses! I'll just have something simple. First, the "anal cushion" is the normal anatomical tissue in the anal canal area of a normal person. It is composed of a vascular network and a supporting structure, which assists in the normal closure of the anus and controls defecation, just like a faucet gasket. Second, hemorrhoids are formed after pathological changes in the anal pad tissue (hyperplasia and hypertrophy, vascular fragility hemorrhage) and downward movement. The implication is that the predecessor of hemorrhoids is the normal tissue structure of our anus. Still do not know? Okay, for example: sagging breasts, understand? Long-term gravity action + relaxation of the breast support structure in old age causes it to sag. If the anal cushion is compared to the breast, then hemorrhoids are sagging breasts. The anal cushion is long-term under the action of gravity and the impact of daily defecation. Without good living habits, the normal anal cushion tissue will gradually undergo pathological changes and decrease. Transfer to form hemorrhoids. There are two common symptoms: prolapse of anal mass during defecation and bright red blood during defecation.
I don’t know if the above explanation can relieve your confusion.
In fact, there are many reasons for the onset of hemorrhoids. There is a certain relationship between genetic factors. When some patients come to the clinic, they will say that everyone in my family has hemorrhoids, so I also have hemorrhoids. In terms of diet, long-term eating of irritating food and drinking is also a cause of the disease. In addition, abnormal bowel movements, such as long-term constipation and repeated diarrhea, may also cause hemorrhoids. In terms of living habits, people who squat for a long time, sit for a long time, stand for a long time, walk for a long time, and maintain a posture for a long time are also prone to hemorrhoids. Long-term increase in abdominal pressure is also a factor in the onset of hemorrhoids. Pregnant women are the most common example. In addition, there are people with chronic cough and prostate disease.
Regarding the treatment of hemorrhoids, the "Guidelines for Clinical Diagnosis and Treatment of Hemorrhoids (2006 Edition)" have clearly put forward the principle of treatment of hemorrhoids: asymptomatic hemorrhoids do not require treatment. The purpose of treatment is to eliminate and relieve the symptoms of hemorrhoids. Relieving the symptoms of hemorrhoids is more meaningful than changing the size of hemorrhoids, and should be regarded as the standard of treatment effect. Therefore, we can cut the symptomatic hemorrhoids clean. If you really want to cut it completely, there is no possibility of recurrence, then it is estimated that the anus should be dug out! In order to avoid postoperative recurrence, it is actually very important: a good life pattern and good bowel habits.