2020年8月31日星期一

what does a hemorrhoids look like,Will hemorrhoids become cancerous? Do I need to cut off the hemorrhoids?

    As the saying goes, ten people have nine hemorrhoids, indicating that the incidence of hemorrhoids is very high. So, do hemorrhoids need surgery to remove them? Will hemorrhoids become cancerous?

    Hemorrhoids will not become cancerous!

    Hemorrhoids is a benign disease and does not become cancerous. First of all, take a reassurance for everyone. Hemorrhoids are not precancerous lesions and will not turn into cancer.

    Essentially, hemorrhoids and varicose veins of the lower extremities are the same type of disease, which is mainly manifested by poor blood flow in the veins of the end of the rectum, leading to varicose veins, congestion, and swelling of one or more "small balls".

    These small meat balls occur in the rectum, which are internal hemorrhoids, and when they occur in the anus, they are external hemorrhoids. Internal and external hemorrhoids exist at the same time, that is, mixed hemorrhoids.

    In other words, hemorrhoids are enlarged venous masses that do not cause cancer. Hemorrhoids are mainly manifested as blood in the stool, prolapse of internal hemorrhoids, itching around the anus, perianal dampness, perianal discomfort and so on.

    Be wary of hemorrhoids combined with bowel cancer

    We often encounter this kind of situation in the clinic. Many people have blood in the stool and think it is hemorrhoids, but are eventually diagnosed with rectal cancer, or some people have hemorrhoids before, and after a few years, they are diagnosed with rectal cancer.

    Hemorrhoids and rectal cancer are sometimes confused because the main symptoms are blood in the stool, which is sometimes difficult to distinguish. Some friends had hemorrhoids first and then rectal cancer. It is not that hemorrhoids turned into rectal cancer. Hemorrhoids and rectal cancer are two different diseases.

    Hemorrhoids and rectal cancer are also the most confusing at this time, because when many people have blood in the stool, they think that hemorrhoids have occurred, and they don’t pay attention to it. When a serious condition occurs, they will go to the hospital. It's mid to late.

    The following points will help you distinguish rectal cancer from hemorrhoids:

    First, the age of onset

    Hemorrhoids can be seen in all age groups, but they are more common in young people, and rectal cancer is common in middle-aged and elderly people, but it is not uncommon for young people to suffer from rectal cancer. It is impossible to completely rule out the possibility of colorectal cancer based on age alone;

    Second, the nature of blood in the stool

    Hemorrhoids are often bright red blood, which does not mix with stool and may bleed heavily, or there may be a little blood on the toilet paper after the stool. The blood in the stool of rectal cancer often appears as dark red blood, which can be mixed with stool, and may be accompanied by mucus or pus.

    Third, accompanying symptoms

    In addition to blood in the stool, hemorrhoids can have symptoms such as internal hemorrhoids prolapse, itching, dampness, and pain around the anus; and rectal cancer can be accompanied by incomplete defecation, increased stool frequency, thinner stools, diarrhea or constipation, or diarrhea and constipation want to alternate , There may also be systemic symptoms such as anemia, abdominal pain, abdominal distension, weight loss, and weight loss.

    Fourth, auxiliary inspection

    A digital rectal examination can detect 70% to 80% of rectal cancer, because rectal cancer within 8 cm from the anus can be palpable through a digital rectal examination. Rectal cancer appears as a hard lump with blood stains on the finger cuffs. Hemorrhoids can touch soft hemorrhoids, and the finger cuffs are not bloody.

    Do you need surgery for hemorrhoids?

    As we said before, hemorrhoids do not become cancerous. So, what kind of hemorrhoids should be operated on? Do I need to cut it off as soon as possible? I have a patient who is particularly worried. I am worried that the hemorrhoids will be severely traumatized and the results will not be good. I want to remove the hemorrhoids as soon as possible.

    Hemorrhoids are very different from other diseases. For many diseases, the earlier surgery is performed, the better the effect, such as intestinal polyps, should be removed as soon as possible, because there is the possibility of cancer, and the earlier it is done, the smaller the trauma, the faster the recovery.

    However, hemorrhoids are not like this. Hemorrhoids have a lot to do with poor life and rest. If you work at the desk for a long time, have long-term constipation, and have a hard bowel movement, you may recur after the operation.

    The treatment principle of hemorrhoids is

    (1) Asymptomatic hemorrhoids do not require treatment; (2) Symptomatic hemorrhoids, mainly to relieve symptoms, do not require radical treatment; (3) Conservative treatment is ineffective, and surgery is recommended for very serious hemorrhoids.

    Specifically, if your hemorrhoids have the following symptoms, you can consider surgery:

    (1) Internal hemorrhoids often come out and cannot be received, or after receiving, they come out again soon, which affects daily work and life; (2) Thrombotic external hemorrhoids, hemorrhoids bleeding, severe pain, after conservative treatment, no effect; ( 3) Repeated bleeding of hemorrhoids leads to anemia and even hemorrhagic shock. Surgical treatment is recommended; (4) Simple external hemorrhoid skin tags affect the appearance of the anus, or affect the cleanliness of the anus, often hide dirt, and often cause perianal eczema or Infection, the skin tags of external hemorrhoids can be removed.

    In general, hemorrhoids will not become cancerous, but be wary of hemorrhoids combined with rectal cancer. If the middle-aged and elderly people suddenly have symptoms of blood in the stool, they must go to the hospital and have a professional doctor check it so as not to delay the condition. Hemorrhoids are mainly treated conservatively. Most hemorrhoids do not require surgery. Only severe hemorrhoids that affect daily life and work are recommended for surgical treatment.

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