Clinically, hemorrhoids are divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids according to the different locations. With the boundary line between the rectum and anus-the dentate line as the boundary, the varicose veins above the dentate line are internal hemorrhoids, the ones below the dentate line are external hemorrhoids, and the internal hemorrhoids are fused with the corresponding external hemorrhoids through the venous plexus and cross the dentate line up and down are mixed hemorrhoids. Mixed hemorrhoids have both internal and external hemorrhoids.
Clinically, patients often ask, can hemorrhoids be treated conservatively? Is surgery necessary for hemorrhoids? In fact, asymptomatic hemorrhoids do not require surgery, and symptomatic hemorrhoids are to reduce or eliminate symptoms, so it is particularly important to know your symptoms when you see a doctor. For example: 1. Blood in the stool is the most common symptom of hemorrhoids. It is usually blood or bleeding in the anus after toilet paper wipes. It is bright red and does not mix with the stool, and then drips blood, sometimes even spray-like bleeding, and the bleeding stops after the stool. , If continuous dripping or jet-like bleeding occurs, it may cause hemorrhagic anemia. In severe cases, it may cause syncope and shock, so timely surgical treatment is necessary. 2. Hemorrhoids prolapse: there are single nucleus prolapses and ring prolapses in hemorrhoids. Early defecation and prolapse, and self-receipt after defecation; then can not self-receive, need to take it back by hand; even prolapse when exerting force, coughing, standing for a long time, walking, and prolapse of hemorrhoids indicates the need for surgery . 3. Pain: Pain is obvious when external hemorrhoids are edema or thrombosis. Generally, the onset is sudden, and induration can be felt in the anus. Internal hemorrhoids are generally painless, but internal hemorrhoids or mixed hemorrhoids are relatively large and protrude from the anus after defecation to form incarceration, which will cause severe pain. In severe cases, it will cause infection, necrosis, bleeding, and even systemic infections. Critical and severe illnesses need to be operated as soon as possible. treatment.
In summary, when certain symptoms of hemorrhoids such as blood in the stool, prolapse, pain, etc., do not relieve or recur with medication, surgical treatment is required as soon as possible to avoid delaying the treatment to aggravate the condition and cause greater damage to the body.