80% of the patients who go to the anorectal surgery department are because of hemorrhoids. Basically everyone has hemorrhoids, which is a normal structure. Modern medicine calls hemorrhoids the "pad theory", which is used to help close the anus. There are many things you don't know about hemorrhoids.
There are several types of hemorrhoids
From a medical point of view, hemorrhoids is a broad term, divided into internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, inflammatory external hemorrhoids and thrombotic external hemorrhoids and so on.
The most common cases of external hemorrhoids are outside the anus. They are usually inflamed or painful, so everyone comes to see a doctor.
The clinical manifestation of internal hemorrhoids is bleeding, which is divided into three degrees: the first degree is bleeding, the second degree is anal prolapse, and the third degree is prolapsed and must be sent back by hand. Domestic hemorrhoids are called three-stage hemorrhoids, and they are generally divided into four degrees abroad.
Mixed hemorrhoids, as the name implies, "both inside and out". Its treatment method is different from the previous two and is more complicated.
Internal hemorrhoids can be treated by injection
In the past, internal hemorrhoids were considered the most difficult to treat, but now, internal hemorrhoids are the simplest-injection therapy is used all over the world. There are two types of injection therapy. One is the injection of necrotic agents, which gradually necrosis and fall off the hemorrhoids to achieve the purpose of treatment. The side effects are greater pain, prone to bleeding and anal stenosis after surgery, and the course of the disease is a bit long. In the past 20 years, most of the domestic use of another method-Chinese medicine treatment. This is a type of sclerotherapy. The effective ingredients of traditional Chinese medicine are extracted and made into injections to constrict local blood vessels and then shrink. This is often referred to as minimally invasive therapy, basically no trauma, less pain, and a short course of treatment.
If it is an early simple internal hemorrhoid, as long as it is within the range of first degree, second degree, and third degree, the above method can be used to solve it. During the recovery process, use some suppositories-laxative drugs to help defecation, which can be cured quickly.
Minimally invasive surgery for external hemorrhoids is best
Many people have external hemorrhoids. When the local corrugated muscles are formed, they are called external hemorrhoids. However, many people have no symptoms and often cannot attract enough attention.
External hemorrhoids need to be surgically removed. I have met many patients who have suggested that they hope to use drugs instead of surgery. I don't advocate this! This is too much local damage to the anus, causing more sequelae. I personally believe that good treatment should first relieve the pain; secondly, there should be no sequelae, ensure the normal function of the anus, and then ensure the quality of the operation. Minimally invasive surgery is very desirable, not only can reduce the patient's pain, but also shorten the treatment, but also reduce costs. The above three aspects are important indicators to judge whether the treatment plan is good or bad.
Hemorrhoid surgery will be very painful, this is a misunderstanding. With the development of medicine, the current treatment methods are very reasonable, the pain is very small, and the time is shortened a lot. For example, methods such as copper ion, injection, and topical fumigation can all improve the symptoms of hemorrhoids. Of course, if your hemorrhoids are severe enough to prolapse, you must go to the hospital for surgical treatment, that is, injection treatment and surgical resection.
The various hemorrhoid suppositories in the advertisement can only relieve but not cure
Hemorrhoid suppositories can improve or relieve symptoms, but cannot eradicate hemorrhoids. If you really get this disease, you still have to go to a specialist hospital for examination and treatment. I go to Guang’anmen Hospital every Tuesday morning, St. Mark’s Hospital all day Wednesday, and Beijing Fengtai You’anmen Hospital on Monday and Thursday mornings. If you or your family encounter these problems, please come to me for a chat.
The only way to eradicate hemorrhoids is surgery, but it depends on the condition. If there is no damage at all, it is false. Many patients are afraid of surgery and reluctant to do it, largely because they are afraid of pain. In fact, as long as you choose a reasonable treatment method and use any method for any disease, you can minimize the pain. For example, for heavier circular mixed hemorrhoids, small incisions and multiple incisions can be selected, the so-called minimally invasive surgery.
Surgery is only one link in the treatment method, and postoperative dressing change and recovery treatment are the most important. After the operation, you can use a combination of Chinese and Western medicine, take some laxative Chinese medicines, and apply Chinese herbal ointments, such as Yuhong ointment and Sihuang ointment, to relieve pain and help recovery. You can also use traditional Chinese medicine that promotes blood circulation to remove blood stasis and relieve pain.