Hemorrhoids, also known as hemorrhoids, include internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids. It is a chronic disease of one or more soft venous clusters formed by varicose venous plexus at the bottom of the anus and rectum and anal mucosa.
1. Symptoms: ⑴ The common symptoms of internal hemorrhoids and mixed hemorrhoids are bright red, painless blood in the stool and prolapse of anal foreign body. According to the severity of clinical symptoms, it is divided into 4 degrees: Degree I: bloody and dripping in the stool, bleeding can stop after the stool; no hemorrhoids prolapse. Degree II: Hemorrhoids prolapse during defecation and can be repaid by themselves after defecation; blood in the stool is often present. Degree III: Hemorrhoids prolapse when defecation or standing for a long time, cough, fatigue, and weight bearing, and hemorrhoids prolapse by hand; symptoms of blood in the stool are optional. Degree IV: Hemorrhoids continue to prolapse and cannot be received, even incarcerated and edema; blood in the stool is rare. ⑵ External hemorrhoids usually have no special symptoms. Thrombus and inflammation may cause swelling and pain.
2. Treatment: I and II degree internal hemorrhoids and mixed hemorrhoids are mainly treated conservatively, including external hemorrhoid ointment, hemorrhoid suppository such as Kangtai ointment, Mayinglong hemorrhoid ointment, Taining suppository, etc. Oral medicine for improving venous lymphatic insufficiency, such as ground Osmin Films, Spirit of Mai, etc. Surgery is generally recommended for internal hemorrhoids of degree III and IV and mixed hemorrhoids. At present, the most commonly used surgical methods are traditional hemorrhoid ligation and minimally invasive PPH technique. The curative effect of the two methods is basically the same; the latter has the advantages of less trauma, less bleeding, less postoperative pain, fewer complications, and faster recovery than the former; but the disadvantage is that the price is more expensive than the traditional surgery. In the treatment of external hemorrhoids, asymptomatic external hemorrhoids generally do not need treatment; those with pain and itching may consider topical hemorrhoid cream treatment, and surgical resection may be considered if the treatment fails.