❂ What is hemorrhoids?
Hemorrhoids are venous clusters formed by congestion, expansion and flexion of the venous plexus under the mucosa of the rectum and under the skin of the anal canal. They can be inside or just outside. It is usually not serious, but sometimes it ruptures, itches, or bleeds.
❂ Symptoms of hemorrhoids
One of the most common symptoms of hemorrhoids is painless bleeding-usually when you go to the bathroom. You may notice a little blood on the toilet paper. You may also have itching, pain, or fat around the anus. Because these symptoms have many causes, when you notice any of them, you should see a doctor. In this way, you can rule out other problems.
We are not sure what causes hemorrhoids. If you often have constipation and diarrhea, lift heavy objects or go to the toilet for too long, these are more likely to cause hemorrhoids. Hemorrhoids are more common among obese patients and the elderly.
❂ How to diagnose?
Your doctor will ask you about symptoms such as bleeding, itching, and prolapse of anal mass. The doctor will also observe your anal hemorrhoids. Sometimes I wear gloves and put my fingers into the anus for digital rectal examination. Some complicated situations may require anoscopy. These tests allow doctors to intuitively understand the conditions in the rectum and anal canal. Help eliminate other causes of symptoms.
❂ Internal hemorrhoids
Enlarged or swollen veins in the rectum. Under normal circumstances, even if the internal hemorrhoids bleed, there is no pain. Sometimes internal hemorrhoids swell and stick out of the body. This is called a prolapsed hemorrhoid and may cause pain or itching.
❂ External hemorrhoids
External hemorrhoids are formed below the dentate line and under the skin near the anus. External hemorrhoids often feel pain and itching. And may bleed. External hemorrhoids can also be divided into connective tissue external hemorrhoids, varicose external hemorrhoids, and thrombotic external hemorrhoids.
❂ Prolapse and thrombosis
When internal hemorrhoids are pushed out or prolapsed, they may bleed and be painful and itchy. When prolapse occurs, it may retract on its own or you can push it back with your hands. If an external hemorrhoid forms a blood clot, it may be very painful. And may rupture and bleed. Reasonable treatment with drugs, after the blood clot disappears, an extra skin mass called a skin tag will remain.
Food can help prevent hemorrhoids or at least relieve symptoms. Add high-fiber foods to soften your stool. Try to eat as much leafy vegetables, fresh fruits, beans, whole-grain breads and cereals. Your doctor will also recommend that you add fiber and drink plenty of water to prevent constipation.
❂ Home care methods
You can try hemorrhoid suppository and hemorrhoid ointment for topical application to reduce pain and swelling. You can also soak in a tub full of warm water, 2-3 times a day, take a bath after each defecation, simply scrub and dry, while doing levator anus exercises. There is also a special Chinese medicine "sitz bath". Try to use a stool softener to make the stool smoother.
❂ Medical methods
If the commonly used methods at home do not work, you need a doctor to help. The doctor may use a special rubber band to tie the roots of the hemorrhoids and block the blood supply to make the hemorrhoids fall off and die. Another option is to use heat to eliminate internal hemorrhoids, which is called coagulation. Your doctor may also inject sclerosing agents around the submucosal venous plexus to cause inflammation and fibrosis to close the varicose veins. This is called sclerotherapy.
❂ Surgical treatment
For very large hemorrhoids or those that will not go away, surgery may be required. The most traditional operation is hemorrhoidectomy, but there is often a long and painful recovery process. The latest treatment is PPH surgery, which has a short operation time, low postoperative pain, quick recovery, and few complications.
❂ Anyone can get hemorrhoids
Hemorrhoids are not a rare symptom. Generally men and women may get hemorrhoids. But only when they swell and cause problems, you can realize it. About half of people will have bleeding pain, or other symptoms. The probability of women increases during pregnancy.