Mixed hemorrhoids are venous masses with common varicose veins in the upper and lower rectal plexus. The internal and external venous plexus of hemorrhoids are varicose and enlarged, communicate and anastomize each other, and the groove between the sphincter disappears, so that the internal hemorrhoids and the external hemorrhoids form a whole are called mixed hemorrhoids. Mixed hemorrhoids mostly occur in the same position of the anus on the upper and lower teeth line, the main manifestations of hemorrhoids are hemorrhoids that are connected internally and externally without obvious boundaries.
The symptoms of mixed hemorrhoids are as follows:
1. Hematochezia is painless, intermittent, and bright red blood after the stool is its characteristics. It is also a common symptom of internal hemorrhoids or mixed hemorrhoids in the early stage. Blood in the stool is mostly caused by the feces rubbing the mucous membrane or violently defecation, causing the dilated blood vessels to rupture and bleeding. Mild cases are mostly severe cases or blood on the toilet paper, followed by blood drips, and severe cases are jet-like bleeding, which can often stop by itself after a few days. This has important implications for diagnosis. Constipation, hard stools, drinking alcohol and eating irritating foods are all triggers for bleeding. If bleeding is repeated for a long time, anemia may occur, which is not uncommon in clinical practice and should be differentiated from bleeding disorders.
2. Hemorrhoids prolapse is often a late-stage symptom. Hemorrhoids usually have blood in the stool and then prolapse. Due to the enlarged hemorrhoids in the late stage, they are gradually separated from the muscle layer and are pushed out of the anus during defecation. Mild cases only prolapse during defecation, and can recover on their own after defecation. In severe cases, push back with hands. In more severe cases, prolapse out of the anus after a little abdominal pressure. For example, coughing, walking, etc. Able to escape, difficult to recover, unable to participate in labor. A few patients complain that prolapse is the first symptom.
3. Pain Simple internal hemorrhoids have no pain, and a few have a feeling of falling and bulging. When internal hemorrhoids or mixed hemorrhoids come out of incarceration, edema, infection, and necrosis appear, there will be varying degrees of pain.
Fourth, itching Late internal hemorrhoids, prolapse of hemorrhoids and loose anal sphincter, often secretion flows out, due to the stimulation of secretions, itching and discomfort around the anus often occur, and even skin eczema, the patient is extremely uncomfortable.