External hemorrhoids occur below the dentate line and are caused by enlarged or ruptured venous plexus outside the hemorrhoids or by repeated proliferation of inflammatory fibers. Its surface is covered by skin and it is not easy to bleed. The main clinical manifestations of external hemorrhoids are anal discomfort, dampness and uncleanness, foreign body sensation, such as thrombosis and subcutaneous hematoma will have varying degrees of pain. Due to different clinical symptoms and pathological characteristics, external hemorrhoids can be divided into four types: inflammatory external hemorrhoids, thrombotic external hemorrhoids, varicose external hemorrhoids and connective tissue external hemorrhoids, and the treatments are also different.
When the external hemorrhoids become inflamed, you can take orally the Chinese patent medicines for clearing away heat, detoxifying, reducing swelling and relieving pain, such as Huaijiao pills, pain-relieving Rushen soup, Zhining tablets, Zhiyanxiao granules, etc.; topical pp powder sitting bath, Mayinglong musk hemorrhoid ointment, bear bile hemorrhoids Ling ointment or Jiuhua hemorrhoid ointment and other topical application.
Small thrombotic external hemorrhoids can be absorbed automatically in about 2 weeks, while large thrombotic external hemorrhoids are often accompanied by severe pain and difficult to absorb, and they are hard to touch. It is appropriate to apply early local anesthesia to the skin of thrombotic external hemorrhoids. It is appropriate to make a fusiform incision and remove the thrombus with a hemostatic forceps. This treatment can be carried out in an outpatient clinic, and the treatment can be followed to solve the problem effectively and timely.
Connective tissue external hemorrhoids and varicose external hemorrhoids can be treated by surgical removal of the epidermis or peeling of the varicose veins.
The treatment principle of hemorrhoids is also suitable for the treatment of external hemorrhoids, that is, the symptoms are treated, and conservative treatment is the main thing. Therefore, it is generally not often inflammation, no obvious discomfort, long-term no enlargement or slow increase of connective tissue external hemorrhoids and varicose veins External hemorrhoids can be observed and treated conservatively with drugs. Generally, there is no need to adopt active surgical methods. As long as you usually pay attention to keep the stool smooth, avoid constipation and diarrhea, and pay attention to local cleanliness and hygiene, if you can do it after going to bed or before going to bed Sit bath with warm water or wash the anus is of course better.
-------Excerpt from "The Secret of Hemorrhoids" edited by Li Shenglong and Yin Tingbao