2020年10月16日星期五

what is a hemorrhoids,Nine out of ten "hemorrhoids"! (two)

    external hemorrhoids

    1. What are external hemorrhoids? What are the characteristics?

    Answer: External hemorrhoids are diseases that occur below the dental line of the anal canal and are caused by enlarged varicose external hemorrhoidal plexus or rupture of external hemorrhoidal veins or repeated inflammatory fibrous hyperplasia. It can occur at any age, and its clinical characteristics are conscious anal swelling, pain, and foreign body sensation. According to different clinical symptoms, pathological characteristics and processes, they are divided into connective tissue external hemorrhoids, varicose external hemorrhoids, and thrombotic external hemorrhoids.

    2. What is the cause of external hemorrhoids?

    Answer: The occurrence of external hemorrhoids is related to dampness, heat, and blood stasis, which makes local Qi and blood flow poorly, tendons and veins are blocked, and stasis persists over time.

    3. What are the manifestations of external hemorrhoids?

    Answer: The clinical manifestations of external hemorrhoids are different according to their classification, as follows:

    Inflammatory external hemorrhoids: The skin of the anal margin is often damaged or infected, showing redness, swelling or ulceration, and obvious pain.

    Thrombotic external hemorrhoids: It usually occurs at 3 or 9 o'clock in the external anal margin, mostly in middle-aged men. There was a sudden blue-purple mass under the skin of the anal margin, and local skin edema. The mass was still soft at first, severely painful, gradually hardened, mobile, movable, clear demarcation, and tender.

    Varicose external hemorrhoids: During defecation or prolonged squatting, there is a soft blue-purple mass swelling under the skin of the anal margin, which may be accompanied by a feeling of bulging, and the mass can disappear after pressing.

    Connective tissue external hemorrhoids: neoplastic skin flaps at the edge of the anus, gradually enlarged, soft in texture, generally painless and non-bleeding, only feel a foreign body sensation in the anus, and occasionally feel pain when the swelling is caused by poisoning. After the swelling disappears, The epidermis still exists.

    4. How to treat external hemorrhoids?

    Answer: The treatment of external hemorrhoids is divided into external treatment and internal treatment, as follows:

    Internal governance:

    Qi stagnation and blood stasis syndrome: anal marginal swelling protruding, may increase during defecation, foreign body sensation, may have swelling pain or falling pain, local palpable hard nodules, dark purple tongue, thin yellow coating, astringent pulse string; treatment Regarding qi and dissipating blood stasis as the main medicine, the decoction for promoting blood circulation and dissipating blood stasis is selected: angelica, red peony root, peach kernel, rhubarb, chuanxiong, hematoxylin, danpi, citrus aurantium, melon, betel nut, etc.

    Damp-heat betting syndrome: uplift of anal margin, burning pain or local secretion, dry or loose stools, red tongue, yellow and greasy coating, slippery pulse; the treatment is mainly to clear heat and eliminate dampness, and the prescription is to add or subtract 萆薢 Shenshi Decoction : 薆薢, columbine, paeonol, phellodendri, poria, Alisma, Tongcao, talc, etc.

    Syndrome of spleen-deficiency and qi sinking: uplift of anal margin, swelling of the anus, sensation of defecation, fatigue, lack of appetite, loose stools, pale tongue, thin white fur, thin and weak pulse; treatment is to invigorate qi, invigorate the spleen, invigorate qi The main prescriptions are the addition and subtraction of Buzhong Yiqi Decoction: astragalus, ginseng, licorice, angelica, orange peel, cohosh, Bupleurum, Atractylodes, etc.

    External governance:

    Fumigation and washing method: Sophora flavescens decoction can be used for swelling and pain (60 grams of Sophorae, 30 grams of Cnidium, 15 grams of Angelica root, 30 grams of honeysuckle, 60 grams of chrysanthemum, 15 grams of phellodendri, 15 grams of Kochia scoparia, 9 grams of calamus Smoke first and then wash after heating. External application method: Apply Phellodendron ointment or Xiaozhi ointment to the affected area, and can be used in conjunction with fumigation and washing.

    In addition, the treatment of external hemorrhoids can choose physical therapy methods such as surgical therapy, infrared rays, and microwave radiation therapy.

    Mixed hemorrhoids

    5. What is mixed hemorrhoids?

    Answer: Mixed hemorrhoids refers to the varicose veins of the internal and external hemorrhoids, which communicate and anastomose each other, so that the internal and external hemorrhoids form a whole. It mostly occurs at 3, 7, and 11 o'clock in the anal lithotomy position, and it is more common at 11 o'clock.

    6. What is the cause of mixed hemorrhoids?

    Answer: The onset of mixed hemorrhoids is mostly caused by repeated prolapse of severe internal hemorrhoids, or through labor, weight-bearing, increased abdominal pressure, resulting in transverse dissolution of tendons and veins, and stagnation.

    7. What is the performance of mixed hemorrhoids? How to treat?

    Answer: The manifestation of mixed hemorrhoids is that there is a mass in the same position on the inner tooth line of the anal canal. There is no obvious demarcation. There are both internal and external hemorrhoids. The treatment is basically the same as that of internal hemorrhoids and external hemorrhoids. The surgical treatment is mainly external hemorrhoids peeling and internal hemorrhoid ligation.

    8. What are the prevention methods for external hemorrhoids and mixed hemorrhoids?

    Answer: The prevention methods of external hemorrhoids and mixed hemorrhoids include: keep the stool unobstructed, develop the habit of daily defecation, control the time of each defecation; pay attention to the combination of work and rest, wash the anus every day, keep the anus clean and dry; pay attention to dietary adjustment , Drink more boiled water, eat more fruits and vegetables, and eat less spicy food; avoid sitting for a long time, do regular levator anus exercises, and choose appropriate exercise; once diagnosed with internal hemorrhoids, timely and effective diagnosis and treatment should be performed to prevent the development of the disease.

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