The concept of hemorrhoids is clear, the diagnosis is not difficult, according to the medical history and physical examination
A clear diagnosis can be made. In addition to the routine inspection of hemorrhoids, anal mirror or sigmoidoscopy is necessary. External hemorrhoids, prolapsed internal hemorrhoids, and mixed hemorrhoids can be seen at a glance, and the digital examination of uncomplicated internal hemorrhoids cannot touch anything. Internal hemorrhoids and thrombosis can be palpated and the submucosal spherical and tough painful masses can be palpated on the digital examination. The purpose of digital examination is to exclude rectal cancer or other rectal tumors. Squatting examination should be emphasized here. For internal hemorrhoids of degree II or higher, squatting examination can clarify the classification and scale of hemorrhoids, and its importance is also to exclude tumors.
According to the modern concept of hemorrhoids, the classification of hemorrhoids and the classification of internal hemorrhoids are classified as follows in the "Interim Standards for Diagnosis and Treatment of Hemorrhoids".
1. Classification of hemorrhoids
Internal hemorrhoids: anal pad displacement and pathological hypertrophy. Including vascular plexus expansion, fiber support structure relaxation, breakage.
External hemorrhoids: refers to vascular external hemorrhoids, that is, a soft mass that expands and protrudes from the subcutaneous vascular plexus around the anus.
Mixed hemorrhoids: The internal hemorrhoids and the external hemorrhoids in the corresponding part are fused.
2. The index of internal hemorrhoids and. Clinical manifestations:
Degree I: bloody, dripping or jet-like bleeding in the stool, no internal hemorrhoids prolapse, after the stool
The bleeding can stop on its own.
Degree Ⅱ: bloody, dripping or jet-like bleeding in the stool, with prolapse of internal hemorrhoids, after the stool
You can repay it yourself.
Ⅲ degree: blood in the stool, prolapse of internal hemorrhoids or standing for a long time, cough, fatigue, weight bearing
When the internal hemorrhoids prolapse, they need to be repaid by hand.
Degree IV: Internal hemorrhoids prolapse and cannot be repaid. Internal hemorrhoids may be accompanied by strangulation and incarceration.
3. Clinical manifestations of external hemorrhoids
Anal discomfort, dampness and uncleanness may be accompanied by thrombosis and subcutaneous hematoma.
4. Clinical manifestations of mixed hemorrhoids
The symptoms of internal and external hemorrhoids exist at the same time. The clinical scale is the same as that of internal hemorrhoids.