Hemorrhoids are one of the most common diseases that affect human health. The true incidence of hemorrhoids is unknown. However, an old folk saying "ten men and nine hemorrhoids, ten women and ten hemorrhoids" refers to the high incidence of hemorrhoids. In recent years, with the improvement of people’s living standards, the dietary structure has become increasingly refined, and at the same time the pressure of work and study has increased sharply, resulting in an increase in the incidence of hemorrhoids and a clear trend of younger people, which has seriously affected people’s physical and mental health, and also It brings many inconveniences to people's daily work, study and life. In the author's outpatient clinic, about 1/4 of the patients are treated for "hemorrhoids". So the question is, what is a "hemorrhoid"?
From a professional point of view, hemorrhoids are one or more soft venous clusters formed by the varicose venous plexus of the anorectal mucosa. Its occurrence and development are related to people’s work habits, eating habits and bowel habits and other factors. There are relationships.
Since hemorrhoids are "vein masses", are their clinical manifestations blood in the stool? Indeed, the most common clinical manifestation of hemorrhoids is blood in the stool. The characteristics of blood in the stool can be summarized as: intermittent, painless, and blood after stool. Specifically, there is sometimes no blood in the stool, but because there is no pain, patients often find a lot of blood in the potty after the bowel movement is over. The second most common clinical manifestation is a prolapsed anus mass. At first, the lumps protruded out of the anus during defecation, and after the defecation, the lumps retracted to the anus. As the disease progresses, the lumps gradually develop from self-retraction to the anus to need to be handed to the anus or even unable to be repaid. Therefore, clinically, hemorrhoids are divided into 4 stages according to the two most important clinical manifestations of blood in the stool and prolapse. Stage I, the main manifestation is bleeding during stool, and the blood volume is large, sometimes dripping, and there is often jet-like blood in the stool, without pain or other discomfort. Prolonged bleeding and large volume can cause mild anemia, and even the head Dizziness, shortness of breath, fatigue and weakness, poor spirits. When hemorrhoids develop to stage II, the hemorrhoids protrude out of the anus during the defecation, and the hemorrhoids can be returned to the anus by themselves after defecation. In stage III hemorrhoids, hemorrhoids need to be pushed back by hand after prolapse. When developing stage IV hemorrhoids, the hemorrhoids protrude out of the anus after defecation and cannot be returned to the anus on their own. The anus can only be returned to the anus with the help of external force or after a rest. Cough, labor, hard work, overwork or fatigue can all come out of the anus In addition, the secretion increases, and the anus is wet and uncomfortable.
The main clinical manifestation of hemorrhoids is hemorrhoids. So, are all patients with hemorrhoids caused by hemorrhoids? No! Not all hemorrhoids are caused by hemorrhoids, nor are they not associated with other anorectal surgical diseases after hemorrhoids. Therefore, even if you understand what are the common clinical manifestations of hemorrhoids and hemorrhoids, you may even have some experience in self-medication At this time, attention should still be paid to other common rectal and anal diseases, such as rectal polyps, especially rectal cancer. In recent years, I have met rectal cancer patients who are misdiagnosed as hemorrhoids or even undergo hemorrhoid surgery and miss the best treatment opportunity. A considerable number of them are old patients with hemorrhoids and mistakenly believe that they have a good understanding of their condition. Once they have symptoms of blood in the stool , I took the medicine by myself. Even if I went to the hospital, I told the doctor that he had "hemorrhoids". Just prescribe some medicine, and even let the doctor prescribe a certain medicine without further examination. There are also some patients who go to some irregular clinics for treatment. Due to the lack of experience and examination equipment, the receiving doctor only performs some symptomatic treatment according to "hemorrhoids". As a result, the delay was for a few months or even longer, so that the operation could be completely passed early. The cured rectal cancer becomes advanced; some even have tumor implantation and metastasis in the original hemorrhoid surgery site or metastasis in the liver or other parts, losing the opportunity to preserve the anus or even cure. Therefore, people with "hemorrhoids" can only use medicine to treat hemorrhoids after excluding other diseases of the colorectal.
Since most of the low rectal cancer or anal canal cancer are also manifested as painless blood in the stool, the blood can also be bright red. Topical or oral medications for hemorrhoids often have a certain effect in a short period of time, so they can easily be regarded as hemorrhoids. However, the symptoms of these patients often recur after remission, and the symptoms gradually worsen, especially those over 50 years old. People who have had colorectal cancer or other cancers in the family, or those with a history of colorectal polyps, should pay special attention. Go to the hospital for serious examinations regularly, and colonoscopy when necessary. Only when other diseases of the colorectal and rectum are ruled out, can you self-administer the medicine. This is so-called: you cannot prescribe the right medicine, but should treat the cause.
Again, don’t think that the history of hemorrhoids has been for many years, it doesn’t matter, otherwise, if you misdiagnose, the consequences will be very serious.
Since hemorrhoids have repeated blood in the stool or even prolapse, do you have to completely remove the hemorrhoids if you want to have no worries about the back "thigh"? In fact, asymptomatic hemorrhoids do not need to be treated, and must not be treated at the sight of hemorrhoids. The purpose of treatment is to eliminate or improve symptoms, not to cure them.First of all, we must keep the stool smooth and eat foods that are easy to digest and contain less residue. The diet should be carefully matched, drink less strong tea, coffee, alcohol and spicy food to reduce the stimulation of the anal canal. After going to the toilet, take a warm water bath, commonly known as "soaking buttocks, bidet". The water temperature is about 40 degrees Celsius for 15 minutes, 1-2 times a day. In addition, medications, including oral medications and anal suppositories, can be used to stop bleeding and reduce swelling. It should be reminded that because hemorrhoids are not caused by bacterial infections, antibiotics are not required for hemorrhoids. Inappropriate use of antibiotics not only does not help the treatment, but may also induce bacterial resistance. For patients with ineffective conservative treatments and severe prolapse of hemorrhoids, surgical treatment can be considered, and different surgical methods can be adopted for different conditions. However, it should be noted that surgery is only one of the methods to treat hemorrhoids, and cannot break the roots of hemorrhoids. Therefore, there is a certain recurrence rate after hemorrhoids. Therefore, adhere to anal exercises and maintain good living habits after the operation to reduce the recurrence of hemorrhoids. Has a very important role. I believe that people with "hemorrhoids" who gain relevant knowledge through this popular science article and carry out prevention and treatment under the professional guidance of anorectal surgeons will definitely have no more worries about the "stock"!