2021年11月25日星期四

Do you have to operate if you have hemorrhoids? What conditions require surgery?

Xie Lizi introduced that hemorrhoids are caused by the abnormal expansion of blood vessels under the normal mucosal skin at the end of the human rectum and anal canal, and the destruction of the tissue fixing the mucosal skin, resulting in the abnormal uplift of local mucosal skin and blood vessels under it, forming soft masses, sliding, congestion, prolapse and bleeding with defecation, as well as pain, pruritus, anal dampness and other symptoms. Hemorrhoids will not only affect daily life, work and study, but also affect physical and mental health. Once hemorrhoids occur, measures should be taken in time for prevention and treatment.

Xie Lizi said that hemorrhoids can be divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids. Not all hemorrhoids need surgical treatment. Whether hemorrhoids need surgery needs to be determined according to the specific situation and severity of the patient. At present, the general principle adopted in clinical practice is that asymptomatic hemorrhoids do not need treatment. Symptomatic hemorrhoids focus on reducing or eliminating symptoms, mainly non-surgical treatment. Surgical treatment is only considered for those recurrent or serious hemorrhoids. Generally, surgical treatment is recommended only when the patient has the following conditions:

1. Hemorrhoids and bloody stool

Hemorrhoid hematochezia is the most common bleeding of internal hemorrhoids. When the amount of hematochezia is large, conservative treatment is ineffective, and even anemia symptoms occur, surgical treatment needs to be considered.

2. Hemorrhoids prolapse needs to be returned by hand or is difficult to be returned

Prolapse of hemorrhoids is the main manifestation of internal hemorrhoids. When hemorrhoids develop to the middle and late stage, conservative treatment can only improve symptoms and can not make prolapsed hemorrhoids disappear. If you feel inconvenient in life, cleanliness and hygiene, affecting daily life, surgery needs to be considered.

3. Acute stage of thrombotic external hemorrhoids

When thrombus external hemorrhoids acute attack, the pain is particularly serious; Or thrombus and external hemorrhoids occur repeatedly and frequently, affecting life, so surgical treatment needs to be considered.

4. Large perianal dermatophytes with or without eczema symptoms

When there is large perianal dermatophyte with or without eczema symptoms, but it is difficult to clean and hygiene, in order to improve the quality of life, surgical treatment can be considered.

5. Hemorrhoid prolapse incarceration

When there is incarceration, swelling and severe pain of hemorrhoids, which can not be returned, or even necrosis, surgery is needed at this time.

Changsha Dongda anorectal Hospital reminds that long meatballs or flesh pimples, bloody stool and prolapse of hemorrhoids are common symptoms of hemorrhoids. The treatment methods of hemorrhoids at different stages are different. When there are early symptoms of hemorrhoids, they should be treated in time to avoid the aggravation of hemorrhoids and the need for surgery.

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