Recently, a "national Hemorrhoid Cream map" attracted attention. During the double 11, Ma Yinglong Hemorrhoid Cream was on the sales list, and Hangzhou was on the list: the per capita ownership of Hangzhou Hemorrhoid Cream ranked first in the country.
"There is a saying that ten people are nine hemorrhoids. The incidence rate of hemorrhoids is higher in China." Song Zhangfa, chief physician of Department of anus & intestine surgery, Sir Run Run Shaw Hospital affiliated to Zhejiang University, said that nearly half of the patients who came to the clinic for anal bleeding were hemorrhoids because of their bleeding.
The incidence rate of hemorrhoids is not low, but not all hemorrhoids need treatment.
"Generally speaking, if you have bleeding, pain and other symptoms, you should go to the hospital for treatment as soon as possible." song Zhangfa said that the symptoms of bleeding vary from person to person. Generally, it is bloody stool, bright red, some are dripping blood, and some are jet like.
Hemorrhoids patients are mainly young people, which may be related to the living habits of young people. This can also be seen from the most obvious causes of hemorrhoids: staying up late, tired, drinking and eating too spicy food.
"Hemorrhoids patients in the clinic, when asking about their medical history, generally say that they are too tired recently, or drink or eat pepper a few days ago."
In most cases, the treatment of hemorrhoids is medical treatment. The use of Hemorrhoid Ointment or oral drugs can adjust microvessels, reduce swelling and relieve pain.
Some patients will have external hemorrhoids, that is, anal prolapse. Some of this prolapse occurs after defecation, some are recurrent, some prolapse can be recovered, and some are long-term prominent.
"In this case, if patients feel that they are troubled by their own life, they can have surgery. If they don't feel unwell, they don't have to intervene," song Zhangfa said.
The occurrence of hemorrhoids is repetitive. After a period of time, if the living habits are bad, it is likely to relapse again.
There is a misunderstanding that song Zhangfa often encounters in the outpatient service. Many patients think that if hemorrhoids are not treated, they may progress to cancer over time, such as rectal cancer. "In fact, it won't. generally speaking, hemorrhoids won't develop into cancer."
But there is another situation that needs to be vigilant, that is, if there is blood in the stool, we must see a doctor in time for investigation, rather than take it for granted that it is hemorrhoids.
"Among the rectal cancer patients we received, many people thought it was hemorrhoids when they first found blood in the stool or anal pain. They didn't do further examination until the situation was serious." song Zhangfa explained that in this case, it was not hemorrhoids that developed into cancer, but there was an intestinal problem, but they didn't find it in time, Mistaken for hemorrhoids.
Some time ago, song Zhangfa just received a female patient from Yunnan. The other party found bloody stool at the beginning of this year. The first reaction was hemorrhoids, which was not taken seriously. Until the final situation was serious, it was found to be rectal cancer in the hospital, and it progressed to a local advanced stage. Finally, I found song Zhangfa and realized anus preserving treatment.
"The diagnosis of hemorrhoids is relatively easy. Digital anal examination can directly exclude most rectal tumors. Anoscopy can basically clearly see the severity of hemorrhoids. If the bleeding is not good and you are not at ease, you can further do colonoscopy."
In the prevention of hemorrhoids, song Zhangfa suggested that young people should maintain good living habits: light diet, eat more dietary fiber, strengthen exercise, especially don't drink alcohol and eat less spicy food. In addition, they should stay up less late and keep a relaxed mood.