2021年11月25日星期四

Health series - comprehensive explanation of the treatment methods and precautions of hemorrhoids (commonly known as hemorrhoids)

Hemorrhoids (commonly known as hemorrhoids) are common diseases located in the anus, especially in China, with high incidence rate, becoming younger and younger. It is known as "ten men and nine hemorrhoids, ten women and ten hemorrhoids".

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There are mainly two theories about the etiology of hemorrhoids, one is the theory of varicose veins, the other is the theory of downward displacement of anal pad. The second one is more accepted by the medical community, but they are more complex and professional, and there is no unified conclusion. I won't talk about it here. There are many predisposing factors for hemorrhoids, the main ones are constipation, long-term drinking, eating a lot of stimulating food and sitting for a long time.

clinical manifestation:

1. It is divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids. The symptoms of simple internal hemorrhoids and simple external hemorrhoids are mild, but most of them are mixed hemorrhoids. The main surface is bloody stool, dripping blood or toilet paper with blood during defecation, and constipation and aggravation after drinking.

2. Simple internal hemorrhoids have no pain, only the feeling of falling and swelling, can bleed, develop to prolapse, combined with thrombosis, and there will be pain during infection.

3. Internal hemorrhoids are divided into 4 degrees according to severity. 1 degree only bleeding during defecation, bleeding stops after defecation, and hemorrhoids do not come out of the anus. 2 degrees of bloody stool is more frequent. It falls out of the anus during defecation and is automatically returned after defecation. 3 degree hemorrhoids cannot be returned after prolapse, and manual return can be assisted. 4 degree hemorrhoids are outside the anus for a long time and cannot be returned. More than 2 degrees are internal and external mixed hemorrhoids, which can have symptoms such as pain, pruritus, swelling and outflow of viscous secretions.

4. External hemorrhoids usually have no special symptoms, swelling and pain when thrombosis and inflammation occur.

Drug treatment: mainly oral and external drugs. At present, the mainstream drugs are traditional Chinese medicine or plant medicine extracts, and there are few chemical drugs.

1. Over the counter drugs:

External use: anotai suppository (ointment), musk hemorrhoid suppository, hemorrhoid suppository, etc. for external use, 1-2 times a day.

Internal medicine: Zhikang tablet is used for a small amount of blood in stool, anal swelling and pain, and swelling sensation, 3 times a day, 3 tablets at a time. Jiuwei Zhichuang capsule is used for internal hemorrhoids, a small amount of blood in stool, swelling and pain of external hemorrhoids, 5-6 capsules at a time, 3 times a day. These two kinds are commonly used, and some hemorrhoids granules can have the same effect for hemorrhoids patients with mild symptoms.

2. Over the counter drugs

External use: Jiuhua ointment, Taining ointment (suppository), Yunnan Baiyao hemorrhoids ointment' target='_blank'>hemorrhoids ointment, Puji Hemorrhoids Suppository, etc. for external use or through anus, 1-2 times a day. Compound Cortex Phellodendri liquid is used for wound infection after hemorrhoid rupture. It can be used for deeper affected parts. It can be washed with syringe, 10-20ml, once a day. If possible, you can use hemorrhoids fumigation powder, one bag at a time, add 1000ml boiling water, heat fumigate the anus, and then take a sitz bath for 30 minutes each time, 1-2 times a day.

Oral medicine: 1. Flavonoids: Diosmin can improve a series of symptoms of hemorrhoids. 0.45g/tablet, twice a day. In case of acute attack, it can be increased to 6 tablets per day in the first 4 days, and reduced after symptom reduction.

2. Coumarin drugs: treat various hemorrhoids such as soft tissue swelling caused by trauma and surgery. Melissa oleifera liquid extract tablets, 3 times a day, 1-4 tablets each time, depending on age and symptoms.

3. Maizhiling, mainly composed of aescin, can improve the symptoms of hemorrhoids cause' target='_blank'>hemorrhoids caused by various reasons, such as wet anus, bloody stool, pain, pruritus, etc. 1-2 tablets each time, once every morning and evening.

4. Huazhiling tablet, a traditional Chinese medicine compound preparation, has the effects of cooling blood, anti-inflammatory and convergence. It can be used for internal and external hemorrhoids.

Other methods: local injection, using sclerosing agent or atrophic agent to eliminate bleeding and prolapse.

Summary:

Hemorrhoids treatment is only one aspect, and it is easy to relapse. The most important thing is daily maintenance. Patients should understand that asymptomatic hemorrhoids do not need treatment. Symptomatic hemorrhoids only need to eliminate symptoms, do not need radical cure, and it is difficult to radical cure. The standard for successful hemorrhoids treatment' target='_blank'>hemorrhoids treatment is that patients do not feel uncomfortable. Surgical treatment is not recommended. Remember not to go to an informal hospital. Unless conservative treatment is ineffective and the symptoms cannot be alleviated, surgery in a regular hospital can be considered.

matters needing attention:

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