2021年11月25日星期四

Hemorrhoids, most do not operate, but pay attention to this

Ten people have nine hemorrhoids. Hemorrhoids are mainly manifested in bloody stool, many of which are dripping blood after defecation, sometimes bleeding, and blood is attached to the surface of defecation. In fact, hemorrhoids are mucosal swelling and vascular rupture. When the defecation is dry or the stool is hard, it is easy to damage the mucous membrane and cause bleeding. Eating spicy and stimulating food will aggravate it. Hemorrhoids worsen and will gradually prolapse. Mild diseases can escape during defecation and retract after defecation, which is called grade II in medicine; The slightly serious ones need to be returned by hand, which is III degree. The most serious case is that the hemorrhoids can't be pushed back by hand, or even if they are pushed back, they will fall out again, which is IV degree. Hemorrhoids can also cause anal discomfort, eczema and itching.

But the vast majority of hemorrhoids do not need surgery, only the LLL to LV degrees need surgery. Conservative treatment can be oral medicine, local topical medicine and warm water hip bath. If there is inflammation, take anti-inflammatory drugs orally for a short time. If there is no inflammation, take Huazhi pill. Huazhi pill is actually a Chinese patent medicine made by traditional Chinese medicine prescription, which is effective for mild to moderate hemorrhoids. Local medication is usually applied on hemorrhoids with plaster. Commonly used are ma Yinglong Musk Hemorrhoids Ointment or suppository. Sitting bath is to use a basin of warm water twice in the morning and evening. It is best to take a sitting bath after defecation and soak the anus in warm water. Add a small amount of potassium permanganate powder into the diluent with warm water. Just add a little amount of potassium permanganate, and the water will turn red. Adding more water will turn black, which will damage the skin. Now you can also use RI Shuan lotion for hip bath. Each sitting bath should take about 10 minutes. Hip bath is beneficial for hemorrhoids to reduce inflammation and swelling, relieve pain and promote recovery. Only recurrent LLL to LV hemorrhoids need surgery. The surgical methods vary from person to person. The common one is suprahemorrhoid mucosal circumcision (PPH).

When diagnosing hemorrhoids, we must pay attention to exclude rectal cancer, which is very easy to be misdiagnosed. Rectal cancer anal digital diagnosis is very hard, growing around the intestinal tract, while internal hemorrhoids are generally very soft. Rectal cancer bleeding is not easy to heal. The mother of a friend of mine always resolves bloody stool and thinks it's hemorrhoids. Hemorrhoidectomy was performed in a private clinic. As a result, there was always bleeding for three months. Later, I found me. I made a digital examination of the anus and touched an enlarged hard mass. Then I did enteroscopy and took the examination. It was late stage of rectal cancer. The family regretted it and learned a painful lesson!

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