2021年11月4日星期四

Internal hemorrhoids bleeding but not painful? Need treatment?

Zhang Shuhong, a female anorectal physician, was interviewed. After understanding Xiaohan's situation, she then did a detailed electronic anoscopy for her. The examination results showed that Xiaohan suffered from early internal hemorrhoids before bloody stool appeared. "Dr. Zhang, my hemorrhoids are not painful and itchy, but there is a little blood in my stool. Can I do without treatment?" Xiaohan asked after knowing the examination results.

Zhang Shuhong explained with a smile that hemorrhoids are a very common anorectal disease. Hemorrhoids may occur no matter men, women, old or young. Because the location and severity of hemorrhoids are different, everyone's feelings may be different. For example, Xiaohan suffers from internal hemorrhoids. Clinically, internal hemorrhoids can be divided into four stages according to the degree of hemorrhoid tissue prolapse: phase I: bloody defecation and no prolapse; Phase II: defecate with blood, dripping blood or spraying blood, and internal hemorrhoids prolapse, which can be returned by themselves; Phase III: internal hemorrhoids cannot be returned by themselves after prolapse, and need manual reduction; Phase IV: always prolapse or self prolapse after manual reduction.

The treatment principle of internal hemorrhoids is generally based on the fact that asymptomatic internal hemorrhoids do not need treatment. Internal hemorrhoids with bloody stool but no pain and itch focus on reducing symptoms. Usually, conservative treatment is mainly based on drugs. When internal hemorrhoids gradually develop to phase III and IV, they prolapse and cannot be plugged back by hand, resulting in ulcer or infection, thrombosis, incarcerated edema and severe pain, Then surgical treatment needs to be considered at this time.

Changsha Dongda anorectal Hospital reminds that when there are no obvious symptoms in the initial stage of internal hemorrhoids, it can not be treated, but when there are obvious symptoms, such as hematochezia, prolapse of hemorrhoids, pain and itching, you should go to a regular hospital for examination and treatment in time. At the same time, you should also pay attention to develop good living and eating habits to avoid aggravation or recurrence of hemorrhoids.

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