Treatment of hemorrhoids in special populations

For hemorrhoids in special populations, Chinese medicine treatment is unique and plays a leading role in cases where surgical treatment is limited. There are mainly traditional Chinese medicine soup for internal use, traditional Chinese medicine lotion for fumigation and sitz bath, traditional Chinese medicine cream for external application or suppository for anal plugging. Clinical often three methods of integrated application, both internal and external treatment, holistic treatment and local treatment, can improve the efficacy, control symptoms, to achieve the therapeutic purpose. I. Pregnant women Pregnant women’s hemorrhoid flare-ups, generally the first conservative treatment, such as a variety of conservative treatment can not improve the symptoms, can be in the mid-pregnancy surgical treatment, but must obtain the consent of the patient and the family, must be explained clearly with the patient may have adverse consequences. 1, bleeding internal hemorrhoids: (1) to keep the bowel movement, avoid lasting squatting toilet defecation. Mainly through the diet regulation, regular defecation, taking laxative products and other measures to regulate the stool; (2) Chinese medicine to clear heat, cool blood, stop bleeding and fetal tranquility soup internal use; (3) bleeding, can stop bleeding injection intravenous drip; (4) be careful to use irritating suppositories and cream anal plug. Because of the rectum to give drugs easily stimulate is located in front of the rectum only a wall of the uterus, causing contractions increase leading to miscarriage, especially in early pregnancy, especially to pay attention. 2, hemorrhoids swelling pain: (1) to more bed rest to reduce abdominal pressure; (2) regular defecation, to prevent constipation. Patients are often afraid of the pain of defecation and long endure stool, which is easy to cause constipation, defecation Nu more heavy hemorrhoids swelling and pain, the formation of a vicious circle; (3) traditional Chinese medicine to clear the heat and swelling, pain relief, and fetal tonic internal; (4) traditional Chinese medicine lotion bath or wet hot compresses, can also be used in place of warm saline; (5) traditional Chinese medicine external ointment coated with a bandage. Second, infants and children The incidence of hemorrhoids in infants and children is very low, often caused by diarrhea or dry stools, as long as the stools are normal, hemorrhoids will heal on their own, without the need for medication. Children’s hemorrhoids are mainly caused by constipation, so the main constipation treatment. For children, surgery can not cooperate, so conservative treatment to alleviate the symptoms even if the purpose. Third, the elderly and frail people, the age increase, the organs function decline, can not tolerate the anal surgery of severe pain, bleeding, urinary retention and other pain, generally take conservative treatment, control symptoms for the purpose of. Especially male 80 years old, female patients over 75 years old do not advocate surgical treatment. Fourth, with serious contraindications to surgery, the main contraindications to surgery are anal and renal failure, severe hypertension coronary heart disease, heart failure, emphysema and asthma, diabetes mellitus, coagulation dysfunction disease and so on. According to the principle of Chinese medicine, should first focus on the treatment of internal diseases, hemorrhoids to local medicine. After the basic recovery of internal diseases, then consider surgical treatment.