How to treat hemorrhoids

The main treatment methods for hemorrhoids are surgical and non-surgical: (1) Surgical indications: conservative treatment is ineffective, serious hemorrhoid prolapse, large fibrotic internal hemorrhoids, poor treatment by injection, combined anal fissure, anal fistula, etc.; (2) Surgical principles: surgical repositioning of the prolapsed anal cushion, preserving the structure of the anal cushion as much as possible, thus affecting the ability to control the stool as little as possible after surgery; (3) Pre-operative (3) Pre-operative preparation: If there are ulcers and infections on the surface of internal hemorrhoids, conservative treatment with laxative and warm water baths should be carried out first, and then surgery should be carried out after the ulcers have healed; (4) Surgical methods: thrombosed external hemorrhoid debridement, which is suitable for those whose pain is not relieved or whose masses do not shrink after conservative treatment of thrombosed external hemorrhoids; traditional hemorrhoidectomy, i.e. external debridement and internal ligation; PPH surgery, which is an anastomotic supra-rectal mucosal circumferential stapling procedure. Compared with traditional hemorrhoidectomy, PPH surgery has shorter operation time, less postoperative pain, faster recovery, and fewer complications, but the price of instruments is more expensive; (5) Postoperative treatment: observe for any complications, pay attention to diet, and keep the bowels unobstructed. (2) Non-surgical treatment (1) General treatment: Applicable to the vast majority of hemorrhoids, including the initial stage of thrombosed and embedded hemorrhoids. Pay attention to diet, avoid alcohol and spicy stimulating food, increase fibrous food, consume more fruits and vegetables, drink more water, change bad bowel habits, keep bowel movements smooth, take laxatives if necessary, and clean the anus after stooling. For prolapsed hemorrhoids, pay attention to gently holding the hemorrhoid back with your hand to stop it from prolapsing again. (2) Local medication: It has been widely used, including suppositories, creams and lotions, most of which contain Chinese herbal medicine; (3) Oral medication: Medication for varicose veins is generally used; (4) Injection therapy: It is more effective for Ⅰ and Ⅱ degree bleeding internal hemorrhoids; sclerosing agent is injected into the submucosal veins around the plexus, causing inflammation. (5) physical therapy: laser therapy, cryotherapy, direct current therapy and copper ion electrochemical therapy, microwave thermocoagulation therapy, infrared coagulation therapy, less frequently used; (6) rubber band ligation: ligation of the root of the hemorrhoid, blocking its blood supply in order to make it fall off and necrosis. It is suitable for II and III degree internal hemorrhoids, and more suitable for huge internal hemorrhoids and fibrotic internal hemorrhoids.