Treatment of Hemorrhoids As the saying goes, “nine out of ten people have hemorrhoids”, and hemorrhoids are a common and frequent disease. Due to the intimate location of the disease, many patients suffer from pain but find it difficult to talk about it. When we open the newspaper or turn on the TV, many advertisements for the treatment of hemorrhoids are flying around, boasting about “no hospitalization”, “no surgery”, “no incision”, “no pain”, “treatment on the go”, “no recurrence”, etc., which seems to be of a high level to the layman, but if an insider looks at it, it is obviously exaggerating the efficacy and misleading the patient. The actual “less costly”, but first sweet and then bitter A said “less costly”: many small clinics play a very favorable price to attract patients, claiming that a few hundred dollars can eradicate hemorrhoids. In fact, these hundreds of dollars are only the cost of the surgery and do not include the cost of the later treatment. In the end, the total cost that adds up is actually not low, even higher than the normal price. ” Painless “, but the pain is at the back Secondly, ” painless “: when doing the surgery does not hurt, but after going home it hurts, it is called painless ? The nerve sensation in the anal area is quite sensitive, and a very small stimulus can cause significant pain. Therefore, pain after hemorrhoid surgery is inevitable, only the degree varies. Experienced anorectal surgeons with standardized operations and skilled techniques can avoid unnecessary surgical trauma and local irritation, and the post-operative pain will be much lighter. Many patients receive improper surgical treatment due to misbelief in the beautiful lies of advertisements, resulting in different degrees of sequelae and complications. The most common ones are severe loss of anal canal skin, anorectal stenosis, wound infection, long-term non-healing, etc., and even require secondary surgery to solve the problem, causing irreparable trauma, which is considered painless ? The “go with the treatment”, very dangerous Three said ” no hospitalization, go with the treatment”: this is also a common trick to attract patients in small clinics. In reality, even a small hemorrhoid wound takes at least a week to heal. Moreover, in the first few days after surgery, complications such as bleeding wounds can occur at any time and require careful observation and timely treatment by a professional doctor. Therefore, hemorrhoid surgery ” do-it-yourself ” is very risky, especially for those with heavy hemorrhoids. The “no surgery”, purely to fool people Four said ” no surgery, no surgery”: some small clinics take advantage of people’s admiration for high technology and fear of surgery to attract patients under the guise of ” no surgery “, such as many advertisements boasting of laser treatment. This is actually not a mystery, it just uses the high intensity heat of the laser to remove the hemorrhoid instead of a scalpel, and while removing it, it makes the tissue coagulate without stitches, and is more suitable for smaller hemorrhoids. It is just as invasive as surgical treatment. Since there is trauma, you can still justify the “no surgery” nonsense? The actual itchy piles are not suitable for larger hemorrhoids as they tend to form ulcers and take longer to heal after surgery. At present, the regular big hospitals have rarely used this method. ” Never relapse “, impossible Lastly, ” complete eradication, never relapse “: Hemorrhoids are a disease unique to humans, and it is the price paid by humans in the evolutionary process of choosing to walk upright. When a person walks, stands or squats, the venous reflux in the anal area is affected, and over time, hemorrhoids will form. A spicy diet, prolonged squatting, and prolonged physical work in an upright position are all predisposing factors for hemorrhoids. Therefore, even if the hemorrhoid is completely removed, as long as these triggers exist, there is a possibility of recurrence. The actual fact is that each and every treatment method has certain indications and limitations, and the one-sided exaggeration of the role of a method is certainly against the objective reality, just like a panacea, which claims to cure all diseases, but in fact can’t cure anything. A professional anorectal surgeon, no matter what method he uses to treat hemorrhoids, whether it is surgery, drugs or the application of instruments, will not cause unnecessary pain to the patient, and a non-professional doctor, even if he is allowed to use the most advanced instruments, will cause harm to the patient. Now, the so-called ” advanced technology instruments “, or the title ” Tibetan medicine “, ” Miao medicine “, ” Ancestral secret formula ” and other titles of hemorrhoid drugs like a hair, even the anorectal specialist with more than ten years of experience in treatment is sometimes confused, not to mention expertise blank ordinary people? The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact that 87% of people are troubled by hemorrhoids ” nine out of ten hemorrhoids “, is it really that scary ? It’s true. The survey shows that about 87% of people in China are troubled by hemorrhoids, the incidence of women is slightly higher than men, the ratio of men to women is about 0.7: 1. Hemorrhoids, in fact, are not a sore, but a greenish-purple round mass formed by distended veins inside and outside the anus, where blood does not flow back easily. Depending on the location of the hemorrhoid nucleus, there are three types of hemorrhoids: internal, external and mixed. Internal hemorrhoids account for the largest proportion of hemorrhoids, accounting for 60% of the incidence of hemorrhoids, while external hemorrhoids and mixed hemorrhoids account for 16% and 24%, respectively. Usually, simple external hemorrhoids have no obvious symptoms. In contrast, blood in the stool is usually the most common symptom of internal and mixed hemorrhoids, and is characterized by painless, bright red, heavy bleeding, which may sometimes be jet-like and heavy. When internal hemorrhoids or mixed hemorrhoids develop to a certain extent, the hemorrhoid mass will then prolapse out of the anus during stool. There are two other misconceptions about hemorrhoids: one, some people say, “Nine out of ten hemorrhoids, no need to go to treatment”. This is wrong. No treatment is not necessary for hemorrhoids that do not show symptoms, in other words, the patient does not know he has hemorrhoids, there is no discomfort, of course, no treatment is needed. However, if a patient has symptoms such as bleeding hemorrhoids, prolapse and pain, they should be treated, otherwise they will only aggravate their pain and cause potential health hazards. Some patients are worried all day long that hemorrhoids will turn into cancer. In fact, so far, there is no evidence to confirm that itchy hemorrhoids have the possibility of becoming cancerous. However, the early symptoms of rectal cancer are often similar to those of hemorrhoids, which sometimes leads to rectal cancer being misdiagnosed as hemorrhoids, thus delaying the time of treatment. The purpose of anal finger examination and even pathological examination during the patient’s visit is to distinguish hemorrhoids from rectal cancer. 80% of patients can “self-treat” Currently, the medical profession advocates that asymptomatic hemorrhoids do not require treatment; symptomatic hemorrhoids do not require surgery to cure them, but rather conservative therapy to reduce symptoms. The reason for this is that more than 80% of patients can improve their symptoms by changing their diet, strengthening their exercise, and keeping their bowels open. At the same time, hemorrhoids are originally developed from the anal cushion, which has an important function of sensing and controlling stool, so it is best not to remove them; even if they must be removed, the scope of surgery should be minimized. For patients who do not need surgery, we recommend a three-in-one approach of “medication + diet + lifestyle improvement”. In terms of medication, oral medication such as abortifacient and marijuana capsules can be taken, while topical medication such as tylenol suppositories and Ma Yinglong hemorrhoid cream also have clear efficacy. As for the diet, the patient should eat light, high-fiber foods, such as spinach, ear of art, sweet potato, enoki mushroom, banana, etc.; avoid spicy and greasy diet, such as chili, beef, mutton, etc. as much as possible. In addition, you should develop the habit of regular bowel movements, avoid sitting for a long time, keep the perianal area clean and hygienic, participate in more physical activities, and have a regular work and rest schedule. Of course, if the prolapsed hemorrhoid is already in the third or fourth degree, it needs to be treated by surgery. Compared to traditional surgery, the new minimally invasive procedure of supraclavicular hemorrhoidectomy (also known as PPH surgery) has significant advantages. Because the anastomosis is performed above the dentate line, the patient is less likely to experience pain and there are very few complications such as anal stenosis.