Hemorrhoids are a common disease located in the anal area and can develop at any age, but the incidence gradually increases with age. In China, hemorrhoids are the most common anal disease, and there is a saying that “nine out of ten men have hemorrhoids” and “ten out of ten women have hemorrhoids”. When it comes to anal diseases, people easily think of hemorrhoids, because hemorrhoids are one of the most common diseases in the anorectal department. According to reports, the prevalence of hemorrhoids over the age of 40 is about 31%, resulting in a damaged workforce of 20-30 million/year and a direct economic loss of 50 billion RMB. Therefore, the prevention of hemorrhoids is particularly important, not only to benefit patients and improve their well-being, but also to rationalize the allocation of medical resources, to increase social wealth and personal income, and to the harmony and stability of society. In recent years, due to changes in people’s dietary structure and habits, the incidence of hemorrhoids has risen significantly compared to the past, and now most medical institutions are emphasizing treatment over prevention and pursuing maximum economic benefits, which has reached a point where it should be corrected. The recurrence rate of hemorrhoids is also high after surgical treatment or other therapies. The reason for this is that, in addition to incomplete treatment, not paying attention to the prevention of hemorrhoids is also an important factor. The symptoms of hemorrhoids, such as blood in the stool, internal hemorrhoids prolapsing outside the anus, and anal swelling and pain, not only damage the patient’s physical health, but also create different degrees of psychological burden and psychological disorders, such as irritability, anxiety, and fear of cancer, which can lead to physical and mental illness. The number of patients seen for hemorrhoids each year is huge, and the resulting outpatient and inpatient costs are considerable, not only taking up a lot of valuable medical resources, but also causing immeasurable lost work for patients. The main manifestations of hemorrhoids are pain, blood in the stool, and prolapse, which vary depending on where the hemorrhoid occurs. According to the location of the hemorrhoid, there are internal, external and mixed hemorrhoids, and the symptoms are different. Bleeding occurs before or after the stool and is usually bright red and does not mix with the stool. The bleeding occurs before or after the stool and is usually bright red, not mixed with stool. External hemorrhoids are easy to rub with other objects because of their external location, and because of the rich nerves, pain and infection are more common. Patients feel pain in the anus, which affects walking, sitting and defecation, and due to infection, the secretion from the anal tissues increases, along with a bad smell. In the case of mixed hemorrhoids, all of the above symptoms can be present. Hemorrhoids are a painful and embarrassing disease that can cause serious consequences if left untreated. Do a good job of preventing hemorrhoids in the following two ways: a. Total preventive measures: 1. Adjust the diet: Diet is closely related to the occurrence of hemorrhoids. The actual fact is that you’ll be able to reduce the occurrence of hemorrhoids to a certain extent by eating less spicy and stimulating food, more food containing coarse fiber, and more cool fruits and vegetables with laxative, laxative and cooling effects, such as bananas, pears, mung beans and loofahs. In addition, if anemia occurs as a result of iron deficiency due to long-term hemorrhoid bleeding, you need to increase beans, nuts, fruits and dark green vegetables to increase the absorption of iron. 2, to develop good habits: on time, do not stay up late, drink, do not let the spirit of long-term tension and anxiety, develop a good habit of regular bowel movements. When going to the toilet, do not read books, newspapers, play with cell phones, to focus on defecation, defecation time is generally controlled in 3 to 5 minutes, not long squatting, not long sitting. After defecation, should gently clean the anus, it is recommended to use colorless, odorless soft toilet paper. 3, keep the stool is not dry: for dry stool every morning after getting up, a glass of cool white water (300 ml or so) on an empty stomach, and drink a glass of honey water before going to bed at night. Can also eat half a tablespoon of sesame seeds every morning and evening. If the stool is still dry, you can take laxative drugs under the guidance of a doctor. 4, adhere to the exercise: often participate in a variety of physical activities such as radio gymnastics, taijiquan, qigong, shuttlecock, etc., can enhance the body’s ability to resist disease, reduce the possibility of disease, for hemorrhoids also have a certain preventive effect. This is because physical exercise is good for blood circulation, can harmonize the body’s qi and blood, promote gastrointestinal motility, improve pelvic congestion, prevent constipation and prevent hemorrhoids. But the anal exercise is very effective in preventing constipation and improving the symptoms of hemorrhoids. The specific method is: when inhaling, the anus is sucked up hard, tightening the anus, and relaxing when exhaling. Each time the anus is relaxed and tightened 30 times, once in the morning and once in the evening. If you can take the chest and knee position is better, both knees and chest against the bed, buttocks elevated, the anal retraction and then relaxed, and so on repeatedly. 5, adhere to the sitz bath: soak the anus in warm water, 30-40% is appropriate, not too long, 10 minutes can be, can also add a small amount of salt, pepper in hot water, morning and evening each sitz bath. Warm water can promote blood circulation in the affected area, help contract the enlarged veins here, and can stop the pain. In addition, you can also use the Chinese herbal medicine fishy grass 30 grams, bitter ginseng 30 grams, horsetail 15 grams, mannitol 15 grams, the above-mentioned drugs decoction, to be warm when washing the affected area, wash 2 times a day, a dose of medicine available for 2 days. 6.Early diagnosis and treatment: For patients who already have hemorrhoids, we should give early interventions to prevent their further aggravation. For stage I and II internal hemorrhoids (primary hemorrhoids) and varicose veins type mixed hemorrhoids, we generally advocate the line of peony times injection treatment, peony times injection is different from any previous necrosis and sclerosing agent, has a one-time injection, no serious complications and sequelae, and is still effective after injection for cases that have been treated with surgery and other drugs that are ineffective or relapse. Each patient is usually injected only once. Injection treatment is less invasive, less expensive, less painful and more effective. Second, the respective preventive measures for different groups of people: 1, for maternity: ①, reasonable diet: pregnant women should pay attention not to eat or eat less spicy and stimulating food and condiments, but also to develop the habit of drinking more water, preferably with some light salt water or honey water. Especially vegetables and fruits rich in coarse fiber. Chili, pepper, ginger, garlic, onion and other irritating foods as little as possible. ②, appropriate exercise: pregnant women should not be sedentary, should be appropriate exercise to promote blood reflux in the anorectal area. Insist on doing 10~30 times of anal lift every day, this can reduce the stasis of hemorrhoid plexus, improve local blood circulation and reduce the incidence. ③, to prevent constipation and diarrhea: do not hold back the stool for a long time, to develop a regular good defecation habits, if a defecation can not get out, can get up to rest for a while and then go, defecation difficulties can be used some laxative drugs, such as mahren rundown pills, fruit guide tablets, etc., should not use laxatives, not to apply pressure enemas and other methods to laxative, so as not to cause abortion or premature delivery. ④, women avoid standing and sitting for a long time during pregnancy and after delivery, to use the new method of delivery to avoid serious perineal tears. Otherwise, the hemorrhoids are prone to edema, exsanguination and increased patient pain during delivery. 2, for the elderly: ①, regular life, diet and living, exercise, rest, entertainment to have scientific arrangements, pay attention to health care. ②, pay attention to dietary health care, avoid eating spicy and thick-tasting products. The requirements of the diet are high protein, multivitamin, low fat, low cholesterol, less sugar and salt, regular ration, not cold, not hot, easy to digest. ③, adhere to the appropriate amount of exercise. Exercise should be measured, step by step, persistent, combined with static and dynamic, not too hasty, not to force its difficult, not too much too aggressive. ④, pay attention to the prevention and treatment of diseases. The body is an organic whole, interconnected and interacting, so you should regularly check your body, keep an eye on your health, and seek medical attention in a timely manner if you find that you are unwell. The disease should be treated positively and optimistically, and prevented and treated early. ⑤. For elderly people who have already suffered from hemorrhoids, we should give the appropriate treatment plan and treatment method according to the specific situation. For senior citizens or elderly people with hemorrhoids accompanied by more serious cardiovascular disease, conservative palliative therapy should be used to avoid the occurrence of life-threatening diseases caused by stimulation such as surgery and anesthesia, resulting in serious consequences. Patients with hemorrhoids who are in better health and do not have serious diseases such as cardiovascular or cerebrovascular diseases should have early surgery or drug injections to do thorough treatment so as not to delay or aggravate the hemorrhoids and cause bad consequences for the quality of survival and treatment in the future. In view of this, it is generally advocated that a thorough treatment of hemorrhoids, regardless of their severity, should be done before entering old age or before cardiovascular or cerebrovascular disorders occur, or before cardiovascular or cerebrovascular disorders are aggravated, to lay a good foundation for the life and health of the elderly. 3, for young sitters: ①, try to change to a hard sitting chair: When a person sits on a hard sitting chair, the two sciatic nodes of the hip can play a supporting role and will not hinder blood circulation; work for an hour should get up and move around for 10 minutes, increasing exercise is the best way to prevent the occurrence of hemorrhoids. ②, often do anal contraction exercise: anal contraction exercise can effectively enhance the contraction ability of the anus, often adhere to can help reduce the symptoms of hemorrhoids, but also can make the symptoms of mild hemorrhoids without medicine and cure. The specific practice is: take a deep breath while using internal force to lift the anus up, and then relax. Do this repeatedly 10 times a day, especially when sitting or standing for a long time should be done in time. ③, shorten the toilet time: many busy young people in the workplace have the habit of reading, reading newspapers, sending messages when going to the toilet, the toilet as an office, a squat in the toilet is half an hour. The long toilet time is not only unhygienic, but will also make the rectal veins squeezed for a long time and induce hemorrhoids. The longer the time, the higher the chance of developing the condition. Shorten the toilet time is a favorable measure to prevent hemorrhoids, you should pay attention to not more than 3 minutes each time you go to the toilet. ④, develop good bowel habits: getting hemorrhoids and constipation are very related. The normal discharge of soft stool is formed, not dry, not thin, defecation does not feel difficult to defecate, there is a relaxed and comfortable feeling after the stool, which indicates good gastrointestinal function. If the stool is constipated and hard, it will cause defecation difficulties and prolong the squatting time, anorectal pressure increases in the blood vessels, blood reflux obstacles. Prevent constipation to develop a daily habit of regular defecation, healthy people usually do not have feces in the rectum, with the upright reflex caused by getting up, breakfast caused by the stomach, colon reflex, the colon can produce a strong “group peristalsis”, the feces pushed into the rectum, feces accumulation in the rectum to a certain amount, it will produce the desire. So arrange the toilet time in the morning, lunch, after dinner is good. ⑤, control weight: overweight will cause the lower limbs to bear greater pressure, and therefore more likely to occur anal varicose veins, so overweight hemorrhoids patients should pay attention to weight loss.