Hemorrhoids are a common anorectal disease and treatment can be very complex, due to their pathological characteristics, causing recurrent attacks that are more difficult to cure without surgery. Hemorrhoids (commonly known as hemorrhoids) are a common condition located in the anal area that can develop at any age, but the incidence gradually increases with age. So, are the symptoms of all hemorrhoids the same? Is the treatment the same? Actually, no! The first thing you need to do is to get a good idea of what you’re looking for. The bleeding is intermittent, and it may recur and worsen when drinking alcohol, overwork, constipation or diarrhea. When the bleeding is severe, it can cause anemia. The mucous membrane on the dentate line is hemispherically elevated and bright red, dark red or grayish white during anal examination. As the nucleus of hemorrhoid increases, it can come out of the anus during defecation or coughing, and if it is not retracted in time, it can form internal hemorrhoid impaction, with overflowing secretion and anal swelling; according to the different degrees of severity, it can be divided into three stages: 1. Stage I: the nucleus of hemorrhoid is small, such as soybean or broad bean, bright red in color, soft in texture, not coming out of the anus, with blood in the stool or dripping blood. 2.Stage II: The nucleus of hemorrhoid is larger, shaped like a red date, dark red, prolapsing out of the anus during stool, and can be returned by itself after stool, with more blood dripping from the stool or shooting a line of blood like an arrow. 3.Stage III: The nucleus of hemorrhoid is bigger, such as egg or bigger, grayish white, it comes out of the anus during stool or walking, and cannot be returned by itself, generally it does not bleed, once it bleeds, it is jet-like, if the nucleus of hemorrhoid is not returned as soon as possible, it is easy to be embedded and strangulated and swollen, erosion and necrosis. The external hemorrhoids 1, pain and itching: is the common symptoms of external hemorrhoids. The patient mostly complains of pain and discomfort on the anal side, restlessness and inconvenience in walking. The reason is that the blood vessels at the edge of the anus rupture during defecation, and the blood exudates to press the perianal nerve, causing severe pain in the anus, and when the exuded blood coagulates into a blood clot and its liquid component is absorbed, the pain is gradually reduced and a hard node remains. If more blood is exuded, the skin covered by it becomes obstructed and necrosis occurs, and the clot can break through the necrotic area and make the pain disappear. Generally, the symptoms of external hemorrhoids are not obvious, and there can be occasional itching or a feeling of unclean bowel movements. Only when inflammation occurs, anal pain appears. 2. Paranal foreign body sensation: the anal edge protrusion is the sign of external hemorrhoids. The irregular protrusion of the anal verge makes the anal verge uneven and produces foreign body sensation, and it is not suitable to wipe clean when defecating, which pollutes the underwear and affects people’s daily life. 3. Difficulty in defecation: When patients have anal pain and fear defecation, they try to prolong the interval of defecation, causing defecation flocculation and dry and hard stool, which increases the difficulty in defecation and aggravates anal pain, forming a vicious circle. Third, mixed hemorrhoids 1, blood in the stool: painless, intermittent, bright red blood after the stool is its characteristic, and is also a common symptom of internal or mixed hemorrhoids in the early stage. It is also a common symptom of the early stage of internal hemorrhoids or mixed hemorrhoids. In mild cases, it is mostly blood on the stool paper, followed by dripping blood, and in severe cases, it is jet-like bleeding, which can often stop on its own after a few days. This is important for diagnosis. Constipation, dry and hard stools, drinking alcohol and eating irritating food are all triggers for bleeding. If the bleeding is repeated for a long time, anemia can occur, which is not uncommon clinically and should be differentiated from bleeding disorders. 2, hemorrhoid prolapse: often late symptoms, more blood in the stool followed by prolapse, because of the late hemorrhoid body enlarges, gradually separated from the muscle layer, feces was pushed out of the anus. In the lighter cases, the prolapsed hemorrhoid only prolapses during stool and can return on its own after stool, while in the heavier cases, it needs to be pushed back by hand. A few patients complained that prolapse was the first symptom. 3.Pain: Simple internal hemorrhoids are painless, a few have a feeling of swelling, when internal hemorrhoids or mixed hemorrhoids prolapse and become embedded, edema, infection, necrosis, there are different degrees of pain. 4.Itching: Late internal hemorrhoids, prolapsed hemorrhoids and relaxed anal canal sphincter, often have secretion outflow, due to the stimulation of secretion, there is often itching discomfort around the anus, and even skin eczema, the patient is extremely uncomfortable. 5.Mucus overflow: the rectal mucosa is stimulated by the nucleus of hemorrhoids for a long time, producing inflammatory exudation and increasing secretions. It can flow out at any time when the anal sphincter is relaxed, so that the anal skin is often stimulated and eczema and itching occur. How to treat external hemorrhoids, internal hemorrhoids and mixed hemorrhoids? A. Initial hemorrhoids can heal themselves with medication First of all, we should observe the color of the blood in the stool and the amount of bleeding, if the sudden blood in the stool, bright red and painless, which is mainly internal hemorrhoids, can be treated conservatively first. Even sometimes a stool hand paper with blood or a small amount of stool with fresh blood without pain, can be first conservative treatment, such as using some hemostatic and anti-inflammatory suppositories, oral Chinese medicine Sophora pill when the blood in the stool, and oral Ma Ren Rundown pill when the stool is dry. However, it is important to note that if you have bleeding stools, dark red color, mucus, change in the shape and frequency of stools, symptoms of urgency, or even physical weakness, weight loss, or poor appetite, you should tell your doctor that further examination is needed to rule out other intestinal disorders. The first stage of hemorrhoids, if you pay attention to the regularity of the stool and use the right medication, can be completely self-healing. The actual fact is that you can find a lot of people who are not able to get a lot of money from the internet. However, note that you should visit a regular medical institution skilled in applying this method and use a safe drug to soften the atrophy. If the hemorrhoids are mainly prolapsed, they can’t be returned by themselves, they are prolapsed by walking or coughing, they take a long time to defecate, they need to be returned by pushing and rubbing by hand after each stool, and even they need to lie in bed for more than half an hour after each stool to return the hemorrhoids to the anus, this type should be ligated and injected, this method is reliable, less painful and safe after surgery, after ligating the hemorrhoids, inject peony injection in the relaxed mucous membrane area above the hemorrhoid area, it can prevent the ligature line from falling off when The problem of bleeding and mucous membrane relaxation recurrence. If the hemorrhoids are not controlled by medication, surgery is needed. If the attacks are frequent, edema, inflammation and bleeding occur frequently, and medication is not effective in controlling the symptoms of second-stage internal hemorrhoids and mixed hemorrhoids, surgery should be chosen at this time. The treatment of mixed hemorrhoids can be done by external peeling and internal ligation plus injection. This method has little damage and does not destroy the physiological structure of the anus. For late stage (stage III) internal and external hemorrhoids with small hemorrhoid nuclei, external peeling and internal ligation plus injection is less painful after surgery and can effectively preserve the skin of the anal canal, prevent anal stenosis and postoperative edema, and eliminate the adverse reactions and multiple surgeries of previous traditional methods. This treatment is suitable for middle-aged and elderly people, patients with mild hypertension and diabetes. It is generally believed that thrombosed external hemorrhoids need surgical treatment, but in fact varicose external hemorrhoids can also be treated non-surgically, while connective tissue external hemorrhoids are mostly seen in women and do not affect the quality of life without surgical treatment.