Medication guide: “hemorrhoid” young people here to see

Hemorrhoids are usually regarded as a kind of “unspeakable” due to their special location. Many patients suffer from hemorrhoids and do not know exactly how hemorrhoids should be treated, the inner and more resistant because of such an “embarrassing” part of the medical treatment, always have what medicine to use what medicine, the treatment effect all rely on luck. The actual fact is that the actual hemorrhoids are not really a good idea, but the fact is that the actual hemorrhoids are not really a good idea. In the clinic, when the disease occurs, generally can choose conservative treatment, will try to avoid surgical treatment, hemorrhoids are no exception. Clinical commonly used drugs for the treatment of hemorrhoids are the following: 1, oral drugs various hemorrhoids oral drugs schematic (1) laxative drugs Hemorrhoidal patients oral laxative patients with hemorrhoids have a good therapeutic effect, can alleviate hemorrhoidal symptoms, reduce bleeding, laxative mainly includes the following types. Volumetric laxatives: for some not easily absorbed by the intestinal wall and easily soluble in water salt preparations, orally in the intestinal formation of hypertonic salt solution, so that the intestinal lumen of the increase in water, volume expansion, stimulation of the intestinal mucosa, causing intestinal peristalsis enhancement and defecation. Drugs include magnesium sulfate, sodium sulfate, white composite and so on. Excitatory laxatives: this class of drugs itself or its metabolites in the body to stimulate the intestinal wall, so that intestinal peristalsis to strengthen and promote defecation. Drugs are phenolphthalein, bisacodyl, castor oil, fruit guide, rhubarb and so on. Lubricating laxatives: this class of drugs can lubricate the intestinal wall, soften the stool, so that the feces can be easily discharged. Commonly used drugs are glycerin, liquid paraffin, glycerin suppositories, Keseru, Ma Yan pill and so on. (2) Analgesics Analgesics, including non-steroidal anti-inflammatory drugs, are one of the commonly used analgesics, which are generally used for the analgesia of patients with acute hemorrhoids in clinical practice. These drugs mainly inhibit prostaglandin-mediated chemical or mechanoreceptor sensitization, thus playing an analgesic role, which is characterized by fast onset of action, no anesthesia, no drug dependence, but may cause serious gastrointestinal, renal and cardiovascular adverse events. (3) Traditional Chinese medicines Chinese medicines commonly used in patients with hemorrhoids include Diyu, Dihuang, Sophora japonica, Angelica sinensis, Scutellaria baicalensis, and Lateraliae chinensis, which have been reported to reduce some of the symptoms of hemorrhoids, and are effective in the treatment of symptomatic hemorrhoids. Different types of patients can also be treated with different Chinese herbal formulas according to the dialectic of the dressing. For example, patients with wind-injured intestinal and intestinal collaterals-type hemorrhoids can choose Cool Blood and Groundnut Soup; patients with damp-heat-infiltrated hemorrhoids can choose Dirty Lian Pill, and so on. (4) Venous active drugs Venous active drugs are a class of heterogeneous drugs consisting of plant extracts or synthetic compounds that can improve venous tone, stabilize capillary permeability and increase lymphatic drainage. Common drugs include purified micronized flavonoid composition (MPFF), also known as citrus flavonoid tablets, extracted from natural citrus, a micronized mixture of diosmin (90%) and other active flavonoids (10%). As one of the most representative venous active drugs, the significant improvement of hemorrhoidal symptoms and signs by MPFF has been confirmed in a large number of clinical studies. In addition to oral medication, hemorrhoid patients can also choose to local topical drugs to relieve discomfort, the effect is also immediate. 2, topical drugs Local topical drugs include suppositories, ointments and lotions. There is also a special navel patch. External hemorrhoids or anal fissure more ointment, can be applied directly to the local affected area, to relieve the symptoms of the therapeutic purpose. Internal hemorrhoids and mixed hemorrhoids advocate intra-anal administration of medication, commonly suppositories, common topical medications are Ma Yinglong Musk Hemorrhoidal Cream, chemohemorrhoidal suppositories, anus tai paste and so on. Hemorrhoidal suppositories schematic diagram Clinical treatment for hemorrhoid patients, whether using oral medication or topical medication, need to develop an individualized treatment plan, unknown the full extent of the condition, patients are not recommended to use their own medication. And the severity of hemorrhoids and hemorrhoids patients with a great connection between the treatment. If the patient’s hemorrhoids are very serious, conservative treatment is not effective, you may not be able to avoid the “knife on the butt”. In-depth understanding of the disease, the correct face of the disease, in order to truly away from the disease. Reference text [1] Liu Bieying. How to choose Chinese medicine for hemorrhoids[J]. Special health,2021(5):19. [2] China hemorrhoid diagnosis and treatment guidelines (2020)[J]. Colorectal and anal surgery,2020,26(05):519-533. [3]Yang Chunxia. Hemorrhoid medication,many choices[J]. Family medicine,2016(4):36-39.