I always advocate that patients should pay attention to understanding the disease so that they can see it rationally. The actual hemorrhoid is literally a bulge, we can understand it this way, originally a flat place, more meat, this is hemorrhoids, not any place more meat is called hemorrhoids, must grow in the anus is called, many people around the anus grow a bag, that is not called hemorrhoids. The actual hemorrhoids are the external hemorrhoids, the internal hemorrhoids, and the mixed hemorrhoids. The external hemorrhoids are the ones that grow outside and can be seen at a glance, the internal hemorrhoids grow inside the anus and cannot be seen or felt, and the mixed hemorrhoids are the ones that are both inside and outside. Many patients are not seriously ill and have only one hemorrhoid, but serious patients can have more than one and connect them in a ring shape, which is the ring-shaped mixed hemorrhoid. The external hemorrhoids are divided into connective tissue external hemorrhoids, which are a bunch of dead meat; varicose veins external hemorrhoids, which are a bunch of blood vessels in the external hemorrhoids; and thrombosed external hemorrhoids, which are blood clots in the external hemorrhoids. The reason for this is because the mucous membrane inside the anus was taut due to an extra piece of meat, making the mucous membrane elongated and thin, and the blood vessels under it dilated, also causing the blood vessel wall to become thin, so that when there are impurities in the stool, it will cut through the blood vessels under the mucous membrane causing bleeding, but don’t be nervous, hemorrhoids blood in the stool, after defecating the sphincter muscle contraction, it will be compressed to stop the blood, unless the daily stool The actual fact is that it will cause anemia, but not generally. The second stage of internal hemorrhoids is prolapse, the fecal mass will push the internal hemorrhoid out of the anus, early because the hemorrhoid and the lower support tissue are connected, there is elasticity, when defecating out, after defecation will retract back to the anus, and so on to the third stage of development, they can not go back, you have to use your hand to plug back, because at this time the hemorrhoid and the lower support tissue has broken, there is no elasticity, wait until the fourth stage, with the hand to plug back also fall down, this is because This is because the sphincter muscle is tired and at first you can plug it back in, but now it can’t, and the patient’s anus is very flaccid and has a feeling of weakness and laxity in defecation. When the hemorrhoid breaks with the supporting tissue underneath, it is already irreversible and can only be treated surgically, so you should know the indications for surgery for internal hemorrhoids, i.e. surgery only for stage three and four internal hemorrhoids, but of course you are stage one, but the non-surgical treatment for blood in the stool is not effective, so you should also consider surgery for specific problems. The principle of anorectal treatment is not for hemorrhoids, only for symptoms, meaning, not you have hemorrhoids to be treated, because the vast majority of hemorrhoids are asymptomatic, maybe you have hemorrhoids, but you have no symptoms for life, so no need to dispose of. Nowadays, private hospitals are over-treating, cutting hemorrhoids if you have them, and surgical treatment for those that can be cured by non-surgical treatment, and many patients don’t understand, saying I have five hemorrhoids, how can you cut three for me? In fact, although hemorrhoids are a disease, but it still has a role to play, hemorrhoids cut more than one, can cause anal stenosis.