The common saying is “nine out of ten hemorrhoids”, hemorrhoids are a common disease among the population, our census found that about 6 out of 10 adults suffer from hemorrhoids, so the incidence of hemorrhoids is very high, here I will talk about the etiology of hemorrhoids, and prevention methods. 1, the formation of the causes of hemorrhoids Why would people get hemorrhoids, animals will not have hemorrhoids? Because of the defects of human physiological structure and upright position: when the human body is standing or sitting straight, the anal position is low, affected by gravity, the rectal-anal venous blood return is obstructed, the rectal upper vein and its branches lack venous valves, blood is prone to stasis, and the rectal vessels are arranged in a special way, in different planes through the muscle layer is easily compressed by feces, so that the veins in the loose tissue under the mucosa are prone to expand, varicose and produce hemorrhoids. This is why it is said that hemorrhoids are a disease unique to the human body. Reptiles such as cows, horses, dogs, rabbits and other animals do not suffer from hemorrhoids, but also mainly because of the high position of the anus in reptiles, which facilitates the return of blood to the anorectal area and is less likely to produce varicose veins in the anorectal area. This is why hemorrhoids are unique to humans. The reason for hemorrhoids is not simply a local factor, but mainly due to the imbalance of the body’s yin and yang, coupled with external sensations, internal injuries, the six sexes and the seven emotions, which are summarized in the following aspects: (1) poor diet: eating too much, too full. (2) Constipation: long-suffering stools and heat accumulation in the large intestine is a cause of the development of hemorrhoids. (3) Overexertion: If you sit for a long time, the blood vessels will not work, and if you walk for a long time, the qi and blood will be crossed and the meridians will be intertwined. The long sitting and long walking, overworking, so that the intestines and stomach injury, so that the turbid Qi stasis blood, flowing into the anus and hemorrhoid disease. (4) Long-term illness: long diarrhea, long dysentery, long cough, easy to make the loss of qi and blood, qi deficiency down, and the birth of hemorrhoids. (5) Pregnancy and menstrual disorders: Pregnancy and menstrual disorders can cause menstrual blood to overflow and leak into the intestines, which can lead to hemorrhoids. 2.Introduction to the classification and clinical manifestations of hemorrhoids Hemorrhoids are divided into internal, external and mixed hemorrhoids. For external hemorrhoids alone, there are no clinical symptoms such as anal discomfort, itching and pain, so no treatment is needed. Internal hemorrhoids are divided into four stages The first stage: there are no obvious conscious symptoms, only blood, dripping blood or spraying blood when defecating. The hemorrhoid does not prolapse out of the anus. Stage 2: Intermittent bleeding, dripping or squirting of blood during feces, with medium amount of bleeding. The hemorrhoid may prolapse out of the anus during feces, and can be incorporated into the anus by itself after feces. Stage 3: The internal hemorrhoid prolapses during defecation, or also prolapses after exertion, when walking too long, or when coughing. The internal hemorrhoid cannot be returned by itself after prolapsing, and it must be held into the anus by hand, or it can be returned after resting in bed, and the bleeding amount is less. Stage 4: The hemorrhoid is outside the anus for a long time and cannot be returned to the anus, or it may come out again immediately after it is returned. The development of hemorrhoids to the latter three stages more into mixed hemorrhoids, because the prolapsed hemorrhoid block is larger, has involved the internal and external venous plexus and surface covered by rectal mucosa and anal canal skin, therefore, mixed hemorrhoids is the consequence of hemorrhoids constantly aggravated. The clinical manifestations of hemorrhoids: the main ones are as follows: Blood in the stool: mostly bright red, can be spotting out or jet bleeding. Dry stools, alcohol, fatigue, and spicy and irritating foods are often triggers for bleeding. Mucus overflow: the rectal mucosa is stimulated by the nucleus of hemorrhoids for a long time, producing inflammatory exudation and increasing secretions. The exudation makes the anal skin often stimulated and eczema and itching symptoms occur. The actual pain: internal hemorrhoids are painless, if accompanied by anal fissures, internal hemorrhoids become embedded, causing edema, thrombosis, erosion and necrosis, then there is severe pain 3, how to prevent and control hemorrhoids Early hemorrhoids do not require surgical treatment, through the following methods, can effectively prevent and control the middle and early hemorrhoids, improve or even completely eliminate the symptoms: First, to prevent and control constipation to develop good bowel habits, pay attention to the following points ① reasonable deployment of diet . Both can increase appetite, correct constipation to improve gastrointestinal function, but also to develop the habit of regular bowel movements. Daily diet can be more vegetables, fruits, beans and other diets containing more vitamins and fiber, less spicy and stimulating food, such as chili, mustard, ginger, etc.. ②Create the habit of regular bowel movements. Healthy people usually do not have feces in the rectum, with the morning wake up caused by the upright reflex, breakfast caused by the stomach, colon reflex, the colon can produce a strong “group peristalsis”, the feces pushed into the rectum, the rectum fecal accumulation to a certain amount, it will produce a bowel movement. It is best to get into the habit of having a regular bowel movement every morning, which has a very important role in preventing the occurrence of hemorrhoids. Some people believe that drinking a glass of cold water in the morning can stimulate gastrointestinal movement and prevent constipation. In addition, the morning to participate in a variety of physical activities, such as running, doing exercises, playing Taijiquan, etc. can prevent constipation. When you have the intention not to hold back the stool, because a long time to hold back the stool can cause habitual constipation. Excessive squatting time when defecating, or reading newspapers, or excessive force, these are bad defecation habits, should be corrected. ③ choose the correct method of treatment of constipation. For general constipation patients, you can use a reasonable deployment of diet, to develop the habit of regular bowel movements to correct. For stubborn constipation or constipation caused by a disease, should go to the hospital as soon as possible, do not take long-term laxatives or long-term enemas. Long-term use of laxatives can not only make the rectal blood vessels congested and dilated, but also can lead to gastrointestinal dysfunction. Long-term enema, will make the rectal mucosa sensory dull, defecation reflex is blunt, aggravate constipation, but in favor of the occurrence of hemorrhoids. Therefore, if you suffer from stubborn constipation, it is recommended to go to the hospital as soon as possible under the guidance of an experienced physician for proper treatment. Secondly, you can do anal contraction exercises, consciously do anal lifting 30-50 times a day, appropriate exercise can reduce venous pressure, strengthen the function of the cardiovascular system, eliminate constipation, and enhance muscle strength. This is very useful in the prevention and treatment of hemorrhoids. Anal lifting exercise is the easiest and most effective method: relax your whole body, tighten your hips and thighs, with inhalation, lift your anus upwards, close your breath a little, then exhale and relax your whole body. This exercise can be done anytime and anywhere. This method is simple and easy to learn, no matter what kind of work you are doing, whether you are standing, sitting or lying can exercise, while combined with local anal massage, the effect is better. In addition, a hot water bath after a bowel movement can not only clean the dirt in the folds of the anal skin, but also promote local blood circulation, which has an important role in maintaining the cleanliness and physiological function of the anus. Here is a drug bath method: you can buy 5g of Park’s Nitro in pharmacies, soak it in warm water and take a bath for about 10 minutes, once in the morning and once in the evening, which can reduce swelling and relieve pain. The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items. Therefore, it is very common to get hemorrhoids during pregnancy, so you should go to the hospital regularly to review and correct the fetal malposition in time, not only for the benefit of pregnancy care, but also for the prevention of hemorrhoids and other anal diseases. In addition, pregnant women generally have relatively less activity, which causes gastrointestinal function to weaken, feces stays in the intestinal cavity, and water in the feces is reabsorbed, causing dry stools and triggering hemorrhoids. Therefore, during pregnancy, you should increase your activities appropriately. The actual fact is that you will be able to prevent hemorrhoids by using warm water to fumigate the anal area after each bowel movement. If you have hemorrhoids after pregnancy, you don’t need to treat them first if they are not very serious, but wait for them to be treated under the guidance of your doctor after you have given birth. For most early patients, adhering to the above methods can effectively prevent and control hemorrhoid attacks. For patients with moderate or severe hemorrhoids, or with symptoms such as recurrent bleeding, anal itching, pain, and discharge, it is recommended that they be treated in a timely manner at our hemorrhoid clinic in our Chinese medicine department. 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. Finally, we remind patients that 70% of bowel cancer patients can only show the symptom of blood in stool without any other manifestations in the early stage. If there is blood in stool and you are not sure whether it is hemorrhoid or not, please go to regular hospital for examination as soon as possible to exclude the possibility of malignant tumor of intestine. Life is priceless and health is a blessing!