The following methods can be used to determine whether the hemorrhoids are detached or not: observation of the stool, anoscopy and so on.
After the occurrence of hemorrhoids, if the effect of conservative treatment is not good, the feasibility of external stripping and internal ligation, after the operation, you need to observe the stool, if found in the stool ligation line, that hemorrhoids have been detached, this is the simplest observation method.
After the external peeling and internal ligation, there will be ligation lines on the rectal mucosa, you can do anoscopy, to be able to observe the trauma, if you find that the trauma of the ligation lines have been detached, indicating that the hemorrhoids have been detached, you need to wait for the operation to heal completely, the clinician assessed, allowed to do anoscopy to re-examine, to avoid damage to the newly healed mucosa.
After the occurrence of hemorrhoids, accompanied by uncomfortable symptoms, it is recommended that patients go to the hospital, you need to determine the severity of the condition, and then decide how to treat, some patients can be treated conservatively, some patients need surgical treatment, listen to the advice of a professional doctor.