I. Clinical manifestations of hemorrhoids (1) Bleeding during stool, characterized by painless, bright red blood that appears during stool. The amount of bleeding is usually small, but sometimes it can be larger. Bleeding stops on its own after the stool. Constipation, dry and hard stools, drinking alcohol and eating irritating food are the triggers of bleeding. (2) Hemorrhoid block prolapse hemorrhoid development to a certain extent that can be out of the anus, hemorrhoid block from small to large, from can be self-reversible to must be pushed back into the anus by hand. Puyang Central Hospital Department of Anorectology Guizhao Wang (3) pain anal heaviness, pain, often with the feeling of incomplete defecation at the same time. When the hemorrhoid block is prolapsed and embedded, there is edema and infection, the local pain is intense. (4) painful itching around the anus, and even skin eczema, often making it extremely uncomfortable for patients. The stage and type of hemorrhoids The stage of hemorrhoids According to the symptoms of hemorrhoids and the degree of harm to human health, internal hemorrhoids can be divided into three stages: stage I, no pain, mainly to blood, discharge, itching; stage II, with blood in the stool, hemorrhoids prolapse with defecation, but can be returned by themselves; stage III (also known as late), internal hemorrhoids prolapse outside the anal opening, or each defecation out of the anal opening, can not be returned by themselves, must be used The internal hemorrhoid is prolapsed outside the anal opening, or each time the hemorrhoid is prolapsed outside the anal opening, it cannot be returned by itself, and must be returned by hand. In stage IV, the internal hemorrhoid prolapses out of the anus and cannot be returned to the inside of the anus. This is the most serious form of internal hemorrhoids. If the hemorrhoid is light, it can cause inconvenience to your normal life; if it is heavy, it can affect your health. If the blood in the stool is prolonged, it can lead to varying degrees of anemia and even hemorrhagic shock, which can be life-threatening; when the hemorrhoid is necrotic and infected seriously, it can cause systemic infection through the blood system, with serious consequences. Therefore, when you have hemorrhoids, you need to actively deal with them. More serious hemorrhoids can lead to or induce cardiovascular disease, especially elderly patients, such as suffering from hemorrhoids produce psychological pressure, do not dare to go to the toilet, and in the long run will aggravate constipation, when defecation occurs with difficulty, the patient force to hold his breath, can make the heartbeat accelerate causing cerebral vascular rupture, causing cerebral hemorrhage or cerebral embolism; if there is internal hemorrhoids embedded, pain can also induce angina attack; such as thrombosis, can cause pulmonary embolism. The type of hemorrhoids 1, vascular swelling type: internal hemorrhoids surface mucosa rough and soft, dark red or vermilion, easy to bleed when touched, this type to bleeding as the main symptom. 2, varicose veins type: the surface of internal hemorrhoids is hard, with glossy, dark red or blue, the hemorrhoid body is varicose hemorrhoidal veins and hyperplastic connective. 3.Fibrotic type: The surface of internal hemorrhoid is hard and elastic, and the surface of hemorrhoid body is slightly white fibrous tissue proliferation, easy to detach and not easy to bleed. 4, thrombosed external hemorrhoids: the main morbidity characteristics are sudden onset, severe pain, swelling and discomfort, and occasionally systemic symptoms. The local examination reveals a bulging swelling next to the anus, a hard and slippery subcutaneous mass can be palpated, and the tenderness is obvious. 5.Inflammatory external hemorrhoids: often caused by anal edge skin injury and infection, mostly anal pain, pain is aggravated during defecation, blood in the stool, and a small amount of anal discharge. Local examination of the raised swelling next to the anus, red in color, obvious congestion and tenderness, sometimes accompanied by general discomfort and fever. 6, varicose veins type external hemorrhoids: the anal edge is raised into an oval shape, soft to touch, painless, dark purple lump can be seen when straining during stool, and the volume can be reduced after defecation or rest, which is caused by subcutaneous varicose veins, also caused by the development of late internal hemorrhoids. The swelling and discomfort are generally felt only when defecating, and painful symptoms only when inflammation occurs. 7.Connective tissue type external hemorrhoids or superfluous external hemorrhoids: the skin folds at the edge of the anus become larger and the connective tissue proliferates, forming many superfluous hemorrhoids of different sizes and shapes. The actual fact is that you can find a lot of people who have hemorrhoids in their lives, and only occasionally find out that they have hemorrhoids during a medical checkup, and they don’t have any treatment measures after finding them, but they don’t have any discomfort, which means that not all hemorrhoids need to be treated! If you’re looking for a new way to get the most out of your home, you’ll need to go to a regular hospital to see an anal specialist. Once the diagnosis of hemorrhoids is confirmed, there is no need to worry too much, first of all, you can choose oral medication, local medication, physical therapy, with life conditioning symptoms can disappear; if the symptoms recur, you need surgery. The actual fact is that there are many surgical methods for hemorrhoids, such as the traditional external and internal ligation, PPH, laser, etc. As long as the surgical method is proper, it will not affect the function of the anus, just don’t be fooled by the advertisements on the street, you must go to the regular hospital anorectal specialist treatment.