The saying “nine out of ten hemorrhoids” is a bit exaggerated, but it also reflects the fact that the incidence of hemorrhoids is high, “Do I need to treat my hemorrhoids? How should I treat them?” This is a concern in the minds of many patients, and the reason for this distress is both the lack of awareness of the disease and the factor of human interference. A lot of hemorrhoid patients may have the experience that some so-called “experts” in the anorectal department, or even some “experts” who claim to be nationally renowned hospitals, often say to patients that “your hemorrhoids are very heavy and will become cancerous if they are delayed for a long time. The hemorrhoids are still light, do it early, later aggravation is not good to do; your hemorrhoids are too heavy, that is to find me to do, if ……” and so on, “experts” center means to let you do surgery, many The actual fact is that many patients may not need surgery at all. So what are the diseases that need to be distinguished from hemorrhoids in the treatment process? What kind of hemorrhoids need to be treated? What kind of treatment is needed? When do hemorrhoids require surgery? I would like to share with you some of the knowledge and experience I have gained from studying with my mentor, the famous anorectal disease expert, Professor An A Yue, in the hope that it will be helpful to our readers and patients. Hemorrhoids are venous masses formed by stagnant enlarged and varicose veins in the lower rectal canal and the anal verge, which are unique to humans. The clinical symptoms are “blood in the stool, pain, prolapsed nucleus, mucus overflow in the anus and other symptoms. Hemorrhoids are easier to diagnose through clinical symptoms combined with local anal examination, but still need to be distinguished from other diseases, such as blood in the stool, internal hemorrhoids can have blood in the stool, ulcerative colitis can have blood in the stool, radioactive proctitis, colorectal tumors can also have blood in the stool, in addition to some heart valve surgery, coronary stent placement patients taking long-term anticoagulants can also lead to blood in the stool, which must be further clarified through detailed medical history and relevant examinations. In addition, some patients with heart valve surgery and coronary stenting can also have blood in their stools due to long-term anticoagulant use. If there is only a small amount of blood in the stool once in a while, it is not a big deal and local symptomatic medication can be used. Surgery should only be used if conservative treatment is not effective, if the hemorrhoids are recurrent and affect the health and quality of life. In terms of conservative treatment, local topical medications should be the mainstay, supplemented by oral medications, and antibiotics should not be used in the absence of fever, high white blood cell count, and low neutrophil percentage. Professor An A Yue, after years of clinical practice, believes that for patients with obvious hemorrhoid nucleus prolapse and swelling pain, the application of Chinese herbal medicines to clear heat and dampness, reduce swelling and pain, etc., and external washing of herbal medicines to astringent and detoxify heat, can play a very obvious effect, patients with blood in the stool apply rectal mucosa protective agents, such as compound keratanate suppositories nanoanal, hemostatic effect is still good, after the relief of symptoms of drug treatment, pay attention to the adjustment of dietary structure, defecation habits, each time After the symptoms are relieved by medication, pay attention to the adjustment of diet structure and bowel habits, and defecate no more than 3-5 minutes each time, the condition of many people can be stable for a long time. Some doctors do not take into account the actual condition of the patient and suggest surgery, which is against the patient’s will and leaves a shadow of bad medical treatment in the patient’s mind. The actual fact is that you can find a lot of people who have been in the business for a long time, and they’ve been in the business for a long time. Connective tissue proliferation abnormalities, anal foreign body sensation is obvious, affecting the quality of life. For mild single hemorrhoids using injection ligation therapy, you can be discharged about 3 days after surgery, while moderate to severe circumferential hemorrhoids, due to ligation of hemorrhoid sites, the surgical wound is not sutured, the recovery time is naturally extended accordingly, the recovery time is generally 7 days after surgery is appropriate, while the recovery time is closely related to the strength of the patient’s physique, the age of the young, and the presence of other basic medical diseases and other factors, we should analyze objectively. We should analyze objectively and not make a blanket statement. Some doctors or medical institutions advertise that they can be discharged from the hospital in 2-3 days after surgery, or even with the treatment, and only when patients are discharged are they told that they need outpatient medication change treatment, which invariably increases the pain and burden of patients. If the bleeding from the ligature is not detected and treated in time, it can often lead to adverse consequences. The recovery of the disease has its own laws, against the law is impossible to achieve good results, Zhang Wuben’s “mung bean cure” was boasted to be an innovative invention, the facts prove that contrary to science can not last. What many patients lack is not the access to knowledge, but the ability to distinguish between true and false knowledge. The overwhelming network propaganda, exaggerated efficacy, such as what created a new treatment, the whole painless not hospitalized, minimally invasive, etc., remember that there is no free banquet, the patient needs to do is to think more, less blindly follow. The old saying that does not look at advertising, look at the effectiveness of the treatment, wine is not afraid of the alley, is very reasonable.