Health guidance for hemorrhoid patients!

  Hemorrhoid is a common anorectal disease, which is a venous mass formed by the dilatation and flexion of the mucous membrane and subcutaneous veins of the lower rectum and anal canal. They can be divided into internal, external and mixed hemorrhoids according to their location.  Physical therapy for hemorrhoids Breathing therapy: Using abdominal breathing plus anal lifting exercises can release the tension in the anal sphincter and the increased intra-abdominal pressure, because the muscle tension hinders blood flow and the increased intra-abdominal pressure causes bruising and the formation of hemorrhoids, so it is important to strengthen the sphincter exercise to enhance the contraction function and return it to a normal state.  Acupressure abdominal breathing method: body upright, two fingertips overlap, placed in the umbilicus 1.5cm below the “Sea of Qi” point, with fingers press this point, one side of the abdomen, slowly after slowly exhale the air, this action should be repeated for 5 to 10min, while doing abdominal breathing, with breathing to do anal contraction and relaxation. Inhale arm force, tighten the anus, when the whole body relaxed exhale, the anus also relaxed at the same time. If you can insist on doing this kind of breathing in daily life, you can prevent excessive tension of the anal sphincter and receive good results.  Pre-operative dietary care The day before surgery, eat a diet with little residue, such as noodles and thin rice. On the day of surgery, the patient should eat liquid to keep the stool open and supplement nutrition, and be instructed to eat more fresh fruits and vegetables, such as bananas, spinach, fish soup, meatball soup and other easily digestible and less fatty foods, but should not eat a full meal, and encourage the patient to defecate on time. 5-7 d after surgery, it is the period when the stitches fall off at the incision, and the patient is instructed not to eat more foods containing more fiber, and to avoid eating cold, spicy and other stimulating foods, such as chili pepper The patient should avoid eating cold, spicy and other stimulating foods, such as chili pepper, pepper, garlic, beef and mutton, etc., so as to avoid frequent and hard stools, which may lead to secondary bleeding and infection of the incision and affect the wound healing.  After the operation, patients are generally required to start defecation around 48 hours, once a day, and the stool should be soft and paste-like in order to avoid damage and increased pain caused by friction when the stool is discharged through the wound surface. After the above dietary therapy, the stool can generally be discharged, if it still cannot be discharged, use liquid paraffin 20l enema (aspirate 20l of liquid paraffin with an empty needle, insert it into the anus 5-7cm with a No. 12 urinary catheter avoiding the wound, slowly push it in, keep it for 10 minutes and instruct the patient to do anal lifting exercises), if diarrhea occurs after surgery, instruct the patient to eat light, easily digestible food, pay attention to dietary hygiene, and prohibit eating cold. If diarrhea occurs after surgery, the patient should be instructed to eat light, easily digestible food, pay attention to dietary hygiene, and forbid eating cold and raw food, and drink strong tea to facilitate urination and make the stool take shape.  Dietary care for postoperative urinary difficulties On the day after surgery or the second day after surgery, most patients have difficulty in urination after surgery due to anesthesia, surgical stimulation, wound pain or dressing compression, which causes reflex pain and spasm of the bladder neck sphincter. Such patients should drink strong tea or sweetened water to increase the volume of urine, stimulate the bladder and enhance the desire to urinate, or relax the dressing that compresses the wound to promote urination.  Sitz bath method guidance Sitz bath tub should choose enamel basin is appropriate, bath tub cleaned with boiling water scalding 10 ~ 15min to achieve simple disinfection, then pour into 40 ~ 45oC warm boiling water, put the appropriate amount of potassium permanganate powder, the ratio of potassium permanganate powder and water is 1:5000, make it rose red, sitz bath time for 15 ~ 20min. frail, hypertensive, cardiac patients sitz bath should be next to a person If the patient feels weak and dizzy, the bath should be stopped immediately and the patient should be assisted to bed to rest. In addition, because the hot water bath has sedative and hypnotic effects, the patient should also pay attention to safety and prevent falls. Generally, the sitz bath should be started on the second day after surgery, once a day.