1, what is hemorrhoids? The traditional concept of hemorrhoids is a soft venous mass formed by the expansion and flexion of the submucosal and subcutaneous venous plexus of the anal canal and anal verge at the end of the rectum. The modern concept of hemorrhoids is the pathological hypertrophy of the anal cushion displacement and perianal subcutaneous vascular plexus blood flow stagnation formation of mass. It is a common condition that affects both men and women of all ages. Adults over 20 years of age account for the majority of these cases, and there are more women than men. The incidence of hemorrhoids in anorectal diseases accounted for 87.25%, accounting for 46.3% of the examined population. 2.What are the symptoms of hemorrhoids? Hemorrhoids grow inside and outside the anus, to the dentinal line as the boundary, hemorrhoids are divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids three categories, got hemorrhoids the main symptoms are the following: ① Rumors: as long as the hemorrhoids, inside and outside the anus in the lesions, there are obvious hemorrhoidal vein clusters formed by the rumors. Initially small, with the development of the lesion is getting bigger and bigger. ② blood in stool: bleeding after stool is one of the early symptoms of internal hemorrhoids, internal hemorrhoids often have no obvious self-conscious symptoms in the early stage, mostly found with blood after stool, only to cause the patient’s attention. Blood in the stool is usually first light and then heavy, from a small amount of blood to a large amount of bleeding, some due to long-term repeated bleeding, so that the patient suffers from severe anemia. Pain: When internal hemorrhoids are inflamed or thrombosed, the hemorrhoids swell and cause pain and discomfort. If the internal hemorrhoid is inflamed and embedded, the pain will increase; if the internal hemorrhoid is embedded and necrotic, the pain will be unbearable. Prolapse: the first stage of internal hemorrhoids is small, will not prolapse out of the anus; the second stage of internal hemorrhoids prolapse out of the anus, can self-return; the third stage of internal hemorrhoids prolapse out of the anus, can not be self-returned, need to use external force (with the hand to return to return to) can return to, and even coughing, walking, labor force hemorrhoids can be immediately out of the hemorrhoids; the fourth stage of internal hemorrhoids prolapse embedded out of the anus, can not be retracted. ⑤ anal moisture: mostly see two, three stages of internal hemorrhoids, especially in the internal hemorrhoids inflammation and enlargement of secretion increase, or hemorrhoids prolapse outside the anus, is more serious anal moisture. External hemorrhoids generally more no secretion, only in the external hemorrhoid inflammation, skin ulceration, secretion discharge more time, the anus is often wet, mostly inflammatory external hemorrhoids. The above are the main common symptoms of hemorrhoids. Due to the different conditions, the symptoms are light and heavy, not all, but once found the above symptoms, should be early to the hospital diagnosis and treatment. 3, hemorrhoids of the onset of what factors? Hemorrhoidal etiology of many factors, so far has not been fully articulated, in general, mainly related to the following factors. 1, anatomical factors The formation of hemorrhoids and local anatomical features are closely related. (1) the upper and lower rectal arteries and anal artery of the terminal walk are concentrated near the dentate line, tiny arteries and veins with direct anastomosis method constitutes a cavernous vein, cavernous vein myocardium is not well developed, less elastic fibers, collagen fibers, easy to dilate and hemorrhoidal formation. (2) The anorectum is located in the lowest part of the torso, the hemorrhoidal veins and their branches have no flap, and it is difficult for the blood to return upward. At the same time, the hemorrhoidal veins are located in the submucosal layer of the loose tissue, and they lack the strong support of the tissue, so they are easy to dilate and form into a mass. (3) Rectal blood vessels in the lower part of the rectum at different heights through the muscle layer, often subject to fecal pressure and abdominal pressure, easy to impede the return of blood. 2, infection factors anal infection is an important factor in the occurrence of hemorrhoids, anal gland infection invades the hemorrhoidal venous plexus, causing perivenous inflammation, the vein wall loses its elasticity, easy to expand and bend. Support and fixation of the anal cushion of the tissue due to inflammation damage, lose its fixed effectiveness, can make the anal cushion prolapse, cause or aggravate hemorrhoids. 3, constipation and abnormal defecation persistent constipation, defecation time is too long, defecation, or long-term diarrhea, can make the abdominal pressure increase, anorectal congestion, varicose veins, anal sphincter relaxation, and even make the rectal mucous membrane and the muscular layer of the separation of the detachment of the anal canal with the feces downward, the action is easy to produce hemorrhoids repeated. 4. Pregnancy and childbirth Pregnancy is one of the causes of increased abdominal pressure. Pregnancy is one of the causes of increased abdominal pressure. The fetus presses the pelvic veins during pregnancy, bruising the lower rectum and causing vasodilatation, especially in repeated pregnancies, which directly prevents the return of blood, resulting in hemorrhoidal venous plexus congestion. At the same time, due to the delivery of too much force, often make the anorectal part of the venous, lymphatic reflux difficulties and produce hemorrhoids. 5. Dietary disorders and drinking alcohol and spicy food Poor dietary habits, partiality to meat, and vegetables and fruits intake is small, or too much food frying fried and spicy stimulating food, not only make the anorectal blood vessels congested, affecting the venous return, and at the same time will also lead to or exacerbate the occurrence of constipation. Chili pepper in the digestive tract is generally not easy to be digested and absorbed, in the anorectal part of the stimulation of mucous membrane and anal sinus, causing venous congestion and sinus inflammation. Alcoholic beverages can cause hemorrhoidal venous congestion in addition to weaken the resistance of the blood vessel wall, thus leading to the occurrence of hemorrhoids. 6. Genetic factors Some scholars point out that children and young people have hemorrhoids and congenital factors related to congenital defects in the vein wall, resistance is reduced, can not tolerate the pressure in the blood vessels, and gradually expand the occurrence of varicose. If there are abnormally large arterial branches, narrowing of the veins and capillary dilatation, and noted that this congenital defect of the blood vessels is systemic, often in the same person at the same time the existence of many vascular lesions. 7. anal sphincter relaxation and weakness old and weak people often due to the anal sphincter relaxation and hemorrhoid prolapse aggravation, anal department surgery to destroy the sphincter of the complete structure, can promote the development of hemorrhoids. 4, sedentary, standing for a long time the crowd is prone to hemorrhoids? Sedentary people are people who work for a long time and car drivers, accountants, train drivers and so on. Due to the anatomical factors, the rectal vein lacks a venous valve, thus affecting the blood return; in addition, the anus is in the lower part of the body, sedentary so that the anus is directly under pressure, venous blood return is blocked, so it is easy to become hemorrhoids. The people who stand for a long time are barbers, salesmen, police officers on duty and so on. Because originally people are upright position, the anal position is lower, can affect the blood return, in the role of geocentric attraction is easy to stasis of hemorrhoids. 50’s study proved that semi-recumbent position when the person’s supra-rectal venous internal pressure of 230 ~ 250 mm water column, sitting position rose to 600 ~ 750 mm water column. This indicates that the rise in pressure in the upper rectal vein is one of the causes of hemorrhoids. Therefore, people who stand for a long time are also prone to hemorrhoids. China’s census shows that: car drivers, barbers, salesmen, police and other hemorrhoid incidence rate is the highest, 81.7%; followed by cadres, 71.5%; 70.3% of the workers; farmers for 62%; 32.6% of the military; students for 19.2%. 5. Why are there more hemorrhoids among women? Hemorrhoids are a common and frequent disease. In actual clinical practice, the prevalence of female patients is much higher than that of men, and there are “ten women nine hemorrhoids”. Why do women have more hemorrhoids? This is mainly due to the following aspects: ① physiological and anatomical differences: women’s uterus in the pelvic cavity squeeze rectum, so that the curvature of the rectum increased, stool through the male than to slow, easy to produce constipation and hemorrhoids. ② the influence of the fetus in pregnancy: women in pregnancy due to fetal enlargement, compression of the rectum, so that the rectum anus venous reflux obstacles, but also easy to cause varicose veins and the formation of internal and external hemorrhoids. Stimulation of menstruation and leucorrhoea: women’s menstruation and leucorrhoea and other secretions often stimulate the anal skin, which can cause chronic inflammation, resulting in tissue hyperplasia and the formation of hemorrhoids and anal eczema. ④ Tearing of the perineum by childbirth: women tear the perineum to varying degrees during childbirth, leading to the occurrence of inflammatory external hemorrhoids such as anal edema and pain. ⑤ postpartum abdominal cavity emptiness powerlessness: women in the postpartum period, due to the abdominal cavity emptiness, so that the sense of intention to become sluggish, coupled with the activities of less, resulting in defecation powerlessness, fecal matter in the intestinal tract retention time is longer, defecation drying difficulties, easy to tear the anus and the formation of anal fissure. 6, got hemorrhoids why early treatment? Got hemorrhoids, should be timely treatment, such as let it develop, the condition will not only get worse, will affect the work and life, some will bring serious consequences. If you suffer from internal hemorrhoids, the most important symptom of early internal hemorrhoids is blood dripping from the stool, or blood on the paper, and no other discomfort. Early treatment, simple surgical operation, short treatment time, low cost, the patient does not feel the pain; on the contrary, the internal hemorrhoid grows bigger and bigger, so that after the stool out, after the stool can not be self-returned, need to use the hand to support the back, and some even incarcerated necrosis, the amount of bleeding each time the gradual increase in long-term repeated bleeding, and finally lead to severe anemia. Therefore, once you have hemorrhoids, you should be treated as soon as possible. If you suffer from external hemorrhoids, in addition to a little foreign body sensation in the early stage, there is no other discomfort. Early treatment, the operation is simple, fast healing, low cost, the patient’s pain is small; such as let it develop, can form ring external hemorrhoids, or varicose veins are more powerful, once a day due to some reason to force too much, hemorrhoidal vein wall is difficult to withstand the pressure of the hemorrhoids and lead to the rupture, will form thrombosis of external hemorrhoids, the pain is severe, restlessness, then the treatment is more than the early treatment of time, effort, surgical trauma, pain, therefore, suffering from The first thing you need to do is to get the best possible treatment for your hemorrhoids. 7, how to do a good job of prevention and health care of hemorrhoids in the elderly? Elderly people are generally weak, and many of them have some cardiovascular and cerebrovascular diseases, their body functions are relatively declining, and their self-recovery ability to external stimuli is relatively poor, and the surgical treatment of hemorrhoids is a simple and fast-acting method. For the elderly hemorrhoid patients, by their own cardiovascular and cerebrovascular diseases and wound healing ability and other conditions of the limitations, resulting in a higher incidence of hemorrhoids among the elderly in the treatment of the importance of the increasingly embodied. Since the treatment of elderly patients with hemorrhoids in the treatment of hemorrhoids in the first place, then how do we treat it correctly? The following from the preventive health care and treatment to talk about: Since we have recognized the hemorrhoids on the elderly is a problem that can not be ignored, it can be seen that the prevention of hemorrhoids appears to be more important than the treatment of hemorrhoids. What should we do to prevent the occurrence of hemorrhoids? That is to say, in the prevention of hemorrhoids on the occurrence of the elderly should be from what aspects of good preventive health care work? There are the following five aspects to pay attention to, is introduced as follows: ① cheerful, optimistic, correctly treat the natural phenomenon of birth, old age, sickness and death. ② regular life, diet, exercise, rest, entertainment to have a scientific arrangement, pay attention to health care. ③ Pay attention to diet and health care, avoid eating spicy and thick-flavored products. Dietary requirements are high protein, multi-vitamin, low fat, low cholesterol, less sugar, less salt, regular and quantitative, not cold, not hot, easy to digest. ④Adhere to moderate exercise. Exercise should be measured, step by step, persistent, static and dynamic combination, not too hasty, not strong, not too much, not too radical. If you usually do more anal exercise, to prevent the occurrence of hemorrhoids is very good. ⑤ Pay attention to disease prevention and treatment. The body is an organic whole, interconnected, mutual influence, so should be regular body checkups, pay attention to observe the health status of the body, such as the discovery of physical discomfort, timely medical treatment. To deal with diseases, we should be positive and optimistic, early prevention and early treatment. Similarly, for the elderly who have already suffered from hemorrhoids, we should give the appropriate treatment plan and treatment method according to the specific situation. For elderly people of advanced age or those with hemorrhoids accompanied by more serious cardiovascular and cerebrovascular diseases, conservative palliative care should be used to avoid the occurrence of life-threatening diseases caused by surgery, anesthesia and other stimuli that may lead to serious consequences. For patients with hemorrhoids who are in good health and without serious cardiovascular and cerebrovascular diseases, early surgery or drug injections should be performed to do a thorough treatment, so as not to delay or aggravate hemorrhoids, which will have bad consequences on the quality of survival and treatment in the future. In view of this, generally advocate, in the old age before or in the cardiovascular and cerebrovascular disease before, or cardiovascular and cerebrovascular disease is not aggravated before the hemorrhoids, regardless of its degree of severity, should do a thorough treatment, for the elderly life and health to lay a good foundation. 8, hemorrhoid patients should pay attention to what? Doctors engaged in the treatment of hemorrhoids and other anorectal diseases in the clinical work may be more or less encountered this phenomenon, that is, to seek medical treatment of hemorrhoids patients can not be clear or comprehensive statement of their own symptoms, this phenomenon is not conducive to the doctor’s very good to fully understand and grasp the condition and give the appropriate treatment. This phenomenon is not conducive to the doctor’s ability to fully understand and grasp the condition and give appropriate treatment. This is very bad in the clinical treatment. To this end, for the patient to state the problem of the disease and the patient in the medical aspects of the statement should be talked about: ① highlight the main problem: the most painful, the most obvious discomfort (symptom) is what (such as constipation); the time of the occurrence of the disease and pain when (for example, when the stool). ② tell the evolution of the symptoms: the beginning of how (what causes, when to start); what changes in the middle (what drugs used, how the condition has changed); how the situation is now. ③ Describe the accompanying symptoms: for example, chills and fever. Describe the cause of the disease: tell as much as possible about the cause of the disease as far as possible, e.g. spicy food and alcohol. ⑤ Introduction of previous diagnosis and treatment: where you have been to see the doctor, what tests you have done and what the results are, what treatment you have undergone, and what is the effect of the treatment (you should prepare the relevant information in advance and bring it along with you, and it is recommended that you prepare your medical records when you go to the doctor). If this is not possible, the physician will take the initiative to ask the patient, and the patient will answer according to the content of the physician’s inquiries. Answers to the physician’s inquiries should be concise and accurate, true and specific, not to answer the question, say something unrelated to the inquiry, not to exaggerate or conceal the condition. The patient’s answer is not clear, the accompanying personnel can replace the answer. 9.How to do self-massage and exercise therapy after suffering from hemorrhoids? Hemorrhoids are the result of local blood stagnation, so the use of massage to improve local blood circulation is beneficial in both prevention and treatment. There are two ways: one is to use your hands to self-massage the tail-sacral area before going to bed, which has the effect of unblocking blood stasis in the rectum and anus. Each time along the coccyx to the tip of the coccyx long strong points, up and down back and forth with the palm of the hand rubbing 30 to 50 times, so that the local feeling of heat is appropriate. The other is the “anal lift movement”. What is the “anal lifting movement”? Lifting the anus means consciously contracting and lifting the anus upwards. This is an ancient and effective way to prevent and control hemorrhoids and other anal diseases. Often carry out anal lifting exercise, can enhance the function of the anal sphincter, accelerate venous blood return, reduce venous blood pressure, improve the rectum anus stasis, but also promote intestinal peristalsis, can prevent and control constipation. Therefore, the anal exercise is a simple and effective way to prevent and control hemorrhoids. Since the anal exercise to prevent and control hemorrhoids simple and effective, then how do we all learn to do the anal exercise? In fact, the method is very simple and easy to learn. Now is introduced as follows: anal method: the whole body relaxation, will thighs clamped, with inhalation, tongue licking the palate, at the same time up the anus, like the appearance of enduring stool, after a little closed after the anal gas does not exhale, and then with the exhalation, the whole body relaxation. It is also possible to contract at will without matching the breath. Whether sitting, lying or standing in various positions, what time, what place, can be carried out. It is best to practice once a day in the morning and evening, 30 times each time, in order not to feel tired. Lift the anus exercise for the old and weak and pregnant women suffering from hemorrhoids is particularly suitable. Every day insist on doing anal lifting exercise, generally 100 days can receive some effect. 10, patients and their families how to early detection of hemorrhage after internal hemorrhoid surgery? Massive bleeding after internal hemorrhoid surgery is generally divided into primary hemorrhage, i.e. hemorrhage within 24 hours after surgery, due to the thread is not tight, the thread slipped off; secondary hemorrhage, i.e. hemorrhage after 24 hours after surgery, usually around 7 to 10 days after surgery, the ligation infection bleeding. Due to the role of the anal sphincter, the blood mostly returns upward to the intestinal lumen without flowing out of the anus, so the bleeding is small and often not easy to be detected at an early stage; when the bleeding is large, it can fill up the rectum and the sigmoid colon and cause a sense of constipation. Early signs of hemorrhage are: ① the sense of urgency, paroxysmal abdominal pain, burning sensation in the anus, intestinal tinnitus. ② patients with dizziness, nausea, cold sweat and symptoms of collapse. Family members and physicians must be careful to accompany, diagnosis and treatment, prevention and cure. Where there are signs listed above, should be immediately rectal fingerprinting or microscopy, in order to timely diagnosis and treatment. 11, the patient to the hospital to see hemorrhoids should do what preparatory work? Chinese people are more conservative thinking, got hemorrhoids, some people are ashamed to speak out, more afraid to go to the hospital to see a doctor, always feel that the buttocks exposed to others to see, that how embarrassing, over time, the condition gradually aggravated. This is harmful to normal life and work, and some even cause the condition to deteriorate. People eat all sorts of food, get what disease have, the incidence of hemorrhoids is higher, got hemorrhoids should be bold, generous to the hemorrhoidal section of the clinic is the best choice. In order to facilitate the doctor to diagnose the condition, the patient should be prepared for the following: ① remove the burden of thought, to overcome the fear of shyness of the mind. ② first solve the stool and cleaned with water and then to the hemorrhoidal department, so that it is convenient for physicians to carry out specialized examinations, anorectal scopes on the peep clearer, not only saves the time to see the doctor, but also facilitates the physician to make an accurate diagnosis. ③ constipation patients can directly to the hemorrhoidal clean enema and then check. 12, why qigong function to combat hemorrhoids? Qigong and other sports, not only can play the role of disease prevention and fitness, but also has its unique to improve the blood circulation of the organs and regulate the function of internal organs, enhance the role of immune function, Chinese medicine is called to improve the positive qi, dredge the gas to guide the stagnation of blood circulation to eliminate the role of blood stasis. Because hemorrhoids is just gas deficiency, anorectal gas stagnation and blood stasis caused by, so adhere to qigong exercise on hemorrhoids has a certain preventive and therapeutic effect. 13.What are the common therapeutic prescriptions for hemorrhoid patients? ① hemorrhoids swelling, bleeding, defecation difficulties: 30 grams of fresh acacia, 30 grams of amaranth, 30 grams of sesame seed paste, mixed for cold dishes to eat. ② hemorrhoids prolapse, bleeding, day-long weakness: take pig or sheep intestines 1 catty, stewed cistanche 30 grams, red beans 60 grams to eat. Hemorrhoid patients should avoid eating or eat less stimulating hot and spicy diet, such as white wine, yellow wine, chili peppers, pepper, ginger, cinnamon, fennel, garlic, onion and so on. These diets can stimulate the mucosal skin of the rectum and anus, aggravating hemorrhoidal bleeding and prolapse symptoms. Among them, white wine and chili pepper are the most irritating and should be avoided, while others can be consumed in small amounts. Diet should not be too much and too full, so as not to aggravate hemorrhoids due to dry stools, discharge difficulties. 14.How to take care of hemorrhoids? Traditional Chinese medicine believes that one should “work less, avoid anger, avoid color, and avoid food”. Less labor, mainly means that in the hemorrhoid flare-up period, prolapse swelling period, should be appropriate rest, do not excessive activities and exertion, so as to avoid hemorrhoids due to underwear abrasion, further swelling and inflammation. Cease anger, is to be calm and quiet, avoid impatient anger. Anger can hurt the liver, liver qi stagnation can cause spleen qi subsidence, so that hemorrhoids out, bleeding aggravated. Far color, is in the hemorrhoid flare-up period should abstain from sexual intercourse, do not overindulge in sexual intercourse, because sexual intercourse can aggravate the perineum anus congestion, aggravate hemorrhoid prolapse and bleeding. Hemorrhoids in the flare-up of care, in addition to attention should be paid to regulate the diet, proper rest, abstaining from alcohol, color, anger, in addition to the daily fumigation bath with boiling water is an extremely important measure. Fumigation bath can clean the anus, wash secretions, reduce the mucous membrane skin irritation, improve local blood circulation, reduce inflammation, edema and congestion, is the basic method of prevention and treatment of anal diseases. Fumigation generally use plain water on the line, hemorrhoids can be used in serious aiye, pepper, mangosteen soup or expectorant soup sitz bath. Hot water bath can improve the blood circulation of the whole body, especially adaptable to hemorrhoid patients. Hemorrhoid patients should not sit and lie on the wet ground, in addition, sun-exposed stool or ground, cold slate or ground can aggravate hemorrhoids, should also be avoided to sit and lie down. In addition, hemorrhoids must be sent back to the anus by hand in time after prolapse. If not sent back in time, hemorrhoids by underwear abrasion or bacteria invasion, will be swollen and inflamed and can not return to the anus, the formation of hemorrhoids embedded, swelling pain, local necrosis, general discomfort, fever, stool is not easy to discharge, can not lie down, and even walking difficulties and other serious symptoms. At this time, should be bed rest, internal take clearing heat and detoxification, blood circulation and blood stasis soup medicine, such as pain relief such as God soup, angelica red bean soup, etc.; external use of expectorant soup fumigation sitz bath, applying Jiuhua cream or ice bile ointment. And on the surface of the hemorrhoids coated with Jiuhua Cream and other ointment, by themselves or the doctor’s hand to slowly push the hemorrhoids back into the anus, push to try to relax the muscles of the anus. Sent up to the gauze block should be folded into a thick layer of the tower, placed in the anal opening pressure, external rubber cream or cloth tape to be fixed, to prevent again out of the. Severe bleeding hemorrhoids, to the hospital in a timely manner, so as not to cause anemia. Bleeding period should keep the bowels smooth, take Jiao Di Yu rhubarb powder or Xianhe Cao 30 grams, water decoction, in order to stop bleeding. And rest properly, drink more brown sugar water, glucose water, milk and light salt water. After suffering from hemorrhoids during pregnancy, generally not suitable for surgical treatment, should mainly rely on dietary regimen and daily fumigation sitz bath to improve the symptoms. To this end, eat more fiber-containing vegetables, as well as fruits, vegetable oils and so on. Those who are constipated or have difficulty in defecation should eat some honey, sesame, caraway, walnuts, or take Cistanche with boiled water, 5 grams each time, before going to bed. However, it is not advisable to take rhubarb, senna and other laxatives, so as not to cause preterm labor. After delivery, with the abdominal pressure reduced, blood reflux, the obstacle lifted, generally hemorrhoids can become smaller or atrophy within four months, the vast majority of no special treatment. Even if part of the connective tissue external hemorrhoids residual, such as daily sitz bath, keep the bowel movement, in addition to a bit of anal discomfort, generally there will be no development and serious pain, no need for surgical treatment. 15, internal hemorrhoid bleeding led to anemia of patients how to adjust? Due to suffer from internal hemorrhoids did not get timely treatment, long-term chronic blood in stool, or many times a large amount of bleeding, and lead to anemia. If the hematocrit is lower than 8 grams, it is better to first transfuse blood or use drugs to regulate the hemorrhoids after reaching 8 grams, the hemorrhoids should be treated as early as possible; or first stop the hemorrhoids from bleeding, bleeding stops and the anemia gradually recovers, or with qi and blood nourishing agents, such as Bach Zhen Tang, Sh Quan Da Tuan Tang, plus or minus, the patient’s body will surely be recovered in the early stage. If other causes of anemia, should be treated first, after the treatment of hemorrhoids. 16.What if the patient does not want to eat or drink after hemorrhoid surgery? Hemorrhoid patients in the process of surgical treatment due to the stimulation of pain, activity reduction, etc., the stomach bloating, do not think of food, that is, usually referred to as “no appetite”. At this time, the diet should be light, not greasy, diversified varieties, such as remove the oil ribs soup, bone soup, fish soup and so on. Rice should be slightly rotten, eat more crude fiber vegetables, such as celery, bean sprouts, leeks, winter amaranth, cabbage, etc., to encourage patients to get out of bed early activities (avoid strenuous activities), in order to strengthen intestinal peristalsis. Appropriate internal use of some Chinese medicine to eliminate food stagnation, such as taking Chinese medicine, hawthorn 6 grams, Poria 10 grams, 9 grams of half-summers, Chen Pi, forsythia 6 grams, 9 grams of Lapis lazuli, decoction; or chicken gold 1, roasted and grinded soak boiled water to serve. 17, conservative treatment of hemorrhoids patients should do what appropriate exercise and take what appropriate posture and position is conducive to recovery? Conservative treatment of hemorrhoid patients in addition to not doing some strenuous exercise such as long-distance running, dance, volleyball, soccer, can be carried out in the following appropriate sports: such as swimming, jogging, walking, jumping slow four, slow three dance steps, practicing qigong, as well as timed to do the anal movement. These exercises can directly strengthen the anorectal muscles, blood vessel function, conducive to the recovery of hemorrhoids. Conservative treatment of hemorrhoids patients in the workplace rest or at home when lying on their backs or leaning back on a chair, with the head and feet as a fulcrum, raise the buttocks; or chest and knee position, clamping the legs and lifting the anus; or lying on their backs and bending the legs and straightening up; or sitting up and lifting the anus, tiptoe lifting the anus and so on can be made to the anorectal muscle contraction, accelerating the blood reflux. The patient can according to my situation, choose 1 ~ 2 kinds of suitable exercise and 1 ~ 2 kinds of suitable posture can, don’t have to do, the key is persistent, insist on, must be conducive to recovery. 18, patients suffering from hemorrhoids edema, pain, bleeding how to choose and make some simple home remedies? Medicinal dietary therapy is the application of medicinal food and drugs, after cooking into dishes to prevent and cure diseases of a therapeutic method. Since ancient times, our country has a “medicine and food are from the same source”, many foods are both food and medicine, also can prevent and cure diseases. Hemorrhoidal patients such as edema, pain, bleeding, but not out of the house, homemade medicinal food to take, the effect is very good. How to identify the food selection, is introduced as follows: ① edema: red beans, mung beans stewed large intestine: mung beans and red beans 150 grams each, cleaned pig intestine 1 section or sheep intestine 2 sections. Put the mung beans into the large intestine, tie both ends tightly, stewed and eaten. It has the effect of clearing heat and reducing swelling. Treatment of hemorrhoids edema. ② pain: unicorn cabbage cream: unicorn cabbage (deer antler cabbage) 30 grams, add sugar in moderation, powdered, then into the aluminum pot, boiled into a paste, every morning and evening to take 3 teaspoons. It is effective in clearing heat, reducing swelling and relieving pain. Cure hemorrhoids at the beginning of pain. Steamed eggplant: 1 to 2 eggplants each time, cleaned and placed on a plate with oil, a little salt, steamed in a pot of water to eat. It has the effect of clearing heat and removing toxins. Treatment of external hemorrhoids inflammation and swelling. ③ Bleeding: golden broccoli boiled sugar water: each available 60 grams of cauliflower, brown sugar, add water to cook, daily before breakfast, served for 3 to 4 days. Favor the effect of dampness and heat, stop hemorrhoidal blood. Cure bleeding hemorrhoids. Boiled sheep blood with rice vinegar: 200 grams of coagulated sheep blood each time, cut into small pieces, add a bowl of rice vinegar and cook, season with a little salt, eat sheep blood (vinegar can not drink). It has the effect of removing blood stasis, stopping bleeding and tonifying blood. Treatment of initial bleeding internal hemorrhoids. 19, hemorrhoids after surgery in the daily diet of patients should pay attention to what? After surgery, patients with hemorrhoidal disease may be afraid of bowel movement because of pain, and have nothing to do with diet; due to various concerns, the amount of food, meat and vegetables are not properly combined, resulting in malnutrition and irregular bowel movement, which may finally lead to delayed wound healing. Therefore, the postoperative diet should pay attention to the following aspects: ① On the day of surgery, you can take 1 to 2 bags of cereal or drink some rice porridge to satisfy your hunger. On the first day after the operation, you can eat light semi-liquid food, such as rice flour, noodles, pork chop soup, etc. As the second day after the operation, you can have a bowel movement. As the second day after surgery can defecate, so can enter the normal diet, supplementation of adequate nutrition, improve the body’s ability to resist disease, to ensure wound healing and prevent complications. ② The smoothness or otherwise of the stool after surgery is directly related to the pain and repair of the wound. First of all, there should be sufficient water intake. Only if there is enough water in the intestinal tube, so that the water content in the intestinal tube exceeds the water absorption of the intestinal tube, can it be conducive to the softening of feces. In addition to drinking water, in the three meals a day, more soft food, porridge, dairy and other foods to increase the water in the intestinal tract. ③ Eat more food containing more crude fiber: some plant fibers in food are not easy to be digested and absorbed in the intestinal tube, and can absorb water in the intestinal tube, forming hydrophilic colloid, which is conducive to the softening of feces. In food, vegetables and fruits contain more water than grains and cereals, so you should eat more vegetables and fruits. Coarse grains are stronger than fine grains in laxative effect, diet, eat more corn porridge, rice, sweet potatoes and other coarse grains; in vegetables, eat more cabbage, leeks, winter amaranth, celery, radish, potatoes and so on. ④ daily consumption of 1 ~ 3 city two honey, but do not eat more, or will be diarrhea; can also eat some fat-rich fruits, such as walnuts, peanuts, sesame seeds, soybeans, etc., have a good laxative effect. ⑤ homemade medicinal meals: 250 grams of fresh sweet potato leaves with oil, salt fried food once eaten, 1 time a day; or green peel sugar cane juice, honey each 1 wine cup, mixed, every morning and evening on an empty stomach. (6) Defecation is very closely related to diet. Only when enough food is consumed can a certain amount of feces be formed in the intestinal canal. It is certain that if the amount of feces in the intestinal canal is too small, it is impossible to have a normal bowel movement. Therefore, adequate and scientific intake of food is not only to maintain smooth defecation, but also to regulate the prerequisite of dry stools, so postoperative hemorrhoidal patients from the second day after the operation to a normal diet. (7) avoid eating spicy food and “hair” after surgery, such as chili, bamboo shoots, cock, taro, carp, shrimp, etc.; even if you want to eat, must wait for the cure, before a small amount of eat some. 20, the elderly hemorrhoid patients after surgery should be how to care? In addition to general postoperative hemorrhoid care, should be based on the characteristics of the elderly to strengthen the following aspects of care. ① the elderly with age, the physiological function of all systems, tissues and organs weakened, weak resistance, should avoid wind and cold, to prevent postoperative respiratory infection caused by coughing, aggravate hemorrhoidal postoperative wound pain, prolong the wound healing time. ② elderly people often have difficulty urinating after surgery, especially male patients with prostate hypertrophy, surgery, anesthesia is more likely to occur after urinary retention. Postoperative nurses should be concerned about the patient’s urination. For patients who are not accustomed to urinate in bed, when their condition permits, they should be helped to urinate on the floor. If the patient has not urinated for 8 hours after surgery, the patient can be induced to urinate with running water or rinse the perineum with warm water to stimulate urination. Encourage the patient to urinate by himself, generally can urinate smoothly, can not urinate by himself can be treated with acupuncture, choose Zhongji, Qu Bone, Yanglingquan, Sanyinjiao and other acupoints to promote urination. If necessary, catheterization should be used, and the action should be gentle, and the aseptic operation should be strictly carried out to prevent damage to the urethra and cause infection. The first release of urine should not exceed 1,000 ml, to prevent the sudden decrease in abdominal pressure caused by defecation. The sudden decrease of pressure in the bladder can cause rapid congestion of the bladder mucosa, resulting in hematuria. (iii) Observe the condition closely to prevent sudden accidents of postoperative condition, and prepare first aid drugs. Once an accident occurs, it should be detected in time and first aid measures should be taken immediately. ④ Normal elderly people are slow in action, slow in reaction, forgetful, have decreased vision, some have deafness, and have decreased sensation of heat and cold. Therefore, the safe care of the elderly after hemorrhoid surgery is quite important. Because of the pain of the wound after hemorrhoid surgery, the stool is more painful, so the elderly should be accompanied by someone to relieve the stool. They should be instructed to stand up slowly and not too violently or too quickly to prevent fainting or even fracture. In addition, to prevent burns or infusion leakage skin necrosis. 21.Why is it important to wash the anus? Most people pay very little attention to washing the anus, thinking that it is an insignificant matter. In fact, this neglect is a mistake. Anal particles of fecal sludge and rectal mucosa can not be cleaned with the release of paper, which not only creates the conditions for bacterial reproduction, but also can constitute a harmful stimulus to the anus, causing a lot of anal diseases. Relevant sex life survey statistics show that there is no anal wash habits of couples, women’s morbidity rate is relatively high. Although some people insist on bathing or washing the anus every day, but they just clean the feces outside the anus on the finish, the method is not quite correct. The correct cleaning method is: in cleaning the anus, with their index finger tip gently into the anus about 1 centimeter or so, at the same time with the action of lifting the anus, so that the anal canal expansion, and water contact. After repeated cleaning, the finger will feel no residual mucus in the anal canal, at this time the anus has been really clean. Of course, there is a point that must be noted, that is, should first wash the external genitalia, and then wash the anus, not reverse the order. At least 2 times a day to wash the anus, respectively, after the stool and before going to bed. It is especially important to wash the anus in a timely manner after defecation. Wash the anus from the longer the time after defecation, the more serious the contamination of underwear, the higher the incidence of anal and gynecological diseases. Wash with the water temperature should not be too high, to warm water is appropriate; also do not have to each time to join the disinfection of drugs, if too much medicine, will make the anus and perineum of the normal bacteria are killed, but will reduce the local skin and mucous membranes of the ability to resist disease. 22, how can I prevent hemorrhoids? Although hemorrhoids is not a big disease, after the disease will not immediately endanger the human life, but due to frequent bleeding, anus have something out, inflammation, swelling and pain, swelling and oozing, not only in the mental and physical suffering, but also on the work and study will have an impact on the long term will also lead to secondary anemia. Therefore, preventing the occurrence of hemorrhoids is more important than treating hemorrhoids. So what can we do to prevent the occurrence of hemorrhoids? Generally speaking, as long as the following methods to do, will prevent hemorrhoids in the future. ① sedentary staff, should strengthen physical exercise, appropriate changes in working position, actively participate in running, playing tai chi, qigong and other activities. ② to do dietary discipline, do not overfeed, do not partiality. Should eat more vegetables and fruits, especially in summer and after labor.