What happens when blood suddenly contaminates the stool during defecation or drips bright red blood on the hand paper, but is not accompanied by significant anal pain? This is usually the main characteristic of stage I internal hemorrhoids. There are many kinds of diseases that are associated with blood in the stool, including cancer, and fresh blood dripping from the stool is a characteristic of stage 1 internal hemorrhoids. Although internal hemorrhoids bleed more intensely, they are almost painless. Therefore, many people ignore it for a long time, which in turn aggravates the hemorrhoids and delays treatment. In the case of dripping blood, there is either bleeding every time you have a bowel movement or intermittent bleeding. When there is a large amount of fresh blood, it is more difficult to stop the emergency treatment of bleeding internal hemorrhoids, and most of them have to bleed repeatedly for two or three days in a row, and when there is a lot of bleeding, some people will become anemic as a result. However, this stage is still a stage one internal hemorrhoid and can be completely healed without surgery as long as it is treated correctly and in a timely manner. Many people are frightened by bowel movements, but the method to stop the bleeding is exceptionally simple. When you have a hard bowel movement in the toilet, the bleeding will be extra much, so end the bowel movement as soon as possible, lie down and take a good rest, and the bleeding will soon stop. To sum up: internal hemorrhoids are divided into four stages Stage 1: blood in the stool is bright red or asymptomatic. Stage 2: Blood in the stool, bright red in color, accompanied by a swelling prolapsing outside the anus, which can be reset by itself after the stool. Stage 3: When defecating or increasing abdominal pressure, the swelling prolapses out of the anus and cannot be reset by itself, and needs to be reset by hand after rest. Stage 4: The swelling in the anus is easily prolapsed, but it cannot be reset no matter resting or pushing by hand, and the mucosal surface is eroded. The most serious internal and external hemorrhoids (mixed hemorrhoids) — hemorrhoid stone– Except for thrombosed external hemorrhoids, internal hemorrhoids and anal prolapse are usually painless. However, if you are negligent, you may experience sudden, severe pain in the anus, which is called a stenosis. The word “sten” is unfamiliar to people and refers to a state where something comes out of a cave and cannot be restored. In medical terms, it refers to the state in which the hemorrhoid nucleus or prolapse is stimulated by the anal sphincter to contract and cannot return to the anal canal itself. That is why there is a risk of tonsure in second or third stage internal hemorrhoids. In the case of a stoned hemorrhoid, a sharp bruising occurs, and on top of the internal hemorrhoid, a thrombosed external hemorrhoid occurs, producing severe pain, and the blood almost stops flowing, and sometimes even necrosis occurs in the nucleus of the stoned hemorrhoid, but in general, necrosis does not occur but keeps swelling, sometimes even to the size of a tomato, which is unbelievable. Most Ton patients are in pain and sweating and come to the hospital with everyone’s help, and because of the excessive pain, most patients enter and shout, “Doctor, do my surgery quickly.” However, in the acute stage, generally not to do surgery first, using conservative treatment to control the condition first, but the original internal hemorrhoid nucleus is not cured, there is still a risk of re-occurrence of ingrown hemorrhoids, so you must also use the surgical method for radical treatment. The most serious internal hemorrhoids can occur prolapse If there are three or four stage three internal hemorrhoids, with the prolapse of several nuclei, including the normal mucosal tissue are turned outside the anus, which is commonly known as prolapse. The state of anal prolapse looks like a blooming moonflower or chrysanthemum from the outside. Although prolapse is not painful, the most annoying thing is that it easily contaminates underwear. In healthy people, the anal sphincter protects the anus from leaking even a drop of water, but at this time, the anus cannot be turned back properly, so the dirt in the rectum flows little by little to the outside of the anus that is turned out like a moonflower, and the perianal area is always wet, thus easily causing eczema. In addition, because the anal canal is loose, even if you sneeze, feces flow back out. One patient, who had a 30-year history of internal hemorrhoids, had to waste 2 hours every morning dealing with prolapse before treatment. First take laxatives and then defecate, and even need an enema to defecate and then finally cleanse. Even so, prolapse often occurred on the bus, and the discharge eliminated contaminated underwear, so he was often unable to go to work. The surgery later freed this patient from 30 years of pain, and he now lives comfortably every day. Hemorrhoids in the elderly tend to form prolapses Anal fistulas and fissures in the elderly are very rare. Because aging causes the muscles in the anal area to relax, it is difficult to tear the anus even if the stool strip is slightly thicker, and because of the reduction in the depressed folds where bacteria can easily accumulate, anal fistulas and fissures are relatively rare in the elderly. However, as we age, hemorrhoids transform in a bad direction, and the closing function of the anus itself degenerates, so the nucleus tends to prolapse. It is a matter of course that the hemorrhoid nucleus prolapses when the abdominal pressure increases such as coughing, and many people are able to prolapse even with long walks. In this case, it is difficult to be cured by life therapy alone, so it is better to receive surgery as soon as possible. Since the hemorrhoid nucleus has become a fibrous mass, the surgery is relatively simple.