First of all, let’s say what is hemorrhoids. Hemorrhoids are in a variety of factors, such as long-term constipation, sedentary, pregnancy, spicy food, alcohol, cirrhosis, portal hypertension, etc., resulting in rectal venous reflux obstacles, increased pressure, resulting in the end of the rectum under the mucous membrane and the skin of the anal canal under the veins under the dilatation and flexion of the soft venous mass (or even tumors like dilatation), known as hemorrhoids, also known as hemorrhoids, hemorrhoids, piles, hemorrhoids, hemorrhoids disease, and so on. The performance of blood in the stool, anal swelling, foreign body sensation, swelling prolapse, pain, etc., if the complication of anal fissure pain is more intense, every bowel movement as a disaster. Hemorrhoids can be further divided into internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, etc. Internal hemorrhoids are mainly manifested as blood in the stool and prolapse; external hemorrhoids are mainly manifested as soft tissue mass in the anal area, with anal discomfort, moist itching, or foreign body sensation; mixed hemorrhoids when the symptoms of internal hemorrhoids and external hemorrhoids at the same time, the serious manifestation of ring hemorrhoidal prolapse. Patients often complain of intermittent blood in the stool: blood dripping or ejaculating during stool. The amount varies, the color is bright red, and the blood is not confused with feces. Or manifested as blood on the handkerchief. After defecation, there is a mass prolapsed out of the anus, the initial stage can be self-returned, the later need to use the hand to support the back or bed rest to reset, the serious cases of squatting, walking, coughing or sneezing may be prolapsed. Anal discomfort, including anal swelling, foreign body sensation, itching or pain, or with mucus overflow. The severity of internal hemorrhoids is medically classified into 4 degrees. degree I: blood in stool, dripping blood, bleeding can stop by itself after stool; no hemorrhoidal prolapse. Degree II: blood in the stool; hemorrhoidal prolapse during defecation, which can be self-contained after defecation. Degree III: blood in stool; hemorrhoids prolapse during defecation or prolonged standing, coughing, exertion and weight-bearing, and need to be restored by hand. Degree IV: there may be blood in the stool; hemorrhoids continue to prolapse or prolapse easily after restoration. Severe cases can be complicated by thrombosis, embedded, strangulation and defecation difficulties, thrombosis, embedded, strangulation and inflammation can be painful until severe pain. With the concept of hemorrhoids you can pair your own number. As the saying goes: “ten people nine hemorrhoids” may be a bit of an exaggeration, but it is not difficult to see hemorrhoids is a common and frequent disease, no need to panic. Not all patients need to be treated, a basic principle is that there are symptoms need to be treated, can be non-surgical treatment is not surgery, can remove the cause of the better. The second is the relationship between blood in the stool and hemorrhoids. The main symptom of hemorrhoids is blood, but we must pay attention to the hemorrhoids of the blood of the blood bright red, blood is not confused with feces, like the relationship between the TV box and the TV, if the blood and the stool is mixed up with one that is the other disease. Special tips, hemorrhoids are not the only cause of blood in the stool, not to blood in the stool are attributed to hemorrhoids! Older people need to be wary of intestinal tumors, tarry stools (sticky, thin, black, bright) is the upper gastrointestinal bleeding, some blood in the stools should also be considered colon lesions. Third, let’s talk about the examination and diagnosis of hemorrhoids. Doctors through the anus visual diagnosis can understand whether the internal hemorrhoids prolapse, the anus around the varicose external hemorrhoids, thrombosed external hemorrhoids and skin, if necessary, squatting examination, observation of the site of prolapse of internal hemorrhoids, size and bleeding and hemorrhoids mucous membrane congestion and edema, vesiculitis and ulceration. Anorectal diagnosis is an important examination method, in addition to understanding the degree of internal hemorrhoids, can rule out anorectal tumors and other diseases. Anorectoscopy can clarify the location, size, number and surface mucosa of internal hemorrhoids. Total colonoscopy is recommended for those who visit the clinic with blood, those who have a family history of gastrointestinal tumors or their own history of polyps, those who are over 50 years old, those who have a positive fecal occult blood test, and those with hemorrhoids who have iron-deficiency anemia. Finally, let’s talk about the treatment of hemorrhoids and life management. Serious conditions, such as a lot of blood, anemia, embedded hemorrhoids, necrotic hemorrhoids, mixed hemorrhoids, thrombosed external hemorrhoids (mostly accompanied by lumps, severe pain), etc. Do not carry on, hurry up surgical treatment is best.