Surgical treatment Those who have not been cured for a long time or have formed larger mixed hemorrhoids or florid hemorrhoids should be treated surgically. The aim is to remove the nucleus of the hemorrhoid or to embolize or atrophy it by mechanical means such as suturing. Electrocoagulation or laser irradiation is also effective. Acute thrombosis of external hemorrhoids, the need for immediate incision, remove the blood clots, general external hemorrhoids more without special treatment. In recent years, a new technique for treating hemorrhoids has emerged – suprahemorrhoidal mucosal circumcision, also known as PPH surgery. Its theoretical basis is mainly based on a new understanding of the pathogenesis of hemorrhoids. PPH surgery is to use a special instrument called “PPH anastomosis”, the hemorrhoids above the rectal mucosal prolapse band to do ring-shaped excision. During the surgery, the anus is first dilated, and the rectal mucosa is closed with a ring of sutures at about 4 centimeters above the dentate line (the junction line between the rectum and the anal canal), and then the PPH anastomosis is inserted into the anus, and the prolapsed mucous membrane band can be excised down after tying up the sutures and striking the anastomosis. The whole procedure of this surgery takes only about half an hour. Because the rectal mucosa above the dentate line is innervated by visceral nerves, the patient has almost no pain after the surgery; and because the surgery not only removes the prolapsed rectal mucosal band, but also blocks the terminal anastomotic branch of the arterial vein at the end of the rectum, which eliminates the root cause of hemorrhoids, so the effect is more ideal. For some hemorrhoids that are very difficult to treat with traditional therapies, such as mixed hemorrhoids, circumferential hemorrhoids, severe hemorrhoidal prolapse, prolapse of the anus, etc., PPH surgery also has a very good therapeutic effect. In addition, PPH surgery has the disadvantage of being more expensive. This is mainly due to the fact that PPH anastomoses cannot be produced domestically and are currently completely dependent on imports. Internal medication, external medication and patch therapy Internal medication, external medication and patch therapy can improve the symptoms, not only the effect is slow, and it is difficult to eliminate the lesions, not complete. Long-term use of medication is costly and has side effects on the body. Ultra-low temperature, ultra-high temperature therapy Liquid nitrogen cryotherapy, laser, microwave, electronic (including low-frequency, radiofrequency, capacitance field, ionization and electric oscillation) and other treatment equipment, its therapeutic principle is the use of ultra-low or ultra-high temperature to produce a cold or thermal effect, oscillating ionization into the biophysical effect, electric field capacitance effect, thus playing a role in making the focal point of the organization of protein coagulation, vascular embolism closure, electrocautery coagulation, cutting, tissue degeneration, necrosis and removal. The treatment purpose is to make the lesion tissue protein coagulation, vascular embolization and closure, electrocautery electrocoagulation, hemostasis, cutting, tissue denaturation, necrosis and shedding or hardening and atrophy, which still belongs to the hardening and withering hemorrhoidal therapy type of repeated reproduction, with the results of surgical therapy is similar. Ligation, ligature therapy will make the anal blood circulation is blocked, easy to produce bruising edema, pain, defecation difficulties. Injection therapy At present, many domestic and foreign use injection therapy, both the drug injected into the hemorrhoidal nucleus to treat hemorrhoids. Clinical usually use the injection agent mainly has hardening and shrinking agent and withered hemorrhoid necrosis shedding agent two kinds. Sclerosing agent is suitable for all stages of internal hemorrhoids, currently more commonly used in clinical practice, but the drug-induced aseptic inflammatory reaction disappears, the fibrosis contraction and extrusion effect is gradually slowed down, hemorrhoids are prone to recurrence. If the injection site is too shallow, it is easy to cause mucosal ulceration mucosal abscess, too deep easy to cause the sclerosis of the Tsuen Wan layer of tissue, the amount of drug is too large, can cause necrotic hemorrhage, the drug penetrates outside the dentate line can cause severe pain in the anus, edema, or thrombosis; necrosis agent dosage is often too large can cause postoperative necrotic hemorrhage or infection necrotic surface formation of ulcers, especially extensive tissue necrosis or infection, not only the treatment time is long, but also scarring Shrinkage can cause anal stenosis sequelae. The traditional Chinese medicine of red withered hemorrhoids, withered hemorrhoids nail therapy due to the toxic side effects of the reaction, the patient’s pain is greater, the course of treatment is longer, now the clinical rarely used. Internal hemorrhoids withered hemorrhoid injection therapy even on this basis to improve only, so this hardening and withered hemorrhoid therapy is not the ideal treatment. The first thing you need to do is to keep your bowels clear and eat easy-to-digest foods that contain less scum. Diet should be coarse and fine with less strong tea, coffee, alcohol and less spicy food, in order to reduce the stimulation of the anal canal. Warm water sitz bath should be taken after bowel movement, and local application of hemorrhoid suppository or hemorrhoid cream. Depending on the condition, injection treatment, cryotherapy and physiotherapy can be taken. Serious cases can be treated surgically, including ligation, rubber band ligation, hemorrhoidectomy and so on. Different hemorrhoids different treatment After diabetic patients get hemorrhoids, the severity of hemorrhoids should be combined with the severity of diabetes to consider treatment. It is best to wait for the condition to stabilize before choosing the appropriate treatment for hemorrhoids. Stroke patients because of the disease limitation of limb activity function, sedentary prone to hemorrhoids. For mild paralysis or semi-paralysis in the crutches can be down to the ground with the help of activities, the use of early prevention and treatment of the principle, such as appropriate exercise and according to the condition of the surgical or non-surgical therapies; for severe paralysis of completely bedridden patients, regardless of the severity of the hemorrhoidal symptoms, are to internal, external drug conservative treatment is appropriate, such as cool blood dixie soup decoction, musk hemorrhoidal ointment external application. The incidence of pediatric hemorrhoids is low, the treatment is appropriate to use traditional Chinese medicine external treatment and other simple and painless treatment methods. Usually pay more attention to adjust the diet, let the children eat more fresh vegetables, fruits and honey; after the stool or before going to bed with warm water to wash the anus, in order to improve the blood circulation in the anus. The elderly due to the anal part of the nerves, blood vessels, muscles, ligaments and so on have been flaccid and weak, very easy to suffer from hemorrhoids. Treatment is particularly tricky. It is best to use internal intestinal moisturizing hemorrhoids of Chinese medicine, at the same time, external Chinese medicine fumigation or coated with hemorrhoids cream or pessary and other conservative treatment. The treatment of external hemorrhoids – home treatment measures 1, more water and fiber: constipation is the biggest cause of hemorrhoids, therefore, in order to prevent and control constipation, must drink more water and eat more fiber-rich foods (see constipation treatment). Apples, beets, Brazilian nuts, green cauliflower, kale vegetables, carrots, green beans, guar bran, emperor beans, pears, peas, psyllium and whole wheat and other cereals, are good choices. 2, lubricate the anus: once you increase fiber and water intake, your feces will become softer, but also more conducive to discharge. You can also apply petroleum jelly to your anus to further promote smooth bowel movements and reduce pain. Use a cotton swab or dip your finger in some petroleum jelly and apply it half an inch inside the anus. 3, do not squat toilet too long: each time you sit on the toilet time is best not more than 5 minutes, especially do not read while the toilet, which is extremely unhygienic habits. 4, clean: when you finish defecating, your responsibility is not yet over. You should gently clean your anus, which is quite important. Some toilet paper is rough and some contains harsh chemicals. Use colorless (white), odorless toilet paper. It is best to install a body cleanser at home, and rinse after each bowel movement. 5, do not sit still for a long time: do not sit in a chair for several hours without moving, even if you have to, you should get up at least 5 minutes per hour. 6, do not lift heavy objects: lifting heavy objects or laborious exercise, as if defecation with excessive force, if you are prone to hemorrhoids, should avoid excessive force. 7, do not scratch the affected area: hemorrhoids affected area may be itchy, but do not scratch to ease the discomfort, that will damage the rectum’s fragile venous walls, making the situation worse. 8, sitting in a warm bath: your buttocks soaked in warm water, may be a treatment of the best way. Warm water promotes blood circulation in the affected area, which helps to shrink the swollen veins here and stops the pain. 9. Use medication: There are various creams and plugs on the market that are designed to treat hemorrhoids. Although, these medications usually don’t make your problem go away, they are mostly topical pain relievers, but can relieve some of the discomfort. Do not use ibuprofen and aspirin to relieve pain, they will aggravate bleeding. 10, weight control: overweight people are more likely to develop hemorrhoids because they put more pressure on their lower extremities. As a result, they are also more prone to varicose veins. 11, Push in with your hand: Sometimes hemorrhoids refer to the lining of the anus protruding outward rather than enlarged veins. If you have this kind of protruding hemorrhoid, try pushing it back into the anus. Dangling outside the hemorrhoids are prone to evolve into blood clots. 12, sitting in a circle on the sting pillow: this hollow cushion, quite suitable for people who need to often sit for a long time, especially when your hemorrhoids flare up. 13, pregnant women how to prevent and control hemorrhoids: pregnant women are especially prone to hemorrhoids, partly because the uterus is located in the blood vessels connected with the anal veins above (so that the blood flow is blocked). If you are pregnant, a treatment for hemorrhoids is to lie on your left side for about 20 minutes every 4-6 hours. This reduces the pressure of the weight of your lower body on important blood vessels. 14, turtle can treat hemorrhoids for varicose hemorrhoids, or hemorrhagic internal hemorrhoids, eat turtle has a certain effect, but for connective tissue external hemorrhoids, eat turtle is no effect.