Surgical treatment Those who have been untreated for a long time or have formed larger mixed or wreathed hemorrhoids should be treated surgically. The goal is to remove the nucleus of the hemorrhoid or make it embolized or atrophied by mechanical methods such as sutures. Electrocoagulation or laser irradiation is also very effective. Acute thrombosis of external hemorrhoids requires immediate incision to remove the clot, but generally external hemorrhoids do not require special treatment. In recent years, a new technique for treating hemorrhoids has emerged – suprahemorrhoidal mucosal circumcision, also known as PPH surgery. The rationale for this is based on a new understanding of the pathogenesis of hemorrhoids. PPH surgery is a circular excision of the prolapsed rectal mucosa above the hemorrhoid using a special instrument called the PPH anastomosis. During the surgery, the anus is first opened and the rectal mucosa is circularly sutured at about 4 cm above the dentate line (the junction line between the rectum and the anal canal), then the PPH anastomosis is inserted into the anus, the suture is ligated and the anastomosis is fired to remove the prolapsed mucosal band. The whole procedure of this surgery takes only about half an hour. Since the rectal mucosa above the dentate line is innervated by visceral nerves, the patient has almost no pain after the surgery; and since the surgery not only removes the prolapsed rectal mucosal band, but also blocks the terminal anastomotic branch of the terminal rectal artery, eliminating the root cause of hemorrhoids, the result is more ideal. PPH surgery is also very effective for some hemorrhoids that are very difficult to treat with traditional therapy, such as mixed hemorrhoids, ring hemorrhoids, severe hemorrhoid prolapse, prolapse, etc. In addition, PPH surgery has the disadvantage of being more expensive. This is mainly because the PPH anastomosis cannot be produced in China yet and is currently completely dependent on imports. Internal medicine, external medicine and patch therapy Internal medicine, external medicine and patch conservative treatment can improve the symptoms, not only slow, and it is difficult to eliminate the lesion, not complete. Long-term use of drugs is expensive and has side effects on the body. Ultra-low temperature, ultra-high temperature therapy liquid nitrogen freezing, laser, microwave, electronic (including low frequency, radio frequency, capacitive field, ion penetration and electric oscillation) and other therapeutic instruments, the treatment principle is to use ultra-low temperature or ultra-high temperature to produce cold or thermal effects, oscillation ion penetration biophysical effect, electric field capacitive effect, etc., so as to make the focal tissue protein coagulation, vascular embolism closed, electrocautery electrocoagulation hemostasis, cutting The treatment purposes such as tissue degeneration, necrosis and shedding or sclerosis and atrophy are still repeatedly reproduced in the type of sclerosis and withering hemorrhoid therapy, and the results are similar to those of surgical therapy. Ligation and ligature therapy can block the blood circulation in the anus, which is prone to bruising and edema, pain, and difficulty in defecation. Injection therapy At present, many domestic and foreign countries use injection therapy, which is a method of injecting drugs into the hemorrhoid nucleus to treat hemorrhoids. There are two main types of injections that are usually used clinically: sclerosing and shrinking agents and withering hemorrhoid necrotic shedding agents. Sclerosing agents are suitable for all stages of internal hemorrhoids and are currently more commonly used clinically, but after the sterile inflammatory reaction caused by the drug disappears, the fibrotic contraction and extrusion are gradually eased and the hemorrhoid nucleus is prone to recurrence. If the injection site is too shallow, it is easy to cause mucosal ulceration mucosal abscess, too deep easy to cause sclerosis of the tissue in the Tsuen layer, too much drug can cause necrosis haemorrhage, drug penetration outside the tooth line can cause severe anal pain, edema or thrombosis; too much necrotizing agent often can cause postoperative necrotizing haemorrhage or infection necrotic surface to form ulcers, especially extensive tissue necrosis or infection, not only the treatment time is long, and scar Contraction can cause anal stenosis sequelae. Traditional Chinese medicine’s red coated hemorrhoids and hemorrhoid nail therapy are rarely used clinically nowadays due to the large reaction of toxic side effects, greater patient pain and longer course of treatment. The internal hemorrhoid withered hemorrhoid injection therapy is only an improvement on this basis, so sclerotherapy and withered hemorrhoid therapy is not the ideal treatment. The first thing you need to do is to keep your bowels open and eat easily digestible food that contains less residue. You should eat a coarse and fine diet, drink less strong tea, coffee, alcohol and less spicy food to reduce the stimulation of the anal canal. After the bowel movement, you should take a sitz bath with warm water and apply local hemorrhoid suppositories or hemorrhoid cream. Depending on the condition, injection therapy, cryotherapy and physical therapy can be used. Severe cases can be treated surgically, including ligation, rubber band ligation, hemorrhoidectomy, etc. Different treatment for different hemorrhoids When diabetic patients get hemorrhoids, they should consider the treatment in combination with the severity of the hemorrhoids and the severity of the diabetes. It is best to wait for the condition to stabilize before choosing an appropriate treatment for hemorrhoids. Stroke patients are prone to hemorrhoids due to limited limb movement function after the disease and prolonged lying and sitting. For those who are mildly paralyzed or semi-paralyzed and can move on the floor with the help of crutches, the principle of early prevention and treatment is used, such as appropriate exercise and surgical or non-surgical treatment according to the condition; for patients who are completely bedridden with severe paralysis, regardless of the severity of the symptoms of hemorrhoids, conservative treatment with internal and external medication is appropriate, such as decoction of cool blood dihuang soup and external application of musk hemorrhoid cream. The incidence of pediatric hemorrhoids is low, and treatment is appropriate with easy and painless treatments such as external Chinese medicine. The actual fact is that you will be able to get a lot more than just a few of these. Older people are very prone to hemorrhoids because the nerves, blood vessels, muscles and ligaments in the anal area have been relaxed and weak. It is especially tricky to treat. It is best to use conservative treatments such as internal herbal medicines that moisten the intestines and dissolve hemorrhoids, as well as external herbal fumigation or the application of creams or suppositories for hemorrhoids. External hemorrhoids treatment – home treatment measures 1, more water and fiber intake: constipation is the biggest cause of hemorrhoids, so to prevent constipation, you must drink more water and eat more fiber-rich foods (see constipation treatment). Apples, beets, Brazil drupes, 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 the intake of fiber and water, your stool will become softer and more conducive to discharge. You can also apply some petroleum jelly inside the anus to further promote smooth bowel movements and reduce pain. Use a cotton swab or finger to dip some Vaseline and apply it to half an inch of the anus. 3, do not squat on the toilet for too long: each time you sit on the toilet, it is best not to exceed 5 minutes, especially not while reading a book in the toilet, which is an extremely unhygienic habit. 4, clean: When you have finished defecating, your responsibility is not yet over. Should gently clean the anus, this is quite important. Some toilet paper is rough, and some contain harsh chemicals. You should use colorless (white), odorless toilet paper. It is best to install a body cleanser at home and flush after each bowel movement. 5, do not sit still for a long time: do not sit still in a chair for hours on end, even if you have to, you should get up every hour for at least 5 minutes. 6, do not lift heavy objects: lifting heavy objects or strenuous exercise, as if defecating too hard, if you are prone to hemorrhoids, should avoid excessive force. 7, do not scratch the affected area: hemorrhoids may be itchy, but do not use scratching to relieve discomfort, which can damage the fragile walls of the rectal veins and make the situation worse. 8, sit in a warm bath: soaking your buttocks in warm water may be the best way to treat it. Warm water promotes blood circulation to the affected area, helps to constrict the enlarged veins here, and can stop the pain. 9. Use medication: There are various creams and plugs on the market that are designed to treat hemorrhoids. Although, these drugs usually do not make your problem go away, they are mostly topical pain relievers, but can relieve some of the discomfort. Do not use ibuprofen and aspirin for pain relief, they can aggravate the bleeding. 10. Weight control: People who are overweight are more likely to develop hemorrhoids because they are under greater pressure on their lower extremities. As a result, they are also more likely to develop varicose veins. 11. Push in by hand: Sometimes, hemorrhoids refer to the lining of the anus protruding outward rather than enlarged veins. If you have this type of outward protruding hemorrhoid, try pushing it back into the anus. Hemorrhoids that hang outward can easily evolve into blood clots. 12, sitting on a circle-shaped sting pillow: this hollow type of cushion is quite suitable for people who need to sit for long periods of time, especially when your hemorrhoids flare up. 13.How to prevent and control hemorrhoids in pregnant women: Pregnant women are especially prone to hemorrhoids, partly because the uterus happens to be situated above the blood vessels that connect with the anal veins (which obstructs blood flow). If you are pregnant, the treatment for hemorrhoids is to lie on your left side with your left body for about 20 minutes every 4-6 hours. This will reduce the pressure of the weight of your lower body on the important blood vessels. 14.Snapper can treat hemorrhoids For varicose mixed hemorrhoids, or bleeding internal hemorrhoids, eating snapper is effective, but for connective tissue external hemorrhoids, eating snapper is useless.