The saying “nine out of ten hemorrhoids” is a bit exaggerated, but it also reflects the fact that the incidence of hemorrhoids is high, “Do I need to treat my hemorrhoids? How should I treat them?” This is a concern in the minds of many patients, and the reason for this distress is both the lack of awareness of the disease and the factor of human interference. Many hemorrhoid patients may have the experience that some so-called “experts” in the anorectal department, or even some “experts” who claim to be nationally renowned hospitals, often say to patients that “your hemorrhoids are very heavy and will become cancerous if they are delayed for a long time. The hemorrhoids are still light, do it early, later aggravation is not good to do; your hemorrhoids are too heavy, that is to find me to do, if ……” and so on, “experts” center means to let you do surgery, many The actual fact is that many patients may not need surgery at all. So what are the diseases that need to be distinguished from hemorrhoids in the treatment process? What kind of hemorrhoids need to be treated? What kind of treatment is needed? When do hemorrhoids require surgery? Hemorrhoid is a venous mass formed by stagnation and enlargement of the venous plexus at the lower rectal canal and the edge of the anus, and is a disease unique to humans. The clinical symptoms are mainly “blood in the stool, pain, prolapsed nucleus, and mucus overflow in the anus. Hemorrhoids are easier to diagnose through clinical symptoms combined with local anal examination, but still need to be distinguished from other diseases, such as blood in the stool, internal hemorrhoids can have blood in the stool, ulcerative colitis can have blood in the stool, radioactive proctitis, colorectal tumors can also have blood in the stool, in addition to some heart valve surgery, coronary stent placement patients taking long-term anticoagulants can also lead to blood in the stool, which must be further clarified through detailed medical history and relevant examinations. In addition, some patients with heart valve surgery and coronary stenting can also have blood in their stools due to long-term anticoagulant use. The first stage of mixed hemorrhoids should be based on adjusting poor dietary structure and bowel habits, with local topical medication conservative treatment is preferred, because no matter what kind of surgery will cause trauma to the body and even form permanent irrecoverable scars in the anal area, surgery is only appropriate in conservative treatment is difficult to take effect. The surgery should only be used if the conservative treatment is not effective, if the hemorrhoids are recurrent and affect the health and quality of life. In terms of conservative treatment, local topical medications should be the mainstay, supplemented by oral medications, and antibiotics should not be applied in the absence of fever, high total white blood cell count, and low neutrophil percentage. Professor An A Yue, after years of clinical practice, believes that for patients with obvious pain and swelling from prolapsed hemorrhoids, the application of Chinese herbal medicines to clear heat and dampness, reduce swelling and pain, etc., and external washing of herbal medicines to astringent and detoxify heat, can have a very obvious effect, and patients with blood in the stool should apply rectal mucosal protective agents, such as compound keratanate suppositories in the anus, which have a good effect in stopping bleeding. After the symptoms are relieved by medication, pay attention to the adjustment of diet structure and bowel habits, and defecate no more than 3-5 minutes each time, the condition of many people can be stable for a long time. Some doctors do not take into account the actual condition of the patient and suggest surgery, which is against the patient’s will and leaves a shadow of bad medical treatment in the patient’s mind. So what kind of situation must take surgery? 1, blood in the stool symptoms should be in conservative treatment is ineffective, at this time should pay attention to exclude the possibility of other gastrointestinal diseases bleeding, exclude colorectal occupying lesions, clarify whether the patient has coagulation dysfunction disorders, whether taking anticoagulant drugs, etc.; 2, hemorrhoid nucleus repeatedly prolapse, or prolapse can not be returned, hemorrhoid nucleus edema thrombosis, with severe pain patients. 3.Abnormal proliferation of perianal connective tissue, significant foreign body sensation in the anus, which affects the quality of life. Mixed hemorrhoids are divided into Ⅰ-Ⅲ degrees, for mild single hemorrhoid nucleus using injection ligation therapy, can be discharged about 3 days after surgery, while moderate to severe circumferential hemorrhoids, due to ligation of hemorrhoid nucleus site more, the surgical wound is not stitched, the recovery time is naturally extended accordingly, the recovery time is generally 7 days after surgery is appropriate, while the recovery time is closely related to the strength of the patient’s physical condition, the age of the long and young, and the presence of other internal medicine The recovery time is closely related to factors such as the patient’s physical strength, age, and the presence of other medical diseases, so we should analyze objectively and not uniformly. Some doctors or medical institutions advertise that they can be discharged from the hospital in 2-3 days after surgery, or even with treatment, and only when patients are discharged are they told that they need outpatient medication change treatment, which invariably increases the pain and burden of patients, and in this way doctors increase the number of outpatient visits, increase the amount of medication, the economic benefits go up, but the surgical effect of the patient can not be guaranteed, such as the ligature line off bleeding can not be detected and treated in time, which often leads to adverse If the bleeding from the ligature is not detected and treated in time, it can often lead to adverse consequences. The recovery of the disease has its own laws, against the law is impossible to achieve good results, Zhang Wuben’s “mung bean cure” was boasted to be an innovative invention, the facts prove that contrary to science can not last. What many patients lack is not the access to knowledge, but the ability to distinguish between true and false knowledge. The overwhelming network propaganda, exaggerated efficacy, such as what created a new treatment, the whole painless not hospitalized, minimally invasive, etc., remember that there is no free banquet, the patient needs to do is to think more, less blindly follow. The old saying that does not look at advertising, look at the efficacy, wine is not afraid of the alley, is very reasonable.