One of the main symptoms of mixed hemorrhoids is the prolapse of the hemorrhoid nucleus. The nucleus of the hemorrhoid that is prolapsed outside the anus is held by the sphincter muscle, and the venous return is blocked, while the arterial blood is still being input to increase the size of the nucleus until the arterial blood vessels are pressed shut and a thrombus is formed, resulting in a hardened, painful nucleus that is difficult to return to the anus. The traditional view is called “strangulated internal hemorrhoids”. However, clinically, it is more common for hemorrhoids to form thrombi, so they are more often associated with pain, and when the nucleus of the hemorrhoid is prolapsed and cannot be returned, it is also called “embedded hemorrhoid”. The infection of mixed hemorrhoids After the hemorrhoid nucleus is embedded, there are different degrees of infection, and the patient has symptoms such as urgency, anal swelling, etc. At this time, the infection is mostly confined to the anal area, and if it is strongly reset, it is easy for the infection to spread and cause abscesses in the submucosa, perianal area or sciatic rectal fossa, and if the dislodged bacterial embolus travels up the vein, coupled with improper use of antibiotics or not using any antibacterial drugs, it can form If the dislodged bacterial embolus travels up the vein, coupled with improper use of antibiotics or failure to use any antibacterial drugs, portal vein bacteremia or even sepsis can develop, and liver abscess can also form. There have been reports from abroad of fatal portal vein sepsis associated with embedded hemorrhoids. The necrosis of mixed hemorrhoids The nucleus of the hemorrhoid is embedded outside the anus, and due to a series of pathological changes, the local metabolites accumulate, further aggravating the local edema of the anus and aggravating the embedded nucleus of the hemorrhoid, which is a vicious circle. Therefore, if the internal hemorrhoid is embedded for a long time, necrosis is bound to occur. The necrosis is often confined to the mucous membrane part of the hemorrhoid nucleus, but there are also cases where it invades other parts of the body. There are reports from abroad that the thrombus in the hemorrhoid nucleus spreads upward and the necrotic area extends to the rectal wall, resulting in severe sepsis in the pelvis. This is a rare condition, but it must be taken seriously by clinicians. The anemia of mixed hemorrhoids The iron deficiency anemia caused by the loss of blood from mixed hemorrhoids is generally slow to develop and can be asymptomatic or mild in the early stages, but when the anemia is heavy or progressing faster, there will be pallor, lethargy, loss of appetite, palpitations, increased heart rate and shortness of breath and swelling after physical activity. Some patients may develop neurological symptoms such as agitation, excitement and irritability, which some people think is due to the lack of intracellular iron-containing enzymes. All of these symptoms can disappear after correcting anemia and treating mixed hemorrhoids. Therefore, if you find that you have mixed hemorrhoids, you should treat them as soon as possible to avoid complicating the treatment with the above symptoms. Mixed hemorrhoids are harmful to women Mixed hemorrhoids are also the most important trigger for vaginitis and cervical erosion, because the anus is less than 3 cm away from the female vagina, and the secretions that flow from the anus contain a lot of bacteria and E. coli. The infinite reproduction and breeding directly erodes to the vagina, forming a common gynecological disease in women. Therefore, the gynecological inflammation caused by such a non-sexual relationship is one of the most fatal risks to women’s health. Since the secretion is from the rectum, which is a waste product excreted from the digestive tract, the flow of toxic substances from the body into the vagina is very frightening and, in a sense, such direct infection may cause uterine tumors.