The main symptoms of hemorrhoids include blood after defecation and prolapse of the nucleus pulposus (a self-perceived anal lump); they also cause anal pain in the presence of blood clots, ulcers or gangrene. Some patients may also experience a burning and itching sensation. Two points should be stated here first: 1. It should be clear that it is really a hemorrhoid? Even if you do have hemorrhoids, you should be careful to differentiate them from diseases such as rectal cancer, rectal polyps, rectal mucosal prolapse and hypertrophic anal papillae. If you think that the bleeding is caused by hemorrhoids and do not seek consultation, you may miss the time for early diagnosis and treatment of the tumor. 2. The treatment of hemorrhoids does not need to be directed at hemorrhoids; in other words, the treatment is directed at the cause of the symptoms (blood in the stool, lumps, pain). Hemorrhoids without symptoms usually do not require treatment! The first tip: avoid sitting down Japanese scholars used X-rays to scan the defecation process and finally found that the anal angle expands 100 to 126 degrees from sitting to squatting. In addition, when sitting, the muscles around the anus pull on the rectum, making it harder to defecate, making anal fissures and constipation more likely to occur. Those who work in a sedentary position should often stand up and do exercises, as sitting for a long time can block venous reflux and stagnate in the anus due to gravity. Strengthening exercise is conducive to promoting blood circulation, but also to promote gastrointestinal motility, improve pelvic congestion, effectively avoiding venous blood stasis, preventing the occurrence of varicose veins and constipation, to avoid the occurrence of hemorrhoids. Second move: softening the stool 1, develop good bowel habits. Maintain normal bowel movements, once a day. Too long a stay of stool in the intestines may harden, leading to friction with hemorrhoids during defecation and causing blood in the stool. Do not deliberately control your bowel movements, but use the toilet immediately if you feel the urge to defecate. Do not violently force the bowel movement, correct the habit of squatting for a long time, and prohibit reading books and newspapers when going to the toilet. Diarrhea or frequent bowel movements can be improved through antidiarrheal agents and diet regulation. 2, pay attention to drink more water, so that the intestinal cavity to keep enough water to soften the stool. Too dry and too thin stools can affect the anal activity. 3, dietary adjustment. A high-fiber diet should be taken, or take supplemental fiber-based drugs. Such as should eat more vegetables, fresh fruits, soy products, etc. These foods can increase gastrointestinal peristalsis, laxative, timely discharge of harmful substances and carcinogenic substances in the intestinal tract. At the same time hemorrhoid patients should prohibit or eat less irritating food. The above are just adjustments to living habits. These measures alone may correct constipation and improve gastrointestinal function, which is also the key to preventing hemorrhoids, alleviating hemorrhoid symptoms, and reducing hemorrhoid recurrence. It is very important to have anal hygiene, wipe clean after using the toilet, preferably with warm water if possible, and change your underwear regularly. 4, medication assistance. Stool softeners, laxatives, etc. The third trick: sitz bath Warm water sitz bath (commonly known as “soak buttocks”, “sit tub”) is an important measure to cure hemorrhoids, effective implementation can accelerate wound healing, relieve sphincter spasm, relieve pain, and eliminate the symptoms of hemorrhoids early. Before taking a sitz bath, empty your bowels, wash your hands and hands, take off your pants to your knees, fill the sitz bath with about 1/2-1/3 full of water, and put the tub at a suitable height. When sitting in the bath, first touch the skin with a small towel dipped in water, tolerate (about 40 degrees Celsius) can slowly sit in the basin, submerging the perineum, for 15-20 minutes, three times a day. Be careful to add hot water at any time to maintain the necessary temperature. At the end of the sitz bath, use a small towel to dry the area from front to back, change your clothes and pants, and clean up the items used. Note that the buttocks should be fully opened during the sitz bath so that the wound is fully exposed to the medicinal water. Women should not take a sitz bath during menstruation, pregnancy and vaginal bleeding. Tip 4: Suppositories and ointments Creams and suppositories may promote wound healing, constrict blood vessels, and relieve burning and itching sensations. These medications may contain local anesthetics, hormones, etc. In particular, hot water sitz baths can reduce edema. Topical skin protectors such as mineral oil and petroleum jelly can also be used locally to relieve local itching and discomfort, protect the inflamed skin of the anal canal, and reduce painful bowel movements. Tip #5: Painkillers Generally, if the pain is caused by gangrene, ulceration or thrombosis of the hemorrhoid mass, surgical removal is the best treatment. If symptomatic hemorrhoids or extensive hemorrhoids are associated with anal fissures, hemorrhoidectomy should be considered, along with an internal anal sphincterotomy. Thrombosed external hemorrhoids causing pain should be treated with local excision. The heat of the water in the sitz bath relieves anal pain, and a statistically significant decrease in anal canal resting pressure can be observed when immersed in hot water; there is no change in anal canal pressure when the patient invades lower temperature water. Because higher pressures are often present in patients suffering from certain anal diseases, it is possible that lowering the anal canal resting pressure may improve the patient’s clinical symptoms. If a prolapsed hemorrhoid mass can return on its own or can be repositioned by manipulation, it can usually be treated with some outpatient surgery. Reset hemorrhoids are often less effective, and persistent prolapses are prone to thrombosis and gangrene. If the prolapsed hemorrhoid cannot be returned or if external hemorrhoids are present, hemorrhoidectomy is required. Hemorrhoidectomy is indicated for symptomatic mixed hemorrhoids or Grade III and IV hemorrhoids. Asymptomatic hemorrhoids usually do not require treatment! There are a variety of surgical procedures, including sclerotherapy injections, rubber banding, external and internal ligation, and PPH.
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