What Is a Hemorrhoid Specialist?

Internal hemorrhoids for short, internal hemorrhoids are now called anal pads, which play a very important role in accurately controlling stool and anal exhaust. Then the concept of hemorrhoids treatment is not cure, but symptomatic treatment. For example, if you have bleeding in your stool or have a mass coming out, consider treatment. Not a simple concept like cure. Internal hemorrhoids are referred to as internal hemorrhoids. Internal hemorrhoids are born above the tooth line, and are formed by a soft venous cluster formed by the expansion of the varicose veins in the submucosal hemorrhoids, which are called internal hemorrhoids. "Surgery Dacheng Hemorrhoids" said: "The internal hemorrhoids are in the anus, and the stool is bleeding like an arrow. After the solution is finished, press it with your hands and enter it for a long time." It is pointed out that internal hemorrhoids have bleeding and prolapse as the main symptoms, and most are painless soft masses. Long-term repeated bleeding can cause severe anemia.

Internal hemorrhoids

Internal hemorrhoids for short, internal hemorrhoids are now called anal pads, which play a very important role in accurately controlling stool and anal exhaust. Then the concept of hemorrhoids treatment is not cure, but symptomatic treatment. For example, if you have bleeding in your stool or have a mass coming out, consider treatment. Not a simple concept like cure. Internal hemorrhoids are referred to as internal hemorrhoids. Internal hemorrhoids are born above the tooth line, and are formed by a soft venous cluster formed by the expansion of the varicose veins in the submucosal hemorrhoids, which are called internal hemorrhoids. "Surgery Dacheng Hemorrhoids" said: "The internal hemorrhoids are in the anus, and the stool is bleeding like an arrow. After the solution is finished, press it with your hands and enter it for a long time." It is pointed out that internal hemorrhoids have bleeding and prolapse as the main symptoms, and most are painless soft masses. Long-term repeated bleeding can cause severe anemia.

Chinese name

Internal hemorrhoids

Aka

Hemorrhoids, hemorrhoids, hemorrhoids,

Symptom

Most are painless soft masses with long-term repeated bleeding

Part of speech

noun

Dilation of the venous plexus in the submucosal and anal canal skin of the distal rectum of the human body

Internal hemorrhoids are the most common diseases among various hemorrhoids. They occur in the right anterior, right posterior, and left sides of the anus [ie, lithotomy positions 3, 7, and 11]. They are often called female hemorrhoids. For child hemorrhoids.

Insufficient diet, excessive taste of mellow wine, spicy and cold stimulation, or hunger and satiety, or due to inadvertent living, sedentary and sedentary, long distance travel, or excessive intercourse, or chronic diarrhea, chronic constipation, pregnancy and birth , Abdominal tumor compression, etc., can make rheumatism dry and hot endogenous, Qi and blood are not adjusted, so that the meridian block, stasis blood turbid gas bet on the anus to form internal hemorrhoids. Internal hemorrhoids are characterized by painlessness

1. Match with vegetarian ingredients, or reduce the occurrence of hemorrhoids or reduce symptoms. Appropriate thickness: In terms of diet, pay attention to the fact that the meat and vegetables are not excessive, and the coarse and fine grains are properly adjusted so that the stool is not thin and dry.

2, regular bowel movements, avoid tolerance: develop a good habit of regular bowel movements, do not tolerate defecation awareness, inconvenience, and reduce the anorectal hyperemia symptoms.

3. Avoid spicy food: Avoid eating raw onions, ginger, garlic, and pepper, especially pepper and other foods.

4. Combination of work and rest: Work and life should be combined with work and rest. Excessive exertion, weight bearing or squatting for a long time, sitting for a long time can make the anorectal vein stasis or too little activity, varicose veins. Can promote blood circulation on the one hand.

5. Anal levitation movement should be advocated: no matter the weight bearing, long time squatting, or sitting for a long time, can eventually cause venous stasis and varicose veins in the rectum. Therefore, strengthening local exercise can reduce local venous stasis and varicose veins. Benefits

6. Patients undergoing hemorrhoid surgery should be relieved of their concerns before surgery. On the day of surgery, a diet with less residue is given, and the general diet is changed the next day. Some patients are afraid to eat more, for fear of causing pain in the stool and wound infection. In order to keep the stool smooth, patients can eat more fruits and vegetables, such as bananas, oranges, celery, spinach and other foods that are easy to digest and less fat. Avoid tobacco and alcohol, and spicy onions, ginger, garlic

7, as far as possible to sit short, stand for a long time, do not let blood flow in the anus.

8, pregnant women suffering from hemorrhoids, to avoid sitting for a long time to prevent constipation, and should correct the fetal position in time. Eat more vegetables, fruits, and vegetable oils, eat sesame and honey appropriately, and keep the stool smooth.

The diagnosis of internal hemorrhoids mainly depends on anorectal examination. First do anal inspection, with both hands to pull the anus to both sides, in addition to hemorrhoids bleeding in the first period, the other 3 periods can be seen under anal inspection. For those with prolapse, it is best to observe immediately after defecation in the squatting position. This can clearly see the true situation of the size, number and location of the hemorrhoids, especially the diagnosis of internal hemorrhoidal bleeding, which is more meaningful.

Second digital rectal examination: internal hemorrhoids are not easy to exudate when there is no thrombosis or fibrosis, but the main purpose of the digital diagnosis is to understand whether there are other lesions in the rectum, especially except

According to the pathological changes and development of internal hemorrhoids, they are often divided into three types and three stages clinically.

Type I and III

Angiomatous type: It is formed by the proliferation and expansion of capillaries. Its appearance is like bayberry, the surface is rough or bright, bright red, the mucosa is thin, it is soft to touch and easy to bleed.

Venous tumor type: flexion of the venous plexus, thrombus and dilated globular venous tumors in the hemorrhoid nucleus, the surface mucosa is thick and shiny, purple-red, difficult to bleed.

Fibrous type: due to repeated prolapse, abrasions and inflammatory stimuli, the connective tissue of internal hemorrhoids proliferates, and the surface mucosa fibrosis becomes hard and elastic, pale and difficult to bleed.

Second and third stage classification

Hemorrhoids in the first period: Except blood in the stool, dripping blood, or ejection, there were no other symptoms. Under the microscope, the mucous membranes are nodules of various sizes, soft and red in color; when pressed, they are soft and the surface of the mucous membranes is very thin. They can be easily scratched and bleeding during stool. Due to the small volume of the hemorrhoid core, it does not prolapse outside the anus.

Hemorrhoids in the second period: there is a history of intermittent bleeding after defecation, and there are symptoms such as anal pain, bloating, and severe after anxiety when infected. Under the microscope, the mucosa thickened, the surface of the hemorrhoid core was purple-red, and there was a small amount of secretion. When defecating, it is easy to bleed due to irritation or friction in the stool.

Hemorrhoids in the third period: The volume of the hemorrhoid nucleus increases, with connective tissue hyperplasia, thickened mucosa, dark red, and rough surface. It cannot be reset naturally after being pulled out. It needs to be pushed back by hand or lying down before it can be reset. If the hemorrhoids prolapse often, it will cause the sphincter to relax, and it may prolapse whenever you encounter force, cough, walking, and squatting. If the prolapse cannot be reset in time, due to spasm and compression of the sphincter, blood flow is blocked, the hemorrhoid nucleus is congested and swollen, and there is thrombosis, even necrosis and severe pain. Such as ulceration and necrosis on the surface, increased secretions, in addition to causing severe pain, fever, difficulty in urination, and even hard stools rubbing the surface of the ulcerated hemorrhoids and causing major bleeding. Due to repeated bleeding, patients may also develop secondary anemia, sometimes hemoglobin can be reduced to about 20%. Therefore, all patients with anemia of unknown cause should be checked for internal hemorrhoids.

At the beginning of internal hemorrhoids, the symptoms are not obvious and are only found during a physical examination

Symptoms such as blood in the stool, prolapse, and anal relaxation caused by internal hemorrhoids should be distinguished from the following diseases:

1. Rectal adenoma or villous papilloma: If this type of tumor has a long pedicle, it can be prolapsed from the anus during defecation, and a round, hard mass can be found during finger examination. Speculum can see tumors in the rectum, which are scarlet, some have pedicles, some have no pedicles, some are solitary, some have multiple clusters, often bleed, and each time the stool is bloody or bloodshot, Occasionally heavy bleeding.

2.

Bloodline injury

[Evidence] The blood of the demonstrators is bright red, or red and dirty, and the stools vary from one to another. The amount varies from small to large. The prolapsed hemorrhoid nucleus is bright red, dry and astringent, abdominal pain refuses to press, dry mouth, dry fur, yellow dryness, and strong pulse.

Those with deficient evidence will be pale red and thin, or obscure but not fresh, painful in the anus, fatigued, pale tongue, and weak pulse.

[Therapeutic method] Demonstration should clear heat and cool blood, deficiency syndrome should be healthy spleen and blood.

[Prescription]

1. Principal

(1) Qingre Liangxue Recipe: Liangxue Dihuang Decoction (

Internal hemorrhoids usually have mild symptoms and no major pain. If they have constipation or diarrhea, or if they are overworked, they will suddenly get worse. This is called an internal hemorrhoid attack. During the onset of internal hemorrhoids, the nucleus of the hemorrhoids suddenly swells, protrudes, burns, and aches, feeling like throbbing and stuffing. It is easy to rupture and bleed because of being squeezed by dry feces. The attack lasts 3-5. If the treatment is successful, the swelling gradually dissipates, the blood clots are absorbed, and the hemorrhoids become soft and shrink. Sometimes the swelling does not dissipate. Necrosis of the hemorrhoids can also occur due to infection, purulence, ulceration, or obstruction of blood circulation.

The main symptoms of internal hemorrhoids are bleeding in the stool and prolapse.

Repeated bleeding during stool will cause a large amount of iron to be lost in the body, leading to iron deficiency anemia. There may be no symptoms or mild symptoms at an early stage. When the anemia is severe or progresses quickly, paleness, fatigue, loss of appetite, palpitations, increased heart rate, shortness of breath after physical activity, and edema will occur.

After the hemorrhoid incarcerated, there are many different degrees of infection. The patient has symptoms such as anxiety and severe anal bulging. At this time, the infection is mostly localized in the anus. If the force is reset, the infection is likely to spread and cause submucosa, perianal or sciatic Cecumal fossa abscesses, if the shed emboli escaping along the veins, plus improper use of antibiotics or without any antibacterial drugs, portal bacteremia or even sepsis may form, and perianal abscesses may also form.

The incidence of internal hemorrhoids is very high. The early symptoms of internal hemorrhoids are painless blood in the stool, intermittent blood in the stool, bright red, or attached to the surface of the stool, or stained with toilet paper. It can also bleed in drops or spray; Hemorrhoids may come out from time to time, and the anus will be returned to the anus after being light. When the internal hemorrhoid prolapse is not accepted in time, incarcerated edema, thrombosis, ulceration or infection will occur, and severe pain will occur.

How to care for patients with internal hemorrhoids after surgery?

1. Daily life, work and rest. Workers engaged in Jiuzhanjiu should change their positions in a timely manner.

2, develop good eating habits, eat regularly and quantitatively, avoid spicy, mellow bed.

3, pay attention to anal hygiene, develop good bowel habits, often maintain smooth stool.

4, timely treatment of diarrhea, constipation, dysentery and other diseases.

5. After internal hemorrhoids, the diet should be light, and if necessary, a half-flow or full-flow diet should be given.

6. During the period of hemorrhoid detachment after operation, try to reduce activities and rest in bed.

7. After each defecation after operation, take a bath with light water or potassium permanganate solution, and then change the medicine.

8. Pay attention to the postoperative reaction of the patient. If there is fever, pain, difficulty urinating, and bleeding after the stool, the cause should be promptly identified and handled properly.

9, if the hemorrhoids prolapse after surgery, should be promptly back into the anus, bed swelling incarcerated.

What are the symptoms of internal hemorrhoid bleeding?

Blood in the stool caused by internal hemorrhoids, the blood on the surface of the feces, sometimes dripping, or spray out; and intestinal inflammation, feces, secretions, dark blood stains, mixed together. When internal hemorrhoids have a lot of bleeding, anemia can be secondary, and stool blood caused by intestinal inflammation will not cause anemia, but it is often accompanied by the inherent symptoms of intestinal inflammation.

First of all, internal hemorrhoid hemorrhage is a disease that is difficult for most people to deal with. Therefore, in normal life, patients and friends need to take more care. Internal hemorrhoid hemorrhage is not a terrible disease. The key is to find it in time and treat it early. .

Internal hemorrhoids have no pain, and a few have a sense of falling and swelling. When internal hemorrhoids or mixed hemorrhoids come out of incarceration, they appear.

How to care for patients with internal hemorrhoids?

Develop good eating habits, eat regularly and regularly, and avoid spicy and mellow wine.

Daily life, work and rest. Workers engaged in Jiuzhanjiu should change their positions in a timely manner.

Pay attention to anal hygiene, develop good bowel habits, and often maintain smooth stool.

Timely treatment of diarrhea, constipation, dysentery and other diseases.

After internal hemorrhoids, the diet should be light, and if necessary, a semi- or full-flow diet should be given.

During the period of hemorrhoid detachment after surgery, minimize activities and rest in bed.

After each bowel movement after operation, take a bath with light saline or potassium permanganate solution, and then change the medicine.

Pay attention to the patient's postoperative reaction. If there is fever, pain, difficulty urinating, and bleeding after the stool, the cause should be promptly identified and handled properly.

Internal hemorrhoids beware of smoking hazards

Smoking stimulates the nervous system, accelerates the secretion of saliva and gastric juices, and often causes gastrointestinal tension, which causes smokers to lose their appetite. Nicotine can cause blood vessels in the gastrointestinal mucosa to contract and reduce appetite. A normal diet is the most important guarantee for good health. Loss of appetite caused by excessive smoking can cause malnutrition, reduce the body's immunity, and diseases such as hemorrhoids have opportunities. On the other hand, smoking is "getting angry", and smokers are prone to dry stools. Besides, excessive smoking will naturally worsen the symptoms. Constipation is one of the main causes of hemorrhoids.

1. Dressing change. After the hemorrhoid injection, the drug can be packed in the anus to open the wound. In addition to using the above suppositories, vaseline oil gauze strips and the like should also be used to fill the anus and use it to protect the wound surface to facilitate wound drainage.

2. Postoperative activities. Generally speaking, during the period when the surgical wound is large and the wound has not completely healed, walking should be minimized. In this way, the edge of the wound can be prevented from being rubbed with force to form edema, and the wound healing time can be prolonged. Do not ride a bicycle for a long time about 3 months after the wound is healed to prevent the wounded wound from bleeding due to excessive friction.

3, to keep the stool unobstructed, internal hemorrhoids generally need to defecate for the first time after 24 hours. During the period when bowel movements are prohibited, drink plenty of water and drink intestinal moisturizing beverages, such as honey juice and vegetable juice, to promote urination and avoid constipation. Because the anal canal skin is damaged by surgery, causing sphincter spasm, bowel moisturizers should be taken orally before the first bowel movement. If the constipation is severe, an enema can be used. Sitting in warm water before defecation can relax the anal sphincter, which can reduce the anal pain caused by defecation. Generally speaking, the first defecation is often accompanied by a small amount of blood, which is a normal phenomenon caused by rubbing the feces on the wound surface. In the future, you should develop the habit of having bowel movements every morning, and then take a bath and change medicine.