Hemorrhoids fidget

Hemorrhoids are a very common anal lesion. Many people suffer from hemorrhoids due to poor living or eating habits. Of course, many women also have hemorrhoid problems during pregnancy. Hemorrhoids can greatly affect the patient's health and may even cause the patient to become restless. So, what methods can be used to treat hemorrhoids?

1. General treatment

It is suitable for most hemorrhoids, including the early stages of thrombotic and incarcerated hemorrhoids. Pay attention to your diet, avoid alcohol and spicy foods, increase fiber foods, eat more fruits and vegetables, drink more water, change bad bowel habits, keep bowel movements smooth, take laxatives when necessary, and clean the anus after defecation. For prolapsed hemorrhoids, be careful to gently push the hemorrhoids back with your hands to prevent them from falling out again. Avoid sitting or standing for long periods of time, do appropriate exercise, take a sitz bath with warm water (which may contain potassium permanganate) before going to bed, etc.

2. Injection therapy

It is more effective for grade I and II bleeding internal hemorrhoids; the sclerosant is injected around the venous plexus in the submucosal layer to cause inflammatory reaction and fibrosis, thereby compressing and closing the varicose veins; the treatment can be repeated after 1 month to avoid injecting the sclerosant into the mucosal layer and causing necrosis.

3. Surgical treatment

① Thrombosed external hemorrhoidectomy is suitable for patients whose pain does not ease or the swelling does not shrink after conservative treatment of thrombosed external hemorrhoids.

② Traditional hemorrhoidectomy is external peeling and internal ligation.

③ Circumcision of hemorrhoids (Whitehead procedure) is a classic procedure in textbooks, which can easily lead to anal stenosis and is rarely used in clinical practice.

④PPH surgery: hemorrhoidal rectal mucosal circumcision and stapling with stapler. It was created by Italian doctor Longo and began to be promoted in 1998. It is mainly suitable for prolapsed III-IV grade mixed hemorrhoids, annular hemorrhoids, and some severely bleeding II grade internal hemorrhoids.

The mechanism of PPH in treating prolapsed hemorrhoids: circular resection of 2 to 3 cm mucosa and submucosal tissue at the lower end of the rectum to restore the normal anatomical structure, i.e., the anal cushions are returned to their original position; the resection of the submucosal tissue blocks the blood supply of the superior hemorrhoidal artery to the hemorrhoidal area, causing the hemorrhoids to shrink after surgery. Compared with traditional hemorrhoidectomy, PPH surgery has shorter operation time, less postoperative pain, faster recovery and fewer complications, but the equipment is more expensive.