We cannot see our buttocks clearly, and of course we are embarrassed to let others see it, so many times if we don’t feel it we don’t know what’s wrong with it. If a lump of flesh grows on the anus, the first thing that will be affected is defecation, which will cause severe pain or even bleeding. When there is a problem with the buttocks, many people's first reaction is hemorrhoids. Although it is possible, it is still necessary to confirm the problem. 1) General treatment is applicable to 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 in warm water (which may contain potassium permanganate) before going to bed, etc. (2) Local medication has been widely used, including suppositories, ointments and lotions, most of which contain Chinese herbal ingredients. (3) Oral medications are generally used to treat varicose veins. (4) Injection therapy 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 an inflammatory reaction and fibrosis, thereby compressing the varicose veins. The treatment can be repeated after one month to avoid injecting the sclerosant into the mucosal layer and causing necrosis. (5) Physical therapy: laser therapy, cryotherapy, direct current therapy, copper ion electrochemical therapy, microwave thermocoagulation therapy, and infrared coagulation therapy are less commonly used. (6) Rubber band ligation is used to tie the root of the hemorrhoids to block their blood supply and cause the hemorrhoids to fall off and necrotize. It is suitable for grade II and III internal hemorrhoids, and is more suitable for giant internal hemorrhoids and fibrotic internal hemorrhoids. Sixth, surgical treatment. If the condition is more serious, then surgical treatment should be considered. Surgical treatment is divided into traditional and new surgical methods. Traditional surgical treatment can be used for external hemorrhoids, internal hemorrhoids and mixed hemorrhoids with a small number of hemorrhoids, and external stripping and internal ligation is a commonly used procedure. For severe mixed hemorrhoids, circular excision can be used, among which PPH surgery is currently the most widely used. |
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