Hemorrhoids are a common and frequently-occurring disease in anorectal department. There is a folk saying that “ten people and nine hemorrhoids”. Hemorrhoids are the veins at the lower end of the rectum, anal canal and anal border. A clump of weak veins formed by congestion, enlargement, and varicose veins. According to the characteristics of the location of hemorrhoids, they are clinically divided into three types:external hemorrhoids, internal hemorrhoids, and mixed hemorrhoids. In response to the frequently asked questions about surgery by patients, the Director of Anorectal Surgery of Shishi Modern Hospital will answer them.
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How is the severity of hemorrhoids judged?
Hemorrhoids are clinically graded for internal hemorrhoids.
I degree: none Obvious symptoms, less blood and dripping after defecation, no prolapse of hemorrhoids.
II degree: defecation Hemorrhoids prolapse from time to time, which can be repaid on their own after defecation. May be accompanied by bleeding.
III degree: defecation Or the hemorrhoids prolapse when standing for a long time, coughing, fatigue, or weight-bearing, and the hemorrhoids need to be assisted by hand to recover. May be accompanied by bleeding.
Grade IV: Hemorrhoids Unable to recuperate outside the anus for a long time, or prolapse again immediately after reintroduction. Hemorrhoids are accompanied by obvious edema and severe pain. Internal hemorrhoids may be associated with strangulation and incarceration. May be accompanied by bleeding.
Where, span>Internal hemorrhoids of degree II and above usually form mixed hemorrhoids, which are characterized by the coexistence of symptoms of internal hemorrhoids and external hemorrhoids.
External hemorrhoids are located below the dentate line and are classified into thrombosed external hemorrhoids, varicose external hemorrhoids, connective tissue external hemorrhoids, and inflammatory external hemorrhoids. Usually there are no special symptoms, but swelling and pain may occur when thrombosis and inflammation occur.
Mixed hemorrhoids have the characteristics of both internal and external hemorrhoids. The main clinical symptoms are prolapse of rectal mucosa and skin, swelling, pain and repeated infection.
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When do I need medical attention?
If hemorrhoids have not been diagnosed before, seek medical attention if:< /span>
▶Anal Weeks of pain
▶Bleeding after bowel movements< /span>
▶There may be a lump in the anal area
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If hemorrhoids have been diagnosed before, it is recommended to seek medical attention if there is no improvement in conservative treatment at home. Due to bleeding It is also a typical manifestation of colorectal cancer.If people over 40 years old have bleeding or changes in stool characteristics, it is recommended to seek medical attention in time, and perform digital anorectal examination and anorectal examination if necessary .
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How far does hemorrhoids require surgery? strong>
Whether or not to operate should be decided according to clinical symptoms.
1. Conservative treatment: Mainly used for grade I and grade II internal hemorrhoids, including suppositories, ointments, lotions, traditional Chinese medicines, oral medicines, sclerotherapy injections and other methods (sitz baths) to protect the rectal mucosa.< /p>
< p data-track="50">2. Surgical therapy: mainly suitable for Ⅲ, Ⅳ degree internal hemorrhoids, and Ⅱ degree internal hemorrhoids with severe bleeding , Acute incarcerated hemorrhoids, necrotic hemorrhoids, mixed hemorrhoids, external hemorrhoids with significant symptoms and signs, non-surgical treatment ineffective and no surgical contraindications.
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Is hemorrhoid surgery safe?
Don’t worry, hemorrhoid surgery primarily deals with superficial tissue, including Perianal skin and rectal mucosa, as well as skin and submucosal varicose blood vessels, loose subcutaneous tissue.
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Is hemorrhoid surgery painful?
Before surgery, the anesthesiologist will carefully formulate an anesthesia plan that suits you. To ensure that the operation is safe, the pain is minimal, and the anal sphincter is relaxed to facilitate the smooth operation of the operation.
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Will hemorrhoids come back after surgery?
hemorrhoid surgery does have a certain chance of recurrence, which is closely related to the patient’s diet in the future. Habits, defecation habits, and whether the stool is dry or not are related, but in most cases, this recurrence is controllable, and the factors that affect postoperative recurrence include the problems of the operation itself and other problems of postoperative care. Therefore, you should choose a professional anorectal hospital for medical treatment, and pay attention to details such as eating habits and bowel habits after surgery to reduce the chance of recurrence.
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