The kind of haemorrhoid and symptom picture?

summary

Hemorrhoids is an ancient disease name, Chinese medicine believes that "where there are small flesh processes inside and outside the anus, they are called hemorrhoids.". The traditional saying of hemorrhoids is that the soft venous mass formed by the dilatation and tortuosity of the submucosal venous plexus at the end of rectum and the subcutaneous venous plexus of anal canal and anal margin; Hemorrhoids is a mass formed by pathological hypertrophy of the cylinder pad and blood stasis of perianal subcutaneous vascular plexus. The kind of haemorrhoid and symptom picture? I'd like to share my views with you.

The kind of haemorrhoid and symptom picture?

Internal hemorrhoids: internal hemorrhoids are located above the dentate line and covered with mucous membrane. According to the severity of internal hemorrhoids can be divided into four stages. 1. Generally, there is no obvious feature, just a little fresh blood when defecating. 2. Hemorrhoids can prolapse outside the anus when defecating, and return to the anus naturally after defecation. When defecating, blood in the stool is more serious, and blood drops or spurts from the anus. 3. The main reason is that hemorrhoids prolapse can't recover by themselves, need to be returned by hand, or returned to anus after rest. 4. Because prolapsed hemorrhoids can not be returned in time for a long time, causing hemorrhoids congestion, edema, necrosis and infection.

External hemorrhoids: external hemorrhoids are located under the tooth line and covered with skin. According to the pathological characteristics, they can be divided into four types. 1. Inflammatory external hemorrhoids: due to the damage of anal skin and the stimulation of secretion, the anal skin is inflamed. Anal skin swelling, redness, pain, itching, especially in defecation is particularly serious. 2. Varicose external hemorrhoids: it is formed by varicose external hemorrhoids, which has no obvious characteristics. It often has some slight anal falling feeling, and the anus is moist and uncomfortable. 3. Thrombotic external hemorrhoids: mainly because of defecation, strenuous exercise, forced cough, etc., resulting in hemorrhoid vein intima inflammation and damage, blood in the blood vessels accumulated into a block, turned into a round or oval tumor of anal margin protrusion, severe pain, especially obvious pain during defecation and activity, and even affect walking, the tumor is dark purple, hard to touch. 4. Connective tissue external hemorrhoids: This hemorrhoid is anal edge skin connective tissue hyperplasia, hemorrhoid body less blood vessels, yellowish brown or dark brown, prominent easy to see, varying in size. Patients will have anal foreign body sensation, not easy to clean after defecation.

Mixed hemorrhoids: across the tooth line, internal hemorrhoids and external hemorrhoids communicate with each other in the same part, forming a whole, with the characteristics of internal hemorrhoids and external hemorrhoids.

matters needing attention

General treatment: including more drinking water, more dietary fiber, keep the stool unobstructed, prevent constipation and diarrhea, warm water sitz bath, keep the perineum clean, etc., suitable for the treatment of all hemorrhoids. Non operative treatment: the primary and secondary internal hemorrhoids were mainly treated by non operative treatment, including local medication and oral medication to improve the tension of local vascular plexus. Sclerotherapy injection therapy and various physical therapies, such as laser therapy, microwave therapy, far infrared coagulation therapy, copper ion electrochemical therapy, cryotherapy, ligation therapy, etc. Surgical treatment: it is mainly applicable to the patients with internal hemorrhoids, mixed hemorrhoids and the patients with ineffective non-surgical treatment including external hemorrhoids thrombosis or hematoma. For example, the traditional external stripping and internal ligation, PPH (circumcision and anastomosis of hemorrhoid mucosa) based on the theory of cylinder pad downward, cylinder pad suspension, Doppler guided hemorrhoid artery ligation which blocks hemorrhoid blood supply and causes hemorrhoid atrophy, etc. among them, PPH and Doppler guided hemorrhoid artery ligation belong to minimally invasive surgery because of their advantages of small wound, less bleeding and less pain.