Symptoms and treatment of hemorrhoids

summary

The main symptom of internal hemorrhoids in the middle and late stage is the enlargement of hemorrhoid nodules, which separates the mucosa and submucosa from the anal layer. When defecating, the internal hemorrhoid nodules can fall below the dentate line and dissociate outside the anal canal. So, in life, we should pay attention to it, the following specific talk about the symptoms and treatment of hemorrhoids.

Symptoms and treatment of hemorrhoids

Treatment 1: suture is suitable for patients with narrow anus, because the anus is too small to prevent postoperative recurrence, not only the narrow part needs to be cut, but also the anus needs to be expanded. The operation is the same as the anal fissure incision and suture method, using longitudinal and transverse suture to expand the anus.

Treatment 2: anal dilatation is suitable for patients with mild anal stenosis. The patients are in the side lying or lithotomy position (the patients are supine, their legs are placed on the foot stand, and the buttocks are moved to the bedside to expose the perineum to the maximum extent. ）The skin of anal canal and a part of sphincter were cut on the posterior midline of anus to make the anus expand and pass through the index finger smoothly. The outside was covered with Vaseline sterile gauze.

Treatment 3: longitudinal transverse suture tension reduction incision, suitable for cicatricial anal stenosis. The patients were given lithotomy position, routine disinfection, local infiltration anesthesia or Yaoshu point anesthesia, and the narrow part of the anal canal with median mucosa after anal incision. Resection of sphincter and external sphincter subcutaneous layer, incision of anal margin skin 1cm, incision of mucosa on both sides of a shape. Part of the mucosa was excised, and a part of the mucosa was separated from the submucosa with scissors. The free mucosa was sutured transversely with the muscle margin skin, and the arc-shaped tension reducing incision was made on the lateral skin of the sutured part. The anterior narrow part of the mucosa anal canal was cut longitudinally, and the internal sphincter was cut. If the anal stricture is serious, the lower skin layer of the external sphincter can also be cut. The wound is open without suturing, covered with sterile gauze, and stitches removed in 5-6 days.

matters needing attention

I would also like to emphasize: often do anal movement, relax the whole body, or sit or stand or lie down, abandon distractions, deliberately contract the anus, slowly lift up, just like trying to endure defecation, imagine lifting the sinking Qi to the Dantian, and then relax, and repeat it several times to dozens of times, generally 30 times each time, twice a day.