How to deal with the fourth stage of hemorrhoids

summary

I was the first child. I didn't expect that the second trimester would be so painful. Now it has been 39 weeks + 5 days, yesterday was still good, today suddenly grew a hemorrhoid, fidgety, immediately treated, now obviously improved, let's share the next hemorrhoid four disease how to do.

How to deal with the fourth stage 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

Here, I would like to remind you to pay attention to: eat less or not hard and indigestible food, such as broad beans and Mahua, which is difficult to digest in the gastrointestinal tract. When defecating, it is easy to damage the rectum and anal mucosa, causing bloody stool or aggravating pain. If the symptoms of hemorrhoids are not serious, we can treat hemorrhoids through appropriate diet therapy.