Time：2023-04-01 12:16:14 source：psychiatricethics.com author：Emergency treatment Read：873次

Mother's counseling work was so angry that hemorrhoids occurred. Is there such a situation clinically?

Hemorrhoids are venous masses formed by congestion, expansion and flexion of the venous plexus under the mucosa of the lower rectum and under the skin of the anal canal. The main symptoms of hemorrhoids are anal lumps and blood in the stool, which are usually not very uncomfortable. But once the acute attack of hemorrhoids is often excruciatingly painful, this is also one of the most terrifying parts of hemorrhoids. No, recently, a mother in Jiaxing, Zhejiang Province, was so angry that she had a hemorrhoid attack because of tutoring her son's homework. Dad couldn't stand it, so he had to let him take it off. Clinically, many patients with hemorrhoids go to the anorectal department of the hospital because the acute attack of hemorrhoids is too painful to eat or sleep. So, why are hemorrhoids acute and painful? Acute attacks are more common in whom? How to relieve the acute attack of hemorrhoids? Is surgery necessary?

Clinical hemorrhoid flares

Inflammatory external hemorrhoids. Perianal skin tag edema, flushing, round or oval, is an acute attack state. The patient has significant pain but no blood in the stool. It often occurs after excessive fatigue. It is also seen in the "fire" after eating spicy and irritating food such as barbecue, frying, and hot pot, and the vasodilation and mucous membranes rupture and become inflamed. Light cases are just pain, severe cases cannot sit or stand. Thrombosed external hemorrhoids. Often a purple round or oval mass suddenly develops at the anal verge after straining to defecate, and there is a thrombus under the skin of the anal verge. The pain varies in severity, and some may have severe pain. The patient has no symptoms of blood in the stool, which may be due to the long-term exposure to air-conditioning, or sitting on a soft chair or sofa for a long time, which makes the blood vessels blocked. Inflammatory thrombotic external hemorrhoids. It is the superposition of the above two conditions, both inflammatory edema and thrombosis, and the pain is more obvious. Incarcerated hemorrhoids. Strangulated internal hemorrhoids, also known as strangulated internal hemorrhoids, are internal hemorrhoids that prolapse and fail to recover in time due to spasm of the anal sphincter, obstruction of blood flow, swelling of hemorrhoids with severe pain, thrombosis inside, and surface ulceration and necrosis, becoming incarcerated hemorrhoids. This condition is much more painful than the three above. In addition, incarcerated internal hemorrhoids often coexist with the inflammatory edema of external hemorrhoids, making it difficult for patients to even walk. Hemorrhoids with anal fissure. Hemorrhoids themselves do not have pain, but anal fissures do, especially those with advanced anal canal ulcers with hyperplasia of fissured hemorrhoids, the pain is more significant. People who go to the toilet for a long time, have constipation and dry stool, not only have more and more congestion in the anus, forming hemorrhoids, but also easy to combine with anal fissure and anal fistula. Acute onset during pregnancy. The pregnant mother's anal pad is congested and hypertrophied due to the rise in estrogen levels, and at the same time, the growth of the fetus, compressing the anus and rectum leads to obstruction of blood return, and congestion of hemorrhoids and varicose veins. In addition, the pregnant mother has relatively little activity, and the gastrointestinal activity also slows down. The stool will stay in the intestine for too long, and the stool will harden. These two physiological phenomena make hemorrhoids aggravated during pregnancy and easy to form acute incarcerated hemorrhoids, causing edema, pain, bleeding and even thrombosis. The pain of hemorrhoids can easily cause uterine contractions in pregnant women and lead to miscarriage, which is more dangerous than ordinary patients. In addition, patients who often take oral vasodilators and anticoagulants can cause blood vessels to dilate and bleed at the end of the rectum, increasing the risk of acute hemorrhoids. And the motherland medicine believes that, inadvertent intercourse or drunkenness entering the room, prolonged diarrhea and chronic dysentery can cause hemorrhoids to attack.

How to treat acute hemorrhoids?

Many patients believe that surgery is necessary to treat hemorrhoids. In fact, not all hemorrhoids require surgery. In clinical treatment, there are three treatment principles for hemorrhoids. First, when there are no symptoms, no treatment is required; second, when symptoms are present, the principles of treatment should be followed to eliminate symptoms or relieve pain, rather than radical cure; third, when conservative treatment can be used, never Use surgery. When hemorrhoids are bleeding and painful, put a hemorrhoids suppository or hemorrhoid cream, or take Huaijiao pills orally through the anus after defecation, which can stop bleeding, reduce inflammation and relieve pain. If it does not work, it is necessary to go to the anorectal department to find out the cause and target treatment. Such as inflammatory external hemorrhoids, in addition to hemorrhoid cream, but also topical antibiotic ointment. Thrombosed external hemorrhoids are best treated with external hemorrhoid extraction or excision. Inflammatory thrombotic external hemorrhoids generally require anti-inflammatory treatment followed by surgery. In addition to anti-inflammatory, local sitz bath and rest, incarcerated internal hemorrhoids can also be treated with immediate surgery. In the treatment of hemorrhoids with anal fissures, surgical resection is advocated, and anal fissures and mixed hemorrhoids can be removed at the same time. Routine outpatient surgeries for hemorrhoids include infrared coagulation therapy, cryotherapy, bipolar electrocoagulation, laser photocoagulation, rubber ring ligation, and sclerotherapy injection. With the development of medicine, endoscopic sclerotherapy is also gradually developing. It is a kind of minimally invasive treatment, which is painless and loved by patients.

How to prevent hemorrhoids from attacking in winter?

Winter is coming, the prevention of hemorrhoids should start with the prevention of constipation. First, pay attention to your diet. The intake of food and water should be appropriate, usually eat more vegetables and fruits, foods rich in dietary fiber, such as all kinds of coarse grains, taro, bamboo shoots, celery, leeks, etc., drink more boiled water or drink more drinks with laxative effect, then dry Those who are difficult to understand can use sweet potato leaves to soak in water instead of tea. Eat less or do not eat spicy, fried and other easy to get angry food. Second, to maintain emotional comfort. Emotional tension, depression and anxiety, or high concentration of attention on a certain work, or strong mental stimulation, panic, etc., will make the constipation disappear and form habitual constipation. Mental and psychological factors are the main reasons for the formation of rectal constipation, so maintaining a good mental mood is also a good way to prevent hemorrhoids. Third, regular bowel movements every day. To develop a good habit of regular bowel movements every day, do not defecate while reading the newspaper, and the defecation time should be as short as possible. Fourth, often do levator ani exercise. This exercise is helpful to prevent hemorrhoids. Lie on your back at night, straighten your upper and lower limbs, relax your whole body, take one breath and one breath, and contract the levator anus for 20 to 30 times. At the same time, massage the long acupuncture points on the tip of the coccyx and the middle of the anus with fingers, with moderate intensity, and continue to massage for 15 minutes. In addition, if the anus is unclean, it is easy to cause local inflammation and edema, which will lead to aggravation of the disease. You should pay attention not to use too rough toilet paper after defecation, and pay attention to washing your lower body frequently, changing your underwear frequently, and wearing cotton underwear to facilitate ventilation and absorption. local secretions. Once the anus bleeds when you have a bowel movement, or there is a soft lump that comes out, the anus is moist and itchy, or there is a lump outside the anus that is painful. Be sure to go to a regular hospital for treatment, and a professional doctor will determine the treatment method according to the condition. #hemorrhoid#

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