Hemorrhoids

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Written by Du Rui Xia
Obstetrics
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What should pregnant women do about hemorrhoids?

Women who develop hemorrhoids during pregnancy should stop eating spicy and stimulating foods. They should eat more vegetables and fruits that are rich in fiber to facilitate bowel movements, such as bananas, daylilies, black fungus, apples, peaches, and pears. They can also use some medications for sitz baths, twice a day after each bowel movement, once in the morning and once in the evening. Additionally, they should avoid standing or sitting for long periods and can perform anal lifting exercises or massage the anal area. Massaging can help with blood circulation and can be somewhat helpful in improving hemorrhoids.

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Written by Chen Tian Jing
Colorectal Surgery
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Where to apply moxibustion for hemorrhoidal bleeding?

It is not recommended to use moxibustion treatment when hemorrhoids bleed. This is because moxibustion involves local heat effects that can lead to further congestion and swelling of the local mucosa. Additionally, mugwort, usually used in moxibustion, has properties that can stimulate blood circulation and regulate menstruation, which could potentially worsen local bleeding if used for treatment. Therefore, the primary treatment for bleeding hemorrhoids should be oral hemostatic drugs, and surgery should be performed as soon as possible for ligation to stop the bleeding. Moxibustion treatment is not recommended as it may delay the condition, possibly leading to increased bleeding and the risk of anemia. Hemorrhoid hemostatic drugs can include oral medications that clear heat, cool the blood, and detoxify to stop bleeding. Topical application of hemorrhoid cream to press and stop bleeding can also be used concurrently. If the bleeding is severe or prolonged, it is advisable to undergo surgical treatment directly.