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Internal hemorrhoids
How to completely treat internal hemorrhoids?
In recent years, there have been numerous treatment methods for internal hemorrhoids, primarily divided into non-surgical and surgical treatments. Non-surgical treatment mainly involves conservative management, which generally includes measures such as increasing the intake of vegetables and fruits, maintaining smooth bowel movements, and using medications or applying ointments locally. Surgical treatment mainly includes injection therapy and excision of the hemorrhoidal nodes. For a complete cure, surgical treatment is typically required, which involves thoroughly removing the pathological hemorrhoidal nodes. (The use of medications should be under the guidance of a doctor.)
Is a severe internal hemorrhoid prolapse?
Internal hemorrhoids mainly refer to soft venous masses that occur above the dentate line, formed by congestion, dilation, and varicosity of the superior rectal venous plexus. The primary symptoms are rectal bleeding and prolapse of the lump outside the anus. Prolapse of internal hemorrhoids is one of the indications for surgery, meaning that if there is rectal bleeding or prolapse outside the anus at the dentate line, surgical treatment is required. Thus, internal hemorrhoids are considered severe if there is a prolapse, necessitating surgical treatment.
Will internal hemorrhoids affect menstruation?
Internal hemorrhoid bleeding can potentially affect menstruation. Although brief internal hemorrhoid bleeding does not affect menstruation, if the hemorrhoid bleeding is heavy, prolonged, frequent, and occurs daily or frequently, exceeding the body's ability to replace the lost blood, it can cause severe systemic anemia. In such cases, it might affect menstruation.
What should I do about internal hemorrhoids?
In clinical practice, the treatment of internal hemorrhoids mainly depends on the symptoms presented by the patient, and an appropriate treatment method is selected accordingly. For example, patients with early-stage internal hemorrhoids who experience intermittent rectal bleeding are usually advised to use hemorrhoid suppositories or ointments after defecation. However, as the condition of internal hemorrhoids worsens, which might include prolapse or even symptoms of anemia, surgical treatment is often recommended. Clinically, surgery for internal hemorrhoids can involve sclerotherapy injections, hemorrhoidal banding, or other surgical methods such as PPH (Procedure for Prolapse and Hemorrhoids) or TST (Transanal Hemorrhoidal Dearterialization). Post-surgery, dressing changes are necessary, and products such as rectal cleansing solutions, oil gauze strips, or ointments are commonly used. Moreover, it is crucial for patients to maintain smooth bowel movements post-surgery to avoid wound infection, bleeding, or edema, and they should adhere to a light diet avoiding spicy, stimulating, and dry foods. (Please follow medical advice regarding medication use.)
Internal hemorrhoids bleeding is what color?
Rectal bleeding is the primary clinical symptom of internal hemorrhoids, typically characterized by bright red blood. Bleeding after bowel movements is one of the early symptoms of internal hemorrhoids, which often have no significant initial conscious symptoms, commonly presenting as blood-streaked stool after defecation. Bleeding after bowel movements can appear as dripping or spraying, bright red, painless, and not mixed with the stool. This distinction is crucial for differentiating from cancer. Rectal bleeding generally increases in severity over time, progressing from small amounts of blood to significant bleeding. Prolonged and repeated bleeding can lead to severe anemia in patients.
What should I do if the internal hemorrhoids hurt after being pushed back in?
If the pain does not subside after pushing back a prolapsed internal hemorrhoid, it is often due to the formation of a thrombus, which is why the localized pain is quite noticeable. In such cases, it is advised to use topical medications for treatment. You can use hemorrhoid suppositories or ointment, inserting them into the anus to alleviate the pain. If the pain remains significant, you can also take oral pain relievers temporarily. If pain persists even after these treatments, it may be considered a strangulated hemorrhoid, which is more serious. It is recommended that you visit a formal hospital's proctology department. There, a doctor can perform a digital rectal examination and an anoscopy to establish a definitive diagnosis and provide appropriate treatment. If very severe, surgery may be needed. (Use of medications should be under the guidance of a physician.)
Can excessive bleeding from internal hemorrhoids cause dizziness?
Excessive bleeding from internal hemorrhoids can lead to symptoms of dizziness. Bleeding is one of the main clinical manifestations of internal hemorrhoids. The amount of bleeding can vary, and the color of the blood is typically bright red. If there is a large amount of bleeding, lasts for a long time, or occurs frequently, and it exceeds the body's ability to produce new blood, it can lead to systemic anemia. Prolonged conditions can result in severe anemia, which may cause dizziness.
Can warm water sitz baths improve internal hemorrhoids that have prolapsed?
Warm sitz baths for prolapsed internal hemorrhoids can improve anal heaviness to some extent, and prevent inflammatory edema caused by the prolapse. They can also help prevent further worsening of prolapsed hemorrhoids, as warm sitz baths promote circulation around the anal area, relieve heaviness, and can somewhat reduce the prolapse, but they cannot completely cure it. Prolapsed internal hemorrhoids are caused by pathological hypertrophy and descent of the anal cushions, representing an organic lesion. Simple conservative medical treatment can only prevent the hemorrhoids from worsening, but cannot fully cure them. For prolapsed internal hemorrhoids that can be manually reduced, conservative treatment is generally recommended. Regular smooth bowel movements should be maintained, long duration of defecation should be avoided, and frequent anal sphincter exercises should be performed. However, for prolapsed hemorrhoids that cannot be reduced, or those that develop incarceration with edema or thrombosis, surgical treatment is recommended.
Can internal hemorrhoids be treated by prolapse and bloodletting?
Bleeding should not be used for prolapsed internal hemorrhoids, as this condition is primarily caused by improper defecation habits leading to pathological enlargement and descent of the anal cushion, which results in the prolapse of internal hemorrhoids. In the early stage, prolapsed internal hemorrhoids can retract back into the anus after defecation, and under such circumstances, it is only required for the patient to develop good bowel habits. For example, avoid spending too much time on defecation, don't exert excessive force, perform sphincter exercises after defecation, and maintain smooth bowel movements. Attention should also be paid to perianal hygiene; it is advised to wash the area with warm saline water after defecation to avoid worsening the prolapse or causing incarcerated edema. However, for cases where incarcerated edema occurs, it is generally recommended to consider prompt surgical intervention, such as hemorrhoidal ligation, PPH (Procedure for Prolapse and Hemorrhoids), or TST (Transanal Stapling Technique). The use of bleeding as a treatment does not have significant therapeutic effects for prolapsed internal hemorrhoids, and thus is not recommended in clinical practice. Furthermore, patients should pay attention to a light diet and avoid spicy, stimulating, and dry-hot foods as much as possible.
How to relieve pain and swelling from internal hemorrhoids prolapse?
Internal hemorrhoids prolapse with pain and swelling. This is often due to inflammatory edema or thrombosis caused by the prolapse, which leads to pain and swelling. At this time, you can choose to apply lidocaine gel externally or apply golden ointment externally for anti-swelling and analgesic effects. You can also choose to insert sodium diclofenac suppositories into the anus, which has anti-inflammatory and analgesic effects, and take diosmin tablets orally to relieve anal swelling, as well as use anal cleansers or potassium permanganate solution for sitz baths to eliminate local bacteria and secretions, and reduce local infectious inflammation. After using the medication, it is still recommended to go to the hospital's proctology department as soon as possible for treatments like internal hemorrhoid banding, PPH, or TST, because the swelling of prolapsed internal hemorrhoids indicates a severe condition, and mere medication alone cannot achieve effective treatment outcomes.