Do internal hemorrhoids definitely need to be pushed back in?
If internal hemorrhoids prolapse, they must be pushed back in because prolonged prolapse at the anus can lead to increased secretions in the anal area, causing itching. Moreover, internal hemorrhoids that prolapse can rub against underwear, resulting in damage, or even provoke inflammatory infections causing swelling and pain in the anus. Additionally, prolonged prolapsed hemorrhoids may also lead to poor local circulation, potentially forming blood clots, causing severe swelling and pain, and even possibly leading to necrosis of the hemorrhoids. Therefore, if internal hemorrhoids prolapse, they should be pushed back in as much as possible. If they cannot be pushed back, it is advisable to promptly visit the hospital's colorectal surgery department to consider procedures such as hemorrhoidal banding, PPH (Procedure for Prolapse and Hemorrhoids), or TST (Transanal Hemorrhoidal Dearterialization). After the surgery, it is crucial to adhere to changing dressings to avoid wound infection and inflammation. Furthermore, if the internal hemorrhoids repeatedly prolapse after being pushed back, surgical treatment is also necessary.
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