Do hemorrhoids require surgery?

Written by Chen Tian Jing
Colorectal Surgery
Updated on October 20, 2024
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When severe hemorrhoids are in an acute attack phase, it is necessary to undergo surgical treatment as soon as possible. Besides surgery, treatment options for hemorrhoids also include conservative medication to alleviate symptoms. For mild hemorrhoids, or those that flare up less frequently, the primary treatment is conservative topical medication. However, when hemorrhoids repeatedly prolapse, cause pain, and result in significant rectal bleeding, affecting the normal functioning of the patient’s body, it is advised to promptly proceed with hemorrhoidectomy surgery. This helps avoid complications such as severe pain that interferes with normal living, or significant bleeding that could lead to anemia in patients, thereby worsening the condition and increasing the difficulty of future treatments. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Yu Xu Chao
Colorectal Surgery
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How to quickly reduce hemorrhoid swelling

Inflammatory edema in hemorrhoids can lead to anal distension and pain in patients. Clinically, for the reduction of hemorrhoid swelling, options such as anal cleansing agents or potassium permanganate solutions can be used for sitz baths. The duration of the sitz bath should be controlled between five to six minutes, which can help in reducing swelling and relieving pain. After the sitz bath, applying Golden Ointment externally can also help in reducing swelling and relieving pain. Additionally, patients need to take oral Diosmin tablets to improve local blood circulation and prevent exacerbation of local swelling. Furthermore, patients should ensure smooth bowel movements, avoiding dry and hard stools to prevent irritation of the swollen hemorrhoids, thus worsening anal pain. They should also visit the hospital's proctology department as soon as possible for manual repositioning of the prolapsed hemorrhoids back into the anus. If repositioning is not possible, then surgical intervention, such as hemorrhoidectomy, must be considered promptly.

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Written by Yu Xu Chao
Colorectal Surgery
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How to treat hemorrhoids bleeding

In clinical practice, the treatment of hemorrhoidal bleeding primarily depends on the severity of the bleeding. If a patient experiences frequent hemorrhoidal bleeding and the volume of blood loss is significant, it is recommended to adopt surgical treatments early. Prolonged bleeding can lead to severe anemia, severely impacting the patient's health. Possible surgical options include sclerotherapy, internal hemorrhoid ligation, or surgeries like PPH and TST. However, if the hemorrhoidal bleeding is infrequent and the volume of blood loss is minimal, the first step should be to improve the diet. Consuming more seasonal fresh fruits and vegetables, maintaining smooth bowel movements, not spending too long on bowel movements or straining excessively, and using hemorrhoidal suppositories or ointments for anal administration after bowel movements are recommended.

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Written by Zhao Li Li
Obstetrics
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What should a pregnant woman do if she has bleeding hemorrhoids?

Due to the impact of hormone levels during pregnancy, pregnant women are easily prone to significantly slower gastrointestinal motility, which can lead to constipation. Frequent constipation can persistently irritate the local area around the anus, easily causing hemorrhoids. Therefore, it is essential to have a nutritious diet that is light and includes plenty of coarse fibrous vegetables and fresh fruits during pregnancy, as these can promote gastrointestinal motility and alleviate symptoms of constipation. If there is bleeding at the site of anal hemorrhoids after defecation, it is necessary to seek medical attention promptly for examination, hemostasis, anti-inflammatory treatment, and symptomatic treatment.

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Written by Huang Gang
Gastroenterology
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Is it scary to have bleeding hemorrhoids?

Firstly, hemorrhoids are soft venous masses formed by the dilation and excessive twisting of veins under the mucous membrane and the skin at the end of the rectum. During defecation, the stool rubs against the raised twisted veins, and the straining during defecation causes increased pressure on these vessels, leading to rupturing of the hemorrhoidal veins and resulting in bleeding with the stools. If the amount of bleeding is significant, it can lead to symptoms like anemia and dizziness. If the bleeding is minor, it generally does not pose a problem. Therefore, if there is a case of hemorrhoidal bleeding, it is best to visit the colorectal surgery department of a hospital for a proper diagnosis and, if necessary, surgical treatment can be performed to prevent recurrence of the bleeding.

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Written by Liu Huan Huan
General Surgery
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How to stop bleeding from hemorrhoids

Hemorrhoids are very common in clinical settings. Their main clinical manifestations are rectal bleeding and the prolapse of anal lumps. When a patient experiences rectal bleeding, the first step is to instruct the patient to maintain a light diet, avoiding spicy, greasy, irritating, and hard foods. Hemostasis can be achieved through some oral medications. Secondly, local compression with gauze can be used for hemostasis. Third, topical applications of hemorrhoid ointments can also be used for hemostasis. Finally, if the above treatments are ineffective, surgical methods can be used for hemostasis. (Medication should be used under the guidance of a doctor.)