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External hemorrhoids
How to eliminate external hemorrhoids with a fleshy lump?
External hemorrhoids involving a flesh mass are considered organic lesions. Complete removal typically requires hemorrhoid surgery, such as excision of external hemorrhoids or debridement surgery. Postoperative care includes changing dressings using products like anal washes, red oil gauze strips, and golden ointment. It is also important for patients to develop good bowel habits post-surgery, maintain smooth bowel movements, and avoid prolonged or excessive straining to facilitate recovery and prevent recurrence of external hemorrhoids. If treated solely with conservative medication, the flesh mass of external hemorrhoids can only be reduced, not completely eliminated. Inappropriate diet or abnormal bowel movements can lead to an increase in the size of external hemorrhoids, potentially causing inflammatory edema or thrombosis, which can result in significant anal discomfort and severely impact the patient’s normal life. Therefore, the treatment approach for external hemorrhoid flesh mass should be based on the severity of the condition.
External hemorrhoids are divided into several types.
External hemorrhoids refer to hemorrhoids below the dentate line and are divided into four types. The first type is the connective tissue type of external hemorrhoids, which are formed by the proliferation and bulging of excess skin at the anal margin. The second type is the varicose vein type of external hemorrhoids, formed by the dilation and bending of the venous plexus below the dentate line. The third type is inflammatory external hemorrhoids, which is a state where external hemorrhoids become inflamed. The fourth type is the thrombosed external hemorrhoid, which is formed by bleeding due to the rupture of the subcutaneous veins at the anal margin, resulting in a blood clot.
Can external hemorrhoids be punctured?
External hemorrhoids should not be punctured because they are located at the anus, which is at the end of the digestive tract and often contaminated by feces and excretions. If punctured, it can easily lead to local infection, causing pain and increased secretion, and worsening necrosis of the external hemorrhoids. Therefore, external hemorrhoids should be treated as soon as possible with hemorrhoidectomy, rather than being punctured by oneself. After surgical treatment, it is also necessary to use anal cleansers, red oil gauze, and golden ointment for dressing changes to promote the healing of the wound. Moreover, patients should maintain smooth bowel movements to avoid hard and dry stools or frequent diarrhea. In terms of diet, it is advisable to consume foods rich in roughage to ensure smooth bowel movements and to avoid fishy seafood and similar foods.
How to relieve the pain of external hemorrhoids?
When there is pain in an external hemorrhoidal tag, it is often due to inflammatory edema or the formation of a thrombus, leading to pain. In such cases, it is advisable to first use an anal cleansing agent or a potassium permanganate solution for a sitz bath after defecation. The duration of the sitz bath should be controlled between five to ten minutes, which can effectively reduce swelling and relieve pain. After the sitz bath, applying external remedies such as Yellow Ointment or Musk Hemorrhoids Cream can also help reduce swelling and alleviate pain. For particularly severe pain, directly using diclofenac sodium suppositories inserted into the anus can provide anti-inflammatory and analgesic effects. Additionally, for external hemorrhoids with inflammatory edema, it is also necessary to combine this with oral diosmin tablets to relieve discomfort. However, if the external hemorrhoidal tag remains swollen for a long period or if the thrombus does not resolve, it is advisable to consider early surgical excision of the external hemorrhoids, followed by diligent postoperative dressing changes.
Can external hemorrhoids be treated without surgery?
Some external hemorrhoids do not require surgical treatment, as they come in three types. The first type, connective tissue external hemorrhoids, mainly presents as a mild foreign body sensation, generally painless, thus surgery is not necessary. Varicose vein type external hemorrhoids typically cause a feeling of heaviness and discomfort around the anus, and if symptoms are not severe, surgery is not required either. Only thrombosed external hemorrhoids, which usually involve severe pain, may resolve significantly on their own within two to three days if the lump is not large. Surgery is only needed for large, thrombosed external hemorrhoids.
How to deal with external hemorrhoids bleeding?
If external hemorrhoids bleed without apparent reason, it may be due to the rupture of thrombosed external hemorrhoids, leading to bleeding. Firstly, it is necessary to disinfect and clean the local wound to avoid accumulation of blood or contaminants and feces, which may cause infection of the wound. If the bleeding does not stop, topical hemostatic drugs or oral hemostatic drugs should be used for symptomatic treatment. If external hemorrhoids bleed and are accompanied by severe prolapse of internal hemorrhoids, it is recommended that the patient undergo surgical treatment to remove and ligate both external and internal hemorrhoids at the same time. This can further prevent exacerbation of bleeding and fundamentally treat hemorrhoids. Patients with bleeding external hemorrhoids must have a light diet and avoid irritating foods such as chili peppers and seafood. (The use of medications should be under the guidance of a doctor.)
How to quickly eliminate the flesh masses of external hemorrhoids?
If a patient has an external hemorrhoid that has enlarged and they want to quickly or completely eliminate it, it is recommended to directly perform surgical removal. External hemorrhoids generally include thrombotic external hemorrhoids, varicose cluster external hemorrhoids, and inflammatory edematous external hemorrhoids. There are also some skin tag-like or connective tissue external hemorrhoids that do not exhibit clinical symptoms, and do not require excessive intervention in treatment. However, during an acute attack of thrombotic or inflammatory edematous external hemorrhoids, due to congestion or increased pressure in the local hemorrhoidal nucleus, severe pain can occur. You can choose to press with dilute salt water to promote the dissipation of edema. Complete removal requires surgical excision to avoid recurrent flare-ups of the condition.
How to relieve pain from thrombosed external hemorrhoids?
The main cause of pain in thrombotic external hemorrhoids is the thrombus within the local hemorrhoid nucleus, which increases the congestion pressure and leads to discomfort and pain. During the acute phase of thrombotic external hemorrhoids, there is generally pain or bloating in the local area, along with difficulty in defecation. To quickly alleviate the pain, one can manually break the local thrombus or use traditional Chinese medicine washes for hot compresses to promote the absorption of the thrombus. If the thrombus is large or the condition is severe, surgery can also be performed to peel and remove the local thrombus, which is the most effective method for pain relief. After the surgery for peeling off thrombotic external hemorrhoids, it is necessary to disinfect the local wound surface to avoid infection.
What medicine is used for thrombotic external hemorrhoids?
Thrombosed external hemorrhoids generally result from the formation of blood clots inside the local external hemorrhoids, causing acute symptoms. During an episode of thrombosed external hemorrhoids, patients experience localized pain or a feeling of constriction, and the formation of dark red or purplish external hemorrhoids can be visibly seen at the anus, which are very painful to the touch. Treatment for thrombosed external hemorrhoids primarily involves topical medications or surgery. If the symptoms are mild, one may choose to apply hemorrhoid cream or use diluted saline solution to compress and reduce swelling. Surgery can also be opted to excise and remove the affected external hemorrhoids. Thrombosed external hemorrhoids generally occur in individuals who strain excessively during defecation or after extreme fatigue. Therefore, if accompanied by dry stools, it is necessary to use stool softeners to help lubricate and ease bowel movements for treatment.
What are the effects of external hemorrhoid fumigation and washing liquid?
Shrink hemorrhoids, eliminate swelling. For the treatment of external hemorrhoids, one can choose Chinese herbal washes to fumigate the affected area, apply hot compresses, or take sitz baths. Their primary efficacy is to shrink the local external hemorrhoidal nodules and reduce swelling through the effects of the medication, or to enable the self-absorption of thrombosis and varicose veins within the local nodules. Beyond local fumigation agents, the treatment of external hemorrhoids can also include applying ointments or using suppositories. It is also necessary to maintain good bowel habits to avoid further irritation and enlargement from stool. If repeated treatment for external hemorrhoids is ineffective, or if the local symptoms are severe, surgery may be considered to remove the external hemorrhoids completely.