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Hemorrhoids
How many days does hemorrhoid surgery hurt?
After hemorrhoid surgery, the local wound can be quite painful, especially in the early postoperative period. As the local anesthesia wears off, patients may experience varying degrees of pain, which usually lasts about a week. For those with less severe conditions, the pain may only last for three days. However, for severe hemorrhoids, especially after circular mixed hemorrhoid surgery, there are more ligations and deeper wounds at the site, thus the pain may extend to 10 days. Additionally, when the ligation thread falls off, there may also be varying degrees of bloating, sagging, pain, and bleeding in the anal area. To avoid intensifying postoperative pain, it is recommended that patients use stool softeners to ease bowel movements after the surgery. For severe pain, patients can also take painkillers when the pain becomes unbearable. (Please use medication under the guidance of a doctor)
Hemorrhoids with bloody stools belong to what type of hemorrhoids?
Hemorrhoids are divided into internal and external hemorrhoids. Bleeding from hemorrhoids generally belongs to internal hemorrhoids or develops into mixed hemorrhoids. Therefore, hemorrhoidal bleeding is due to internal hemorrhoids or mixed hemorrhoids. Hemorrhoids are classified into four degrees: First-degree hemorrhoids do not prolapse. Second-degree hemorrhoids prolapse during defecation when abdominal pressure increases but can retract spontaneously afterward. Third-degree hemorrhoids involve prolapse of the hemorrhoidal tissue that requires manual replacement. Fourth-degree hemorrhoids are incarcerated and cannot be retracted. The treatment of hemorrhoidal bleeding depends on the amount and nature of the bleeding. If it is a small amount of bleeding, conservative treatment is generally sufficient, and the bleeding symptoms will disappear. If the bleeding is significant and persistent, failure to promptly address and surgically treat it may lead to chronic anemia and iron deficiency anemia.
Do hemorrhoids cause bleeding?
Hemorrhoids are a relatively common disease in surgical clinics, characterized by varicose veins. They generally occur when there is increased abdominal pressure or constipation, which can easily lead to hemorrhoids. Bleeding during defecation is the most common symptom of hemorrhoids. Not all hemorrhoids involve bleeding; it is most common in internal and mixed hemorrhoids. Minor bleeding may not require treatment, but significant bleeding may necessitate the use of topical ointments and oral hemostatics. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, drink plenty of water, consume fresh vegetables and fruits, and avoid prolonged sitting or standing.
Do hemorrhoids require surgery?
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.)
How to relieve the pain of hemorrhoids
Most of the time, hemorrhoids do not cause pain. Pain from hemorrhoids is often considered to be due to inflammatory swelling, external hemorrhoid rupture, or thrombosis formation, which leads to pain. If you want to relieve the pain promptly, you can choose sodium diclofenac suppositories for anal insertion, which can have anti-inflammatory and analgesic effects. Later, after defecation, you can use anal washes or potassium permanganate solution for sitz baths, in conjunction with hemorrhoid cream for external application and oral Diosmin tablets to reduce swelling. If the symptoms do not improve significantly after four to five days of medication, it is necessary to go to the hospital’s coloproctology department for hemorrhoid surgery as soon as possible, such as hemorrhoidectomy, external hemorrhoid excision, and TST. Post-surgery, it is important to adhere to dressing changes to promote wound healing, and maintain smooth bowel movements.
Do hemorrhoids bleed and hurt?
Simple hemorrhoids bleeding generally has no pain symptoms. Pain only occurs when the hemorrhoids are inflamed or when there is prolapsed or thrombosed external hemorrhoids. Hemorrhoids are caused by the tortuous dilation of hemorrhoidal venous plexus. Some patients have symptoms of hemorrhoidal prolapse, some have rectal bleeding with fresh blood that is separate from the stool, and a few have both prolapse and bleeding. If the prolapse of hemorrhoids is severe, or if there is a significant amount of bleeding, surgical treatment is recommended. If the bleeding is minor and the hemorrhoids are not severe, conservative treatment can be implemented, including topical medication and maintaining smooth bowel movements. It is advised to avoid alcohol, spicy and irritating foods, and to keep the perianal area clean and hygienic.
What's causing hemorrhoids to itch?
Hemorrhoids cause secretions to flow out from within the anal canal, particularly in the case of internal hemorrhoids. When severe, these secretions can flow outside the anus due to changes in the position of the anus or the patient's body, irritating the local skin and mucosa around the anus, thus leading to symptoms of itching. Additionally, with repeated prolapse of internal hemorrhoids, the mucosa may get trapped at the anal opening and cannot retract normally, also causing irritating itching and possibly even pain and bleeding due to repeated friction. To treat the itching from hemorrhoids, it is first necessary to alleviate the increased secretion from internal hemorrhoids. Options include using anti-inflammatory suppositories or gels, and washing the anal area with saline water or herbal washes that have antipruritic effects.
Can hemorrhoid suppositories be used for hemorrhoid bleeding?
For hemorrhoid bleeding, if the bleeding is not severe, external hemorrhoid suppositories can be used to compress and stop the bleeding, which can be quite effective. If the hemorrhoid bleeding is heavy and prolonged and the suppository is not effective, hospitalization is required. Intravenous hemostatic drugs or oral hemostatics should be administered, with local gauze compression, and surgery should be performed as soon as possible to definitively stop the bleeding. If the bleeding is due to oral anticoagulants, it may be necessary to consider discontinuing these medications, providing symptomatic support treatment for hemostasis, and surgical treatment if necessary.
Consequences of hemorrhoids bleeding
Rectal bleeding, commonly seen in cases of hemorrhoids, usually appears as bright red blood. The bleeding is not mixed with the stool but is excreted along with it from the anus. Minor hemorrhoid bleeding can cause local anal itching. When the bleeding is heavy or prolonged, it can lead to a significant loss of blood volume, resulting in anemia in the patient. Anemia can then lead to other systemic diseases and problems. Therefore, it is important to treat hemorrhoid bleeding early. Treatment options include oral hemostatic medications combined with the topical application of hemorrhoid cream to stop the bleeding.
Can hemorrhoids suppositories be used for bleeding hemorrhoids?
Hemorrhoidal bleeding can be treated with hemorrhoidal suppositories, which can alleviate circulatory disorders around the anus, reduce inflammation of the veins, and prevent the worsening of hemorrhoids. Additionally, if the bleeding is heavy, minimally invasive treatment or surgery may be required. During the treatment period, it is important to maintain a light diet, avoid spicy and irritating foods, drink plenty of water, eat fresh vegetables, ensure smooth bowel movements, and clean the anus after defecation to prevent infection. Active medication or other methods of treatment should be pursued.