The difference between mixed hemorrhoids and external hemorrhoids

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 16, 2024
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Both mixed hemorrhoids and external hemorrhoids fall within the clinical scope of hemorrhoids. However, mixed hemorrhoids generally include external hemorrhoids, whereas external hemorrhoids consist simply of local skin tags or connective tissue-based external hemorrhoids near the anal region. In addition to the local external hemorrhoids, mixed hemorrhoids also have local mucosal protrusions around the dentate line inside the anal canal, which connect with the external hemorrhoids to form mixed hemorrhoids. Both mixed and external hemorrhoids are very common. Treatment options include conservative medication or surgical removal. The primary surgical method for mixed hemorrhoids is excision and ligation, while for external hemorrhoids, the primary method is excision. Post-surgery, it is necessary to disinfect and change dressings on the local wounds to promote further growth and healing.

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Written by Deng Heng
Colorectal Surgery
38sec home-news-image

Will external hemorrhoids affect sexual life?

External hemorrhoids generally do not affect sexual life. External hemorrhoids mainly refer to hemorrhoids that grow below the dentate line, primarily divided into connective tissue external hemorrhoids, varicose external hemorrhoids, inflammatory external hemorrhoids, and thrombosed external hemorrhoids. The main clinical manifestations of the first three types of external hemorrhoids are a foreign body sensation in the anus and moisture at the anus, so they do not affect sexual life. Only thrombosed external hemorrhoids can cause anal pain, which might affect sexual life if the pain is very severe.

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Written by Chen Tian Jing
Colorectal Surgery
1min 17sec home-news-image

What is inside a thrombotic external hemorrhoid?

Thrombotic external hemorrhoids are a common clinical presentation of external hemorrhoids. During an episode, blood clots generally form within the hemorrhoidal nucleus, which means that thrombotic external hemorrhoids mainly consist of blood clot particles. Because the blood clots are wrapped inside the hemorrhoidal nucleus, the pressure inside the nucleus increases, leading to congestion and edema. Patients experience significant pain and a feeling of fullness. Severe symptoms may also affect the patient's ability to sit or walk normally. Therefore, it is crucial to treat thrombotic external hemorrhoids early in their development. For early-stage mild thrombotic external hemorrhoids, local treatments such as hot compresses with hemorrhoidal medication or manual pressure can be employed to promote the absorption of the blood clots. Oral medications that reduce swelling, relieve pain, and stop bleeding can also be used for symptomatic relief. If thrombotic external hemorrhoids recur frequently or if conservative medication fails, surgical excision and stripping of the thrombotic external hemorrhoids can also be considered.

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home-news-image
Written by Chen Tian Jing
Colorectal Surgery
1min home-news-image

The difference between mixed hemorrhoids and external hemorrhoids

Both mixed hemorrhoids and external hemorrhoids fall within the clinical scope of hemorrhoids. However, mixed hemorrhoids generally include external hemorrhoids, whereas external hemorrhoids consist simply of local skin tags or connective tissue-based external hemorrhoids near the anal region. In addition to the local external hemorrhoids, mixed hemorrhoids also have local mucosal protrusions around the dentate line inside the anal canal, which connect with the external hemorrhoids to form mixed hemorrhoids. Both mixed and external hemorrhoids are very common. Treatment options include conservative medication or surgical removal. The primary surgical method for mixed hemorrhoids is excision and ligation, while for external hemorrhoids, the primary method is excision. Post-surgery, it is necessary to disinfect and change dressings on the local wounds to promote further growth and healing.

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Written by Yu Xu Chao
Colorectal Surgery
1min 8sec home-news-image

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.

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Written by Chen Tian Jing
Colorectal Surgery
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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.)