How to reduce swelling of hemorrhoids

Hemorrhoids should not be unfamiliar to everyone. The saying "Nine out of ten people have hemorrhoids" shows that most people are extremely prone to hemorrhoids. The daily life of patients with hemorrhoids will be seriously affected, so suffering from hemorrhoids is very inconvenient for everyone. In many cases, hemorrhoids will cause swelling in the affected area. So, how to reduce the swelling caused by hemorrhoids? This question is very important for our hemorrhoid patients.

Hemorrhoids can be divided into internal hemorrhoids and external hemorrhoids. These two types of hemorrhoids are actually different. Strictly speaking, internal hemorrhoids are more serious and more difficult to treat than external hemorrhoids. Internal hemorrhoids are much more harmful to the human body than external hemorrhoids. Usually, serious internal hemorrhoids require surgical removal. So, let’s talk about how to reduce swelling of hemorrhoids.

You can take a 1:5000 potassium permanganate sitz bath at a temperature of 43-46 degrees, 2-3 times a day to promote local blood circulation and reduce swelling. You should pay attention to a light diet, eat less spicy and greasy food, and eat more foods containing dietary fiber, such as celery, bananas, etc., to reduce constipation and reduce the degree of getting angry. If the symptoms are severe, it is recommended to go to the anorectal department of the hospital for treatment.

Hemorrhoids (commonly known as hemorrhoids) are a common disease located in the anal area. They can occur at any age, but the incidence rate gradually increases with age. In my country, hemorrhoids are the most common anorectal disease, and there is a saying that "nine out of ten men have hemorrhoids" and "ten out of ten women have hemorrhoids". In the United States, the incidence of hemorrhoids is about 5%.

There are two main theories about the cause of hemorrhoids. The first is the varicose vein theory, which holds that hemorrhoids are venous masses formed by congestion, dilation, and tortuosity of the venous plexus under the mucosa of the lower rectum and under the skin of the anal canal. However, the widely accepted theory at present is Thomson's anal cushion migration theory, which holds that hemorrhoids were originally normal anatomical structures in the anal canal, namely the vascular cushion, which is a ring-shaped spongy tissue band 1.5 cm above the dentate line. Only when the anal cushion tissue becomes abnormal and is accompanied by symptoms can it be called hemorrhoids and require treatment. The purpose of treatment is to relieve symptoms rather than eliminate hemorrhoids. There are many factors that cause hemorrhoids, among which constipation, long-term drinking, eating large amounts of irritating foods and sitting or standing for long periods of time are the main causes.

treat

1. Non-surgical treatment

Asymptomatic hemorrhoids do not require treatment; symptomatic hemorrhoids do not require radical treatment; non-surgical treatment is the main treatment.

2. Surgery

(1) Indications for surgery: Conservative treatment is ineffective, hemorrhoids are severely prolapsed, large fibrotic internal hemorrhoids are not well treated with injections, and there are anal fissures, anal fistulas, etc.;

(2) Principles of surgery: Surgery is used to reposition the prolapsed anal cushion and preserve the structure of the anal cushion as much as possible, thereby minimizing the impact on the ability to control bowel movements.

(3) Preoperative preparation: When there are ulcers or infections on the surface of internal hemorrhoids, conservative treatment such as laxatives and warm water sitz baths should be performed first, and surgery can be performed after the ulcers have healed; bowel preparation should be performed.

(4) Surgical method

① Thrombosed external hemorrhoidectomy is suitable for patients whose pain does not ease or the swelling does not shrink after conservative treatment of thrombosed external hemorrhoids.

② Traditional hemorrhoidectomy, namely external peeling and internal ligation.

③Whitehead procedure: This is a classic procedure in textbooks, which can easily lead to anal stenosis and is rarely used in clinical practice.

④PPH surgery

Stapler hemorrhoidal rectal mucosal circumcision and stapling. It was created by Italian doctor Longo and began to be promoted in 1998. It is mainly suitable for prolapsed III-IV grade mixed hemorrhoids, annular hemorrhoids, and some severely bleeding II grade internal hemorrhoids. The mechanism of PPH in treating prolapsed hemorrhoids: circular resection of 2 to 3 cm mucosa and submucosal tissue at the lower end of the rectum to restore the normal anatomical structure, that is, the anal cushions are returned to their original position; the resection of the submucosal tissue blocks the blood supply of the superior hemorrhoidal artery to the hemorrhoidal area, causing the hemorrhoids to shrink after surgery. Compared with traditional hemorrhoidectomy, PPH surgery has shorter operation time, less postoperative pain, faster recovery and fewer complications, but the equipment is more expensive.

(5) Postoperative treatment: Observe whether any complications occur, pay attention to diet, and maintain smooth bowel movements.

There are actually many ways to reduce swelling of hemorrhoids, and the most common one is probably the use of potassium permanganate for sitz baths. Secondly, the daily diet should be light, and spicy food should be eaten as little as possible. Irritating food should also not be eaten. In addition, when hemorrhoids have caused serious damage to the body, necessary surgical treatment is required.