1. Complications of hemorrhoids
Complications of hemorrhoids that are rare but still possible include:
- Anemia because of chronic blood loss through hemorrhoids, the body will not have enough red blood cells required to produce oxygen transfer for cells. This situation is rare.
- Congestion of hemorrhoids if the hemorrhoids prolapse and trapped, leading to the blood vessels that contribute the hemorrhoids to become clogged. Pain symptoms will be very obvious now. When pressed, it will get sticky because of a blood clot.
- Thrombosis: A condition in which a blood clot forms inside hemorrhoid’s hemorrhoid. When blood vessels are developed and congested because of straining, heavy lifting, pregnancy, doing heavy sports increases the press in the abdominal cavity will create favorable conditions for the development of blood clots that cause clogging. If you have an external hemorrhoidal occlusion, the edge of the anus will be small and green, accompanied by a burning sensation when touched, bulging. Occlusion in internal hemorrhoids feels deep and painful and not as aggressive as external hemorrhoids.
- Perianal dermatitis, papillary dermatitis, and ulcerative dermatitis when the skin between the hemorrhoids is hurt, leading to itching and burning symptoms.
2. Treatment of hemorrhoids
Applies to symptomatic hemorrhoids
2.1 Medical treatment
Conservation surgery and daily regimen
- A diet high in substance is an effective method for hemorrhoids, limiting stimulants such as alcohol and chili. Avoid strenuous exercise, avoid sitting too much or standing for too long. Change your bowel habits to avoid constipation.
- Sitting with an anal bath in warm water helps to improve symptoms.
Medication: May use topical or anal suppositories, medicines that support venous circulation
2.2 Surgical treatment
- Cases of hemorrhoids with thrombotic complications: we should intervene in thrombotic hemorrhoids early by performing the classic way of removal or mixing thrombosis with hemorrhoid removal methods other dharma.
- The operation of tying hemorrhoids with a rubber band or avascular prick to the hemorrhoids, used for mild hemorrhoids
- it states Injections in hemorrhoids 1 and 2, not for external hemorrhoids, thrombotic hemorrhoids, ulcerative internal hemorrhoids or accident. For the method of prickling treatment, 1-2 ml of fiber-making substance (sodium tetradactyl sulfate or 5% phenol, quinine, urea hydrochloride, polydactyly) is injected with a 25-gauge needle into the submucosa.
- Tying with rubber bands- A rubber band is placed around hemorrhoids, causing anemia, fibrous hemorrhoids, shrinking, and falling off by itself. The advantage is that it is easy to implement simple, inexpensive, and can be an outpatient treatment for patients with Grade 2 and 3 hemorrhoids.
- The Longo method (stapled hemorrhoidectomy-PPH, 1998) is accepted in many European and Asian communities. This approach has become an acceptable choice for hemorrhoid removal surgery to treat grade 3 and 4 hemorrhoids. In China in recent decades, it has even been an option for cutting. quit traditional hemorrhoids. This is a non-hemorrhoidal method, which involves interrupting the upper and middle hemorrhoidal blood vessels, then stitches the rectal-rectal mucosa to the top, returning the hemorrhoids to the position in the anal canal. Atrophic hemorrhoids atrophy. The advantage is less uncomfortable because it does not remove the anal skin.
- THD ablation is performed under ultrasound guidance to block the blood supply to the anus, reducing hemorrhoids.
- Cut hemorrhoids with classic methods: Milligan Morgan, Ferguson, White Head, these methods interfere directly with the hemorrhoids so they often cause pain.
Note when treating hemorrhoids
- Surgery is not stated in immunocompromised patients or those with active colitis. We associate emergency hemorrhoid surgery with a greater complication rate.
- Acute complications associated with the management of hemorrhoids include injury, infection, recurrent bleeding, and urinary retention. Late complications include incontinence because of anal sphincter injury during dissection.
3. How to prevent hemorrhoids
The strongest way to prevent hemorrhoids is to keep the stool soft, so they move through the anus. To prevent hemorrhoids and reduce hemorrhoids symptoms, follow these methods:
- Eat high-fiber meals. Eat more fruits, veggies and wholesome grains, such as wheat, oats, barley, corn, brown rice, rye, millet to help tone down the stool and increase stool weight. Add fiber to your diet to avoid excessive gas.
- Drink a lot of water. Drink six to eight cups of water and other liquids (not alcohol) every day to help soften stools.
- Consider fiber supplements. Most people don’t get the proposed 25 grams of fiber per day for women and 38 grams per day for men in the diet. Studies have shown that over-the-counter fiber supplements, such as Metamucil and Citrucel, help improve symptoms and diminish suffering from hemorrhoids. These products help keep stool soft and have daily bowel movements every day. Keep in mind when using fiber supplements, be certain to drink at least eight glasses of water or other liquids every day. Otherwise, complements can cause pain or make constipation worse.
- Do not press hard when you have a bowel movement, as pressure will put more pressure on the veins of your lower rectum, leading to the hemorrhoids to swell and bleed.
- Go to the bathroom as soon as you feel you are taking a bowel movement. If you miss the thought of having a bowel movement, the rectal mucosa absorbs the water in the stagnant stool, the stool will become dry, rough, and harder to the bowel.
- Exercise. Stay active every day to help avoid constipation and reduce pressure on your veins, which can occur when standing for interminable periods or sitting for interminable periods. Exercise can also help with weight loss.
- Avoid sitting for protracted periods. Sitting for too long, on the toilet, can increase pressure on a vein in the anus.
The finest way to prevent hemorrhoids is to keep the stool soft, eat plenty of fruits, vegetables, wholesome grains, and drink plenty of water.
In summary, most patients think they can treat themselves without a doctor’s order. However, don’t be too positive in your own self-diagnosis, for people over 40. Bleeding from the anorectal rectum besides many new conditions from benign to malignant, such as colorectal disease, anal duct cancer, colorectal polyps, and hemorrhoids can also be manifestations of Other pathological causes. If you adjust your bowel habits or change your stool color, please consult your doctor.
You may also need help from a doctor if we accompany bleeding by pain, frequent or heavy bleeding or no advancement in symptoms has been indicated at home. Need to go to the hospital right away when there is heavy bleeding from the anus, dizziness, lightheadedness, or fainting.