In recent days, some hemorrhoid patients visited the Nanjing Armed Police Hospital's Anorectal Center for treatment. Their symptoms were all quite severe, such as: heavy rectal bleeding, prolapse of hemorrhoids, incarceration, anal swelling, or recurring complex perianal abscesses and pain. Upon detailed inquiry about their diet and occupation, it was found that most had a penchant for spicy foods like hotpot and barbecue, and also had the habit of eating late-night snacks. Most of these patients worked as drivers, especially taxi drivers, and office workers who sit for long periods.
Experts from the Nanjing Armed Police Hospital's Anorectal Center have discussed several points regarding the prevention and treatment of hemorrhoids to help patients understand the importance of early treatment for hemorrhoids and fistulas.
**Prevention — To prevent hemorrhoids, one must first understand their causes.** The main cause of hemorrhoids is a rich, greasy diet with spicy and stimulating foods that lead to damp-heat descending and stagnation of blood and turbid qi pressing down on the anus. Additionally, prolonged sitting and straining during bowel movements can worsen the symptoms of hemorrhoids. Therefore, to prevent hemorrhoids, one should maintain a light diet and ensure smooth bowel movements.
**Treatment — Hemorrhoids can be divided into four stages.** In Stage I, the primary symptom is rectal bleeding, which generally does not require surgical treatment. Conservative drug therapy can be used. If the bleeding cannot be controlled, sclerotherapy injection may be an option. This method causes less pain and is more easily accepted by patients. However, if the condition involves polypoidal hemorrhoids, early removal is recommended.
In Stages II and III, besides bleeding, there is also prolapse of lumps outside the anus after defecation. These lumps may either retract spontaneously or require manual assistance. This stage is the best time for surgical treatment because compared to Stage IV, surgery at this stage causes less suffering. In Stage IV, although there is less rectal bleeding, there is prolapse that cannot be retracted even with manual support. Symptoms at this stage are serious and affect daily life. However, this stage sees the most clinical surgical treatments.
Actually, many hemorrhoid patients have misconceptions about surgical treatment. First, they believe that hemorrhoid surgery is very painful and are very afraid of it, only opting for surgery as a last resort. They do not realize that surgery in later stages of hemorrhoids is relatively more painful. With advancements in hemorrhoid surgery, our techniques and methods have continuously improved and evolved.
From the old simple ligation to modern minimally invasive techniques, external stripping and internal ligation plus surgical anal dilation significantly reduce patient suffering. Secondly, some patients think that hemorrhoids are minor ailments and choose to delay treatment. In reality, delaying treatment harms oneself and may even miss the optimal treatment window. Hemorrhoids, when properly treated, can be fully cured without recurrence.
The Nanjing Armed Police Hospital's Anorectal Center hopes that patients with hemorrhoids seek early diagnosis and treatment, rather than waiting until symptoms like prolapse, incarceration, edema, or anemia due to hemorrhoidal bleeding occur, or changes in bowel habits appear. Prolapse of hemorrhoids is more likely to lead to incarceration, infection, and edema, and can develop into a fistula. Simple anal fistulas are also prone to become complex anal fistulas in summer due to infections; diabetic patients should seek early treatment.
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[Nanjing Armed Police Hospital Anorectal Center](http://www.wjgc.net)
Consultation phone: 025-85500079 Consultation QQ: 997287111
Hospital Address: No. 256 Heyan Road, Nanjing (100 meters to the right of the north gate of Hongshan Zoo)
Transportation: Get off at Hongshan Zoo Station on Subway Line 1; Buses 30, 8, 64, 54, 72, 77, Yuge Line, Nanzhou Line, get off at Dongjingting Station.
[Yangzhou Armed Police Hospital Anorectal Center](http://www.yzwjyy.com)
Consultation phone: 0514-87218120 Consultation QQ: 997287111
Hospital Address: No. 8 Jiangdu South Road, Yangzhou, Jiangsu Province
Transportation: Take bus lines 4, 19, 25, 26, 26 evening, 66, 66 evening, 101, 102, 201, 208, 209 within Yangzhou city to Armed Police Hospital Station.
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