Experts from the Nanjing Armed Police Force Hospital's Anorectal Center pointed out that the main symptoms of hemorrhoids are bleeding during defecation and prolapse. Repeated bleeding during bowel movements can cause a large loss of iron in the body, leading to iron deficiency anemia.
This is because under normal circumstances, the absorption and excretion of iron remain in balance, with very little loss of iron. The daily iron loss for a normal adult male does not exceed 2 milligrams, while patients with bleeding during defecation lose more than 6-8 milliliters of blood per day, which equates to a loss of over 3-4 milligrams of iron. A normal human male contains a total of 50 milligrams of iron per kilogram of body weight, and females contain about 35 milligrams per kilogram. Long-term bleeding due to hemorrhoids causes a significant loss of iron, reducing the total iron content in the body below normal levels (PPH Hemorrhoid Surgery Costs [http://www.jsgcw.com/zhichuangzhiliao]), which can lead to iron deficiency anemia.
Iron deficiency anemia caused by blood loss from hemorrhoids generally develops slowly. In the early stages, there may be no symptoms or only mild symptoms. When the anemia becomes severe or progresses rapidly, symptoms such as pallor, fatigue, weakness, loss of appetite, palpitations, increased heart rate, shortness of breath and swelling after physical activity may occur. Some patients may experience neurological symptoms such as irritability, excitement, and restlessness, which some believe is due to the lack of intracellular iron-containing enzymes. All these symptoms can disappear after correcting the anemia and treating the hemorrhoids. Therefore, if you discover you have hemorrhoids, treatment should be sought as soon as possible to avoid the above symptoms and prevent complications in treatment [http://www.wjgc.net/zzcx/zc/wz/].
Another major symptom of hemorrhoids is internal hemorrhoid prolapse. Internal hemorrhoids that prolapse outside the anus become compressed by the sphincter muscle, obstructing venous return while arterial blood continues to flow in, causing the hemorrhoidal mass to enlarge until the arteries are compressed shut, forming a thrombus, resulting in hardening and pain of the hemorrhoidal mass, making it difficult to reduce back into the anus. Traditionally, this condition is referred to as "[strangulated internal hemorrhoids]." However, clinically, external hemorrhoids with thrombosis are more common, so they are often accompanied by pain. When the prolapsed hemorrhoidal mass cannot be reduced, it is also called "[incarcerated hemorrhoids]."
Prolonged incarceration of the hemorrhoidal mass can lead to the following pathological changes:
1. Necrosis: When the hemorrhoidal mass is incarcerated outside the anus, a series of pathological changes occur, causing accumulation of metabolic products, further exacerbating local anal edema and worsening the incarceration of the hemorrhoidal mass. This is a vicious cycle. If the internal hemorrhoids are incarcerated for a long time, necrosis will inevitably occur. This necrosis usually occurs in the mucosal part of the hemorrhoidal mass but can sometimes affect other parts of the body. There have been foreign reports of thrombi within the hemorrhoidal mass spreading upward, causing necrotic areas to extend to the rectal wall, resulting in serious pyemia in the pelvic cavity. Although such cases are rare, clinical doctors must pay high attention to them.
2. Infection: After the hemorrhoidal mass becomes incarcerated, there is often varying degrees of infection. Patients may experience tenesmus and a marked feeling of heaviness in the anus. At this point, the infection is usually localized to the anal area. If forcibly reduced, it can easily spread the infection, causing submucosal, perianal, or ischioanal abscesses. If infected emboli detach and travel up the veins, combined with improper use of antibiotics or no antibiotic use at all, portal vein bacteremia or sepsis may form, or even liver abscesses. Foreign reports exist of fatal portal vein sepsis caused by incarcerated hemorrhoidal masses.
The experts at the Nanjing Armed Police Force Hospital's Anorectal Center emphasized that if hemorrhoids are left untreated for a long time or are resistant to treatment, many complications can arise, posing various hazards to the body. This should be taken seriously by clinical workers who must treat each hemorrhoid patient carefully. Hemorrhoid patients need not be overly anxious; as long as early treatment and appropriate management are applied, the aforementioned serious complications can be avoided.
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[Nanjing Armed Police Force Hospital Anorectal Center] http://www.wjgc.net[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, Yugé Line, Nanzhou Line to Dongjingting Station.
[Yangzhou Armed Police Force Hospital Anorectal Center] http://www.yzwjyy.com[http://www.yzwjyy.com/]
Consultation Phone: 0514-87218120 Consultation QQ: 997287111
Hospital Address: No. 8 Jiangdu South Road, Yangzhou, Jiangsu Province
Transportation: Take buses 4, 19, 25, 26, 26 Late Night, 66, 66 Late Night, 101, 102, 201, 208, 209 in Yangzhou city to Armed Police Hospital Station.
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