How to eliminate perianal skin tags (piles)
Aug 02, 2022
Source: Cainiu Health
Dr. Cheng Yicheng
Introduction
A hemorrhoidal mass should be understood as prolapse of internal or mixed hemorrhoids. Prolapse is typically a late-stage symptom of internal or mixed hemorrhoids, and most patients experience prolapse following hematochezia (rectal bleeding). In advanced hemorrhoidal disease, the hemorrhoidal tissue enlarges and gradually separates from the underlying muscular layer, leading to its extrusion through the anus during defecation. In mild cases, prolapse occurs only during bowel movements and spontaneously reduces afterward. In severe cases, manual reduction is required; for even more advanced cases, the hemorrhoid cannot be reduced manually.
Regular consumption of spicy, irritating foods and severe constipation can cause varicosity of the veins near the anus, progressively thinning the vascular walls around the anal region and gradually leading to external hemorrhoids. At this stage, patients may experience not only discomfort such as anal pain, perianal pruritus, and bloody stools, but also visible purple, rounded masses protruding from the anus. So, how can these hemorrhoidal masses be eliminated?
How to Eliminate Hemorrhoidal Masses
A hemorrhoidal mass typically represents prolapsed internal or mixed hemorrhoids. Prolapse is usually a late-stage manifestation of internal or mixed hemorrhoids, with most patients experiencing prolapse following episodes of rectal bleeding. As hemorrhoids progress to later stages, their volume increases and they gradually separate from the underlying muscular layer, causing them to be expelled from the anus during defecation. In mild cases, prolapse occurs only during bowel movements and spontaneously reduces afterward. In more severe cases, manual reduction is required. In the most advanced cases, even minor increases in intra-abdominal pressure—such as those occurring during coughing or walking—can trigger spontaneous prolapse, making spontaneous reduction difficult or impossible. Once prolapsed hemorrhoids become visibly apparent as fleshy masses, neither oral medications nor topical anorectal preparations can eliminate them.
When hemorrhoidal prolapse occurs, multiple treatment options are available, selected according to disease severity. For instance, injection therapy involves injecting either a sclerosing agent or a necrotizing agent into the hemorrhoidal tissue. However, due to the high incidence of complications associated with necrotizing agents, sclerosing agents are now widely recommended. Sclerotherapy is particularly suitable for elderly or frail patients, or those with severe hypertension or comorbid cardiac, hepatic, or renal disease. Nevertheless, this method is contraindicated in cases of thrombosed, infected, or ulcerated internal hemorrhoids.
Patients are advised to maintain healthy lifestyle habits, adopt a bland, low-irritant diet, avoid spicy and stimulating foods, and consume ample fruits and vegetables. We hope this information proves helpful.
