What should I do if I have hemorrhoids in the anus?
In general, when hemorrhoids develop in the anus, patients can go directly to a reputable hospital and choose from various treatment options such as conservative management, traditional Chinese medicine (TCM), medication, injection therapy, or surgical intervention. Specific approaches are analyzed as follows:
1. Conservative management: To prevent worsening of the condition, patients should maintain healthy dietary habits, avoid consuming irritating foods such as chili peppers and ginger, drink plenty of water, and ensure smooth bowel movements.
2. Traditional Chinese medicine (TCM) therapy: For mild cases of hemorrhoids, patients may, under the guidance of a TCM practitioner, use herbs such as Sichuan pepper, mugwort leaves, and figs to prepare a decoction. The prepared liquid is then poured into a basin for steaming fumigation, which helps improve local blood circulation and relieve clinical symptoms.
3. Medication: Drug treatment for hemorrhoids focuses on symptomatic relief. If local pain occurs due to hemorrhoids, topical ointments such as hemorrhoid cream or compound alginates cream may be applied under medical supervision to alleviate symptoms.
4. Injection therapy: This method involves injecting a sclerosing agent around the hemorrhoidal tissue under medical guidance, inducing a sterile inflammatory reaction that leads to occlusion and shrinkage of small blood vessels. This also causes the prolapsed anal cushion to adhere to the underlying muscle layer, preventing further prolapse.
5. Surgical treatment: When conservative treatments fail, procedures such as thrombosed external hemorrhoid excision may be performed for thrombosed external hemorrhoids. For internal hemorrhoids, external hemorrhoids, or mixed hemorrhoids, treatments may include excision of external hemorrhoids combined with ligation of internal hemorrhoids, or stapled hemorrhoidopexy (PPH).
In summary, if hemorrhoids are detected, it is essential to seek timely medical evaluation at a reputable hospital and actively cooperate with healthcare providers to prevent disease progression and complications.