Do internal hemorrhoids require surgery?
Jul 17, 2024
Source: Cainiu Health
Dr. Jiang Chenggang
Introduction
In general, whether internal hemorrhoids require surgery depends on the specific local manifestations of the hemorrhoids. If the hemorrhoids are not severe and there is no pain or formation of local赘生物 (prolapsed tissue), with only occasional bleeding, conservative treatment may be sufficient to improve the condition—such as paying attention to diet, regularly cleaning the anal area, and using potassium permanganate sitz baths. However, if the hemorrhoids are more severe, surgical treatment may be necessary.
In general, whether surgery is needed for internal hemorrhoids depends on the severity of the condition. If discomfort occurs, it is recommended to seek medical attention promptly. The specific analysis is as follows:
1. Not required
For mild to moderate internal hemorrhoids, symptoms may include slight bleeding, pain, or discomfort. In such cases, symptoms can often be relieved by adjusting dietary habits, maintaining regular bowel movements, using over-the-counter medications such as hemorrhoid ointments, and applying local cold compresses. These approaches are usually sufficient to control the condition without surgical intervention.
2. Required
For severe internal hemorrhoids—such as when hemorrhoidal tissue prolapses permanently outside the anus, cannot be manually reduced, or develops complications like necrosis or infection—conservative treatments are often ineffective, and surgical intervention should be considered to resolve the issue definitively.
To avoid unnecessary harm to the body, it is recommended to take medications such as cefuroxime axetil tablets, diosmin tablets, and Huazhi capsules under the guidance of a qualified physician. Meanwhile, maintaining a healthy lifestyle and diet plays a crucial role in preventing and managing internal hemorrhoids.
