What are the conservative treatment methods for mixed hemorrhoids?

Conservative treatment methods for mixed hemorrhoids include dietary adjustment, warm water sitz baths, bowel movement management, avoiding prolonged sitting or standing, and medication. These approaches are suitable for patients with mild symptoms, aiming to relieve discomfort and control disease progression. If there is severe bleeding, intense pain, or recurrent symptoms, prompt medical attention is recommended.

1. Dietary adjustment: Consume more fruits, vegetables, and whole grains rich in dietary fiber, increase daily water intake, and avoid spicy, stimulating, fried, or greasy foods. This helps reduce irritation of hemorrhoidal tissue by stool and prevents constipation from worsening the condition.

2. Warm water sitz bath: Sit in warm water at around 40°C once or twice daily for 10–15 minutes each time. This can improve blood circulation in the anal area, relax the sphincter muscle, and alleviate swelling, pain, and itching of hemorrhoids.

3. Bowel movement management: Develop regular defecation habits, avoid prolonged straining or lingering on the toilet, limit bowel movements to 5–10 minutes, and maintain smooth passage of stool to reduce mechanical trauma to hemorrhoidal tissue during defecation.

4. Avoid prolonged sitting or standing: Extended periods of sitting or standing can exacerbate venous congestion in the anal region. It is advised to get up and move every hour, engage in activities such as walking or pelvic floor exercises (e.g., Kegel exercises), strengthen anal sphincter function, and promote local blood circulation.

5. Medication: Topical treatments such as hemorrhoid ointments or suppositories can help reduce swelling, relieve pain, stop bleeding, and decrease inflammation. When necessary, oral medications that improve venous circulation may be used under medical supervision to assist symptom relief.

In daily life, maintain cleanliness and dryness of the anal area. After defecation, clean with warm water or gently wipe with soft toilet paper. Wear breathable, comfortable cotton underwear and change and wash them regularly. Maintain a regular sleep schedule, avoid staying up late, and keep emotions stable to support recovery.