What are the treatment methods for mixed hemorrhoids?

Nov 14, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

Treatment options for mixed hemorrhoids include daily care adjustments, topical medications, oral drugs for symptom relief, injection sclerotherapy, and surgical removal. The appropriate approach should be selected based on the severity of the condition, with emphasis on long-term management and symptom control. If significant rectal bleeding or prolapsed hemorrhoidal tissue that cannot be reduced occurs, prompt medical attention is recommended.

Mixed hemorrhoids can be treated through daily care adjustments, topical medications, oral drugs, injection sclerotherapy, surgical removal, and other methods. The appropriate approach should be selected based on the severity of the condition, with emphasis on long-term management and symptom control. If significant rectal bleeding occurs or prolapsed hemorrhoidal tissue cannot be reduced, prompt medical attention is recommended.

1. Daily Care Adjustments: Adjust diet by consuming more fiber-rich fruits and vegetables, avoid prolonged sitting or standing, establish regular bowel habits, perform warm water sitz baths after defecation, reduce irritation to hemorrhoids, and alleviate discomfort such as swelling, redness, and pain.

2. Topical Medication: Apply ointments or suppositories directly to the hemorrhoidal tissue to reduce swelling, relieve pain, stop bleeding, and promote contraction. This method is suitable for mild to moderate mixed hemorrhoids and provides rapid relief of local symptoms.

3. Oral Medication: Take venoactive agents to improve venous circulation around the anus and reduce congestion and edema of hemorrhoids. For severe pain, short-term use of analgesics may be considered under medical supervision to avoid side effects.

4. Injection Sclerotherapy: Inject a sclerosing agent into the hemorrhoid to induce shrinkage and necrosis. This is suitable for Grade II and III mixed hemorrhoids, offering a simple procedure with minimal trauma and effective control of bleeding and prolapse symptoms.

5. Surgical Removal: Procedures include external stripping and internal ligation, stapled hemorrhoidopexy, and others. Surgery is indicated for severe mixed hemorrhoids or cases unresponsive to medication or injection therapy. It removes hemorrhoidal tissue to completely resolve symptoms.

Maintain cleanliness and dryness of the anal area, wear soft, breathable underwear; avoid straining during bowel movements to prevent hemorrhoid rupture and bleeding; perform moderate anal sphincter exercises (Kegel exercises) regularly to strengthen pelvic floor muscles and support recovery and prevention of recurrence.

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Is it normal for hemorrhoids to swell and cause pain frequently?

Hemorrhoids are a common anal disease in clinical practice. According to their location, they can be classified into internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids. Regardless of the type, the development of hemorrhoids involves processes of infection, inflammation, edema, and hyperplasia. During this period, swelling and pain at the affected area are among the common clinical symptoms. Causes of hemorrhoidal swelling and pain may include unhealthy dietary habits, prolonged sitting or standing, among others.

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What can be done about hemorrhoids?

In general, hemorrhoids may be caused by prolonged sitting or standing, poor dietary habits, internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, and other factors. They can be treated under a doctor's guidance with general treatments, medication, and other methods. In daily life, one should maintain regular作息 (作息 translates to作息 habits or routine作息 refers to daily routines including sleep and activity patterns) and dietary habits, avoid excessive fatigue and staying up late. Regular physical exercise should be performed to strengthen the pelvic floor muscles.

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What are the dietary do's and don'ts for patients with mixed hemorrhoids?

For patients with mixed hemorrhoids, recommended foods generally include vegetables rich in dietary fiber, high-fiber fruits, whole-grain staple foods, nuts that help moisten the intestines and relieve constipation, and light soups or fluids. Prohibited foods typically include spicy and irritating foods, fried and greasy foods, alcoholic beverages, heat-inducing foods that may cause internal "heat" (fire), and hard-to-digest foods. A detailed analysis is as follows:

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Which is better, Gangtai suppositories or Ma Yinglong?

Ma Yinglong usually refers to Ma Yinglong Musk Hemorrhoid Ointment. There is no absolute distinction in quality between Anustop suppositories and Ma Yinglong Musk Hemorrhoid Ointment. Anustop suppositories are more suitable for internal hemorrhoids and the internal component of mixed hemorrhoids, while Ma Yinglong Musk Hemorrhoid Ointment is better suited for external hemorrhoids and the external component of mixed hemorrhoids; selection should be based on specific symptoms. If symptoms do not improve or worsen after using the medication, prompt medical consultation is recommended.