What are the treatment methods for mixed hemorrhoids?

The treatment methods for mixed hemorrhoids mainly fall into two categories: non-surgical and surgical treatments. 1. Non-surgical treatment: (1) Medication: Drugs that improve venous wall elasticity, such as compound alginates suppositories or Gangtai ointment, can help relieve pain and swelling caused by hemorrhoids. (2) Acupuncture therapy: Acupuncture or physical therapies (such as infrared radiation or magnetic therapy) may be used to alleviate hemorrhoid symptoms. (3) Traditional Chinese medicine (TCM): TCM treatments such as herbal fumigation, sitz baths, and oral administration—including formulas like Qudu Decoction, processed pangolin scale, and calcined oyster shell—can exert effects of clearing heat and detoxifying, reducing swelling, and relieving pain. 2. Surgical treatment: (1) Conventional surgery: For example, the external stripping and internal ligation procedure, which involves removing external hemorrhoids and ligating internal hemorrhoids. (2) Stapled hemorrhoidopexy (Procedure for Prolapse and Hemorrhoids, PPH): Suitable for mild to moderate internal hemorrhoids and circumferential mixed hemorrhoids, this method offers advantages such as less postoperative pain and faster recovery. (3) Thrombosed external hemorrhoidectomy: Indicated for severe thrombosed mixed hemorrhoids, involving excision of the hemorrhoidal mass containing a blood clot. The choice of treatment should be based on the patient's specific condition and the physician’s recommendations.