The little one hurts so much! Should surgery be performed for acute thrombotic external hemorrhoids? Doctor: Don't randomly apply medicine on symptoms 1
The lethality of a small particle is astonishing! Is an acute external hemorrhoid attack so painful that it can kill you?
Everyone has hemorrhoids, but the pain is much different? Although some hemorrhoids are not large in size, they may cause severe pain to the patient. Lu Yanrong, a colorectal surgeon at Lin’an Clinic, explained that this kind of situation is usually an attack of “acute thrombotic external hemorrhoids”. Due to acute inflammation, thrombus or blood clots in the blood vessels block venous return. Most patients are unaware that they have hemorrhoids. They accidentally discover a small lump of hemorrhoids that is painful and may even rupture and bleed.
Dr. Lu Yanrong said that patients with acute thrombotic external hemorrhoids can choose to apply hemorrhoid ointment first, or take a sitz bath and soak in warm water, both of which are helpful. However, if the symptoms and pain are obvious, it is recommended to check with a doctor as soon as possible to see if there is infection or inflammation, and prescription drugs can be prescribed in a timely manner. Some acute thrombotic external hemorrhoids can cause rupture and continued bleeding. In emergency situations, laser ablation and other surgeries may be performed to help patients stop bleeding and expedite postoperative recovery. Patients should not conceal their illness and delay treatment.
Can I apply medicine myself if hemorrhoids itch? What are the causes of anal itching?
Many netizens reported that after applying ointment for hemorrhoids, they would experience itching in the anus. Dr. Lu Yanrong explained that hemorrhoids themselves may cause itching and may not be related to lubricants. A common clinical condition is that the anus of patients with hemorrhoids does not close tightly, and there is leakage of excrement, causing local irritation to the anal opening. Usually, good results can be achieved by combining hemorrhoid treatment with anti-itching ointments such as steroids.
Dr. Lu Yanrong pointed out that diagnosing anal itching is a big question. Excessive cleaning, incorrect cleaning, underwear material and detergent ingredients are all possible causes. It is not recommended to buy ointment and apply it on your own. It may also be caused by eczema or a fungal infection. Eczema and fungus are treated in completely opposite ways and must be differentially diagnosed by a physician.
Dr. Lu Yanrong reminds that most general anti-itch ointments on the market contain compound ingredients. If the cause of anal itching is not clear, incorrect use of ointments may aggravate infection or inflammation. The public is reminded that as long as they have anal itching, they must go to the Colorectal Surgery Department for medical examination and do not apply medicine on their own to avoid worsening symptoms.
Exudation and blood leaking out after hemorrhoid surgery? Is there a big difference in the length of recovery period from surgery?
Some netizens reported that even after hemorrhoid surgery, there is still fluid leakage, causing discomfort around the anus. Dr. Lu Yanrong said that usually during the recovery period after hemorrhoid surgery, more secretions, mucus or blood will leak out of the anus. This is a natural phenomenon during the recovery period, and it will return to normal after a period of rest.
Dr. Lu Yanrong pointed out that the recovery time for hemorrhoid surgery may vary depending on the type of surgery. In terms of traditional surgery and new laser hemorrhoid ablation surgery, traditional surgery has a certain degree of pain, and you need to rest at home for more than a week after the surgery. Full recovery requires It takes about a month; there is only slight discomfort after one week of laser hemorrhoid ablation surgery. It usually takes 1 to 3 weeks to recover to almost no symptoms and the pain is greatly reduced. It is especially suitable for hemorrhoid patients who mainly have internal hemorrhoids and have prolapse and bleeding problems. ,
Dr. Lu Yanrong reminded that no matter what kind of surgery is performed, it is recommended to use a bidet after hemorrhoid surgery and soak in 40-degree warm water for 5-10 minutes each time, 3-4 times a day. For chronic hemorrhoids or maintenance needs, it is recommended to take a warm sitz bath 1-2 times a day. After hemorrhoid surgery, try to use a sitting toilet to reduce extra pressure on the anus.
Most hemorrhoids that are not severe are treated conservatively. If hemorrhoids recur, bleed, or prolapse, affecting normal life, surgical treatment can be considered. Dr. Lu Yanrong said that when most young and middle-aged people face the problem of hemorrhoids, their top priority is the length of the recovery period, so as not to affect normal work. In addition, in recent years, Taiwanese people’s concept of medical insurance has become popular, and he calls on those who have hemorrhoids to seek medical treatment as soon as possible. Discussing appropriate treatments with your doctor is the right way to get rid of hemorrhoids and improve your quality of life.
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