How many days does it take to recover after internal hemorrhoid injection?

Internal hemorrhoids require injections, which can relieve some pain and eliminate local swelling and pain, but you also need to understand the current clinical indications and types of diseases. Generally, this type of injection is more suitable for patients whose condition is not serious and whose mucosa has no ulcer infection. Generally, it can be injected again seven days after the injection, because internal hemorrhoids take about seven days to recover after the injection.

Hemorrhoid injection

After the injection, place a cotton ball of Jiuhua ointment in the anus or inject Jiuhua ointment, and apply a dressing externally. Change the dressing every day or every other day. If the hemorrhoids have not completely disappeared, you can inject again after 7 days. If the hemorrhoids are small, no anesthesia is required and the medicine can be injected directly under an anoscope.

(3) Operation points: Pay attention to aseptic operation; the puncture should not be too deep, and should not penetrate into the mucosa; the drug can be injected only after no blood is drawn back; the injection area should be fully filled, and the injection area on the tooth line should not be missed; the drug should not be removed on the same day after injection.

(1) Indications: Internal hemorrhoids of all stages and mixed hemorrhoids.

(2) Injection method: The patient is placed in a prone or side-lying position, and routine disinfection and anesthesia are performed. A cotton ball made of chlorhexidine is placed in the anus to dilate it. The sterilized cotton ball pushes the anoscope upwards to prevent waste from flowing downward, so it does not need to be removed. Apply lubricant to a wide-mouth simple beveled anoscope, slowly insert it into the anal canal, pull out the core of the anoscope, and observe the lower rectal mucosa and the number and size of hemorrhoids so that you can have a clear idea when injecting. Submucosal injection on the hemorrhoidal body can be performed after the anoscope is inserted for the second time. This area is also called high-position or high-plane injection, which means injection at the upper border of hemorrhoids.

In 1928, Blanchorde believed that injecting the drug into this area would reduce the blood supply to the hemorrhoidal area and improve the efficacy. Therefore, Gabriel injected 2-3 ml of low-concentration 5% phenol vegetable oil under the rectal mucosa above the internal hemorrhoids. First disinfect the mucous membrane of the injection area. If there is mucus or other substances, wipe it off with gauze. Take a 10ml syringe filled with hemorrhoid-relieving solution, use a No. 5 needle to pierce the submucosal membrane to a depth of 0.3~0.5cm, and inject the medicine to make it full. The general dosage is 1~3ML. Change the anoscope field of view, and after injecting the right back, left middle, and right front areas, remove the anoscope and the high-plane injection is completed. Then hemorrhoidal injection is performed.

This area is also called low-position or low-plane injection, and is also called interhemorrhoidal injection. When injecting the medicine in this area, first pierce the submucosal membrane about 0.5CM deep at the center of the hemorrhoids and the dentate line in the middle of the hemorrhoids. After injection, the hemorrhoids will be fully swollen. Generally, a large dosage is used. After the injection, tiny blood vessels can be seen on the thin mucosa on the surface of the hemorrhoids. Huang Naijian calls this red streak syndrome. If the fibrous tissue proliferation is severe or the injection is not full, this sign may not be obvious. If the hemorrhoids show red streaks and the hemorrhoids are swollen and blister-like, it is a sign that the injection has fully filled them. If white dots appear on the mucosa, such as skin papules on skin tests, it is a sign of penetration into the mucosa and there is a possibility of superficial necrosis. The injection should be stopped and the puncture site should be changed.

If a part of the hemorrhoid body remains the original color or has changed slightly, it means that insufficient medicine has been injected. In this case, change the puncture point and inject the medicine at that place to make it swell and change color. Care should be taken not to miss the injection area on the tooth line. The three main hemorrhoids should be injected in sequence, and all small hemorrhoids should be injected at the same time. The injection of hemorrhoidal drugs should be carried out in different areas. After injecting one hemorrhoid, another one can be injected. Therefore, the anoscope needs to be inserted several times. For the submucosal injection above the hemorrhoids, only the anoscope needs to be inserted one by one. The anoscope field of view can be changed when injecting in three areas.