Treatment of incarcerated internal hemorrhoids

After the occurrence of incarcerated hemorrhoids, it is necessary to find a suitable treatment plan, otherwise there will be varying degrees of infection. The more common treatment options include external treatment with Chinese medicine, and then slowly conditioning with the method of applying medicine. Usually, it is necessary to use Chinese medicine ointments and treatments. If the internal hemorrhoids are prolapsed, you can push them back with your hands to avoid being exposed to the outside for a long time, which will cause infection and damage caused by friction, and finally lead to sepsis.

Different degrees of infection may occur after the treatment of incarcerated hemorrhoids. The patient experiences symptoms such as tenesmus and obvious anal distension. At this time, the infection is mostly confined to the anus. If not treated properly, the infection can easily spread and cause submucosal, perianal or ischiorectal abscesses. If the dislodged bacterial emboli ascend along the veins, coupled with improper use of antibiotics or no use of any antibacterial drugs, portal vein bacteremia or even sepsis will form, and liver abscesses may also form. The most important point in treating incarcerated hemorrhoids is to restore the prolapsed hemorrhoids in time and relieve the incarceration. In addition, medications can be used to reduce local tissue edema. Consider surgical treatment after the edema subsides.

External treatment with Chinese medicine

External treatment with traditional Chinese medicine is an effective method. For thousands of years, doctors of successive dynasties have summarized many prescriptions through clinical practice. Most of the modern medicines for the treatment of hemorrhoids also come from this method. External treatment with traditional Chinese medicine is mainly reflected in the following aspects:

① Fumigation method: add water to boil the medicine or brew it with powder, and then use its steam to fumigate the anus. When the temperature of the medicine drops to 37℃~40℃, use a towel dipped in the medicine to hot compress the affected area, or sit in it and immerse the anus in the medicine. Take a sitz bath for 15 to 20 minutes each time, and warm it slightly. Generally, traditional Chinese medicines with astringent hemostasis, heat-clearing and detoxifying properties are selected, which have the effects of promoting blood circulation, reducing swelling, relieving pain, stopping bleeding and astringing.

②Medicine application method: Crush the anti-inflammatory, analgesic, tissue-generating, astringent and hemostatic Chinese medicine, and apply it to the affected area of ​​the anus with water or other bases. You can take a sitz bath and then apply external medicine after each bowel movement.

③ Chinese medicine ointment: It is a Chinese medicine preparation refined using modern pharmaceutical technology. It not only retains the effects of traditional medicine, but also is convenient for patients to carry and use.

Other methods:

1. Manual resetting technique

Reduction is a commonly used method for emergency treatment in anorectal outpatient clinics. It is suitable for patients with prolapsed and incarcerated hemorrhoids without necrosis, mild edema of external hemorrhoids, and a short prolapse and incarceration time. In order to reduce the difficulty of reduction and the pain of the patient, the operation can be performed under anesthesia. After reduction, the anus needs to be locally pressed and fixed, and the patient should rest in bed.

2. Injection therapy

Injection treatment of incarcerated hemorrhoids is a commonly used method.

3. Surgical treatment

External excision and internal ligation of mixed hemorrhoids is a commonly used procedure for incarcerated hemorrhoids. Since incarcerated hemorrhoids are mostly ring-shaped, the choice of incision, retention of skin bridges, and thorough removal of external hemorrhoidal thrombus during surgery play a crucial role in the appearance of postoperative edema, the perfect appearance of the anus, and even the normal function of the anus. For this reason, many scholars are constantly improving the traditional external stripping and internal ligation technique.