Hemorrhoids: Take medicine or surgery?

Hemorrhoids are a common disease with symptoms such as bleeding, prolapse and anal itching. According to an overseas statistics, adults over 50 have a hemorrhoids incidence of 50%. In Vietnam, although there is not yet a large-scale statistic, but according to many years of practice experience of famous physicians, the rate of people suffering from hemorrhoids is very large and almost throughout their lives, everyone Have a good time with hemorrhoids. "The Red Cross of the Hemorrhoids", ten people, up to nine people with hemorrhoids, the saying of a famous professor in medicine is probably not wrong.

Who often has hemorrhoids?

In fact, there has not been any research work to show which subjects have hemorrhoids. If someone in the family has hemorrhoids, do other members suffer? There is no exact answer but there are some very important factors that many studies in the world and in Vietnam have concluded, that is the cause of hemorrhoids:

- People who have to stand a lot, sit for long, sedentary like salespeople, tailors, secretaries .
- The patients with chronic constipation, when bowel movements must push much to increase the pressure in the anal canal, causing the hemorrhoids to become larger and safer.
- The dysentery patients: Also due to having to go to the bowel several times a day increases the pressure in the abdomen and increases the volume of hemorrhoids.
- In addition, hemorrhoids also appear in patients with other diseases such as irritable bowel syndrome, increased intra-abdominal pressure, tumors of the rectal rectum and surrounding areas .

Hemorrhoids seriously affect the quality of life of patients. Bloody bowel movements, clogged hemorrhoids cause pain, difficult bowel movements . torture them and make patients throughout the day in a very uncomfortable mental state. Moreover, patients with hemorrhoids often go for examination and treatment very late because this is a disease of the private area, always need to be covered, so patients are often afraid to seek medical care, especially for women. female. Someone hugged forever and did not know how to show it to anyone for decades, silently endured and when coming to the hospital, the injury is often too big so the small invasive treatments are no longer effective but must be applied Big, invasive treatments are more and of course more painful.

Treatment: Take medicine or surgery?

Hemorrhoids have many different treatments. First, it is necessary to mention the medical method with many drugs and various forms of use, from oral medicines to increase the resistance of the arteries, antibiotics, anti-inflammatory, analgesic pain in acute pain, to the types of post-operative drugs. subjects, types of Pomade applied topically . This is the first treatment, originating all other treatments. However, medical treatment only applies to small tufts of hemorrhoids, not bleeding much, is in an acute phase causing pain and inflammation.

In order to thoroughly treat hemorrhoids, it is necessary to intervene in hemorrhoids with fibrous tips with fiber-inducing drugs, cold burning, elastic banding, bipolar electrophoresis, photovoltaic infrared or with tufting surgery. Hemorrhoids and constriction of hemorrhoids are rooted by improved Longgo and Longo surgery, which results in quite positive results such as short hospital stay, much pain relief after surgery.

In order to accurately assess the severity of the disease, the patient should be examined by a specialist and have an rectal rectal examination to assess the grade accurately. The choice of treatment depends on the severity of hemorrhoids.

With hemorrhoids 1, patients can be treated by medical methods alone using topical medications, placebo or topical applicators and do not need to be hospitalized. With hemorrhoids 2 and 3 that tufts of hemorrhoids are small, you can use tricks such as injecting fiber or burning with infrared . The surgery is only for patients with hemorrhoids 3 with big hemorrhoids, hemorrhoids 4, hemorrhoids suffer from acute clogged thrombosis, hemorrhoids with large external hemorrhoids cause heavy bleeding and pain.

Assoc. Prof. Dr. Nguyen Hoai Nam
( Ho Chi Minh City University of Medicine and Pharmacy )