How to treat grade 4 hemorrhoids to avoid complications?

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Nguyen Ngoc Thang, Department of General Surgery - Vinmec International General Hospital Da Nang.
Internal hemorrhoids are one of the problems that many people face, not only seriously affecting the quality of life, causing pain and suffering for patients, but hemorrhoids also have many dangerous complications if not detected. timely. Hemorrhoids can lead to blood loss and serious infection if not treated early.

1. Manifestations of hemorrhoids grade 4

At this time, the hemorrhoid is so large that even without a bowel movement, it prolapses and cannot push the hemorrhoid in. Patients always feel pain, bleeding at any time. At this stage, in addition to hemorrhoids, the patient also faces a series of other diseases. Such as infection of hemorrhoids, necrosis of hemorrhoids, anal fissure, anal abscess and even rectal cancer.

2. Causes of grade 4 hemorrhoids

Due to sitting for a long time, standing for a long time, carrying and carrying heavy objects, doing heavy sports such as lifting weights, playing tennis... Eating and drinking a lot of stimulants such as alcohol, beer, chili. Eat less foods that are high in fiber, such as vegetables and fruits. Drinking less water causes constipation. Obesity, pregnant women, prolonged cough...

Mang thai có thể là nguyên nhân dẫn tới trĩ nội độ 4
Mang thai có thể là nguyên nhân dẫn tới trĩ nội độ 4

3. Effects of hemorrhoids

Upsetting the living habits, seriously affecting the mental life, as well as the psychology of the patient. When defecating.. Upsetting the daily routine, seriously affecting the mental life, as well as the patient's psychology. blood infection, inflammation of various degrees such as anal abscess. Patients with bloody stools are prone to severe anemia. Cracked, torn anal area will easily be attacked by bacteria from feces and urine because hemorrhoids protrude out for a long time. These bacteria and toxins will enter the body and cause blood infections. May cause danger to the nervous system, headaches, memory impairment, lower back pain, nervous disorders, nervous tension, easy fainting. Hemorrhoids also affect the life and activities of husband and wife. Women with hemorrhoids are prone to gynecological infections. Especially the most severe effects are during pregnancy and after childbirth, so women before pregnancy need to take preventive measures, be alert to the risk of hemorrhoids. Can cause rectal cancer if not treated early.

4. Can grade 4 hemorrhoids be cured?

Vinmec Danang International General Hospital received surgery and successfully treated a 61-year-old patient with severe treatment (grade 4 internal hemorrhoids). Grade 4 internal hemorrhoids are completely curable with surgery. Doctor Nguyen Ngoc Thang - Gastroenterologist, Vinmec Da Nang International Hospital said: "The patient has severe hemorrhoids, has a long duration of the disease, and has been treated by an inappropriate method, which can easily cause serious damage to the hemorrhoids. complications of anal stenosis. Perform Longo surgery to ensure suspension and vasectomy of internal hemorrhoids and Partial excision of external hemorrhoids to prevent the risk of external hemorrhoids embolism after Longo surgery. Combining these two methods will also minimize the risk of recurrence of hemorrhoids.”

5. What should I do after surgery to remove grade 4 internal hemorrhoids?


Sau phẫu thuật nên uống 2 lít nước mỗi ngày để tránh mất nước đồng thời đào thải chất cặn bã trong cơ thể ra ngoài
Sau phẫu thuật nên uống 2 lít nước mỗi ngày để tránh mất nước đồng thời đào thải chất cặn bã trong cơ thể ra ngoài
Drink plenty of water: 2 liters of water per day will help you avoid dehydration and eliminate waste. Increase fiber: Eat more sweet potatoes, jute vegetables, spinach, lettuce, dragon fruit, papaya, peeled guava, sweet potato, banana. Should practice defecation every day at a certain time, should not try to push or sit for too long when defecating. Keep the anal area clean: Soak the anus in 0.9% warm salt water for 15 minutes, twice a day. Increase exercise: Gentle exercise such as walking, running slowly, yoga, doing anal contractions. When working, do not sit much. Before surgery, and immediately after surgery, you should use products with ingredients Meriva (curcuma phospholipid), Lettuce, Dang Quy, Rutin, magnesium. The product helps prevent constipation while increasing venous tone, protecting microcirculation, anti-embolism, reducing edema, and preventing infection. To help soft stools easier to defecate, restore anal function, quickly heal the incision, effectively prevent recurrence after surgery, it is necessary to use the product from 1 week before surgery and 2-3 months after surgery. Avoid stimulants such as alcohol, beer, eat a lot of chili. Treatment of diseases that cause prolonged cough... The longo method is a treatment that is being performed commonly today, is a modern method with high efficiency, limited postoperative complications, and quick patients. quick recovery.

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