Summary of things you need to know about internal hemorrhoids

Expert advice by Dr. Nguyen Ngoc Khanh - Head of Department of Gastroenterology - Urology - Robotic Surgery & Pediatric Surgery, Vinmec Times City International Hospital - 15 years of experience in anorectal surgery

Internal hemorrhoids are one of the three most difficult types of hemorrhoids to detect, namely external hemorrhoids, internal hemorrhoids and mixed hemorrhoids, and internal hemorrhoids often make it more difficult to treat.

1. Definition and causes of internal hemorrhoids Internal hemorrhoids arise in the submucosal space, above the dentate line, originating from the internal hemorrhoid plexus. The main causes of internal hemorrhoids are also similar. general hemorrhoids are:
Standing a lot, sitting for a long time, sedentary due to the nature of work such as office workers; drive; stand guard. Having chronic constipation, when having a bowel movement, you have to strain a lot. People with diarrhea have an increase in the volume of hemorrhoids. Patients with other medical conditions such as irritable bowel syndrome, increased intra-abdominal pressure, and tumors in the anorectal region and surrounding areas are also at risk for hemorrhoids. Are pregnant/postpartum women

2.1. Grade 1 internal hemorrhoids Signs of grade 1 internal hemorrhoids are:
Blood in the stool, initially the blood only sticks to the stool or toilet paper, when the disease is more severe the blood also bleeds more, the blood is dripping or shoots when defecating There is burning pain when defecating, anal itching makes the patient uncomfortable. There is prolonged constipation This stage, if the early signs of internal hemorrhoids are not detected and treated promptly, the disease will be more severe and more difficult to treat.

2.2 Internal hemorrhoids grade 2 Symptoms of internal hemorrhoids in grade 2 are clearer than grade 1:
Passing blood more often Painful anal pain when having a bowel movement Anal itching Especially a lump like a small lump of flesh will be seen It comes out when having a bowel movement, but it shrinks up on its own soon after, this is a hemorrhoid. However, at this stage, due to the psychological shame, the patient often hesitates to go to the doctor and endures living with the disease, until the pain is too unbearable, the disease is more severe and more difficult to treat definitively.

2.3 Grade 3 internal hemorrhoids Grade 3 symptoms become more obvious such as:
Less bleeding Hemorrhoids prolapse and do not retract on their own, must be pushed up by hand Feeling a burning pain even When you don't have a bowel movement, you can't sit upright in a chair because it can press on the hemorrhoids. In stage 3, the manifestation of internal hemorrhoids is less bleeding, which causes patients to subjectively not go to the doctor and treat, without knowing that this is the last stage that can be treated medically without surgery. .

2.4 Internal hemorrhoids grade 4 This is the most severe stage of hemorrhoids with signs such as:
Hemorrhoids prolapse and even when you do not have a bowel movement Unable to push hemorrhoids inward Pain, bleeding even when walking Therefore, at this stage, the anus will have risks such as:
Easy infection, necrosis of hemorrhoids Anal fissure, anal abscess Rectal cancer

3.1 Living and eating Lifestyle hygiene: Important because it helps you prevent hemorrhoids, prevent recurrence of hemorrhoids is to avoid sitting or standing for too long in one position Diet: Very important Important because it helps you prevent hemorrhoids, prevent recurrence of hemorrhoids, help you stay away from the pharmacy and especially away from the doctor, which is to prevent constipation and diarrhea. 3.2 Drug treatment Oral systemic drugs: aflon 500mg, topically: Proctolog rectal tablets or topical cream...
3.3 Using sclerotherapy, rubber band ligation, infrared photocoagulation, ..
3.4 Surgical method Hanging hemorrhoids (Hemorrhoidopexy): This method does not cut the hemorrhoids directly but: Pull the prolapsed hemorrhoids back into the anus. This method alone has several different improved variations. PT Longo : Applied to cases of internal hemorrhoids grade III. Advantages of the method: quick surgery (10p), aesthetic, and importantly, almost no pain, reduce hep complications. anus, discharge due to closed anus is not closed... Suture surgery to remove hemorrhoids. This method is safe and effective for both grade IV hemorrhoids, and sliding external hemorrhoids. It is a simple and safe method with almost no serious complications like the "cutting" methods.

As the leading modern international general hospital in the country, Vinmec has been and is the address chosen to treat hemorrhoids by:
A team of highly qualified doctors with many years of experience such as Dr. Nguyen Ngoc Khanh with 15 years of experience in abdominal surgery in the field of gastrointestinal-hepatobiliary and anorectal... Comprehensive and professional medical examination, consultation and treatment service Modern equipment system, support effective diagnosis and treatment Modern, civilized, luxurious and sterilizing medical examination and treatment space Modern, effective and efficient model of managing, sharing and connecting online information data.