Bệnh trĩ có tự khỏi không? Khi nào nên đi khám trĩ?

Will hemorrhoids heal on their own is a question that many people care about, because this is a common disease but it is a disease in a delicate area, so many people are afraid to go to the doctor. Here are the specific answers to your questions.

To answer the question “Do hemorrhoids go away on their own?”, first, we need to understand what this disease is, its symptoms, and how to treat it. The following is complete information about hemorrhoids, you can refer to.

What is hemorrhoids?

Hemorrhoids are not just a disease of the veins. These are diseases of a vascular system from arterioles, veins, and arteriovenous anastomoses to smooth muscle and connective tissue lined by the normal epithelium of the anal canal. The venous plexus lies in the submucosa supported by an elastic fibrous structure.

Hemorrhoids are a disease in a sensitive area that many people are afraid to visit

The constant increase in pressure such as straining to have a bowel movement, accompanied by continuous blood stasis, will lead to dilation and creation of hemorrhoids into the lumen of the anal canal. At the same time, with age, the supporting connective tissue structures are increasingly weakened, the hemorrhoids gradually fall out of the anal opening, leading to internal hemorrhoids.

Both men and women can develop hemorrhoids, especially between the ages of 30 and 60. One in two people over the age of 50 have hemorrhoids (at least once in a lifetime).

Symptoms of Hemorrhoids

Signs and symptoms of hemorrhoids may include:

  • Bleeding without pain during bowel movements. Initially, a discreet amount of bright red blood may be seen on the toilet paper or in the toilet bowl. Bleeding is the earliest and most common symptom. Later, after pushing a lot, the blood flows in drops or rays. It is worse when squatting also bleeds.
  • Itching or irritation in the anal area due to mucus secretion from the mucosa of the anal canal.
  • People with hemorrhoids often experience pain or discomfort, which ranges from painless, mild pain to very painful anal fissures, blockages, or blockages.
  • The patient may also experience swelling around the anus.
  • People with hemorrhoids may have a lump near the anus, burning or pain (possibly a blood clot in the hemorrhoid).

Hemorrhoid symptoms often depend on the location:

External hemorrhoids cause the most discomfort, because the skin over the hemorrhoid is irritated and ulcerated. If a blood clot forms inside an external hemorrhoid, the pain can come on suddenly and be severe. The patient may feel or see a lump around the anus. Blood clots can be absorbed leaving wrinkled areas of skin that cause itching and burning.

Internal hemorrhoids are usually painless, even when they bleed (bleed). The patient may see bright red blood on the toilet paper or dripping into the toilet bowl. Hemorrhoids usually cannot be seen or felt, and they rarely cause discomfort. During a bowel movement, stool passing through the anus can scratch the surface of the hemorrhoid and cause bleeding. Internal hemorrhoids can also prolapse outside the anus, forming internal hemorrhoids. When hemorrhoids prolapse, it can absorb small amounts of mucus and stool, which can irritate it, causing itching, pain, and burning. Constant wiping to try to relieve the itch can worsen the problem.

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Classification of hemorrhoids

There are mainly two types of hemorrhoids, including internal hemorrhoids and external hemorrhoids.

External hemorrhoids: When hemorrhoids originate below the dentate line (also known as the anal-rectal line), it is called an external hemorrhoid. The hemorrhoid is now covered with squamous epithelium and lies beneath the skin surrounding the anus.

Internal hemorrhoids: If the hemorrhoid originates above the dentate line, it is called an internal hemorrhoid, and the hemorrhoid is covered by mucosa and transitional epithelium.

Can hemorrhoids go away on their own?

Illustrated classification of hemorrhoids

Classification of hemorrhoids is based on whether the hemorrhoids are still inside or have prolapsed from the anus.

Grade 1: Hemorrhoids are completely located in the anal canal.

Hemorrhoids grade 2: Normally, hemorrhoids lie neatly in the anal canal, when pushing to defecate, the hemorrhoids protrude or protrude a little. After going to the toilet, stand up and the hemorrhoid will retract inside.

Grade 3: Every time you go to the toilet or walk a lot, squat, do heavy work, the hemorrhoids prolapse. At this time, you have to lie down for a while before the hemorrhoids recede or gently push in with your hands.

Grade 4: Hemorrhoids are almost always outside the anal canal.

Can hemorrhoids go away on their own?

The location of hemorrhoids is extremely sensitive, so many people self-treat or buy medicine without examination. Many people wonder if hemorrhoids will go away on their own.

However, up to now, there has been no research, no scientific evidence to support the idea that hemorrhoids will go away on their own. Clinically, hemorrhoids will not go away on their own if the patient does not apply any appropriate intervention or treatment.

According to medical experts, depending on the different levels of hemorrhoids, the treatment should be carried out with the most appropriate method. However, when hemorrhoids form, the patient needs to be examined and diagnosed carefully before applying treatment. Hemorrhoids cannot heal on their own, moreover, if the wrong treatment method is used, the disease can progress more seriously and leave dangerous complications.

Therefore, in any case, when detecting or suspecting hemorrhoids, you need to immediately go to a medical facility for timely examination and treatment. Hemorrhoids are a disease that recurs many times, so you need to have the most definitive and effective treatment. At the same time, patients need to be carefully consulted about the care and living regimen to limit the development of hemorrhoids.

When to see a hemorrhoid?

As soon as people see unusual symptoms such as itching, burning pain, wet anus, difficulty in defecation and blood, body fatigue, etc., the body is warning that it is very likely. you have hemorrhoids. At that time, you should immediately go to the gastroenterology specialists at reputable hospitals or medical facilities for timely examination and examination.

Hemorrhoids treatment methods

Treatment of internal hemorrhoids

  • Medical treatment is applied to grade I hemorrhoids and mostly grade II hemorrhoids.
  • Eat more fiber: Recommended foods include whole grains (barley, wheat, brown rice, millet, rye, oats, etc.); fruit; vegetables; … help increase stool volume, soften stools. Patients should also add plenty of water (about 2 liters per day) to aid digestion and soften stools.
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Can hemorrhoids go away on their own?

Eat more foods rich in fiber to limit constipation

  • Avoid straining when going to the toilet to help limit the prolapse of hemorrhoids. Patients need to create a habit of going to the toilet, they should defecate as soon as they feel it, because the fasting makes the stools stay for a long time in the rectum and anus, the rectum will gradually absorb in the water, in the stool, making the stool dry. stiff, stagnant and harder to walk. And pushing hard when going to the toilet will put a lot of pressure on the veins in the lower rectum, making the hemorrhoids more likely to bleed and swell. Patients should avoid going to the toilet while reading the newspaper, watching the phone, lack of concentration.
  • Limit sitting for too long: Patients also need to limit sitting for too long, especially on the toilet, because this will put pressure on the veins in the anus, making hemorrhoids worse. If due to the nature of work, try to exercise regularly, both to limit hemorrhoids and good for the spine.
  • Soak the anus in warm water 2-3 times a day, 10 minutes each time. Use rectal drugs, drugs that strengthen the vascular wall.
  • Hemorrhoid treatment drugs: oral pills, ointments and suppositories are marketed to prevent pain, prevent bleeding, treat hemorrhoids and other anorectal diseases, currently some drugs are still marketed as Ginkor Fort, Proctolog, Daflon. However, patients should not self-medicate without a doctor’s prescription, should carefully read the instructions for use and determine the safety of the drugs advertised on the market before using.

Surgical treatment of hemorrhoids

Surgical intervention:

  • Rubber band ligation is a method commonly applied to grade I and II internal hemorrhoids (not for external hemorrhoids). Your doctor will warn you in advance that when hemorrhoids fall off, from day 6 to day 10 there may be light bleeding. If you have pain, urinary retention, and fever, a follow-up visit is needed to rule out an infectious syndrome of the perineum.
  • Sclerotherapy is usually indicated for grade I and grade II hemorrhoids, especially in immunocompromised patients or with coagulopathy. Sclerotherapy is performed by injecting 1-2 ml of a sclerosing agent, which is 5% phenol, quinine, urea hydrochloride, polidocanol or sodium tetradecyl sulfate, injected with a needle under the lining of the hemorrhoid.
  • Infrared photocoagulation is usually indicated for grade I and II hemorrhoids.
  • Hemorrhoid laser ablation is usually indicated for grade II hemorrhoids.

Surgical intervention:

According to doctors, not all cases need to remove the hemorrhoids. First, the patient needs to conduct an accurate examination and diagnosis of the disease in order to provide the appropriate treatment. Usually, hemorrhoidectomy is recommended for patients with grade 3 or higher, or those with thrombosed hemorrhoids, hemorrhoids that are too large, people with mixed hemorrhoids with large external hemorrhoids that cause bleeding and a lot of pain. The following are some of the most common hemorrhoid treatments available today:

  • Ferguson’s method: Ferguson hemorrhoidectomy is a classic hemorrhoidectomy, which separates each hemorrhoid with sutures to remove hemorrhoids without affecting the structure of the anus. This method is applicable to most hemorrhoids with surgical indications and requires highly specialized doctors as well as modern equipment.
  • Milligan Morgan method: This is a hemorrhoidectomy procedure by intervening and cutting each hemorrhoid one by one, leaving only the mucous membranes between the hemorrhoids and sutures. For ring hemorrhoids, the doctor must cut the extra hemorrhoid part. With simple surgical procedure, short procedure time, low recurrence rate (5-10% in 5 years) and low cost, this is the method chosen by many patients.
  • Longo method: Based on the principle of pulling hemorrhoids back to the normal position, applied to patients with hemorrhoids round or hemorrhoids grade 3, 4. The doctor will use an automatic anostomy sewing machine, a device specifically designed to cut and suture the mucosal cavity with blood vessels above the dentate line (the junction between the end of the digestive tract and the anus, dividing the hemorrhoids). internal and external hemorrhoids), pull the hemorrhoid up high and at the same time cut off the blood supply to the hemorrhoid, so that the hemorrhoid gradually shrinks. With this method, the patient has less pain, quick recovery and no open wound or anal stenosis complications.
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Where is the reputable and effective hemorrhoid examination?

To know what stage your hemorrhoids are in, how to treat them, patients should visit a specialist at reputable addresses for a diagnosis and appropriate treatment plan. timely.

Can hemorrhoids go away on their own?

Hong Ngoc General Hospital converges a full team of doctors, with a system of modern facilities, gradually becoming a prestigious address for many patients wishing to examine and treat hemorrhoids.

Patients can be completely assured with a team of specialist surgeons, led by the People’s Physician Associate Prof. Dr. Nguyen Xuan Hung – Former Director of the Center for Colorectal Surgery – Perineum, Huu Nghi Hospital Vietnamese Germany.

Assoc. Prof. Dr. Nguyen Xuan Hung is one of the leading experts in Vietnam in Gastrointestinal Surgery and anorectal diseases:

  • Vice President of the Association of Anus – Colorectal Vietnam. Member of Vietnam Association of Surgery and Laparoscopic Surgery
  • Member of the Association of Physicians Treating Colon and Anal Diseases of the Republic of France
  • Part-time lecturer at Hanoi Medical University and Hanoi National University.

Treat CHILDREN with a specialist to:

  • CORRECT diagnosis: avoid confusion with rectal cancer, polyps, other diseases of the anus
  • Sufficient treatment: 50% of cases can only use drugs in combination with eating and living adjustments, 45% with simple interventions and procedures.
  • EFFECTIVE interventions: less damage, quick recovery, very few complications, over 95% cure rate

Book an appointment with Assoc. Prof. Dr. Nguyen Xuan Hung: 0911 908 856

Register for information and advice at:

Note: The information provided in the article of Hong Ngoc General Hospital is for reference only, not a substitute for medical diagnosis or treatment. Patients are not allowed to buy drugs for treatment on their own. To know the exact medical condition, the patient needs to go to the hospital to be directly examined by the doctor, diagnosed and advised on a reasonable treatment regimen.

Follow the fanpage of Hong Ngoc Hospital to get more useful information about health and attractive promotions from the hospital.

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