What symptoms of mixed hemorrhoids require surgery?

Surgery is required when mixed hemorrhoids have severe symptoms, such as repeated bleeding, irreversible prolapse, severe pain, or a loss of quality of life. Treatment options include medication, lifestyle adjustments, and surgical intervention.

1. Repeated bleeding: Patients with mixed hemorrhoids may experience persistent or heavy bleeding, which may lead to anemia or affect daily life. Drug treatments such as hemostatics, hemorrhoid creams or suppositories can relieve symptoms. If bleeding is frequent and heavy, surgical removal of the hemorrhoids should be considered.

2. Prolapse and inability to reduce: Hemorrhoids cannot be reduced by themselves after prolapse of the anus, which may cause incarceration, necrosis or infection. In this case, you need to seek medical attention in time. The surgical methods include hemorrhoidectomy, stapled hemorrhoidal mucosal resection (PPH) or laser treatment.

3. Severe pain: Mixed hemorrhoids combined with thrombosis or infection may cause severe pain. Drug treatment such as analgesics, anti-inflammatory drugs or local cold compresses can relieve symptoms, but if the pain persists or worsens, surgery is required to eliminate the cause.

4. Impact on quality of life: When the symptoms of mixed hemorrhoids seriously affect defecation, walking or daily activities, surgery is an effective means to improve the quality of life. After surgery, you need to pay attention to diet conditioning, increase dietary fiber intake, avoid sitting or standing for long periods of time, and keep the anus clean.

If the symptoms of mixed hemorrhoids are severe, you need to seek medical attention immediately. Surgery can effectively relieve symptoms and prevent complications. Combining medication and lifestyle adjustments after surgery can help with recovery and prevent recurrence.