Internal hemorrhoids feel heavy and swollen in the afternoon

The obvious heaviness and swelling of internal hemorrhoids in the afternoon may be related to factors such as long-term standing or sitting and poor local blood circulation. It may also reflect the aggravation of the internal hemorrhoids. Comprehensive improvements should be made by adjusting lifestyle habits, taking medication, and, if necessary, surgical intervention.

1) Local circulation disorders caused by standing or sitting for a long time

Maintaining the same posture for a long time will lead to poor blood return in the rectum, which will cause congestion in the hemorrhoidal veins and increase the feeling of heaviness in the afternoon. It is recommended to move regularly, such as standing up and moving for 5 minutes every hour, to promote blood circulation. In addition, using a cushion or backrest can relieve pressure in the rectum.

2) Inflammatory reaction or enlargement of internal hemorrhoids leading to compression

Internal hemorrhoids can also cause a feeling of heaviness when they are inflamed, swollen or prolapsed, especially if persistent irritation causes symptoms to gradually worsen throughout the day. Anti-inflammatory drugs can be used to improve inflammation, such as hemorrhoid ointments (such as Myzhiling) or hemorrhoid suppositories (such as Taining suppositories) containing hydrocortisone, which can be used 1-2 times a day and combined with warm water sitz baths to relieve discomfort.

3) Eating disorders or bowel habits leading to local burden

Long-term constipation or diarrhea will increase the burden on internal hemorrhoids and affect the local state. It is recommended to consume foods rich in dietary fiber (such as oats, green leafy vegetables) and drink plenty of water to promote smooth bowel movements. Avoid spicy foods (such as chili peppers, alcohol) to reduce local irritation.

4) The condition of internal hemorrhoids worsens and requires surgical intervention

If internal hemorrhoids develop to stage III or above, often feel heavy or prolapsed, and non-surgical treatment is ineffective, surgical treatment can be considered. Common surgical methods include rubber band ligation (suitable for small and medium-sized hemorrhoids), hemorrhoidal artery ligation (suitable for moderate to severe internal hemorrhoids) and traditional hemorrhoidectomy (suitable for more severe cases with other lesions).

After the swelling and heaviness of internal hemorrhoids is clear, it is necessary to adjust daily habits and receive professional treatment. At the same time, pay attention to bowel movements and local cleanliness. If necessary, take further measures under the guidance of a doctor. Those with severe symptoms should seek medical evaluation in a timely manner to avoid delaying treatment.