Chapter One

Hemorrhoids are a disease with a high incidence

Hemorrhoids are a disease with a high incidence. Many people usually go to the doctor only after the symptoms are very severe, but it is best to take action immediately after the onset of the disease so that it can be cured at a less severe stage。

In Japan, there is a saying that one in three people must suffer from hemorrhoids.This shows the high incidence of hemorrhoids。

In 1988, a pharmaceutical company conducted a questionnaire survey on a certain number of adult men and women, and the results showed that 36% considered themselves to be suffering from hemorrhoids, and this data proved that one out of three adult men and women in Japan suffer from hemorrhoids

The fact is that many people don't know they have hemorrhoids, and scientists in Germany have found that 70% of people have hemorrhoids when they dissect adult remains, a figure that includes people who didn't know they had hemorrhoids when they were alive, so the actual incidence of hemorrhoids is much higher than 36%.

In addition, Dr. Haas of Henry Ford Hospital in the United States published a report in 1982 stating that all outpatients of the hospital were examined and it was found that 86% of the patients had hemorrhoids.

The above data leads to the conclusion that hemorrhoids are a common disease worldwide

Getting checked early is the key to curing hemorrhoids

The incidence of hemorrhoids does not vary greatly from country to country, but the severity of symptoms varies greatly

This is because people in some countries usually go to the hospital only when the condition is too severe to bear.

My hospital conducted a questionnaire survey of 100 patients, and the results showed that from the time they discovered

The average time between finding out that you have hemorrhoids and going to the hospital is 7 years.

The main reasons for delaying the consultation are as follows:

They are afraid to be examined.

-There is nothing dangerous about hemorrhoids, so it is too much trouble to go to the hospital.

You may be asked to have surgery if you go to the hospital.

-I heard that hemorrhoid surgery is extremely painful.

*You have to be hospitalized for hemorrhoid surgery, and even if you do have hemorrhoid surgery, it can come back.

It seems that even if patients don't mind exposing their buttocks to the doctor, they feel uneasy about the possibility of being asked to have hemorrhoid surgery, which is the main reason for delaying the visit.

Contrary to this. Patients in some Western countries usually go to the hospital as soon as they suspect they have hemorrhoids, thus keeping the disease at its least symptomatic stage.

If treated in the early stages of the disease, any type of hemorrhoid can be completely cured without the need for surgery.

The treatment of hemorrhoids can be completely cured without surgery.

In some developed countries, the percentage of hemorrhoid patients who have surgery is 7% in Germany, 5% in the UK, and 4% in the US.

In some developed countries, the percentage of hemorrhoid patients who have surgery is 7% in Germany, 5% in the United Kingdom, 4% in the United States, and up to 13% in our hospital. If patients are treated early, the percentage of hemorrhoid surgery will definitely decrease.

Therefore, going to the hospital as early as possible to get examined by a specialist is a shortcut to cure hemorrhoids

Focus on quality of life for hemorrhoid patients

Currently, the medical community advocates that physicians should consider the patient's "quality of life" when developing treatment plans.

In addition, it is important to explain to the patient in detail the treatment method to be used, including what symptoms the treatment can improve, and to obtain the patient's consent before implementation.

In addition, it is important to explain in detail to the patient the treatment method to be used, including which symptoms can be improved by this treatment, and to obtain the patient's consent before implementation, which is called "informed consent.

My hospital does a lot of work in this area, and we take into account the future health and well-being of patients with hemorrhoids. We do a lot of work in this area, and we treat patients with hemorrhoids after taking into account their future health and well-being.

Herbert Benson of the Harvard Psychological Medical Research Institute has a great deal to say about how patients can achieve true health and well-being after treatment.

Dr. Herbert Benson of the Harvard Medical Research Institute advocates focusing on the following:

,medication.

Other treatments such as surgery.

-Safe care.

It is the doctor's job to do the first two, but even more important than these two is :"safe care".

According to Herbert Benson, "the treatment of disease depends primarily on the body's ability to heal itself, and medical treatments such as drugs and surgery only assist in doing so". The same holds true for hemorrhoids, which will slowly improve if patients manage their health well enough to live in an environment where they are less susceptible to the disease. In other words, safe care is the key to healing hemorrhoids.

The anal canal is a complex and sensitive organ

It is important to understand the structure of the anal canal in order to prevent hemorrhoids. The anal canal connects to the rectum at the upper end and ends at the anus at the lower end. "The word "anus" stands for the hole in the buttocks, and "door" means access. The anal canal is the lower opening of the anal canal, usually in a sagittal position. The anal canal is the organ responsible for expelling food residues and metabolic waste (including exhaust gas).

The large intestine is the continuation of the digestive organs such as the esophagus, stomach, duodenum, and small intestine, including the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum, and finally connects to the anal canal. It is the area below the sigmoid colon that is associated with defecation. The wall of the rectum is dilated by the action of stool, which causes the person to have the urge to have a bowel movement through autonomic reflexes, and then the stool is expelled under the control of the somatic nerves.

The length of the anal canal is about 3 cm. When the fetus reaches 8 to 9 weeks of age, the endoderm of the primitive rectum fuses with the ectoderm of the primitive rectum to form the anal canal, which is called the dentate line because of the serrated shape of their union. The dentate line is approximately 1.5 cm from the anus.

The inner part of the dentate line is bounded by the same autonomic nerves as the large intestine, so that little pain is felt. On the other hand, the lateral part of the dentate line, close to the skin, is innervated by the same somatic nerves as the skin, and is therefore more sensitive and painful when stimulated.

Because they are innervated by two different nervous systems, the symptoms of hemorrhoids vary from site to site.

In addition, there is a fossa on the dentate line that opens upward, called the anal sinus, which is the opening of the anal glands.

The sinus is the opening of the anal glands. The sinus is the opening of the anal glands. The sinus is often filled with fecal debris and is susceptible to bacterial infection, which is the cause of anal impotence.

The two muscles around the anal canal

Normally, stool does not leak out of the anus even if we do not have conscious control over it. This is because the anal canal is surrounded by two muscles, the internal anal sphincter and the external anal sphincter, and as long as the anal canal is closed, stool will not leak out of the anus automatically.

The internal anal sphincter is a circumferential muscle of the rectal wall that thickens significantly at the anal canal and is involuntary.

In the unconscious state, stools do not leak,

In contrast, the external anal sphincter is a random muscle, controlled by somatic nerves, and can be contracted and relaxed by

consciousness to make it contract and relax.

It is because the external anal sphincter can be controlled by the conscious mind that if you suddenly want to go to the toilet on the bus or in front of others

If one suddenly wants to go to the toilet on the bus or to expel exhaust fumes in front of others, one can usually tolerate and control it.


Why do humans get hemorrhoids

Walking upright has created a highly civilized society and a brilliant culture with free hands. However, this way of walking also makes the area around the anal canal more prone to bruising and hemorrhoids, a disease that can easily develop.

What kind of disease are hemorrhoids?

Hemorrhoids are a disease that is closely related to the structure of the anal canal.

The anal canal does not close completely with only the surrounding muscles (the internal and external anal sphincter), leaving a gap of about 1 mm in diameter.

There is a gap of about 1 mm in diameter. In order to fill this gap, there is a tissue called the "anal cushion" under the skin of the anal canal, which consists of small, dense veins (venous plexus), smooth muscle and elastic fibers.

From about 30 years of age, the muscles and elastic fibers that make up the anal cushion gradually age and break down. If you strain very hard during bowel movements, you will exert greater pressure on the blood vessels in the plexus, causing blood to stagnate, resulting in a localized mass known as a hemorrhoid.

It may be a personal habit to use forceful bowel movements, but usually it is due to constipation, so people who are constipated are prone to hemorrhoids.

People are prone to hemorrhoids.

So, why does the human anal canal have such a structure?

Aging contributes to the formation of hemorrhoids

With the improvement of living standards and the development of medicine, the number of elderly people over 80 years of age has increased greatly, and human beings are living longer and longer. As a result, the anal canal, which can only support 40 years, is forced to extend its "useful life," and aging causes serious damage to the tissue of the anal cushion, making it easy to form hemorrhoids.

As mentioned earlier, the evolution of humans from crawling to walking upright has increased the burden on the anal canal.

In reptiles, the spine is horizontal and the body is supported by the limbs, so the anal canal bears less of a burden.

For humans walking upright, the weight of the upper body is concentrated on the waist and buttocks, causing the

The muscles and blood vessels around the anal canal are constricted, which seriously affects blood circulation. The stagnation of blood makes it difficult to expel waste products from the body, which in turn causes hemorrhoids.

However, the significance of walking upright for humans is very significant. The most important thing was that the freed hands learned to use tools and created a splendid human civilization.

Is the incidence of hemorrhoids related to gender

Because men and women have different body structures, they have different types and symptoms of anal canal diseases such as hemorrhoids.

Women are also prone to hemorrhoids and other anal diseases

Men are often thought of as being prone to hemorrhoids, but women actually suffer more often. This is because about 70 percent of the patients treated in hospitals are women.

Women are able to speak openly about their condition at our hospital.

The reason why women are prone to hemorrhoids is not only the unique physiological phenomenon of pregnancy and childbirth, but also the culprit of hemorrhoids - constipation. This is because constipated patients often overexert themselves during bowel movements, which can easily lead to anal fissures or hemorrhoids.

Women are more prone to constipation than men because many women often hold off going to the bathroom at work or when they are out and about, and many women are overly concerned about their body image and often diet to lose weight, which can make constipation more serious. In addition, due to hormonal effects, women's bowel movements become slow before menstruation, which can easily cause constipation.

Women often suffer from hemorrhoids after pregnancy and childbirth. During pregnancy, the enlarged uterus compresses the

During pregnancy, the enlarged uterus compresses the rectum, causing the veins around the anal canal and rectum to stagnate, which can easily lead to hemorrhoids. In addition, overexertion during childbirth can also be a cause of hemorrhoids. After childbirth, the abdominal muscles and intestinal tissues are looser, and breastfeeding causes a lot of water loss in the body, making the stools dry and hard, and therefore prone to constipation.

The consequences of ignoring hemorrhoids

No matter what kind of disease, if left unattended, it will lead to deterioration of the disease, and in serious cases, it may even threaten the life of the patient.

Rectal cancer and colon cancer are easily confused with hemorrhoids

Many people think that hemorrhoids are not a serious disease, so they don't take it seriously. In fact, many people who think they have hemorrhoids are actually suffering from rectal or colon cancer, especially since the proportion of Japanese people suffering from rectal and colon cancer has been increasing every year in recent years.

This is because rectal and colon cancers also have symptoms such as bleeding from the anus and blood in the stool, and laymen often think that they are just ordinary hemorrhoids.

This is because rectal and colon cancers also have symptoms such as bleeding from the anus and blood in the stool.

In particular, people who have suffered from hemorrhoids for a long time are more likely to mistake blood in the stool of rectal or colon cancer for hemorrhoids.

Bleeding. If you have never had hemorrhoids, you may be alarmed at the sight of blood in your stool and go to the doctor.

Some anal canal diseases can cause cancer

If you have anal canal disease but do not get treatment early, it can easily lead to anal canal cancer.

There are two types of cancers near the anal canal, one is rectal cancer which occurs in the rectum,

One is rectal cancer, which occurs in the rectum, and the other is cancer of the anal canal, which occurs when a person has suffered from anal canal disease for a long time but does not receive treatment.

The main symptom of anal canal cancer is anal canal pain with discharge Q If the anal canal pain lasts for a long time and discharge is present, please consult a specialist and have the rectum and colon examined.

If there is no abnormality in the rectum or colon, it is important to have an examination every 2 years.

Anal canal disease and perianal inflammation

Anal canal disease is closely related to perianal inflammation. When health is poor, the immune system is weakened and susceptible to inflammatory diseases that can lead to or worsen anal canal disease.

Perianal inflammation is the culprit of anal canal disease

There are three main types of anal canal diseases: hemorrhoids, anal fissures, and anal impotence. One of the risk factors for the development and worsening of anal canal diseases is perianal inflammation, which is the inflammation around the anal canal.

When attacked by bacteria or viruses, the body's immune system is generally able to fight off external enemies and maintain good health. The cells that play a role in immunity include macrophages, T-lymphocytes, and B-lymphocytes.

The mouth, vagina and anus have local immune systems that are less susceptible to germs and inflammation.

We can refer to the factors that harm the body's health as attack factors, such as viruses and bacteria, and the immune cells that defend the body against these attack factors as defense factors.

If the immune system decreases, perianal inflammation can occur, which can worsen the symptoms of anal canal diseases such as hemorrhoids.

Six factors that cause perianal inflammation

The six major factors that cause perianal inflammation in daily life are abnormal bowel movements, physical fatigue, mental stress, exposure to cold, alcohol consumption, and menstruation.

The attack and defense factors explain why these six factors can cause perianal inflammation. The passage of stool through the anal canal is an aggressive factor for the anal canal. This aggression factor increases during constipation and diarrhea. Alcohol consumption can also increase the attack factor.

In addition, physical fatigue and stress can depress the local immune function of the anal canal, resulting in a decrease in defense factors.

In healthy people, the defense and attack factors are in balance, so they are less likely to develop hemorrhoids. The six factors mentioned above disrupt this balance, which can lead to or worsen anal canal disease.

If you get poop on your hands and don't wash it off in time, the skin of your hands will feel uncomfortable because of the large amount of bacteria in the poop.

For constipated people, stool containing a lot of bacteria stays in the rectum or anal canal for a long time, which can easily cause inflammation and lead to hemorrhoids.

Therefore, we can classify these six factors into two categories: "The factors that increase the attack factor and cause hemorrhoids

The factors that cause hemorrhoids are abnormal bowel movements, alcohol consumption, and menstruation, while the factors that cause hemorrhoids due to a decrease in defense factors are physical fatigue, mental stress, and cold. Cold.

Anal canal disease and perianal inflammation

Anal canal disease is closely related to perianal inflammation. When health is poor, the immune system is weakened and susceptible to inflammatory diseases that can lead to or worsen anal canal disease.

Perianal inflammation is the culprit of anal canal disease

There are three main types of anal canal diseases: hemorrhoids, anal fissures, and anal impotence. One of the risk factors for the development and worsening of anal canal diseases is perianal inflammation, which is the inflammation around the anal canal.

When attacked by bacteria or viruses, the body's immune system is generally able to fight off external enemies and maintain good health. The cells that play a role in immunity include macrophages, T-lymphocytes, and B-lymphocytes.

The mouth, vagina and anus have local immune systems that are less susceptible to germs and inflammation.

We can refer to the factors that harm the body's health as attack factors, such as viruses and bacteria, and the immune cells that defend the body against these attack factors as defense factors.

If the immune system decreases, perianal inflammation can occur, which can worsen the symptoms of anal canal diseases such as hemorrhoids.

Six factors that cause perianal inflammation

The six major factors that cause perianal inflammation in daily life are abnormal bowel movements, physical fatigue, mental stress, exposure to cold, alcohol consumption, and menstruation.

The attack and defense factors explain why these six factors can cause perianal inflammation. The passage of stool through the anal canal is an aggressive factor for the anal canal. This aggression factor increases during constipation and diarrhea. Alcohol consumption can also increase the attack factor.

In addition, physical fatigue and stress can depress the local immune function of the anal canal, resulting in a decrease in defense factors.

In healthy people, the defense and attack factors are in balance, so they are less likely to develop hemorrhoids. The six factors mentioned above disrupt this balance, which can lead to or worsen anal canal disease.

If you get poop on your hands and don't wash it off in time, the skin of your hands will feel uncomfortable because of the large amount of bacteria in the poop.

For constipated people, stool containing a lot of bacteria stays in the rectum or anal canal for a long time, which can easily cause inflammation and lead to hemorrhoids.

Therefore, we can classify these six factors into two categories: "The factors that increase the attack factor and cause hemorrhoids

The factors that cause hemorrhoids are abnormal bowel movements, alcohol consumption, and menstruation, while the factors that cause hemorrhoids due to a decrease in defense factors are physical fatigue, mental stress, and cold. Cold.

Abnormal bowel movements (constipation, diarrhea)

Excessive straining during constipation may damage the anal canal and cause bacterial infection, leading to anal fissures or internal hemorrhoids. Stressful bowel movements may also put strong abdominal pressure on the anal cushion area, causing the venous plexus to dilate, which can lead to hemorrhoids. In addition, prolonged retention of stool in the body is also a cause of inflammation of the anal canal

In addition, chronic diarrhea can cause watery stool to impact the anal canal, causing damage to the canal and leading to anal fissures, and watery stool can also enter the anal sinus and cause bacterial infections.

Physical fatigue

Inappropriate exercise or overwork can cause physical fatigue, resulting in low local immunity, making the anal canal easily inflamed and leading to hemorrhoids.

Mental stress

The body's immune system varies according to the state of mind. For example, if you are stressed or sad, your immunity will decrease; conversely, if you are in a happy state of mind, your immunity will increase. The study of this field is called psychoneuroimmunology.

Mental stress can lead to low immunity and reduced ability to fight bacteria, which can cause inflammation of the perianal tissues, and the anal canal, which is the passage for excreting stool, has a high frequency of contact with bacteria. If

If the defense factors in the body are reduced due to mental stress, the attack factors will take advantage of the situation and thus cause hemorrhoids


cold

if the body is cold, the blood vessels around the anal canal will constrict, slowing blood circulation and causing bruising, which can easily lead to perianal inflammation.

Nowadays, with the popularity of air conditioning, there is an increase in the number of patients who suffer from hemorrhoids caused by cold in the buttocks during the summer. Hemorrhoids are considered to be a disease that is closely related to coldness in the body, so it is important to avoid excessive use of air conditioning. If you work in a place where the room temperature is often low, you should pay special attention to keeping warm.

It is recommended that you soak your buttocks in a sitz bath immediately after a bowel movement to improve circulation and eliminate blood stagnation, thus preventing the development of hemorrhoids. However, since anal impotence is a bacterial infection that causes localized septicemia, sitting in warm water can aggravate the symptoms of septicemia and pain, so patients with anal impotence should avoid using this method o

Drinking alcohol

Excessive alcohol consumption can also trigger hemorrhoids. Alcohol, the main component of wine, is a type of alcohol that dilates blood We can think of it as an attack factor for perianal inflammation. To prevent an increase in the number of attack factors, the amount of alcohol consumed should be kept to a certain level. You should not drink more than 1 beer, 1 bottle of sake (about 180 ml) or 2 glasses of wine per day.

Menstruation

The exact cause of perianal inflammation due to menstruation is not known, but it is generally believed to be related to dramatic changes in hormone levels such as progesterone around the time of menstruation.

Because menstruation has a certain pattern, constipation and perianal inflammation caused by menstruation are easier to prevent.

If you are prone to constipation during menstruation, you can start eating more dietary fiber foods such as beans and seaweed a few days before your period, and drink yogurt to regulate your bowel movements to avoid constipation. The anal canal is burdened.

The actual fact is that eating foods rich in dietary fiber can help prevent constipation, and getting enough rest can help relieve physical fatigue and reduce mental stress, thus strengthening the immune system.

The body's self-healing power can fight disease

As mentioned earlier, health is actually a state of the body in which the attack and defense factors are in balance. If bacteria or viruses invade the body, immune cells such as macrophages and lymphocytes will defeat the invaders and restore the body to health.

Fever and sweating during illness are symptoms of immune cells fighting against the invaders. In order to cure the disease and restore health, the patient's self-healing power plays a very important role, and drugs only play a supplementary role

Therefore, it is important to improve immunity and self-healing in the treatment of hemorrhoids, and to maintain a balance of attack and defense factors.

The six factors mentioned above can trigger anal canal disease and make it worse. Therefore, to prevent and control hemorrhoids, it is important to make lifestyle changes to avoid these causative factors

Computers and Hemorrhoids

Many people with hemorrhoids are people who sit in front of a computer all day, such as designers, architects, managers, stock traders, investment advisors, etc.

In modern society, the computer is an essential part of work and daily life. But sitting for too long can easily cause bruising, which can lead to pain and other discomfort, and can seriously lead to The anal canal disease such as hemorrhoids.

If you sit in front of the computer for too long, it will cause venous blood because the leg muscles are not exercised.

This is the main culprit in triggering and aggravating hemorrhoids.

In order to prevent bruising, it is recommended to stand up and move for about 1 minute after sitting for an average of 2 hours and go to to the bathroom is fine.

You can prepare an alarm clock that goes off every 2 hours, so that when you sit in front of the computer for 2 hours, you don't forget to get up and move around.

This helps to develop the habit of regular activity and helps to prevent bruising. The leg veins have valves that prevent blood from flowing backwards. When you walk, the blood in the lower body is pumped by the leg muscles

This helps eliminate the symptoms of bruising by allowing a smooth return of blood to the heart.

In the summer, to keep offices with many computers cool, many companies set the air conditioning temperature at 20°C ~ 23°C

This temperature may be appropriate for computers, but it is not so appropriate for employees sitting in front of them ° Such a low temperature can further worsen hemorrhoids ° In addition, if the outdoor temperature is 32P, while the indoor temperature difference of only 20°C inside and outside 10°C tends to lower the immune system, thus triggering hemorrhoids

It is advisable to get up every 2 hours when using the computer for a long time and to keep warm in rooms with low room temperature so that you can prevent hemorrhoids and prevent them from getting worse.