What Is a Prolapsed Mixed Hemorrhoid?

Hemorrhoids are a common condition affecting many people. There are various types of hemorrhoids, each presenting with distinct symptoms and requiring different treatment methods. One common type is mixed hemorrhoids, and a common complication associated with them is prolapse. Many individuals may be unfamiliar with the concept of prolapsed mixed hemorrhoids, let alone the harm it can cause to the body.

1. What is Prolapsed Mixed Hemorrhoids?

Prolapsed mixed hemorrhoids refer to a condition where the hemorrhoid protrudes from the anal canal and cannot be retracted. This results in a blockage at the anus, causing local edema and severe anal pain. In such cases, surgical intervention is generally recommended, with external stripping and internal ligation being a viable option. Prolapsed mixed hemorrhoids are often caused by poor bowel habits, prolonged sitting, and squatting, which can lead to the descent of the anal cushions, increased local edema, and larger protruding hemorrhoids that cannot be retracted.

2. How to Treat Prolapsed Mixed Hemorrhoids?

The primary treatment for prolapsed mixed hemorrhoids involves manually pushing the hemorrhoid back into the anal canal under anesthesia. However, this method may not be particularly effective as the enlarged hemorrhoidal mass may still protrude during subsequent bowel movements, leading to recurrent prolapse. A more reliable approach is to perform external stripping and internal ligation of the mixed hemorrhoids under anesthesia.

3. What is Prolapsed Hemorrhoid?

Prolapsed hemorrhoid refers to an acute episode of circumferential hemorrhoid, which occurs when a previously existing third-stage circumferential hemorrhoid protrudes and cannot be retracted. Initially, patients may be able to manually push it back in. However, various triggers such as alcohol consumption, spicy food intake, fatigue, prolonged sitting, or squatting can cause the hemorrhoid to protrude again, leading to blood vessel rupture, thrombus formation, and eventual blockage at the anus that cannot be retracted. Prolapsed hemorrhoid is a severe condition that can cause intense pain, edema, discoloration, necrosis, and even hemorrhage. Therefore, prompt surgical intervention is typically recommended during the prolapsed stage. Since prolapsed hemorrhoid is an acute condition, it can be quite painful. It is advisable to seek medical attention promptly and follow the doctor's advice regarding the use of anti-inflammatory medication and surgical options.