Mixed Hemorrhoids

Mixed hemorrhoids involve both internal (above dentate line) and external (below) hemorrhoidal plexuses, presenting with bleeding, prolapse, thrombosed painful lumps, and skin tags. Treatment: high-fiber diet; stool softeners; sitz baths; topical agents; rubber-band ligation; sclerotherapy; hemorrhoidectomy for advanced/thrombosed; treat constipation; excise skin tags if symptomatic.

Common Symptoms

Bleeding; prolapse; thrombosed painful lumps; skin tags

Causes and Pathogenesis

Combined internal/external plexus congestion with straining/constipation/pregnancy.

Treatment

Fiber/stool softener/sitz baths; band ligation/hemorrhoidectomy; treat cause

Preventive Measures

High-fiber diet; avoid straining; treat constipation.

Department to Visit

It is recommended to visit the General-surgery/Colorectal department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.