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What about mixed hemorrhoid bleeding?
Experts from Shenzhen Anorectal Hospital introduced,

Painless, intermittent and bright red blood after defecation is the characteristic of mixed hemorrhoids, and it is also a common symptom of internal hemorrhoids or mixed hemorrhoids in the early stage. Hemorrhagic stool is mostly caused by tearing mucous membrane or severe defecation, which causes the dilated blood vessels to rupture and bleed. Most of the light cases are stool or toilet paper with blood, and then blood drops, and the heavy cases are jet bleeding. Long-term hematochezia will lead to a large loss of iron content in patients, thus causing anemia and endangering health.

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When the disease develops to a certain stage, prolapse will occur, which is mainly caused by long-term extrusion of feces. You can recover by yourself in the early stage, but you can't recover by yourself in the later stage. You need to drag it back by hand. Long-term prolapse can lead to incarceration, infection and other diseases, and the consequences are very serious.

Can be used for treating mixed hemorrhoid hemorrhage.

Shenzhen Yuanda Hospital

The minimally invasive surgery of PPH in the United States, called prolapse and hemorrhoids with stapler, is a new technology based on anal pad theory, which uses stapler to treat prolapse and hemorrhoids. It is a hemorrhoid anastomosis which is specially used to treat ⅱ-ⅳ degree severe hemorrhoids, does not destroy the normal physiological function of anal pad, significantly shortens the operation time and greatly relieves postoperative pain. It is a circular resection of rectal mucosa and submucosa tissue. Effectively treat severe prolapse internal hemorrhoids.

In the minimally invasive surgery of PPH in the United States, a special circular stapler is used to insert into the rectum through the anus, and the mucosa and submucosa of the intestinal wall at the lower end of the rectum are annularly removed and anastomosed at the same time, so that the prolapsed anal pad can be lifted, the normal anatomical position of the anal pad can be restored, the suspension effect can be achieved, and the arterial blood branch supplying hemorrhoid nucleus can be cut off, thus achieving the goal of radical cure.