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Chapter 584 - Chapter 555: Manual Reduction Technique

He understood the basic steps, the usual method was—

First, the preparation: using a sitz bath with warm water or potassium permanganate solution to reduce the swelling and pain of hemorrhoids, while relaxing the anal sphincter.

The specific operational steps: First, apply some lubricating essential oil to the anal area to increase smoothness. The patient should lie on their side or squat. The doctor wears a disposable glove or finger cot with lubricant, finds the prolapsed hemorrhoid, gently pinches it with fingers, and while rubbing, presses it back about 2-3 cm deep.

The patient should also cooperate by tightening their sphincter and doing several anal contraction exercises to check if the hemorrhoid prolapses again. If it does, repeat the above steps.

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