2020年8月28日星期五

hemorrhoids bleeding,Hemorrhoids bleeding, can't be underestimated

    As the saying goes, "ten people have nine hemorrhoids", which means that many people suffer from hemorrhoids. The main symptoms of hemorrhoids are blood after stool or prolapse of a mass in the anus. Hemorrhoids will bleed in each period. The low amount of bleeding is mainly manifested by fresh blood on the stool and blood rubbing on paper during defecation. In severe cases, spotting and jet-like bleeding may occur. If you do not pay attention to it, the course of the disease is longer, it can be secondary Hemorrhagic anemia, the patient will experience dizziness, fatigue, paleness, panting and panic when going up the stairs, seriously affecting the quality of life

    Recently, I encountered a female patient in the outpatient clinic. She was about 30 years old and was a white-collar worker in the company. She has repeatedly had blood in her stool for more than half a year. She has never been taken seriously. She often uses hemorrhoid cream and hemorrhoid suppository, and the symptoms are mild and severe. Recently, the company often works overtime, busy at work, and blood in the stool has gradually increased. He has continued to have blood in the stool for more than a week. It often shows jet-like bleeding. I have used hemorrhoid suppository and it has not been relieved. One day, I suddenly fainted in the company. After detailed examination and consultation with anorectal department, hemoglobin was 74 g/L, and the anemia was severe. Anoscopy showed that the mucosa on the dentate line was moderately or severely bulging, of which 11 was the largest, and hemorrhoids could be seen with bleeding points on the hemorrhoids. , Jet bleeding. The final diagnosis was: hemorrhagic anemia secondary to mixed hemorrhoids. He was admitted to the anorectal department for inpatient surgery. The bleeding internal hemorrhoids were ligated, and the external hemorrhoids were stripped and removed. After the operation, the patient was given blood-enriching drugs such as Shengxue Pill and Sulifei. After the operation, the blood in the stool was significantly reduced and the patient's systemic symptoms gradually improved. The patient was discharged five days later. Resting, one month later, the condition recovered well after review, and he also had blood in the stool, and the hemoglobin rose to 90 g/L.

    Therefore, the majority of friends should also pay attention to whether there is blood in the stool after the stool. If there is blood in the stool, the following issues should be paid attention to:

    1. Pay attention to the characteristics of blood in the stool

    (1) Distinguish the characteristics, color, bleeding pattern and amount of blood in the stool. If the bleeding of internal hemorrhoids is bright red, it is manifested by paper wipes with blood, spotting or jet-like bleeding; if there is more bleeding, the blood is stored in the intestinal cavity, and it may appear black when discharged. Consider upper gastrointestinal lesions; if it is purple Red, dark red, or blood clots mostly come from the lower digestive tract; mixed with mucus and smelly, you should think of the possibility of rectal malignancy.

    (2) To understand the occurrence and development of blood in the stool. Internal hemorrhoids and anal fissures often bleed after stool; chronic non-specific colitis, colon polyps, etc. often show repeated and intermittent small amounts of blood in the stool; middle and late (color) rectal malignancies can be continuous small amounts of blood in the stool.

    2. Pay attention to the accompanying symptoms of blood in the stool

    Such as proctitis, rectal polyp (cancer), etc., blood in the stool is often accompanied by anal drop, tenesmus; internal hemorrhoids and polyp blood in the stool without anal pain; anal fissure is accompanied by anal pain and constipation; chronic colitis often accompanied by diarrhea, left lower abdominal pain; hemorrhagic Necrotizing colitis and intussusception are accompanied by severe abdominal pain and even shock.

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