2020年9月30日星期三

hemorrhoids or fissures,How to judge "hemorrhoids" or "incurable"?

    Nine out of ten people have hemorrhoids. Hemorrhoids are a common and frequently-occurring disease. There are significant differences in the prevalence of patients with different occupations. The prevalence of clinical officials, car drivers, salespersons, and teachers is significantly higher. It is also widespread in other populations, but the degree is different. Due to the large number of patients, some people think that hemorrhoids are not a serious disease, so there is no need to go to the hospital.

    What is hemorrhoids?

    At present, new breakthroughs have been made in the formation of hemorrhoids. It is believed that the masses formed by pathological hypertrophy and displacement of the anal cushion and blood stasis of the perianal subcutaneous blood vessels are called hemorrhoids. This view replaces the traditional "varicose veins" theory. Clinically, hemorrhoids are divided into three types: internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids according to the location, course and pathology of hemorrhoids. Internal hemorrhoids are lumps of varicose veins of the superior rectal venous plexus, located above the dentate line and covered by the rectal mucosa. External hemorrhoids belong to the inferior rectal venous plexus, located below the dentate line, and the surface is covered by the skin of the anal canal. Often due to intravenous thrombosis and protruding from the anus or outside the anus. Mixed hemorrhoids are located on the dentate line and have the above two characteristics.

    According to the symptoms of hemorrhoids and the degree of harm to human health, it can be divided into four degrees: Degree I: No pain, mainly for blood (blood, dripping), bleeding after stool can stop automatically; Degree II often has blood in the stool , Hemorrhoids prolapse with defecation, but can be absorbed on their own; Ⅲ degree may have blood in the stool, defecation or standing for a long time, cough, fatigue, weight bearing hemorrhoids prolapse outside the anus, must be returned by hand, Ⅳ degree often have blood in the stool, prolapse Things are not easy to take back.

    Rectal cancer mistakenly believes that "hemorrhoids" are not small

    Since hemorrhoids and rectal cancer are similar in their locations, the clinical diagnosis is often confused when the symptoms of the two overlap or are atypical. More than 90% of rectal cancer cases were misdiagnosed as hemorrhoids at the initial stage, delaying the treatment of rectal cancer. If the patient with the initial impression of hemorrhoids, careful history and examination can prevent many diagnostic errors. Hemorrhoids can occur in people of any age, and patients with rectal cancer are mostly middle-aged or elderly. Hemorrhoid patients have blood in their stools. This is because they scratch the affected area during defecation. Most of the blood drips with the stool, so it does not mix with the stool, and there is no mucus. The stool of patients with rectal cancer is often mixed with blood, mucus and pus, and the stool habits will change significantly. Increased stool frequency, accompanied by tenesmus. If the diarrhea cannot be relieved even after taking the medicine, you should pay special attention.

    What kind of treatment is currently used?

    Commonly used hemorrhoids treatment methods include: drug therapy, surgical treatment, other therapies (including drug injection therapy, copper ion electrochemical therapy, hemorrhoid therapy, infrared therapy, cryotherapy, laser therapy, etc.). A large number of clinical practices have proved that in general, conservative treatments such as drug therapy and other therapies have poor effects, and may have some short-term effects, but are prone to relapse. Therefore, surgical treatment is the only radical cure for patients with frequent or severe anorectal diseases. Ways, and need to cooperate with drug treatment to relieve pain and shorten the course of treatment.

    Commonly used internal hemorrhoid surgery include internal hemorrhoid injection and internal hemorrhoid ligation. Injection therapy can be divided into sclerotherapy and necrosis exfoliation therapy. Traditional injection therapy is to achieve the purpose of treatment by necrosis and shedding of hemorrhoids. Due to the strong irritation of various necrotic agents, the dosage and concentration are difficult to grasp, so sclerotherapy is mostly advocated in China.

    Ligation of internal hemorrhoids is a relatively thorough treatment. Clinically, it can be divided into simple ligation, continuous penetration ligation, and apron ligation.

    External hemorrhoid surgery should be determined according to its nature. Commonly used are thrombus external hemorrhoid dissection, varicose thrombosis external hemorrhoid dissection, connective tissue external hemorrhoidectomy, and inflammatory external hemorrhoids (including anal edema) often use direct resection or decompression. formula.

    The traditional classic surgical methods often used for mixed hemorrhoids include internal injection and external resection, internal ligation and external resection, and internal injection and external ablation. The respective indications are often determined according to the shape and extent of internal hemorrhoids and the nature of external hemorrhoids.

    After a lot of clinical practice, we have made improvements to the above-mentioned surgical procedures, that is, internal ligation (internal injection) and external stripping (external resection) plastic suture, which can significantly shorten the treatment course, relieve pain, reduce or eliminate postoperative anal discomfort and anal discomfort. Complications such as stenosis. This method conforms to the minimally invasive concept of modern surgery, and at the same time greatly eliminates patients' fears of surgery for anorectal diseases, so it is worthy of popularization and application [This method has become a scientific and technological research project of Shaanxi Provincial Department of Science and Technology in 2011].

    Talking about the new technique PPH surgery for the treatment of hemorrhoids

    PPH operation is stapler hemorrhoidectomy, which is suitable for all kinds of hemorrhoids, especially patients with severe internal hemorrhoids and partial rectal mucosal prolapse. The principle is: with the aid of a stapler, the anal cushion is retained, and part of the internal hemorrhoids and the hemorrhoid mucosa and submucosal tissues are circularly removed, and an instant anastomosis is performed. That is, the blood supply of the hemorrhoids is blocked, and the slip tissue is suspended and fixed, and the pathological state of the anal canal is raised and restored to the normal anatomical state. The main advantages of PPH surgery are: less pain, less bleeding, faster recovery, and generally only need to be hospitalized for 1-3 days, which speeds up the recovery cycle and does not affect daily life. But the disadvantage is that the resection site is relatively high, easy to bleed, easy to relapse (low position of hemorrhoids), and expensive.

    Precautions for hemorrhoids

    A few days before hemorrhoid surgery, patients should make adequate preparations in terms of diet, work and rest, and exclude diseases that are not suitable for surgery, such as acute anal inflammation, hypertension, tuberculosis, severe anemia, nephritis, etc., and perform blood according to the doctor’s requirements. , Urine, feces, liver, kidney function and other routine examinations.

    Regardless of whether it is an outpatient operation or inpatient treatment after hemorrhoids, self-adjustment should be paid to cooperate with the treatment.

    1. Rest in bed for one day after treatment. It is forbidden to sit and stand for a long time to avoid bleeding. Avoid strenuous activities within 15 days, not to ride a bicycle, etc. Do not defecate on that day.

    2. You can take a bath after the wound has healed. After taking a bath, apply Hemorrhoids Washing Ling or 1:1000PP powder (currently not recommended) to sit in the anus for 15-20 minutes. After drying, apply Jiuhua ointment or suppository for external use, once after going to bed and before going to bed.

    3. The patient keeps defecation once a day after receiving treatment, and the stool should not be dry. Eat fiber foods, vegetables, vegetables, bananas, honey, pears, etc. every day. Do not eat hot foods such as peppers, white wine, beef, sheep, and dog meat. Listen to the doctor's guidance.

    4. Routinely take anti-inflammatory drugs and hemostatic drugs after operation to prevent wound inflammation, erosion and infection.

    5. If the stool is dry or the stool does not resolve within 3 days, please inform the doctor in time, and ask the doctor for further symptomatic treatment.

what does a hemorrhoids look like,Under what circumstances does blood in the stool need medical attention?

    Hematochezia is the most common clinical symptom of anorectal diseases. The two extreme cases are that patients with internal hemorrhoid bleeding require a doctor to do a comprehensive examination. The other case is that although he often has blood in the stool, he does not go to the doctor. When the symptoms are very serious, they find It is already advanced stage of rectal cancer. In daily outpatient work, these two extreme situations are very common, so how do we distinguish?

    There are many causes of blood in the stool, and the clinical manifestations vary according to the location of the bleeding. The bleeding of internal hemorrhoids is often bright red and does not mix with stool. It is mainly caused by dripping or spurting blood during defecation. If there is no obvious prolapse and inflammatory edema of internal hemorrhoids, it is often not accompanied by anal pain. If it is bleeding from intestinal tumors, it is often accompanied by some systemic manifestations, such as changes in bowel habits. Recently, I often feel constipation, unclean defecation, or increased defecation, mucus or dark red blood clots in the stool. Of course, even without these manifestations, the possibility of tumors cannot be completely ruled out, so how do we differentiate?

    Age is one of the most critical factors, and tumors often occur in middle-aged and elderly people. People with a family history of colon tumors should also be vigilant. Studies have shown that people with a family history of tumors have a high incidence of tumors and an earlier age of onset.

    For example, a 30-year-old patient with no family history of colon cancer has bright red bloody stools after drinking alcohol. There are no other clinical symptoms. After examination, it is confirmed that it is an internal hemorrhoid. Usually, colonoscopy is not necessary because this patient has a colon. The risk of cancer is very low, so doctors often advise patients to treat conservatively and observe changes in the condition. Another 60-year-old patient also had bright red bloody stools. Even if there is no family history, the doctor also recommends a colonoscopy. If no other problems with the intestine are found, then this patient does not need to have a colonoscopy within 10 years , It also avoids misdiagnosis and missed diagnosis.

    If you have any questions about this, you can talk to me.

what does a hemorrhoids look like,How to prevent the occurrence of anorectal diseases

    1. Food considerations

    Patients with internal hemorrhoid hemorrhage and enteritis are particularly sensitive to alcohol and hot peppers. They must abstain from alcohol and eat less spicy food. Patients with perianal eczema should also eat less seafood, shrimp and other foods with high protein content of the opposite sex.

    2. Do not squat for a long time

    Especially the toilet time should be short. It is better to control the stool time within 5 minutes each time. Do not look at your mobile phone or smoke in the toilet. Because the squatting posture can easily induce hemorrhoids and even prolapse of the anus, to prevent hemorrhoids, it is recommended to sit in a bucket to defecate.

    Three, keep the stool smooth

    Develop good bowel habits and maintain smooth bowel movements. Patients with constipation should pay attention to dietary regulation and take laxative drugs. If dryness is difficult to eliminate, do not use excessive force. You can use Kaisailu or see a doctor with water enema. It is also necessary to prevent diarrhea. Stool multiple times a day is also a factor that induces hemorrhoids, abscesses and other anal diseases.

    Fourth, keep the anus clean

    Develop the habit of washing the anus with water after defecation and keeping the anus clean can reduce the occurrence of many anal diseases.

    Five, insist on doing levator anus exercises

    For prolapsed hemorrhoids, anal fistulas and perianal abscesses, often do levator anus exercises, which can improve the blood circulation in the anus, restore and strengthen the anal sphincter function, and reduce the occurrence of hemorrhoids.

hemorrhoids and anal fissures,How to choose a doctor for patients with rectal cancer

    Rectal cancer is a common disease, and its incidence is on the rise in China in recent years. In the early stage, early diagnosis is often delayed due to self-thinking hemorrhoids, so most of them are found in the middle and late stages. But in particularly advanced stages, there are fewer rectal cancers than colon cancers.

    In recent years, due to the improvement of the comprehensive treatment level, the prognosis has improved significantly. There are two research reports worth telling patients: 1. The case group after comprehensive treatment, that is, the group of cases that have undergone MDT discussion and treatment is often said in the profession, and the long-term survival rate has increased by 10 %; 2. The long-term survival rate is increased by 10% if the operation is performed by a specialist.

    Comprehensive treatment includes: preoperative radiotherapy, chemotherapy, and other related treatments. The main one is radiotherapy and chemotherapy. Many patients are resistant to this, which is actually ignorant. After rectal cancer patients undergo radiotherapy and chemotherapy, the local recovery rate is significantly reduced. For locally advanced rectal cancer, it is now advocated that all or part of postoperative radiotherapy and chemotherapy should be referred to before surgery in order to improve the efficacy. However, it should be pointed out that radiotherapy only reduces the local recurrence rate, but cannot improve the long-term survival rate. The reason is that the distant metastasis of the tumor has not been resolved. It has been clinically found that the efficacy of radiotherapy and chemotherapy is closely related to the experience of physicians who specialize in this work. Therefore, even with the guidance of NCCN guidelines, the clinical experience of physicians cannot be rushed.

    Seek a specialist for surgery: it is to find a doctor who specializes in colorectal cancer clinical work. If you are a doctor who performs rectal cancer surgery every day or every week, the level of surgery is definitely better than the less.

    The purpose of the overall treatment of rectal cancer is: one is to reduce recurrence and obtain a better long-term survival rate;   the other is to obtain anus preservation. The current anus preservation rate has exceeded 90%. For a specialist with rich experience, his anus preservation The rate will be even higher, up to 95% or more. Therefore, finding the right surgeon is essential to preserve the anus and obtain a good survival period. As soon as many patients enter the hospital, they require doctors to perform operations as soon as possible. For early cases, this is no problem, but for middle and late cases, it may not be appropriate. In addition, many patients insist on minimally invasive surgery, which is actually caused by minimally invasive misleading. Minimally invasive surgery is just a surgical method. In fact, it is not safe in many cases, and the technical requirements are relatively high. The advantage is that compared with open surgery, it brings about 3 months of comfort and less Complications of wounds. But this is insignificant for long-term survival and anus preservation.

    Good luck to patients with rectal cancer.

are hemorrhoids itchy,Postoperative pain index perception of circular mixed hemorrhoids in anorectal department of China and Japan——Patient's self-report

    Prequel

    Hemorrhoids for more than ten years have been swollen and painful from time to time, and stools are bloody. Friends who are interested in reading this article may have a deep understanding of this unspeakable pain, and I will not complain here!

    State before admission: acute onset, swelling and prolapse of hemorrhoids, unable to recover, as long as 14 days! The illusion at the beginning of the attack can still be restored by applying drugs and other methods, and the illusion will be disillusioned a week later! In the long and painful night, made up my mind to have a good time!

    Other parts can disclose private information: female, middle-aged, normal physical examination except for slightly high blood lipids, and experienced birth pain.

    text

    A Anesthesia needle --- pain index 4. Friends who have had wisdom tooth extraction experience have experienced that the first needle has a particularly strong pain, and the latter few needles, including the two or three anesthetic needles supplemented during the operation, the pain drops to dullness (level 2-3), even just a slight puncture Sense (Level 1).

    B Surgery --- Pain Index 1. The effect of anesthetics is still credible. You can't see how the doctor is doing it. You can only hear the sound of the instrument, and there is a dull numbness, which is similar to pinching your arms and pulling your face. It just lasted a long time, and the hips and waist were sore when lying on his side. When the pain in the middle is clear, tell the doctor immediately so that they can supplement the anesthetic. Did not yell during the operation. Experience: Relax, look at the sky outside the window, and think about the beautiful past and future.

    2. During postoperative hospitalization:

    A One hour after the operation, the pain index is 2 to 3. Hemp, sour, up, mixed feeling. Less pain.

    B Pain index 4 to 5 two hours after surgery. The anaesthetic is over, the pain is strengthened, and the effect of pain relief drops is not obvious. The posture of urinating on the toilet after surgery makes the pain obvious. When urinating, the chrysanthemum throbbed.

    C The pain index is 7 to 8 four to twelve hours after surgery. Take one yellow painkiller at the eighth hour. Once again in the long night, the chrysanthemums were blocked, hot, with a strong sense of foreign body. It's uncomfortable to lie down, my back hurts! I didn't fall asleep, thinking about my own pillow, but thinking about everything was interrupted by the pain of chrysanthemum! Tears relieve psychological pressure.

    D Sixteen to twenty-four hours after the operation, the pain index is 8-6. During the rounds, the blocked things were unplugged, easy! The dressing was changed quickly, and the dressing was re-wrapped without feeling any pain. The foreign body sensation is still strong, mainly making the gauze rubbing the chrysanthemum uncomfortable. Of course, the operation part is also very painful. After the pain relief injection, the pain decreased. I was going to have a bowel movement, and I asked to open Sailu without any intention. The doctor on duty was very gentle and barely touched the wound.

    E The first bowel movement pain index 10 after the operation. It hurts the most! It feels more painful than having a child. Of course, time will not rule out the erosion of painful memories. Tears are heartfelt to myself.

    F Pain index 7 to 6 on the second day after surgery. The pain is a little bit less, but the constant, uninterrupted pain is still very tormenting. It will soar to 10 instantly when defecate. With my own pillow and taking a painkiller at 11 o’clock at night, I can sleep intermittently.

    G On the third day after surgery, the pain index is 7 to 6. Maybe it's better than the previous day, but the willpower has been consumed by more than two days after the operation. I look forward to the pain relief needle. I didn't eat pain at night, and fell asleep, but woke up at 4 o'clock. It hurts especially when I wake up. I found edema in the wound and pain in the edema.

    H Pain index 6-7 on the fourth day after surgery. It's already a lot easier, and if you lie down in a proper posture, you feel less pain. No pain relief needles, no pain relief tablets. But the edema pain began to be greater than the wound pain.

    I On the fifth day after surgery, I was discharged after changing the medicine at 8 am. The Chinese and Japanese doctors changed their medicines very gently, and quickly, they did not realize the terrifying pain in the legend of the rivers and lakes. At least hemorrhoid surgery is not painful when changing dressings, and at most it is grade 3 pain.

    3. Cultivation at home after surgery:

    B There will still be a little pain on the eighth and ninth days after the operation. Sitting in a bath after defecation will reduce the pain a lot, and even begin to feel negligible.

    C After ten days after the operation, the recovery really started to take a qualitative leap. You can walk for more than 20 minutes at home or in the community. The pain after defecation is getting lighter and lighter. To the psychology.

    On the whole, the pain of anorectal surgery in China and Japan is completely within the acceptable range, the postoperative recovery period is short, and the impact on life and work is relatively small. Compared with the unforgettable pain before the operation, it can be said to be a relief. .

    Disclaimer: The records here are completely personal experiences, memories, not representative, and for reference only!

hemorrhoids lidocaine,Why are you looking for doctor Liu Fuyingcong from the Second Department of Surgery, Futian Anorectal Hospital?

    The strengths of Dr. Liu Fuyingcong, the Second Department of Surgery, Futian Anorectal Hospital, Shenzhen!

    In the past 13 years of practicing medicine, Dr. Liu Fuyingcong has seen almost all anorectal surgery diseases and intractable diseases under the guidance of many anorectal surgery teachers, and has diagnosed and treated almost all anorectal surgery diseases. There are many, many successful examples, of course. insufficient. After ten years of sharpening his sword, Dr. Liu Fuyingcong also summed up his own advantages through a lot of past experience and lessons:

    1. Multi-combination therapy diagnoses and treats various reasons that cause stubborn itching in the anus and perianal area. The curative effect is remarkable, and it has a certain influence in China. Many patients from other provinces come here for treatment;

    2. Continuously improve the operation, rationally formulate and use long-acting analgesics to better solve the problems of pain during the operation of various anorectal surgical diseases, postoperative pain and postoperative defecation pain. You can responsibly tell every hemorrhoid friend Dr. Liu Fuyingcong Surgery cases (generally no pain within six days, or slight tingling during defecation), this can be verified by my many surgical patients in the past! This should be good news for those hemorrhoids who dare not have surgery because they are afraid of pain!

    3. Applying plastic and cosmetic techniques to anorectal surgery, my requirements are not only good function, but also beautiful appearance!

    4. Doctor Liu Fuyingcong performs more than 200 operations every year, without any medical accidents or medical errors!

what does a hemorrhoids look like,What is the wet anus?

    Anal dampness is a manifestation of anal symptoms, the main reasons are:

    1. Complications of anorectal diseases: internal hemorrhoids, mixed type, anal fistula, post-anal fissure, congenital sphincter weakness, etc., can not effectively control intestinal secretions or loose stools. The secretions or loose stools when the patient is walking or moving Then it flows out of the anus unconsciously, causing the anus to become wet.

    2. Local skin diseases of the anus: divided into anal eczema, anal pruritus and anal hidradenitis. Anal eczema is caused by local hygienic conditions of the anus, systemic drug reactions, or mental factors of the patient. The anus feels wet and scratches the anus. The more it is scratched, the more itchy the skin becomes ulcerated and the itching is further aggravated.

    Special Note:

    1. Use warm water when cleaning the anus while wet, but hot water is contraindicated.

    2. When cleaning, it is contraindicated to use alkaline soap or alkaline shampoo.

    3. The anus is wet and itchy. Scratching with your hands in public is prohibited.

    4. If the itching is really unbearable, Jiuhua ointment can be applied locally, and antihistamine drugs such as chlorpheniramine can be taken orally.

hemorrhoids and anal fissures,Three ways to reduce the pain of anal fissure patients

    Everyone knows the pain of anal fissure disease. Anal fissure is also the most serious anorectal disease. Therefore, friends suffering from anal fissure should minimize their pain as much as possible, so as to make their lives happier and their quality of life. Three ways to reduce the pain of patients with anal fissures are described below.

    (1) Keep the stool smooth

    Oral laxatives or paraffin oil can make the stool soft and smooth, increase the fiber food and change the stool habits, and gradually correct the occurrence of constipation.

    (2) Partial bathing

    Sit bath with 1:5000 warm potassium permanganate liquid before and after defecation to keep the area clean.

    (3) Anal Canal Dilation

    It is suitable for patients with acute or chronic anal fissure not complicated by nipple hypertrophy and sentinel hemorrhoids. The advantage is that it is easy to operate, does not require special equipment, has rapid curative effect, and only needs to take a daily bath after surgery. Method: After local anesthesia, the patient takes a lateral position, first use the second index finger to expand the anal canal, and then gradually extend the second middle finger to maintain the expansion for 5 minutes. In men, it should be expanded forward and backward to avoid contact between the fingers and the ischial tuberosity and affect the expansion. In women, the pelvis is wide, so this problem does not exist. After the anal canal is dilated, the spasm of the anal canal sphincter can be removed, so the pain can be relieved immediately after the operation. After expansion, the anal fissure wound expands and opens up, with smooth drainage, and the superficial wound can heal quickly. However, this method can coexist with blood, perianal abscess, hemorrhoid prolapse and short-term fecal incontinence. The high recurrence rate is its deficiency.

    There are three ways to reduce the pain of anal fissure patients. Everyone should be very clear, that is, pay attention to it, and usually pay more attention to your own diet and habits. Maintaining adequate sleep can effectively alleviate the condition.

are hemorrhoids dangerous,Postoperative complications and countermeasures for anorectal diseases (postoperative dysuria)

    Due to the traction, squeezing, and injury of anal surgery, local edema and pain are caused, sympathetic nerves are stimulated, and the bladder neck sphincter is spasm and contraction, and urinary retention is prone to occur.

    Cause:

    ①The patient has difficulty urinating due to excessive stress after the operation or unaccustomed to bed urination;

    ②The patient has anal pain and sphincter spasm, causing bladder and urethral sphincter spasm to cause urination failure;

    ③Rough surgical operation, excessive local injury, and excessive packing and tightness of the anorectal dressing, compressing the urethra, affecting urination; ④Old and weak, weak bladder smooth muscle contraction or male elderly male elderly male elderly prostate hypertrophy;

    ⑤Insufficient anesthesia causes urethral sphincter spasm, and reflex causes dysuria.

    deal with:

    ①Do a good job of the patient’s ideological work after the operation, relieve worries, eliminate tension, and choose a suitable environment for urination; 6 hours after the operation, the patient cannot urinate on his own, accompanied by distension of the lower abdomen, and diuretic measures should be taken in time. Generally, hot compresses and water flow can be given to the bladder area. Acoustic induction of urination;

    ② Pain-induced urination can use analgesics. If the anorectal dressing is too tight, the dressing can be removed or reduced to reduce the pressure on the urethra;

    ③Acupressure massage or acupuncture Zusanli, Zhongji, Guanyuan, Qihai Sanyinjiao in the middle area of ​​the four transverse fingers below the navel;

    ④Intramuscular injection of neostigmine 0.5mg can promote urination;

    ⑤ 20 mg of furosemide injection orally promotes urination;

    ⑥Indwelling urinary catheter.

preparation h hemorrhoids,Is stool bleeding a colorectal cancer?

    As the saying goes, "ten people have nine hemorrhoids." Many hemorrhoid patients are not surprised by the frequent blood in the stool, and haven't taken it seriously for a long time. As a result, it turned out to be colorectal cancer! So, does stool bleeding mean colorectal cancer?

    Colorectal cancer may manifest as symptoms of blood in the stool, but blood in the stool is not necessarily the same as colorectal cancer. Other diseases of the intestine may also cause blood in the stool. However, blood in the stool is not a trivial matter, we must pay attention to it, and it is recommended to see a doctor in time.

    If you have stool bleeding, you can seek medical advice based on your own situation:

    Bloody stool: It may be hemorrhoids or anal fissure, and anorectal department

    Pus and blood in the stool: accompanied by diarrhea, abdominal pain, go to Gastroenterology

    Tarmac: possibly bowel cancer or other diseases, go to Gastroenterology, General Surgery

hemorrhoids essential oils,Beijing Dongda Anorectal Hospital accused of multiple false propaganda

    "Cure hemorrhoids, go to Dongda", this familiar medical advert has attracted patients. However, many consumers have recently reported to reporters the "false advertising" and "overtreatment" problems of Beijing Dongda Anorectal Hospital. Reporter conducted a survey.

    False identity

    Chaoyang Health Bureau Subordinate Hospital

    According to the official website of Beijing Dongda Anorectal Hospital: "This hospital is the only anorectal disease hospital under the Chaoyang District Health Bureau of Beijing... According to a survey, 93% of patients with anorectal disease believe that Dongda is the best anorectal hospital in Beijing. "

    Yang Hongyan, chief of the medical and political department of Beijing Chaoyang District Health Bureau, said: “This hospital has never been a specialized hospital under our bureau, but a for-profit private hospital.” When asked where the survey data of "93%" came from At that time, Zhao Lingyu, the dean of the hospital, was speechless.

    Fake expert

    Retired expert in public hospitals

    False honor

    3.15 Medical Consumer Alliance

    "East University" stated that it was once awarded the honorary title of "3·15 National Safe Consumer Medical Alliance Unit" by the China Consumer Protection Foundation. However, Liu Feng, the person in charge of the foundation, said: “This is not an honor at all, but I will send it to the consumer complaint supervision platform of various medical units for free. Dongda seriously misleads consumers and we have notified them. Remove the sign immediately."

    False efficacy

    American technology is minimally invasive and painless

    The temptation ads are far more than these. Mr. Yu, a patient from Beijing, regrets the credulity of the so-called "American technology, minimally invasive and painless" propaganda. He said that the hemorrhoid surgery in the hospital caused him to move and scream, which was no different from the traditional surgery he had done in other hospitals. According to the reporter's understanding, foreign therapies such as the so-called "PPH technique" and "COOK gun" have long been commonly used in domestic top three hospitals.

    -Follow up

    The doctor orders an enema directly without looking at the affected area

    Among the patients interviewed by reporters, many people spent 10,000 to 20,000 yuan, up to 40,000 yuan. They generally report that “East University” generally first said that medical techniques and instruments can cure the disease, and then use “severely ill” patients for examination and surgery.

    In order to "retain" the patient, the patient can also perform the operation before paying the money or "bargain" with the doctor. Once the operation leaves the wound, the patient has to bear the expensive follow-up treatment costs. Some patients said, "From registration, enema, blood test, colonoscopy to surgery, infusion, red light, and atomization, it will cost you a lot of money before letting you go."

    In order to further understand the facts, the reporter obtained the consent of the patient Mr. Xu to accompany him to see a doctor on August 26 at the gate of "East University". Just as Xu Bian explained his condition and handed the registration form to Dr. Su who was receiving the doctor, Su had already issued a 260 yuan enema bill for him. Xu’s patient reminded on the side: "Can I take off my pants and look at the affected area before talking?" Su replied, "No, let's look at the whole process..."

    on site

    Propaganda content removed from hospital office

    Yesterday evening, the Beijing Dongda Anorectal Hospital near Chaowai Avenue had few patients.

    On the wall behind the registration desk, there was a "3·15" sign hanging. After seeing the reporter, the hospital staff quickly removed the sign from the wall. According to the hospital staff, this brand is the honorary title of "3·15 National Safe Consumer Medical Alliance Unit" evaluated by the China Consumer Protection Foundation.

    According to the hospital staff, after receiving the notice, they removed many propaganda content from the hospital. Regarding media reports, an on-duty leader of the hospital expressed concern, "Whether the patient is affected depends on today."

    The reporter logged on to the hospital’s website last night, and its publicity contents such as "the only anorectal disease specialist hospital under the Chaoyang District Health Bureau of Beijing" and "Medical Institutions for People Reassured on March 15" are still in use. The reporter consulted through the Internet as a patient. A consulting physician surnamed Peng promised that the hospital was by no means a private hospital, and emphasized that the medical equipment used was imported from abroad.

    The consultant recommended that reporters use minimally invasive methods to reduce pain. He said that as long as it is an operation, an enema is required, and then the examination is "so clear." According to the consulting physician, there are activities recently and appointments for treatment can be free of enema fees.

    Tell

    Old experts call young doctors to visit

    An old expert who had been employed in a private anorectal hospital revealed to reporters that in the past few years, patients have complained more and more about "Dongda", and the investors behind it have started anew and opened a number of anorectal hospitals across the country.

    Department response

    Have not received the "East University" complaint notification

    The Municipal Health Supervision Office hopes that patients will complain about false medical advertisements

    Yesterday, Li Yang, deputy director of the Beijing Municipal Health Supervision Institute, said that at present, in the false advertising information notifications and public complaints of the industrial and commercial departments, no false medical advertisements have been received from Dongda Anorectal Hospital.

    Li Yang explained that in the chain of supervision and crackdown on false medical advertisements, the function of the health supervision department is to collect evidence, investigate and punish medical institutions that issue false advertisements. At the same time, the function of monitoring false advertisements lies in the industry and commerce departments. At present, the channels for the health supervision departments to find false medical advertisements are mainly the periodic summary notifications of the industry and commerce departments and public complaints. Therefore, Li Yang urged that if the media of the East University Anorectal Hospital, or related patients, do know the truth of the false propaganda of the hospital, they can promptly complain to the industry and commerce or health supervision department.

    As for the issue of over-medical treatment, Li Yang said that medical behavior is a very professional technical behavior. Whether it is over-medical needs to be determined by the expert committee according to the specific condition of the specific patient. If the patient thinks that a specific charge item of the hospital is too high, he can complain to the price department or take legal action, and the health supervision department will also actively intervene in the investigation.

    expert's point

    Self-discipline in private hospitals should go hand in hand with policy

    Yu Zonghe, president of the Private Hospitals Branch of the Chinese Hospital Association, believes that in recent years, private hospitals have made great progress in both quantity and quality. However, many of them have taken "bombing" advertisements as "life-saving straws" due to financial pressure. .

    "Relevant departments can learn from the experience of other countries in managing private hospitals and give them policy support in terms of medical insurance designated qualifications and taxation." Yu Zonghe said.

    “There are three reasons why some private hospitals are reduced to “sacred hospitals” or “advertising hospitals”.” Yin Dakui, former vice minister of the Ministry of Health and president of the Chinese Medical Doctor Association, analyzed that the first reason is that the management is not standardized, the operation is standardized, and the hospital is built with integrity. The consciousness is not strong; the second is the lack of talents and the unstable technical team; the third is the tax burden.

    Experts such as Yin Dakui believe that private hospitals have become a useful supplement to public hospitals, but medical services are not simple commodities, and problems will arise if they rely solely on market competition. Private hospitals must first practice strictly in accordance with the law. Relevant departments must also strengthen industry supervision.

    The Department of Medical Management of the Ministry of Health replied to reporters: "Our Ministry is drafting relevant regulations, which will clarify the responsibility of the health administrative department for the supervision of the medical quality of private hospitals, so as to effectively regulate their diagnosis and treatment activities and practice."

    "In the hospital, every external doctor is provided with medical assistance. They are the boss's'little spies'.

2020年9月29日星期二

hemorrhoids essential oils,General treatment of inflammatory external hemorrhoids induced by mild mixed hemorrhoids

    Patient question: Disease: mixed hemorrhoids, inflammatory external hemorrhoids

    Condition description: On the 8th, I felt a little difficult to defecate and the amount was small. On the 10th, the anus was hot after the stool was relieved when I walked (there is a circle of redness around the anus), and the 11th felt bloated, and the right waist was painful. I wanted to have a bowel movement but couldn’t solve it (2-3 times a day, sometimes only a little) , Sometimes you can see a few yellow liquids on the paper with a paper wipe during stool.

    Previous treatment conditions and effects:

    I went to the hospital on the 12th. After the clinical examination, the doctor said that it was mixed hemorrhoids, anorectitis (smaller, no surgery), and prescribed two medicines: Jinxuan Hemorrhoids Fumigation Powder, Mecinazolone Orcosyl Alcohol Ester suppository. Although there is no redness around the anus on the 13th, there is a foreign body sensation in the anus when walking or standing at night (sometimes I can feel it when sitting), abdominal distension, a dull pain in the right abdomen, and it is still difficult to defecate and the amount is small (not so dry).

    How to treat? Has the condition worsened these days? Do you need surgery?

    The above symptoms are typical of inflammatory external hemorrhoids, discomfort, awkwardness, and irritation rather than typical pain symptoms. If there is a description of swelling and tingling, it is a thrombotic external hemorrhoid, which is the distinguishing point of the two, and the treatment is completely different. I only talk about inflammatory external hemorrhoids caused by mixed hemorrhoid attacks, which leads to the current uncomfortable symptoms. Conservative treatment can be cured. It does not require surgery and does not aggravate it. It is a necessary process for the development of the disease. You need to reduce your activities. The above-mentioned medicine fumigation and washing and suppository continue. Buy Kangtai ointment or Dragon Ball ointment, choose one of them, apply a little bit before suppository, buy Zhikang tablets or Xiaotuozhi tablets choose one, plus use oral Chinese patent medicine. Yuhuaijiao Pills, two oral medicines plus topical ointment, suppository and Jinxuan hemorrhoids fumigation and washing powder, will be good for at most one week. In addition to the time of fumigation and application, pay attention to keeping the area clean and dry, and not damp.

hemorrhoids how to treat,Chapter 30 How to treat anorectal diseases?

    Some patients and friends often ask me, how should I treat my disease? I have summarized that the treatment of anorectal diseases such as hemorrhoids and anal fistula should include the following aspects:

    (1) Self-prevention and recuperation: maintain smooth stools and develop regular bowel habits; pay attention to dietary adjustments, avoid spicy drinking and irritating food; avoid sedentary standing, proper exercise, smoothing blood and so on.

    (2) Conservative treatment: For some diseases with mild initial symptoms and recovery period, it can be used. It can be divided into systemic and local treatments. Systemic treatments such as oral Chinese medicine, anti-inflammatory drugs, intestinal laxatives, intestinal flora regulation drugs, intravenous medications, etc. Local treatments such as: fumigation and washing after decoction of medicines with water, external application of ointments, embolization of the anus, medicinal enema, anal thermomagnetic therapy, spectral irradiation, etc.

    (3) Surgical treatment: Some anorectal diseases are beyond the scope of conservative treatment, or conservative treatment is not suitable, or surgical treatment has obvious advantages, and surgical treatment must be selected as soon as possible. Such as hemorrhoids, anal fistulas, perianal abscesses, colorectal tumors, etc. in III and IV stages, it is better to have early surgery.

    Some friends asked me, "self-prevention and recuperation" also counts as treatment? It must be considered a treatment, and it is the most basic, most important, longest treatment, and the most difficult treatment. Some diseases can be cured as long as they are properly self-prevented and nursed without drugs and surgery. On the contrary, some diseases are treated with drugs and surgery, but without proper self-prevention and recuperation, it is difficult to cure and easy to relapse. Therefore, treatment is a comprehensive and systematic process.

what does a hemorrhoids look like,What's the matter with bleeding after stool?

    Answer: The most common cause may be caused by hemorrhoids. This kind of blood in the stool often occurs during or after defecation. The blood is bright red, does not mix with the stool, drips down, and sprays out; the bleeding presents a certain periodicity. Hematochezia caused by anal fissures is also common, and the blood is bright red. Unlike hemorrhoids, it often pains severely in the anus after defecation. Sometimes intestinal tumors (rectal cancer) can also cause blood in the stool, which is most similar to bleeding from hemorrhoids. Most of them are mixed with mucus and dark blood clots in the blood or stool, accompanied by foul odor, which is persistent. Body weight loss, increased stool frequency, alternating constipation and diarrhea. Rectal polyps sometimes have blood in the stool, the blood is bright red, painless, and the blood does not mix with the stool. Some patients have grooves on the surface of the stool. Individual polyps grow to a certain length and can fall out of the anus with the stool.

    According to the characteristics and symptoms of blood in the stool, it is still difficult to make accurate self-judgment. If blood in the stool occurs, it is best to go to a specialist hospital for examination as soon as possible. Generally, digital anal examination and colonoscopy can make the diagnosis accurate and facilitate early treatment to avoid other diseases. .

what does a hemorrhoids look like,Foods that may prevent rectal cancer

    1. Sweet potatoes

    Sweet potato contains more dietary fiber, which is very beneficial to promote gastrointestinal motility and prevent constipation. It can be used to treat hemorrhoids and anal fissures. It also has a certain effect on preventing rectal cancer and colon cancer. Dehydroepiandrosterone is a unique ingredient of sweet potatoes. This substance prevents cancer and promotes longevity. It is a steroid similar to the hormone secreted by the adrenal glands. Foreign scholars call it "fake hormone". It can be effective Inhibit the occurrence of breast and colon cancer.

    2. Tomato

    Lycopene has a unique antioxidant capacity, can scavenge free radicals, protect cells, prevent DNA and genes from being damaged, and prevent the process of cancer. Experts at home and abroad believe that in addition to preventing prostate cancer, tomatoes can also effectively reduce the risk of pancreatic cancer, rectal cancer, laryngeal cancer, oral cancer, lung cancer, breast cancer and other cancers.

    3. Starchy foods

    Starch in food can prevent colon cancer and rectal cancer, and a high-fiber diet may prevent colon cancer, rectal cancer, breast cancer, and pancreatic cancer. You should eat 600 to 800 grams of various cereals, beans, and plant roots every day. The less processed the better. To limit the intake of refined sugar.

    4. Eat more vegetables and fruits

    Consistently eating 400-800 grams of various vegetables and fruits a day can reduce the risk of cancer by 20%, especially oral cancer, nasopharyngeal cancer, esophageal cancer, lung cancer, stomach cancer, colon cancer, and rectal cancer. Eat five or more kinds of vegetables and fruits every day.

what does a hemorrhoids look like,Answer a friend of an anal fissure patient: Is it easy to recur after anal fissure and complicated by fecal incontinence?

    Question: (I) have severe bowel pain, bloody stools, and hemorrhoids prolapsed for more than a month. (I) A year and a half ago because of anal fissure and mixed hemorrhoids, he had undergone surgery once. At that time, only hemorrhoids were removed, the anus was not expanded and the sphincter was not cut. Improved after surgery. One month ago, due to dry weather, constipation and recurrence of working for a long time, severe pain during defecation, dripping of blood, hemorrhoids prolapsed after defecation, and he couldn't take it back on his own. Makes myself miserable and seriously affects my work. Go to the hospital and diagnosed as anal fissure mixed hemorrhoids (not ring hemorrhoids) is probably stage 3. Since I am planning to have a baby recently, and I am worried that my symptoms will become more serious after pregnancy, I would like to undergo hemorrhoidectomy, anal expansion, and sphincterotomy for thorough treatment.

    I would like to ask Dr. Chen: In my case, if I choose mixed hemorrhoidectomy and anal expansion and sphincterotomy, can I get thorough treatment without recurrence? Will it cause incontinence?

    Answer: According to our observations, if anal fissures and hemorrhoids are checked before the operation, if the anus is tight or ring-shaped mixed hemorrhoids or the stool is often constipated, it is best to properly expand the anus during the operation and for a period of time after the operation. Stool, try to make the stool soft and smooth and maintain good local hygiene habits in the anus. Clean the anus with water after using the toilet, otherwise anal fissures and hemorrhoids are more likely to recur. Now you are suffering from anal fissure, hemorrhoids, and constipation. These three diseases often follow each other, interfere with each other and harm each other, resulting in severe pain, dripping blood, and prolapse of hemorrhoids after the bowel movement, which is unbearable and painful. If the examination is diagnosed as anal fissure and mixed hemorrhoids (stage 3?) and has seriously affected the body and work. Since you are seriously ill with hemorrhoids and plan to have a baby recently, it is better to have an operation earlier. Because women comrades with hemorrhoids disease, most of the symptoms of hemorrhoids after pregnancy will increase accordingly, which will affect the peace and discomfort of the mother and child. At that time, it is easy to care about the difficulties of the treatment, that is, the swelling, pain and bleeding of pregnant hemorrhoids cannot be treated. The treatment is also worried about affecting the health of the baby in her arms.

hemorrhoids and anal fissures,Learning experience in provincial Chinese medicine

    Major innovations in mixed hemorrhoid surgery

    1 Circumcision of the hemorrhoids, also known as PPH surgery. The theoretical basis is mainly based on the new understanding of the pathogenesis of hemorrhoids. PPH surgery uses a special instrument called a "PPH stapler" to make a circular resection of the prolapsed rectal mucosa above the hemorrhoids. The entire process of this operation only takes about 20 minutes. Because the rectal mucosa above the dentate line is innervated by visceral nerves, the patient has almost no pain after the operation; and because the operation not only removes the rectal mucosal prolapse zone, but also blocks the terminal anastomotic branches of the arteries and veins of the rectum, eliminating The root cause of hemorrhoids, so the effect is ideal. For some hemorrhoids that are very difficult with traditional therapies, such as mixed hemorrhoids, ring hemorrhoids, severe hemorrhoid prolapse, prolapse, etc., PPH surgery also has a good effect.

    2Parkes is a submucosal hemorrhoidectomy. This operation does not damage the squamous epithelium and columnar epithelium covered. The wounds heal better, hard scars and stenosis are rarely formed, and postoperative pain and dysuria are significantly reduced.

    3. Injection therapy. The purpose of injection therapy is to inject sclerosing agent around the hemorrhoids to produce a sterile inflammatory reaction, and achieve the purpose of small blood vessel occlusion and fibrous proliferation, hardening and atrophy in the hemorrhoids. Commonly used sclerosing agents are Xiaozhiling injection and Shaobei injection. Through more than 100 years of clinical practice, injection therapy has proven to have no hidden damage to the human body and has become a world-recognized therapy. Indications Uncomplicated internal hemorrhoids can be treated with injection. One-stage hemorrhoids, who complain of blood in the stool without prolapse, are most suitable for injection therapy, and can achieve a single shot to stop bleeding. In the second or third stage, hemorrhoids can be injected to prevent or reduce prolapse, and injections can still be made for re-bleeding or prolapse after hemorrhoids. Injections can be used to treat patients with frail elderly, severe hypertension, heart, liver, and kidney diseases.

    The principle of 4 apron band ligation therapy is to insert a small apron into the root of internal hemorrhoids through a device, and use the strong elasticity of the apron to block the blood supply of internal hemorrhoids, so that hemorrhoids can be cured by ischemia, necrosis, and shedding. It is suitable for internal hemorrhoids of various stages and mixed hemorrhoids, but internal hemorrhoids of stage 2 and stage 3 are most suitable. Not suitable for internal hemorrhoids with complications.

    5 Chinese medicine treatment, application of Nepeta Lotion, Sit Bath plus Anal Plug Hemorrhoid Suppository, Nepeta Recipe; Nepeta, Toadweed, Purslane, Tobacco, Hematoxylin, 15 grams each, Parsnip, Honeysuckle, Forsythia, Sophora flavescens, Huaijiao each 12 grams, raw Chuanwu, raw Caowu each 10 grams. Suitable for all kinds of hemorrhoid patients.

    Anal fissure treatment innovation

    1. Conservative treatment, 0.2 nitroglycerin cream for external use. Nitroglycerin is a nitric oxide donor. Local application can quickly reduce the pressure of the anal canal, thereby increasing the anal canal blood perfusion, improving microcirculation, and promoting the healing of local cracks. Moreover, the anal sphincter is not damaged, and the patient can operate it by himself, which is very convenient. Nitroglycerin ointment has a good therapeutic effect on acute and chronic anal fissures. 94% of patients had pain disappeared after the first medication, and 84% of patients had wounds healed within 4 weeks.

    2 Surgical treatment, pick out the lower third to half of the internal sphincter, cut it under direct vision, the effect is good.

    Innovative treatment of perianal abscess and anal fistula,

    1 Surgical treatment uses anal recess probes to find the inner mouth and no longer uses the outer mouth to find the inner mouth. The surgical cure rate is high, and it is a one-time radical treatment. This is the difference between the Provincial Hospital of Traditional Chinese Medicine and other hospitals. The technology is at the forefront of the country. .

    2 The rectal mucosa seals the internal opening, the external opening and sinus are removed, and the internal opening is sealed with rectal mucosa transplantation. The wound is small, and the sphincter is not damaged if it heals well.

    3 There should be fibrin glue to seal the internal opening to treat anal fistula. Use antibiotic solution to flush the fistula so that the fistula is sterile before the fibrin glue is injected. After the granulation tissue is removed by electrocoagulation with a special probe, the fibrin glue and antibiotic are injected. Liquid. While injecting fibrin glue, press the inner mouth and cover the inner mouth with petroleum jelly oil sand strips, and simply suture the inner mouth with a needle, or make the full-thickness rectal wall flap forward, which does not damage the anal sphincter and does not affect Anal function, simple operation and no complications.

    Innovative treatment of rectal prolapse.

    1. Injection therapy, method: inject Xiaozhiling into the rectal mucosa or a circle around the rectum, divided into 4 to 5 injections, each injection of 4ml, total 20ml. The route of injection can be to inject the drug into the submucosa under direct vision through an anoscope to make the mucosa adhere to the muscle layer; or through the perianal skin, perform perirectal injection under digital rectal examination to make the rectum and the surrounding adhesion fixed.

    2 Surgical treatment, adult incomplete prolapse or mild complete prolapse, if the sphincter tension is normal or slightly weak, it can be similar to three female hemorrhoidectomy or apron ligation treatment point ligation, but also pph treatment.

    Treatment of constipation

    Constipation refers to the decrease in the frequency of bowel movements, or difficulty in passing out, and also refers to the feeling of hard or incomplete bowel movements. Divided into two kinds of organic constipation and functional constipation. Organic constipation can be caused by a variety of organic diseases, such as colon, rectal and anal diseases; elderly malnutrition, systemic failure, endocrine and metabolic diseases, etc. can cause constipation. Functional constipation is mostly caused by functional diseases (such as irritable bowel syndrome), drug abuse and poor diet, defecation, and lifestyle habits.

    [Clinical manifestations> The main manifestations of constipation are reduced stool frequency, extended intervals, or normal, but the feces are dry and difficult to discharge; or the feces are not good enough to discharge smoothly. It may be accompanied by abdominal distension, abdominal pain, loss of appetite, and nausea. Often palpable in the left lower abdomen and fecal mass or spasm of intestinal type.

    [Diagnosis> Diagnosis can generally be confirmed based on medical history and symptoms. With the help of routine, gastrointestinal X-ray, intestinal endoscopy, etc., it can be clear whether it is functional constipation or organic constipation.

    [Treatment>1. Western medicine treatment: some of these drugs are not suitable for long-term use, and it is best to choose and use under the guidance of a doctor.

    (1) Wetting agent: sodium octbutyl iodate, orally, 50-200mg per day. It is used for hard stools, weak bowel movements, rectal disease and postoperative patients.

    (2) Lubricant: paraffin oil, 15-30ml taken before going to bed, suitable for dry stool caused by anal diseases.

    (3) Stimulating laxative: phenolphthalein, 0.1-0.2g/time. Castor oil, 10~30ml/time.

    (4) Volume laxative: Magnesium sulfate: 10-20g each time. Suitable for stomach acid and constipation. 60% lactulose: 10~30ml/time, 3 times/day, suitable for hepatic coma and constipation.

    (5) Suppository and enema method: Kaisailu, 1 stick at a time, is inserted into the anus and squeezed into the rectum. Warm salt water 2000~3000ml, warm 500~1000ml, soapy water (75ml add water to 1000ml) enema. 1830

    2. Chinese medicine treatment

    (1) Heat secretion: dry stools, short red urine, red face and upset, or body heat, dry mouth and bad breath, abdominal distension or pain, red tongue, yellow or dry yellow coating, slippery pulse. Governance: clearing away heat and moistening dryness and laxative. Recipe: 15 grams of hemp seed, 10 grams of peony, 10 grams of Citrus aurantium, 10 grams of rhubarb, 10 grams of magnolia, 10 grams of almonds.

    (2) Air constipation: Difficulty defecation, dry or non-dry stool, frequent heating, fullness of chest and flanks, abdominal pain, white tongue coating, stringy pulse. Governing Law: Shun Qi and stagnate. Recipe: 6 grams each of agarwood, woody incense, and rhubarb, 9 grams each of betel nut and black medicine. Chinese patent medicine: Kaixiongshunqi pill.

    (3) Deficiency of Qi: constipation without constipation, although there is the intention of defecation, the toilet will be weak when working hard, and sweat will cause shortness of breath, accompanied by fatigue, tiredness and lazy speech, pale tongue and weak pulse. Therapeutic method: Replenishing Qi and moistening the intestines to laxative. Recipe: 30 grams of Astragalus, 30 grams of Atractylodes macrocephala, 10 grams of dried tangerine peel, 10 grams of hemp seed, 20 grams of white honey, 10 grams of Codonopsis can be added if there is obvious deficiency of qi. Chinese patent medicine: Buzhong Yiqi Pills.

    (4) Blood deficiency: dry stools, dull complexion, dizziness, palpitations and forgetfulness, pale lips and tongue, thin and astringent pulse. Treatment method: nourishing blood, moisturizing dryness, laxative. Recipe: 15 grams of angelica, 15 grams of raw rehmannia, 15 grams of hemp seed, 10 grams of cistanche cistanche, 6 grams of rhubarb. Chinese patent medicine: Runchang pills.

    (5) Yin deficiency: dry stools like sheep feces, with thin body shape, drinking in the mouth, or heart palpitations, red zygomatics, insomnia, dizziness, weak waist and knees, red tongue and less clover, thin pulse. Treatment: Nourish Yin and moisturize the intestines. Recipe: Scrophulariaceae 10 grams, Ophiopogon japonicus 15 grams, Habitat 24 grams, Chinese yam 20 grams, Cornus 12 grams, Dan Bark 9 grams, Poria 9 grams, Alisma 9 grams, Hemp seed 10 grams, Polygonatum odoratum 10 grams, Cassia seed 12 Grams, 30 grams of honey (red).

    3 Surgical treatment, constipation surgical treatment generally refers to the most common clinical, outlet obstructive defecation difficulty caused by various reasons. As long as the patient complains that the stool cannot be passed out of the anus, it is confirmed by professional examinations such as defecography. Surgery for constipation can be performed for the cause. When performing constipation surgical treatment, it must be noted that the etiology of outlet obstructive constipation is more complicated. At present, at least the following causes are recognized: rectal protrusion (rectocele (RC) translation is rectocele, that is, the front wall of the rectum is prominent. Also known as prerectal bulge. It is one of the outlet obstructive syndromes. The rectal wall of the patient’s rectum and vagina is weak and the rectal wall protrudes into the vagina, which is also one of the main factors for the difficulty in defecation. This disease is more common in middle-aged and elderly women, but in recent years, men also have the disease. Report. The domestic medical community has proposed that the rectal protrusion defecography examination can be divided into three degrees: that is, mild, the depth of the protrusion is 0.6 ~ 1.5 cm; the moderate is 1.6 ~ 3 cm, the severe ≥ 3.1c), the rectal mucosal prolapse Pit, perineal descent syndrome, puborectalis syndrome, internal sphincter dysfunction syndrome, external sphincter dysfunction syndrome, pelvic floor hernia, etc. The factors surrounding the anorectal sphincter are the initiating factors leading to outlet obstructive constipation and play a leading role in the entire course of the disease. Other factors may also play a different degree of secondary role in the symptoms of difficult bowel movements. The purpose of surgical treatment of constipation is to completely solve the main contradiction of perianal sphincter achalasia, and at the same time for rectal protrusion, rectal mucosal prolapse, etc., including many factors related to local inflammation, through comprehensive treatment. Can achieve the purpose of treatment.The basic surgical methods of comprehensive surgery include: internal sphincter and puborectal muscle separation and lysis; high-site injection of the rectal mucosa; suture reinforcement of the rectal protrusion; internal and external rectal double-layer injection. Our department is now able to carry out comprehensive operations such as rectal mucosal spot injection, extrarectal injection, and rectal protrusion repair and reinforcement, to maximize the removal of the cause of defecation difficulties. The operation is minimally invasive, safe, reliable, and has fewer complications. In view of slow transit defecation disorders, that is, difficulty in defecation caused by poor peristalsis of the large intestine, considering that this type of difficulty in defecation is more traumatic for surgical treatment, the current more mature and effective surgical methods are: total colectomy or subtotal colectomy Surgery.

    [Prevention and Care>

    1. Establish good eating habits, make them reasonable, and eat vegetables that contain more fiber  2. Establish good bowel habits and defecate regularly.

what does a hemorrhoids look like,Can hemorrhoid surgery be done during lactation?

    Hongye’s little angel has been here for more than 50 days. The joy and busyness of the baby’s arrival made Hongye not care about hemorrhoids caused by pregnancy and childbirth. Every time she was in the bathroom, she was delayed for a long time, because of the pain, and also because of the need to wash the meat ball that came out of the anus and slowly push it back. When Hong Ye was in the bathroom, the baby seemed to be able to sense that his mother was undergoing painful torture. Hongye feels that this is not a long-term solution. Her hemorrhoids must be treated surgically. Can we do it if we are still breastfeeding?

    Breastfeeding hemorrhoid surgery can be done and it is necessary.

    During pregnancy and childbirth, hemorrhoids will occur and attack. After childbirth, the pressure on the abdomen disappeared, and the enlarged hemorrhoids gradually shrank. During lactation, there are ointments and suppositories that can relieve swelling, pain and bleeding, but many oral drugs that can better improve hemorrhoid symptoms, there is no clear evidence of safety during lactation, and it is not recommended to take them.

    Some breastfeeding mothers have very severe hemorrhoid symptoms and cannot be improved with medication. Repeated blood in the stool caused by hemorrhoids can easily cause anemia and harm the mother's health. Hemorrhoids or anal nipples, prolapse from the anus after defecation, damage the skin of the anal canal when pushed in, anal fissure may occur, or even infection, severe pain, affecting the mother's quality of life. If hemorrhoids have such symptoms, it is necessary to choose early surgical treatment.

    During surgery, factors that affect breastfeeding must be considered.

    Medication

    The risk of medication during lactation is divided into L1-L5, of which L1 and L2 drugs are safer, and there is no need to stop breastfeeding during use.

    Intravenous anesthesia and local anesthesia are selected for hemorrhoid surgery. The drugs used are propofol, fentanyl, kaifen, etc., all of which belong to the L2 level of drug safety during lactation.

    Antibiotics, cephalosporins are selected, the medication level during lactation is L2, and the drug is instilled quickly half an hour before surgery to prevent intraoperative and postoperative infection.

    As an analgesic, acetaminophen is chosen, and the medication level during lactation is L1.

    After hemorrhoids, eat foods with high fiber content to maintain smooth bowel movements. Primary laxatives, cellulose and osmotic laxatives, such as non-bibran and lactulose, can be taken by breastfeeding mothers.

    The topical medication for local wounds is absorbed through the skin and mucous membranes, and has minimal effect on breastfeeding.

    Does hospitalization affect the baby's care?

    For hemorrhoid surgery, day surgery is carried out, and perioperative medical and nursing work is arranged through standardized overall planning, and surgical treatment is completed with minimal physiological interference, and the psychological impact, pain and stress caused by trauma will be minimized. In addition, during the stay in the hospital, qualified medical institutions will arrange the baby to accompany you, and there is no need to stop breastfeeding before and after surgery.

    Whether it is painful after the operation, whether it affects the urine

    Hemorrhoid surgery, the concept of preventive analgesia is used during the perioperative period, and analgesic drugs and measures of different mechanisms are combined to act on the pain transmission pathway, including oral and local wound anesthesia, which can achieve the best analgesic effect. Painless or mild tolerable pain.

    Pain was well controlled during and after surgery, and urination was easy and natural. Work and rest, return to a familiar environment as soon as possible after the operation, restore normal life and regular bowel movement, and defecate normally.

    Hemorrhoid surgery, how to hemorrhoids and the risk of infection. Day surgery for hemorrhoids, changes the traditional bowel cleansing method without disturbing the bowel

    The doctor asks the medical history in detail and conducts specialized examinations, determines that the disease requires surgical treatment and eliminates surgical contraindications, formulates individualized and precise surgical plans, and designs surgical incisions with minimal damage.

    Hemorrhoid surgery usually has open wounds, defecation and active friction after surgery, and a small amount of bleeding on the wound will stop by itself. The doctor handled the wound properly, had regular bowel movements after the operation, had a light diet, appropriate oral antibiotics, moderate activity, and extremely low risk of bleeding and infection.

    How to solve the postoperative dressing change

    The wound healing after hemorrhoid surgery usually takes three weeks. Actively cooperate with the doctor's nursing guidance and advice, walk and sit flat, keep the anus relaxed, the wound drains secretions naturally, and no excessive dressing is required.

    The tension caused by the dressing change makes the anal sphincter contracture and tightens, resulting in unsmooth drainage of the wound, poor healing, even pseudo-healing and infection. Changing dressing repeatedly stimulates the wound and also affects the natural recovery of the wound.

    What is the rest and follow-up after surgery? Will it affect breastfeeding?

    Hongye underwent hemorrhoid surgery. The time when the baby is not with Hongye is only one hour. The baby did not miss a meal three hours apart.

    When hemorrhoids occur during lactation, anal pain and recurrent blood in the stool caused by hemorrhoids will affect the mood and health of the mother. The symptoms of severe hemorrhoids affect breastfeeding mothers and babies far beyond the impact of surgery. So mothers do not need to worry about affecting breastfeeding and avoid surgery.

    (In order to protect the privacy of patients, all names used in the text are pseudonyms)

    Author: anorectal surgery Xingyun Li doctors

hemorrhoids bleeding treatment,Diagnosis and treatment characteristics of the Anorectal Department of Xiyuan Hospital

    In the treatment of hemorrhoids, the viewpoints of internal treatment of internal hemorrhoids, external treatment of external hemorrhoids, underestimation of the anal margin, and protection of the anal canal were put forward, which promoted the development of minimally invasive techniques for minimal pain.

    1. Copper ion electrochemical therapy for hemorrhoids

    In the past 10 years, we have thoroughly studied the treatment methods, parts and parameters, and have been applied in 79 hospitals in 21 provinces and cities across the country. The total number of treatments exceeds 10,000. After the use of more than 4,000 patients in many hospitals in Beijing, According to systematic clinical observation, we found that the cure rate of electrochemical copper ion therapy on hemorrhoid bleeding is close to 100%, and it also has a definite effect on hemorrhoid prolapse. Combined with direct resection of external hemorrhoids, it can heal mixed hemorrhoids with local prolapse. Its advantages are as follows: Copper needle treatment has small wounds, less damage, does not cause bleeding and infection, avoids the shortcomings of other therapies, and is easy for patients to accept; it is safe, fast, low cost, painless, good curative effect, and no complications. You can return to work the next day of treatment; at the same time, it can be used in a wide range of patients, including elderly patients and patients with poor general conditions such as diabetes, cardiovascular and cerebrovascular diseases, liver and kidney dysfunction, organ transplantation, and hematological diseases. In 2001, the "Clinical and Experimental Research on Copper Ion Electrochemical Therapy for Hemorrhoid Hemorrhage" won the first prize of scientific and technological progress in Xicheng District, Beijing. We have published many related articles.

    2. Stapler circumcision of the rectal mucosa (PPH) for hemorrhoids and STAPRE for rectal prolapse

    In 2001, our department took the lead in carrying out the most advanced minimally invasive surgery in China, namely PPH operation for the treatment of severe hemorrhoids. At the same time, the domestic stapler was used to treat hemorrhoids and rectal prolapse, which significantly reduced the economic burden of patients and has now successfully cured 1,500 In the remaining cases, for patients with circular hemorrhoids with internal hemorrhoids prolapsed, PPH postoperative pain is small, postoperative bleeding is less, and damage to anal function is avoided. At the same time, our department uses PPH to treat patients with rectal protrusion, rectal mucosal prolapse, A lot of experience has also been accumulated in anal fibroids, anal fissures, subcutaneous fistulas, circular mixed hemorrhoids, etc., and its clinical effects are satisfactory. Stapling prolapse and hemorrhoids circular mucosal resection is a safe, effective, painless, and fast healing. There are few complications, fast wound healing, short hospital stay, and no damage to the anus. Our department's mastery of PPH technology has reached the domestic leading level. We have published many articles in domestic core journals.

    3. Acupoint intensive thread embedding therapy for constipation and ulcerative colon and proctitis

    Both constipation and ulcerative colorectitis have abnormal defecation as the main clinical symptoms, and they are considered to be a type of medical disease that occurs under the action of feelings of external evil, internal injury, diet, emotional incompetence, and visceral disorders. The etiology of the disease is unknown, the course of the disease is long, and it is easy to recur. The curative effect of various therapies is poor, and the drug dependence is strong. It is related to the onset of colon cancer. Acupoint embedding therapy includes acupoint sealing therapy, acupuncture therapy, pricking blood therapy, and cutting therapy, as well as needle embedding effect and aftereffect, forming a unique external therapy method. Our department started in 2002 More than 400 cases of constipation patients and more than 80 cases of ulcerative colorectitis have been systematically observed, and they have been clinically proven to obtain better curative effects and are well received by patients. Its advantages are as follows: safe, effective, easy to operate, inexpensive, and does not affect daily work and life; no dependence; no functional damage, avoiding the negative effects of drugs or abdominal surgery; suitable for elderly patients with poor general symptoms . In 2007, the clinical research on the treatment of constipation by acupoint-enhanced thread-embedding therapy has been assessed as the third prize of scientific and technological progress by the Chinese Society of Integrative Medicine, and many related articles have been published.

    4. Transanal low rectal cancer resection

    With the continuous improvement of China’s economic development and people’s living standards, increasing pressure from social competition, changes in lifestyle and dietary structure, the incidence of rectal cancer continues to increase, and it has become a major malignant tumor threatening life and health in China. Since rectal cancer has an insidious onset and slow development, it is easily overlooked by people. Once it reaches the stage of complete obstruction and typical intestinal obstruction manifestations, clinical treatment is difficult and the treatment effect is not good. Early detection and treatment have become our important research content. Early treatment will provide patients with more chances of survival and improve the quality of life.

    75% to 80% of rectal cancer is within the reach of the fingers. Intra-anal digital examination is the simplest and most direct examination method for early detection of rectal cancer. The one-time short colonoscopy endoscopy adopted by our department is the best method to diagnose colorectal cancer as an accurate screening method. In addition to directly discovering and observing the lesions, it can also take biopsy immediately. It has a camera device for easy inspection. , The price is cheap, no special preparation is required, all rectal cancer and some sigmoid colon cancers can be found, which has been included in the routine examination.

    Transanal resection of low rectal cancer avoids the pain caused by abdominal surgery, and the patient recovers quickly after surgery, avoids the inconvenience of life caused by the fistula, and improves the quality of life of the patient. After a large number of clinical observations in our department, the curative effect is definite and the effect is satisfactory, which is very popular among patients.

    5. Jumping relay incision and short-term thread-drawing to treat high complex anal fistula

    The postoperative recurrence rate of high complex anal fistula is high, and the anal function is seriously damaged. Traditional surgical procedures have great damage to anal tissue and muscles. Almost inevitable anal defects, anal dampness, mild anal incontinence, and mucosal prolapse will occur. Or sequelae such as anal stenosis. Director Li Dongbing of our department has rich clinical experience in the diagnosis and treatment of high-level complex anal fistulas. He puts forward the concept of skipping relay incision and short-term threading, which has cured a large number of difficult patients and solved their pain.

    6. Surgical treatment of perianal infection with leukemia

    Leukemia is prone to a variety of infections due to abnormal number and quality of granulocytes and low immune function caused by chemotherapy. The main cause of death in leukemia patients is still 42%~56.7%. Over the years, our department has treated nearly 100 patients with acute peri-anal disease with leukemia as the first disease. The clinical observation effect is safe and effective, which creates conditions for the next step of chemotherapy and bone marrow transplantation. Professor Li Dongbing's research in this area has his own unique theoretical system and clinical experience. Many domestic patients with difficult anorectal diseases with leukemia come here to solve the torture of the disease in time, buy time for the treatment of leukemia, and create further treatment for it Conditions.

    For more details, please visit www.med626.com

hemorrhoids that bleed,Why do stools bleed

    Li Xuewu, Department of Gastroenterology, Shaanxi Provincial Hospital of Traditional Chinese Medicine:

    Hello there:

    If stool bleeding is red, it means that the bleeding site is close to the anus. Consider whether there is hemorrhoid bleeding, rectal ulcer bleeding, sigmoid colon polyp bleeding, etc. If the stool color is dark red, or even black as tar. It shows that the bleeding is far from the anal mouth. It may be bleeding from the stomach and duodenum. It is recommended that you go to the hospital to check for perianal disease. (Check for colonoscopy if necessary) If it is normal, check for gastroscopy. According to the results of the examination, then treat related diseases.

    Patient: Description of the condition (time of onset, main symptoms, hospital visits, etc.): The patient is male, 31 years old, and sometimes has blood in the stool after one year

hemorrhoids rupture,Common Interpretation | Classification and Grading Treatment of Hemorrhoids

    Learn about hemorrhoids

    According to a piece of news, a man in Guangzhou had hemorrhoids cut by himself 6 times in half a year. Excessive blood loss caused anemia, which aroused everyone's curiosity. Is this okay? How did he do it?

    I once treated a female patient and listened to a friend's suggestion. She ligated the hemorrhoids that she felt affected her appearance. As a result, the hemorrhoids had edema and necrosis, and she had to go to the hospital for surgery.

    Yes, hemorrhoid surgery involves cutting and ligation. But the hemorrhoids that can be cut or ligated by oneself are external hemorrhoids in the anus. The man cut hemorrhoids because of hemorrhoid bleeding, but he did not understand that the bleeding hemorrhoids were internal hemorrhoids. He cut the external hemorrhoids. Therefore, the internal hemorrhoid bleeding was not resolved after 6 times a year, but the bleeding from the wound aggravated anemia. The female patient felt that the flesh of the anus was unsightly and wanted to be ligated to remove it, but she did not know it was an external hemorrhoid. The ligation caused severe edema due to blood lymphatic circulation disorder.

    Such friends do not know that there are different types and grades of hemorrhoids, and different hemorrhoids are treated differently. The ignorant is fearless.

    Hemorrhoids are indeed uncomplicated, they are internal and external hemorrhoids, both internal and external hemorrhoids and they are mixed together.

    Classification, the type of external hemorrhoids and the different nature of internal and external hemorrhoids.

    External hemorrhoids, the perianal subcutaneous blood vessel mass is flexed and expanded, and the edge of the anus can be seen and touched.

    External connective tissue hemorrhoids, soft skin tags on the anus, the surface covering the skin, is connective tissue hyperplasia, do not affect the treatment, often swelling and pain or if it is considered unsightly and then removed.

    Thrombotic external hemorrhoids come out suddenly, bluish-purple, like purple grapes, it is a rupture of subcutaneous blood vessels. After 48 hours of cold compress, hot compress, you can apply hemorrhoid cream, oral vein enhancer, swelling and pain will be relieved after a few days. If the thrombosis cannot be absorbed by organizing, Then surgical stripping.

    Varicose veins and external hemorrhoids, an elliptical bulge or half circle of the anus after defecation, bluish, is formed by flexion of the subcutaneous vein, and will retract after defecation, no special treatment is required, shorten the defecation time, avoid prolonged squatting and standing, if there are frequent blood clots Form, and then undergo surgery.

    Inflammatory external hemorrhoids, connective tissue external hemorrhoids have thrombosis, blood lymphatic circulation disorder causes edema, topical ointment and oral intravenous enhancer can alleviate, and if serious, consider surgery.

    The female patient had ligated external hemorrhoids of connective tissue, resulting in inflammatory edema and necrosis, and had to be treated surgically.

    The dividing line between internal and external hemorrhoids is the dentate line where the skin of the anal canal meets the mucosa of the rectum.

    Grading, gradual staging of internal hemorrhoids.

    Internal hemorrhoids, dilation and hyperemia of the submucosal blood vessels at the end of the rectum, mucosal erosion, loosening and breaking of supporting tissues. Stage 1-2 is in the anal canal, and stage 3-4 prolapsed internal hemorrhoids can be seen.

    In the first stage, hemorrhoids, the rectal mucosa bulges on the dentate line, the texture is soft and red, the surface is covered with mucosa, and the inside is vascular mass and connective tissue, and it is painless and bright red blood. By improving diet and bowel habits, taking cooling blood hemostatic drugs and vein enhancers by mouth, and inserting hemorrhoid ointments and suppositories to relieve symptoms.

    In the second stage, hemorrhoids are enlarged on the basis of the first stage. There are mucosal erosions like strawberries, the hemorrhoids are separated from the muscle layer, blood in the stool occurs, and the anus is prolapsed during defecation, and the anus is naturally retracted due to the contraction of the sphincter. The treatment is the same as that of hemorrhoids in the first stage. If the medicine is ineffective, use sclerotherapy or band ligation or hemorrhoid artery ligation.

    Hemorrhoids in the 3rd period, hemorrhoids continue to enlarge, there is blood in the stool, and the prolapse needs to be pushed back to the anus with hands or returned after rest. Coughing, walking, squatting also prolapse, and the supporting fibrous connective tissue of the mucosa and submucosa proliferates significantly. Use drugs Relieve bleeding, and further sclerotherapy, ligation, ligation or stapler surgery.

    In the fourth stage, the hemorrhoids are enlarged to the extent that they cannot be accommodated in the anus. There are cases of acute prolapse, swelling and pain, and long-term prolapse and damp discomfort. Such hemorrhoids require surgical treatment.

    A man from Guangzhou had internal hemorrhoids bleeding. He cut an external hemorrhoid. Fortunately, it was an external hemorrhoid. If he cut the internal hemorrhoids, the internal hemorrhoids have large blood vessels. If he does not ligate or suture, hemorrhage will be life-threatening.

    Hemorrhoids are the first choice for treatment. Symptoms, especially bleeding, cannot be relieved and affect the quality of life. Consider surgery.

    External hemorrhoids are generally not recommended for surgery. When some internal hemorrhoids are severe and require surgical treatment, treatment of the concurrent external hemorrhoids is considered.

    The difference in hemorrhoid surgery is the different treatment of internal hemorrhoids. Internal hemorrhoids have ligation or stapler fixation, and external hemorrhoids are excised and stripped.

    The specific surgical method to be used requires the doctor to select the appropriate method, instrument and appropriate incision according to the distribution range of hemorrhoids, the number of hemorrhoids, and the pathological form of hemorrhoids in order to achieve the best results.

what does a hemorrhoids look like,No matter where the team goes, they can always protect your health

    To this end, we strive to do the following:

    1

    2

    Dr. Zhang’s personal website has been visited by 4.31 million patients, with a maximum of 15,000 visits per day. Because of the limited personal time, it is difficult to have enough time to answer the consultations of the majority of patients. Even if they reply, they feel like a word Such as gold. We urgently need the team to solve the patient's problems. To this end, the important purpose of this team is to——

    ● Let some easy problems be solved online;

    ● Instruct patients to solve some problems in the local area and avoid traveling long distances;

    ● Help some patients contact the appropriate local doctors to provide nearby treatment and solve two-way referral;

    ● Refer patients with complex and intractable diseases to our team for highly professional diagnosis and treatment.

    3

    We have been working hard to study new technologies for the diagnosis and treatment of enteropathy. The understanding of the majority of patients is needed. Every year, we organize a team to participate in the highest level academic conferences in the country and the world. This is for the team to learn the latest technology to come back to better treat our patients, and at the same time to pass on the results of our innovative diagnosis and treatment technology. More doctors benefit more patients. In May 2018, we held the China Intestinal Conference at the Beijing National Convention Center. At that time, 49 people from the general department attended the conference.

    2018 China Intestine Conference

    4

    The Chinese Fecal Bacteria Bank (fmtbank), which the team is responsible for, provides rescue fecal bacteria transplants for patients with severe intestinal infections in all hospitals across the country, and is open at all times. The reminder is that after the doctors of both parties have jointly determined, the treatment process will be officially launched (only the patient's attending doctor will communicate with us professionally regarding the patient's condition).

    "GMP standard" fecal bacteria preparation laboratory

    Chinese Fecal Bacteria Sample

hemorrhoids ligation,Pleasant anorectal surgery

    Mention of anorectal surgery (such as hemorrhoids, anal fistula surgery, etc.) has a certain shadow in many people's minds. The fear of pain is lingering, and it is not necessary to try to delay it. In fact, patients’ fears and worries are all too normal. If doctors and patients think about each other, would we dare to face them? Therefore, surgical and postoperative humanized treatment is the responsibility and obligation of every anorectal specialist.

    The curative effect of surgery and pain relief are complementary to each other, just like two legs of a person walking, both are indispensable. I personally believe that the good effect of surgery is fundamental, but if the patient suffers great pain (suffering from surgery, pain from changing dressings), and the doctor is indifferent and ignores it, he will not think about how to minimize the pain of the patient. Then this kind of treatment is not admired, if they are your relatives you will feel the same. Therefore, I pursue humanized treatment: first, there must be good surgical results, and second, there must be a series of methods to relieve the pain of the patient and make the pain very mild. Good curative effect and light pain is a realm pursued by anorectal doctors. This is not only a purely technical improvement, but also a change of thinking in the heart of a doctor. You have a heart of compassion and compassion, and the patient is your "close relative." You will try your best to work on many aspects and details. For example, try to choose painless anesthesia methods (such as sacral anesthesia) for anesthesia. The conditions are limited. To be able to perform local anaesthesia, one must pass the test and sufficient anesthesia; the operation method must be improved, just like the one tactic cannot be used to fight all battles. It is necessary to learn from the best of others, select the best of them, and introduce and improve. Make a fuss on the rectal mucosa to reduce the damage under the tooth line, which can avoid a series of difficulties and pain problems of traditional surgery; whether the surgical ligature can be used with absorbable thread to avoid the secondary pain of pulling and removing the suture after surgery; After the operation, the compound long-acting analgesic must be given full closure, which can reduce the pain to a large extent. The formula of the compound long-acting analgesic should be reasonable, and the comparison should be repeated to choose the best combination.

    Paying attention to pain in the anorectal department is our research direction as always. "Big Doctor" is the unremitting goal pursued by each of our doctors!

hemorrhoids essential oils,Dr. Fu's micro-science popularization (2): Will blood in the stool be colorectal cancer?

    With the accelerated pace of modern life and changes in diet, work and rest habits, many office workers will encounter a frequent sympt...