2020年10月18日星期日

hemorrhoids and anal fissures,Why is there a colonic adenoma after examination?

    Patient, Zhang, male, 75 years old. After eating hot pot, I had "diarrhea" twice, which was a soft stool. This happened two or three times. The patient came to the hospital for treatment, and the doctor gave a colonoscopy. The patient said: "I have no problem with my intestines. This time I mainly ate hot pot and it broke. Doctor, you just need to prescribe me some medicine."

    The doctor was still worried, and patiently explained the necessity of colonoscopy to the patient, and the patient finally agreed to have a colonoscopy.

    Colonoscopy revealed dozens of adenomatous polyps scattered throughout the colon, varying in size, distributed in the ascending colon, transverse colon, descending colon, sigmoid colon and rectum. The diameter is 0.4cm~3.cm, and the shape is different, some are like fingers, some are like strawberry inflammation, some are semicircular, and some are oval.

    The doctor removed 3 polyps, 2cm~3cm in size, under the endoscopy.

    The polyps after removal are sent for pathological examination. The pathological examination results showed that: colon tubular adenoma, villous adenoma, accompanied by low-grade intraepithelial neoplasia.

    The patient is puzzled. Doctor, I don’t usually feel anything. Why is this disease?

    Asking the medical history again, the patient usually likes to smoke and drink, has a lack of regularity, and often feels upper abdominal discomfort, nausea, belching, and hiccups. After several gastroscopy examinations, it was found that there was gastritis with erosions and gastric polyps. He was given multiple treatments. At each visit, the patient complained of having hemorrhoids for many years and occasionally hemorrhoids. The doctor said hemorrhoids and did not further check the rectum and colon. At this time, the doctor will persuade him to have a colonoscopy. The patient always resolutely refused to accept colonoscopy.

    Yes, although colonoscopy has become very popular, it is also the best way to screen and diagnose colorectal diseases. However, due to fear and misunderstanding of colonoscopy, many patients do not accept colonoscopy recommendations.

    So under what circumstances should a colonoscope be checked?

    1. Those over 50 years old;

    2. Long-term stomach pain, gastric acid, bloating, and the treatment of symptoms is good and bad;

    3. Suffering from gastritis, dyspepsia, enteritis, long-term medication, repeated attacks, and unhealed for a long time;

    4. Those who have failed to treat long-term diarrhea, abdominal pain, or constipation;

    5. Long-term habitual abdominal distension and diarrhea;

    6. People with normal diet and long-term unformed stool;

    7. Those who have long-term defecation more than twice a day;

    8. People who have abnormal bowel movements, and have a sharp weight loss in recent stages;

    9. There are mucus in stool, blood in stool, and stool sticking to the fecal pool, which is not cleaned, and has incomplete defecation. Sometimes there are tenesmus.

    10. Long-term itching, sticky dampness in the anus, and sometimes mucus outflow;

    11. Long-term perianal fall;

    12. People who are abnormally thin without any reason.

    13. People with a family history, especially those with colon cancer or colon polyp adenoma in their parents, siblings, are more likely to screen for colonoscopy early.

    The above-mentioned Mr. Zhang used to have blood in the stool. He didn't care about it. He thought it was just hemorrhoids. If he used some hemorrhoid cream, he thought it would be better if he stopped bleeding.

    Most colon cancers come from changes in colon polyp adenomas. If it can be detected early and treated in time, it can block the cancerous process of colon polyps. At present, colonoscopy is very mature in time, the equipment is advanced, and the pain is not great, so it is very important to improve the understanding of colonoscopy. If it can be found through physical examination, endoscopic treatment is also minimally invasive and will not cause harm to the patient's body. It has a positive effect on preventing colon cancer.

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