2020年10月28日星期三

hemorrhoids leak,Intestinal washing device, an artifact for treating anorectal diseases?

    A friend told me about her method of treating anal fissures, saying that the effect is particularly good, and I hope to share her method with other patients suffering from anorectal disease——

    "I only used more than 300 yuan of money to heal my anal fissure and blood in the stool. When the onset a year ago, I bleed a lot every time I had a bowel movement. The pain after the bowel movement made me unable to straighten my waist. I saw several doctors and they all said that I had an old anal fissure and needed surgery. I was very afraid of the operation. Later, I discovered this good method. It took 1 year and I haven't done it again."

    "It's the bowel washer. I bought it from the Internet. Every time the stool goes to the anus and inject warm water, the stool can be solved without any effort. After defecation, it is easy to pass a lot, without pain, and no more bleeding."

    It sounds like a magical tool, which cures the anal fissure, and smoothly relieves stool every day, detoxifies and maintains beauty.

    Searching for bowel cleaners on shopping websites is of all kinds. There are high-end types, called intestinal hydrotherapy, advanced non-insertable hydrotherapy heads to avoid damage to the anal sphincter; simple and practical bowel enema bags or enema buckets; spherical arc-shaped bowel cleaners and so on. In addition, there are various coffee powder, chamomile powder, green tea powder, physiological lavage salt, deep sea hypertonic cleaning salt, etc. for preparing enema, which are said to clean the intestines and sterilize the skin.

    The idea of ​​using intestinal cleaners to treat anorectal diseases is a good idea. For anorectal diseases, the first thing to do is to maintain smooth bowel movements, smooth stools, and no pressure on the anal exit. Many anorectal diseases are cured without treatment, and the occurrence of anorectal diseases such as hemorrhoids and anal fissures can also be avoided. , Perianal abscess, etc.

    However, in the treatment routine of the anorectal specialist, the intestinal washer is an instrument used for operating enema treatment. Generally, the intestine is cleaned before the anorectal surgery and colonoscopy, or for patients with colorectal inflammation, the enema is used. Perform drug retention enema treatment.

    Enema laxative is a treatment method, and it is not recommended for long-term daily health care.

    Drug therapy or physical therapy must be stopped after the therapeutic effect is achieved. Any treatment method, to some extent, is based on intervention or affecting the physiological functions of the human body, and the enema is also the case.

    Defecation is the process of combining physical movement of the large intestine with neuromodulation. It is a natural physiological function of the human body. Stool is stored in the large intestine, eaten or wakes up in the morning. The gastrocolic reflex or postural reflex causes the total peristalsis of the large intestine, which pushes the stool to the rectal ampulla and stimulates Intestinal wall receptors produce defecation reflexes, the brain center receives instructions, nerve conduction triggers the contraction of the sigmoid colon and rectum, increases abdominal pressure, relaxes the anal sphincter, and excretes feces.

    The mechanism of enema treatment is to infuse a certain amount of fluid into the intestinal tract, increase stool volume, stimulate intestinal peristalsis, and indirectly stimulate the anorectal receptors, which acts as an external force to promote defecation.

    Long-term use of bowel lavage or enema will gradually cause anorectal defecation receptors to degenerate, the nerve regulation of intestinal peristalsis is passive, and the anorectal defecation function is weakened or lost. In addition, the intestinal mucosa is delicate, and the stimulation of drug use and enema pressure may damage the rectal mucosa, cause bleeding and ulcers, destroy the normal intestinal flora, cause rectal ulcers, and perianal infections. In severe cases, improper enema may lead to intestinal perforation.

    Long-term use of enema will cause dependence and aggravate the psychological disorder of difficult bowel movement, resulting in stubborn outlet obstructive constipation or slow transit constipation, including pelvic floor muscle coordination disorder and pelvic floor tissue relaxation.

    Therefore, enema and lavage should be a short-term treatment.

    It is only recommended to use when stools at the anal opening feel difficult to pass. It is mainly used for stools that block the anus and rectum and those who require rapid defecation.

    The friend who shared with us the experience of treating anal fissures has benefited from using the intestinal lavage device and has treated constipation and anal fissure bleeding. However, after her long-term use of the intestine lavage device, she should be left with defecation problems. If through a long-term daily life With dietary conditioning and auxiliary short-term topical suppository ointment use, the results of treatment will be healthier.

    What needs to be reminded is

    Pregnant women, people with sensitive intestinal tracts and young children, the elderly and infirm, should be cautious to use the bowel cleaner. Patients with inflammatory bowel disease should undergo enema treatment under the guidance of a doctor.

    Patients with anorectal disease after surgery are not recommended to use the intestinal lavatory by themselves to avoid excessive stimulation and increase the risk of wound bleeding and infection. Moreover, the postoperative dependence on the opener or the intestinal lavage device reduces the anal defecation sensation, which increases the doubt that the anal defecation sensor will be damaged by the operation, and the psychological burden is heavy, which affects the recovery of the postoperative wound and anal function.

    Therefore, the standardized management of convenience has been repeatedly emphasized.

    The basis of poop management is adequate fiber and water intake, appropriate foods rich in fats, regular daily life and appropriate daily exercise. At the same time, it is the right way to overcome the psychological dependence on Kaisailu, intestinal cleaners and laxatives and rely on self-regulation.

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