A doctor who showed others the disease for a lifetime, when he was diagnosed with advanced rectal cancer, said sadly: "If I had paid attention to blood in the stool, it wouldn't be the case." In fact, two years ago, if he had hemorrhoids treated improperly when he had blood in the stool, and he had a timely examination and surgery, he could have better results.
In fact, such lessons are not uncommon in clinical practice. Many people think that blood in the stool is nothing more than hemorrhoids. The most direct consequence of ignoring blood in the stool is to miss the best treatment opportunity for many diseases. Needless to say, intestinal tumors, so that rectal or colon polyps with blood as the main manifestation are originally benign. Some people develop malignant changes due to prolonged delay. Even hemorrhoids should not be ignored, because bleeding to a certain degree can cause anemia, which not only causes serious damage to the body, but also makes the treatment of hemorrhoids more difficult. Blood in the stool is a signal of dozens of diseases of the anus and digestive tract. We can comprehensively analyze and make self-judgments based on the way, amount, color, and accompanying symptoms of blood in the stool, so as to make timely and reasonable treatments.
Q: What is blood in the stool?
Answer: Blood in the stool refers to bleeding in the digestive tract, and blood is discharged from the anus. The color of blood in the stool can vary depending on the location of the bleeding, the amount of bleeding, and the length of time the blood stays in the intestine. It appears as bright red, dark red, or black. A small amount of bleeding does not cause a change in the color of the stool, and it is called occult blood to be confirmed by an occult blood test. Black stool is a type of blood in the stool, mainly because the blood stays in the intestine for a long time. After the red blood cell is destroyed, the hemoglobin is
The intestinal tract combines with sulfide to form ferrous sulfide, which makes the stool look black and shiny because of the mucus attached, similar to asphalt, so it is also called "tar stool".
Question: Which diseases will cause blood in the stool?
Answer: One of the most common symptoms in anorectal diseases is blood in the stool. Such as: hemorrhoids, including internal hemorrhoids, mixed hemorrhoids, anal fissures, anal polyps, rectal polyps, colorectal tumors, colon polyps, chronic colitis, hemorrhagic bowel disease, abnormal blood coagulation, etc. In addition, gastric and duodenal ulcers, abnormal blood coagulation, etc. will also cause blood in the stool.
Question: What are the characteristics of TCM diagnosis and treatment of hematochezia?
Answer: To answer this question, we must first understand the characteristics and process of Chinese medicine treatment. From the perspective of Chinese medicine, we are not only distinguishing disease, but also dialectical. The same disease occurs in different people and will show different symptoms. Therefore, we pay attention to "dialectical treatment" in TCM treatment. We use the different manifestations of patients to dialectical, and according to the different dialectics, we will carry out corresponding treatment. Hematochezia is a common clinical disease in traditional Chinese medicine, and its incidence is mostly related to factors such as feeling of external evil, improper diet, fatigue and physical weakness, and often involves liver, spleen, stomach, and intestine
The internal organs should be distinguished clinically by clearing cold, heat, deficiency, and actuality, using clearing fire and nourishing blood, soothing the liver and purging heat, removing dampness and detoxification, clearing damp-heat, promoting blood circulation and removing blood stasis, nourishing the liver and kidney, strengthening the spleen and warming the middle, replenishing qi and invigorating blood And other methods. For example, the bleeding of hemorrhoids, the elderly often see the lack of blood in the qi, due to the lack of qi and blood in the body of the elderly, lack of qi, weak defecation, easy to struggle, qi does not ingest blood, hemorrhage in the stomach and intestines is prone to blood in the stool, treatment should be used Mainly replenishing qi and invigorating blood; young people have a lot of qi and blood, blood is hot and the intestines are dry, betting on the large intestine due to stagnation of heat, heat hurts the intestines, blood in the stool occurs, treatment should be clearing heat and cooling blood to stop bleeding.
Question: How to distinguish the disease from the symptom of blood in the stool?
Answer: To distinguish the disease from the symptom of blood in the stool, we have to consider several situations. The first is the color of blood in the stool. Hemorrhoids, anal fissures, anal polyps, low rectal polyps, etc., occur in the stool near the anal margin. For diseases such as colorectal tumors, colonic polyposis, and high rectal polyps of chronic colitis, the color of blood in the stool is dark red, or purple-dark, some or both because the site of the disease is far from the anal margin. Mucus, pus, etc. Followed by the characteristics of blood in the stool. The bleeding of hemorrhoids is generally spray-like or dripping; the bleeding of anal fissure is mainly stained with blood on the toilet paper; the bleeding of chronic colitis is mainly mixed with stool and so on. The third is the accompanying symptoms other than blood in the stool. In addition to bleeding, hemorrhoids also have prolapse of internal anal hemorrhoids, anal fissures, in addition to bleeding, and pain during and after stool, chronic colitis often accompanied by diarrhea, colorectal tumors often accompanied by changes in bowel habits, such as increased bowel movements, stool Thinning, thinning, etc.
Question: How should we deal with blood in the stool?
Answer: We must first pay attention to the occurrence of blood in the stool, pay attention to observe the color, characteristics and other accompanying symptoms of blood in the stool, so that the doctor can provide accurate medical conditions; secondly, go to a regular hospital, preferably a specialist. For medical treatment, specialist doctors have rich experience in the treatment of specialized diseases, with a low misdiagnosis rate, and can provide patients with the best diagnosis and treatment plan; finally, colonoscopy is a necessary and reliable method for the diagnosis of hematochezia, and patients should not be easily frightened. Refusal of the doctor’s request for colonoscopy. Many early colorectal tumors are found by colonoscopy after hematochezia appears.
Question: How to prevent blood in the stool in daily life?
Answer: According to the current clinical statistics of our Anorectal Department, the most common causes of blood in the stool are hemorrhoids, anal fissures and colorectal tumors. The occurrence of these diseases is related to some of our usual living habits. Constipation and irregular bowel movements are common accompanying symptoms when the above diseases occur. Eating more foods with high fiber content, such as vegetables, fruits, whole grains, etc., can effectively improve these difficult bowel movements. In addition, proper exercise, increased water intake, abdominal massage for health care, and good bowel habits will help our bowel situation, thereby reducing the incidence of blood in the stool and achieving the purpose of preventing blood in the stool.