2020年10月19日星期一

what does a hemorrhoids look like,Notes on discharge

    1. Adhere to Chinese medicine fumigation and bathing

    Principle: Postoperative fumigation and washing with traditional Chinese medicine and anus bathing can clear away heat, detoxify, remove dampness, reduce swelling, relieve pain and grow muscles, reduce wound exudation, promote blood circulation and inflammation absorption, and accelerate incision healing. It is equivalent to a western medicine anti-inflammatory and analgesic. It can obviously relieve the pain symptoms after taking a bath after using it.

    Operation: Fumigation with hot steam when the water temperature is high after the decoction of traditional Chinese medicine, and sit bath when the water temperature is lowered. Generally, the fumigation does not exceed 5 minutes, and the sitting bath is sufficient for 10-15 minutes. Bathing for too long and too high temperature will cause granulation tissue edema and affect the healing of the incision. Patients who are inconvenient for fumigation can take a bath directly.

    2. Normal wound recovery process and matters needing attention

    1. Rest for a week after leaving the hospital. Avoid prolonged walking, standing, squatting, sitting for a long time, lifting heavy objects, and exerting bowel movements within a week to increase abdominal pressure. Avoid strenuous exercise to prevent anal thrombosis. It is possible to work lightly after 2 weeks. Generally, surgical incisions for hemorrhoids take 3-4 weeks, and those with larger surgical incisions for perianal abscesses and anal fistulas take about 5 weeks to heal.

    2. After discharge from the hospital, follow the doctor's instructions for regular review. Generally, the follow-up visits are 1-2 times in the first week of discharge. Factors that are unfavorable for wound healing, such as local infection, severe inflammation, poor drainage, excessive granulation hyperplasia, etc., are found in a timely manner. deal with.

    Three, other circumstances

    1. Incision edema-Large activity (including excessive walking), dry stool, and long squatting in the toilet when the wound is not completely healed after surgery may cause incision edema and affect healing. If there is obvious edema at the edge of the incision, most of the external hemorrhoid skin tags will form after the wound has healed. Generally, the smaller ones do not need to be treated, and the larger ones can be removed if the patient feels obvious discomfort.

    Incision healing is slow-① After cutting edge edema affects the drainage of wound secretions, causing severe local inflammation; ② Long-term dry stool can also cause the wound to continue to crack, difficult to heal, and form ulcers or anal fissures over time. The above factors will affect wound healing, and serious infections can also cause abscesses or anal fistulas. Therefore, within one month after the operation, the stool should be adjusted in time through diet or medication to avoid constipation.

    2. In the short term after operation, the mucous membrane and skin at the wound are still weak and delicate, which may cause mucosal or skin damage during defecation, bleeding or pain, generally no major problems, adjust the stool in time, take a bath with Chinese medicine after defecation, and treat with anal plug and hemorrhoid suppository . If bleeding or pain symptoms recur, follow up in time.

    3. For patients with severe hemorrhoids, due to large hemorrhoids and many incisions, the anus cannot be recovered as before after the operation, and some external hemorrhoid skin tags will be left, which generally do not need to be treated again. If there are many incisions and severe inflammation, the scars formed after the operation may affect anal dilatation and may cause anal stenosis, which requires further treatment in the later period.

    4. Patients with hemorrhoids and perianal abscess have certain predisposing factors, which are mostly related to diet, defecation and physical fitness. After the operation, they must adjust their diet reasonably, eat less spicy food, control drinking, and maintain smooth stool. It is not advisable to squat for a long time in the toilet to avoid recurrence of the disease. .

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