2020年10月28日星期三

what does a hemorrhoids look like,The doctor gave me a suggestion

    Patient question:

    Diseases: sequelae of perianal abscess surgery, anal insufficiency

    Condition description: Doctor, I would like to ask. I had a perianal abscess surgery four years ago, but left the sequelae. There is almost no muscle tissue in the anus. The excavation is too deep and the anus cannot be closed. Recently, I have been prolapsed after going to the toilet , I have to push it with my hands, doctor, do I have any idea. Can the anus be reconstructed?

    Hope to provide help: what can I do

    Hello, from the situation you have described so far, the postoperative wound of a perianal abscess is too large to cause local deformation, but the symptoms of prolapse are considered to be mixed hemorrhoids. If the prolapse is caused by deformation, there will be cases of insensitive stool control. It is recommended that you take anal photos and send them over.

    Patient question:

    image

    Patient question:

    The photos taken by the doctor are not very clear. I am a bit more serious than the photos.

    Do you mean that the fleshy matter in the anus protrudes out of the anus after stool and needs to be pushed back into the anus by hand?

    Patient question:

    I will go back when I sit down

    Patient question:

    Is my anus serious?

    Patient question:

    Is my anus serious? I look badly deformed.

    Patient question:

    If you look at the photo, you can see that there is numbness in the anus, that is, the meat has fallen off every time you go to the toilet

    Judging from your current picture, the anal deformity is not serious. The prolapse currently described is considered to be more likely to be mixed hemorrhoids, which is related to dry stool, prolonged squatting, and spicy diet. It is recommended that you do an anoscopy to clarify, and it can be solved by minimally invasive treatment in the outpatient department.

    Patient question:

    OK, thanks,

    You are welcome, I suggest you choose a regular public hospital for treatment.

    Patient question:

    okay, thank you

    You are welcome, I wish you a speedy recovery. You can contact me again if you need help.

    Patient question:

    Ok

    Goodbye.

    Patient question:

    Are you there? Doctor, I bleed again when I went to the toilet today. This happened once a month ago, and I bleed again after eating spicy food recently. The stool pool is full of blood,

    Sorry, I just saw the information. The bleeding described currently should be caused by the internal hemorrhoids of mixed hemorrhoids. It is recommended that you do minimally invasive outpatient treatment as soon as possible.

    Patient question:

    I also bleed three months ago, the amount of bleeding was very heavy, I thought it was heavy bleeding

    Patient question:

    I have a lot of bleeding, the toilet is all, it doesn’t hurt, and I didn’t feel it at the time.

    Patient question:

    Hello doctor, my bleeding is so heavy, is it a problem with the blood vessels around the anus?

    The bleeding of internal hemorrhoids, sometimes the amount of bleeding is relatively large, sometimes it can reach tens of milliliters, or even hundreds of milliliters. Internal hemorrhoid bleeding is characterized by no pain and sometimes jet-like bleeding. Your current medical history is relatively long, so the amount of bleeding will be more obvious. It is recommended to treat as soon as possible.

    Patient question:

    Oh, if it is rectal prolapse, will it cause bleeding? It will not be cancer if the amount of bleeding is so high as mine, I am so worried.

    Rectal prolapse is relatively rare in clinical practice, and the possibility of bleeding from rectal prolapse is relatively small. From your current description, considering the bleeding caused by internal hemorrhoids, the possibility of tumor is very small. If you are not worried, you can do an anoscopy to be clear. I think you are also from Shangqiu area. If you need outpatient minimally invasive treatment, you can contact me.

    Patient question:

    , I just checked it online and said that rectal polyps will also bleed painlessly. May I ask you what are the symptoms of rectal polyps?

    Rectal polyps are also painless bleeding, but they are relatively rare in clinical practice. For painless bleeding, first consider internal hemorrhoids. The easiest way is to go to a regular public hospital tomorrow for an anoscopy. The cost is about 30 yuan. The diagnosis can be confirmed after the examination. Then consider the next treatment plan.

    Patient question:

    Well, do rectal polyps have other symptoms besides bleeding?

    The main manifestation of rectal polyps is painless bleeding. If the polyp lasts for a long time, it will cause prolapse from the anus during stool. The clinical incidence is about dozens of times less than internal hemorrhoid bleeding!

    Patient question:

    Something came out when I defecate.

    Patient question:

    You mean that the amount of rectal polyps is not bleeding, right?

    When diagnosing diseases clinically, we must first consider common diseases and multiple diseases. If the same symptoms of two diseases occur, the common diseases must first be considered.

    Patient question:

    Is the doctor still there? I’d like to ask you, if it’s cancerous and you have had such a hemorrhage three months ago, what symptoms will you have now?

    Patient question:

    I am worried that the bleeding is caused by rectal polyps. I want to know the situation.

    Patient question:

    I will go to the hospital for an examination tomorrow, but I am worried tonight, so I want to find out with you.

    Hello, if the bleeding is caused by the tumor, it will not be a simple bleeding symptom. The main manifestation of tumors is mucus or pus and blood in stool, and there is an obvious feeling of falling. It is a feeling of unclean defecation, usually many times a day.

    Patient question:

    I twice a day,

    Patient question:

    I also have a sensation of sagging, a little itchy inside my left abdomen

    Patient question:

    No blood in stool

    Patient question:

    I also have a feeling of unclean defecation

    In this way, tomorrow you go to the local regular public hospital for an anoscopy and digital anal examination. The current diagnosis I am giving is mixed hemorrhoids, mainly internal hemorrhoids. In other words, the current bleeding is most likely to be caused by internal hemorrhoids!

    Patient question:

    Oh, I don't dare to use force when I urinate, because when I use force, I feel like something comes up.

    Patient question:

    Every time something comes out after the bowel movement,

    Patient question:

    I will retract again when I sit down

    Patient question:

    It was mainly because of the blood in the stool today that scared me, and I was worried that there would be bleeding in the stool tomorrow.

    Patient question:

    I dare not poop anymore.

    Patient question:

    I will check it tomorrow,

    It shows that internal hemorrhoids are relatively heavy. When the abdominal pressure is increased, they will tend to prolapse outside the anus. Some patients will also prolapse after squatting for a long time. Have an anoscopy tomorrow, and you can contact me again if you have any questions after the inspection. rest early!

    Hello Hongbo, did you go to the hospital for an examination today?

    Patient question:

    Can't ask for leave, I didn't check

    Patient question:

    Hello doctor, can you help me look at the picture, there is a bit of fleshy pimples in the anus, do you see it, what is it like,

    Did you have a bowel movement today? Has the bleeding changed?

    Patient question:

    You look at the front, zoom in, there is no bleeding this morning

    Patient question:

    He bleeds twice in a row just yesterday, only after bowel movements.

    Patient question:

    I didn't dare to squat long this morning,

    From the picture, consider the edema of external hemorrhoids caused by part of the internal hemorrhoids prolapsed and returned to the anus. That is, the external hemorrhoid part of mixed hemorrhoids.

    Even if the bleeding is no longer present, because of the prolapse of hemorrhoids, it is also recommended to treat as soon as possible.

    Patient question:

    Okay, I will go for treatment when I am on vacation. The doctor said that seeing the pictures is not another serious problem, isn’t it? It’s not tumors, polyps, etc., right? The pictures can only see a little bit, I can feel the back inside the anus Yes

    Judging from your current picture, consider the case of mixed hemorrhoids, and no polyps, tumors, etc. have been found. However, the specific situation depends on the anoscopy.

    Patient question:

    Ok, thank you.

    You are welcome, I wish you a speedy recovery, goodbye. When there is no treatment, pay attention to keep the stool smooth, avoid spicy food, and avoid prolonged squatting.

    Patient question:

    Are you there? Doctor, I went to the People’s Hospital for an examination today. The doctor over there simply took a look at my anus and said that I was an internal mole, and he didn’t perform anorectoscopy for me. I can distinguish the internal mole from the polyp. Yeah, he said that this is an internal mole, and that if the bleeding is heavy, I will be hospitalized for surgery to prevent anemia in the future.

    Patient question:

    Is the doctor here? I want to ask, he didn’t do an anorectoscopy for me, and only looked at my anus. Is it accurate?

    Patient question:

    This people’s hospital also belongs to the top three,

    Patient question:

    It’s a public hospital, not a private hospital. I didn’t let me undergo anorectoscopy. I think if it’s a private one, I would definitely let me undergo anorectoscopy. But I think he only looked at my anus and said it was an internal mole. Is it high?

    Patient question:

    I asked him if it was a polyp or something else, and he said no. Is his anal resolution accurate with the naked eye?

    Patient question:

    Well, drag it to the anus a little bit.

    Patient question:

    The bleeding was heavy, and I was worried that there were other diseases besides internal moles. The doctor just looked at my anus and didn’t give me a microscopic examination.

    Patient question:

    He didn't take the initiative to perform anorectoscopy on me. When he went to the hospital, he simply took a look at my anus and said it was an internal mole. I asked him if it was a rectal polyp, but he said no.

    Patient question:

    I have had perianal abscess surgery before,

    Patient question:

    I want to ask if I still need to be checked in the two hospitals.

    Patient question:

    That hospital is Xi'an North Hospital, belonging to the second level.

    Patient question:

    I can't open the voice you sent the doctor, or hear it.

    Patient question:

    The doctor can bother you to repeat it. I can’t open your voice and hear what you are saying.

    It is recommended that you choose a regular public hospital, that is to say, change to another hospital and do an anoscopy. Anoscopy is also very simple. After the inspection, you don't have to worry about it. You can use surgery to treat internal hemorrhoids as soon as possible.

    Patient question:

    Are you there? The doctor I went to today is also a formal public hospital belonging to the second-class municipal hospital. There is no other hospital near me. There is a Xi'an Xijing Hospital, but it is very troublesome to go to that hospital to check and register. I want to ask you, can I not check this for now,

    Patient question:

    No bleeding in the toilet this morning,

    Patient question:

    When I want to go to the toilet for a while, I still have no bleeding after checking it.

    Your current situation is mainly because you have more thoughts in your mind. From the symptoms you currently describe and the current simple examination results, the current bleeding is caused by the internal hemorrhoid part of the mixed hemorrhoid. If bleeding occurs again, surgical treatment can.

    Patient question:

    Okay, maybe I think too much.

    Patient question:

    Thank you, don't reply to me, I will see if there is still blood in the stool tomorrow. If it doesn't bleed, I don't care about it first.

    In recent days, pay attention to eat more vegetables and fruits, drink plenty of water, keep the stool smooth, avoid dry stool, and avoid spicy food.

    If you have bleeding again, check and treat as soon as possible and don't wait too long.

    Patient question:

    What will happen if it is not treated? Will it become malignant?

    Patient question:

    I asked the doctor during the examination today that he said that not treating it would cause anemia.

    Patient question:

    There is no difference between my inspection today and no inspection.

    The chance of malignant transformation is relatively small, but it can lead to anemia, resulting in a decline in your overall immunity and physical fitness.

    Patient question:

    Okay, thank you. I want to wait for treatment at my hometown, because I am too troublesome in Xi'an. I am unfamiliar with my life. The nearest hospital to me is the Northern Hospital. I went there today. There is also Xijing Hospital, which is too big. Inspection may take a day in line

    Patient question:

    Do polyps have to be distinguished through anorectoscope? Can they not be seen with the eyes? Today, he opened my anus and looked at it with naked eyes. It was said that it was an internal mole, it was not a polyp, and it was not another disease.

    Yes, in the recent period, just follow the attention I just mentioned. When the time comes for outpatient minimally invasive surgery, you can come to me. Are you from Shangqiu area?

    Patient question:

    Um, I’m from Xia Yi from Shangqiu

    Patient question:

    Is it normal to have two bowel movements a day?

    The frequency of bowel movements is not too critical. Once or twice a day, the key is to have smooth bowel movements. I am from Minquan County. I am currently working in Xuchang City. If you need to, you can come here. There are a lot of minimally invasive surgeries from our home in Shangqiu.

    Patient question:

    I had a smooth bowel movement, once in the morning, just again, and no bleeding was found.

    Patient question:

    Ok. If I am treated to go to you.

    Patient question:

    The main reason is that I dare not squat for a long time.

    Patient question:

    Stool today was two minutes, and it didn't take long to squat. So there is no bleeding,

    Patient question:

    I didn't squat for a long time, and it seemed that I didn't finish it every time.

    Patient question:

    I only need to have a bowel movement. Soon I squatted, and the mass of meat in my anus fell off a little, but when I sat down, it retracted.

    If you squat for a short time and come out, it means that the medical history is relatively long. It is recommended that you get treatment as soon as possible!

    Patient question:

    It has been for many years.

    Patient question:

    Three years, in a situation like mine, it is an internal mole, right.

    Patient question:

    I haven’t had any blood before, but only in the past four months.

    Patient question:

    I went out once before April, and then returned to normal. I went out again a month ago and recovered again. I bleed again yesterday.

    Patient question:

    I found that I bleed when I eat spicy food and get angry.

    According to the precautions I just mentioned, observe and see.

    Patient question:

    Ok.

    Patient question:

    Is the possibility of an internal mole?

    Patient question:

    Then you should be busy

    Patient question:

    rest early

    Yes, rest early!

    Patient question:

    Are you there? Doctor, I have intermittent pain in my left abdomen recently, and my stomach is swollen. May I ask what causes it. Recently, I have to go to the toilet three times a day.

    Patient question:

    image

    Patient question:

    I have had diarrhea since I was young, and I have never had a whole bowel movement. May I ask how this happened.

    Patient question:

    Have stayed up late

    Patient question:

    I haven't eaten spicy food recently.

    Patient question:

    Colon...Is it a big problem?

    Patient question:

    What kind of cancer will it be? It has been half a month. I am more worried.

    Patient question:

    Mucus

    Patient question:

    No blood

    Patient question:

    Correct

    Patient question:

    I want to have diarrhea and go to the bathroom when I’m in pain.

    Patient question:

    But the pain is the one I was referring to, and I don’t know if it is mucus or water.

    Patient question:

    It’s the kind of rising pain,

    Patient question:

    I dare not take medicine indiscriminately, and often drink cold water a few days ago. Isn't it other cancers?

    Patient question:

    OK, all right

    Patient question:

    If it hurts after going to the toilet, what would it be?

    Patient question:

    I just finished using the toilet and it doesn't hurt anymore

    Patient question:

    I have to go three or even four times a day

    Patient question:

    Where is the doctor, I consulted you before, and it’s been better for a while, but the situation before reappeared in the past few days, my left abdomen hurts, I have bowel movements three or four times a day, and I just pulled out some mucus when I went to the toilet. There is still some blood. Is this serious for me

    The symptoms described so far are considered to be manifestations of colitis, which occur more often after spicy diets and cold foods. Haven't you had a colonoscopy in the past?

    Patient question:

    Did it four years ago

    Patient question:

    Have a finger check a year ago

    Patient question:

    I am in the hospital now. Line up, ready to check

    Patient question:

    I had a colonoscopy four years ago and it didn't feel good.

    Patient question:

    Is it necessary to do this time?

    If you are queuing up, please check it first and contact me again if you need it.

    Patient question:

    Well, can you just do routine stool inspection?

    There is no point in doing routine inspections. If you have had colitis in the past, it is currently considered to be an attack of colitis. You can treat it with colitis substance or check it with a colonoscopy. Stool routine is meaningless.

    Patient question:

    Are you there, doctor, you have to make an appointment for colonoscopy, I can’t check today, I only do stool routine today

    Patient question:

    image

    Patient question:

    You help me see.

    It is necessary to make an appointment for a colonoscopy.

    Patient question:

    Hello, doctor, what kind of illness will my condition be? Have you read the list I sent.

    Patient question:

    Help me analyze

    Patient question:

    Do you have bowel cancer?

    Patient question:

    It's not enteritis. Is it a terrible disease?

    Don't guess, I suggest you review it, as guessing will only increase the psychological pressure.

    Patient question:

    The doctor usually does what kind of disease in my condition.

    From the symptoms you currently describe and your past medical history, it is more likely to be considered colitis, but the specific diagnosis should be based on colonoscopy.

    Patient question:

    Can I not do colonoscopy?

    Patient question:

    The appointment has to wait a week.

    Patient question:

    I usually don’t have cancer in this case, right?

    In view of your past medical history, it has been many years, it is better to review it. Make an appointment first. When the time comes, you can rest assured.

    Patient question:

    Oh, let me make an appointment. Stool routine, check only mucus and nothing else. In my case, will it be ulceration?

    Patient question:

    image

    Patient question:

    Occult blood negative reaction written above

    No stool bleeding was found on this checklist. Did you see blood in your stool today?

    Patient question:

    No blood

    Patient question:

    I have had no blood in my stool for this month. Just last night, the mucus was a little red. By the way, I ate pig blood yesterday.

    Patient question:

    There was no blood in this month, only mucus dysentery appeared.

    Patient question:

    There was a bit of blood in the stool mucus last night, and then there is no more today. I ate pig blood yesterday.

    Patient question:

    Yesterday there was a little red in the dysentery mucus, not sure if it was blood

    Pain in the lower abdomen on the left side and mucus in the stool are symptoms of colitis, and routine stool routines are meaningless for this diagnosis. Because you have such a medical history in the past, the last examination was four years ago and it took a long time. It is recommended to check the colonoscopy for comparison, which is convenient for targeted treatment.

    Patient question:

    Are you there? Doctor, I bought the berberine and Changyanning tablets yesterday, and after taking it for a day, my stool returned to normal yesterday. I didn't see any mucus after I had just had a bowel movement. It's normal. Is there a need for colonoscopy?

    Patient question:

    I need to drink laxatives for colonoscopy. My diarrhea just happened. Are there any side effects when I am drinking the colonoscopy?

    Patient question:

    Yesterday, I took the medicine once at noon and night, and the diarrhea disappeared and my stool returned to normal.

    If the current symptoms disappear, you may not need to do colonoscopy for the time being. Pay more attention to your usual diet and avoid spicy raw and cold foods. If it happens again, it is recommended to do a colonoscopy review.

    Patient question:

    it is good,

    Okay, I wish you a speedy recovery.

    Patient question:

    Is there a doctor? I made an appointment yesterday. I just asked if I can refund. The doctor over there said that I can't refund. I would like to ask you, my diarrhea has just recovered. Will I have any effect on my body when I have a colonoscopy while drinking the medicine? Does colonoscopy affect the intestines?

    Patient question:

    The diarrhea medicine that I drank during the colonoscopy is good for me.

    There will be a certain impact, but it is only temporary. It is necessary to check the disease. Don't worry too much about the impact on diarrhea.

    Patient question:

    Are you there? Doctor, I had a colonoscopy today. The doctor here said that the colonoscopy is fine, and there is nothing wrong with it.

    Patient question:

    image

    Patient question:

    He wasn't sure if it was appendicitis, so he called it later? question mark

    Hello, where is your current abdominal pain? Right lower abdomen or left lower abdomen?

    Patient question:

    Left abdomen

    Patient question:

    The doctor here said I have a psychological problem or a neuropathic pain

    Patient question:

    He said my intestines are fine,

    Patient question:

    Tell me to take some anti-inflammatory drugs. Asked me if the pain was severe or mild, I said mild, and he said it was a psychological problem or a neuropathic pain. Let me not think too much, there is no enteritis.

    Patient question:

    I have an internal mole

    Patient question:

    I have a mole inside hemorrhoids

    Patient question:

    Always thinking about going to the toilet may be caused by internal moles and mucus. But not much.

    Patient question:

    Doctor, ask me, why did I have a little pink blood in my stool just now?

    Patient question:

    It's all water and air, a little red blood

    Patient question:

    Not much, just a little bit. Now the anus is very painful.

    Patient question:

    The anus burns and feels like an internal mole.

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