2020年10月26日星期一

what does a hemorrhoids look like,What does interventional diagnosis and treatment do for blood in the stool and urine? It can be diagnosed clearly and stop bleeding immediately!

    Is bleeding really a big problem?

    As we all know, the normal circulation of blood in blood vessels is the guarantee for the continuity of life. Of course, a small amount of bleeding caused by partial cutting and abrasion will not constitute a major problem; but a major bleeding that cannot be stopped in time is not only a major problem, but may also become a "fatal culprit."

    In addition to the aforementioned traumas such as building collapses, landslides, and car accidents, after giving birth or surgery, malignant tumors, bronchiectasis, gastric duodenal ulcers, etc., may all become the cause of massive bleeding.

    Bleeding caused by trauma often manifests as "blood flow" or "blood-bloodedness", while visceral hemorrhage can be manifested in various forms such as blood in the stool, blood in the urine, hematemesis, hemoptysis, and vaginal bleeding. Sometimes the bleeding is so fierce that not only the patient himself panicks and his family members are helpless, but even some medical staff may be at a loss and be at a loss. You said, the bleeding problem at this time, is it big or not?

    What are the causes of blood in the stool and can it be solved?

    Blood in the stool may be blood coming out of the stool, or even "spraying" a large amount of blood, but the color of the bloody "poop" is not completely bright red. It may be dark red, coffee-like, or brown or tar-like. black. The color of blood in the stool is different, which is related to the height of the bleeding site, the amount of bleeding, the length of time that it remains in the intestine, and the original content in the gastrointestinal tract.

    Blood in the stool is mostly caused by hemorrhoids or rectal polyps. Anorectal doctors can easily diagnose it with naked eyes or colonoscopy, and promptly perform appropriate treatment. However, bleeding in the entire digestive tract and even the biliary tract may only appear as blood in the stool of different colors. For example, the aforementioned esophageal and gastric varices rupture bleeding, if it is not rushing out and vomiting, the bleeding will go down the entire intestine and become blood in the stool. Therefore, the condition of blood in the stool may be complicated, and sometimes it is difficult to diagnose.

    In clinical practice, patients often encounter such a situation: the patient has blood in the stool, the physician uses a lot of hemostatic drugs, and keeps transfusing blood, but seeing that the patient’s anemia is still getting worse, he feels helpless; the surgeon also feels that Embarrassed, because I don’t know where the bleeding site is. Let’s open it up and explore it. Could it be that the stomach and the intestinal tube that are several meters long should be cut open and examined?

    What is the value of interventional treatment for blood in the stool?

    If you read my previous article carefully, you will have the impression that interventional diagnosis and treatment will definitely have a solution to the problem of blood in the stool. Please ask the interventional doctor to do it in time!

    Indeed, interventional doctors can easily screen the "responsible blood vessels" for bleeding by using angiography, and sometimes they can identify some causes of bleeding such as aneurysms, arteriovenous malformations or gastrointestinal tumors. After the diagnosis is confirmed, the follow-up interventional treatment is simple-embolization of the "responsible blood vessel" can stop bleeding immediately! In some cases (such as tumors) after interventional hemostasis, since it is best to remove the lesion, it can be handed over to the surgeon for further treatment-the diagnosis is clear and the bleeding site is clarified, the surgeon can easily capture the lesion. ".

    If blood in the stool is caused by hemorrhoids, is there any way to intervene?

    That is! Although the problem of hemorrhoids is basically solved by anorectal doctors, recent research and practice show that interventional doctors can also make a difference.

    Hemorrhoids are a very common "privacy disease". This "unspeakable concealment" is extremely difficult to "wash away". Although there are a variety of medical and surgical treatments to choose from, on the whole, medical treatments are not effective, and surgical treatments are more painful and have more complications.

    Studies have shown that increased arterial blood flow around the rectum and anal canal is an important cause of hemorrhoids. This annoying problem can be solved by embolizing the blood supply artery (the main superior rectal artery) and "cutting off" the excess blood flow. According to existing data, the technical success rate of interventional treatment of hemorrhoids can reach 100%, and the clinical success rate of one-month follow-up is 72%. Patients with unsatisfactory curative effects can be supplemented with embolization again, and satisfactory results can also be obtained. Compared with surgery, the biggest advantage of interventional treatment of hemorrhoids is that it has less trauma, quick recovery, safety and no pain. This is exactly: easy to get rid of hidden diseases, intervention is amazing!

    What should I pay attention to when handling blood in urine?

    The blood in the urine comes from various organs of the urinary system (kidney, ureter, bladder and urethra), and also from reproductive organs such as prostate and seminal vesicle gland. A large amount of hematuria mostly comes from the kidney, followed by the bladder. Regarding the cause of blood in the urine, based on medical history, clinical manifestations and medical imaging examinations, relatively certain information is generally obtained (for example, the patient has recently received endoscopic kidney stone removal, which must basically be traumatic bleeding of the kidney), unlike blood in the stool The diagnosis is so difficult. On the other hand, blood in urine is basically arterial hemorrhage, and venous factors are not considered.

    Therefore, the treatment of large amounts of urine is relatively simple. If the medical treatment is ineffective and surgery is not necessary, interventional diagnosis and treatment can be performed. Generally, through the femoral artery puncture approach, renal angiography is performed to find out which artery or blood vessels are bleeding, and then these branch blood vessels can be embolized. The effect is guaranteed. The benefit of interventional diagnosis and treatment is that it can protect the kidneys to the maximum extent, thereby avoiding the huge losses caused by the forced removal of the traumatic kidney.

    It is worth noting that the developmental variation of renal arteries is not uncommon, and one kidney may have 2 to 3 renal arteries. Therefore, it is necessary to perform aortic angiography before renal angiography, so as not to leak the blood vessels responsible for bleeding. If it is considered that the bleeding comes from the bladder (such as caused by bladder cancer) before interventional diagnosis and treatment, bilateral internal iliac arteriography is essential; then, according to the results of the angiography, the possible responsible blood vessels such as the superior bladder artery are embolized.

    Just to mention: The interventional diagnosis and treatment of vaginal bleeding is similar to the treatment of bladder bleeding. Through the imaging of the internal iliac artery and uterine artery, the blood vessels responsible for bleeding can be found, and the effect of embolization immediately is also certain.

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    What does interventional diagnosis and treatment do for blood in the stool and urine? It can be diagnosed clearly and stop bleeding immediately!

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