2020年11月16日星期一

what does a hemorrhoids look like,Anorectal disease question and answer (will be updated constantly, friends are welcome to ask questions)

    Why is the intestinal mucosa expelled during stool?

    Patients often ask doctors such questions, and they look very nervous. "Will you bring the excreted'intestinal mucosa' next time, please?" The doctor could only answer like this. It is better to see it after hearing it. The so-called "intestinal mucosa" is a mass of mucus, and the patient has a false alarm. Although "mucosa" and "mucus" are one word difference, they are two completely different things. Mucous membrane is a layer of tissue covering the surface of the lumen of the human body that communicates with the outside world. There are cell glands, blood vessels, etc.; mucus is a product secreted by the mucous membrane, just like the nasal mucosa is secreted by the nasal mucosa. In the case of inflammation, the intestine generally does not discharge the mucosa, but inflammation can stimulate the mucosa to secrete more mucus. Mucosa and mucus are distinguishable in appearance. The mucous membrane is a structured tissue, thin and flesh-colored. Careful observation can reveal the branch-like small blood vessels; the mucus is colorless and transparent, sometimes translucent like egg white, in piles or clusters, without tissue structure. In addition to inflammation of the intestines, there is also irritable bowel syndrome.

    How to detect colorectal diseases early?

    Many people don’t take the doctor’s recommendation for early check-ups seriously, and they will not go to the hospital for check-ups until the disease becomes serious. Generally speaking, dealing with problems before they happen is much simpler than dealing with problems after they happen, and so is the treatment of diseases. The large intestine itself cannot be controlled by human will, so the human body is less sensitive to diseases of the large intestine. Because of this physiological characteristic, many large intestine diseases are difficult to detect even if they are not serious enough, and the result is often late. Even if it feels abnormal, there are many cases of misdiagnosis because of fear of going to the hospital, busy work, or being diagnosed with other diseases. In order to detect colorectal diseases early, early inspection is necessary.

    How to choose a hospital for anorectal diseases?

    When symptoms of anorectal diseases such as anal pain, pus, hematochezia, constipation, etc. appear, it is recommended to go to a general hospital or anorectal hospital with anorectal specialist. At present, domestic Chinese hospitals, especially large and medium-sized Chinese hospitals, generally have anorectal specialists, and a few western hospitals also have anorectal specialists. The anorectal specialists in these specialized hospitals or large and medium-sized hospitals are generally strong, with a high level of diagnosis and treatment.

    What preparations should be made before going to the anorectal department?

    Before going to the anorectal department, it is necessary to consider the possibility of digital examination and anoscopy, so the following preparations should be made in a targeted manner: (1) Emptying the bowel. (2) Bring some toilet paper. (3) People with mobility impairments should be accompanied by their family members. In addition, don’t forget to single out your medical records and the reports of the various examinations you have done before.

    Is there a cure for all kinds of hemorrhoids?

    There is no such method, and theoretically it is impossible to have such a method. Because whether it is internal hemorrhoids, external hemorrhoids or mixed hemorrhoids, they have different properties and characteristics at each stage of their onset, so the treatment methods cannot be the same. Some advertisements preach that a method (such as laser) has good effects in the treatment of various hemorrhoids and even all anal diseases. Obviously, it lacks scientific basis and is not correct.

    How to treat anorectal diseases by taking a bath?

    Is enema the best way to treat chronic colitis?

    Like other diseases, different treatments are required at different stages and different types of diseases. There is no absolute best method. According to observations, enema therapy is quite effective for pus, bloody stools and rectal symptoms. Generally, symptoms can be significantly relieved within a few days after medication. However, due to the limitations of the rectal mucosa on drug absorption and enema therapy itself, not all drugs can be used with enema. Quite a large number of cases use enema alone, the effect is not obvious, and it is easy to relapse after symptoms are relieved. Therefore, enema therapy cannot completely replace other treatments. For most patients with colitis, enema therapy can only be used as an adjuvant therapy.

    Is the prognosis of ulcerative colitis good?

    The prognosis of chronic ulcerative colitis depends on the type of disease, complications and treatment conditions. Generally, mild patients have a good prognosis, with a treatment remission rate of 80% to 90%, and some patients can have long-term remission; severe patients have a treatment remission rate of about 50%; a small number of fulminant patients have a dangerous condition and a higher case fatality rate, even up to 35 %, but it is often possible to get better after treatment; active cases with a long course of disease and extensive lesions are at risk of concurrent colon cancer, and the longer the illness, the higher the chance of cancer. It is observed that the disease is not easy to be completely cured, and those treated with Chinese medicine have a long remission period and are not easy to relapse.

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