Thank you very much, Brother Niu, for taking the trouble to answer all kinds of questions for the patients in the group. Here are a few common questions.
Some patients at the onset of abscess, under the influence of some doctors’ misjudgment and their own luck, use antibiotics for a long time. This practice is not appropriate. Many examples tell us that this will deepen the location of the lesion and increase the difficulty of subsequent surgical treatment. And pain.
According to your personal physique, do not eat foods that will affect your bowel movements before surgery. Do not eat beans and milk for a short period of time to avoid abdominal distension; fruits should not be eaten in large quantities, just appropriate. Staple food, vegetables, and meat should be guaranteed. In the case of constipation, Qi Rong oral liquid is not suitable for postoperative emergency. You can try Si Mo Decoction and Liuwei Anxiao if you can cut off Sailu with dried fruit.
There must be blood if there is a wound. No blood is not a normal human body. The bleeding will continue for a period of time after surgery and gradually decrease. Due to the contraction of the sphincter muscles during stool, blood may drip, so ignore it. The postoperative sphincter is slack, making it hard to gain strength. In addition, it is caused by various factors such as nervousness, medication, bed rest, irritation, etc., and it relieves in about 10 days. Personally, I think I need to walk around properly, but rest mainly. Especially when the thread is hanging, walking will cause the sphincter to be in contraction, and the pus will be drained out faster in the open outer wall environment. At the same time, proper activities can promote gastrointestinal peristalsis, which is helpful for the downward movement of the hanging thread and smooth stool. This thing should be done on the third day after the operation. He always lay down like a sick bag, not as fast as people who don’t care about anything. After hemorrhoids, standing for a long time can easily aggravate edema. No problem within half an hour. Some people lose their qi themselves, and they are disadvantageous. Coupled with the factors of bed rest after the operation, the qi is even worse, and the beginning is more difficult.
Once edema is found, it should be controlled according to the specific situation. If the situation permits, apply a cotton ball with concentrated salt water for a few minutes. The sooner he intervenes, the more beautiful he will be. Some people's edema takes more than 45 days or longer when it is naturally absorbed. The seemingly large edema can basically dry up into anal marginal folds, but some are solid and white but have difficulties. That is not pure edema, but has proliferative factors. If it's just a water bag, don't rush to trim it. Some people will continue to swell after trimming. Repeated trimming may cause obvious scars, which are not easy to soften, and are not counted in the long run. There is a kind of hyperplasia, white and rosy, long and hard, with a small root and a big head, just like sentinel hemorrhoids. If you find this kind of situation, you should consult a doctor in time to see if it needs trimming. Edema is common around 10 days after the operation. It is caused by the growth of the skin which hinders the discharge of secretions. When the wound skin begins to grow, edema may also appear in the skin bridge. This part can be cut without cutting, otherwise the skin bridge will be left in vain. Both Diosmin and Maizhiling treat varicose veins. Varicose veins are actually congestion. I have heard of ways to reduce stasis to promote the absorption of edema. In terms of experience, the effect of Maizhiling is better.
Dressing change: Many patients will always ask about the frequency and time of dressing change. Different hospitals do differently, so they must follow the doctor's advice. Change when it's time to change, don't change when it's not! Do not change when it is time to change, drainage, hemostasis, and reduce swelling will not achieve the best results; when it should not be changed, frequent dressing changes will destroy the growth of new granulation, not only slow healing, scarring, but also may increase pain. The major prerequisite for no recurrence is that the inner mouth, outer mouth, and fistula are open, leaving no dead space or branch. The level of surgery is the fundamental and quality, and the dressing technique is the auxiliary guarantee and the icing on the cake. The endless stuffing of gauze is superfluous.
Secretions: The initial secretions have everything, such as pus, blood, body fluid, intestinal fluid, etc. This is the drainage stage before healing. The more thorough the drainage, the faster the later healing. In the second stage, there is less pus, a little more blood, plus intestinal fluid and body fluid, it is a prelude to growing flesh. In the third stage, micro pus, micro blood, and water are always attacked. According to the patient’s description, the secretion has any color. As long as it is not continuous, unstoppable blood, don’t bother about it. What should you do? You can take off the gauze 4 hours after changing the dressing and leave the wound to dry without changing the dressing. Rinse and dry at the time, keep ventilation.
Author: Bear cattle 618