2020年12月18日星期五

lidocaine for hemorrhoids,Answer bleeding after anorectal disease

    Bleeding after anorectal disease is also one of the common complications of anorectal department. There are many causes of bleeding. There are common small amounts of bleeding, such as blood in the stool, dripping, and blood staining on the toilet paper. Large amounts of blood in the stool, frequent blood in the stool, only blood Or blood clots, most of which are not accompanied by or a little fecal residue, and the bleeding volume is greater than 500 ml.

    What is the cause of bleeding after anorectal surgery?

    Bleeding in the anorectal area a few hours after surgery to before wound healing, the amount of bleeding varies. Bleeding below the tooth line can be found. Those above the tooth line are not easy to find. The patient feels that the lower abdomen, anus is swollen, and when he wants to defecate, he suddenly discharges hundreds of milliliters of blood or dark red blood clots, accompanied by pale complexion, fainting, and palpitation. Clinically, it is divided into primary bleeding and secondary bleeding.

    Cause

    1) Such as internal hemorrhoid ligation, it is mostly caused by slippage of the ligation line.

    2) The incision exceeds the dentinal line, from the mucosal layer to the submucosal layer and the base layer. Since the blood vessels here are extremely rich, it is easy to cause bleeding after surgery.

    3) The surgical incision is too large, the compression time of the anal wound packing dressing is short, and the premature removal causes wound bleeding.

    4) After the operation, due to vigorous activity or defecation on the same day, it is easy to cause wound bleeding.

    5) 7-10 days after the internal hemorrhoid ligation operation is the hemorrhoid necrosis and shedding period, during which dry stools or strenuous exercise are prone to bleeding.

    6) Due to dry stools, squatting on the toilet too hard, expanding the anus or strenuous exercise, causing wound damage and blood scab shedding and bleeding.

    7) Blood coagulation dysfunction: such as thrombocytopenia, fibrin, coagulation factor deficiency, hemophilia, etc. all easily cause postoperative bleeding.

    8) Hypertension, liver cirrhosis, intra-abdominal tumors, ascites, etc. can all cause primary and secondary hemorrhage due to portal vein reflux disorder.

    9) Long-term use of anticoagulant drugs, such as aspirin.

    10) Do not follow the doctor's advice, eat too much irritating food, such as drinking alcohol.

    Treatment: A small amount of bleeding. The bleeding can be stopped after the patient sits in a bath and sits for about 20 minutes after defecation. If the amount of bleeding is more than moderate, contact the doctor immediately, and the doctor will compress or suture the bleeding according to the situation.

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