2020年12月18日星期五

what does a hemorrhoids look like,Blood in the stool-not to be taken lightly

    Another 70-year-old female patient stated that there was blood on the toilet paper every time she had a bowel movement in the past month, and sometimes it showed jet-like bleeding or dripping blood, bright red. The anus is not painful or itchy, but there is a slight feeling of falling, and the stool is regularly formed. The examination revealed that a hemorrhoid prolapsed from the right anterior position of the anus, and the surface mucosa was congested and eroded. Finger examination: no obvious hard mass was palpable. Colonoscopy: internal hemorrhoids. He was given internal hemorrhoids and Xiaozhiling injections, and now hemorrhoids in inconvenience are not prolapsed. ------- Internal hemorrhoids

    An 8-year-old boy was admitted to the ward. He had blood in his stool and prolapsed from the anus during his stool. He was diagnosed as a rectal polyp after examination and was surgically incised. This is the most common disease of children with blood in the stool. -----Rectal polyps

    Some time ago, a young woman came to the clinic with blood in her stool for two months. She had stool 2-3 times a day, sometimes with pus, blood and mucus in her stool, and sometimes abdominal discomfort. The colonoscopy was ulcerative colitis. She was given traditional Chinese medicine retention enema. Now the symptoms are significantly relieved. ------Ulcerative colitis

    For patients with blood in the stool, does the doctor still have to ask about anal pain? In addition to blood in the stool or stained toilet paper, patients with anal fissure generally have anal pain during defecation, and cracks can be seen at the anal edge during examination. ----Anal Fissure

    The above mentioned are the most common diseases that cause hematochezia in clinical practice, and each has its own characteristics: Colorectal cancer: recurrent episodes of blood in the stool, the initial blood color is bright red or dark red, not much, accompanied by mucus, defecation Habits change, stool deformation. Internal hemorrhoids: blood in the stool is mostly blood on the toilet paper or in the form of drips or jets. The color is bright red. The blood does not mix with the stool. There is no pain. The symptoms are often aggravated by drinking and fatigue. When the hemorrhoids become larger, they can protrude outside the anus during defecation. . Rectal polyps: Blood and mucus are often excreted with the feces during defecation, and those with a lower position can protrude out of the anus, often accompanied by poor defecation and anal falling. Ulcerative colitis; persistent recurring mucus, bloody stools and abdominal pain, accompanied by varying degrees of systemic symptoms. Anal fissure: low blood volume in the stool, bright red color, obvious pain, manifested as pain during defecation, a little relief after defecation, and then severe pain, which can last for several minutes or several hours. In particular, it is important to point out that for middle-aged and elderly patients who need blood for diagnosis, in addition to local anal examinations, colonoscopy should also be performed to rule out the existence of tumors and achieve early detection and early treatment.

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