1. What is anal lock anal hemorrhoids? What are the characteristics?
Answer: Anorectal hemorrhoids are malignant tumors that occur in the anorectal area. In the later stage of the disease, due to anal stenosis and difficulty in defecation, it is called anal hemorrhoids, which is equivalent to anorectal cancer in Western medicine. It is characterized by changes in bowel habits, deformed stools, blood in the stool, and abdominal pain.
2. What causes the anal lock anal hemorrhoids?
Answer: The occurrence of anal lock anus hemorrhoids is mostly caused by the normal loss of spleen and kidney, combined with depression, spleen and stomach disharmony, endogenous dampness and heat, betting on the anus, accumulation of fire poison, stagnation of qi and blood stasis, and swelling.
3. What are the manifestations of anal lock anal hemorrhoids? What auxiliary examinations are needed?
Answer: The manifestations of anal occlusion hemorrhoids: there are usually no obvious symptoms in the early stage, and the disease progresses. It may appear: ① Blood in the stool-is the most common symptom of this disease. The initial blood color is bright red or dark red, not much, and often accompanied by it. Mucus is persistent. At the same time, there may be an increase in the number of stools, tenesmus, incomplete defecation, blood, pus, mucus in the stool, and a special smell. ②Change in bowel habits-another common early symptom of this disease, manifested as increased bowel movements, frequent bowel movements, but no stool discharge, sometimes constipation, and discomfort or falling feeling in the anus. ③Deformation of stool-In the later stage of the disease, the shape of stool becomes thinner and flat, and signs of intestinal obstruction such as abdominal distension, abdominal pain, and hyperintestinal sounds appear. ④ Signs of metastasis-if it invades the bladder and urethra, there is poor urination and pain; if it invades the liver, hepatomegaly and jaundice may occur; if it invades the sacral nerve plexus, there may be severe and persistent pain in the rectum or sacrum. And radiate to the lower abdomen, waist or lower limbs. Late-stage patients may have symptoms such as loss of appetite, fatigue, anemia, and extreme weight loss.
Digital rectal examination: Indurated masses or ulcers on the intestinal wall can be palpable, and the intestinal cavity is often narrowed. The finger cuffs are stained with blood, pus and mucous membranes, which have a special smell. Proctoscopy can see the range of lesions in the rectum, and a small piece of tissue can be clamped for pathological examination to confirm the diagnosis. Endoscopy can find no rectal disease on digital examination. Barium enema examination can find intestinal stenosis or incomplete barium shadow, which is helpful for diagnosis. The stool occult blood test was positive. CT, biopsy and other examinations are helpful for the diagnosis of this disease.
4. How to treat anal lock anal hemorrhoids?
Answer: After the diagnosis of anal occlusion hemorrhoids, radical surgery should be performed early, supplemented with Chinese medicine to improve symptoms, regulate the body's immune function, improve the quality of life, and help prolong survival.
Damp-heat accumulation syndrome: Anus bulge, increased stool frequency, bloody stool, dark red color, mucus in the stool, or diarrhea red and white, tenesmus, red tongue, yellow and greasy fur, slippery pulse; treatment is mainly to clear heat and remove dampness , Recipe chooses Huaijiao Diyu Wan to add flavor: Sophora japonica, Diyu, Dihuang, Scutellaria, Nepeta, Citrus aurantium, Angelica, etc.
Qi stagnation and blood stasis syndrome: perianal mass swelling, hard as a stone to touch, painful refusal to press, or bloody stool, dark purple color, tenesmus, difficulty in defecation, dark tongue, astringent pulse; treatment is to remove blood stasis, Mainly for clearing away heat and detoxification, the prescriptions are Taohong Siwu Decoction and Shixiaosan addition and subtraction: peach kernel, safflower, rehmannia, peony, angelica, chuanxiong, wulingzhi, puhuang, etc.
Qi and Yin Deficiency Syndrome: Difficulty defecation, blood in the stool, dark purple color, swollen anus, pale complexion, weight loss, fatigue, loose stools, with upset dry mouth, night sweats, red or crimson tongue, little moss, weak pulse or Breakdown; the main treatment is to replenish qi and nourish yin, clear away heat and detoxify, and use Sijunzi Decoction and Zengye Decoction to add or subtract: ginseng, atractylodes, poria, licorice, scrophulariaceae, rehmannia glutinosa, and Ophiopogon japonica.
You can use Patrinia diffusa, Oldenlandia diffusa, etc., deep-fried and reserved enema, 2 times a day, 40ml each time. For local ulcers, Jiuhua ointment or Huanglian ointment can be applied externally.
In the treatment of anal occlusion hemorrhoids, surgery should be performed early to seek a radical cure, combined with radiotherapy, chemotherapy, and traditional Chinese medicine to improve the overall quality of life of the patient. Preoperative radiotherapy in advanced patients can improve local conditions. Chemotherapy combined with radical resection can improve the 5-year survival rate.
5. How to prevent anal lock anal hemorrhoids?
Answer: The preventive measures for anal lock anus hemorrhoids include: usually avoid high-fat diet, eat more fresh vegetables and fruits; daily life should be regular, work and rest, pay attention to exercise; achieve self-regulation, keep the mood comfortable; keep the stool smooth To prevent the occurrence of constipation; actively treat anal lesions. Once anal discomfort, induration or bleeding, swelling and pain on the anal margin is found, it should be checked in time, and early detection and early treatment should be achieved as much as possible; over 40 years old, changes in bowel habits and blood in the stool , Should be checked early.