1. What is polyp hemorrhoid? What are the characteristics?
Answer: Polyps and hemorrhoids refer to neoplasms on the rectal mucosa and are a common benign rectal tumor. Its characteristic is that the pedicle of the tumor is small and tender, its color is bright red, and bleeding after the stool. It is divided into two types: single and multiple. The former is more common in children, and the latter is more common in young adults. Polyps are mostly adenomatous. Polyps accumulate in one or all sections of the large intestine, which is called polyposis. Some patients can become cancerous, especially multiple polyps have more malignant changes.
2. What causes polyps and hemorrhoids?
Answer: The cause of polyp hemorrhoids is mostly caused by damp and heat pressing the large intestine, and even intestinal qi is not good, the meridian group is stagnant, blood stasis and turbid qi are condensed, or the wind is in the intestine and the qi and blood are condensed.
3. What are the manifestations of polyps and hemorrhoids? What auxiliary examinations are needed?
Answer: The incidence of polyps and hemorrhoids can be single, mainly in children aged 2-8 years, or multiple. It is common in patients over 50 years old, and most of them are colorectal adenomas. Polyps have a greater risk of cancer. Depending on the size and location of the polyps, their clinical manifestations are also different. Small polyps in higher positions are generally asymptomatic.
The specific manifestations of polyps and hemorrhoids are: ①Blood in the stool, blood and mucus are excreted in the feces; ②Prolapse, pedunculated polyps may protrude out of the anus during stool, small ones can be absorbed by themselves, and large ones need to be pushed back by hand after stool; ③ Falling swelling is often accompanied by poor bowel movements, falling sensation, etc.; ④ changes in bowel habits, increased stool frequency, common foam in loose stools, foul smell, sometimes with pus, blood and mucus, tenesmus. In addition, the main symptoms of multiple polyps are abdominal pain, diarrhea, and blood in the stool. If polyps are complicated by ulcers and infections, the symptoms will aggravate. Over time, weight loss, weight loss, weakness, and anemia will occur.
Digital rectal examination can palpable tumors of varying sizes, soft in texture, large in mobility, and pedunculated polyps often have tumors; double colonic gas-barium imaging can detect early minor lesions and determine the location and location of polyps Number; diagnosis requires histopathological examination with the aid of proctoscope and sigmoidoscopy.
4. How to treat polyp hemorrhoids?
Answer: The treatment of polyps and hemorrhoids is mainly external treatment, and those with bleeding or other complications can be treated with internal treatment. When the symptoms of multiple polyps are obvious, surgical treatment is feasible.
Damp-heat betting syndrome: uncomfortable stools, abdominal distension and pain, fresh blood or mucus in the stool, foul smell, red tongue, yellow coating, slippery pulse; the main treatment is to clear heat and remove dampness, detoxify and dispel congestion, and the prescription is to ooze dampness Decoction additions and subtractions: 薢薢, cochineal, paeonol, phellodendri, Poria, Alisma, Tongcao, talc, Coptis, Purslane, Sanyu, Sophora japonicus, Stir-fried Nepeta, etc.
Syndrome of spleen and stomach weakness: abdominal pain, thin stools, often accompanied by foam and mucus, polyp prolapse is difficult to repay, complexion is chlorosis, anorexia, pale tongue, thin white coating, weak pulse; treatment is mainly to replenish the spleen and stomach, and the prescription is Shenling Atractylodes powder addition and subtraction: Codonopsis, Atractylodes, Poria, Chinese yam, Roasted licorice, white lentils, tangerine peel, licorice, lotus seeds, Amomum villosum, Coix seed, Platycodon, jujube, etc.
Qi stagnation and blood stasis syndrome: the tumor prolapses outside the anus, cannot be absorbed, pain is severe, the polyp surface is dark and purple, the tongue is purple, the coating is thin, and the pulse is astringent; Yutang addition and subtraction: fennel, dried ginger, Yuanhu, Angelica, Chuanxiong, cinnamon, red peony, puhuang, Wulingzhi, etc.
Enema: Use alum liquid, or thick decoction and retention enema such as ebony, gallnut, schisandra, oyster, prunella, sea pumice, comfrey, and Guanzhong, 50ml each time, once a day.
In addition, injection therapy, ligation, electrocautery, laser, microwave, freezing, pathological intestinal resection, etc. can also be used to treat polyps and hemorrhoids.
5. What are the preventive measures for polyps and hemorrhoids?
Answer: The preventive measures for polyps and hemorrhoids include: internal and external hemorrhoids, anal sinusitis, anal fissure, chronic enteritis and other diseases should be treated in time; to prevent constipation, pay attention to keeping the anus clean and hygienic; if there is a family history of polyps and hemorrhoids, high suspicion is required and regular Review colonoscopy.