Mr. Zhu from Jiading, Shanghai intends to lose weight. He didn't eat lunch, and he was massaged in a beauty shop to lose weight. He suddenly lost 15 to 20 jin in two months. Mr. Zhu, who thought he had succeeded in losing weight, was ecstatic. He mistakenly thought it was a recurrence of hemorrhoids with blood in his stool. He came to the hospital for an examination under the instructions of his family. Upon investigation, Mr. Zhu suffered from stomach cancer and rectal cancer. Fortunately, after the doctor's treatment, he recovered well after the operation.
Doctor Shuang reminded that if you suddenly lose weight or have blood in your stool, it may be a sign of gastrointestinal diseases or tumors. Don't be careless and seek medical attention immediately! Let me share with you a few cases.
1. Mistake rectal cancer for hemorrhoids
A boss who has a successful career and wants what he wants, has irregular stools six months ago, and his weight gradually
Abdominal CT scan
Colonoscopy, polyp biopsy
At this moment, business, entertainment, interpersonal, and enjoyment are all clouds.
In clinical practice, many people with bowel cancer are mistaken for hemorrhoids. They say that nine out of ten people have hemorrhoids. Hemorrhoid bleeding is normal for patients. But because of this, many people mistakenly believe that rectal cancer bleeding is hemorrhoids. They buy hemorrhoid medications on their own, and they have been procrastinated. In the end, they are diagnosed in the hospital when they are serious. Rectal cancer also missed the best opportunity for surgery.
Both rectal cancer and hemorrhoids can cause blood in the stool. How to distinguish between hemorrhoids and rectal cancer when the stool is bloody? Hemorrhoids and rectal cancer will have blood in the stool, and blood in the stool is different. Learn to distinguish. Hemorrhoids blood in the stool is often on the surface of the stool, does not mix with the stool, is bright red and has no mucus; hemorrhoids bleeding generally occurs after defecation, in the form of dripping or spraying, bloody red, on the surface of the stool, not mixed with the stool. In the stool of patients with bowel cancer, blood and stool are mixed together, and the color is dark red or mucus, accompanied by changes in stool habits and changes in stool shape (thinning and forming).
One of the more popular self-examination methods is the digital rectal examination. There are many explanations on the Internet. You can search for it yourself. This is a method to identify hemorrhoids and rectal cancer. You can do it yourself at home. But if it is a fresh anal fissure, it cannot be done. Another method is to take a colonoscopy from a hospital. At the same time as the colonoscopy, you can also take a specimen for a biopsy.
2. Pay attention to gastroscopy and enteroscopy
Tumors of the digestive tract can have no symptoms in the early stage. Why? Because our digestive tract is like a hose, as long as the digestive tract is not completely blocked, food can pass normally. In the late stage, the digestive tract is blocked and I can't eat anymore. It's too late to go to the hospital. In all likelihood, there will be no surgery!
Although more and more people pay attention to physical examinations in recent years, many physical examination items are too simple. Screening items for cancer are either unreliable or not available.
In Japan, European and American countries, gastrointestinal endoscopy is very common and must be checked. On the other hand, in China, the mortality rate of gastrointestinal tumors (especially gastric cancer and esophageal cancer) remains high, because the first discovery is the middle and late stage! Whether it is stomach cancer or bowel cancer, the later it is discovered, the cancer cells will spread to lymphocytes and metastasize far away. Even if the operation is not possible, the effect is not satisfactory even if the operation is performed, and it will not last long.
Endoscopy + pathological biopsy is the gold standard for discovering early gastrointestinal tumors. Half of the clinic recommends that people over the age of 40 or those with a family history, as well as those at high risk, go for endoscopy. But now that cancer is getting younger, Shuang Doctors recommends to do it after 30 years old.
3. Sudden weight loss, beware of tumors!
During this period of time, Abe previously proposed to resign due to ulcerative colitis, and later the Black Panther starred in the news of his death from bowel cancer. People paid more attention to bowel health.
If there are these 5 manifestations, it indicates colorectal cancer:
1. Blood in the stool This is one of the early symptoms of all colorectal cancer. But it also depends on the location of the tumor, whether it is in the colon or rectum. Tumors in the colon will stay longer in the intestine after bleeding, so the color of stool will be darker and not bright red. Even sometimes the patient is not easy to notice. But the fecal occult blood test can be tested positive. In general, rectal cancer (rectal section) has very little bleeding in the early stage. Fresh blood is usually attached to one side of the stool, and a few patients may have fresh blood after defecation. 2. Changes in bowel habits. The time and frequency of bowel movements will change, which is very different from the past. Changes in bowel habits, such as pooping punctually every morning before, are now irregular. There may be constipation, or diarrhea, or alternating constipation and diarrhea. It is also just to get rid of some mucus and blood in the stool, and there is a feeling of incomplete defecation. There are also changes in stool characteristics, and mucus appears. It used to be shaped and became thin strips. There may be indentations in the stool. 3. Pain during defecation About 50% of patients with rectal cancer have pain during defecation, ranging from mild to severe. 4. Abdominal pain Some people will have symptoms of dull abdominal pain, and some people will experience paroxysmal colic and abdominal distension. 5. Fatigue, anemia, and abdominal masses may cause anemia due to tumor growth and bleeding in the intestine caused by tumors. When the tumor grows too large, there will be obvious masses in the abdomen.
There can be no symptoms in the early stage of gastric cancer. A few have symptoms such as upper abdominal discomfort, dull pain, acid reflux, and decreased appetite, but they are easily overlooked. The symptoms of advanced gastric cancer include: 1. Upper abdominal fullness and pain; 2. Nausea and vomiting; 3. Unexplained gastrointestinal bleeding, such as hematemesis, melena, or stool occult blood; 4. Loss of appetite, weight loss and fatigue.
For inexplicable weight loss, you must be very careful. The common causes of weight loss in clinic are: diabetes, hyperthyroidism, chronic infection, chronic infectious disease, adrenal hypofunction, and chronic gastrointestinal disease.
In addition to the above reasons, the most common cause of weight loss is malignant tumors. Weight loss is one of the obvious symptoms of different types of tumors. Uncontrolled growth of tumor cells accelerates metabolism and consumes the body's nutrients, resulting in weight loss. When tumor cells begin to spread, they can impair the function of various internal organs. Despite eating a high-calorie diet, the tumor will still cause chemical changes in the body, making weight gain very difficult.