Let's first come to a song by Andy Lau, how did that song sing, oh, toilet, today I have another poem: How to use the toilet when you don't have a mobile phone. Well, good poetry, the problem is that your pelvic floor can't stand it. Doctor, I have hemorrhoids again, is this? How old you are, whether the phone is your spiritual partner, or not, will not work for a while. I don’t squat in the toilet for half an hour and won’t come out. Okay, today I will come to a popular science article about smartphone squatting syndrome. Articles and pictures come from professional magazines and Internet searches. If there is any infringement, please contact to delete.
Today we live in a fast-paced world, obsessed with instant communication, and if we can’t stay in touch forever, we are afraid of “missing out”. Not surprisingly, smartphones (or mobile phones) with instant broadband connections are available at our fingertips to spread across the globe like wildfire, and in many ways have changed the way we organize our daily lives, almost becoming a natural extension of ourselves .
A recent online study in the United States found that nearly 90% of the people surveyed used smartphones while going to the bathroom. This is important, but what’s even more shocking is that 96% of participants under the age of 23 (millennials, born in 1995-2005) said that if they don’t have a mobile phone, they will not Will go to the bathroom. 1 This is a very troublesome new discovery, which seems to be completely ignored in the medical literature. It was only recently that Turkey started a prospective case-control study to investigate the relationship between hemorrhoid disease and the use of smartphones in toilets. 2The completion date of the study is June 2018, and the results of the study will be announced soon.
Why are you so worried?
From a mechanical and physiological point of view, what we know is that sitting on the edge of the toilet for a long time can cause unnecessary pressure on the pelvic floor, bladder, rectum and hemorrhoids for a long time. This will eventually exacerbate hemorrhoid disease, similar to excessive fatigue caused by chronic constipation. In this case, hemorrhoids become congested and eventually start to spread, causing local pain, bleeding or eventually leading to acute thrombosis.
Several recent publications have emphasized the potential negative effects of smartphone technology in the development of certain medical conditions (such as mobile phone addiction, poor mental and physical health of adolescents, or musculoskeletal problems). Surprisingly, there have been no published studies investigating smartphone usage and occurrence of pelvic floor diseases. Therefore, the suggestion that there is a direct link between the extensive use of mobile phones in the bathroom and the deterioration of hemorrhoids is currently mainly based on the professional experience of colorectal doctors, gastroenterologists, and even general practitioners. They should ask appropriate targeted questions in this regard.
In the past few years, we have seen more and more young healthy adults visit a doctor for symptomatic hemorrhoids and ask the medical history. They do not have any risk factors for symptomatic hemorrhoids (eg, chronic constipation, bowel movements, obesity, pregnancy , Anal sex or regular heavy weight lifting). Fortunately, we only realized the true extent of this "smartphone" epidemic only after explicitly asking our patients if they were sitting on the toilet for a long time (usually more than 20 to 30 minutes).
Therefore, we now usually ask all people who have symptoms of the lower gastrointestinal tract (such as rectal bleeding, constipation, or any perianal disease (such as anal fissure or hemorrhoid disease)) about the use of smartphones in the toilet. This is especially important among the young adults who continue to use smartphones to reach their peak. In the past year, we can remember that at least two patients visited each month due to rectal bleeding and/or painful hemorrhoids. This is the only risk factor and they often use mobile phones during defecation. One of the 23-year-old women needed emergency thrombectomy for hemorrhoids. Later, she was transferred to the Physiology Laboratory of Pelvic Floor Dysfunction for further biofeedback and pelvic floor exercises. Most of these cases are sporadic and undisclosed,
At the same time, we strongly recommend that every healthcare professional dealing with this type of pathology regularly consider the use of a smartphone in the toilet, and recommend that those who obviously rely on this device keep it outside the toilet because the phone seems to be overused and defecate May significantly increase the risk of spontaneous perianal disease. Those "at risk" should also understand the importance of sitting up and leaving the bathroom only when they have the urge to defecate or when needed, rather than squatting in the bathroom for a long time and checking messages on their smartphones.
So put the phone outside in the toilet and keep the correct squatting posture.