2021年11月2日星期二

Bloody stool, hemorrhoids or colon cancer? One dollar erythromycin ointment is better than hundreds of hemorrhoids?

Is bloody stool hemorrhoids or colon cancer

How on earth should we tell?

The vast majority of hematochezia are benign hemorrhoids

Only a few are colorectal cancer

So don't be too nervous about bloody stool

Some friends say that bloody stool with anal pain is hemorrhoids

Blood in the stool without feeling may be cancer

In fact, it's not so absolute

Because patients with colorectal cancer have painless bloody stool

Internal hemorrhoids are also painless hematochezia

Sometimes patients with pain may have local infection

So his bloody stool is also painful

So you can't take pain as

Is it a criterion for cancer

About the relationship between blood and stool, including the color of blood

I've always been a doctor and some patients

It's rectal cancer bleeding

It is also one of the most commonly used methods for hemorrhoid bleeding

Because the blood color of the first rectal cancer patient is darker

Second, the way of hemorrhoids bleeding

It's all dripping blood or wiping it with toilet paper

Patients with rectal cancer

There may be a mixture of blood and stool

And there's no time to defecate

Possible activities

Some dark red blood will seep from the anus

Third, it depends on whether the stool habit has changed

Although hemorrhoids patients bleed

But generally, the frequency and character of defecation will not be changed

The change of defecation habits of patients with rectal cancer

The most typical is that the number of times will increase, and it is not clean

After defecation, we'll move later

The anus may leak out again

Including some patients to the later stage

When the tumor is a little bigger

When urinating, the anus will also discharge pus and bloody stool

Another is to look at blood and stool

Do you have that mucus

Rectal cancer with necrosis of tumor tissue

Or some intestinal inflammation

In addition to blood and stool, there is some mucus

The patients with hemorrhoids basically did not

You ask, the expert answers

@Hulu Bao: is the stool blood of hemorrhoids just for a while? Hemorrhoids are good, and the blood is gone? If it is colorectal cancer, it may last for a long time?

A: it's true. Some patients have hemorrhoids bleeding repeatedly for 10 years, or they will get sick and bleed in the season, and then it will be good after a period of time. This is a very typical internal hemorrhoids bleeding. The bleeding of colorectal cancer patients will be continuous, because the tumor is there, it will not be because you adjust your eating habits and work and rest habits. The tumor will not disappear or become smaller. This bleeding is generally continuous, or some patients are continuously aggravating, with more and more bleeding and more times.

@Brother: can hemorrhoids defecate with jelly blood? What's going on? Is it particularly serious?

A: Jelly blood may contain mucus in the blood, so generally speaking, patients with hemorrhoids will not. It is suggested that it is best to do an enteroscopy. If you are young, you may have to rule out some enteritis. If you are a little older, you may really rule out some tumors. Whether it is benign or malignant, you should rule out this disease.

@Jingjing: it is said on the Internet that anal fissure is painful and bleeding, hemorrhoids are painful, and erythromycin ointment for one dollar can be done! Better than dozens or hundreds of hemorrhoids?

A: This is unreliable. First, erythromycin ointment has anti-inflammatory effect. Second, why are patients with hemorrhoids willing to use it? That's because there is Vaseline in erythromycin ointment, which has a lubricating effect. For all hemorrhoids patients, the most painful thing is when they defecate. Therefore, after some patients use erythromycin ointment, the anti-inflammatory effect may not be the main one. The main reason is that it has a lubricating effect, that is, it is relatively unobstructed when defecating, which separates hemorrhoids from feces, Therefore, it has little stimulation to hemorrhoids when defecating, avoiding rupture and bleeding, and inflammatory reaction after stimulation. Therefore, I think erythromycin ointment is very easy to use. In fact, it is also good to replace it with glycerol.

@Xiao Wang: if you have hemorrhoids or anal fissure pain, what can be relieved at home?

A: you can take a warm bath and prepare some hemorrhoids suppositories or some anti swelling drugs at home.

@Drunk and refreshing: it's really uncomfortable to wipe hemorrhoids with ordinary toilet paper. The wet towel is a little softer and more comfortable, but recently there's a popular video that says you can't wipe with wet towel?

A: because wet wipes contain some disinfectant additives, and some wet wipes contain alcohol. If they are hemorrhoids patients or have a certain attack, they will have certain stimulating symptoms after wiping with wet wipes. For example, if there is a broken place, it will hurt after using alcohol, and the pain may cause anal sphincter spasm, but it will aggravate hemorrhoids discomfort and fall, Including pain, so it is recommended that if hemorrhoids are in a period of symptoms, do not use wet wipes instead of cleaning, or instead of drugs. Washing with flowing water is the best.

@Weilan: it's said that adding some salt to warm water will have a better effect, because salt has the effect of anti-inflammatory and sterilization?

A: if the effect is particularly good after washing with salt water, it may be that this kind of hemorrhoids is mainly external hemorrhoids, and it is inflammatory external hemorrhoids. Some salt in the water can play a role in disinfection. There are many kinds of hemorrhoids, including inflammatory, proliferative, connective tissue proliferative, varicose, thrombotic external hemorrhoids, etc. the biggest function of saline is to reduce inflammation. If hemorrhoids are inflamed, saline is effective. Conversely, if it is not inflammatory external hemorrhoids, it is thrombotic, it may be more painful to use saline, because patients with thrombosis have ulceration, Salt water is as irritating as alcohol, and it will hurt more after use, so when using salt water, you must pay attention to whether it is suitable for you. Second, don't use too strong salt water.

@Linglong: why do I feel my hemorrhoids will come to me on time in spring and summer?

A: from March to May every year, the hospital will usher in a peak of hemorrhoids patients, mainly related to the season, because they love to get angry in spring. In fact, spring and summer alternate. In May and June, patients will also get sick. In this season, because the weather gets warmer, many young people will choose parties and barbecues. Suddenly, hemorrhoids are committed. When asked, they all drink, party, eat spicy food and stay up late at night, so there are a lot of patients at this time.

@Lily bloom: it is said on the Internet that many hemorrhoids are caused by wiping your ass. to prevent hemorrhoids, is there anything to pay attention to in the strength of wiping and the choice of paper?

A: if you have hemorrhoids and don't need surgery for the time being, you should really pay attention to the way to wipe your ass. it is recommended to dip in the first and second times. You can turn gently in the third and fourth times. The most undesirable thing is to wipe and scrape. Use soft paper as much as possible, and don't save too much paper. Fold more and thicker as much as possible.

@Shallow love: I'm in the onset of hemorrhoids. I'm very serious. I don't dare to go to the toilet for fear of bringing out my intestines. Now I'm considering whether to do it! Because it's so hard! But some people say that surgery can not be done, because even if surgery is done, hemorrhoids will still attack.

A: in fact, no matter how perfect the operation is, some patients may relapse, but this recurrence does not mean there is no need to do it. Because when hemorrhoids reach a certain degree, if you don't have surgery, it will greatly affect the quality of life, and the anus is very painful every day, so you must do it at this time. Moreover, for the current hemorrhoids surgery, it is almost done very well in terms of technology, pain and trauma, including some adverse sequelae after operation. If it's a certain time, the doctor will give you advice. If you don't need to do it, you can adjust your diet and take some drugs. It may not happen for a year or two. If there is blood in the stool all the time and the stool comes out every time and needs to be sent back by hand, it is suggested that such patients should be decisive to have surgery, early treatment and return to normal life as soon as possible.

Xiaodoudou: can more anal lifting exercise prevent hemorrhoids?

A: in fact, anal lifting exercise can not only prevent hemorrhoids, but also enable some people with hemorrhoid symptoms to get a similar rehabilitation treatment, including female urinary incontinence, gynecological prolapse, loose tissue at the pelvic floor, it will fall down, and hemorrhoids will fall down. The best way at home is to do anal lifting exercise, also known as Kegel exercise. Firstly, this action can increase the strength of your pelvic floor muscles. Secondly, it can lift up all your falling relaxation functions and promote blood circulation. Therefore, this exercise is very good.

The first is to grasp the strength. The patient is required to use 1 / 3 of the maximum strength to shrink the anus. The body position is also very important. When you get up in the morning, open your eyes and don't need to get up immediately. You do it in bed for 5 ~ 15 minutes first, the second time in the evening, and 5 ~ 15 minutes after washing and going to bed. Another position is OK, that is, sitting on the sofa, or on a semi reclining stool or sofa, relax the whole body, lift the anus for 5 seconds, relax and rest for 5 ~ 10 seconds, and then contract alternately, twice a day.

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