RECEPTIONIST: senior agent
I'm going to be a gold medal mediator recently.
Remember the senior agent? Last time I got fat, it was a little embarrassing to wear slippers with my assistant sister. I seem to owe you follow-up.
After that, I gave the fat man a fungal endoscopy and found that there were no fungi causing beriberi on his legs, but there were many bacteria causing foot odor. The fat man bought new slippers for his assistant sister, and the annoying people took them home to wear.
No, the mediator's work has not been completed. I picked it up right away, gained weight, and had differences of opinion with my assistant sister because of hemorrhoids.
The cause of hemorrhoids has not been fully identified, but the medical community believes that all this is related to the "anal pad".
What we usually say about anus is actually just the outlet of waste. The anal pad and sphincter are the water level at the outlet.
The anal pad is located under the anal mucosa and is composed of veins, smooth muscle, elastic tissue and connective tissue. It helps the sphincter completely close the anus and acts as a guard - it is pressed down during defecation and can return to its original position after defecation.
However, if the intra-abdominal pressure increases, the anti main vein will become angry with the increase of intra-abdominal pressure, resulting in the gradual hypertrophy of the anti main vein, outward transfer and hemorrhoids. (David Asher).
Unlike other animals, man is used to walking upright. Walking upright liberates people's hands, but the intra-abdominal pressure rises under the gravity of the head, chest and abdominal organs. Therefore, compared with other animals, people are more likely to get hemorrhoids.
Xiaopang said to his assistant sister that 10 men, 9 hemorrhoids, 10 women and 10 hemorrhoids are discussing the possibility of hemorrhoids. As mentioned above, if you have hemorrhoids, you should expose the anal pad. It's simple. Loosen the anal pad and increase the intra-abdominal pressure is enough.
getting on in years
With the growth of age, the anal pad becomes more and more loose, hypertrophic, prone to bleeding and hemorrhoids.
If constipation patients defecate repeatedly, hold their breath and increase intra-abdominal pressure, it is easy to cause hemorrhoids.
Sitting or standing for a long time
Sitting on a chair or standing on a chair for a long time will be oppressed by most of the weight around the anus, and the veins around the anus are prone to tunes, so there will be hemorrhoids cause' target='_blank'>hemorrhoids caused by the movement outside the anal pad.
The uterus growing during pregnancy forms compression and increases intra-abdominal pressure, which is easy to cause hemorrhoids.
In addition, abdominal pressure is related to endocrine, mental and other factors. Problems such as pelvic tumors and benign prostatic hyperplasia will lead to increased abdominal pressure and even hemorrhoids.
Our little and old agents found that only women were the predisposing factors of hemorrhoids (such as pregnancy, hysteromyoma and other male specific predisposing factors such as benign prostatic hyperplasia). The incidence rate of hemorrhoids is high.
The survey shows that hemorrhoids account for about 1 / 3 of adults, and about half of people over the age of 50 suffer from hemorrhoids. Whether it is 19 hemorrhoids or 10 female hemorrhoids, they just wake up to illustrate the universality of hemorrhoids.
Hemorrhoids are such a common disease that I, as a medical, health and popular science circles, must find it out.
When it comes to hemorrhoids, many people think of "pain".
But not all hemorrhoids hurt. The place where hemorrhoids were born doesn't hurt. Decide how to hurt.
There is a line in the anus, called the dental line, which is used to separate the inside and outside of the anus. Hemorrhoids growing on the tooth line are hemorrhoids. Hemorrhoids that grow outside the dental line are external hemorrhoids. Located in the dentate gland, or both internal and external hemorrhoids, it is called mixed hemorrhoids.
The upper part of the dentate gland is covered by mucosa, and the venous segment is subjected to intra-abdominal pressure. It is furious, covering the mucosa and protruding the intestinal cavity. The red, swollen and brittle mucosa is rubbed hard during excretion, which is easy to bleed. Over time, hemorrhoids may appear outside the anus.
Even when internal hemorrhoids have massive bleeding, there is generally no pain problem, but drooping internal hemorrhoids embedded outside the anus will lead to infection, erosion, thrombosis and even necrosis. In this case, there are some differences in internal hemorrhoids.
In order to explain the severity of internal hemorrhoids, hemorrhoids are divided into 4 degrees according to symptoms.
When defecating, use blood, blood and letter to carry blood. The amount of bleeding is less, you can stop by yourself, and hemorrhoids do not come out of the anus.
Hemorrhoids fall off during defecation, and the part falling off after defecation shrinks automatically, sometimes bleeding.
During defecation, when standing for a long time, when receiving heavy objects such as cough, fatigue and, hemorrhoids should be exposed outside the anus, and hemorrhoids should be returned to the anus by hand, often bleeding.
After hemorrhoids are removed from the anus, do not insert them into the anus. Even if put back into the anus, hemorrhoids will always fall off and sometimes bleed.
The floss is full of skin, defecate hard, and the perianal vein breaks after violent activities, and the blood will go deep into the subcutaneous tissue to form thrombus. Perianal skin is sensitive to pain, and external hemorrhoids are prone to anal discomfort and pain.
Hemorrhoids with internal hemorrhoids and external hemorrhoids are called mixed hemorrhoids. When internal hemorrhoids develop to above degree, it is very possible to form mixed hemorrhoids.
Only slight bleeding and hemorrhoids occasionally droop. Applying ointment to this mild symptom can overcome hemorrhoids.
The main role of these drugs is generally to form a mucinous protective film on the rectal mucosa, effectively isolate feces, protect the damaged mucosa and enable them to self treat as soon as possible. Some drugs also contain titanium dioxide, zinc oxide and other components, which help to relieve itching, anti-inflammatory, alleviate mucosal congestion, play a certain lubricating role and discharge excreta.
Hemorrhoids symptoms are more serious. According to the situation, you can take drugs to promote microcirculation and alleviate local anal edema under the guidance of a doctor. Taking laxatives to improve intestinal peristalsis and relieve defecation resistance can alleviate constipation. Acute attack of hemorrhoids, edema and upper sensation, anti-inflammatory, swelling and painkillers.
When defecating each time, if there is an embarrassing situation of loss or being clamped by the anus and unable to recover, the doctor can recommend surgery.