2021年11月10日星期三

There are many causes of massive bleeding. If anything happens, do you need to do colonoscopy?

Zhang Shuhong, a doctor at Changsha Dongda Changjiang hospital, said that complaining is also common in bleeding. The cause of stool bleeding is not only hemorrhoids, but also massive bleeding. However, many patients in clinic think they have hemorrhoids when they have fecal bleeding. Delaying treatment often delays the time of early treatment.

Zhang Shuhong warned that massive bleeding is very harmful to the human body, and long-term hematochezia will cause anemia and other complications. Therefore, whether there is hemorrhoids or hematochezia, we should immediately go to a regular hospital for rapid treatment. The common causes of hematochezia in clinic are as follows.

1. Hemorrhoids bleeding.

When hemorrhoids cause massive bleeding, its symptoms are mainly blood or jet bleeding during defecation, which is bright red. It mostly occurs when the defecation is dry, and a large amount of hemorrhoid core is lost.

2. Massive bleeding caused by anal dehiscence.

Major bleeding caused by anal rupture is more common in patients with constipation and diarrhea. The common toilet has blood and is accompanied by anal pain.

3. Massive bleeding of intestinal polyps.

Most of the six bowel rows of stool blood are painless stool bleeding. Bleeding occurs during defecation and stops after defecation. (William Shakespeare, Hamlet, defecation, defecation, defecation, defecation, defecation) the amount is slightly different, but generally, the blood will not be mixed with feces, and can also be mixed with feces when the polyps are high and in large quantity.

4, ulcerative colitis, intestinal infectious diseases bleeding.

Ulcerative colitis bleeding, mucus or pus, accompanied by left lower abdominal pain or lower abdominal pain. Bacterial dysentery, amoebic enteropathy and other pus (mucus) fluid also appear in intestinal infectious diseases.

5. Colorectal cancer and bleeding.

Defecation blood is mainly bright red or crimson, pus or mucus, black blood, frequent defecation, sometimes only a small amount of blood or mucus is discharged, and there is no excretion. In the late stage, there will be abdominal pain, abdominal distension, constipation or diarrhea, weight loss and other symptoms.

Zhang Shuhong pointed out that enteroscopy is a very important method to examine gastrointestinal diseases such as enteritis, intestinal fertility and colorectal tumors. In case of massive hemorrhage, first of all, improve the basic examinations such as digital anal examination and anoscope. If it meets the following conditions, see the necessity of enteroscopy.

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