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Chen Tian Jing
Colorectal Surgery
About me
Master's degree, specializing in research and treatment of colorectal surgery.
Proficient in diseases
Mixed hemorrhoids, internal hemorrhoids, external hemorrhoids, anal papillitis, perianal abscess, anal fistula, anal sinusitis, anal fissure, perianal abscess, pruritus ani.
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What are the symptoms of rectal prolapse?
Rectal prolapse is a common clinical disease in proctology, primarily affecting children, postpartum women, and the elderly. Symptoms of rectal prolapse include varying degrees of bloating and a feeling of falling at the anus. Sometimes, due to the accumulation of mucosa at the anal opening, normal defecation is impeded, leading to constipation and difficulty in bowel movement. To examine and diagnose rectal prolapse, an anoscopy is necessary. Under anoscopy, the relaxed mucosa that accumulates can be seen at the mirror opening. Treatment for rectal prolapse in children may involve the use of traditional Chinese medicine retention enemas, which can gradually alleviate the prolapse as the body's condition improves. For postpartum women or the elderly, treatment may also involve traditional Chinese medicine retention enemas in combination with surgical excision. The primary surgical procedure used is a Hemorrhoidal mucosal circular stapling operation.
Can thrombotic external hemorrhoids exercise?
During the acute flare-up of thrombotic external hemorrhoids, there is congestion and edema of the local anal cushion, and thrombosis forms within the local hemorrhoidal nucleus and mucosa. It is not advisable for patients to engage in excessive exercise, as this may aggravate the congestion of the local hemorrhoidal nucleus and worsen the condition of thrombotic hemorrhoids. Excessive exercise and friction may also lead to rupture of the thrombus, resulting in pain or infection. During an acute episode of thrombotic external hemorrhoids, patients may choose to use hemorrhoid wash solution for hot compresses to alleviate local symptoms. If the symptoms are severe or the thrombus is large, surgical removal may also be an option. Patients with thrombotic external hemorrhoids need to pay attention to the duration of defecation, mainly keeping it under ten minutes, because prolonged defecation or excessive straining during bowel movements can increase vascular pressure in the local hemorrhoidal nucleus, leading to thrombus formation.
Consequences of hemorrhoids bleeding
Rectal bleeding, commonly seen in cases of hemorrhoids, usually appears as bright red blood. The bleeding is not mixed with the stool but is excreted along with it from the anus. Minor hemorrhoid bleeding can cause local anal itching. When the bleeding is heavy or prolonged, it can lead to a significant loss of blood volume, resulting in anemia in the patient. Anemia can then lead to other systemic diseases and problems. Therefore, it is important to treat hemorrhoid bleeding early. Treatment options include oral hemostatic medications combined with the topical application of hemorrhoid cream to stop the bleeding.
What will happen if a perianal abscess is not treated?
Perianal abscesses are localized abscess formations that occur due to repeated infections in the anal crypts. Typically, under perianal ultrasonography, clear pus chambers and related structures can be observed. If perianal abscesses are not treated promptly, there is a high likelihood of expansion of the local pus chambers and dispersion of the pus, leading to an increase in the size of local anal abscesses, which might involve the sacrococcygeal area or the intersphincteric space. The primary treatment for perianal abscesses is surgical, mainly through incision and drainage to evacuate the pus, followed by thorough debridement of the local wound. Additionally, if there are changes in the local sphincter, thread-lifting therapy may also be performed.
What fruits should be eaten for thrombotic external hemorrhoids?
During the acute phase of thrombosed external hemorrhoids, patients experience varying degrees of pain in the anal region, occasionally accompanied by a feeling of bloating. Therefore, the diet should primarily consist of light, liquid, and easy-to-digest foods. If consuming fruits, it is best to eat soft, cool-natured fruits such as dragon fruit and bananas, avoiding hard or tropical fruits that may cause dry stools, which can exacerbate the symptoms of thrombosed external hemorrhoids. During the acute phase of thrombosed external hemorrhoids, in addition to dietary considerations, it is also necessary to use topical hemorrhoid cream locally or undergo surgery to excise and strip the local thrombosis for significant symptom relief, to prevent the condition from worsening, which could lead to increased thrombosis or necrosis.
Anal abscess should visit which department?
Perianal abscess is a common disease in proctology, generally involving an infection of the local anal crypts and submucosal tissues near the anus. When a perianal abscess acutely flares, it is necessary to register with the department of coloproctology and undergo surgical treatment as soon as possible to prevent the abscess from expanding and leading to a systemic infection. The primary surgical treatment for perianal abscesses is a onetime radical surgery, but when there are changes resembling anal fistulas or leakage, options may also include incision, drainage, and seton procedures. After surgery, it is necessary to disinfect the local wound daily and ensure that the wound drainage is unobstructed.
Can you drink alcohol if you have internal hemorrhoids bleeding?
If a patient experiences internal hemorrhoid bleeding, it is not advisable to drink alcohol during the bleeding period. Alcohol contains excessive amounts of irritating substances. Excessive drinking can cause excessive congestion of the mucous membrane of the internal hemorrhoids, and the already ruptured mucosa may increase the likelihood of further bleeding. Therefore, drinking alcohol during internal hemorrhoid bleeding can increase the amount of bleeding and might even lead to an increase in the size of the hemorrhoids, or the formation of acute edema and thrombosis, worsening the severity of the condition. During the bleeding period of internal hemorrhoids, patients are advised to follow a light diet and may need to further combine this with oral hemostatic medications, or use hemorrhoidal suppositories and hemorrhoid creams for symptomatic hemostasis and anti-swelling treatment. (The use of medications should be conducted under the guidance of a doctor.)
How to treat anal fissures and constipation?
Anal fissures and constipation are generally accompanying symptoms. When the stool is dry, the patient exerts excessive force during defecation, causing the stool to tear the local anal sphincter and mucosa, resulting in an anal fissure. Prolonged and recurrent anal fissures, due to the contraction of the local anal sphincter, can make defecation difficult for patients, or, because of the severe pain during defecation, patients may avoid defecating. This leads to stool remaining in the intestinal lumen for too long, causing the stool to dry out and further inducing constipation. To treat anal fissures and constipation, it is first necessary to lubricate the stool. One can take oral medications for lubricating the intestines and easing bowel movements or use topical lubricants. Treatment can also be complemented with anal dilation therapy or surgery through endoscopic incision, and applying a traditional Chinese medicine hot compress to the local fissure.
How to check for rectal prolapse?
Rectal prolapse is generally divided into internal rectal mucosal prolapse and external prolapse, also known as rectal procidentia. If it is an internal prolapse, an anoscopy combined with defecography is required to examine the degree of laxity of the local rectal mucosa. If it is an external prolapse or rectal procidentia, the patient generally presents with a prolapsed swelling when squatting, and this can be further evaluated with a digital rectal examination to assess the local tightness of the anus. If rectal prolapse occurs, surgical treatment is recommended as it tends to be quite effective. In cases of pediatric prolapse or mild prolapse, traditional Chinese medicine enemas may be used to alleviate local symptoms.
How are thrombosed external hemorrhoids formed?
The formation of thrombosed external hemorrhoids is mainly related to local congestion pressure in the anal area and excessive filling of submucosal blood vessels, especially after the patient abstains from spicy and irritating food, excessive defecation, and excessive fatigue. This condition becomes more prominent. Once thrombosed external hemorrhoids form, they are generally accompanied by the formation of skin tags and internal hemorrhoids in the anal area, and the external hemorrhoids enclose a blood clot. When the blood clot becomes congested or swollen, the patient will experience significant pain or distension. Once thrombosed external hemorrhoids have formed, it is crucial to treat them early to avoid necrosis caused by prolonged and repeated congestion and edema. Treatment options include using local medications for hot compresses or application to alleviate symptoms, or performing surgery to excise and remove the blood clots.