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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.
Voices
What should I do if hemorrhoids are bleeding?
Hemorrhoids that bleed should be treated to stop the bleeding as soon as possible. The common clinical symptoms of hemorrhoids mainly include localized bleeding, repeated prolapse of the internal part of the anus, and pain. Early bleeding can be managed with oral hemostatic medications, application of hemorrhoidal creams to the anal area, and use of anal plugs with thrombotic agents for comprehensive treatment, for minor bleeding. The symptoms can be relieved with medications. However, if the bleeding lasts long or if there is a greater amount of bleeding from mucous membranes and the bleeding points are fragile, further surgical ligation may be necessary to stop the bleeding. Common surgical methods mainly include excision of mixed hemorrhoids, internal ligation, or hemorrhoid banding procedure, and can also be combined with submucosal sclerotherapy injections.
Which department to consult for rectal prolapse?
Rectal prolapse is generally divided into internal mucosal prolapse and external prolapse. External mucosal prolapse is commonly known as rectal prolapse, which falls under the category of proctological diseases. Therefore, patients who suspect they have rectal prolapse should promptly visit a proctology department for relevant examinations and treatment. The examination and diagnosis of rectal prolapse mainly involve digital rectal examination, anoscopy, and defecography to confirm the diagnosis. Especially for internal mucosal prolapse, which cannot be seen with the naked eye, defecography is necessary for differentiation. In cases of rectal prolapse, one can generally see a ring-like protrusion outside the anus, and in severe cases, there may be conical or cylindrical prolapse. Regardless of whether it is internal mucosal prolapse or rectal prolapse, surgical treatment is necessary.
Can conservative treatment be effective for perianal abscesses?
Conservative treatment of perianal abscesses can only relieve temporary inflammatory symptoms and cannot achieve a curative effect. There is also the potential for conservative treatment to delay the condition, leading to an increase in the size of the abscess cavity or the rapid expansion of pus, thereby exacerbating the condition. Once a perianal abscess is identified, surgical treatment should be carried out as soon as possible. First, the abscess cavity needs to be opened, and the enclosed pus drained completely, and then either a local incision with suture or debridement surgery chosen for treatment. Additionally, it is necessary to maintain the normal function of the anal sphincter. If only conservative medication is used for a perianal abscess, it can only temporarily relieve the current symptoms and does not benefit the healing of the disease or its long-term development at all.
Can hemorrhoidal ointment be used for bleeding hemorrhoids?
Hemorrhoids bleeding needs to be assessed based on the amount of bleeding and the duration of bleeding to determine different treatment methods. If the bleeding is minimal and short-lived, mostly noticed on toilet paper, one can opt for oral hemostatic medications or apply hemorrhoidal cream with hemostatic effects around the anus. However, if the bleeding is significant or persists for a long time, and each bleeding episode appears as dripping or jetting, to further prevent the occurrence of anemia, it is advisable to directly undergo surgical ligation to stop the bleeding, avoiding repeated bleeding episodes that could lead to anemia and further impact body functions.
What to do if internal hemorrhoids bleed severely but there is no pain or itching?
If there is severe bleeding from internal hemorrhoids, it is recommended to promptly conduct an anoscopy to determine the exact locations and amount of bleeding. Generally, bleeding from internal hemorrhoids is painless, so it is often underestimated by patients. If the bleeding is heavy or persists for a long time, it is advised that patients undergo surgery as soon as possible to ligate and stop the bleeding, or combine this with oral hemostatic drugs for symptomatic treatment to avoid exacerbation of the bleeding and resulting anemia. Repeated bleeding from internal hemorrhoids can likely lead to varying degrees of anemia. If repeated bleeding occurs, or if the anemia worsens and leads to severe anemia, further treatment with blood transfusions may be necessary to correct the anemia.
The hazards of internal hemorrhoids bleeding
Internal hemorrhoids or mixed hemorrhoids are most commonly diagnosed clinically, with prolapse and rectal bleeding being typical symptoms. If internal hemorrhoid bleeding occurs, the choice of treatment depends on the amount and duration of bleeding. Increased bleeding or prolonged bleeding duration requires early conservative medication or surgical ligation to prevent anemia due to local hemorrhoidal bleeding. Prolonged and significant rectal bleeding from internal hemorrhoids primarily endangers the patient by causing a decrease in overall blood volume due to chronic blood loss, leading to anemia. Following anemia, patients may experience symptoms such as palpitations and fatigue due to insufficient blood volume.
What department should I go to for fecal incontinence?
If there is fecal incontinence, it is first necessary to determine the cause. If the incontinence is due to general neurological symptoms and neuropathy, then it is necessary to register for a neurology department consultation. If it is due to relaxation of the local anal sphincter, then registration with the proctology department is needed. Generally, for local sphincter relaxation causing fecal incontinence, an anal sphincter tightening procedure can be opted for, to provide local symptom relief. Additionally, it is important to also consider coordinating with traditional Chinese medicine enemas, which can enhance the mucosa within the rectum.
Can you drink alcohol with a perianal abscess?
Patients with perianal abscess should not drink alcohol. Long-term or excessive alcohol consumption, due to the effects of evaporation or sublimation, can cause local congestion and edema at the anus, and may also increase the risk of infection. As perianal abscess is a local infectious disease of the anus, not only should alcohol be avoided during the acute phase, but prompt surgical treatment is also necessary. If a patient with a perianal abscess does not undergo timely surgical intervention, the pus cavity may expand and the abscess may further spread and rupture, potentially forming an anal fistula. Excessive drinking could lead to worsened local inflammatory symptoms, resulting in an increase in pus and possibly enhancing pain or infection, leading to a more extensive infection in the anal area. Therefore, patients with a perianal abscess should not consume alcohol.
How to examine anal fissures in women
If a woman suspects symptoms of an anal fissure, it is recommended to directly perform a digital rectal examination rather than an anoscopy, to avoid worsening the condition by potentially tearing local fissures with the anoscope. Typically, an anal fissure presents with severe local pain in the anus, bleeding during bowel movements, and accompanying hard stools. Therefore, the initial treatment should focus on softening the stool, for which one can take oral hemp seed oil capsules to facilitate bowel movements. Additionally, applying Recovery New liquid as a hot compress on the local fissures can help alleviate symptoms and promote healing. If there is anal constriction, anal dilation therapy might be chosen, or treatment may involve a lateral internal sphincterotomy. (Please use the above medications under the guidance of a physician, and do not use them indiscriminately on your own.)
Can rectal prolapse heal itself?
Rectal mucosal prolapse primarily refers to a condition where the rectal mucosa becomes excessively relaxed, accumulates near the anus, and presents symptoms such as a distinct feeling of fullness and downward pressure at the anal area. Sometimes, the prolapsed mucosa may congest the anal opening, causing difficulty in defecation or even constipation. Rectal mucosal prolapse cannot heal completely on its own. Treatment options include medication to alleviate symptoms or surgery to remove the prolapsed mucosa. Patients with rectal mucosal prolapse should avoid straining excessively during bowel movements. If constipation occurs, patients should not strain too hard and may use enemas to assist with bowel movements.