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Bowel bleeding



   

[Intro]

The blood in the stool (hematochezia) blood from the anus out of relying on complex or with the feces and the next, or of pure blood. gastrointestinal bleeding is generally believed that more than 50 ml it appears black. generate iron sulfide, iron in hemoglobin combining with sulfide within the intestine so the tarry black stool. The hematemesis more melena. Got blood in the stool and how to do, to understand some blood in the stool symptoms more effective treatment for blood in the stool.


bleeding stool

stool bleeding and referred to as the blood in the stool. stool bowel movement is both the action, but also refers to the intestinal excreta - faeces. Therefore, bowel bleeding, including defecation and anal canal, rectum immediate bleeding, but also including other parts of the old bleeding anal discharge. Strictly speaking, the title bowel bleeding is not rigorous, but relatively easy to understand and use ever since.
bowel bleeding caused by more reasons, including from the lower digestive tract disease; also from the upper gastrointestinal and hematology diseases. anorectal diseases caused by blood in the stool, a part of lower gastrointestinal bleeding. In general, blood in the stool is only a symptom of the disease, not a separate disease. To an accurate analysis of the stool to the cause of bleeding, to be combined with other clinical manifestations, and roots is a comprehensive understanding of the comprehensive inspection and analysis in order to make the correct diagnosis.

symptoms


symptoms of gastrointestinal bleeding, the main clinical manifestations of acute blood loss anemia and acute peripheral circulation insufficiency .
the color of blood in the stool depends on the level of gastrointestinal bleeding sites. Discharge in the upper gastrointestinal bleeding dark red bloody stool was tarry black stools. Lower gastrointestinal bleeding, dark red or bright red bloody stools. However, both can be exceptions. Acute upper gastrointestinal bleeding associated with bowel movements accelerated, it can emit more red blood without dark will. Small intestinal bleeding, such as blood stay in the intestines for a longer time, can be presented tarry black stools; intestinal bleeding, discharge faster when the blood in the stool dark red or even was more bright red loose stools. colon and rectal bleeding, blood stays in the intestines short time, tend to emit a bright red or bright red blood will.

etiology

cause categories

There are many reasons cause bowel bleeding can be broadly divided into the following two categories:
first category
1. intestinal ulcers and inflammation, such as bacterial and amebic dysentery, typhoid fever, ulcerative colitis, etc.;
2. parasitic infections such as hookworm, schistosomiasis, etc.;
3. tumors, such as cancer, colon cancer, intestinal polyps;
4. intestinal blood circulation disorders, such as hemorrhoids, intussusception, intestinal strangulation, etc.;
5. injury, such as anal fissure, equipment inspection, or dry stool abrasions.
second other systems outside of the intestinal disease, can be divided into:
1. blood diseases, such as various types of purpura, leukemia, hemophilia, etc.;
2. acute infectious diseases, such as epidemic hemorrhagic fever, leptospirosis, etc.;
3. vitamin deficiency, such as lack of vitamin c or K;
4. poisoning or drug toxic effects, such as bacterial food poisoning, mercury poisoning. Typically, children with blood in the stool of the main reasons is the rectal polyps or intussusception is more common in young people in the stool hemorrhoids, anal fissure, and colitis, blood in the stool of the elderly accompanied by change in bowel habits, to take into account the possibility of intestinal tumors sex.

lead to blood in the stool of the disease

many anorectal diseases, not just hemorrhoids can cause blood in the stool, and other anorectal diseases, such as anal fissure, rectal polyps, colon polyps, ulcerative colitis and even rectal cancer and will appear in stool. However, each anorectal diseases caused by blood in the stool in the color of blood or other symptoms are different.
First, hemorrhoids: blood in the stool generally occurs in the defecation process and after, showed a drop of blood or jet-like, blood red, blood and stool do not mix. bowel bleeding caused by hemorrhoids, a bowel movement, blood often mixed with the stool, sometimes accompanied by hemorrhoids prolapse, the formation of edema, incarceration pain, severe hemorrhoids patients suffering from hemorrhoids can lead to anemia.
Second, the anal fissure: anal fissure caused by blood in the stool, blood red, drop out or toilet paper wipe the blood, and they have anal violent pains.
Third, the rectum, colon polyps: blood red, painless, blood and stool do not mix. Rectal polyps, polyps in the sigmoid colon caused by fecal bleeding. And after blood or dark red blood stained the outside in the stool, rectal polyps, and occasionally accompanied by polyps prolapse.
Fourth, ulcerative colitis: bleeding mixed with mucus or was pus and blood stools, abdominal pain, fever, then the frequency.
five rectal cancer: blood red or dark red, showing droplets attached to the stool surface; late common blood and pus and associated with the anus and rectum fall, weight loss, stool habits and changes in symptoms. the large intestine caused by malignant, malignant rectal fecal bleeding. Performance for the solution of mucus blood and pus or dark red blood, with advanced malignant swelling of the stool smells.
VI bacillary dysentery: the reasons for the amount of blood in the stool less often mixed with the stool was blood and pus-like or pus and mucus stools, bright red color, stool frequency, tenesmus and left lower quadrant tenderness. and accompanied by abdominal pain, diarrhea and nausea, and vomiting.
seven colorectal polyps: will be in the blood or bowel bleeding, generally will be blood not mixed with the stool, blood attached to the stool surface was bright red. chronic can be mixed with mucus or pus. Sometimes stool thinning was thin strips.

tcm the hematochezia reason

blood in the stool, also known as "bloody stools" and "blood" spilled blood ", characterized by bloody stools or will be under fresh. More common on peptic ulcer bleeding, gastrointestinal polyps, intestinal bleeding, tumors, perianal disease, blood, and some blood diseases, acute infectious drugs, parasites and so on. Here is damaged due to hemorrhoids, anal fissure, anal sinusitis intestinal mucosal injury caused by the blood in the stool, rectal junction. After stool soft and formed or induration, and blood attached to the stool surface, and some first blood, some before and after blood, blood is mostly red, some dark red and turbid. Blood for a long time dripping anal mouth pain worse after a bowel movement.

pediatric stool bleeding

1, blood in the stool blood Department of Disease hemorrhage, neonatal natural bleeding, thrombocytopenic purpura, allergic purpura, aplastic anemia, leukemia, hemophilia, epistaxis (swallowing).
gastrointestinal bleeding caused by blood in the stool, if esophageal varices, peptic ulcer, hemorrhagic colitis, intussusception, hookworm, dysentery, protozoa, dysentery, intestinal tuberculosis, rectal polyps , diverticulitis, hemorrhoids, anal fissure.
3, uremia, hepatic coma, acidosis.

stool is how is it

anal fissure is the most common cause of lead to children with blood in the stool. Children in the blood in the stool at the same time, there are symptoms of pain after a bowel movement. anal fissure in adults are mostly caused due to chronic constipation. Most patients with defecation bleeding, mostly blood, small amount of bleeding, and sometimes will find stained toilet paper, or blood attached to the stool surface. This is mainly caused by feces scrape ulcers of the small blood vessels.
colorectal cancer is caused by one of the stool bleeding is the most common diseases. blood in the stool of early colorectal cancer will show a small amount of blood covering the stool surface.
rectal cancer more common in the elderly, often mixed with pus, mucus, or rancid secretions feces.
Most of the blood in the stool hemorrhoids pain is often intermittent and after the blood.

bowel bleeding classification

1. Site of the lesion classificationGastrointestinal Bleeding:
(1) common in gastritis, gastric and duodenal ulcers, cirrhosis, esophageal and gastric tumors.
(2) gastrointestinal bleeding: common in anal fissure, hemorrhoids, anal fistula, chronic colitis, bacillary dysentery, amoebic dysentery, colon or rectal polyps, tumors.
(3) systemic diseases: common in blood diseases, uremia, typhoid fever, hemorrhagic fever with renal syndrome, leptospirosis, etc..
2. blood in the stool characteristics of classification
(1) bright red, and the stool is not mixed: common in the anal and rectal bleeding.The bright red
(2), and fecal phase mixing: prompt, gastrointestinal bleeding, including inflammation and tumors.
(3) melena: prompt upper gastrointestinal bleeding, including peptic ulcer, cirrhosis, inflammation, and tumor.

bowel bleeding linked to what Branch

Clinical accordance with the naked eye, can be the bleeding is divided into blood, pus and blood, tarry stools are three types of stool.
to anorectal treatment, blood will most blood and pus, followed by tarry stools less. This is because then the blood of patients unless there is blood in the stool, most also both other manifestations of the anus and rectum;
pus and blood in patients is often accompanied by symptoms of tenesmus or anal fall; This is the pus and blood will patients may anorectal treatment, but also to medical treatment reason.
tarry stools patients, tarry stools, rare anorectal or tenesmus symptoms. Therefore, tarry stools in patients with very little to the anorectal outpatients, general medicine or the department of gastroenterology, treatment.

stool bleeding color analysis

one, the blood will be

more for immediate hemorrhage, blood outflow blood vessels, a very short time through the anus with feces, or they directly after the outflow. The outflow of blood looks like a traumatic bleeding, the color red or purple, dark red, slightly longer time can be solidified into a clot.
blood will often in the following diseases:
1, hemorrhoids: Outpatient anorectal most common diseases, hemorrhoids and mixed hemorrhoids can cause bleeding stool, generally stool accompanied by blood or would after the drop of blood. external hemorrhoids generally no stool bleeding.
2, rectal polyps: more common anorectal outpatient disease, typical symptoms of polyps of the rectum low as painless bowel bleeding. Defecation, bleeding, stop after defecation end, the amount varying amounts, the general blood mixed with the stool or polyp location, quantity, also be mixed faeces.
3, rectal prolapse: outpatient anorectal generally visible, typical symptoms of early red tumor outside the anus, defecation, bleeding after a long illness.
4, anal fissure: Performance for anal pain during defecation, and after a period of time. Accompanied by blood in the stool, bleeding for the stool surface side of the attached blood, mixed with the stool in some patients after blood.
In order to determine the above diseases for the reason of the blood in the stool can be through electronic anorectal microscope to confirm the diagnosis. Currently, some hospitals imports HD anorectal mirror, the lesion site to enlarge the number of times, can be effectively found blood in the stool of reasons.

two, the blood and pus feces in both pus and blood, the blood thinner appearance, and sometimes contains a lot of mucus. blood and pus or mucus containing blood they are often seen in the rectum or colon tumors and inflammation. Here are some common diseases:
1, Cancer: anorectal Outpatient common. Typical symptoms of anal discomfort, defecation, feces deformation, blood and pus, redness of the skin fresh or dark red, mucus in the feces, often blood, mucus, feces, and three mixed.
2, colon cancer: anorectal clinic more common. Patients with early onset of defecation habits change, such as increased frequency of defecation, abdominal pain, diarrhea or constipation, stool bleeding gradually with the extension of the course, and more to contain blood, mucous or pus, redness of the skin darker.
3, ulcerative colitis: anorectal Outpatient rare. Typical symptoms of long mucus or pus and blood will be accompanied by a lower left abdominal pain or abdominal pain.

, melena (tarry stools)

refers to the stool black or dark brown, also known as tarry, one of the most common symptoms for upper gastrointestinal bleeding. Mainly upper gastrointestinal bleeding, black stools, often accompanied by vomiting, palpitations, fatigue, anemia, and other signs and symptoms. Less bleeding and slower, longer residence time of blood in the intestines, due to the role of intestinal fluid discharged from the stool is black; if the bleeding is more, a shorter stay time in the intestines, the discharge of blood was dark red; the amount of bleeding, particularly large, bright red and quickly discharged.

diagnostic

doctors diagnosis

stool bleeding, causes, clinical symptoms do the relevant checks, such as stool routine occult blood test, tumor markers, barium meal, endoscopy, colonoscopy, and so on.
blood in the stool accompanied by the following symptoms, prompt diagnosis of significance:
1, with fever should be noted that acute infectious diseases, malignant intestinal malignant, acute hemorrhagic necrotizing enteritis, enteritis and so on.
2, with acute abdominal pain seen in acute cholangitis, diaphragmatic hernia, acute hemorrhagic necrotizing enterocolitis, intussusception, and so on.
3, with skin and mucous membrane bleeding who pay more attention to blood disease, sepsis, leptospirosis, severe hepatitis, uremia.
4, with tenesmus seen in diarrhea, proctitis, rectal malignant and so on.
5, with chronic abdominal pain, bleeding, pain relief those seen in peptic ulcer, pain-free alleviate stomach malignant.
6, blood in the stool less, blood red, and after dropping or injection, suggestive of anorectal diseases. tcm dialectical in

common syndrome

gastrointestinal excess heat: blood stool, and see the lips dry mouth, thirst-hi cold, gum swelling, bad breath, mouth pain, mouth sores, constipation, anal burning, red tongue, yellow coating, pulse a few powerful embolism.
heat exchange steam: the first blood after, blood red, uncomfortable stool, limbs trapped abdominal swelling, poor appetite, mouth pain, scanty dark urine, red tongue, yellow greasy moss, pulse a few moisten.
stomach Deficiency: the first will be blood, or blood will be mixed or pure blood, dark purple color, or just like asphalt, looking minimalist, Shenpi fatigue, abdominal pain, poor appetite, loose stools, cold limbs, pale mouth and thirst, pale tongue, white moss moist, weak pulse.
liver yin deficiency: stool blood, disease, and Chief dizziness dizziness, two zygomatic red red, five upset hot, disturbed sleep soundly at night, gu Zheng, night sweats, dreams, loss of fine, backache limbs tired, emaciation, tongue quality of scarlet, rapid pulse.
hemorrhoids blood in the stool: bright red blood in the stool, anal pain, or swelling of the hemorrhoids, or associated with anal fissure, red tongue, yellow coating, pulse a few strings.

blood in the stool of self-testing

1 Generally speaking, if the stool was tarry or dark red, the bleeding site and more is on


digestive tract. If the redness of the skin is red, is more of the lower digestive tract disease bleeding.
2, hemorrhoids - blood in the stool occurs in the defecation process and after, blood red, not mixed blood and feces, bleeding can be very flexible.
3, anal fissure - caused by blood in the stool is more common in clinical, blood red, dripping or toilet paper to wipe the blood, and after anal severe pains.
4, rectal cancer - blood in the stool caused by bleeding hemorrhoids, the most similar. Blood in the stool, bright red, into droplets attached to the stool surface. Late with the anus and rectum fall and body weight loss, increased stool frequency, and constipation alternating with diarrhea.
5, rectum, colon polyps - cause of blood in the stool, blood red, painless, blood and stool do not mix, some patients with grooved surface of the stool.
6, ulcerative colitis, dysentery - caused by blood in the stool, mostly mixed with mucus or was pus and blood, accompanied by lower abdominal pain, fever, and then the frequency and tenesmus embolism.

differential diagnosis

cause of blood in the stool of a common clinical three kinds the: hemorrhoids, anal fissure, rectal. the characteristics of their respective blood in the stool: hemorrhoids cause blood in the stool
is mostly painless, often intermittent and after hemorrhage. Often trickle blood in the toilet, not mixed with the stool in patients with severe jet spotting, which may scrape mucous membrane caused by too much force during defecation. In general, then the bleeding will stop.
constipation, stool dry and hard, drinking and eating spicy food is the cause bowel bleeding.
anal fissure blood in the stool: in the blood in the stool at the same time, and after pain symptoms. anal fissure in adults are mostly caused due to chronic constipation. Most patients with defecation bleeding, mostly blood, small amount of bleeding, and sometimes will find stained toilet paper by the blood attached to the stool surface. This is mainly caused by feces scrape ulcers of the small blood vessels. In addition to the blood in the stool outside, the patient is accompanied by anal severe pain usually lasts a few minutes later the pain will reduce or brief disappearance, which was called a pain in the interim period, after which patients will Sustained muscle spasm and severe pain, pain, time even last a few hours to ten hours, this pain special process called "anal fissure pain cycle.
cancer : The cause of blood in the stool of colorectal cancer occurs mainly in the middle of the elderly, its main symptoms is mixed with pus, mucosal secretions or rancid feces. Found blood in the stool symptoms to be alert to cancer, to identify causes and take timely treatment to avoid more serious disease.
blood in the stool is only reasons of hemorrhoids?
According to the medical survey suggests that most patients that the blood in the stool is hemorrhoids have not paid much attention at an early stage, often simply get some medicine or simply ignore it, left unchecked, until the cause bleeding increases , pain, quality of life, an emphasis condition to hospital.
can not easily ignore the "blood in the stool
anorectal experts suggest: "blood in the stool is the total symptoms of anorectal disease, one of the blood in the stool is also the performance of the human digestive tract diseases, especially the lower digestive tract malignant tumors, 90% are in order blood early symptoms. weak awareness of people's health and ignore the blood in the stool, cause many diseases, lost the best timing of treatment and cause life-long regret ... "
bleeding hemorrhoids and rectal polyp bleeding
bleeding common characteristics are generally no pain feeling, the difference is, rectal polyp bleeding is more common in children, and hemorrhoids bleeding is rare in children.
final identification through clinical rectal palpation and rectal endoscopy. Such as rectal polyps, rectal examination, can touch the pedunculated tumor in the rectum, or through a proctoscope to see the polyp mass. hemorrhoids bleeding hemorrhoids block of varicose veins in the teeth online, soft stool bleeding and rectal polyp is completely different

diagnosis

1, must ask the age and gender.
2, shall be divided into the blood in the stool traits, way of bleeding the color and amount of bleeding.
3, must ask the blood in the stool occurrence and development process.
4, must be considered associated with symptoms.
5, must be dialectical climate.

how the difference between blood in the stool

blood in the stool is the common symptoms of the diseases of the anus, rectum and colon, they should immediately go to the hospital to identify the cause, diagnosis, once there is blood in the stool phenomenon. The main reasons are: (1) rectal polyps; (2) anal crypt inflammation; (3) internal hemorrhoids; (4) anal canal and rectum malignant; (5) anal fissure. Anal, rectal bleeding or blood in the stool of patients can be initially three to identify: stool color, age, and pain.
1, the color of the stool. If the color is more tarry or black stools, blood from the digestive tract, but the blood, such as Chinese medicine, such as patient feeding, stool may be black; is purple, mixed with mucus and odor, should think of the rectum The possibility of malignancy; if the color red, are mostly from the lower digestive tract, but such a large number of upper gastrointestinal bleeding, and rapid discharge from the anus, while in the intestinal residence time is very short, may also appear dark red blood in the stool.
2, from the age analysis, and more children's blood in the stool from the rectum polyps, which is characterized by absence of pain; blood red, not mixed with stool. intussusception of blood will often bloody mucus stools, was jam-like. Children with paroxysmal severe abdominal pain, abdomen and sometimes palpable intussusception mass-prone children under 2 years. To analyze whether the pain from the anal adult blood in the stool, no pain blood in the stool, we must first take into account the three common diseases of hemorrhoids, rectal malignant rectal polyps. hemorrhoids blood in the stool, blood attached to the dung or after drops of blood, generally does not contain mucus, often constipation, diarrhea and weight loss history. Rectal malignant transformation of blood in the stool, early red or slightly dark, small, alternating history of intermittent, often constipation and defecation increased; late often mixed with the stench of mucus. rectal polyps blood in the stool was bright red, and more common in young adults, sometimes have a family history. The pedicle length and location of low rectal polyps, the anus, is often misdiagnosed as hemorrhoids. Ulcerative colitis, blood in the stool, mucous blood., Often accompanied by lower abdominal and lower left abdominal pain, colonoscopy and the x-ray barium enema can confirm the diagnosis.
3, the blood in the stool merger pain, the most common is anal fissure, which is characterized by: attached to a small amount of blood in the stool surface, stool often accompanied by anal pain after sustainable pain a few minutes, or even In a few hours, anal visual inspection of visible rear has an oval-shaped gap, often associated with a small skin down, said the sentinel hemorrhoid. Strangulated hemorrhoids, inflammation, edema and swelling of the skin of the anal, with persistent severe pain is characterized by blood in the stool less. anal crypt inflammation less bleeding, often accompanied by a small amount of mucus, the patient often feel anal discomfort, followed by a burning sensation or pain, bowel movement after the increase, a few minutes after the disappearance.
blood in the stool is equal to rectal blood in the stool is very terrible? A lot of people on the blood in the stool has a sense of fear, is not blood in the stool is equivalent to rectal cancer , doctors explained that the blood in the stool is a very common gastrointestinal symptoms of the disease, and some people disagree. As everyone knows, blood in the stool is the biggest hidden trouble may be a signal of colorectal cancer. Especially older people, do not be blood in the stool to be taken lightly. But not the blood in the stool is suffering from colorectal cancer, blood in the stool can be found in many other digestive diseases, such as hemorrhoids, anal fissure, colon polyps.common
hemorrhoids blood in the stool is bright red, attached to not mix with feces and fecal surface; also can be expressed as a stool before and after the blood, severe jet-like, multi-constipation . The fissure less blood, most will be a piece of paper found; stool may be associated with anal pain, as well as the patients did not dare stool. polyps of blood in the stool stool into discomfort, normal fecal matter, blood is often attached to the fecal surface. blood in the stool of colorectal cancer performance as persistent, chronic with bloody mucus and feces mix, it means frequently, sometimes only solve some of the blood or mucus without stool.
If the cancer from the anus farther, blood in the stool incidence is lower. rectal cancer about 80% of blood in the stool. Early colorectal cancer to the lack of specific performance, and some patients only manifested as bowel habits change and different levels of blood in the stool, and is often misdiagnosed as hemorrhoids and other. So, if sustained blood in the stool or fecal occult blood test positive for further examination to rule out whether caused by colorectal cancer. In addition, systemic diseases such as leukemia, aplastic anemia, idiopathic thrombocytopenic purpura, hemophilia, blood coagulation disorders, collagen disease, uremia, as well as some rare infectious diseases such as plague, typhus, etc., will blood in the stool. However, in these diseases, the blood in the stool is only part of a systemic bleeding, blood in the stool at the same time, there will be bleeding in other parts of the body, therefore, to identify them is not difficult. a routine examination

stool bleeding

blood in the stool needs to be done to check


stool bleeding, it should not be forced defecation, then you can temporarily stop the bleeding, and should immediately to the doctor to check the bleeding, because of that situation There are several ways:
the case of anal fissure, anal peripheral, so the doctor will direct observation.
peep anal device into the anus to check to see there whether internal/external hemorrhoids organization exposed.
to use the endoscope to examine the entire intestinal tract, you can see whether the presence of colonic malignant polyps. female diagnosis errors

(1) dysplasia, uterine malposition or malformation and other diseases, may result in the wrong by.
(2) the motherland medicine away in the large intestine, blood the wrong line or premenstrual blood in the stool, "" blind through, "said.
(3) spleen can not be unified blood, liver deficiency can not hide the blood, kidney sodium intake have no right, wrong blood in the uterus long.

whether the pain indicates different diseases

the hematochezia whether pain may indicate different disease causing the blood in the stool of a variety of reasons, want the blood in the stool in patients who do not easily believe that the blood in the stool is hemorrhoids; found blood in the stool, must be timely to hospital check the timely treatment to patients disappear.
a pain of bowel bleeding is common in:
1, hemorrhoids. Is characterized by blood in the stool, blood red was dribbling like or jet-like. Bleeding, defecation, or would after hard stool scrape mucous membrane, or too hard due to defecation, increased pressure within the blood vessels, resulting in varicose vein rupture of blood vessels cause bleeding caused by rupture of the bleeding.
2, rectal cancer. Characteristics of blood in the stool is bloody dark, often mixed with mucus attached to stool surface, often accompanied by increased frequency of stool, anal fall flu symptoms. Therefore, the blood in the stool of patients should first rule out cancer.
3, rectal polyps. Rectal polyps, blood in the stool are common in the minors, the blood was placed on the surface of the stool rather than with its mixed. Pedunculated polyps of the rectum during defecation outside the anus. When the polyp in infected ulcers, bloody mucus and tenesmus.
, painful bowel bleeding is common in:
1, anal fissure. anal fissure blood in the stool is characterized by tearing or knife-like pain during defecation, and pain after a bowel movement and often last tens of minutes or several hours. Can be a drop of blood can be a paper towel with blood, the disease is more common to lesbian. anal fissure blood in the stool through the hot water bath to ease. In addition to eat more vegetables and fruits in order to maintain the smooth bowel movements.
2, external hemorrhoids inflammation. external hemorrhoids inflammation of the blood in the stool, and consciously anus mass, pain, rectal bulge, paper towels after a bowel movement, a small amount of blood. conservative treatment of anal fissure sitz bath method, but the best surgical treatment.
3, anal cancer. Patients suffering from anal cancer, can be found anus hard lump may be painless, early and late pain and blood in the stool. The best treatment of anal cancer is surgery.
4, anal abscess or anal foreign body. Around the anus from the pustule rupture or fishbone foreign body stuck in the anus can cause infection, accompanied by pain, blood in the stool. At this point, surgery to relieve symptoms.

color-coded blood in the stool disease

anorectal experts, in addition to the hemorrhoids, we know clinically there are more than ten kinds of anorectal diseases can cause blood in the stool, therefore, we must know the rectal blood in the stool and other different diseases, blood in the stool.
First, rectal blood in the stool:
early rectal cancer, most painless blood in the stool, blood red or bright red, is very similar to the early symptoms of internal hemorrhoids, and thus the two can easily be confused. rectal cancer development to late 22, their blood in the stool dark red, presented with persistent, chronic with mucus bloody stool, and is often mixed with stool with blood and pus mixed with feces bloody mucus, and sometimes accompanied by blood clots and necrotic tissue.
Second, other diseases, blood in the stool:
1, hemorrhoids: internal hemorrhoids most likely to be confused with early rectal cancer, because both painless blood in the stool, but a closer look, both blood in the stool is different. The common hemorrhoids blood in the stool is bright red blood, and not mix with feces, but attached to the fecal surface; can be expressed as a stool before and after the blood was sprayed serious, more constipation.
anal fissure: the blood attached to the stool surface or stained toilet paper, less bleeding, such as bleeding more blood in the intestinal lumen storage, discharge can be black, dark red or blood clots.
3, rectum, colon polyps: blood red, painless, blood and stool do not mix.
4, ulcerative colitis: bleeding mixed with mucus or was pus and blood, abdominal pain, fever, then the frequency.

blood in the stool causes

stool bleeding hemorrhoids is not the only cause
a lot of people think: is the risk of bleeding as long as stool hemorrhoids. In fact, this is a misconception. stool bleeding hemorrhoids is not the only cause, because blood in the stool is not just to hemorrhoids unique symptoms. Blood in the stool, means that the gastrointestinal bleeding, gastrointestinal bleeding is divided into two kinds of high bleeding and low bleeding.
digestive tract high bleeding, such as esophageal variceal bleeding caused by peptic ulcer bleeding, due to remaining in the blood to leave the blood vessels in the intestine of a long time, tarry feces were excreted color black, or brown, were a paste-like, positive fecal occult blood.
gastrointestinal low bleeding, especially in the colon, rectum bleeding, blood red, and bowel movements are closely related. Among them, bleeding hemorrhoids, is characterized by hard bowel movements, blood discharge from the anus, ranging from the amount of, or after using toilet paper with blood, or blood, or were sprayed. anal fissure caused by the blood in the stool, usually less, accompanied by severe pain. Contaminated with blood around the anus rectal polyp bleeding, more common in children defecation. For adults feces blood mixed with mucus and purulent discharge, odor Stink, accompanied by a note tapering symptoms, should be a high degree of attention to whether the carcinoid tumor of the rectum and lower colon exist.
the above discussion of the blood in the stool can be a variety of diseases caused by, not hemorrhoids are unique. In addition, hemorrhoids are not the only blood in the stool symptoms. Generally speaking, hemorrhoids blood in the stool, there will be after they have prolapse outside the anus, the symptoms of anal itching around the flow of mucus, perianal pain and so on. In terms of a specific patient, these symptoms can exist independently, can also be a few symptoms coexist. Should not assume that the stool is suffering from a bleeding hemorrhoids, should be fully taken into account, as soon as possible go to the hospital for treatment, to prevent misdiagnosis, wrong treatment.

treatment

bowel bleeding first aid

First of all, after a bowel movement immediately hips disposal clean.
Secondly, find a clean gauze pad lying to lie in the buttocks.
Third, the bleeding for a long time the hip carried to the high position than the heart, so easy to stop the bleeding, that is prone with a pillow padded waist rest.
Fourth, hemorrhoids and easy bleeding, but also easy to stop the bleeding, lying a short break, the blood stopped flowing.
Finally, after the bleeding stopped as soon as possible to the hospital because it could be bleeding caused by other diseases./h3> Once the blood in the stool.

timely medical treatment, do not take it lightly, you should go to the hospital for treatment, so adversely affected by illness, blood in the stool caused by many reasons, different clinical conditions, treatment is not the same situation with their own treatment.

stool bleeding the life of self-therapy

(1) develop regular bowel habits, stool thin paste is better.
(2) reduce the attitude of the increase in abdominal pressure, as squatting, hold your breath. Avoid sedentary, long-established, long lines and overwork.
(3) eat Xin hot, greasy, coarse, multi-residue foods, avoid alcohol, coffee.
(4) eat more bowel heat and moisture the nutrition mucous membranes, constipation hemostatic effect of the food, such as Health and pear juice, Ouzhi, juice, water chestnuts, reed rhizome juice, celery juice, carrot, white radish (cooked food), bitter gourd, eggplant, cucumber, spinach, day lily flowers, cabbage, egg yolk, apples, figs, bananas, black sesame, walnut meat, jelly and so on.
(5) want to feel cheerful, do not yu Nu flare. Not wide mood, irritability and depression make the mucosa contraction, poor blood.
(6) the impact of sexual intercourse on the blood in the stool is great, it is recommended that blood in the stool in patients with decreased sexual intercourse, intercourse frequency causes the intestinal mucosal congestion. So as to reduce the symptoms of blood in the stool.
pay attention to these aspects of life, it can effectively prevent the occurrence of bleeding stool. the three taboos of

hematochezia treatment

course of treatment for blood in the stool, blood in the stool patients should actively cooperate with medical treatment, to shorten the treatment time. During this period, there are three taboos must pay attention to:
1. avoid alcohol and stimulating things . Alcohol, tobacco or irritant foods can aggravate the intestinal mucosal congestion and edema, so that the blood in the stool symptoms get worse, so the blood in the stool of patients during treatment should avoid alcohol, the Yishi light digestible food.
2. living nursed back to health . blood in the stool of patients should pay attention to rest and avoid strenuous activities. Large amount of blood in the stool who want to stay in bed for eating liquid food or less residue diet, fasting if necessary in order to reduce the stimulation of the digestive tract.
3. hanged promoting blood circulation drugs . blood in the stool in patients with blood circulation drugs should be avoided during treatment, so as to avoid the phenomenon of bleeding. In addition, hypertension, arteriosclerosis, embolism patients perennial taking the blood circulation drugs, when the blood in the stool should suspend the use of blood and anticoagulant, otherwise ineffective treatment.
bowel bleeding will not be hemorrhoids
the stool is one of the main symptoms of hemorrhoids, but one can not see blood in the stool thought it was hemorrhoids bleeding, because of gastrointestinal diseases and systemic diseases can cause blood in the stool, the following kinds of disease are likely to cause the stool: hemorrhoids, anal fissure, polyps, cancer and colorectal cancer, blood in the stool should pay attention to rest and avoid fatigue, eating soft, a small residue, easy to digest, less exciting is appropriate, and cut out alcohol and tobacco and spicy flare material.In general, visible blood in the stool is more suggestive of the digestive tract (especially colon and rectal) bleeding. The site of bleeding from the anus is more close to the color more red.Varying amounts of bleeding can be the number of milliliters to hundreds of milliliters. Recurrent bleeding can lead to severe anemia.Common diseases: hemorrhoids, anal fissure bleeding. Jet like outflow or will after the bleeding hemorrhoids blood in the stool in the bowel; anal fissure blood in the stool less anal pain than drama. bleeding rectal polyps, then the blood, the blood attached to the stool surface, the fine was sometimes stool strip or pressure trace. Dysentery, blood in the stool was blood and pus, then the second, with lower left abdominal pain.Upper gastrointestinal bleeding did not vomit, blood in the intestine longer residence time, the hemoglobin in the blood and intestines sulfide ferrous sulfide, ferrous sulfide to make the stool black and shiny, tar-like. Tarry stools, indicating that the bleeding has reached more than 60 ml. But pay attention to certain foods, drugs can make the stool black, and fecal occult blood test can be identified.All diseases that cause gastrointestinal bleeding can occur occult blood, the common ulcer and gastric cancer.Quiet in bed, reduced activity, observe the amount of bleeding, the proper use of the hemostatic, syncope, shock and promptly sent to hospital.[Cause]

boil is caused by what the?

infection and skin dirty, scratches, high ambient temperature or lower the body resistance to infection-related. Boils can occur in any follicles of the skin area, often to the head, face, neck, armpits and buttocks so often by the friction of the parts is more common.

(a) causes

boil the pathogenic bacteria Staphylococcus aureus based, Streptococcus, Staphylococcus epidermidis, are also caused by the disease. Local and systemic skin's resistance to infection is reduced mainly due to Benbingfasheng, so infants, malnutrition, diabetes is a good risk of this disease. Dirty skin, skin abrasions, high ambient temperatures often lead to local infection such as the direct cause.

(B) the pathogenesis

bacteria invade the hair follicle and their sebaceous glands and sweat glands, in hair follicles and surrounding tissue multiply rapidly, producing toxins, causing local tissue degeneration, necrosis, and the center of the formation of boils, the performance of local congestion, exudation, induration. Aggregation of neutrophils to the damaged body tissue cells and bacteria to be destroyed, and he gradually necrosis and dissolution, the formation of abscesses in the dermis. Due to Staphylococcus aureus, coagulase contain toxins, so the formation of pus bolt, protruding outward. Swelling and induration clinically visible in the center of a yellow-white pus plug. This is Staphylococcus aureus infected lesion characteristics. Ulceration after discharge pus, abscess gradually by the new fibrous tissue repair and healing.

[Sign]

boil the early symptoms?

1. redness, swelling, heat, pain summary, cylindrical cone.

2. inflammation to the development of nodules increases, the pain intensified.

3. A few days later nodules central necrosis, abscess formation, dissolution, soft induration, pain relief, the central pus head most of the self-rupture, discharge pus, inflammation subsided recovery.

4. furuncle usually no obvious symptoms, but if the blood flow occurred in the rich parts of the body resistance weakened, it can cause discomfort, chills, fever, headache and loss of appetite and other symptoms of toxemia.

5. Facial Boil such as intracranial infection, facial swelling and severe, may be associated with chills, fever, headache, sinus infections and other embolization.

boil because of location, severity of different clinical manifestations may vary.

local swelling and pain sclerosis: no systemic symptoms of early disease and more, only infection redness, swelling, pain, range of not more than 2cm in diameter, small nodules gradually enlarged, as papules bulge. A few days later lesions extended about 3 ~ 5cm, nodules gradually softened, the center was white, a slight touch of the fluctuations; then ulceration pus, and the emergence of yellow-white pus plug. Pus bolt off, pus shed, the inflammation subsides and healing. There is no pus boil bolt (the so-called headless boil), since the collapse a bit late, need to find ways to promote its pus discharge (Figure 2 ).

fever, swollen lymph nodes: furuncle serious infection, the local area of ​​the lymph nodes, tenderness, and may be associated with body heat, and sometimes lymph node abscess formation.

nose, upper lip and around (called "dangerous triangle") of the surface boil, add or pushed in touch, the bacteria via the angular vein, ophthalmic vein into the brain, causing intracranial suppurative infection. At this point may have fever, headache, vomiting, consciousness disorders.

early follicular redness, swelling, heat, pain, induration. After the white purulent center, there is volatility. May be associated with systemic fever, elevated white blood cell count and differential count.

[Aftertreat]

boil ate?

therapeutic side:

1. composed of: a single head of garlic, honey, 9 grams. Usage: pound evenly wrap the affected area.

2. consists of: single head of garlic amount. Usage: Peel and slice into 2 to 3 mm, with the first affected area with warm salt water when dry wash, and then sticking garlic, and gently massage the 10 to 20 minutes, 2 or 3 times a day, 2 3 There is no more. Indications: Boil, folliculitis. Note: In severe cases, such as local irritation may reduce the massage time, a serious condition should be added to serve anti-inflammatory drugs.

3 . composed of: tea 2 grams of dried honeysuckle 1 gram. Usage: boiling water 6 minutes after each meal drink in a cup. Indications: Boil, exogenous heat.

4. composed of: fresh Malan first 100 grams, the amount of liquor. Usage: Add a little salt before blindly smashed wine Ban Cheng paste, coating the surface of the skin furuncle carbuncle. Indications: furuncle, carbuncle.

5. Composition: rosin 10 grams of white wine. Usage: rosin research to fine tune white wine into a paste, resisting heat, wrap the affected area after dissolution, for the degree of responsibility to cover all of the above and then covered with wax paper and tape securely, to enhance efficacy, can drop a few drops of wine, rosin to keep moist. Indications: furuncle, carbuncle, folliculitis.

6. smashed topical papaya leaves, swollen boil carbuncle treatment drug.

7. fresh peach leaf, plug smashed the lesion, treatment of nasal furuncle.

8. rhizome or fresh banana leaves smashed Jiao Zhi, coating the surface of the skin, cure carbuncles, boils, swelling.

9. almond powder with sesame oil paint, heat treatment boil.

10. Purple cane coal deposit of the skin, powder, paint the affected area or sesame oil dressing, boil carbuncle treatment, stomatitis , eczema.

11. raw taro add a little salt, smashed drunk wrap the affected area twice a day replacement, bones can cure pain, swelling of unknown drugs, pediatric head hot boil, finger boil.

12. raw loofah (or leaf), smashed juice, coated surface of the skin, soak sore treatment days, yellow water sores, heat boils, urticaria .

13. mung bean sugar kelp: seaweed 60 grams, shredded, green beans, 150 grams, with the soup, add brown sugar to taste food. There Sedative, diuretic, soft-kin, Phlegm, scattered gall tumor effect. For hypertension, beriberi edema, neck lymphadenopathy, simple goiter, prickly heat boils hot summer day in children poison, phlegm cough embolism.

14. yi melon soup: melon (not peeled) 500-600 g, yi 50-100 grams of soup. Can be flavored with sugar or salt, on behalf of the tea used, heat, hot weather, diuretic, dehumidification effect. Drugs for Rush boils, eczema athlete's foot, yellow urine deficient.

15. Daozhi raw turnip, vinegar and rub the affected area transfer, heat treatment boil.

16. green beans 30 grams of powder, each 10 grams, water delivery service, boils cure breast swelling and pain.

17. failure to adopt the open rose 3 - 5 朵 wash, add water, two pregnant, suffering from a cup of low heat, ice sugar 30 grams, made of rose soup, until the temperature dose, to cure blood stasis amenorrhea, boils Chung pain, traumatic swelling and pain.

18. boils and pus ulceration of the skin sore or eczema, rinse with water, tea, allow the wound clean and promote healing.

19. a white sweet potato, peeled and chopped, smashed, can also be added with the same amount of fresh Houttuynia smashed, spreads in the affected area, apply to the local heating that line replace (about two three hours long), and even apply a few days more, boils cure mastitis.

20. soybeans amount, turn on the water immersed soft, add a little alum were smashed drunk, external surface of the skin, swollen boils boil treatment.

21. adzuki beans with water until soft, mash with water or vinegar, or honey or egg amount, into a paste, external surface of the skin, cure mumps, hot boil.

22. Kapok 30 - 50 grams of sugar amount, fry a bowl with water and drink two bowls and a half. Favorable moisture, heat effect. For enteritis, urethritis, eczema, summer boil embolism.

23. fresh buckwheat leaves 60 grams, Shuijianbi day one; or fried yellow noodles with the vinegar into a paste, applied to the lesion, sooner or later be replaced. Governance sore, swollen boils, erysipelas, mastitis, and swelling of unknown drugs.

appropriate patients to eat what?

1, edible grapes plus zinc salt or zinc, other foods such as soy, sunflower seeds, wheat bran, yeast, brown sugar and so on.

2, Yi Shi taste light, the cold food, such as Malan head, purslane, melon, red and white radish, bitter gourd, sponge gourd, mung bean, red bean, lily, chrysanthemum brain and celery.

patients unfit to eat what?

not eat ginger, pepper and other spicy foods , as well as mustard, yellow croaker, shrimp, crab, chicken head, goose, Zhu Tourou so fat objects.

should avoid fried foods and meat, edible oil cans.

data only refer to the specific, please ask a doctor.

[Prevent]

how to prevent boils?

boil is born of acute suppurative superficial skin disorders, widely available health, children, young people more common. "Surgical management case" that: "boil persons, birth processes, floating red rootless feet, swollen found in the skin, only the width of an inch, there is less pain, a few days later Microsoft, thin peel, the beginning of the blue water, the latter from breaking the pus out of. "The disease occurs in the summer and autumn, protruding roots shallow, swelling potential limitations, lift the red pain, mostly in the range of about 3cm, easily swollen, easy to collapse, Yi Lian. Early can be divided into a head, without the first two kinds of general light and easy to cure the symptoms, so the saying goes, "no boil the size of a pus like." ;;; ;;;;; ;;;;; ;;;;; But also due to the formation of improper treatment or care "mole cricket boils," or repeated seizures, lack of disunion. Multiple furunculosis ", is difficult to cure.

[Treat]

boil precautions before treatment?

attention to the skin clean, timely replacement of underwear and avoid skin injuries, especially in the summer, to bathe, wash your hair, hair, changing clothes, nails, children in particular should pay attention. With honeysuckle and wild chrysanthemum Jiantang tea. Boil the surrounding skin should be kept clean and coated with 70% alcohol to prevent infection spread to nearby hair follicles.

boil Chinese medicine treatment methods

total boil caused by the toxic heat treatment to detoxify the basic principles.

A Differential Treatment:

1. Heat toxin Accumulation card: lesion processes, such as cone, burning pain, or fever, thirst, tongue pink, yellow fur, rapid pulse. Detoxification. Flavors disinfection decoction.

2. Shushi heat Melancholia: seen in summer and autumn, the affected area, such as agglomeration cone, single or multiple, burning pain, chest tightness, anorexia, deficient urination, red tongue, greasy or yellowish, veins slippery. Qingshu dampness, detoxification swelling. Qingshu Decoction.

3. Is virtual evil love cards: distributed in the body, local color dark red, pus scarce, one after another, delayed healing, with fever, irritability, thirst, or fatigue, limb soft, red tongue thin yellow, rapid pulse. Righting detoxification. Liu Wei Di Huang Decoction.

Second, external treatment and other treatment:

1. The beginning of detoxification should be swelling, moderate to henbane, water reconcile, wrap the affected area. Or wishful golden powder for external application. Or green cream Waicha.

2. Pus, the clip bolt out the pus.

3. Unhealed after the collapse, sores can be a little ninety-one Dan to drugs or drug line twist into sores, topical berberine gauze.

4. Oral Meihuadianshe Dan, Niuhuangjiedu, Fang Feng Tong Sheng Wan, Liushen other medicine.

5. Unilateral prescription: Silver Flower 30g, licorice 10g, decoction, on behalf of the tea.

Western boil treatment

1. Local treatment, such as heat, physical therapy, 10% ichthyol coated ointment. Facial Boil should rest in bed should not squeeze or prick Boil, so as not to spread to the brain.

2. Swelling or have a large range of obvious symptoms, should give systemic antibiotics (third-generation cephalosporin antibiotics).

3. The formation of abscess, incision and drainage should be timely but should be avoided Boil the face cut.

(a) treatment

1. The principles of early treatment to promote inflammation subsided, after early drain purulent pus; timely elimination of systemic adverse reactions.

2. Local treatment

(1) Physical therapy: early, ultraviolet micro-irradiation, can promote local anti-inflammatory, to prevent proliferation. Swelling stage, the selection of FM, infrared and other heat, promote Boil liquid. 2 to 3 times / d, 20 ~ 30min / times.

(2) Drug eraser: 0.5% povidone-iodine scrub, the drug not only for skin irritation, and the role of long-lasting, no pigmentation. Can also be used erythromycin, tetracycline ointment.

(3) topical cream: local swelling and a small pustules, use ichthyol, wishful golden powder, Gyokuro powder and so on.

(4) incision and drainage: Boil into pus, nodules soften, a sense of volatility, you can make a small incision drainage or fire needle drainage. Taboo squeeze purulent lesions.

(5) to keep local clean and dry: adhere to local skin cleaning, daily showers are the best conditions. Young children with skin, topical lip after taking a bath in summer, to avoid the formation of multiple Boil.

3. Systemic treatment usually does not require systemic treatment of boils. But facial boils or accompanied by chills, fever, headache, general malaise, etc., should be given antibiotics. Clinical observations and experimental results show that the efficacy of penicillin, cephalothin, cefazolin and amikacin better effect.

(B) the prognosis

generally good prognosis after active treatment, without sequelae.

[Examine]

boil should be how?

1. Peripheral blood

(1) white blood cell count: fever, elevated WBC count may have.

(2) white blood cell count: white blood cell count was elevated often accompanied by increased neutrophils .

2. diabetes check

(1) fasting plasma glucose measurement: two fasting blood glucose were increased, should consider the possibility of diabetes.

(2) glycated serum protein: This clinical trial is not the impact of fluctuations in blood glucose higher than normal to help the diagnosis of diabetes.

(3) glycosylated hemoglobin: glycosylated hemoglobin and blood glucose were positively correlated, and the irreversible reaction. Diabetes is often higher than the normal 2 to 3 times.

3. bacteriologic

(1) bacterial culture: the multiple, repeated infections, abscesses can be extracted directly pus for bacterial culture, positive results will help the diagnosis of pathogens.

(2) drug susceptibility testing: bacterial culture in the pus, while line drug susceptibility testing can provide the scientific basis of clinical drug treatment.

[Diff]

boil diseases easily confused?

1. Multiple sweat gland abscesses are summer disease, more common in infants and young children and frail mother's head, forehead, etc .. Lesions of multiple subcutaneous abscesses. Surface tenderness, inflammation lighter. No pus bolt, left scars. Usually accompanied by a lot of prickly heat. Generally known as prickly heat poison. It was also known as pseudo furunculosis (Pseudofurunculosis).

2. Hidradenitis suppurativa common in young women, lesions of the skin induration. Subcutaneous abscess formation, followed by skin redness, swelling, heat, pain, ulceration scarring. Lesions occur in the armpits, groin, genital and perianal, umbilical, etc.

3. acne acne mild infection, red, swollen, painful, but the disease is small, the top a little bit like creamy.

4. sebaceous cysts sebaceous cyst infection are redness, swelling, pain, but the previous round has been painless mass over an extended period , the epidermis as usual.

5. carbuncle carbuncle with redness, swelling, pain, but there are several hair follicle infection, lesions larger than the boil.

[Disease]

hump-related diseases

juvenile osteochondrosis of vertebral osteoporosis youth sexual hump sore scoliosis ankylosing spondylitis vitamin D deficiency disease

more back symptoms

small blisters appear back back pain back spasms, back pain does not have subtle linen spine back pain sinus pain Road with sensory ataxia spinal nerve root damage spinal cord hemisection syndrome, spinal cord lesions of hemorrhagic infiltration of the spinal cord injury spinal cord infarction, cauda equina involvement across the spinal cord within the spinal cord gliosis in the spinal cord anterior horn of the spinal cord lesion cavity formed spinal thalamic tract compression


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