What patients need to be aware of when visiting the clinic

Anal diseases such as hemorrhoids, anal fistula and anal fissure are diseases with high incidence, and the incidence of rectal cancer has also increased significantly in recent years. Therefore, timely and correct diagnosis and treatment of anorectal diseases is especially important. The following are some of the matters that need to be noted when patients visit the hospital, which I hope will help you: Wu Bin, Department of Surgery, Huangpu District Hospital, Guangzhou, China 1, clothing: because most anorectal patients have to undergo anorectal local examination, so do not wear more difficult to take off clothing (including shapewear underwear). It is best to wear shoes without laces, and it is best for women not to wear boots that are particularly difficult to take off. 2, makeup: do not wear heavy makeup, it is best to be plain. This will help the doctor to observe the patient’s face and lip color (for example: some patients with long-term blood in the stool can lead to anemia, which can be initially diagnosed by looking at the patient). Try not to wear jewelry, especially bracelets, watches and other wrist ornaments, so as not to hinder the doctor’s pulse. 3.Eating: Come to the clinic in the morning, and you can have an empty stomach in the morning. This way, if you need to do blood biochemistry, abdominal ultrasound and other tests will not need to come back to the hospital. (Colonoscopy, electromyography, anorectal pressure measurement and other tests before most need to draw blood except hepatitis B, AIDS and other infectious diseases). Even if you come to the clinic after eating, you should choose food with low pigment content to eat so as not to stain the tongue and affect the doctor’s observation of the tongue. Some patients have the habit of scraping the tongue, please do not scrape the tongue by yourself before the consultation, so as not to affect the doctor’s diagnosis and treatment. Some patients have a bad taste in their mouth and are used to chewing gum before consultation. In fact, in addition to listening to the patient’s condition, sniffing also means smelling. Some patients with constipation may have bad breath, which is one of the bases used by the doctor for diagnosis and treatment. In short, please let the doctor see the real patient, do not be embarrassed to cover up the truth of the condition. 4, defecation: anorectal disease patients to visit the doctor, the doctor has to conduct anal finger diagnosis and anoscopy, so please try to empty the stool to visit the doctor. Otherwise, only the feces in the intestinal cavity can be touched during the finger diagnosis, which will affect the diagnosis. If you visit the doctor because of blood or mucus in the stool or diarrhea, you can keep a stool specimen at home and bring it to the hospital for laboratory tests. Or ask the doctor to issue a laboratory test first, then go to the toilet to keep the stool specimen, and then come to the clinic for examination after the elimination. 5, answer the doctor’s questions: the doctor will ask some questions during the consultation, to initially analyze the patient’s disease, such as: how do you feel uncomfortable / how bad? Do not answer the self-perceived disease, such as: I have hemorrhoids / I am colitis, unless it has been diagnosed. Do say your symptoms, such as: blood in the stool, anal pain, anal swelling prolapsing during defecation, perianal itching, skin around the anus, etc. Let the doctor determine your disease. If you have a past history of similar disease, you can explain it after the doctor asks, e.g., you had hemorrhoid surgery ten years ago/colitis three years ago, etc. When the doctor asks about the duration of the disease, please state the exact time period, such as: three days, six months, five years, twenty years. Do not say: a long time / not much time / just now / some days, etc. ambiguous time. When the doctor asks about bowel movements, please state carefully the bowel habits, whether they are once a day or several times a day, and whether they have changed recently. When the doctor asks about past history, please tell him/her about past surgeries and whether you have any medical problems such as thyroid disease, gynecological disease, diabetes, etc. These diseases can sometimes affect bowel movements. These diseases can sometimes have an effect on bowel movements. 6.Specialized examination: When performing anal finger diagnosis and anoscopy, patients will feel some discomfort, first of all, relax, which can reduce the discomfort caused by the examination. If you really feel severe pain, you can explain to the doctor, do not suddenly dodge during the examination, which is more likely to increase discomfort, and the doctor is not easy to check clearly. In the colonoscopy because of the injection of gas into the intestinal cavity, there will be abdominal distension and discomfort, if you can not tolerate it must be said to the doctor, do not just put up with it, after the completion of the examination can go to the toilet to discharge the gas in the intestinal cavity, can be faster to relieve discomfort. 7, the last is to listen to the doctor’s advice: many patients because of fear or shyness and reluctance to check the delayed condition. Although the anorectal examination has some discomfort, but most patients can tolerate. If you don’t want to be examined by a doctor of the opposite sex, you can ask which day a doctor of the same sex will be available before you see him. It would be a shame to delay the treatment because of fear or shyness.