A. The anus is an important organ of the human body
When it comes to the anus in life, people often find it difficult to talk about it, but it is a very important part of the human body function, in Chinese medicine, the anus is also known as “prana door”, for the five organs to make. In Chinese medicine, the anus is also known as the “prana gate”, which is a very important part of the human body. The anus has the function of controlling intestinal contents and defecation. This is because the anus has very good sensory control ability, and the closed anus has the function of resisting bacteria and foreign bodies from outside the body to enter the body. The skin of the anus contains a large number of lymphocytes, and its self-cleaning ability and diastolic ability are incomparable to the skin of other parts of the body. In addition, the structure of the muscles and blood vessels near the anus, that is, the pelvic floor, is very clever, and the coordination between them plays a very good role in fixing the abdominal organs of the human body, without the anus or poor function of the anus will bring a lot of inconvenience to people’s lives.
Second, anal diseases and defecation are closely related, and even mutual cause and effect.
1, first let’s take constipation as an example and talk about the relationship between constipation and anal diseases.
Constipation is both one of the causes and sequelae of anal fissures. The dry and hard stool discharged during prolonged constipation may tear the anal flap and hypertrophic anal papillae, or damage the anal sinus, forming anal fissures. Once the anal fissure occurs, the pain is unbearable when defecating, which in turn will produce a “fear of psychology”, rather than tolerate not to defecate, rather than to experience the pain of defecation. As a result, the water in the stool is reabsorbed by the large intestine and the stool becomes dry and hard, causing more pain when you defecate again. After that, because of the pain more afraid of stool …… in the long run, forming a vicious circle, and affect the healing of anal fissure, and aggravate the disease.
2, in addition, defecation time is too long in our lives often occur, it will lead us to what anal problems?
The actual fact is that you can find a lot of people who have been in the business for a long time. When the prolapsed hemorrhoid is not sent back in time after defecation, it may often be accompanied by internal hemorrhoid impaction and make the anal edge red, swollen and painful and affect normal defecation.
3, for middle-aged and elderly female patients, rectal protrusion is another important disease that we have to mention.
The disease of anterior rectal protrusion, as the name suggests, is the front wall of the rectum protruding forward toward the vagina, so that the front wall of the rectum forms a depression when defecating. When the stool is pushed into the depression of the front wall of the rectum during defecation, the stool runs in the direction of the vagina instead of the anus after exerting force, and as a result, it is difficult to get the stool out of the anus even after using a lot of force. It is one of the “exit obstruction type constipation”, which belongs to the category of “constipation” and “difficult stool” in Chinese medicine, and is most common in married women with many children. The cause of the disease is unclear, and the lesion is mainly related to local anatomical abnormalities of the rectovagina. The main manifestations are.
(1) Difficulty in defecation, unlike constipation with dry stools, women with anterior rectal protrusion may have difficulty in defecation regardless of the nature of the stool, even if it is a formed soft stool, and in severe cases, they need to use hand assistance to defecate.
(2) There is a sensation of falling in the rectum, a feeling of incomplete emptying of the stool, and the frequency of stools may increase.
(3) Other patients have blood in the stool, anal pain, urinary incontinence, and painful sexual intercourse. The repeated struggle to defecate after suffering from rectal protrusion will further deepen the depression of the rectal protrusion, making the disease more and more serious and causing greater pain to the patients.
The first task to prevent anal diseases is to regulate the bowels. If you have a normal bowel movement, many anal diseases will not be easy to find you.
Third, so how do we regulate good bowel movements?
1, first of all, you should develop a good habit of regular bowel movements.
The physiological requirements of defecation time is to wake up in the morning or after breakfast, the previous day’s dinner by the stomach and intestinal tube digestion, absorption, the formation of feces has been residing in the sigmoid colon. Getting up in the morning produces the “rise reflex”, which increases the peristaltic wave of the colon and increases the intracolonic pressure, resulting in the defecation reflex. Breakfast fills the stomach and produces the “gastrocolic reflex”, and when large peristaltic movements occur in the colon, the internal pressure in the colon increases and the defecation reflex is produced. Therefore, the morning and after breakfast defecation, can increase the abdominal pressure, so that the smooth discharge of feces, so to develop good defecation habits.
2, weekdays should pay attention to the prevention of constipation, avoid squatting too long.
Overcome the bad habit of squatting for a long time to read books, cell phones, newspapers or smoking (smoking in the toilet can buffer the brain’s defecation reflexes easily cause constipation).
3, healthy diet to help create “good stool”.
Eat more fiber-rich foods every day, such as fresh fruits and vegetables, coarse grains, etc.. You can eat honey, black sesame and other foods with moistening effect in moderation; drink more water, non-combined diabetic patients can drink 1 cup of honey water (250ml or so) every morning on an empty stomach. Patients with anal diseases should especially avoid alcohol and spicy foods.
4. Warm water sitz bath.
You can soak your buttocks in warm water for about 15 minutes every day to help promote blood circulation to the affected area. If you have anal pain and discomfort, you can also use pepper water fumigation, sit in the anal bath, the effect is more.
5, anal health exercises.
For older frail, anal sphincter function decline, I came today to share with you an anal health care exercise. The specific practice is to forcefully lift and contract the anus, keep on mentioning the contraction state to their limits, and then slowly and slowly relax the anus, so that a collection of a release is a time. It is recommended that each group do 20-30 times the collection and release action, do 3 groups per day. The point is to lift the contraction quickly and forcefully, and slowly when relaxing. This health exercise is very simple, in various situations can be carried out, such as waiting for the car, sitting in the car, cooking, watching TV and so on, we can frankly operate. Don’t underestimate this simple action, this anal health exercise can strengthen the anal contraction, but also to prevent a variety of anal diseases, but also help defecation. It’s a triple whammy!
6, timely medical treatment, active treatment.
The clinical manifestations of various bowel abnormalities vary, and there are many causative factors. To the most common constipation, for example, whether Chinese medicine or Western medicine on the typology of constipation classification are relatively complex, and different typology classification of treatment principles and methods vary greatly, these determine the importance of clinical typology diagnosis of constipation, only the diagnosis of constipation patients to achieve accurate and detailed, it is possible to choose the appropriate treatment plan.
Modern medicine has some examination means in clarifying the causes of constipation: such as rectal palpation, anoscopy, proctoscopy, electronic colonoscopy, colon transfer test, fecography, barium enema angiography, anorectal manometry, balloon forcing out test and other examinations, and special examinations such as pelvic electromyography or pelvic multiplex angiography can be performed when necessary. Targeted examinations can help clarify the cause of constipation so that the cause can be treated.
Traditional medicine also advocates evidence-based treatment in the treatment of constipation. According to the different types of constipation, the corresponding treatment methods are used. For example, Chinese herbal medicine, acupuncture, auricular acupressure, abdominal massage, qigong guidance, etc., all have different degrees of efficacy in the treatment of constipation.
And the use of drug therapy, whether Chinese medicine or Western medicine, should pay attention to.
(1) avoid single species of drugs for a long time, should be intermittent medication, according to the body condition appropriate changes in the type of medication.
(2) Pay attention to the careful use or avoid the prolonged use of irritating laxatives containing phenolphthalein and anthraquinones, such as laxatives containing rhubarb. Animal experiments have shown that long-term use of such drugs may lead to irreversible intestinal nerve damage, and aggravate constipation.
Most patients can be improved by changing lifestyle habits and conservative medication, and surgery is a last resort when conservative treatment is ineffective. Long-term severe constipation, after conservative treatment is ineffective, can be selected for surgery as appropriate and targeted. In the case of abnormal defecation caused by rectal protrusion, for example, the principle of surgery is to repair the weak perineal area and change the defect of the rectum during defecation. After surgery, we should continue to eat high-fiber foods, drink more water, and have regular bowel movements to avoid recurrence of constipation and aggravation of rectal protrusion. In addition both hemorrhoids and anal fissures with severe symptoms associated with abnormal defecation may also be treated surgically.