1.Hello, Director Li, what are the treatment features or advantages of our department?
The Department of Anorectology of Qingdao Hai Ci Medical Group is the director of the Chinese National Society of Anorectology, the director of the Chinese Society of Traditional Chinese Medicine Surgery and the editorial board member of the Chinese Journal of Anorectal Diseases. It is the earliest tertiary level A hospital in the city to set up anorectal department. Over the past decades, it has accumulated rich clinical experience and the professional technical team has been growing. The Department of Proctology has accumulated a large number of excellent senior professional and technical talents and formed a complete professional and technical echelon. There are 3 senior personnel and 6 intermediate personnel; 7 master students. There are 40 open beds, and it is a specialty of Chinese medicine and anorectal in Qingdao.
It treats hemorrhoids, perianal abscess, anal fistula, anal fissure, anal sinusitis, rectal polyp, anal papillary fibroma, anal eczema, anal pruritus, constipation, colitis, ulcerative colitis, colonic polyposis and other anal and intestinal diseases by combining traditional Chinese medicine, nitrous alum powder, Huanglian cream external sitz bath, enema, drug injection, ligation, surgery and other treatment methods, gathering the essence of domestic famous doctors of anal and intestinal diseases to provide patients with We provide patients with personalized, rationalized and standardized medical services.
The department is characterized by humanized service according to the specific situation of patients, and the individual treatment plan is formulated for each patient to achieve short treatment course, good efficacy, little pain and low charges as much as possible. Our department has the following features.
“Wide range of diseases treated
①Common anal diseases such as internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, anal fissure, perianal abscess, anal fistula, sinusitis, prolapse, etc.
②Chinese and Western medicine combination treatment for functional constipation, irritable bowel syndrome, etc.
③Chinese and Western medicine combined treatment of inflammatory diseases of the large intestine such as chronic colitis, ulcerative colitis, Crohn’s disease, etc.
④Colon tumor diseases such as colorectal cancer, radical rectal cancer, colorectal polyps, etc.
Anal preservation surgery for low rectal cancer is the key outstanding feature of our hospital. Nearly 2000 cases of successful experience have been accumulated. Satisfactory results have been achieved.
⑤ Other difficult anorectal diseases such as anal eczema, acromegaly, rectovaginal fistula, sacrococcygeal sinus tract, etc.
“Complete examination methods” ①Electron colonoscopy. ②Anal kinetic examination. ③Anal electromyography. ④Barium enema, defecography, colon transport test. (⑤) Spiral CT. (⑥) Rectal endoluminal ultrasound.
“Obvious features of traditional Chinese medicine” We use traditional Chinese medicine to treat a variety of anorectal diseases such as ① fumigation therapy; ② withered hemorrhoid therapy; ③ hanging wire therapy; ④ ear bean therapy; ⑤ buried wire therapy; ⑥ ligation therapy; ⑦ dressing therapy; ⑧ picking therapy; ⑨ sitting medicine therapy; ⑩ acupuncture therapy.
“Advanced treatment technology” adopts a combination of Chinese and Western medicine, and scientifically uses modern advanced technology to treat anorectal diseases by minimally invasive methods such as ① “PPH” treatment; ② high-frequency electric treatment; ③ ligature beam treatment; ④ copper ion treatment; ⑤ biofeedback treatment; ⑥ microwave treatment.
2.As the saying goes, “nine out of ten hemorrhoids”, how can we improve the cure rate and prevent recurrence of such a common and recurring condition as hemorrhoids?
If the hemorrhoids are mild, you can treat them conservatively for the time being, pay attention to good habits, prevent constipation, and use a little suppository and hemorrhoid cream or other medication.
If the hemorrhoid is more serious, such as serious blood in the stool, prolapse, pain, etc., has affected the normal work and life, you must go to a regular hospital for diagnosis and treatment
(1) Classification of hemorrhoids
Internal hemorrhoids: displacement of the anal cushion and pathological hypertrophy. This includes dilation of the vascular plexus, loosening of the fibrous support structure
(1) Classification of internal hemorrhoids
External hemorrhoids: Vascular external hemorrhoids, which are soft masses of dilated perianal subcutaneous vascular plexus.
Mixed hemorrhoids: Internal hemorrhoids and external hemorrhoids in the corresponding area are fused.
(2) The classification of internal hemorrhoids and… Clinical manifestations.
I degree: blood in the stool, dripping blood or jet bleeding, no internal hemorrhoid prolapse, bleeding can stop on its own after the stool.
Ⅱ degree: blood, dripping or spraying bleeding in the stool, with internal hemorrhoids prolapsing, can be returned after the stool.
Grade III: Blood in the stool with prolapsed internal hemorrhoid or prolapsed internal hemorrhoid when standing for a long time, coughing, exertion, or weight-bearing.
Ⅳ degree: internal hemorrhoid is prolapsed and cannot be retracted, and the internal hemorrhoid can be accompanied by strangulation and impaction.
Treatment of hemorrhoids.
The Ministry of Health, the State Administration of Traditional Chinese Medicine has established norms for the treatment of hemorrhoids. Standard treatment, do not believe in advertisements or prescriptions, etc., and do not believe in untrue advertisements such as minimally invasive and painless.
Treatment principles: asymptomatic hemorrhoids do not require treatment. The purpose of treatment is to eliminate the symptoms. The specialist in the regular hospital will use different treatment methods according to the patient’s condition.
(i) Conservative treatment
1, general treatment: improve the diet structure, eat more coarse fiber vegetables and fruits, less spicy and stimulating food; keep the bowels open and pay attention to the cleanliness around the anus.
2.Medication: Mild internal hemorrhoids should be treated with medication, including suppositories, creams and oral medication.
(II) Surgical treatment
Clinically, the improvement of postoperative symptoms and the protection of anal function are important criteria for evaluating the effectiveness of surgery.
The commonly used methods are.
1.Sclerotherapy: stimulate the adhesions between the mucosa and muscle layer to restore the normal anatomy and physiological functions of the anal canal. The method is painless, minimally invasive and quick recovery.
2.Apparatus treatment (adhesive ring ligation therapy, Chinese medicine wire ligation, physical therapy, copper ion electrochemical method, etc.). This method is simple, minimally invasive, and suitable for the treatment of first, second and third stage internal, external and mixed hemorrhoids.
3.Various kinds of hemorrhoidectomy: It is a common traditional surgery, and its method is to remove the nucleus of hemorrhoid completely or partially. The method is relatively thorough but the operation is complicated and prone to complications
4.New method In 1998, Italian scholar Longo used transanal anastomosis hemorrhoidectomy (PPH) to treat prolapsed hemorrhoids. It has been confirmed by extensive clinical studies at home and abroad to be a new method for the rapid and effective treatment of prolapsed hemorrhoids with minimal invasion, light pain, and quick recovery.
Suprahemorrhoidal Mucosal Circumferential Stapling (PPH)
This procedure does not target the hemorrhoid nucleus itself, but only circumferentially removes a circle of rectal mucosa and submucosa above the hemorrhoid nucleus, thereby blocking the blood supply to the hemorrhoid nucleus, suspending the anal cushion and eliminating the hemorrhoid nucleus and prolapse.
Indications for PPH
1.Stage III and IV internal hemorrhoids that prolapse after defecation and mixed hemorrhoids that are mainly internal hemorrhoids.
2.Stage II internal hemorrhoids that bleed repeatedly and have poor results from various treatments.
3.Recurrence after hemorrhoid surgery with prolapsed nucleus.
4.Mild rectal prolapse and partly constipation-induced rectal prolapse and endorectal prolapse.
Advantages of PPH over traditional surgery.
Fast and effective elimination of hemorrhoid symptoms.
3, blood in the stool is a common symptom of anorectal disease, often buy their own medicine to cure the disease, stool with blood are hemorrhoids?
If you suddenly find bright red or dark red blood in your stool one day, you should first consider seeing a doctor as soon as possible and not arbitrarily diagnose yourself as “hemorrhoid blood in stool” without a clear diagnosis from your doctor. You should not blindly buy medicine to treat it, and you should not see a doctor nor treat it, both of these attitudes are wrong and can cause a minor illness to become a major one, and a major one to become incurable. The most likely cause of blood in the stool is hemorrhoids, but there are also rectal cancer, rectal villous adenoma, rectal polyps, anal fissures, ulcerative colitis and other anorectal diseases can also be blood in the stool, and it is not scientific to buy hemorrhoid medicine for treatment without a doctor’s diagnosis. If the blood in the stool is caused by rectal cancer or other tumors, but you treat yourself as hemorrhoids, the consequences are serious. Rectal cancer can be cured if it is detected early and treated in time, but if it is delayed, it may develop into late stage cancer and lose the time for treatment, turning it into an incurable disease. There are so many lessons about misdiagnosing rectal cancer as hemorrhoids, and there are few cases of so-called “hemorrhoids” that are finally diagnosed as rectal cancer in hospital outpatient clinics every year. Even if it is a rectal polyp, if it is not found in time to be removed surgically, it can easily become malignant. The actual blood in the stool is not the sole property of hemorrhoids.
Hemorrhoids prevention knowledge
Is there any truth to the saying that “nine out of ten people have hemorrhoids”? The first of the five major anal diseases, hemorrhoids are a common disease, with a population incidence of about 50 G. They are common in adults and can occur in both men and women with no significant difference in incidence. 57,297 people were surveyed nationwide in 1977 and found that the incidence of hemorrhoids accounted for 87.25% of anorectal diseases, and many bad habits and diseases can lead to the occurrence of hemorrhoids. The folk saying “nine out of ten people have hemorrhoids” has some truth to it.
Is there a relationship between hemorrhoids and bowel habits? Hemorrhoids have a lot to do with bowel habits. Constipated people due to hard stools, long defecation time, so that the anorectal veins stasis, pressure, and even lead to rectal mucosa and muscle relaxation, separation, prolapse out of the anus, and a long time will form hemorrhoids. The same diarrhea and dysentery can also cause hemorrhoids, long squatting toilets or reading books, newspapers, smoking while defecating and prolonging defecation time is also prone to hemorrhoids.
What diseases and positions are prone to hemorrhoids? Patients with high blood pressure, prostate enlargement, asthma, chronic bronchitis, pulmonary heart disease, cirrhosis of the liver, and obese patients are more likely to get hemorrhoids. Obese patients with high abdominal pressure, hemorrhoidal venous blood return obstruction, venous stasis, expansion, and over time the elasticity of the blood vessel wall can be reduced to form hemorrhoids.
People who stand, sit, or squat for long periods of time are prone to hemorrhoids.
4.How can we prevent hemorrhoids in our daily lives, especially in terms of diet?
How to prevent hemorrhoids? What should I pay attention to when I have hemorrhoids diet?
The incidence of hemorrhoids is high, and the recurrence rate is also high after surgical treatment or other therapies for hemorrhoids. The reason for this, in addition to incomplete treatment, do not pay attention to the prevention of hemorrhoids, is also an important factor in preventing the occurrence of hemorrhoids, mainly in the following areas.
(1) Strengthen exercise: Regular participation in a variety of physical activities such as radio gymnastics, taijiquan, qigong, shuttlecock, etc., can enhance the body’s ability to resist disease and reduce the likelihood of disease, which also has a preventive effect on hemorrhoids. This is because physical exercise is good for blood circulation, can harmonize human qi and blood, promote gastrointestinal motility, improve pelvic congestion, prevent constipation and prevent hemorrhoids. Wen Zhixiong, Department of General Surgery, Dongguan Shijie Hospital
(2) Prevention of constipation: normal people have a bowel movement once a day, with different habits in the morning, during and after dinner. Normal discharge is formed soft stool, not dry or thin, defecation does not feel difficult to defecate, there is a feeling of ease and comfort after the stool, which indicates good gastrointestinal function. If the stool is constipated and hard, not only is it difficult to defecate, but because of the accumulation of feces in the intestinal cavity, the pressure in the anorectal vessels is increased, and the blood flow back is impaired and the hemorrhoidal plexus is varicose to form hemorrhoids. In order to prevent constipation, the following points should be noted.
① reasonable deployment of diet. You can increase your appetite, correct constipation and improve gastrointestinal function, as well as develop the habit of regular bowel movements. Daily diet can be more vegetables, fruits, beans and other diets containing more vitamins and fiber, less spicy and stimulating food, such as chili, mustard, ginger and wine.
② Form the habit of regular bowel movements. Healthy people usually do not have feces in the rectum, with the morning wake up caused by the upright reflex, breakfast caused by the stomach, colon reflex, the colon can produce a strong “group peristalsis”, the feces pushed into the rectum, the rectum fecal accumulation to a certain amount, it will produce a bowel movement. So it is best to develop the habit of regular defecation every morning, which has an extremely important role in preventing the occurrence of hemorrhoids.
③ Choose the correct treatment for constipation. For general constipation patients, you can use a reasonable deployment of diet and develop the habit of regular bowel movements to correct. For stubborn constipation or constipation caused by a disease, should go to the hospital as soon as possible, do not take long-term laxatives or long-term enemas. Because long-term use of laxatives can not only make the rectal blood vessels congested and dilated, but also can lead to gastrointestinal dysfunction.
(3) Pay attention to health care during pregnancy: women’s pregnancy can lead to increased abdominal pressure, especially in the second trimester, the inferior vena cava is compressed by the expanding uterus, which directly affects the reflux of hemorrhoidal veins and can easily induce hemorrhoids, especially in fetal malposition. Therefore, you should go to the hospital regularly during pregnancy to review and correct the fetal malposition in time, which is not only beneficial for pregnancy care, but also for the prevention of hemorrhoids and other anal diseases.
(4) Keep the area around the anus clean: the anus, rectum and sigmoid colon are places for storing and excreting feces, which contains many bacteria. The area around the anus is easily contaminated by these bacteria, which can induce infection of sweat glands and sebaceous glands around the anus, resulting in sores and abscesses. The vagina of women is adjacent to the anus, and vaginal secretions are more frequent, which can stimulate the anal skin and induce hemorrhoids. Therefore, you should always keep the area around the anus clean, fumigate it with warm water daily and change your underwear regularly, which can play a role in preventing hemorrhoids.
(5) Other: Increased abdominal pressure can block hemorrhoidal venous reflux and cause hemorrhoids. There are many clinical diseases that cause increased abdominal pressure, such as abdominal tumors compressing the blood vessels in the abdominal cavity, which can block the reflux of hemorrhoidal veins and cause hemorrhoids. The portal hypertension caused by hepatic sclerosis can lead to anorectal vasodilatation and cause hemorrhoids, which should be treated first. It is not urgent to treat hemorrhoids, because hemorrhoid symptoms can be improved after hepatic steatorrhea is relieved.
5.What are the consequences of unregulated diagnosis and treatment of hemorrhoids?
(1) Arbitrarily expanding the indications for surgery, and surgical treatment that should not be performed.
(2) Misdiagnosis and omission, paying attention only to hemorrhoids and neglecting colorectal tumors, delaying valuable treatment and paying the price of life, which is sadly very common.
(3) Generation of serious complications: haemorrhage, infection, anal deformity, anal incontinence.
(4) Wounds that do not heal over time, causing great physical and psychological trauma and economic loss to the patient.
(5) The so-called “minimally invasive” wounds bring the patients “huge invasions”.