Patients with anorectal disease do not “get everything done” after surgery

  The incidence of hemorrhoids is 59.1%, and the prevalence rate is over 91% in the normal population, so there are “nine hemorrhoids out of ten”. The incidence of the disease is on the rise due to the improvement of the quality of life, the change in diet structure and the increasing pace of life, which will directly affect people’s daily life, work and study, and will have a great impact on the reform and opening up of China and the development of the economy. There are many reasons for the onset of anal diseases, most of which are related to the habits of modern society, such as irregular life, disruption of work and rest time, smoking, drinking, spicy and stimulating food, etc. In the Emperor’s Classic of Internal Medicine more than 2,000 years ago, it was pointed out that the disease is related to poor diet, unpredictable living, dampness and heat; in the Tang and Song dynasties, it was also pointed out that it is related to prolonged stool retention, prolonged diarrhea and dysentery, excessive alcohol consumption, excessive spicy food, deficiency of qi in the elderly, pregnancy in women, and prolonged sitting, prolonged lying, and heavy walking. This shows that the ancient people had a profound understanding of the disease. In terms of treatment, it is currently believed that asymptomatic patients can be left untreated, and those with symptoms can be treated with drugs [internal, external, local injection], physiotherapy [microwave, etc.], copper ion electrochemistry and other conservative methods, while patients with serious conditions and ineffective conservative treatment or frequent episodes can be treated with surgery [our anal ward adopts minimally invasive surgery, which is less painful and shorter in duration].  Before surgery, patients should adjust their mindset, do not need to be nervous, abstain from eating and drinking for 6-8 hours before surgery, and do intestinal preparation. The anorectal surgery is a sterile surgery and the recovery time after surgery is on the long side. After surgery, we must pay attention to follow the doctor’s advice and treat with peace of mind until the wound heals. For sutured wounds [minimally invasive surgery], a liquid diet is required for several days after surgery to control bowel movements and prevent wound infection; for non-sutured wounds, a semi-liquid diet is required. Both surgical procedures require daily postoperative dressing changes to observe wound recovery. Patients must control the number of bowel movements and defecate as many times as possible to avoid pain, edema, and suture cracking due to repeated squatting. Another part of patients will not defecate for several days because of fear of pain, resulting in dry stool, resulting in poor defecation and wound dehiscence and bleeding when forcefully struggling.  After the wound is healed and discharged from the hospital, the annoying discomfort caused by the anal disease will gradually disappear, so some patients will gradually return to their original bad lifestyle [the so-called “good scars forget the pain”], leading to the recurrence of anal disease. Therefore, we would like to remind patients that even if the surgery is thorough, the post-operative period cannot be “all right”.  So although surgery can relieve the pain of patients with anorectal disease, but after surgery should continue to pay attention to avoid “long standing, long sitting, long lying, less spicy stimulating, greasy, fishy food, quit smoking and limit alcohol, overwork, long stool,” and other bad lifestyle, to maintain good habits, which is the Chinese medicine This is the viewpoint of “prevention is more important than cure”, only in this way we can and anorectal disease.