A while ago, after The 70-year-old Zhang Dabo (pseudonym) in Fuzhou was constipated, he had a sudden whim and tried to scrape the feces out with a stainless steel spoon, which resulted in the rectal wall being punctured, and the blood flow was not only sent to the hospital by his family.
Doctor reminds
Constipation is a common symptom in the elderly
See a doctor in time for constipation!
Here's the thing
Zhang Dabo has a history of chronic constipation. One day at the end of November he had trouble defecating again because of the incarceration of the stool, which was blocked in the anus and was uncomfortable. It was early in the morning, and I couldn't find Kaiserlu at hand. He suddenly remembered that he had tried to scrape it out himself when he was young, so he found a stainless steel spoon, inserted it into his anus with a long handle, and scraped the stool.
Laxative was unsuccessful, but it created a bigger problem: Zhang Dabo's rectal wall was punctured, and after gushing blood, it could not stop the bleeding. He endured until dawn and told his daughter that he wanted to observe again, but her daughter insisted on seeking medical treatment quickly.
When Zhang Dabo arrived at the First Hospital of Fuzhou City, he was already pushed by a wheelchair. After receiving the diagnosis of Zheng Yujin, chief physician of the Department of Proctology, the examination found that zhang Dabo's anus was still gushing blood, worried that the upper part of the intestinal rectum was also punctured, Dr. Zheng quickly contacted the endoscopy room, emergency colonoscopy for the patient's examination, fortunately, the opening was about 3 cm above the anus, so Director Zheng Yujin immediately handled the hospitalization for Zhang Dabo and arranged emergency surgery.
Dr. Lin Qiaomei and Dr. Zhou Yongxin sutured zhang Dabo to stop the bleeding. "During the operation, you can see that the intestinal wall has been scraped 1 cm long." Dr. Zhou introduced that because Zhang Dabo had previously done cardiac stents and had been eating anticoagulant drugs for a long time, after this intestinal injury, not only did the amount of bleeding be large, but also it was difficult to stop bleeding.
Dr. Zhou said
About 1/3 of the elderly will develop constipation, and with the increase of age, the prevalence increases, constipation is one of the common diseases of the elderly, many elderly people are so miserable, he once encountered a patient who tried to clip the stool out with chopsticks, and the result was that he was "sent" to the hospital.
"Often more than three days without defecation, you must be careful that it is constipation, the best way to solve it is to go to the doctor in time, find the cause of the symptomatic treatment, rather than messing around." Dr. Zhou reminded that the elderly must find the cause of constipation, whether it is a tumor or insufficient intestinal motility or a drug-induced defecation disorder, or something else.
He has received a patient, there is always a feeling of impure pulling, thinking that it is constipation, the result is a tumor, and patients always feel that there is something blocked in the entrance can not be pulled out, think that it is constipation, in fact, the rectal mucosa prolapse, constipation has a variety of types, the number of bowel movements is reduced, while defecation is difficult, fecal dry knots, stool is often less than 2 times a week, and there is a laborious defecation, fecal induration, less, often accompanied by abdominal pain, bloating, are called constipation.
Zheng Yujin, director of the Proctology Department of the First Medical Department of Fuzhou City, reminded
Long-term constipation in the elderly can lead to gastrointestinal dysfunction, hemorrhoids, rectal prolapse, inguinal hernia and other diseases, some patients are also accompanied by insomnia, irritability, anxiety, depression and other mental and psychological disorders, in addition, if you use force to defecate, you can induce cardiovascular and cerebrovascular accidents, and even endanger life, seriously affecting physical and mental health; and many people in order to alleviate constipation, eat laxatives at every turn, and some laxative drugs on the market, after taking it at the beginning, will soon laxative, but long-term use, the human body will slowly form a dependence on drugs and finally lose its effect. Therefore, in the case of constipation, do not use laxatives as hearsay, but use them under the guidance of a specialist.
In addition, we must start with lifestyle changes, including adjusting diet, strengthening exercise, and developing the habit of regular defecation.
Source: Fujian Health Daily All-media reporter: Chen Kun
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