On the first day of the first lunar month of that year, my friend's sister was walking on the road, suddenly fainted, and was rushed to the hospital for treatment.
After arriving at the hospital, it was soon clear that she had fainted from severe anemia and that the hemoglobin was only 4g/dl. The cause of the anemia was also quickly clarified, and she was bleeding because of hemorrhoids!
I'm going crazy, you pull the, don't you look at the before you flush it out?
After pulling the stool, first look at the stool, then cover the toilet lid, and then flush, this is the standard action of wanting to be healthy! Today, let's talk about how to judge your gut health by looking at your stool.
The first step is to look at the shape of the stool.
I'll introduce you to a simple way to analyze stool patterns, which is the Bristol stool scale. This is the classification method of Heaton and Lewis of the University of Bristol published in the Nordic Journal of Gastroenterology in 1997.
Bristol stool taxonomy
After looking at the shape of the stool, we know whether we are normal, whether it is constipation or diarrhea.
The second step is to look at the color of the stool.
Our normal stools are generally yellow, sometimes with a little green. After we eat, bile is excreted from the bile ducts into the intestines, and the color of the bile determines the color of the stool. If the bile ducts are blocked, then the stool will become whitish, or whitish. At this time, the urine will also become yellow. Whitish stool, that is, white clay-like stool, is a signal that the body has a serious disease, and it is necessary to go to the hospital immediately.
If there is bleeding in the gastrointestinal tract, then the color of the stool will also change. There was blood in the stool, not bright red. Bleeding in these intestinal tubes near the stomach, because the blood is digested by digestive juices, it appears as black as tarry in the stool, while the blood in the large intestine near the anus appears red because it is not digested. The closer the bleeding spot is to the anus, the brighter the red color.
The third step is to look at the thickness of the stool.
Stool thickness is an important signal. If a person's stool suddenly becomes thinner, or if the watery stool lasts for a period of time, but there are no other abnormal manifestations, you should also be vigilant and go to the hospital. This may be because of a intestinal ulcer that causes the large intestine to swell, or because there is colorectal cancer, which makes the lumen of the intestine smaller. Of course, it doesn't matter if the stool changes repeatedly today and tomorrow. This situation is often a problem of intestinal peristalsis, because cancer does not suddenly appear large and small.
The fourth step is to see if your bowel habits have changed.
Everyone's bowel habits are different, from 3 times a day to 3 days, which is normal. However, a person's bowel habits suddenly change, and it lasts for a period of time, it is necessary to be wary of colorectal cancer.
Next, let's talk about what stool changes are in colorectal cancer.
Bowel habits change suddenly and can last for a while. For example, the stool, which was originally very thick, has become thinner. Or there may be a change in the frequency of bowel movements. Blood persists in the stool. After pulling the stool, I feel that it is not clean, and this phenomenon continues for a period of time.
In addition, I would like to say that there is no such thing as stool in medicine. Unless there is a lesion in the large intestine that causes the large intestine to not be peristaltic, there will be a backlog of stool in the large intestine. The amount of decontamination of stool is related to the frequency of decontamination of stool, and it is also related to drinking water. Pull more stools, less stool each time, drink more water, and have more stools. It is also related to the food eaten.
Some so-called health care products that claim to be able to exclude the health benefits of lodging are deceptive things.
Do you know how to look at your own stool?
Finally, I stress that even if you look good with your bowel every time, don't forget routine early screening for colorectal cancer.
Screening for colorectal cancer can be divided into general populations and high-risk groups.
The general population refers to people who are asymptomatic, have no family history, and have no other risk factors. (If the general population has symptoms, diagnostic tests are done and are not included in the screening.) The general population is not screened under the age of 50, and the over-50 year old is screened.
A. Stool occult blood test is preferred, once a year for 3 consecutive days, and one stool specimen is sent for testing every day. If there is more than one positive result in the stool occult blood test, 3 specimens, then colonoscopy should be done.
Stool occult blood test results and procedures in the general population.
B. Starting at the age of 50, be sure to do a colonoscopy. The process is as follows:
Colonoscopy (colonoscopy) in the general population
C. Simulated colonoscopy (CT colonoscopy), the sensitivity is as high as 90-98%, the examination results are relatively poor compared to colonoscopy, the price is expensive, and the intestines are also prepared, only do the re-screening method for patients who are unwilling to colonoscopy.
D. Barium colonography. Some people are reluctant to do a colonoscopy, some places do not have colonoscopy, there is no CT colon imaging technology, barium barium colography can be partially replaced.
Don't laugh at me, I'm telling the truth. In many county-level hospitals in northwest China, there are really many hospitals that will not have the last two examinations. We must face reality and come up with a methodology.
High-risk groups include:
(1) Previous history of colorectal cancer and colorectal polyps or adenomas;
(2) First-degree relatives have a history of colorectal cancer, and the age ≥ colorectal cancer patients are 10 years old;
(3) Family members with hereditary non-polyposis colorectal cancer, age ≥ 10 years;
(4) First-degree relatives have a history of familial adenoma, and the age ≥ 10 years;
(5) Gallbladder removal of more than 10 years; (6) history of radiation in the lower abdomen for more than 10 years;
(7) Have a history of chronic schistosomiasis;
(8) Those with the following two or more items: a, chronic diarrhea; b, mucus bloody stool; c, chronic constipation; d, chronic appendicitis; e, history of mental stimulation; f, history of biliary tract disease.
The screening process for high-risk groups is as follows:
Screening process for high-risk groups
We also in the clinic, often encounter some people in the routine physical examination, ignore the routine examination of stool, often people do not leave stool, so missed a very good opportunity to screen for colorectal cancer.