Today's story is the hemorrhoid surgery and rehabilitation experience of a 24-year-old "flower girl".
Presumably, many people who have been troubled by the unspeakable secrets of "Kikube" have struggled like her on the edge of "cutting or not cutting"... After watching it, I have to admire her, a warrior who dares to face life head-on!
I hope that this story can make all friends gain something and suddenly enlighten.
Time: 8pm Location: Supper stall
The department completed a big project, and the boss called us out for a dinner to celebrate.
As an authentic Hunan spicy girl, in fact, I have not eaten a heavy bite, but I have eaten a lot of food, and I probably ate so much that night!
If there is any exaggeration, it is purely coincidental
(Source: Network)
At that time, there was a faint worry in my heart. Why? emmm, my Kikube has actually not been very good, constipation for three or four years, eating too spicy, too oily, the surrounding lump of meat will be swollen, from "soybeans" gradually into "peanut beans", and then to the size of broad beans.
When you defecate, it will come out, but it is generally good to go back with your hands when wiping your farts, which is inconvenient for blood and does not hurt.
I saw a doctor once a few years ago, prescribed some medicine to eat, rubbed some hemorrhoid ointment, and did not affect the quality of life too much, so I have not cared.
But, heaven is good reincarnation.
After the supper, I came home and fell asleep (a bit over the drink). I was sleeping until I was confused, and I felt a little pain in my stomach, and I was very strong.
At that time, the lights were not turned on, I ran into the toilet, when pulling shi felt unusually smooth, the chrysanthemum around is a burning, swollen pain, feel that the situation is not quite right, turn on the light to see -
"The whole urinal is blood"! It's really scary!
(Source: soogif)
Highlights:
The capsaicin in chili peppers stimulates the anus, the mouth is spicy, and the chrysanthemums are also spicy! Although eating chili peppers is not the cause of hemorrhoids, but peppers do aggravate the symptoms of hemorrhoids, many hemorrhoids patients often after a no spicy unhappiness, the condition will be aggravated, including blood in the stool, prolapse and so on.
Time: 9:00 a.m. Location: A large tertiary hospital
In the second half of the night, I pulled it twice, and although it didn't stain the urinal like the first time, there was still blood dripping down.
And I felt that kikube's lump of flesh had swollen so much that it could no longer be pushed into the anus, and it was difficult to sleep all night!
With the steely will of a beat worker, I can't stand it! I went to the hospital early the next morning (fortunately I went to the hospital...). ）
The doctor is a cute uncle, a look of "reading countless chrysanthemums". He said, you go to the back and take off your pants, do a "fingerprint"!
So, a flower girl (although also 24 years old... With an embarrassed face, he walked behind the curtain.
Thankfully, my nurse sister was present, and I relaxed a little, took off my pants, and pouted my ass. The doctor used his "skillful hand" to skillfully turn around and circle after circle in my chrysanthemum with lightning speed.
Then after comparing it with me, I realized that I had "mixed hemorrhoids (incarcerated)" and that it was more serious - the doctor said that surgery was recommended!
I, regret not being in the beginning!
There are generally 3 types of hemorrhoids:
The main symptoms of internal hemorrhoids are blood and prolapse in the stool;
The main symptoms of external hemorrhoids are edema, pain, itching or burning sensation in the anus.
Mixed hemorrhoids are internal hemorrhoids + external hemorrhoids, you know...
Time: 4 p.m. Location: Proctology Surgery Ward
I decided to do the surgery, so I went home the same day to get some hospital stuff and buy a tub for the postoperative sitz bath. After undergoing intestinal cleansing, preoperative blood draw, and electrocardiogram (preoperative routine), I lined up outside at 4 p.m. to prepare for surgery.
My surgical method is "thread tying", which is the traditional external peeling and internal tying surgery, incising the hemorrhoids, ligating the internal hemorrhoids, causing the hemorrhoids to atrophy and necrosis, and then falling off.
Although the operation was relatively painful, the doctor told me that it was not easy to recur after the operation.
In general, because of the lower body anesthesia (so the lower body is basically unconscious), the operation is still quite relaxed, about half an hour to finish.
After leaving the operating room, I was still very satisfied with my performance. Two hours later, the doctor said it was time to eat. I even had a good appetite for two bowls of porridge.
After eating, all kinds of trepidation in the preoperative heart disappeared more and more, and even a little proud, it was like this, there was no special feeling.
However, he was soon punched in the face.
After 6 hours, the anesthetic will slowly fail, and the consciousness of the Kyobe surgical wound will be awakened. The pain slowly struck, and the feeling became more and more intense...
Fortunately, the doctor had prepared painkillers, and he couldn't stand it in the middle of the night, so he ate one.
There are more and more techniques for hemorrhoid surgery, but the principle of surgery is basically two categories:
One is external stripping and internal zlugging based on traditional techniques, which is simply to directly remove hemorrhoids;
The second is anastomotic surgery, ligation, suture and other surgeries based on the theory of downward displacement of pads, which is simply to lift the hemorrhoid tissue.
P.S: Don't be superstitious about the so-called "minimally invasive" and "laser" in the advertisements of some private hospitals. What they call "minimally invasive" is actually a cyclic end-of-line anastomosis (PPH) of the supramucular mucosa, which is not really a smaller wound than other surgical procedures; and the "laser" with a "no surgery" gimmick may delay the disease.
Time: 2 p.m. Location: Anorectal Ward Toilet
Put it this way, in front of the first postoperative stool, the half-hour hemorrhoid surgery was just a "little brother".
For each patient with hemorrhoid surgery, the first bowel movement will generally be ushered in on the 2nd to 3rd day after the operation, and the nurse will emphasize the defecation time with you, if it is more than 5 minutes and has not been pulled out, it can be stopped.
Because for many people who have a sense of pooping, this is just a "feeling of swelling in Kikube", and it is not really a poop.
For example, I ran back and forth a few times and warmed up for the torture-like formal poop.
The last time, I felt very mean, I knew, it came, it came with glass slag!
The poop hasn't come out yet, and when it's on the edge of the mouth, it's really like a piece of glass slag pricking your flesh! And it's the slow version of the kind, accompanied by stomach pain, like coming to the great aunt...
As I gritted my sleeves and grabbed the armrest, I was still screaming in pain, as if I had gone through a century...
After I went to the toilet, my whole body rose up like a prostrate wall. But with a strong will, I still completed the last 2 actions - irrigating the anus and taking a warm sitz bath. Doctors say this not only cleans the anus, but also relieves pain.
Later, I learned that in fact, I was afraid of fecal pain, and I could find a nurse sister enema to help defecate, which would not be so painful and not easy to cause wound edema and bleeding.
I actually listened to the pot friend's "enema will hurt very much", am I stupid... Fortunately, I was so tossed in the toilet that the wound was not edematous.
The next hospitalization is basically to change the dressing, poop, sitz bath, change the dressing, and defecate. When you can move, you can walk a few more steps, otherwise it is easy to be constipated, but you cannot exercise vigorously.
On the 6th day or so, after ushering in the hemorrhoidal nucleus, I can obviously feel that the chrysanthemum has returned to the normal "chrysanthemum", refreshing and clean, without the burden of flesh and flesh!
After 7 days in the hospital, I left with my bag and was discharged! But it really heals completely, and doctors say it will take at least a month from the operation.
Finally, I would like to share with my patients that surgery is required if hemorrhoids seriously affect life, if hemorrhoids cause severe blood in the stool (anemia) or if they cannot be returned (incarcerated).
Postoperative recovery and complications vary from person to person. The general rule is that the more serious the disease, the greater the postoperative pain, the longer the recovery time; in addition, the traditional surgery has a longer recovery time and greater pain because the knife edge is larger than that of minimally invasive surgery.
postscript
1. This article is based on patient stories and is a semi-fictional literary creation based on medical knowledge.
2. According to statistics, the incidence of anorectal diseases in mainland China is 59.1%, of which hemorrhoids account for 87.25% [3]. This means that at least half of your relatives, friends or co-workers are hidden "hemorrhoids."
3. What kind of hemorrhoids can be treated conservatively, and what situations should be considered for surgical treatment? The Hemorrhoid Management Guidelines issued by the American College of Colon and Rectal Surgeons (ASCRS) and the Guidelines for the Clinical Diagnosis and Treatment of Hemorrhoids in Mainland China emphasize that hemorrhoids are common and frequent diseases, and the purpose of treatment is to eliminate and alleviate the symptoms of hemorrhoids[2], which is more meaningful than changing the size of hemorrhoids.
In short, treatment should first be carried out from the perspective of eliminating symptoms, not the removal of hemorrhoids. Strictly speaking, even hemorrhoid surgery is to deal with the symptoms, not to cure them.
▲According to the symptoms of internal hemorrhoids, its severity is divided into 4 degrees
(Source: Literature[3])
From the perspective of symptom grading, general non-surgical treatment is mainly suitable for I. and II. internal hemorrhoids; surgical treatment is mainly suitable for patients with III. and IV. internal hemorrhoids, mixed hemorrhoids and patients who are ineffective in non-surgical treatment including external hemorrhoids.
Here to remind everyone, if you have hemorrhoids, you must seek the help of a professional doctor, the doctor will recommend conservative treatment or surgery according to the specific situation.
Finally, give everyone 5 tips for maintaining their ass (the proctologist is also using it):
When you have a desire to defecate, you must go to the toilet in time.
Once the stool is found to be dry, drink more water immediately, eat more vegetables, fruits, and coarse grains, and increase fiber intake.
Pull shi do not play mobile phone, play mobile phone do not pull shi, the shorter the bowel movement time, the better, must not exceed 5 minutes.
Try using a wet wipe and you'll find a new world in life. For example, the smart toilet that can be cleaned after defecation, the wet cotton towel wipe, etc. (but long-term use of wet paper towels/wet toilet paper may cause itching perianal, and it is necessary to pay attention not to abuse it).
Stay up late less, drink less, sit less, exercise more, sleep more!
(Source: giphy)
Chrysanthemums are also flowers! Did you love it today?
Review expert: Liu Liancheng | deputy chief physician of the Department of Anorectal Medicine of Beijing Anorectal Hospital (Beijing Erlong Road Hospital).
bibliography
Wu Jieping,Qiu Fazu,Huang Jiasi. Surgery[M].6th ed. Beijing:People's Medical Publishing House,2000:1174.]
[2] The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids.Dis Colon Rectum. 2018 Mar;61(3):284-292
Chinese Association of Integrative Traditional and Western Medicine, Professional Committee of Colorectal and Diseases. Chinese Guidelines for the Diagnosis and Treatment of Hemorrhoids (2020 Edition)[J]. Colorectal Surgery.2020.26(5):519-533.
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
*The copyright of this article belongs to Tencent Medical Code, unauthorized media reprinting is prohibited, and illegal reprinting will be investigated for legal responsibility according to law. Individuals are welcome to forward to the circle of friends.
* Welcome to WeChat search and pay attention to the public account "Tencent Medical Code" to get more health science knowledge.