Source: Qianjiang Evening News
"For so many years, I couldn't get rid of the stool, it was so uncomfortable!" This is the first sentence that Xiao Yan (pseudonym) said when she first met Wang Shaochen, chief physician of the Department of Anorectal Surgery of the Affiliated Hospital of Hangzhou Normal University.
Xiao Yan is only 18 years old this year, but she has been constipated since she was 15 years old, and she only has a bowel movement every 5 to 7 days, and she has traveled to many hospitals, and doctors have recommended her to change her lifestyle: eat more fruits, foods with high dietary fiber and appropriate medication.
Banana milk, dragon fruit + yogurt, drink honey water on an empty stomach in the morning, rub your stomach, three yellow slices, Kaiser dew... Trying various methods, Xiao Yan still has no intention of defecating.
"I haven't had a bowel movement in 7 days!" Some time ago, Xiao Yan, whose stomach was swollen to explode, was taken to the community hospital by her mother to do an enema, and she kept crying with a look of grievance: It was too uncomfortable, and she didn't want to go to school!
Eating can not pull out, so the more afraid to eat, but the more do not eat the more there is nothing to pull, often rely on laxatives to help defecate, people are more and more uncomfortable... Xiao Yan loops infinitely in such a rhythm. "I'm going to take the college entrance examination next year, what can I do about it?"
Watching the distressed parents under the recommendation of friends, they found Wang Shaochen, chief physician of the Anorectal Surgery Department of the Affiliated Hospital of Hangzhou Normal University.
After understanding the situation, Wang Shaochen improved the relevant examinations, and after the colon slow transmission test and the defecation contrast examination, Xiao Yan was diagnosed with colonic slow-transit constipation and needed to cut off most of the colon.
"Constipation and surgery?" If the child is so young, will it have an impact? Hearing this, the mother hesitated.
"Most patients with constipation can be improved by medication, but patients with chronic transmission constipation need surgical treatment after various medical treatments are ineffective, and now they are ultra-minimally invasive surgery, which has almost no effect on children." Wang Shaochen let the mother and daughter relax.
After full preoperative preparation, Chief Physician Wang Shaochen led the team to swim the colon one by one under laparoscopy, removed the colon of nearly 1.3 meters, dragged it out of the anus, and then precisely anastomated the remaining colon with the sigmoid colon, leaving only a few tiny poking holes on the belly. On the 3rd day after the operation, Xiao Yan resumed normal bowel movements.
"With the intention of defecation, the brain will send instructions to the intestine, causing the intestine to contract and excrete the stool in time. Patients with slow-transit constipation in the colon have insufficient bowel motility and do not have enough strength to transport the stool out. Wang Shaochen introduced that in the early stage, it can be treated by drugs, and once severe constipation is formed, only part of the intestine can be surgically cut off, so that the transport channel of the stool is shortened.
Of course, the length of the excised colon is very exquisite, not only to ensure normal defecation, but also to avoid diarrhea, and the degree of grasp is very considerable to the doctor's level.
Chief Physician Wang Shaochen especially reminded that for ordinary constipation patients, they can be corrected by eating a reasonable diet and developing the habit of regular defecation.
For refractory constipation or constipation caused by a certain disease, you should go to the hospital as soon as possible for treatment, do not take laxatives or long-term enemas for a long time.
"Long-term use of laxatives can cause congestion and dilation of rectal blood vessels and can also cause gastrointestinal dysfunction." Long-term enemas, on the other hand, dull the rectal mucosa, slow down the bowel reflex, and aggravate constipation.
It is worth noting that if long-term constipation, the incidence of colon cancer is higher than that of normal people, and you must be careful.
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Constipation, these things can not be eaten!
Previously, a 63-year-old aunt in Hangzhou had a colon examination report chart that had rushed to the first place in the hot search.
Aunt Wang is because of long-term constipation, I heard that eating enzymes is useful, eating and eating for three years, the result in colonoscopy, the doctor found: Aunt Wang's intestines are covered with brown-black patterns, like "snakeskin", very frightening.
Laxatives, enzymes, diet pills do not eat indiscriminately!
"In recent years, there have been many patients with colon melanosis, commonly in patients with habitual constipation and those who pursue beauty and weight loss effects," said Du Yechun, deputy director of the Department of Gastroenterology (Endoscopy Center) of Yuhang Third Hospital.
Colon melanosis is mainly caused by anthraquinone laxatives, which can stimulate large intestinal peristalsis, which has a significant effect in the short term, but long-term use will cause weakened intestinal peristalsis, intestinal blackening and even cancerous consequences.
Now there are many detoxification, beauty, laxative products on the market, and the "bottom detail" of these products is unknown. Du Yechun suggested that the general public should not blindly believe and take it at will.
It's important to develop healthy habits
Colon melanosis often occurs within 5 months of taking anthraquinone laxatives and reverses after 6 to 12 months of discontinuation of laxatives. Patients with colon melanosis should promptly discontinue the associated anthraquinone laxatives.
Du Yechun stressed that constipation patients should develop healthy living habits: drink more water; eat more vegetables; eat more high-fiber foods, such as: oats, apples, celery, yams, etc.; maintain an appropriate amount of physical exercise every day; develop the habit of regular bowel movements.
Director Du also reminded the general public that the treatment of constipation is best carried out under the guidance of professional doctors to avoid intestinal diseases caused by constipation caused by missed diagnosis, delaying diagnosis and treatment.
Source: Qianjiang Evening News All-Media Editing and Dispatching Center Comprehensive Qianjiang Evening News Hourly News Correspondent Wu Zeyu Reporter He Lina, earlier reported