24-year-old Xiao Jiang (pseudonym) will graduate from graduate school in June and is about to start a new chapter in his life.
But in the past month, he has been plagued by a problem - intermittent blood in his stool. After seeking medical treatment in Baidu, some said it was hemorrhoids, and some said it could also be bowel cancer......
THE PICTURE IS FROM SOOGIF
He couldn't sleep, and the more he thought about it, the more scared he became, so he came to the Department of Gastroenterology of Hangzhou Xixi Hospital for treatment.
My cousin just passed away from bowel cancer
The guy checked in time and escaped
After a detailed consultation, Dr. Li Xiao of the Department of Gastroenterology captured important information: Xiao Jiang's cousin was only 29 years old when she was diagnosed with colon cancer, and she had just passed away last year due to multiple organ failure caused by this disease.
The doctor immediately ordered a painless colonoscopy. Sure enough, a big problem was found: a short pedicle adenomatous about 4cm in size was seen at a distance of 16 cm from the anus, with congestion, erosion, and mucus adherence on the surface.
"The larger the length and diameter of a colon polyp, the higher the likelihood that it will be pathologically advanced adenoma. The vast majority of colon cancers are transformed from intestinal polyps step by step, which generally takes 5-10 years, but individual differences are different, and some people become cancerous for a shorter time. Therefore, intestinal polyps should be removed promptly as soon as they are found. Dr. Lee said.
After further abdominal CT examination, it was found that the rectal mass was confined to the rectum, and there were no metastases in the liver, omentum, abdominal cavity and pelvis, and there was no abnormal enlarged lymph node.
Fortunately, after endoscopic resection, the pathological examination of the tumor was a benign lesion.
Intestinal polyps are asymptomatic in the early stages
These people are advised to have colonoscopy done as early as possible
According to Physician Li, intestinal polyps are a very common intestinal disease, which generally does not have any symptoms, and a few may have changes in the frequency and quality of bowel movements.
When there are obvious symptoms, there is often malignant transformation, such as obvious abdominal pain, abdominal distention, and blood in the stool, the disease has often developed into intermediate and advanced bowel cancer.
Colonoscopy is the preferred method for diagnosing intestinal diseases and the best method for early intestinal cancer screening. It is recommended to put colonoscopy on the agenda if:
1. Age ≥ 40 years old, male or female;
2. Long-term smoking and drinking;
3. Have a family history of colorectal polyps or colon cancer;
4. Population with gallbladder resection, history of chronic appendicitis or appendectomy;
5. Long-term lack of exercise, high-fat diet, high-salt diet;
6. Patients with long-term gastrointestinal symptoms, such as changes in bowel habits, constipation, diarrhea, abdominal pain, bloating, unexplained anemia, unexplained weight loss, blood in the stool or fecal occult blood positive groups;
7. Patients with inflammatory bowel disease, such as ulcerative colitis, Crohn's disease, etc.;
8. Patients with precancerous diseases, such as gastrointestinal polyps, familial adenomatous polyposis, etc.
Is it painful to have a colonoscopy?
Please check the tips for drinking laxatives
Dr. Li said that it is false to say that colonoscopy is not uncomfortable, but most people can tolerate it completely and there is no need to worry too much.
What's more, this discomfort can be ignored compared to the benefits of colonoscopy. Of course, if you are really scared, you can consider painless colonoscopy.
In addition, many people are afraid of drinking laxatives before colonoscopy, but there is actually a trick. You can add some colorless drinks to laxatives to improve the taste.
Note that the water temperature should be below 40 degrees, and 1000ml should be drunk quickly within half an hour, and move around a lot. If the water temperature is too high or the drink is too slow, the laxative "kidney" is excreted with the urine, which can not fully clean the intestines and affect the effect of the examination.
[Previous Review]: "Colonoscopy, a life-saving examination!" The super complete strategy is coming"
- Guidance in this issue: Li Xiao, attending physician of the Department of Gastroenterology, Hangzhou Xixi Hospital
- Contributed by: Hangzhou Xixi Hospital
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