肛肠（Anorectal）.docVIP

肛肠（Anorectal） Department of anus intestine surgery routine diagnosis and treatment Hemorrhoids [collection of medical history] 1.: painless intermittent hematochezia after blood is its characteristic, is a common symptom of early hemorrhoids. Light stools are mostly blood on the surface of the stool, then blood drops, and in severe cases it is jet shaped hemorrhage. The stool often stop on their own, which is important for diagnosis. 2. hemorrhoids prolapse: often late symptoms, many have hematochezia, prolapse after. Light person only when defecate prolapse, hind can answer by oneself, the person that weigh needs to push back, more serious person a bit abdominal pressure, namely prolapse anus outside. 3. pain: simple hemorrhoids without pain. When the internal hemorrhoids or mixed hemorrhoids, incarcerated embolism edema, infection, necrosis, and thrombotic external hemorrhoids connective tissue external hemorrhoid infection have different degrees of pain. 4.: late hemorrhoids, hemorrhoids prolapse itching, connective tissue external hemorrhoids, anus often itching and discomfort, even in patients with eczema, extremely uncomfortable. [physical examination] 1. anal palpation: in addition to a hemorrhoids, hemorrhoids hemorrhoids and other three more visits to meet in the anus. For those with prolapse, the size, number and location of the hemorrhoids can be clearly seen in the squatting position and defecation. In particular, it is more meaningful to diagnose annular hemorrhoids. 2. rectal examination: the primary purpose of finger examination is to understand whether there are any other lesions in the rectum, especially rectal cancer and polyps. Not a palpable hemorrhoids thrombosis or fibrosis. 3. anoscopy: the first observation of the rectal mucosa had no hyperemia, edema, ulcer and swollen. So, the exclusion of other rectal disease, and then observe the tooth line there is no hemorrhoids, if any, are visible to the hemorrhoids anus mirror prominent, dark red no