How to treat and recuperate patients with hematochezia? Hematochezia refers to blood coming out of anus, or coming down with stool, or squatting blood. It is generally believed that the amount of gastrointestinal bleeding in 50 ml or more can appear black stool. Because the iron in hemoglobin combines with sulfide in the intestine to form iron sulfide, the stool is black like asphalt.
Hematemesis has black stool. In the treatment of hematochezia, we should subdivide the causes, identify the symptoms, and then we can prescribe the right medicine.
1. Hemorrhoids: the bloody stool occurs in the process of defecation or after defecation, the blood color is bright red, and the blood and feces are not mixed;
2. Anal fissure: its blood color is bright red, dripping or wiping with toilet paper can be seen, new anal fissure, anal pain after defecation;
3. Digestive tract diseases: the stool is tarry or black red, and the bleeding site is mostly in the upper digestive tract; if the blood color is pure red, it is mostly in the lower digestive tract;
4. Rectal cancer: its bloody stool is bright red and drops on the surface of stool; in the late stage, it is accompanied by anorectal drop and body weight loss, increased stool frequency, and alternating constipation and diarrhea;
5. Rectum, colon polyp: its blood color is bright red, painless, blood does not mix with stool. Ulcerative colitis, dysentery, mostly mixed with mucus or purulent bloody stool, accompanied by lower abdominal pain, fever, frequent stool and other symptoms;
6. Systemic diseases: such as leukemia, hemophilia, uremia and some rare infectious diseases, hematochezia at the same time, there will be bleeding in other parts of the body.
Hematochezia should pay attention to rest to avoid fatigue. Diet to soft rotten less residue, easy to digest, less stimulation is appropriate, avoid alcohol and tobacco and spicy things. According to the symptoms of hematochezia, we should see the following outpatient services:
1. Anorectal Department: there is bright red blood after defecation, or discharge bright red blood stool, generally not accompanied by severe abdominal pain patients, should hang anorectal surgery.
2. Gastroenterology: Patients with black stool, dark red bloody stool, or a history of chronic colitis, often with bright red bloody stool, should be linked to gastroenterology.
3. Hematology department: hematochezia with systemic bleeding tendency should be linked to hematology department for further examination.
4. Nephrology: the original history of nephritis, and bloody stool, should be linked to nephrology.
5. Infectious disease department: Patients with hematochezia after fever and life history in epidemic area should be registered in infectious disease department.
6. General surgery: Patients with bloody stool, severe abdominal pain or even shock should be referred to general surgery.
7. Intestinal clinic: Patients with acute onset and purulent blood stool should hang up the intestinal clinic.