10 months after the operation for anal fistula, 24-year-old Xiao Yang found another induration on the left side of the anus, and had repeated diarrhea… After a colonoscopy review, the report suggested that Crohn’s disease was possible. Crohn’s disease, also known as the “number one strange disease” of the digestive tract,is a deeply hidden disease that is difficult to cure and can only be cured by systemic Diseases that can only be improved with long-term treatment. “Those days were the darkest days of my life in more than 20 years.”< p>
The slowest recovery after anal fistula surgery
The guy was discharged in a hurry for the postgraduate entrance examination
The doctor begged to add his WeChat
Two years ago, Xiao Yang accidentally touched an induration in his anus. Although it was not painful, it would ooze pus from time to time. After applying hemorrhoid ointment, he did not improve. He came to the Anorectal Department of the Third People’s Hospital of Hangzhou for an examination. He was diagnosed with anal fistula and underwent surgery.
The operation went well, but what made Xiao Yang puzzled was that his incision seemed to grow “a little slow”, the same ward The patients who were hospitalized for surgery in the late evening were all discharged, but he was still recovering.
The proctology team performed another colonoscopy for him. The results suggest that this time “enteritis” has changed again, suggesting: The mucosa of the terminal ileum is cobblestone-like hyperemia, the veins are blurred, and there are erosions and ulcers.
Could it be “Crohn’s disease”? Wang Yufang from the Gastroenterology Department of Hangzhou Third People’s Hospital and the anorectal team conducted a consultation with Xiao Yang. However, Xiao Yang, who was eager to return to school for the postgraduate entrance examination, did not choose to conduct further inspections, Wang Yufang “begged” He left a WeChat and told Xiao Yang that he must contact him in case of any situation.
Recurrence of anal fistula within one year, abdominal pain and diarrhea
Diagnosed with a strange disease, he was close to collapse :
Will the intestines rot inch by inch?
Until 10 months ago, Xiao Yang’s anal fistula recurred and repeated diarrhea. Xiao Yang, who was at home on vacation, found Wang Yufang, who “must add WeChat”, and conducted a review under her suggestion.
“Those days were the darkest time for me in more than 20 years”, Xiao Yang, who received the report, was extremely uneasy, The disease content found on the Internet made him fall to the bottom.
Xiao Yang “disappeared” in the second consultation. Wang Yufang worried that his condition would worsen and he would miss the opportunity for treatment. He repeatedly left messages to ask and persuade him through WeChat.
After a long time, Xiao Yang replied, “Doctor, The intestines in my stomach will really rot inch by inch. Is there any hope of going to school and working?”
With the encouragement of Wang Yufang, Xiao Yang came to the hospital again. This time, Wang Yufang chatted with Xiao Yang for more than an hour, explained Crohn’s disease and combined treatment methods in detail, and finally let him accept the condition and be admitted to the hospital for treatment. After colonoscopy + small bowel CT examination + rectal MRI examination, and excluding tuberculosis infection, Epstein-Barr virus, cytomegalovirus and other infectious enteritis, Xiao Yang was finally diagnosed with Crohn’s disease disease (active) and anal fistula.
The team of gastroenterology and anorectal department formulated a treatment plan for Xiao Yang. First, the anal fistula was operated on, and then standardized treatment with biological agents and immunological agents was given after surgery. Just 1 month ago, the results of the re-examination of the colonoscopy were gratifying: The mucosa under the colonoscopy was almost completely healed, and the intestinal inflammation indicated by small bowel CT was also significantly reduced.
15-35 years old young and high incidence
Most of the patients are facing major life events
If these four situations occur, screen quickly
“Crohn’s Most of the patients are relatively young, and the peak incidence is between 15 and 35 years old. Like Xiao Yang, most of the patients are at an important stage of life, facing major life events such as studying, choosing a career, and starting a family. .”
According to reports,Crohn’s disease (CD) is a chronic inflammatory granulomatous disease that can involve the entire gastrointestinal tract (any part of the gastrointestinal tract from the mouth to the anus), mainly in the terminal ileum and its adjacent colon.
For doctors,Crohn’s disease is the most difficult thing to diagnose. Because it accumulates many organs, the clinical manifestations are very diverse,including gastrointestinal manifestations, systemic manifestations, extraintestinal manifestations and complications >. Whether it is the most common gastrointestinal manifestations (diarrhea and abdominal pain, bloody stools may be present), or the main systemic manifestations (weight loss, fever, loss of appetite, fatigue, anemia, etc., adolescent growth retardation), or the first occurrence of many patients Perianal lesions (perianal abscess, perianal fistula, skin tag, anal fissure, etc.) are very easy to be confused with other diseases.
What is even more worrying is that this once “rare disease” has gradually become more common in outpatient clinics. See… The doctor reminds that if the following four points are met, you should pay attention to it as soon as possible, and ask a professional doctor for early screening:
< strong>① Repeated abdominal pain and diarrhea, duration of the disease > 6 weeks;
② a history of anal fistula;< /span>
③BMI＜18kg/㎡;
< p>④History of repeated oral ulcers, joint pain and rash.
Crohn’s disease is difficult to cure
Maintain confidence, long-term coherent treatment
Ten-year-old patients: not terrible
As a chronic inflammatory disease, patients with Crohn’s disease may not only experience repeated diarrhea, abdominal pain, etc. In the later stage, it will also affect normal intestinal absorption, and even cause nutrient absorption disorders, intestinal obstruction, intestinal perforation, etc.
This also makes it different from common diseases in gastroenterology, it cannot be ended with a single treatment. Instead, patients and doctors are required to cooperate in long-term coherent treatment and follow-up, and constantly adjust the treatment plan dynamically according to the condition. Don’t stop the drug without authorization after the treatment is slightly improved, which will cause the disease to recur and aggravate.
Many netizens shared their treatment experiences, patients who have been ill for more than ten years Encouragement: It’s not really scary.
Ron’s disease is no longer as terrifying as the “green cancer” of the past.
The Department of Gastroenterology, Hangzhou Third People’s Hospital reminds that once diagnosed, patients should never lose confidence, give up treatment, and choose to repeatedly carry and endure alone. . Medical methods have made great progress, and a large number of patients can effectively control their disease through standardized treatment with biological agents, and can achieve basic work intensity and full attendance just like ordinary people. .
Self-discipline is also critical to treatment. Patients need to follow the doctor’s treatment plan for strict dietary management and maintain good living habits.
Source: Hangzhou Third People’s Hospital
Editor Yao Rong Sincerely produced by Hangzhou DailyMore news download Hangzhou Chief News Client“Hangzhou+ News”
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