Perhaps to pass the time, or to take a break from their busy schedules, many people have developed the habit of squatting in the toilet to play with their mobile phones, and squatting is half an hour. Little do they know that an inadvertent little habit makes anorectal diseases sneak up on them. The anorectum is a complex excretory system in the human body. When there are uncomfortable symptoms such as constipation, blood in the stool, pain, etc., people’s first reaction will be equated with hemorrhoids, but Is anal discomfort just because of hemorrhoids?
National Health Commission, July 28, 2022 Health Channel (CHTV) and the Medical Forum Network conducted an exclusive interview with Zhang Bing, President of Yangzhou Miaoshou Anorectal Hospital, on the incidence and prevention of anorectal diseases.
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High incidence of hemorrhoids in anorectal diseases
Benign anorectal diseases mainly come from hemorrhoids, fistulas, and fissures, including hemorrhoids, anal fissures, anal fistulas, and perianal abscesses. Professor Zhang Bing said, The Anorectal Branch of the Chinese Medicine Association once conducted an epidemiological survey, and the data showed that the incidence of hemorrhoids was over 50%, This indicates the high incidence of hemorrhoids. Why is there a high incidence of nine hemorrhoids in ten people? Physiologically, the high incidence of hemorrhoids is related to the anatomy of the human anus. The superior rectal vein and its branches have no venous valve. When the venous blood returns, due to the upright posture, blood pooling in the anorectal part of the human body is prone to occur. Over time, the anorectal vein varicose, tortuosity, and hyperplasia will form hemorrhoids;
- long defecation cycle or For a long time, it is easy to cause poor blood flow, thrombosis, and the formation of hemorrhoids;
- Spicy foods can irritate Digestive mucosa can easily cause vasodilation and colonic dysfunction, and then the incidence of anorectal diseases is significantly increased.
Professor Zhang Bing suggested that after hemorrhoids enter clinical stage 3, surgical intervention should be carried out when circumstances permit, and medical treatment should not be taboo. For anorectal diseases, early treatment will bring excellent results with less wound, less pain, and less money.
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Colorectal cancer awareness is generally worryingProfessor Zhang Bing reminded, perianal abscess Repeated inflammatory stimulation of anal fistula and anal fistula can easily lead to malignant tumors., such patients need early treatment. Colorectal cancer is the most common type of malignant anorectal tumor. In September 2020, the interim results of the first large-scale survey on the diagnosis and treatment of patients with advanced colorectal cancer in my country were officially released. The reported statistics are staggering!
- 64% of patients were completely unaware of colorectal cancer risk factors;
- 85% of patients did not know how to screen for colorectal cancer;
- 97% of patients had not undergone colonoscopy screening before the disease;
- 85.8% of the patients were admitted for the first time because of suspected symptoms such as blood in the stool, severe diarrhea or abdominal pain, and only 6.9% were suspected symptoms during physical examination;
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▼ p>Focus on occult colorectal cancer Colorectal cancer has obvious familial aggregation. Studies have shown that if an immediate family member has colorectal cancer, the risk of their first-degree relatives suffering from the disease increases by 1.76-2.07 times. Professor Zhang Bing suggested that once the patient is diagnosed with colon cancer, the patient himself and his family should have a colonoscopy every 1-2 years; secondly, long-term constipation or irregular bowel movements, It is a manifestation of intestinal system or flora disorder, and it is easy to induce colorectal cancer in the long run;
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Focus Colorectal Cancer Screening Methods1. Digital rectal and anus examination fingers are the eyes of anorectal doctors, and digital examination helps doctors comprehensively Understand the health of the patient’s perianal and rectal walls. More than half of colorectal cancer patients in China are rectal cancer, and among rectal cancer patients, 70% of rectal cancers belong to the middle and low position, which can be detected by digital rectal examination< /span>. 2. Electronic Anoscope Within 15 cm of the anus and rectum, all perianal diseases can be clearly seen through an anoscope without bowel preparation. 3. Colonoscopy Enteroscopy is the gold standard, not only can clearly observe the bowel The condition of the tract, and suspicious lesions can be clamped under direct vision for pathological examination, which is conducive to the discovery and diagnosis of early and small colorectal cancer. Professor Zhang Bing pointed out that the Olympus 290 electronic gastrointestinal endoscope system is the most advanced colonoscope at present, with powerful image processing capabilities and clear NBI narrow-wave imaging technology, which greatly improves the positive biopsy rates in patients with early gastrointestinal cancer screening.
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colonoscopy helps prevent polyps from becoming cancerousin the early stage of intestinal tumors, the human body does not It is too late to check when the blood in the stool is dark red or brown, or even the body has abdominal pain and bowel obstruction. The occurrence and development of colorectal cancer mostly follow the sequence of “adenoma-cancer”, and more than 90% of colorectal cancers evolve from adenomatous polyps. It takes 10-15 years for a polyp to develop into a cancer. If the adenoma can be detected by colonoscopy and treated with minimally invasive endoscopic treatment at the asymptomatic stage when the adenoma is not cancerous or early cancerous, it can greatly reduce the possibility of its canceration. Professor Zhang Bing emphasized that once suffering from intestinal disease, Seek medical attention in a timely manner, standardize treatment, and do colonoscopy regularly, especially after the age of 40, at least once a year for colonoscopy. A few days ago, the public’s initiative to book colonoscopy examinations was poor. There are two main reasons for this: Lack of awareness of cancer; second, the public is reluctant to accept the invasive method of colonoscopy, and even fear it. This kind of fear makes many patients delay their illness, resulting in many clinical cases of colorectal cancer not receiving early diagnosis and treatment, and missing the opportunity for treatment.
Finally, Prof. Zhang Bing said that with the development of endoscopy technology and the improvement of doctors’ operating proficiency, the discomfort of colonoscopy has been greatly reduced. The time is also significantly shortened, and it takes about a quarter of an hour to complete a colonoscopy. In addition, the popularization of painless colonoscopy has also brought great benefits to human health.
Zhangzhou Yang Bing
Hospital President
Nanjing Dingyishan Anorectal Specialist Hospital President
Nanjing Taikang Xianlin Drum Tower Hospital Anorectal Department Director
Director, Anorectal Branch, World Federation of Traditional Chinese Medicine
Visiting Scholar of St.mark’hospital, UK
< p>Deputy Director of Anorectal Professional Committee of China Association of Non-Public Medical Institutions
Source: Medical Forum Network
Author: Keqi
Reviewer: catherine
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