Chinese medicine treatment for colon polyps

Symptoms of stool etiology

Blood in stool is also known as "bloody stool", "blood", "diarrhea blood", characterized by bloody stool or fresh after stool. Mostly seen in the upper gastrointestinal tract ulcer bleeding, gastrointestinal polyps, small intestinal bleeding, tumors, perianal disease blood, as well as some blood diseases, acute infectious diseases, parasites and so on. This refers to blood in stool due to broken hemorrhoids, anal fissure, anal sinusitis, and rectocolonic mucosal injury. The stool is soft and shaped or hard, the blood is attached to the surface of the feces, some first blood and then stool, some first stool and then blood, the color of the blood is mostly bright red, there are also dull red and turbid. The color of the blood is mostly bright red, and some are dull red and cloudy. When there is a lot of blood, it is dripping, and the pain in the anal opening is aggravated after the stool.

The Chinese medicine believes that blood in stool is caused by the accumulation of heat in the intestines (dampness), or the deficiency of the spleen qi, which cannot regulate the blood flow. It can be treated by clearing intestinal heat, stopping bleeding and tonifying qi to regulate blood.

Self-treatment precautions

(1) Make it a habit to have regular bowel movements, and it's better to have thin, pasty stools.

(2) Reduce postures that increase abdominal pressure, such as squatting and breath holding. Avoid prolonged sitting, standing, walking and overwork.

(3) Avoid eating hot, greasy, rough, slaggy food, tobacco, alcohol and coffee.

(4) Eat more foods that have the effect of clearing intestinal heat, moisturizing nutritious mucous membranes, laxative and hemostatic, such as raw pear juice, lotus root juice,

water chestnut juice, rutabaga juice, celery juice, carrots, carrots (cooked), bitter gourd, eggplant, cucumber, spinach,

kumquat, cabbage, egg yolks, apples, figs, bananas, black sesame seeds, pecan meat, white fungus and so on.

(5) To be cheerful, do not be depressed and angry. The heart is not wide, irritable and melancholy will make the intestinal mucosa contraction, blood flow is not smooth.

(6) Reduce intercourse, too frequent intercourse will make the intestinal mucosa congested. Aggravate bleeding.

Autonomous therapy

1. Self-therapy with patent medicines

(1) Yunnan Baiyao, 0.3 grams each time, 2-3 times a day. Swallow with warm water.

(2) Spleen about Ma Ren Pills, each 9 grams, 2 times a day, warm water swallowed.

(3) Dirty Lian Pill, 9 grams each time, 2 times daily, swallowed with warm water.

2. Self-medication

(1) Powdered rhubarb charcoal, 3-6 grams each time, 2 times a day, swallowed with warm water.

(2) eggplant leaves dried on the tile powder, 6 grams per time, 2 times a day. Swallow with rice soup.

(3) dry lotus herb 60 grams, decoction of tea.

(4) 15 grams of charcoal of ground elm, 12 grams of charcoal of acacia flower, 12 grams of charcoal of cress, 30 grams of adzuki bean, 10 grams of charcoal of fengfeng

grams of charcoal of rhubarb, 10 grams of charcoal of rhubarb, and 10 grams of cypress, take 1 dose of this product daily, divided into 2 doses, and take it by decoction. It is used for the accumulation of heat and dampness in the intestines,

red and turbid blood, bitter taste in the mouth, yellow and thick tongue coating, and unsmooth bowel movement.

(5) 30 grams of Zaoxin Tu, 10 grams of Codonopsis, 10 grams of Atractylodes macrocephala, 10 grams of ginger charcoal, 10 grams of Ascophyllum charcoal,

12 grams of stir-fried Astragalus, 9 grams of Colla Corii asiatica (closed separately), and 6 grams of licorice; take 1 patch per day in 2 decoctions. It is used for those who have weak spleen qi

weakness, pale face, tiredness and weakness.

3. Dietary self-therapy.

(1) 250 grams of pig intestines, 15 grams of fresh acacia flowers, boiled food and soup.

(2) Eat several persimmon cakes daily.

(3) 10 grams of white fungus, 15 grams of jujube, stewed over low heat.

(4) 30 grams of golden needles, brown sugar, decoction soup.

(5) ginger, mugwort leaves 15 grams each. Mugwort leaves with ginger decoction thick juice, each serving 1 cup. Mugwort leaves warm the menstruation to stop bleeding, ginger

Expel cold, used to treat cold bleeding, the main treatment of blood after feces.

(6) 5 bowls of vinegar, 3 bowls of adzuki beans, boiled and dried to a powder, 5 grams per serving. This formula is the main treatment for intestinal hemorrhoids bleeding.

4. external self-treatment

(1) fumigation. Colla Corii Asini plus vinegar submerged softened steamed into a paste, each time to take 30 grams and then add vinegar 500 grams of melting,

Heating and boiling after the first smoked and then wash the anus, 2 times a day. The original liquid can be washed many times. Used for anal fissure, hemorrhoids bleeding.

(2) apply medicine. Cool oil mixed with bead yellow powder 2 sticks, coated inside and outside the anus.

(3) wild wormwood (Artemisia absinthium leaves) pounded as mud on the anal opening.

(4) Egg butter on the anus. (Suitable for those with dry and ruptured mucous membrane at the anal opening.)

Egg butter method; take several cooked egg yolks, put non-ferrous utensils within a small fire stir fry, until the oil ooze out of the filter that is obtained.

5. Other self-therapy

(1) abdominal rubbing. Twice a day in the morning and evening (after waking up before going to bed) rubbing the abdomen, counterclockwise 100 times each.

(2) Lift the anus. Do anal retraction 2-3 times a day, 30-50 times each time.

Avoid misdiagnosis

The sudden appearance of blood in the stool without anorectal disease in the past, or a small amount of dull red turbid blood in the stool occurs from time to time, and does not heal; or

Blood in the stool with necrotic and corrupt tissues, thick secretion, the patient must not be negligent, should be examined in the hospital.

Because of the fear of pain caused by bowel movements, the patient will tolerate bowel movements, which will cause constipation, heat and toxicity, and aggravate the symptoms of blood in the stools

Symptoms of blood in the stools

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Unmarried young women must pay attention to rest during menstruation, must pay attention to pubic hygiene, otherwise it is easy to lead to inflammation of the anal mucosa, rupture and bleeding

Blood in the stool

Gastrointestinal bleeding through the intestinal tract discharged after the fecal blood or all blood stools, the color can be bright red, dark red and tar-like. The color of the bloody stool depends on the location of the bleeding, the amount of bleeding, and how long the blood stays in the digestive tract. Bleeding in the lower gastrointestinal tract (small intestine, colon, rectum, anus) often results in bright or dark red stools. Bleeding from the upper gastrointestinal tract (esophagus, stomach, duodenum) often results in tarry stools.

(I) Causes

Blood in the stool is generally divided into fresh blood stool, tarry stool and occult blood stool, the common causes are described below.

1 Fresh blood stool: generally from the lower end of the ileum, colon, rectum, anus, stool color bright red or dark red, can be mixed with mucus and pus and blood. Common diseases are: hemorrhoids, anal fissure bleeding. Hemorrhoids blood in the stool during defecation jet-like outflow or blood dripping after defecation; anal fissure blood in the stool is small, but the anal pain is more intense. Rectal polyp bleeding, the amount of blood in the stool is not large, the blood is attached to the surface of the stool, sometimes the feces become thin and streaky or have pressure marks. Dysentery blood in stools is pus and blood, stools are frequent, accompanied by left lower abdominal pain.

2 tarry stools: that is, black stools. Upper gastrointestinal bleeding is not vomited, the blood stays in the intestine for a long time, and the hemoglobin in the blood combines with the sulfide in the intestine to form ferrous sulfide, and the ferrous sulfide makes the stool black and shiny, like tar. The presence of tarry stools indicates that the amount of bleeding has reached 60 milliliters or more. However, it should be noted that certain foods and medications can make the stool black, and the fecal occult blood test can be used to identify it.

3 Occult blood stool: Where a small amount of gastrointestinal bleeding does not cause a change in the color of the stool, only in the laboratory fecal occult blood test positive, known as occult blood stool. All diseases that cause gastrointestinal bleeding can occur occult blood stool, common gastric ulcer, gastric cancer.

(2) Ambulance measures

The ambulance measures are basically the same as those for vomiting blood. Stay in bed quietly, reduce activities, observe the amount of bleeding, use hemostatic drugs appropriately, fainting, shock and send to the hospital in time for emergency.

How to register

1. Anal and intestinal surgery: bright red blood after stool, or discharge bright red blood stool, generally not accompanied by severe abdominal pain in the patient, should be hanging anal and intestinal surgery.

2. General Surgery: Fresh blood in the stool, accompanied by severe abdominal pain or even shock, the patient should hang the General Surgery Department.

3. Intestinal clinic: acute onset of the disease, the discharge of pus and blood stool patients, should be registered in the intestinal clinic.

4. Gastroenterology: patients who pass black stools, dark-red blood stools, or have a history of chronic colitis and often pass bright-red blood stools should be referred to the gastroenterology department.

5. Hematology: blood in the stool with a tendency to generalized bleeding, should be listed in the hematology department for further examination.

6. Nephrology: patients with a history of nephritis and bloody stools should be referred to Nephrology.

7. Infectious diseases: blood in stools appears after fever, and patients with a history of living in infected areas should be referred to the infectious diseases department.

The discharge of blood from the anus is called blood in stool, which mainly includes blood dripping, spraying blood or blood in stool. Generally speaking, blood in the stool that is visible to the naked eye is usually indicative of bleeding in the lower gastrointestinal tract (especially the colon and rectum). The closer the bleeding site is to the anus, the brighter the color.

People generally believe that blood in the stool is caused by hemorrhoids, which is incorrect. Hemorrhoids, especially the first and second stage of internal hemorrhoids are often blood as the main symptom. Blood in the stool usually occurs during defecation, blood dripping during and after defecation or jet-like bleeding, blood and feces are not mixed. The amount of bleeding varies from a few milliliters to tens of milliliters. Repeated bleeding can lead to severe anemia. The diagnosis of hemorrhoids is relatively easy, but it must be noted that clinically, anorectal diseases with symptoms of blood in the stool, such as rectal adenoma and rectal cancer are often misdiagnosed as internal hemorrhoids. Therefore, when determining the diagnosis of hemorrhoids, other diseases must be excluded. The blood in the stool patient finger test is necessary, the use of disposable sigmoidoscopy for routine inspection is a convenient, economical, safe and accurate inspection method.

Anal fistula often has purulent discharge, less often bloody. Because the disease recurs, making the condition worse, it is still more reliable to surgical treatment.

Rectal cancer is a common malignant tumor, and its main clinical manifestations are:

1. Blood in stool.

2. Pus and blood stools and mucous blood stools.

3. changes in bowel habits, including constipation, diarrhea or alternating between the two, and incomplete bowel movements.

4. Change in stool shape.

5. Abdominal pain, abdominal discomfort, abdominal mass, etc.

The use of disposable sigmoidoscopy for routine examination of patients with blood in stools can lead to early detection of rectal and low sigmoid colon cancer, and the whole colonoscopy can be performed if necessary. Early detection, early diagnosis and early treatment of colorectal cancer must be advocated.

Precancerous lesions:

1. Adenomas: adenomas are precancerous lesions which have been recognized, and the common symptoms include blood in stool, change of bowel habit, prolapse of tumor out of anus, and abdominal pain. It should be diagnosed early by disposable sigmoidoscopy and surgically removed as early as possible.

2. Chronic ulcerative colitis: the main symptoms are blood in the stool, increased frequency of bowel movements, and abdominal pain.

Others:

1. Systemic lesions: such as hematologic disorders.

2. Anal injury, etc.

In short, blood in the stool should be timely to the regular hospital examination to rule out other diseases, so as not to delay the condition. （

Blood in the stool: blood from the anus, or with the stool mixed and down, or down pure blood.

"Ling Shu. The "Beginning of all diseases" called: "after the blood"; "Typhoid Fever" said "rest blood"; "The Golden Chamber" said: "blood", and according to the blood and defecation of the order, proposed And according to the sequence of blood and defecation, the names of "distant blood" and "near blood" were proposed. Zhang Jingyue pointed out: "blood in the stool after the person who comes far, far or in the small intestine, or in the kidney. ...... Blood comes nearer to those who come before the bowel movement, and nearer to those who are either in the large intestine or in the anus." Later medical practitioners and the following blood color of the clear and turbid, the establishment of intestinal wind, the name of dirty poison. The key to evidence treatment" cloud: "blood clear color bright red for intestinal wind, turbid and dull for dirty poison." The "Introduction to Medicine" has blood in the stool that is out of the powerful, such as arrows shot far away, called "blood arrow".

This disease should be differentiated from dysentery pus and blood. Dysentery pus and blood, most of the pus and blood miscellaneous down, and have obvious abdominal pain, acute and severe after the performance, while the performance of this disease for the stool blood from the down, and no pus-like material, and no obvious abdominal pain and acute and severe after the symptoms.

"Common Symptoms"

Solid heat in the stomach and intestines: blood in the stool, accompanied by dry lips and mouth, thirst for cold drinks, swollen and painful gums, bad breath and bitterness, sores on the mouth and tongue, constipation, burning in the anus, red tongue with yellow fur, and a strong pulse.

Dampness-heat sympathetic vaporization: first blood and then stool, bright red blood, stool, limb sleepy epigastric distension, dullness, bitter mouth, short and red urine, red tongue, yellow moss, pulse moistening.

Coldness of the spleen and stomach: blood after stool, or blood and stool mixed, or pure blood, purple blood, or stool like tar, colorless, fatigue and weakness, vague pain in the abdomen and stomach, dullness, loose stools, cold limbs, pale mouth without thirst, pale tongue, white moss, weak pulse.

Liver yin deficiency: blood in the stool, dizziness, dizziness, red cheekbones and redness, five heartburn and heat, sleeplessness at night, night sweating, dreaming of losing sperm, waist soreness and tiredness, emaciation, tongue reddish-red, pulse is fine.

Hemorrhoids blood in stool: blood in stool is bright red, pain in anus is unbearable, or swelling with hemorrhoids nucleus, or accompanied by anal fissure, tongue is red with yellow fur, pulse is stringy.

References:

Pediatric blood in stool ||| Abnormal fecal color

Points of identification and diagnosis of blood in stool:

Comorbidities Possible Diagnoses

Jetful discharge of blood with defecation, or dripping of fresh blood after defecation, with blood and feces do not mix, the amount of bleeding varies, accompanied by a foreign body sensation in the anus or a violent pain Hemorrhoids

Less amount of blood in the stool, bright red color, filamentous covering the feces, painful sensation during defecation, and varying degrees of pain after defecation Anal fissure

Intermittent blood in the stool, usually not a lot of blood in the stool, the blood attached to the surface of the feces, bright red color, does not mix with the feces, and sometimes feces thinned out in a thin strip, or on one side with a Rectal polyp or colon polyp

The amount of blood in stool increases with the development of the disease, often accompanied by diarrhea, weight loss, anemia, and thick mucus mixed with stool, with a special fishy smell Rectal cancer, mostly seen in middle-aged and old-aged

Changes in stool habit, diarrhea or constipation, and pus and blood in stool or mucus blood. Colorectal cancer

Acute onset, accompanied by abdominal pain, diarrhea, with nausea, vomiting, blood in stool is not much, often mixed with feces, frequent stools, with a feeling of urgency and abdominal pressure pain Bacterial dysentery or amoebic dysentery

Bleeding is often intermittent, with small amount of blood in stool and feces with pus and blood or mucus, most often accompanied by abdominal pain, diarrhea, and feeling of urgency and heaviness Ulcerative colitis

Bleeding is small and accompanied by bleeding tendency in other parts of the body Hematologic diseases, such as leukemia, hemophilia, thrombocytopenic purpura, aplastic anemia

Platonic stools, often accompanied by vomiting of blood, as a characteristic symptom of upper gastrointestinal bleeding, such as cirrhosis, portal hypertension, peptic ulcer

No change in the color of stools, only the occult blood test is positive occult blood stools, most often caused by small amounts of gastrointestinal bleeding

These symptoms are often accompanied by bleeding, but they can be seen in the stool.

Which diseases should be considered as the main cause of blood in the stool?

Blood in the stool is a special symptom of bleeding in the lower gastrointestinal tract, especially in the colon, rectum and anus, which suggests organic lesions in the intestinal tract, and it must be taken seriously, diagnosed in time and treated urgently. The following diseases should be considered when there is blood in the stool:

(1) anal diseases

①Blood color bright red without pain, mostly seen in the internal hemorrhoids, Ⅰ hemorrhoids in order to blood as a characteristic, often due to stool rubbed hemorrhoidal nucleus and bleeding, the blood under, or dripping, or a line such as an arrow, or only in the paper with blood; Ⅱ hemorrhoidal hemorrhoids with not much blood or bleeding, and often prolapse out of the anus.

②The blood in the stool of anal fissure is often accompanied by anal pain and typical periodic pain after stool.

③ Anal canal cancer is mainly manifested by blood in stool and pain, which is aggravated before defecation.

(2) Rectal diseases

①The main symptom of rectal polyps is blood in stool, which is intermittent, bright red in color, and usually in small amount, and this disease is common in children.

②The main symptoms of rectal cancer are increased frequency of stool, thin feces, mucus and blood, accompanied by urgency and heaviness or a sense of incomplete defecation, the blood in stool is bright red or dark red in the early stage, the amount is not large, and there is often foul-smelling mucus in the stool in the advanced stage, weight loss, which should be highly valued.

③Radiation proctitis can also have blood in the stool, but there should be a history of radiation therapy.

(3) Colon diseases

①Colon polyps: a. Juvenile colon polyposis, the average age of onset is 6 years old, no family history, the main manifestation of blood in the stool, often accompanied by malnutrition, anemia, hypoproteinemia, and growth retardation, and is often accompanied by congenital malformations, such as intestinal malrotation, umbilical hernia, and cerebral edema, etc.; b. Familial juvenile polyposis of the colon: there is a family history. Symptoms are commonly characterized by blood in the stool, rectal prolapse, and growth retardation; c .Cronknite?Canda syndrome (CCS): a syndrome of misshapen polyps to adult onset, with blood in the stool, mostly diarrhea, large bowel movements, and may contain fat, and concomitant abdominal pain, anorexia, malaise, vomiting, and diminished libido and sense of taste. There are almost always changes in the finger (toe) nails, alopecia and hyperpigmentation.

②Colon cancer: commonly found in the left half of colon cancer, patients mostly have stubborn constipation, or see increased frequency of stool, when the cancer breaks down, it can make the outside of the fecal mass stained with blood or mucus, or even discharged pus.

(3) Chronic non-specific ulcerative colitis and bacillary dysentery: blood in stool can be seen in both cases, and it can be discharged with mucus or pus at the same time, accompanied by abdominal pain.

(4) amoebic dysentery: blood in the stool as the main symptom, the stool is soy sauce red, mucus, and has a bad smell.

(5) hemorrhagic E. coli enteritis: acute onset of illness, with fever, diarrhea, may have a history of eating rotten meat, often in the form of food poisoning.

In addition, children under 1 year old should pay attention to intussusception. Some systemic diseases such as leukemia, aplastic anemia, hemophilia, etc. can also have symptoms of blood in the stool.

Blood in the stool

Blood in the stool or blood in the stool after gastrointestinal bleeding through the intestines, the color can be bright red, dark red and tarry. The color of the bloody stool depends on the location of the bleeding, the amount of bleeding, and how long the blood stays in the digestive tract. Bleeding in the lower gastrointestinal tract (small intestine, colon, rectum, anus) often results in bright or dark red stools. Bleeding in the upper gastrointestinal tract (esophagus, stomach, duodenum) often results in tarry stools.

(I) Causes

Blood in the stool is generally divided into fresh blood stool, tarry stool and occult blood stool, the common causes are described below.

1?Fresh blood usually from the lower ileum, colon, rectum, anus, stool color bright red or dark red, can be mixed with mucus and pus and blood. Common diseases are: hemorrhoids, anal fissure bleeding. Hemorrhoids blood in the stool during defecation jet-like outflow or blood dripping after defecation; anal fissure blood in the stool is small, but the anal pain is more intense. Rectal polyp bleeding, the amount of blood in the stool is not large, the blood is attached to the surface of the stool, sometimes the feces become thin and streaky or have pressure marks. Dysentery blood in stools is pus and blood, stools are frequent, accompanied by left lower abdominal pain.

2?tarry stools, i.e., black stools. Upper gastrointestinal bleeding is not vomited, the blood in the intestinal tract stays longer, the hemoglobin in the blood and the intestinal sulfide combines into ferrous sulfide, ferrous sulfide makes the stool black and shiny, like tar. The presence of tarry stools indicates that the amount of bleeding has reached 60 milliliters or more. However, it is important to note that certain foods and medications can make the stool black, which can be identified with a fecal occult blood test.

3?Occult blood Where a small amount of gastrointestinal bleeding does not cause a change in the color of the stool, only in the laboratory fecal occult blood test positive, known as occult blood. All diseases that cause gastrointestinal bleeding can occur occult blood stool, common gastric ulcer, gastric cancer.

(2) Ambulance measures

The ambulance measures are basically the same as those for vomiting blood. Stay in bed quietly, reduce activities, observe the amount of bleeding, appropriate use of antiemetic drugs, fainting, shock and send to the hospital in time for emergency.

Is blood in the stool an internal hemorrhoid?

Blood in the stool is a typical symptom of internal hemorrhoids, especially early internal hemorrhoids, but we can't assume that blood in the stool is internal hemorrhoids. The blood in the stool is a common symptom, and many diseases in the clinic can cause blood in the stool.

①All kinds of enteritis: due to inflammation, destroying the integrity of the intestinal mucosa, there is dark purple blood mixed in the stool, secretion, and accompanied by various types of enteritis specific symptoms.

②anal papillitis and its hypertrophy: in the dentate line, the surface is covered with anal canal epithelium, occasionally visible bleeding.

③Anal fissure: severe pain during defecation, blood dripping after defecation.

④ Rectal cancer: there is bleeding and large amount of secretion, which is most likely to be misdiagnosed and missed. When diagnosing by hand, the finger cuffs can be stained with blood, and hard lesions with different shapes, rough and uneven surface and uneven edges can be reached, which need to be biopsied for pathology to confirm the diagnosis. The disease bleeds and can also cause anemia.

5 rectal adenoma or villous papilloma: the disease often bleeds, each time the stool is defecated, the feces with blood, and occasionally there is a lot of bleeding. However, the tumor is long and tibial, anoscopy, the tumor is visible in the rectum, reddish in color, and may be tibial.