What are the benefits of anal dilatation? What should I pay attention to when expanding anus?

Anal dilation is one of the most common operations in hospitals. Patients who have undergone anal dilatation often suffer from constipation. In fact, if it is because of constipation, the hospital will generally recommend that everyone do enema. About, what are the benefits of anal dilatation? What should I pay attention to when expanding anus? Let me answer them for you one by one!

The benefits of anal dilatation 1. Treatment of anal fissure and internal hemorrhoid.

By dilating anus, the internal and external sphincter of anal canal is relaxed, so it can treat anal fissure and internal hemorrhoid, and also has therapeutic effect on some anal canal stenosis. Preoperative anal dilatation can fully relax the anus, and the surgical field of vision is clear and easy to operate.

2. Stimulate anal defecation

Simple anal dilatation can stimulate the defecation reflex of anus, so for patients with intestinal obstruction, anal dilatation can be used to stimulate defecation, and of course it is better to cooperate with enema. Promote gastrointestinal peristalsis, which is good for the stomach and avoids stenosis after anal surgery.

Precautions for anal dilatation 1. First of all, the anesthesia should be thorough, and the anesthesia is not good. When the anus is dilated, the patient is in great pain, and the sphincter is not relaxed enough, and the symptoms of anal canal tearing will occur. 2. The action of expanding anus should be gentle, and the anus should be opened quickly by violence. Because it is easy to cause multiple lacerations of mucosa and anal canal, the force should be gradual. Starting from inserting two fingers into anus, the fingers should be increased one by one, and each additional finger lasts for about 5 minutes. Usually, it is appropriate to insert six fingers. 3. When expanding anus, it is best for men to expand anus in the front and back direction to avoid contact between fingers and ischial tubercle, which will affect anal expansion. Because the pelvis is wide, women can expand the anus from front to back and left to right. 4, the family can expand the anus without local anesthesia, and can use an anal dilator.

Patients with rectocele have dietary taboos.

(1) Avoid spicy food, such as pepper, garlic, pepper and white wine.

(2) Avoid fatty sweets, such as fat meat, oil soup, glutinous rice and glutinous rice.

(3) People with chronic diarrhea should avoid coarse grains such as honey, onions, garlic, beans, potatoes, radishes, celery and leeks.

(4) Avoid smoking and drinking.

Proper diet for patients with rectocele

(1) It is advisable to eat more fresh vegetables and fruits, such as spinach, Chinese cabbage, spinach, bananas, pears, apples, yams, lentils, lotus seeds, eels, soft-shelled turtles, lean pork, pig intestines, glutinous rice porridge and lotus seed soup.

(2) The diet should be nutritious and eat more eggs, lean meat, animal offal, beans, bean products and fish.

(3) Eat more yeast, coarse grains and foods with high fat content, and drink more water to keep the stool unobstructed.

(4) People who have diarrhea for a long time should eat less fruits with less cellulose, such as bananas, pineapples, apple purees and all kinds of vegetable purees, and eat less greasy and fatty foods.

Treatment of anal dilatation

Skin preparation and soapy water enema before anal dilatation. Take kc position or lateral position, local routine disinfection, local anesthesia or sacral anesthesia. After anesthesia, the anorectal ring gradually relaxes, and the fibrous ring does not relax, which is generally located in the middle of the fibrous ring. Before finger expansion, two fingers usually enter the anal canal to feel strangulation! Talking about finger expansion when finding fibrous ring. In order to reduce the new creation of anal canal, a section of anal canal can be squeezed between the abdomen of two index fingers. For anal fissure, if it is posterior fissure, you can squeeze and lift the fissure surface, and then expand the anus after pressing the finger expansion point. When the expanded fiber returns, there is a dull tearing paper-like conduction feeling. Then use two middle fingers to penetrate the anus, so that it is compressed with the posterior rectus pubis as the fulcrum, and then expand with the index finger, with 3-4 fingers entering the anal canal as the degree.

The basic requirement of anal dilatation is to dilate according to the tightness of anal sphincter. The postoperative wound may generally start from one finger, and the anal dilator with the same diameter as the index finger is placed for about three minutes at a time, and then the thickening can be gradually adjusted. The thickest is usually the thumb. Anal dilatation has two advantages for postoperative patients, one is to promote gastrointestinal peristalsis, and the other is to avoid stenosis after anal surgery.