What about stool bleeding?

The etiological symptoms of bloody stool are also called "bloody stool", "bloody stool" and "diarrhea", which are manifested as bloody stool or fresh stool. More common in upper gastrointestinal ulcer bleeding, gastrointestinal polyps, small intestinal bleeding, tumors, perianal diseases, as well as some blood diseases, acute infectious drugs, parasites and so on. This refers to bloody stool caused by hemorrhoid rupture, anal fissure, anal sinusitis and rectal mucosal injury. The stool is soft, shaped or hard, and blood adheres to the surface of the stool. Some stools take blood first, and some stools take blood first. Most of the blood is bright red, and some are dark red and turbid. The blood drops endlessly for a long time, and the pain in the anal orifice increases after defecation. Traditional Chinese medicine believes that hematochezia is caused by heat accumulation in the intestine (dampness) or spleen-qi deficiency, which can not control blood circulation. It can be treated by clearing intestinal heat, stopping bleeding, invigorating qi and nourishing blood. Precautions for self-treatment (1) Get into the habit of defecating regularly, and the stool should be thin and mushy. (2) Reduce the posture of increasing abdominal pressure, such as squatting and holding your breath. Avoid sedentary, long standing, long walking and overwork. (3) Avoid spicy, spicy, greasy, rough and dull food, alcohol, tobacco and coffee. (4) Eat more foods with the functions of clearing heat from intestines, nourishing mucous membranes, relaxing bowels and stopping bleeding, such as raw pear juice, lotus root juice, water chestnut juice, reed root juice, celery juice, carrot, white radish (cooked food), bitter gourd, eggplant, cucumber, spinach, day lily, Chinese cabbage, egg yolk, apple, fig, banana and black. (5) be cheerful, don't be angry and hot. If the mood is not wide, irritability and depression will cause intestinal mucosa to contract and blood circulation will not be smooth. (6) reduce sexual intercourse. Excessive sexual intercourse will make the intestinal mucosa congested. Aggravate bleeding. Self-treatment 1. Self-treatment (1) Yunnan Baiyao, 0.3g each time, 2-3 times a day. Swallow with warm water. (2) Piyue Maren Pill, 9g each time, twice a day, swallowed with warm water. (3) Qinglian Pill, 9g each time, twice a day, swallowed with warm water. 2. Self-treatment (1) rhubarb charcoal powder, 3-6 grams each time, twice a day, swallowed with warm water. (2) Dry the eggplant leaf tile and grind it into powder, 6g each time, twice a day. Swallow rice soup. (3) 60 grams of Eclipta prostrata, decocted for tea. (4) Sanguisorba officinalis charcoal 15g, Sophora japonica charcoal 12g, madder charcoal 12g, adzuki bean 30g, Saposhnikovia divaricata charcoal 10g, rhubarb charcoal 10g, and phellodendron amurense 1g daily. It is used for people with heat accumulation, intestinal dampness, red and turbid blood color, bitter taste, yellow and thick tongue coating and poor stool. (5) 30g of stove soil, 0/0g of Codonopsis pilosula/kloc-,0/0g of Atractylodis Macrocephala charcoal, 0/0g of ginger charcoal, 0/0g of Cimicifuga foetida charcoal/kloc-,0/2g of Radix Astragali preparata/kloc-,9g of colla Corii Asini (chemical) and 6g of licorice. Used for people with weak temper, pale face and easy fatigue. 3. Diet self-therapy. (1) 250g pig large intestine, fresh Sophora japonica 15g, cooking and soup. (2) Eat a few persimmons every day. (3) Tremella 10g, red dates 15g, and simmer. (4) 30 grams of day lily, appropriate amount of brown sugar, water decoction. (5) Ginger and Folium Artemisiae Argyi each 15g. Decoct Folium Artemisiae Argyi and Rhizoma Zingiberis Recens into thick juice, each time 1 cup. Folium Artemisiae Argyi warms channels to stop bleeding, and ginger removes cold. It can be used for treating deficiency-cold bleeding, mainly for treating bleeding after defecation. (6) 5 bowls of vinegar and 3 bowls of red beans, cooked and dried into powder, 5g each time. This prescription is mainly used to treat intestinal hemorrhoid bleeding. 4. External governance and autonomy (1) fumigation. Soak Colla Corii Asini in vinegar until soft, then steam it into paste, take 30 grams each time and add 500 grams of vinegar to dissolve it, heat it and boil it, then smoke and wash the anus twice a day. The stock solution can be washed many times. Used for patients with anal fissure and hemorrhoid bleeding. (2) apply medicine. Cool oil mixed with 2 pieces of xanthium powder is applied inside and outside the anus. (3) Mud wild wormwood (wormwood cotyledon) and apply it to anus. (4) Apply egg butter to the anus. (Suitable for dry and ruptured anal mucosa. ) egg butter method; Take a few cooked egg yolks, stir-fry them in non-ferrous tableware with low fire, and filter until the oil oozes. 5. Other self-treatment (1) rubbing abdomen. Rub your abdomen twice every morning and evening (after waking up and before going to bed), counterclockwise 100 times. (2) levator ani. Do anal contraction 2-3 times a day, 30-50 times each time. Avoid misdiagnosis as sudden bloody stool without anorectal diseases in the past, or sometimes a small amount of dark and turbid bloody stool will not heal for a long time; Or there are necrotic and corrupt tissues and sticky secretions in the blood in the stool. Patients should not be negligent and should go to the hospital for examination. Because of fear of defecation pain, forbearance will cause constipation, endogenous heat toxicity and aggravate defecation. Unmarried young women must pay attention to rest during menstruation and pay attention to the cleanliness of genitals, otherwise it will easily lead to anal mucosal inflammation. After bleeding, bloody stool and gastrointestinal bleeding are discharged through the intestine, and the stool will be bloody stool or whole blood stool, and the color can be bright red, dark red or tar. The color of bloody stool depends on the bleeding site, the amount of bleeding and the time that blood stays in the digestive tract. Lower digestive tract (small intestine, colon, rectum, anus) bleeding, stool is often bright red or dark red. Upper digestive tract (esophagus, stomach, duodenum) bleeding, stool is often tar-like. (1) Etiological hematochezia is generally divided into bloody stool, tar stool and occult blood stool. Common reasons are described below. 1 bloody stool: it usually comes from the lower end of ileum, colon, rectum and anus, and the stool is bright red or dark red, which can be mixed with mucus and pus. Common diseases are hemorrhoids and anal fissure bleeding. Hemorrhoid hematochezia is ejected during defecation or drops blood after defecation; Anal fissure has less bloody stool, but anal pain is more severe. Rectal polyp bleeding, stool blood volume is not large, blood adheres to the surface of stool, and sometimes stool becomes thin and strip-shaped or imprinted. Dysentery blood is purulent bloody stool with frequent defecation and left lower abdominal pain. 2 Tarky stool: that is, black stool. Upper gastrointestinal bleeding does not vomit, and blood stays in the intestine for a long time. Hemoglobin in the blood combines with sulfide in the intestine to form ferrous sulfide, which makes the stool black and shiny, like asphalt. The appearance of tarry stool indicates that the amount of bleeding has reached more than 60 ml. However, it should be noted that some foods and drugs can make the stool black, which can be identified by fecal occult blood test. 3 occult blood stool: a small amount of gastrointestinal bleeding does not cause stool color change, only when the stool occult blood test is positive, it is called occult blood stool. All diseases that cause gastrointestinal bleeding can cause occult bloody stools, such as gastric ulcer and gastric cancer. (2) Rescue measures Rescue measures are basically the same as hematemesis. Stay in bed quietly, reduce activities, observe the amount of bleeding, use hemostatic drugs appropriately, and send them to the hospital for rescue in case of syncope and shock. How to register a doctor 1 Anorectal surgery: Patients with bright red blood after defecation or with bright red blood in defecation generally have no severe abdominal pain, so anorectal surgery should be performed. 2. General surgery: Patients with bloody stools, severe abdominal pain and even shock should hang up general surgery. 3. Intestinal outpatient service: Patients with acute onset and purulent bloody stool should be hung up in the intestinal outpatient service. 4. Gastroenterology: Patients with black and dark red bloody stools, or with a history of chronic colitis and frequent discharge of bright red bloody stools should be hung up in Gastroenterology. 5. Hematology: those with hematochezia and systemic bleeding tendency should be further examined in hematology department. 6. Kidney disease: Those with a history of nephritis and bloody stool should contact kidney disease. 7. Infectious Diseases Department: Patients with hematochezia after fever and life history in epidemic areas should be registered in Infectious Diseases Department. The blood discharged from anus is called blood in stool, which mainly includes blood drop, blood spray or blood in stool. Generally speaking, blood visible to the naked eye often indicates lower gastrointestinal bleeding (especially colon and rectum). The closer the bleeding point is to the anus, the brighter the color. It is generally believed that hematochezia is caused by hemorrhoids, which is incorrect. Hemorrhoids, especially internal hemorrhoids in the first and second stages, are mainly manifested as blood. Blood in the stool generally occurs during defecation, during defecation and after defecation, blood drips or there is jet bleeding, and blood is not mixed with feces. The amount of bleeding varies from a few milliliters to dozens of milliliters. Repeated bleeding can lead to severe anemia. The diagnosis of hemorrhoids is relatively easy, but it must be pointed out that anorectal diseases with bloody stool, such as rectal adenoma and rectal cancer, are often misdiagnosed as internal hemorrhoids. Therefore, other diseases must be excluded when determining the diagnosis of hemorrhoids. It is necessary to perform finger examination on patients with hematochezia, and routine examination with disposable sigmoidoscopy is a convenient, economical, safe and accurate examination method. Anal fistula often has purulent secretions and less blood. Because of the recurrence of the disease and the aggravation of the disease, surgical treatment is more reliable at present. Rectal cancer is a common malignant tumor, and its main clinical manifestations are: 1. 2. Purulent bloody stool and mucus bloody stool. 3. Changes in defecation habits, including constipation, diarrhea or both, and endless defecation. 4. The shape of stool will change. 5. Abdominal pain, abdominal discomfort, abdominal mass, etc. Routine examination of patients with hematochezia by disposable sigmoidoscopy can detect low resection of rectum and sigmoid colon early, and colonoscopy can be performed if necessary. Early detection, early diagnosis and early treatment must be advocated for colorectal cancer. Precancerous lesions: 1. Adenoma: Adenoma is a precancerous lesion, and its common symptoms include bloody stool, change of stool habits, tumor protruding from anus, abdominal pain, etc. Disposable sigmoidoscopy is used for early diagnosis and early surgical resection. 2. Chronic ulcerative colitis: The main symptoms are bloody stool, increased defecation times and abdominal pain. Others: 1. Systemic diseases: such as blood system diseases. 2. Anal injury, etc. In short, bloody stool should be checked in a regular hospital in time to exclude other diseases, so as not to delay the illness. (bloody stool: blood flows out of the anus, or goes down with impurities in the stool, or pure blood. Soul fulcrum The title of "all diseases begin": "post-blood"; Treatise on Febrile Diseases is called "blood"; Synopsis of the Golden Chamber talks about "bleeding", and puts forward the names of "distant blood" and "near blood" according to the order of bleeding and defecation. Zhang Jingyue pointed out: "Blood is far from stool, far from the small intestine or kidneys. ..... If blood comes before defecation, it will come near, and the nearest one is in the intestine or anus. " Later doctors followed the name of turbid blood and established intestinal wind and dirty poison. The key points of syndrome differentiation and treatment says: "bright red serum is intestinal wind, and turbid serum is dirty poison." "Introduction to Medicine" says that "blood arrow" will be very powerful if there is blood in stool, for example, the arrow is far away. This disease should be differentiated from dysentery and purulent blood. Diarrhea and purulent blood are often accompanied by purulent blood, with obvious abdominal pain, acute diarrhea and severe diarrhea. But this disease is characterized by blood flowing from the stool, no pus, no obvious symptoms such as abdominal pain, acute diarrhea and severe diarrhea. Common symptoms: excess heat in gastrointestinal tract: bloody stool, dry lips, cold drinks, swollen gums, bad breath, bitter taste, sore mouth and tongue, constipation, burning anus, red tongue with yellow fur and strong pulse. Damp-heat steaming: blood first, then stool, bright red blood, uncomfortable stool, swollen limbs, anorexia, bitter taste, short and red urine, red tongue, yellow and greasy fur, and rapid pulse. Deficiency and cold of spleen and stomach: stool with blood first, or blood mixed with stool, or pure blood, purple and dark, or the stool is tar-like, with dull complexion, mental fatigue, abdominal pain, anorexia, thin stool, cold limbs, pale mouth without thirst, pale tongue, white and wet fur and thready pulse. Yin deficiency of liver: bloody stool, dizziness, blushing, nervous fever, restless night sleep, night sweat due to bone steaming, dreaminess, insomnia, backache, limb fatigue, emaciation, red tongue and rapid pulse. Hemorrhoid hematochezia: bloody stool, unbearable anal pain, or swelling of hemorrhoid nucleus, or anal fissure, red tongue with yellow coating and rapid pulse. References:

Differential diagnosis of abnormal stool color in children || Key points: Possible diagnosis of complications: ejection-like blood discharge during defecation, or blood drop after defecation, blood and stool are not mixed, and the amount of bleeding varies, accompanied by anal foreign body sensation or acute pain. Hemorrhoids have less bloody stool, bright red color, filiform covering stool, pain during defecation, and intermittent bloody stool after defecation. Generally, there is not much blood in the stool, and the blood is attached to the surface of the stool. It is bright red, not mixed with feces, sometimes the feces become thinner, or there is a concave rectal polyp or colon polyp on one side. With the development of the disease, the blood volume increases, often accompanied by diarrhea, weight loss, anemia and sticky stool. Rectal cancer with special odor is more common in middle-aged and elderly people, such as changes in stool habits, diarrhea or constipation, and pus and blood in stool. Colon cancer has a sudden onset, accompanied by abdominal pain, diarrhea, nausea and vomiting, less blood in the stool, often mixed with feces, frequent defecation, intermittent bleeding caused by bacillary dysentery or amebic dysentery with acute feeling and abdominal tenderness, small amount of blood in the stool, pus or mucus in the stool, less blood in ulcerative colitis with abdominal pain, diarrhea and acute feeling, and bleeding tendency in other parts. Such as leukemia, hemophilia, thrombocytopenic purpura, aplastic anemia and other tarry stools, are often accompanied by hematemesis, which is a characteristic symptom of upper gastrointestinal bleeding, such as cirrhosis, portal hypertension, gastrointestinal ulcer and so on. There is no change in stool color, only the occult blood test is positive, which is mostly caused by a small amount of gastrointestinal bleeding.