Subscribe
5
He Cai Dong
Colorectal Surgery Department
About me
Female, Associate Chief Physician, Bachelor's degree, currently working at Gansu Provincial Hospital of Traditional Chinese Medicine. Studied under the nationally renowned experts in anorectal diseases, Dr. Qian Bingwen and Director Zuo Jin, engaged in clinical, research, and teaching work on the combined treatment of anorectal diseases using traditional Chinese and Western medicine for 16 years.
In 2014, she studied for six months in the Department of Anorectal Diseases at Guangdong Provincial Hospital of Traditional Chinese Medicine. In 2015, she went to Ewha Womans University Hospital in South Korea for a three-month internship in colorectal surgery, laying a solid foundation for minimally invasive anorectal surgery.
She has accumulated rich clinical experience in the diagnosis and treatment of benign anorectal diseases such as inflammatory bowel disease, rectal prolapse, mixed hemorrhoids, anal fistula, anal fissure, perianal abscess, pruritus ani, and rectal polyps. She has a deep understanding of minimally invasive surgery and actively promotes standardized operations. The minimally invasive surgeries she performs have the advantages of minimal trauma, light pain, and fast recovery.
Since starting work in 2000, she has published four papers, co-authored one monograph, and participated in two research projects.
Proficient in diseases
Various common and difficult diseases of the anus and rectum, such as hemorrhoids, mixed hemorrhoids, anal papilloma, anal fissure, complex anal fistula, high anal fistula, perianal abscess, proctitis, constipation, genital warts, anal itching, anal eczema, anal and rectal pain, anal abscess, colon polyps and other common and difficult diseases of the anus and rectum... Especially skilled in using traditional Chinese acupuncture to relieve patients' pain.
Voices
What is the best treatment for anal fissure polyps?
In medical terms, an anal tag is known as a sentinel pile, which is simply a common external hemorrhoid. It results from prolonged non-healing anal fissures and repeated local inflammatory irritation, leading to tissue hyperplasia. The only way to remove the anal tag is through surgical removal, as medications alone cannot cure it. It is advisable to maintain a light diet, drink plenty of water, and consume lots of vegetables and fruits to keep bowel movements regular and soft, which can help reduce the occurrence of anal fissures. During flare-ups, one should avoid consuming beef, lamb, seafood, and other potentially irritating foods, and avoid prolonged sitting or standing. If stools are dry, products such as hemp seed pills, lactulose oral solution, and polyethylene glycol 4000 can be used to effectively soften the stools and alleviate symptoms of anal fissures. (Please use medications under the guidance of a doctor.)
How to determine if there are internal hemorrhoids when experiencing fresh blood in stool?
Fresh blood in the stool is usually caused by internal hemorrhoids. Bleeding from internal hemorrhoids can be seen on toilet paper, fresh blood in the toilet bowl, and sometimes severe bleeding can be spray-like. Based on the color of the blood, we can generally determine it to be internal hemorrhoids. When internal hemorrhoids are severe, anal lumps may protrude after defecation. If minor, the lumps can retract on their own; if severe, they need to be manually pushed back in, and if more severe, they remain irreducible at the anus. If you notice any of these symptoms, it is recommended that you visit the hospital's proctology department. A doctor can confirm whether the bleeding is caused by internal hemorrhoids through a digital rectal examination and an anoscopy, and then prescribe appropriate treatment.
Can external hemorrhoids be pushed back in by hand?
External hemorrhoids cannot be pushed back in by hand, as they are swollen around the anus, not prolapsed internal hemorrhoids. If they were prolapsed internal hemorrhoids, the lump could be pushed back in. For external hemorrhoids, if it is a short-term flare-up, it is recommended to take a warm saltwater sitz bath. After ten minutes, apply hemorrhoid cream to the affected area once in the morning and evening. Oral medication can also be used in conjunction, and treatment for a week can reduce the swelling. If the external hemorrhoid lump is very large and accompanied by severe pain, thrombosed hemorrhoids should be considered, and it is necessary to visit the hospital's proctology department. Surgery may be required if necessary. Diet should be light; spicy and irritating foods should not be eaten, nor should triggering foods like beef, lamb, and seafood. Alcohol consumption, including beer, should be avoided.
What should I do if the internal hemorrhoids hurt after being pushed back in?
If the pain does not subside after pushing back a prolapsed internal hemorrhoid, it is often due to the formation of a thrombus, which is why the localized pain is quite noticeable. In such cases, it is advised to use topical medications for treatment. You can use hemorrhoid suppositories or ointment, inserting them into the anus to alleviate the pain. If the pain remains significant, you can also take oral pain relievers temporarily. If pain persists even after these treatments, it may be considered a strangulated hemorrhoid, which is more serious. It is recommended that you visit a formal hospital's proctology department. There, a doctor can perform a digital rectal examination and an anoscopy to establish a definitive diagnosis and provide appropriate treatment. If very severe, surgery may be needed. (Use of medications should be under the guidance of a physician.)
How to change dressings for perianal abscess during menstruation?
Dressing changes during menstruation for perianal abscesses require cleansing with warm water after defecation. Sitz baths are not recommended as they may lead to gynecological infections. After thoroughly cleaning the area, it can be wiped with iodine. A hemorrhoid suppository should then be inserted into the anus, and hemorrhoid cream or an anti-inflammatory ointment can be applied to the wound. Covering with a piece of gauze can have an anti-inflammatory and antibacterial effect. Secure it with adhesive tape, and decide the frequency of dressing changes based on the amount of wound excretion. If there is a lot of excretion, it is advised to change the dressing twice a day, in the morning and evening. If the excretion is minimal and there is no feeling of moisture or discomfort, changing the dressing once a day after defecation is sufficient. At the same time, pay attention to a light diet.