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Chen Tian Jing
Colorectal Surgery
About me
Master's degree, specializing in research and treatment of colorectal surgery.
Proficient in diseases
Mixed hemorrhoids, internal hemorrhoids, external hemorrhoids, anal papillitis, perianal abscess, anal fistula, anal sinusitis, anal fissure, perianal abscess, pruritus ani.
Voices
What tests should be done for rectal prolapse?
Rectal prolapse primarily refers to excessive laxity of the rectal mucosa within the anal canal. This lax mucosa accumulates at the anal opening, forming a clinical symptom. Patients may experience significant local swelling and a feeling of falling down. In severe cases or when the prolapse overly obstructs the anal opening, it might lead to difficulties in defecation and constipation. To diagnose rectal prolapse, an initial assessment typically involves a digital rectal examination and an anoscopy to simply and initially screen for the presence of mucosal prolapse. Further, a defecography might be required to ascertain the severity of the rectal prolapse. For mild rectal prolapse, topical medications can be used to alleviate symptoms. In cases of moderate or severe rectal prolapse, surgery is necessary to excise the lax mucosal loop.
Can internal hemorrhoids heal on their own?
To determine whether internal hemorrhoids bleeding is self-healing, one should primarily assess the amount of bleeding and the duration of bleeding to further evaluate the severity of the condition. If it is the first occurrence or if the bleeding is mostly noticeable on toilet paper and is relatively minor, self-healing of internal hemorrhoids bleeding can be achieved through lubrication of the stool during defecation and, if necessary, oral administration of cooling blood-stopping medications. However, if the bleeding duration is prolonged, or if the amount of bleeding is significant each time, it is unlikely to achieve complete healing simply through lifestyle adjustments, dietary changes, or even medication. Further surgical ligation and hemostasis treatment may be required for the patient.
What is the best treatment for proctitis?
Proctitis mainly refers to chronic inflammatory changes in the rectal mucosa. Its treatment methods mainly include oral anti-inflammatory drugs, local use of anti-inflammatory suppositories or gels, and combined treatment with traditional Chinese medicine retention enemas. Besides pharmacological treatments, dietary control and choices are also very important for patients with proctitis. Patients with proctitis should avoid eating foods that contain irritants, such as chili peppers, seafood, mutton, or other highly irritating foods. It is advisable to eat more Chinese yam and green vegetables. Chinese yam can replenish Qi and enhance the patient's immunity, while green vegetables and fruits can keep the stool lubricated, preventing the stool from becoming too dry and scratching the inflamed mucosa, leading to bleeding and pain.
Where to apply moxibustion for hemorrhoidal bleeding?
It is not recommended to use moxibustion treatment when hemorrhoids bleed. This is because moxibustion involves local heat effects that can lead to further congestion and swelling of the local mucosa. Additionally, mugwort, usually used in moxibustion, has properties that can stimulate blood circulation and regulate menstruation, which could potentially worsen local bleeding if used for treatment. Therefore, the primary treatment for bleeding hemorrhoids should be oral hemostatic drugs, and surgery should be performed as soon as possible for ligation to stop the bleeding. Moxibustion treatment is not recommended as it may delay the condition, possibly leading to increased bleeding and the risk of anemia. Hemorrhoid hemostatic drugs can include oral medications that clear heat, cool the blood, and detoxify to stop bleeding. Topical application of hemorrhoid cream to press and stop bleeding can also be used concurrently. If the bleeding is severe or prolonged, it is advisable to undergo surgical treatment directly.