Reason
The barium meal for stomach fluoroscopy, stool is white, after the examination, take a laxative, defecation will go smoothly, if you ignore this, will be trapped in a serious constipation and feel the pain. The sound of "ouch, ouch, ouch" is accompanied by a sharp pain in the anus, which is caused by the hard feces cutting the anus. Because of the effect of constipation, when it comes to defecation or the period between defecation, sometimes also sizzling la la continuous pain.
This condition is commonly known as incised hemorrhoids and is accurately called anal fissure. Young women with a history of constipation and severe pain during defecation should first think of anal fissure.
During defecation, the anus feels like it is splitting open all of a sudden. Once the anus is injured, the wound expands a little every time you pass dry, hard feces, and the pain is so intense that it can make you cry. So many people are afraid to go to the toilet, but at this time, if forced not to defecate, constipation will become more and more serious, and then aggravate the anal fissure, and the anal fissure aggravation, the pain will be more intense, and further hate to go to the toilet, which produces a vicious circle.
Compared with the pain, the amount of bleeding in anal fissure is relatively small, at best, there is blood on the toilet paper, but when combined with internal hemorrhoids, the amount of bleeding will increase.
In any case, the pain is heaviest during defecation and can be relieved as soon as the defecation is over. Thought anal fissure is not serious, but the initial treatment is very important, many people think that as long as the pain stops on the line, the result is recurrent and become chronic.
In addition to the pain of defecation, may also be mixed in the feces of fish bones or nails and other foreign objects such as piercing the anus caused by this situation, you must immediately go to the hospital to ask the surgeon to remove the foreign body. If this is tolerated, it will cause inflammation of the anus, which is not only painful, but also causes fecal blockage, bringing more pain. Barium has the effect of hardening the feces. In addition, daily use of drugs, such as continuous use of antidiarrheal drugs and rectifying drugs can sometimes cause constipation. Emergency treatment of anal fissure: Anal fissure with light pain, without special treatment, will form chronic ulcer after four or five days, which will become infected if not specially treated. In order to heal the fissure as soon as possible, the first step is to soften the stool, and the second step is to clean and heat the anus by taking a sitz bath after defecation. The pain in the sexual period can be relieved by adding heat, and you can try baths and wye ovens.
Anal fissure: actually about 2/3 to 3/4 of the patients with anal fissure are combined with internal hemorrhoids.
Waibao: placed in front of the sacrococcygeal bone, because of direct contact with the skin there is a risk of scalding, so it is best to use gauze or hand towels to wrap the waibao before use.
What are secondary bowel problems?
1. Organic obstruction
When narrowing occurs in the intestinal canal or when the intestinal canal is compressed outside, such as benign and malignant tumors of the intestinal canal, narrowing of the intestinal lumen to a smaller size caused by chronic inflammation, spasmodic stenosis of the rectum caused by megacolonosis, intestinal adhesions complicated by surgery, partial intestinal obstruction, or huge tumors in the abdominal cavity, such as ovarian cysts, uterine fibroids, and pregnancy, ascites compression of the large intestine, and so on. Controllable fecal passage is impeded and stays in the intestinal canal for too long, forming defecation difficulties.
2. Diseases of the large intestine
such as allergic colitis, diverticulitis of the large intestine, congenital megacolon and other diseases can cause spasms of the large intestine, dyskinesia, so that the passage of feces is not smooth, and the occurrence of defecation difficulties.
3. Difficulty in defecation caused by drugs
Taking calcium carbonate, aluminum hydroxide, atropine, probenecid, morphine, phenylprednisolone, bismuth carbonate and so on, and lead, arsenic, mercury, phosphorus and other metal poisoning can cause difficulty in defecation.
Long-term abuse of laxatives, so that the intestinal wall of the neuroreceptor cells of the stress is reduced, even if there is a sufficient amount of feces in the intestines, but also can not produce normal peristalsis and defecation reflexes, which leads to intractable defecation difficulties.
4. Difficulty in defecation caused by mental factors
Mental strong stimulation, panic, emotional tension, worry and anxiety, or a high degree of concentration on a certain job, etc. will make the intention to go away, the formation of defecation difficulties.
In addition, neurological disorders, endocrine disorders, and vitamin deficiencies can also cause difficulty in defecation.
What is spasmodic constipation?
Spastic constipation, also known as irritable bowel syndrome, belongs to the functional constipation, is due to the colon movement is too intense, caused by the colon, rectum smooth muscle spasm, intestinal lumen is too narrow, resulting in the stool can not be through the constipation, which is characterized by constipation and diarrhea alternately, or long-term diarrhea.
The movement of the large intestine is controlled by the autonomic nerve, so the occurrence of spasmodic constipation is mostly related to anxiety, depression and other mental factors. Constipation caused by emotional or mood changes and mental stress are more common in people who live in modern cities or work as mental workers.
Spasmodic constipation is characterized by pain in the lower abdomen after a meal, an immediate urge to pass hard, small, thin strips of feces, and a small amount of stool. People with this type of constipation do not feel pain from defecation and do not have a feeling of bloating. Constipation alternates with diarrhea and is characterized by both obstructive and incompetent constipation types. Patients suffering from spasmodic constipation must go to the hospital for further examination.
Causes of pain
Eating fast[1]
Eating calmly can stimulate the parasympathetic nerves, which helps the digestion and absorption of food, while eating too fast can stimulate the sympathetic nerves, which is unfavorable to the stomach's digestion of food. The correct way to eat is to chew slowly, which stimulates saliva secretion and promotes digestion.
Eating cold food
Cold food stimulates the stomach and makes the sympathetic nerves active. Eating warm food can stimulate the parasympathetic nerves and serve to relax the body. It is important to note that food that is too hot can also stimulate the sympathetic nerves. It is recommended that the temperature of the food should be comparable to the body temperature.
Walking and looking at cell phones
Walking and looking at cell phones or talking on the phone will disrupt the rhythm of the steps, which in turn disrupts the balance of the autonomic nervous system, stimulates the sympathetic nerves to be active, and increases the mental stress, which will make it easier for people to suffer from insomnia, constipation, and other discomforts.