There are four kinds of stool bleeding. See where you belong according to your symptoms. Accordingly, it is best to see a doctor in anorectal department in time. It's better to treat it early. Otherwise, if you are late, you will feel worse. 1. Hemorrhoid blood is usually bright red, not mixed with feces but attached to the surface of feces. It can also be manifested as blood drops before and after defecation, and in severe cases, it is jet-shaped, which mostly occurs when constipation is over. 2. There is less bloody stool in anal fissure, and most of them are found on toilet paper; Anal pain may accompany defecation, which makes patients afraid to defecate. 3. Polyps have no discomfort when they have bloody stool, and the stool is normal, and blood often adheres to the surface of the stool. 4. The bloody stool of colorectal cancer is characterized by persistent and chronic bloody stool with mucus, mixed with feces, frequent defecation, and sometimes only part of the blood or mucus is dissolved without feces. If the cancer is far from the anus, the incidence of hematochezia will be lower. About 80% of rectal cancer has bloody stool. Your constipation may be caused by excessive internal heat, irregular diet, anal fissure caused by constipation, or hemorrhoids. Patients with long-term constipation, due to dry and hard feces, use too much manganese when defecating, and cut the skin of anal canal when defecating. Due to repeated injuries, the laceration reaches the whole skin. The skin behind the anal canal is relatively fixed in the middle, and the end position of the rectum bends from back to front, so the pressure behind the anus is high, which is a common part of anal fissure. The clinical symptoms of anal fissure are pain and bleeding. Its pain is very characteristic, that is, first there is sudden knife pain during defecation (caused by feces cutting the skin of anal canal), then there is short-term relief, and then there is long-term anal pain. Anal fissure can be cured by non-surgical therapy, such as local hot water sitz bath, and after defecation, 1: 5000 potassium permanganate solution can be used to promote anal sphincter relaxation; Apply anti-inflammatory and analgesic ointment (including dicaine, berberine, metronidazole, etc. ) on the ulcer surface to promote ulcer healing; Oral laxatives make stools soft and slippery; Patients with severe pain can use procaine to locally block or retain enema to relax sphincter. The treatment of anal fissure by traditional Chinese medicine is not only unique in surgical technique, but also rich in medical experience in drug treatment. (1) constipation caused by dry fire: generally, the stool is hard and dry, and there is severe pain in the anus during defecation, which is slightly relieved after defecation, and then the pain lasts for several hours, even throughout the day, and blood drips with it during defecation, mostly in the form of drops. Often due to dry and painful stool, I dare not eat normally, accompanied by upset, bitter mouth and dry throat, yellow and dry tongue coating and rapid pulse. Syndrome: dryness and stagnation of fire are caused by intestine. Treatment: it is advisable to clear away heat and purge fire, moisten the intestines and relax the bowels. Prescription: Gardenia Jinhua Pill, or add and subtract this prescription. Fumigating and washing with Qudu decoction for external use, and applying Shengji Yuhong ointment to the wound. (2) Damp-heat accumulation: abdominal pain and discomfort during defecation, poor defecation, anal dilatation, sometimes bloody mucus, or purulent blood with yellow and thick fur. Syndrome: damp-heat betting, stagnation of anus. Treatment: clearing damp-heat, moistening intestines and relaxing bowels. Prescription: Huanglian decoction is taken orally. External application of Sihuang ointment to treat anal fissure. Or Huian powder (3) blood deficiency and intestinal dryness: anal pain, bleeding, constipation, dry skin, dry mouth, insomnia, hot flashes in the afternoon, red tongue with little fur and rapid pulse. Syndrome: blood deficiency and intestinal dryness, carrying forward fire. Treatment: cooling blood and nourishing blood, moistening dryness and relaxing bowels. Prescription: Maren Runchang Pill or Jichuan Decoction. The main symptoms of hemorrhoids are hematochezia and prolapse, and repeated bleeding during defecation. The treatment is as follows: (1) Strengthen exercise: often participate in various sports activities such as broadcast gymnastics, Tai Ji Chuan, Qigong, kicking shuttlecock, etc. , can enhance the body's disease resistance, reduce the possibility of illness, and also have a certain preventive effect on hemorrhoids. This is because physical exercise is beneficial to blood circulation, can reconcile human qi and blood, promote gastrointestinal peristalsis, improve pelvic congestion, prevent constipation and prevent hemorrhoids. On the other hand, self-massage can improve the local blood circulation of anus. There are two ways: one is to massage Changqiang point at the tip of coccyx for about 5 minutes before going to bed, which can dredge meridians and improve anal blood circulation; Another method is to consciously contract the anus upward with your mind, once every morning/kloc-0, 30 times each time. This is a method of internal pushing, which has the functions of removing blood stasis, exercising anal sphincter and improving middle qi. Regular use can improve the venous reflux of hemorrhoids and play a certain role in the prevention and self-treatment of hemorrhoids. (2) Prevention of constipation: Normal people defecate/kloc-0 times a day, and they have different habits after breakfast, lunch and dinner. Normal defecation is soft, dry and not thin. I don't feel difficult when defecating, but I feel relaxed and comfortable after defecation, which shows that the gastrointestinal function is good. If constipation is hard, it is not only difficult to defecate, but also because of the accumulation of feces in the intestinal cavity, so that the pressure in the anorectal blood vessels increases and the blood return is blocked, which makes hemorrhoids varicose veins form hemorrhoids. In order to prevent constipation, we should pay attention to the following points: ① Reasonable diet. It can not only increase appetite, correct constipation, improve gastrointestinal function, but also develop the habit of regular defecation. In the daily diet, you can choose vegetables, fruits, beans and other foods with more vitamins and cellulose, and eat less spicy and irritating foods, such as peppers, mustard and ginger. ② Develop the habit of regular defecation. Healthy people usually have no feces in their rectum. Upright reflex caused by getting up in the morning and gastrocolon reflex caused by breakfast can produce strong "group peristalsis" in the colon, pushing feces into the rectum, and feces in the rectum accumulate to a certain amount, resulting in defecation. Therefore, it is best to develop the habit of defecating regularly every morning, which plays an extremely important role in preventing hemorrhoids. Some people think that drinking 1 cup of cold boiled water in the morning can stimulate gastrointestinal movement and prevent constipation. Besides, taking part in various sports activities in the morning, such as running, doing exercises and playing Tai Ji Chuan, can prevent constipation. Don't stop defecation when you feel defecation, because defecation for too long will cause habitual constipation. Squatting in the toilet for too long, reading newspapers, or using too much force when defecating are all bad defecation habits and should be corrected. ③ Choose the correct method to treat constipation. For ordinary constipation patients, we can take a reasonable diet and develop the habit of regular defecation to correct it. For intractable constipation or constipation caused by a certain disease, you should go to the hospital as soon as possible, and you must not take laxatives or enemas for a long time. Because taking laxatives for a long time will not only make rectal blood vessels congested and dilated, but also lead to gastrointestinal dysfunction. Long-term enema will make rectal mucosa feel dull, defecation reflex slow down, aggravate constipation, which is conducive to the occurrence of hemorrhoids. Therefore, if you have intractable constipation, you must treat it correctly under the guidance of an experienced specialist. According to the symptoms, bleeding can be prevented by relieving constipation. 1, there must be a proper amount of cellulose in the diet. 2. Eat a certain amount of fruits and vegetables every day, eat an apple on an empty stomach in the morning and evening, or eat 1-3 bananas before each meal. 3, the staple food should not be too fine, you should eat some coarse grains properly. 4. Drink a cup of light salt water or honey water on an empty stomach in the morning, and cooperate with abdominal massage or waist rotation to make the water vibrate in the stomach and strengthen the laxative effect. Drinking plenty of cold boiled water all day is helpful for relaxing bowels. 5. Appropriate physical activities, strengthening physical exercise, such as supine leg bending, squatting, riding a bike, etc. It can strengthen abdominal movement, promote gastrointestinal peristalsis and promote defecation. 6. Massage the abdomen before going to bed every night to develop the habit of regular defecation. 7. Keep a good mood and live a regular life.

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