What will happen if you pierce the intestine
What to do if the hemorrhoids get out
Many people, for the first time discovering the formation of hemorrhoidal cones, panic. And this is normal. Unpleasant pain can not be expressed in words. A person who never suffers from hemorrhoids can not even imagine and feel the power of pain caused by this disease.
With hemorrhoids, blood flow in the venous plexuses of the anus is disturbed. Subsequently, these causes are observed formation of hemorrhoids, which contributes to the prolapse of the rectum from the posterior opening.
What to do with this disease? Not everyone will dare to see a proctologist. The main thing is not to panic!
How to correct the external hemorrhoids
If you have the first signs of the appearance of hemorrhoids, then they can be successfully applied at home.
First of all, wear gloves and treat the pain area with troxevasin or heparin ointment. The knot that fell out, push your finger into the anal passage, then tightly squeeze the buttocks, while removing the finger. After this procedure, lie on your back for at least 30 minutes. Take a bath in the water at room temperature or wash with cool water. This will help to eliminate pain and reduce the risk of infection.
You can make an enema to empty the intestine, because hemorrhoids are better tolerated when empty large intestines.
To remove painful sensations will help and folk remedies. The most accessible means at home is fresh mashed potatoes from grated potatoes. Apply such compresses on a gauze or cotton swab for 15-20 minutes.
What to do with internal hemorrhoids?
In the home medicine chest should be available medications that eliminate pain in the fall of internal hemorrhoids. These are suppositories, ointments and painkillers. The composition of suppositories against hemorrhoids includes substances that cause anal veins, as well as anti-inflammatory and hemostatic components. At night doctors recommend putting enemas out of chamomile infusion. But in any case, a doctor's consultation is needed.
All the means described above, apply before visiting the proctologist. Do not try to treat hemorrhoids yourself. Inept use of folk and medicines can only exacerbate the situation.
Prevention of hemorrhoids
Hemorrhoids can be prevented by a whole range of activities.
One of the effective preventive measures is diet compliance. First of all, exclude from your diet fatty, smoked, pickled and spicy foods. Drink as much liquid as possible, the norm - 2, liter per day. Eat foods rich in fiber: cereals, vegetables, fruits. Enter into your diet dairy products: kefir, cottage cheese, fermented baked milk.
Try to bring your stool back to normal. This is promoted by proper nutrition, rich in fiber. Sour-milk products contribute to the normalization of the excretion of feces from the body. After all, the main cause of hemorrhoids is a violation of the stool (diarrhea or constipation).
It's not for nothing that people call hemorrhoids an office disease. People who lead a sedentary lifestyle have a much higher risk of developing hemorrhoids than those who do uncomplicated physical labor. You do not need to enroll in the gym and exhaust yourself with everyday exercise. It's enough to do a simple exercise, move more.
While working distract for 10 minutes, do some simple exercises. just be like. Even slow walking can disperse blood in small pelvic vessels. Sometimes refuse public transport, give preference to a walk.
Refusal from alcohol and tobacco
Everyone knows that tobacco contributes to the narrowing of blood vessels, thereby blocking the passage of blood through the vessels and veins, affects the elasticity of their walls. Stagnation of blood with hemorrhoids is simply unacceptable. At the first signs of hemorrhoids stop smoking.
Frequent use of alcoholic beverages also aggravates the situation in the presence of hemorrhoids. Alcohol helps increase blood pressure and increase blood flow to the sore spot.
Be careful! Compliance with hygiene promotes a speedy recovery. Doctors recommend not using toilet paper after a bowel movement. Piles of paper can damage the anal mucosa. Do not practice sitting for a long time on the toilet with a newspaper. Give up this habit once and for all.
Doctors proctologists are also advised to wash themselves with water at room temperature after each bowel movement. It is recommended to take baths with sea salt, which will improve blood flow and will have a general strengthening effect.
Frequency of perforations in a colonoscopycurrently stands at about 1 in 500, fluctuating depending on the purpose of the intervention. However, there is no consensus on the frequency of perforations with respect to the frequency of intestinal perforations elastic sigmoidoscopy; in recent studies, this indicator ranges between 1 in 1136 and 1 in 40 674.
There are three possible mechanisms responsible for perforation in a colonoscopy.
1. Direct perforation with a colonoscope or biopsy forceps.
2. Barotrauma with excessive air intake.
3. Perforation as a result of medical procedures.
The effort with which the colonoscope is administered was measured in only one study conducted at the Royal Royal Hospital in London. An electronic device was used for the measurement. The cecum and the right side of the colon are most susceptible to barotrauma, although diverticula can also swell. The use of carbon dioxide can reduce the frequency of perforations and increase the patient's comfort level. Treatment procedures, such as removal of polyps with thermal biopsy or biopsy with a loop, and balloon dilatation of strictures, are associated with a high risk of perforation.
Most often, perforations occur in the sigmoid colon. Symptoms and signs of perforation are not always evident during colonoscopy. In a retrospective study, it was shown that the diagnosis of perforation was belated in 50% of cases. If the endoscopist suspects the possibility of perforation, then after the examination is completed, an overview chest X-ray of the patient in the standing position as a screening test, and the patient should be monitored until the symptoms experienced by him will be resolved. In cases where there is a clear suspicion of perforation, an irrigoscopy with a water-soluble contrast will confirm the diagnosis.
Conservative treatmentwith careful observation, intravenous fluid and antibiotic administration is indicated following colonoscopy, in preparation for which the intestine was cleaned. This approach, as a rule, is limited to those cases when perforation arose in the course of therapeutic rather than diagnostic colonoscopy. This is because the perforation that occurs when the colonoscope passes through the intestinal wall is usually large and needs to be sutured. A major defect with peritoneal contamination is treated primarily promptly, with direct suturing of the defect, but only if the diagnosis is established at an early stage. It is possible to suture the defect laparoscopically. Untimely diagnosis usually leads to the formation of a temporary non-functioning stoma, which is associated with contamination of the calves.
• At present, more emphasis has been placed on preoperative research, especially CT, and a trend has emerged: most of the emergency surgical interventions are carried out in the daytime with the participation of surgeon- consultants. In the case of emergency conditions in diseases of the colon, where there is a contamination of the abdominal cavity calorie masses, the practice of life-saving operations in "non-working time" is preserved.
• Curl. Emergency decompression with the use of a long elastic tube, for example, for draining a pleural or a colonoscopy, should be done in most cases with a subsequent planned final operation.
• Acute colonic pseudo-obstruction. Some patients can only be conservative by conducting regular examinations and often performing a survey radiography of the abdominal organs, to control the diameter of the cecum. With an increase in the diameter of the cecum, decompression is required. Many patients have a positive dynamics in response to the introduction of neostigmine. If such treatment is ineffective, then decompression with a colonoscopy is possible. If decompression does not bring results, conduct a cacostomy. If there is a suspicion of perforation or necrosis, a full laparotomy is necessary.
• Malignant neoplasms. The hemicolectomy on the right with the primary anastomosis is the best treatment for most patients with right-sided or transversely-obstructed obstruction. Subtotal colectomy may be preferable for patients with spleen lesion. Most other patients with obturating carcinoma in the left part of the colon are recommended segmental colectomy with primary anastomosis, when possible. For patients.
in which removal of the large part of the intestine is considered extremely risky, the optimal treatment will be segmental resection or colostomy.
• Bleeding. After excluding bleeding from the upper sections of the digestive tract, the surgeon has the right to wait to wait for a spontaneous stop of bleeding. This tactic is appropriate for most colonic bleeding. Subsequently, a complete examination of the large intestine is carried out, including, if possible, colonoscopy. Continuing or profuse bleeding is successfully tested, and sometimes treated with angiography. With surgical intervention, establishing a source of bleeding can be a big problem.
• Diverticulitis. Currently, CT is the best method for studying patients who are in an emergency condition. The abscess can then be drained percutaneously, and perforation requires early surgical diagnosis. Ideal one-stage operation. However, with left-sided lesion, it is not applicable for unstable patients and for those with massive contamination of calves.
• Tieflit. The probability of this condition is high in patients with neutropenia. Most patients are responsive to conservative measures, including antibiotics and complete intestinal calm, but it is necessary to exclude perforation throughout the period of the disease, preferably by CT.
• Perforated perforation. This rare condition can be difficult for preoperative diagnosis. For a successful outcome, it is important to remember the possibility of repeated perforation in the postoperative period, especially after limited resection.
Postoperative examination of the abdomen is complicated, as many of the signs refer to the most surgical intervention. In undefined cases, additional studies should be carried out. It requires active supervision of the patient by senior surgeons. In some situations, you may need to transfer to a specialized department of coloproctology after primary intensive care and examination.
• Damage during colonoscopy. Symptoms and symptoms of perforation are not always noticeable during colonoscopy. Observing a high level of alertness, especially after treatment interventions, it is permissible to apply conservative tactics or primary suturing, if the operation is performed early.
Has swallowed a bone from a fish. What if I swallowed a fish bone?
I personally recommend not to engage in amateur activities and see a doctor.
But if there is no such possibility, try the following:
- Sniff black ground pepper, causing sneezing. A bone from a fish may come out on its own.
- You can try to pull out with tweezers, if the bone is not far away.
- Still, as we have already mentioned, you can eat (swallow) a crust of black bread (white is not worth it, too quickly dissolve), not thoroughly chewing, so that he pushed through the bone.
- You can also try to eat a teaspoon of honey, while making swallowing movements 3-5 times. Honey should not be candied.
If all the same it is impossible, address to ENT. If the pain in the throat is unbearable, spray Cameton or Hersoral. These aerosols act as an analgesic.
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Have swallowed a bone from a fish, the output certainly is.
You must take a slow and deep breath, then press your fist onto the upper abdomen, lean forward and make a strong and powerful cough, so it can be done several times and the bone can with the air flow go out.
If the bone is stuck in the throat, you can still pour a pinch of rice or buckwheat into a glass, fill with water, stir and rinse your throat several times.
If nothing helps, then immediately it is necessary to turn to ENT - the doctor.
And for analgesia, you can use Ingalipt, Cameton.
If the bone has passed into the esophagus, then one must go to the gastroenterologist, and so the bone in the stomach can be digested by itself because of the high concentration of acidity in the stomach.
It is necessary to examine for the beginning the throat, suddenly the bone sticks out and is visible. Then with the help of tweezers very carefully pull it. If it hurts, then call an ambulance or get your own way to the receiving rest. Because of scratching the inside of the throat, you can get inflammation of the mucous membranes, which will lead to a sad outcome without medical assistance. If swallowed, then wait until it comes out naturally
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If it sticks deep in your throat, you must eat a hard bread crust without chewing it hard. It is necessary that pieces of bread pushed through the bone. If it does not work out and the bone is still pricked, then you have to go to the hospital.
If the swallowed bone does not show itself, then it went smoothly and did not stuck anywhere. Will come naturally.
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Sources: http://ogemorroe.info/story/chto-delat-esli-vylezla-gemorroynaya-shishka, http://for-medic.info/2010/11/povrezhdeniya-kishechnika-pri-kolonoskopii/, http://www.bolshoyvopros.ru/questions/400161-proglotil-kost-ot-ryby-chto-delat-esli-proglotil-rybnuju-kost.html
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