Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 268 Chapter 270 The sixth troublesome hemorrhoid patient!
It is very dangerous, but still the same sentence, timely surgery can save.

Just at this time, the siren of an ambulance sounded from far to near.

"Oh, here it is, the ambulance is finally here."

"Great, there is hope when the ambulance comes."

The mother lying on the steps also heard the whistle, she turned to look at Lin Yi in front of her and asked:
"Thank you...doctor, may I ask...what's your name?"

"My name is Lin Yi."

"okay, thank you!"

The girl's mother thanked her repeatedly.

Later, the ambulance arrived, and the above medical staff carried the girl into the ambulance and walked away.

………………

Early the next morning, a male patient with blood in his stool came to the consulting room.

Wu Jiang received a doctor, went to the treatment room, took a look at his pants, and said directly:

"Brother, this is hemorrhoids, I'll contact the anorectal surgery doctor to come down and have a look."

"By the way, you are a mixed hemorrhoid. It is considered to be the more serious hemorrhoid. You need an operation."

Why didn't this male patient know that he had hemorrhoids?

It is usually itchy and wet, plus blood in the stool, which can also be found on the whiteness.

Before coming to the hospital, or before bleeding, he had checked many folk remedies himself.

For example, what kind of garlic is plugged in the anus, and Chinese medicine is bought for sitz bath.

I have tried many evil methods, but the hemorrhoids still cannot be cured.

As a result, I went to the toilet today to use a tuba, and when I looked down, the entire toilet tank turned red.

Is this okay?

Only then did I rush to the nearest central hospital and go to the emergency room.

It took me a long time to wait for the emergency number of this central hospital.

"Okay, thank you doctor."

Soon, the doctor from anorectal surgery came down and checked the patient. It was indeed hemorrhoids.

However, there are no beds available for anorectal surgery, so we have to wait.

Wait until a bed is available before arranging hospitalization, and then the operation can be performed.

Ordinary hemorrhoids are actually a relatively minor operation.

Hemorrhoids are actually lumps of varicose veins that grow on the wall of the rectum.

And there is no guarantee that there will be no recurrence after resection.

This thing is related to personal physical fitness. People who often sit for a long time without exercising will have hemorrhoids in nine out of ten people.

When the patient heard that he had to wait, he immediately lost his face:

"Doctor... have to wait in line for the anorectal surgery hospital? I... am I serious? Can't I be operated on immediately??"

The patient felt uncomfortable, wishing to cut off the little lump of flesh on the butthole immediately.

Wu Jiang was also helpless:
"I'm sorry, the beds in the hospital are tight, and if it's not a life-threatening patient, emergency surgery is generally not needed.

You should wait in the emergency department first, and the anorectal surgery department will call you when there is a position. "

"Oh, it's not...then...then you can't do it in the emergency department? Can you do this kind of operation in the emergency department?
Cutting a hemorrhoid is not a major operation, isn't it done everywhere?

Can't I cut it right in your emergency department?You can still get results. "

The patient was in his early thirties and was an IT guy who squatted in the office every day.

It took a lot of time to go to the hospital to see a doctor, but now he still has to wait, he definitely doesn't want to.

Wu Jiang also hesitated when he heard this.

Cutting hemorrhoids in the emergency room? ?

It's not impossible.

However, I can only live in the emergency department after the treatment, without the professional counterpart nursing measures like anorectal surgery.

The patient nodded understandingly at this point:
"No problem, isn't it just a hemorrhoid, can you still die? After cutting it, I lay down for two days and then went home."

"Cutting hemorrhoids is not as easy as you think. It is usually the most uncomfortable on the first day after cutting."

The patient waved his hands and urged:
"It's okay, they have to be circumcised anyway, and I have to rush to work when I die early."

Seeing that the patient agreed, Wu Jiang communicated with the anorectal surgery doctor and transferred the patient to the emergency department.

Preoperative preparation, blood test for blood routine, coagulation and infectious diseases.

After confirming that the results were all right, the patient was sent to the emergency operating room.

Cutting hemorrhoids is very simple, that is, to cut off the protruding flesh mass by suturing or removing hemorrhoids.

Wu Jiang's movements are also quite fast.

In less than [-] minutes, the three hemorrhoids inside were removed.

After the end, he showed the patient the three dark brown thrombus lumps in the pan and said:

"This is your hemorrhoid. There are three in total. You have taken them off."

The patient was given local anesthesia, and his butthole was numb all over his body.

After seeing the three small hemorrhoids in the pan, he immediately shook his head in disgust and said:
"Ouch, that's disgusting."

"In the future, you should pay attention to your diet, not too spicy, and try to smoke as little as possible, and exercise more.

This disease has a lot to do with not exercising. "

Wu Jiang exhorted while bandaging.

The patient felt relieved and responded again and again:

"Okay, okay, no problem, you must take good care of yourself when you go back."

The hemorrhoids are gone, and I can finally go out and have fun!

Woohoo~!

After leaving the operating room, the nurse sent the patient to the inpatient department of the emergency department on the third floor.

Everything went very smoothly.

In the eyes of these doctors in the emergency department, it was just an ordinary hemorrhoid operation.

When it's over, it's over.

but……

Early on the third day.

The patient had bloody stools.

Originally, I told this patient during Wujiang's ward round on the first day after the operation, and the first and second days after the operation were the most uncomfortable.

The gauze with pressure to stop the bleeding is stuffed in the anus to stop the bleeding, but there will be a feeling of wanting to defecate but not being able to, and it still hurts.

I thought the third day would be much better.

As a result, the gauze was just removed in the morning and the patient was going to defecate by himself.

The nurse came the bad news.

"Bloody stool? Impossible!"

Wu Jiang was at a loss.

what's the situation?
It's just a hemorrhoid, how can there be bloody stool?
Could it be that the wound has opened?
Hearing what the nurse said, Wu Jiang hurried to the ward to check the situation.

Fortunately, there was not much bleeding, but since it is still bleeding on the third day, it means that there is something wrong with the wound.

The patient also asked with a puzzled and annoyed expression:
"Doctor Wu, why am I bleeding again? Didn't I say that it will be cured in two or three days? What's wrong with me?"

Wu Jiang didn't know the situation and couldn't explain it, so he could only ask:

"Did you use too much force when you defecated? It's not too long after the operation. It's easy to break the wound away."

The patient spread his hands and said helplessly:

"I didn't. I was so careful that I might bleed if I exerted too much strength. I didn't expect it to still bleed. What should I do now? Maybe I have to have another operation!"

"Well, let's do a colonoscopy first to see what's going on."

Although the patient was very annoyed, he was considered a young patient and was easy to communicate with.

Then he limped to pay the fee by himself, and then followed Wu Jiang to have a colonoscopy.

Lin Yi learned of the situation and came over to check.

Looking at the rectal wound, Lin Yi knew it was a hemorrhoid patient.

but……

How can I still bleed after surgery?
Lin Yi glanced lightly, but didn't pay much attention.

Wu Jiang, a minor illness like hemorrhoids, can definitely handle it, and there is no need for Lin Yi to intervene.

In the colonoscopy room, the doctor inserted the colonoscope into the patient's rectum.

As soon as I entered, I found that the previous wound was indeed bleeding.

But it has been three days after the operation, and it is reasonable to say that there will be no more bleeding, but why did it suddenly bleed again today?
What is the reason?

"Let's look inside again and see if there are any other problems."

The camera moves on.

Sigmoid colon, small intestine, ileum...

Every bend and crease has been scouted out.

As a result, no problems were found.

This made Wu Jiang even more confused!
It's a good thing to do hemorrhoid surgery, why is it still bleeding on the third day?

And there is still fifty milliliters of bleeding?
"Forget it, since we haven't found the reason, let's forget it." Wu Jiang signaled the colonoscopy doctor to stop.

After the examination, the patient was sent back to the ward.

As soon as he returned to the ward, the patient's anesthesia passed.

As soon as he opened his eyes, he immediately asked:

"What's the matter, doctor, what's my situation? Why am I bleeding? When can I be discharged from the hospital?"

Wu Jiang explained:

"The colonoscopy showed that the wound of the hemorrhoid was bleeding, but nothing else was found.

I have already stopped the bleeding for you, and also added medicine to stop the bleeding.

You should wait for another two days and you will recover. Everyone's constitution is different, and your wound may recover slowly. "

The patient bit his lower lip, feeling helpless, but he could only listen to the doctor.

This incident is considered a small episode.

Wu Jiang thought that this person had checked the four blood coagulation items before, and the results showed that there was no problem.

Therefore, the cause of this bleeding should be caused by the patient's own defecation too hard.

After thinking about it, Wu Jiang felt that the patient should be much better after waiting for two more days.

Unexpectedly...

Two days later, the patient was bleeding again!
And the amount of bleeding reached [-] milliliters!
"Doctor Wu, that hemorrhoid patient is bleeding again, the amount of bleeding is about [-] milliliters!"

The nurse hurried to the office and said.

Wu Jiang stood up abruptly, his eyebrows wrinkled into an upside-down character.

"What? Bleeding again? Isn't it the gauze that was just taken last night? Why is it bleeding again?"

The nurse quickly said:
"This time it was also blood when I went to the toilet to defecate!"

Wu Jiang immediately got up and walked to the ward, and called the doctor of anorectal surgery for consultation.

There is something really wrong with this patient, and he must be checked again by a specialist.

"How is the patient's condition now? Does he have an anemic face?"

The nurse shook her head:
"No, the situation is okay, but I found myself in a bad mood after bleeding again..."

Wu Jiang nodded, he could understand this.

After all, it is difficult to bleed twice even if it is a small hemorrhoid operation.

As a result, he really bleeds twice, and it is normal to have emotions.

But this situation doesn't feel right to him...

This person should have other hidden diseases that they haven't checked out yet!
Thinking of this, Wu Jiang's pace towards the ward also sped up a little.

In the ward, in addition to this patient, there were two other ordinary transfusion patients.

As soon as he came in, he saw the hemorrhoid patient lying on his side on the bed, looking at the door with an angry and helpless expression.

"Hu Liang, how are you? Does the anus hurt?"

The patient turned his head and gave Wu Jiang a quick look:

"I said you are the attending doctor after all!

Why am I bleeding again? !
How much time did I have to wait for a small hemorrhoid before I was discharged from the hospital? ? ! "

The patient yelled a few words angrily, but Wu Jiang was not angry and only comforted:
"We've already called a doctor from the anorectal surgery department to show you, so don't worry.

A hemorrhoid will definitely not cause repeated bleeding. It should be that you have other hidden diseases that have not been checked out.

How about this, you call your family first, you are bleeding a lot now, you can't stay in the general ward, you have to go to the intensive care unit to avoid more bleeding. "

"What? I still want to call my family??"

The patient hesitated.

He didn't want to call his family members.

"Yes, you need to go to the intensive care unit until the cause of the bleeding can be found out.

During this period, it is better to ask family members to take care of you. "

After the previous operation, the patient has been hospitalized alone.

Wu Jiang was worried that the bleeding would worsen this time, and if something really happened, it would be better to call a family member over.

The patient got up slowly while complaining:

"What's the matter? It's called it! It's been a week since I cut my hemorrhoids and I haven't been discharged from the hospital! It's so annoying!"

Facing the patient's complaints, Wu Jiang was a little embarrassed, but he didn't say anything.

Soon, the doctor of anorectal surgery came.

It was Liu Dong, the deputy director of anorectal surgery, who came.

"Director Liu, this patient was originally going to be hospitalized in your department, but there was no bed at that time, so we discussed hemorrhoid surgery in our emergency department.

In less than a week now, he has bled twice.

One time, on the third day after the operation, the gauze was just removed, and the patient bleeds when he defecated on his own.

But the volume was only [-] ml, and a colonoscopy was urgently performed at that time, and the result of the colonoscopy is here.

The second time was today, and the gauze was taken out last night, but it turned out to be bleeding again this morning.

The amount of bleeding was still [-] milliliters. "

As soon as Liu Dong entered the ward, he began to examine the patient while listening to Wu Jiang's explanation of the situation.

"Bleeding twice? Today is still two hundred milliliters?"

Liu Dong frowned.

Bleeding of [-] ml after hemorrhoid surgery is quite rare.

Because the wounds of hemorrhoids are not big, and many of them are ligated.

That is, the root is sutured first and then resected, and the amount of blood loss during the operation is very small, let alone after the operation.

There is clearly something wrong with this patient.

Pulling off the patient's pants, Liu Dong looked at the position of the anus.

The underpants are now dry and not stained with blood.

The area around the anus is also quite clean, but I don't know what's going on inside the intestines.

"Well, let's do a colonoscopy and angiography to find out where the bleeding is."

According to Liu Dong's experience, it is strange that hemorrhoids bleed so much.

So he directly gave the angiography examination.

Contrast examination is to put a contrast agent in a specific blood vessel, and then check whether any blood vessel is leaking under CT scan.

In this way, the bleeding point can be found more accurately.

Later, the patient had no choice but to inform his family members that an uncle in his 50s came, who should be his father.

After explaining in detail to the family members, the family members were also confused.

"There is no genetic disease in our family? How could the bleeding not stop?"

(End of this chapter)