Ms. Song was 42 years old and started intermittent blood in the stool six months ago. Due to the heavy diet, Ms. Song thought that she had hemorrhoids. She would be fine in a few days, so she didn’t care much.
Just like this, it was dragged for half a year. Some time ago, Ms. Song found that she was not just that the problem of blood in the stool did not improve, but also three times a day, abdominal pain, and weight loss. The first colonoscopy in life.
Inspection of colonoscopy found that there was cancer at 5-6cm from Ms. Song’s anus, which was a progressive period of rectal cancer. If you want to remove the tumor, you have to cut the anus together, and then open a mouth on the stomach, that is, the so -called “presence”, lead the intestines out, and pick up a plastic bag (commonly known as “hanging dung bag”) , Help to defecate.
Knowing the test results and preliminary treatment plans, Ms. Song regretted it: “If you come early, just come, and you will not be sinned so much now!”
Faced with Ms. Song’s regret, the attending doctor also shook his head and sighed: “I had symptoms of blood in the stool half a year ago. If you pay attention to it at that time, check in time, it may still belong to the early cancer stage. anus.”
1. Why is “bowel cancer” and “hemorrhoids” unclear?
Medical data shows that 80%of the clinical patients with rectal cancer have been misdiagnosed as hemorrhoids. The reason why intestinal cancer and hemorrhoids, two kinds of dangers are different, the reason why it is misdiagnosed is a great reason.
Early symptoms of colorectal cancer are not obvious, and with the development of the disease, blood in the stool, difficulty in defecation, and anal drops will gradually cause symptoms that are easily confused with hemorrhoids. Coupled with the lack of sufficient understanding of rectal cancer, it is easy to cause neglecting illness, delay diagnosis, and inadequate examination.
In addition, rectal cancer and hemorrhoids are not the same, and there is the possibility of disease at the same time. It is also possible that the risk of ignoring another disease because one disease is also possible.
However, although rectal cancer and hemorrhoids are easily confused, the symptoms of the two are not different. There are 4 differences that can help everyone judge:
1. Different blood in the stool
Both patients with hemorrhoids and rectal cancer may have symptoms of defecation, but these two symptoms are obviously different. Blood in the stool of hemorrhoids is during defecation, and the hemorrhoids are compressed and bleeding. At this time, the feces are discharged immediately after the stains are contaminated by fresh blood. Therefore, the blood is contaminated on the surface of the feces and shows bright red. According to the severity of hemorrhoids, it may be blood wire, blood drip, and even blood jet.
On the contrary, the blood in the stool of rectal cancer is often caused by long -term chronic bleeding. After the internal blood of the body is penetrated with the feces, because there is no discharge immediately, the blood will show dark red and purple red colors after a long period of oxidation.
2. Different stool smell
Hemorrhoids with hemorrhoids are actually similar to trauma bleeding, but they just grow out of the anus bleeding from the bowel movement, so it will not cause changes in the stool odor, just like ordinary people. However, blood in patients with rectal cancer is oxidized in the feces of rectal cancer, and the effect of tumor secretions will occur for a long time.
3. Different defecation times
Patients with hemorrhoids will not be affected by hemorrhoids. Like ordinary people, they will defecate 1-2 times a day. Even if there are slight changes, they will soon recover. Patients with rectal cancer will increase defecation, 4-5 times a day, and a few patients can reach 7-8 times. This abnormal defecation can last for more than several years.
4. Different bowel movements
Patients with hemorrhoids will cause pain after defecation; and rectal cancer patients will have a feeling of poor bowel movements due to tumor effects, which is often said to be “in a hurry.”
In addition to the above -mentioned symptoms, the occurrence of bowel cancer may also be accompanied by symptoms such as diarrhea, abdominal pain, constipation, anemia, weight loss, and difficulty in defecation. Therefore, it is recommended that once suspected symptoms are found, it is necessary to check the cause in time and check the cause.
2. Prevent bowel cancer, colonoscopy is important
The incidence of bowel cancer in China is relatively high, but the detection rate is not high, which also causes the public to lag in the prevention and treatment of bowel cancer. The main way to improve this situation is colonoscopy.
Intelligent colonoscopy can enter the anus to allow the examiner to directly observe the patient’s rectum, sigmoid colon, lower colon, horizontal colon, intestine, cecum, and even the connection of the end and small intestine, which clearly reflects the intestinal tract Whether there are lesions and lesions.
Medical survey data show that 95%of the earliest cause of colorectal cancer is intestinal polyps. The advantage of colonoscopy is that doctors can immediately judge the lesions, remove it, and then judge their pathological properties through pathological biopsy to help patients avoid the risk of bowel cancer in advance. Intelligence is of great significance to prevent and treat bowel cancer, and it is also a “gold standard” for clinical diagnosis of bowel cancer.
Director of the Department of Gastrointestinal, the Department of Gastrointestinal of the Yihe Hospital of Henan University, reminds that the direct relatives of patients with colorectal cancer in the family, and long -term high -risk people such as high -fat, high protein and alcoholic people who have long -term high -fat, high protein, and alcoholic people. In daily life, I found that I have abnormalities such as blood, dark stools, abnormal defecation habits, unknown causes, abdominal pain, inexplicable weight loss, anemia, intestinal polypycuts, and increased blood tumor logo. >
Third, do you have to remove the anus?
In the case of technical means, doctors and patients must want to retain the anus and strive for the greatest quality of life for patients.
Clinically, determining whether intestinal cancer can protect the anus, mainly depending on the three elements:
① During the development of cancer, determine the size of the cancer, the development, and the metastasis through various cancer examination methods;
② The patient’s condition should consider whether the patient’s own anus has a lesion, whether the function is complete, whether it will affect postoperative survival, etc.
③ Biological characteristics, through the in -depth evaluation of genes, see if the patient meets the conditions for individualized and precise treatment.
With technological innovation, a new type of surgical method of minimally invasive surgery such as laparoscopy and robotic surgery in the medical community has also appeared. Institute of sphincter resection surgery also occurred in the treatment of bowel cancer. Cancer patients have a greater possible realization of the desire to survive in the anus.
However, at any time, the value of life is higher than everything. At the time of it, patients and medical staff must keep in mind the principle of “life first, functional second”, and avoid blindly pursuing the anal protection regardless of the actual situation.
At the moment when the technology is not complete, there are still many difficulties in the treatment of bowel cancer. Therefore, it is still better than treatment. I hope that everyone will use actual action to prevent the occurrence of bowel cancer. To prevent bowel cancer, we must improve living habits, especially in diet, avoid high fat, high -protein foods, regularly exercise, and maintain good schedules. The most important thing is to regularly check the risk of diseases.
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 Gong Lirong, Tian Yan. Intestinality of colonoscopy: good way to screen bowel cancer [J]. Family medicine, 2013: 72-73.
 Chen Jun, Luo Chenghua. Several issues that should be paid attention to by ultra-low rectal cancer anal surgery [J]. Chinese clinician magazine (electronic version), 2018: 15-17.