I have bloody stools, is it hemorrhoids or colorectal cancer? Doctors said that inflammatory bowel disease is an immune-related disease and is prone to problems such as bloody stools, abdominal pain, and diarrhea. However, the cause of its occurrence is unknown. It is generally believed to be affected by factors such as the immune system and genes. Drugs, environment, and stress are also risk factors.
Zhan Yixue, a gastroenterologist at the Hexin Minquan Internal Medicine Clinic, said that a 35-year-old man had been troubled by gastric ulcers and internal hemorrhoids. He recently sought medical treatment due to abdominal pain and bloody stools. Since he has had more bloody stools recently and the volume is larger, it is recommended to undergo surgery. Gastroscopy, colonoscopy and other examinations.
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6 major risk factors for inflammatory bowel disease
As a result, the examination revealed that in addition to gastroesophageal reflux, gastritis, and gastric erosion, the colonoscopy also revealed multiple small ulcers from the sigmoid colon to the rectum, mucosal redness and swelling, and blurred mucosal blood vessel lines. Follow-up arrangements for biopsy, stool culture, blood tests, etc. confirmed that it was chronic inflammation and intestinal crypt abscess.
Advertisement (Please continue reading this article)Zhan Yixue pointed out that inflammatory bowel disease like this case is an immune disease of the intestines. It usually occurs in Western countries and is less common in Asians than in Westerners. It can be divided into ulcerative colitis and Crohn’s disease. The exact cause of inflammatory bowel disease is currently unknown. Possible factors include genes, immune system, drugs, environment, stress, diet, etc.
Symptoms related to inflammatory bowel disease
Symptoms of inflammatory bowel disease include abdominal pain, fever, bloating, diarrhea, bloody stools, anemia, intestinal obstruction, weight loss, and some extraintestinal symptoms, such as inflammation of the eyes, skin, joints and other organs. Zhan Yixue added that generally speaking, to check for inflammatory bowel disease, blood tests and fecal bacterial cultures will be performed first to determine whether there is anemia, increased inflammation index, other details, and viral infection. Various endoscopy and imaging examinations will also be performed. .
In terms of treatment, the main drugs are anti-inflammatory, antibiotics, immunomodulators, steroids, etc. If there are complications that cannot be controlled by drugs, such as intestinal stenosis, obstruction, fistulas, etc., surgical treatment is mainly used. Zhan Yixue suggested that patients should still adjust their living and eating habits, quit smoking, exercise, lose weight, replenish water, and eat less oil, less salt, and less sugar.
Zhan Yixue reminded that “inflammatory bowel disease” is not easy to detect. With diverse symptoms, it is easy to be diagnosed as ordinary gastroenteritis at first. Detailed and multi-faceted examinations are needed to confirm the diagnosis. It is recommended that everyone learn more about this type of disease. If there is no improvement after general treatment , will you have the consciousness to accept further inspections!
◎ Image source/provided by Dazhi Image/shutterstock
◎ Source: Dr. Zhan Yixue
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2024-02-23 16:06:39
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