chapter Four

Hemorrhoids are no longer "unspeakable"

Will it be embarrassing and painful to get checked after having hemorrhoids?

My hospital conducted a questionnaire survey of 1,000 patients and the results showed that there were two main reasons why hemorrhoid patients did not want to go to the doctor.

-They feel embarrassed during the examination.

-I heard that hemorrhoid surgery is very painful.

There are two reasons why hemorrhoid patients are usually embarrassed when they are examined: they have to show their buttocks to the doctor during the examination, and they are embarrassed that going to the anorectal clinic will reveal their secret of having hemorrhoids.

This feeling is understandable, so in order to reduce the psychological burden of patients, our hospital allows patients to use a side-lying position for examination, without completely removing their underwear, as long as they can see their anus.

In the past, hospitals rarely considered the needs of patients in a comprehensive manner. In recent years, medical institutions have begun to take into account the patient's feelings and needs and strive to provide better services to patients.

In addition, the fear of having hemorrhoid surgery is unnecessary. Now that it is recognized that hemorrhoids are a lifestyle disease, the rate of surgery for hemorrhoids has decreased significantly.

In Germany, the rate of hemorrhoid surgery is 7%, in the UK 5%, and in the US 5%. In my hospital, the surgery rate for hemorrhoids has also dropped from 18.4% 10 years ago to 13%.

Therefore, patients with hemorrhoids should not have any worries and should go to the hospital as soon as possible to receive proper treatment from a specialist.

Hospital obligations to patients

Treatment of hemorrhoids mainly relies on the body's self-healing power and daily maintenance

All diseases cannot be treated without the body's ability to heal itself. The treatment methods adopted by doctors only play a supplementary The treatment methods adopted by doctors are only supplementary. Therefore, enhancing self-healing is the key to treating hemorrhoids.

If you ask your doctor: "What is the disease? "Few people can give a clear answer.

When I was in medical school, there was no clear definition of disease and health in the textbooks either.

Based on the papers of Dr. Andrew Weil in the United States, and years of experience in medicine, I believe that disease

The definitions of disease and health are:

-Health is a state in which all parts of the body are in harmony and the mind and body remain in harmony.

-Disease is a state of disharmony that occurs when the original harmony or balance of the body and mind is disrupted for some reason.

In other words, in order to restore health to a patient, the doctor should try to.

-Find out what is disrupting the patient's state of health.

-To find out what is disrupting the patient's state of health, the physician should work with the patient to face the disease with the right attitude, try to eliminate the symptoms, and try to cure the disease.

Maximize the patient's own self-healing powers to restore health.

-Help the patient to stay healthy after treatment.

How to be seen in the anorectal hypochondrium

In the past, the treatment of hemorrhoids left a painful and embarrassing impression on the patient. Now, treatment methods are gradually being improved and treatment plans are being developed from the patient's point of view.

So how are hemorrhoids diagnosed and treated? Here is a brief explanation of how hemorrhoids are diagnosed and treated, using our hospital as an example.

Here is a brief explanation of the treatment of hemorrhoids in our hospital.

Sims position during examination

In general, during the anal examination, the doctor has the patient in the Sims position, which means lying on the examination bed with the knees bent on the side.

This is the position in which the patient lies on his or her side on the examination bed. In the past, many doctors used to have patients lie on their backs with their legs spread apart during anal examinations, a position commonly used in obstetrics and gynecology, so many men feel very uncomfortable in this position.

The patient usually lies on the left side and then half of the pants are removed, exposing only the area to be examined.

In this position, there is no need to remove the pants completely, and the doctor does not need to look directly at the patient's buttocks during the examination.

This position is more acceptable to the patient because it is not necessary to remove the pants completely and the doctor does not have to look directly at the patient's buttocks during the examination.

Safe care methods to prevent hemorrhoids

To prevent hemorrhoids as a lifestyle disease and to understand the various risk factors that can trigger them, it is important to start with the little things in your daily life. Safe care in your daily life not only helps to treat diseases such as hemorrhoids, but also plays a very important role in maintaining good health.

In 1999, a book entitled "The Mayo Clinic Handbook of Nursing" was a best seller in the United States. In this book, the concept of "safe care" was introduced. Safe care means "starting with yourself to create a living environment that is conducive to maintaining good health. Since then, safe care has become a means of treating illness.

There are three main principles of "safe care" here.

Be clear about the name of the disease

If you don't know what disease you have, it is difficult to determine how to provide safe care. If you think it is a stomach ulcer but it turns out to be stomach cancer, or if you think it is a hemorrhoid but it turns out to be rectal cancer, you will not be able to provide proper and effective safe care.

Strictly follow the plan developed by experienced trainers for safe care

Safe care is a method of carefully completing a care plan under the guidance of a professional coach. In the U.S., doctors, nurses, etc. are the ones who can become coaches for safe care.

Find joy in safe nursing care and stick to it for a long time

Everyone hates to do painful things, and it is difficult to keep going for a long time. Therefore, the coach should try to make a light plan and encourage the patient as often as possible.

The coach should try to make a light schedule and encourage the patient often.

The most important part of safe hemorrhoid care is to develop a lifestyle that does not overburden the intestines.

The most important thing in safe hemorrhoid care is to develop habits that do not overburden the intestines. Patients should also be guided by their trainers to find out the bad habits that cause hemorrhoids and change them

Go to the bathroom when you have the urge to defecate

The first step in the safe care of hemorrhoids is to develop regular bowel habits. Hemorrhoids can be prevented if your body is able to have a natural urge to have a bowel movement and pass stool without difficulty.

When stool enters the rectum from the sigmoid colon, the rectum is stimulated to swell, causing the anal sphincter to relax. Therefore, if the stool has not yet entered the rectum, there will be no bowel movement. If you force yourself to have a bowel movement when you don't have the urge to do so, it will place a great burden on the anal canal, stagnate the venous plexus, and cause or worsen hemorrhoids.

The timing of the urge to have a bowel movement varies from person to person and depends on the food you ate the night before and your physical condition. What is important is not that you have a bowel movement every morning, but that you have the urge to have a bowel movement every day, and that it goes well. Note: It is important to go to the toilet when you have the urge.

It is recommended that you wake up earlier each day to allow enough time for your bowel movements to occur.

Don't stay in the toilet for too long

Forcing yourself to have a bowel movement when you don't have the urge to do so can put a lot of strain on your anal canal.

It is best to limit your bathroom visits to less than three minutes and to defecate as soon as you feel the urge to do so.

Also, never read a newspaper while going to the toilet, as this will prolong your bowel movement.

Take care of your buttocks after a bowel movement

It is best to wash your buttocks with warm water after a bowel movement.

Not only does stool easily irritate the skin, but it also contains a lot of bacteria. In addition, the skin around the anus has many folds, so it is difficult to clean it completely by wiping with hand towels. Moreover, the harder you wipe, the more stool will be embedded in the folds.

If you don't clean your anus, bacteria will multiply and cause itching and inflammation.