Tenesmus

Introduction "Emergency and heavy" is a medical term that describes a symptom of diarrhea. When a patient suffers from bacterial dysentery, he or she has the feeling of "immediately urgency". "The urgency" refers to the urgency inside the stomach, and the bowel movements are both painful and want to have a bowel movement. "Post weight" refers to the intention of the stool when it stimulates the anus. In fact, there is no stool at all, because basically it is pulled out. Even if it is pulled out, it is just a watery stool or a very small amount of stool with pus and blood. The patient has always had the feeling of "heavy and heavy", and he always feels like pulling, and he has been afraid to come out in the toilet.

Cause

Feel the evil

Summer dampness, cold dampness and epidemic evils, invading the gastrointestinal tract, dampness and heat, steaming, or cold and dampness, qi and blood block, blood and heat, cold and dampness and epidemic, and pus Or white frozen, in the intestines, causing the intestinal tract to lift the air machine, the ups and downs are abnormal, and the dregs can not be excreted normally, so there is a sense of urgency.

2. Injury to the diet

Unclean food or uneaten food, people are usually good food, fat and sweet, resulting in damp heat, steaming in damp heat, abdominal block, blood stasis, turning into pus, or injury and diet, accumulated in In the intestines, the gas lift in the intestines is blocked, and there is also a sense of urgency.

3. Spleen and stomach weakness

The spleen and stomach are imaginary, or the disease is damaged for a long time, damage the spleen and stomach, causing the spleen and stomach to lift and weaken, or feel the evil of cold and dampness, or the dampness and heat dysentery to take the cold and cool products, and the spleen and stomach are weak, the gas is weak. Insufficient, the feces are changed, and the feeling of being in a hurry is heavy.

4. Internal injuries and seven emotions

Seven emotions and internal injuries have a certain relationship, because of anger and anger, liver qi spleen, qi stagnation and blood stasis, diet is difficult, long-term cement, can gradually become sputum red and white sticky, heavy and heavy; or because of anxiety The spleen, Yunhua dereliction of duty, diet stagnation, and blood stasis and dysentery. This is the main predisposing factor for resting sputum in the clinic.

an examination

Related inspection

White blood cell count

Blood picture

The total number of white blood cells and neutrophils increased.

2. Feces routine

Mucus pus and blood. Microscopic examination has a large number of pus cells, red blood cells and macrophages. The faecal bacterial culture can be isolated into dysentery bacilli. Fecal immunoassay showed positive dysentery bacillus antigen.

Differential diagnosis

1. Diarrhea: Normal people usually have bowel movement once a day, and individual patients will take 2-3 times a day or once every 2-3 days. It is also within the normal range that the traits of the feces are not abnormal. Normal feces are generally formed, and the average weight of excreted feces per day is 150-200 g, and the moisture content is 50%-80%. Diarrhea refers to a film of undigested food, pus, blood, or shedding. It refers to diarrhea with a course of more than 2 months or intermittent period of 2-3 months.

2, secretory diarrhea refers to diarrhea caused by excessive secretion of water and electrolytes in the gastrointestinal tract.

3, celiac disease was previously called non-tropical sarcolemma (celiac disease), also known as chyluene diarrhea, glucan-induced enteropathy (glutinine-induced enteropathy).

4, defecation is not enough: many people have had a feeling of unrelenting bowel movements, and the stool is not formed, the bowel movements are not comfortable and feel uncomfortable. In fact, most of the feelings of defecation are caused by chronic enteritis. Chronic enteritis can be caused by prolonged or recurrent episodes of acute enteritis, and the course of disease is more than 2 months. Long-term fatigue, emotional excitement, excessive mental stress, and malnutrition can all be the cause of chronic enteritis. It can also be secondary to diseases such as chewing disorders, gastric acid deficiency, subtotal gastrectomy, and intestinal parasitic diseases. According to the increase in the number and frequency of clinical diarrhea, feces are thin, even watery stools, accompanied by bowel, but no urgency, nutritional disorders, combined with recurrent episodes or the cause of chronic enteritis, the diagnosis is generally not difficult.

5, defecation time is too long: in life, many people like to read the book while sitting on the toilet, a trip is half an hour. Experts believe that this habit is very bad. Generally, the defecation time is normal in 5 to 10 minutes. Reading while reading the toilet, the defecation time is too long, the energy is scattered, and it is easy to cause anorectal diseases such as hemorrhoids and constipation.

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