Symptom >> Internal Medicine >> Gastroenterology

Prolonged bowel movements

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction In life, many people like to read a book while sitting on the toilet. It 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.

Cause

Cause

The defecation time is too long, the energy is scattered, and it is easy to cause anorectal diseases such as hemorrhoids and constipation.

Examine

an examination

Related inspection

Fecal bacterial culture fiber colonoscopy balloon ejection test fecal stone sigmoidoscopy

Fecal smell:

Normal feces have a certain odor, which is caused by bacteria breaking down food, causing sputum, skatole, hydrogen sulfide and the like. Under pathological conditions, there may be malodors, found in enteritis, rectal cancer, pancreatic diseases or severe diarrhea; acid odor, from organic acids produced by abnormal fermentation of fat or sugar.

Fecal food residue:

The food residue in normal stool is the fine particles that have been digested, and starch granules and fat droplets are occasionally visible. Starch granules increase in chronic pancreatitis and pancreatic insufficiency. Fat droplets are often seen in peristalsis, diarrhea, and indigestion.

Fecal parasite eggs:

Intestinal parasites are divided into protozoa and worms. The former is a living microorganism composed of a single cell, which lives in the digestive tract of the human body, and some species are pathogenic or conditional pathogens, and most of the life history does not need to switch the host to spread through the trophozoite or through the cyst; The parasite is a multi-cell invertebrate, which is squirming by muscle expansion and contraction. It is widely distributed in nature and has a wide distribution. There are two kinds of living life and parasitic life. What we call parasites is exactly the latter. By.

Fecal occult blood test:

OBT means that the amount of bleeding in the digestive tract is small, the blood is not visible to the naked eye, and a small amount of red blood cells are digested and decomposed, so that no bleeding can be found under the microscope. At present, the chemical method and the monoclonal antibody method are mainly used.

Fecal bacteria culture:

The number and variety of microorganisms inhabited in the intestines of normal people constitute an in vivo micro-ecological environment that is extremely important for human health - micro-ecological membrane barriers, participating in nutrition, digestion, absorption and cleaning of the intestines, and maintaining health. When pathogens and viruses multiply in the intestines, they can cause abdominal pain and diarrhea. Bacterial culture of feces can isolate pathogenic bacteria causing abdominal pain and diarrhea from a large number of intestinal bacteria for timely treatment.

Diagnosis

Differential diagnosis

Defecation is not enough: Many people have the feeling that the bowel movements are not clean, and the stool is not formed, and the bowel movements are not comfortable and 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.

Defecation disorder: Defecation disorder mainly refers to the disorder of discharge of feces due to pelvic floor muscle coordination disorder or difficulty in stool. This type can also be called outlet obstruction constipation, often because the pelvic floor muscles and anal sphincters can not be active during defecation. Coordination, or feeling abnormal.

Difficulty in defecation: common causes are habitual constipation, neurological diseases, colon tumors, etc. Acute defecation difficulties are mostly caused by acute infection or by intestinal obstruction.