Symptom >> Internal Medicine >> Urology

Difficulty emptying urine

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction It is one of the symptoms of late guilty urination. Some can be secondary to anemia, difficulty in bowel movements, and other symptoms. The internal hemorrhoid is located above the anal tooth line, and the stone is located at 3, 7, and 11 o'clock. The disease is mainly due to unhealthy diet, overeating alcoholic taste, spicy and cold stimulation, or hunger and dysfunction, or due to inadvertent living, sedentary standing, weight-bearing long-distance, or excessive room, or long-term diarrhea Long-term constipation, pregnancy production, abdominal tumor compression, etc., can make rheumatic dry heat endogenous, qi and blood are not adjusted, resulting in meridian block, blood stasis and anesthesia to form an internal hemorrhoid.

Cause

Cause

The disease is mainly due to unhealthy diet, overeating alcoholic taste, spicy and cold stimulation, or hunger and dysfunction, or due to inadvertent living, sedentary standing, weight-bearing long-distance, or excessive room, or long-term diarrhea Long-term constipation, pregnancy production, abdominal tumor compression, etc., can make rheumatic dry heat endogenous, qi and blood are not adjusted, resulting in meridian block, blood stasis and anesthesia to form an internal hemorrhoid. It is characterized by painless blood in the stool and may have nucleus pronucleation in the later stage.

The disease is blood, swelling, itching, prolapse and constipation are the four main symptoms. Blood in the stool is caused by blood-stained injuries. However, due to different constitutions and differences in feelings and evils, there are also differences between the real and the virtual. The actual blood color is bright red, or red and dirty, such as drops like a shot, constipation abdominal pain refused to press; the virtual blood color is red and thin, or sputum is not fresh, accompanied by God fatigue. Swelling and itching is caused by the heat of the lower coke, the agglomeration of the anus, the reversal of blood and blood, the transverse dissection of the tendons, the obstruction of blood vessels, and the swelling of the nucleus. If the qi and blood are both imaginary and the qi deficiency is weak, the nucleus is removed, and it is not easy to return to the main; the qi deficiency is not taken, the blood is not condensed, and the blood is light and the amount is high.

Patients with internal hemorrhoids may have frequent intentions due to the feeling of anal bulge, or fear of bleeding and not constipation, resulting in constipation caused by poor hernia. Constipation also has a distinction between real and false, the real secret is the heat inside the knot, burns the body fluid, gastrointestinal dry knot, it is difficult to solve, the abdomen is full of pain; the sinister qi deficiency lung loss, the large intestine conduction weakness, or blood deficiency , gastrointestinal dry knot, bloating constipation, palpitations and spontaneous sweating. Treatment to clear away heat and dryness, cooling blood to stop bleeding, benefit Qi convergence.

Examine

an examination

Related inspection

Abdominal perspective abdominal MRI

Clinical manifestations of internal hemorrhoids

1. It occurs well above the anal tooth line, and the stone is located at 3, 7, and 11 o'clock.

2. The main symptom is bleeding during stool or with nucleus prolapse.

3. The initial (construction period) nucleus is small, soft, and the face is bright red or blue-purple. When the bowel movement is performed, the nucleus does not come out of the anus. Hemorrhage or post-surgical bleeding during defecation, in the form of drops or spray, the blood color is bright red, not mixed with feces, showing intermittent attacks. In the medium term (phase II), the nucleus is larger and the bulge is raised. When the nucleus is removed from the anus, it will be returned by itself. Postprandial bleeding is reduced compared to the initial period.

In the later stage (phase III), the nucleus is larger, the texture is harder, and the surface is slightly grayish white. When the nucleus is out of the anus, it will even come out when walking, coughing, sneezing or standing. It cannot be returned by itself and must be pushed back by hand, or After lying down, hot compresses can return, no blood or no bleeding.

4. Generally no pain feeling, in the middle and late can have anal bulge, itching. Such as sputum nucleus off the incarceration, can cause swelling and pain, erosion, necrosis, and even suppuration, secondary anal fistula and other evidence.

5. Generally no systemic symptoms. In the later stage, there may be symptoms such as anemia, difficulty in stool, and difficulty in emptying urine. Diagnosis is based on clinical manifestations.

Diagnosis

Differential diagnosis

The diagnosis should be differentiated from the following symptoms:

1. Postpartum urination frequency or urinary incontinence: Postpartum urination frequency refers to the increase in the number of postpartum urination, even dozens of times day and night, postpartum urinary incontinence, refers to postpartum urination dripping, can not stop, or urinate, can not be restrained. Although the symptoms of the two are different, their causes are basically the same, so they are combined.

2. Defecation and retention: Autonomic dysfunction is a symptom of acute myelitis, which is characterized by early urinary turbulence, no bladder filling, a tension-free neurogenic bladder, and excessive filling of bladder incontinence; The function of the spinal cord is restored, the bladder capacity is reduced, and the urine is self-urilated when the urine is filled to 300-400 ml, which is called a reflex neurogenic bladder.

Acute myelitis is a non-specific inflammation that causes demyelinating or necrosis of the white matter of the spinal cord, leading to acute transverse spinal cord injury, also known as acute transverse myelitis, with limb paralysis, conduction beam dysfunction, and urinary dysfunction For clinical features.

3. Incontinence: Fecal incontinence: When the patient's anal sphincter loses control, the bowel movement is no longer dominated by will and will defecate without any awareness. Urinary incontinence: urine loses will control and does not flow freely is urinary incontinence.

4. During pregnancy, urinary dysfunction: During pregnancy, urinary dysfunction, even small abdominal distension and acute pain, upset and not lying, called "pregnancy urinary dysfunction". The ancient name is "transfer" or "transfer".