How uncomfortable is constipation? The old man did not defecate for 10 days, and put the chopsticks into the rectum, and the intestinal tube was pierced
With the increase of age, the function of the gastrointestinal tract gradually declines, and the incidence of constipation increases. In order to treat constipation, various remedies emerge one after another.
Some time ago, Corey treated an 88-year-old man. Because he had not had a bowel movement for 10 days, the patient felt like he was on pins and needles.
I never thought that the rectum was pierced with the chopsticks without the feces coming out. Immediately, the abdominal pain was unbearable. I came to the emergency room of our hospital. During the physical examination, I could feel the whole thickness of the rectum was pierced with my fingers. A sigmoid colostomy, which allows stool to come out of the belly instead of through the rectum and anus.
Only in this way can the rectal rupture be healed, otherwise the stool will always pass through the rectal rupture and contaminate the wound, so that the rectal rupture will never heal.
Although the old man is 88 years old and the operation is very risky, fortunately, with the joint efforts of our general surgeons, anesthesiologists and ICU doctors, he recovered well after the operation and was discharged smoothly.
In addition to using chopsticks, I once treated an elderly patient who was also constipated for a long time. Once, he had no bowel movements for a week. Stir it up, maybe the stool will pass.
The result can be imagined, the stool was not stabbed, and a hole was stabbed in the rectum. All the stool leaked into the stomach, causing severe abdominal and pelvic infection, systemic infection and toxic shock. Fortunately, the operation was timely and rescued. , a section of necrotic bowel was removed, and an enterostomy was also performed.
Both patients have a few things in common:
Lack of basic medical knowledge and no formal treatment
The two elderly patients, who did not know much about medical knowledge, actually made such "absurd" and unbelievable "treatment" methods. On the one hand, it also shows that severe constipation is very painful. It is impossible to take such an extreme approach.
For chronic functional constipation, we still have a lot of treatment methods, such as:
Eat more vegetables, fruits and whole grains to ensure adequate intake of dietary fiber and water. If not enough, you can also buy commercial dietary fiber products, such as inulin. Dietary fiber can absorb water and promote intestinal peristalsis, which is very good for constipation ;
Develop a good habit of regular bowel movements. When you go to the toilet, do not read newspapers, do not play with mobile phones, and concentrate on your work;
There are many laxative drugs, all of which help defecation. For mild constipation, polyethylene glycol or lactulose can be used. For more serious constipation, oral drugs such as paraffin oil, bisacodyl, and prucalopride can be used. Use enemas such as glycerin enemas and Kaisailu;
If there is a large amount of hard feces accumulated in the rectum, and the method of using enema is not good, this situation becomes fecal incarceration, and the doctor or the patient's family needs to pull out the hard feces by hand, and in severe cases, it may be necessary to assist under anesthesia treat;
After a variety of conservative treatments are not effective, after obtaining the consent of the patient, surgery can be considered to remove all or most of the large intestine, which can significantly improve defecation.
- The family's concern is not enough, and it was delayed until it was so serious that they came to see a doctor
If you haven’t had a bowel movement for more than a week, it is already very uncomfortable. At this time, you should seek medical attention as soon as possible. Maybe a bottle of Kaisailu can solve the problem. Very tricky.
As children, you should always be concerned about the health of your parents. If the elderly feel uncomfortable, they should also inform the younger generation in time. Constipation is not a trivial matter, and it may be life-threatening. It must be paid attention to.
I hope everyone can forward this popular science to the elders and friends around you. If you have constipation and cannot pass stool for several days, don't stick something in and poke it. It is very dangerous and you should seek medical attention in time.