Diary of the battle against "hemorrhoids": deep fear, inexplicable trembling

This is an extremely difficult time. No one knows how you toss and turn in the middle of the night, clench your teeth in the toilet, and sweat drop by drop. No matter how others can empathize with you or encourage and comfort you, Not helpful either. No matter how painful it is, you can only endure it alone. Remember: only by surviving can you return to the battlefield lightly!

----To my "hemorrhoids", I love my relatives and friends

Having a disease at the back door is really a great misfortune in life! That place is the exit, which must be used every day, but it happens to be the place where the peripheral nerves are the most concentrated and sensitive, and it is easy to produce excitement. Otherwise, how could there be "yellow chrysanthemums and bruises all over the floor"? How could anyone enjoy anal sex? When it comes to back door surgery, I believe everyone will say one word without thinking: it hurts! It hurts during illness, examination, postoperative pain, defecation pain, and dressing change pain. There are many wonderful sayings on the Internet: No matter how strong a man is, he will still be covered in cold sweat when entering the toilet. Turning over requires half an hour of intense mental struggle. "A fire stick is stuck in the asshole, it's on fire!" "Every time you poop, it's like pulling glass particles." If you catch a spy, without any criminal law, just give him a backdoor inspection... Napoleon lost to hemorrhoids in the Battle of Waterloo ! On June 18, 1815, during the Battle of Waterloo, Napoleon endured the pain and commanded on horseback for a whole day. As a result, he suffered from hemorrhoids that night and was so painful that he could not sleep. In the end, he had to smoke opium for pain relief before falling asleep. The drowsiness caused by opium caused him to resume commanding operations at 11 a.m. the next day, wasting more than 7 hours of the most critical period of fighting for strategic initiative. Later, Napoleon was distracted by the pain of hemorrhoids and issued a series of wrong instructions, which eventually led to the defeat of the French army and the end of Napoleonic France. Rumors are just rumors after all, but how much does it hurt? Do we need to treat the disease at the back door? How to treat it? Let me, a "veteran" who has just survived the "battlefield", talk to you.

People in ancient times did not have toilet paper, so they could only wipe their buttocks with trash, bamboo pieces, and rags. This disease was not uncommon. The "Mawangdui Silk Book Fifty-Two Prescriptions for Diseases" unearthed in Mawangdui, Changsha in 1973 is the oldest known medical prescription book in my country. The records of hemorrhoid surgeries such as ligation and removal, fistula removal, etc., illustrate that people more than 2,000 years ago I am suffering from hemorrhoids. Hemorrhoids are caused by poor diet and living habits, but there is no inevitable connection between anal fistula and hemorrhoids. People who often have diarrhea must be especially careful about anal fistulas. Humans, like animals, have anal glands. At the anal opening, if dirt enters the glands, it will flow into the gaps between the tissues, form an accumulation, and then become infected and grow into a mass.

Like most of my friends, I spend most of the day on a chair in the office. I also like to eat spicy food on weekdays, and occasionally drink and smoke a few cigarettes. The friendship forged in the battle is very deep, and we "hemorrhoids" share the same goals. One of my patients is a senior manager of Lenovo. This guy works hard and loves spicy food. He has been suffering from hemorrhoids for more than ten years without paying much attention to it. However, one year when he went to work in Hong Kong, he developed a hemorrhoid. Fistula, I didn’t know what it was at the beginning. It hurt for a long time and was not treated in time. It slowly spread from the buttocks groove to the root of the thigh. Three fistulas appeared in a row. The fistulas were connected, and the bunker and the tunnel became one. When it became inflamed, it swelled to the size of an egg and made me unable to move. The rotten mass removed during this operation was larger than a one-yuan coin. There were several "trenches" and three "craters" left on my butt. I imagined it as if it was hit by a shell. After the indiscriminate bombing, Normandy was in panic.

Surgery: ligation and open wounds

Ligation is one of the ancient medical techniques in my country. To put it bluntly, the hemorrhoids are removed first, and then the roots of the remaining hemorrhoids are tied with threads. Tie it to death, cutting off its source of nutrition, causing it to slowly wither and die.

Open therapy: the incision is made without sutures, allowing the wound to heal naturally. In Israeli surgeries, the wound is flushed with water after the operation.

Rehabilitation innovation: Treatment includes diagnosis, surgery and rehabilitation. I have become half a doctor in diagnosis. Surgery is related to the depth and size of the incision, which directly affects the speed of recovery; but for back door surgery, it is not. In other words, the recovery process is the most painful process. There is anesthesia during the operation, and you can hardly feel any pain or intuition. Semi-anesthesia means injecting anesthesia, which is a painful process (pricking a few needles around the anus). Spinal anesthesia has almost no pain. pain. The power of spinal anesthesia can last for about 4 days and gradually decreases, so it can help patients relieve pain in the first few days after surgery (it is still more painful on the night of the operation, which is caused by the anesthetic), but the biggest problem with spinal anesthesia is that Postoperative urination.

Due to anesthesia, the area where urinating occurs can cause difficulty in urinating. Some patients feel so uncomfortable that they have to use a catheter. This is really a case of leakage in the house when it rains continuously, adding insult to injury. It is extremely tragic!

Why is there no anesthetic that can be applied? Or, could a martial arts master give me a squeeze on my sore point? A few more acupuncture shots will be fine.

Battlefield Chronicles

On Monday, April 10, I was admitted to the hospital. I met the patients and a group of "zombies", which was very exciting. The corridor of the inpatient ward is simply a world of zombies: As soon as you enter the inpatient ward, there are many post-operative recovery patients in the corridor. Some are holding their hands on the wall, some are bending over, and everyone is moving in steps. Coupled with the painful expression and gray hospital gown, it was as if he had entered the world of zombies. He immediately broke into a cold sweat and felt chills running down his back from his bones.

I received admission education, purchased necessary items according to the nurse's list, and underwent skin preparation. To put it bluntly, it meant shaving all my hair. Since I was informed that I would have an operation the next morning, I would not eat or drink from 10 o'clock tonight. After drinking; chatting with the attending doctor, I further gained some knowledge about hemorrhoid surgery, and learned about the surgical techniques we use: domestically it is called "external peeling and internal ligation", foreign similar ones are called "Mulgan-Morgan", and further called "Forgersen", in China Using the method of integrating Western medicine, the main body of internal hemorrhoids is first cut off, then ligated with thread, external hemorrhoids are cut off, and the anal fistula is dug out, which is an open therapy; the operation can use local anesthesia and spinal anesthesia: there is anesthesia during the operation, and you can hardly feel any pain. And intuition, half anesthesia means injecting anesthetic is a painful process (pricking a few needles around the anus), but spinal anesthesia is almost painless. The power of spinal anesthesia can last for about 4 days and gradually decreases, so it can help patients relieve pain in the first few days after surgery (it is still more painful on the night of the operation, which is caused by the anesthetic), but the biggest problem with spinal anesthesia is that When urinating after surgery, due to the anesthesia, the place where you urinate will be difficult. Some patients feel so uncomfortable that they have to use a catheter. This is really the case: the house leaks when it rains continuously, adding insult to injury. It is extremely sad!

Got the surgery on Tuesday, April 11th. At about five o'clock in the morning, the nurse came and gave me a dose of Kaiselu to flush out the dirt in my body. Because today was not an operation day in the anorectal department, there was no vacancy during the operation. It was until after one o'clock in the afternoon that news finally came: one patient had just had a leg amputated, and another patient needed to amputate several toes. These surgeries gave me a lot of confidence. Compared with these, my little problem is nothing. At three o'clock, it was finally my turn to "go on stage", and the operating room informed me to report. Following the beautiful nurse in the operating room, I walked into the solemn operating room. I heard the doctor's instructions: "Take off your clothes and lie down on the operating table." Looking at the nurses who were constantly coming in and out, I felt a little embarrassed for a moment. I was really ashamed. ah. Long-acting anesthetic, out of respect for the pain, I chose the best-selling anesthetic. This method will allow the anesthetic to stay in your body for 5-6 days and gradually metabolize it from the body, reducing the pain in the first few days after the operation: strip off your body, forget all shame, and display it legally in front of women nude. It used to be possible in Dongguan, but it was illegal. Lying on my side, I tried my best to bend my body into an arch, like a baby in the womb. I was very nervous: If I lose too much anesthetic, will it make me crippled? In fact, I thought too much. The anesthesiologist accompanied the entire operation and observed the anesthesia effect at all times. The attending doctor held my hand and talked about relaxed topics. The anesthesiologist sneaked behind me. I felt a slight pain in the second or third section of the spine. Long-acting anesthetic was injected from the second and third sections of the lumbar spine. inside my body. It really didn't hurt. Within a few minutes, I lost all feeling below the waist. I pinched my thigh several times, like touching a French loaf of bread, but it was indeed softer than a "baguette." During the operation, the lower body was numb, but the upper body was awake. You could feel some movements of the attending doctor down there, but you had no sensation. To be honest, the surgical procedures for hemorrhoids and anal fistulas are not scary at all. There is no pain at all. You can lie on the bed and be at the mercy of others. After nearly two hours of anesthesia and surgery, I was pushed back to the ward by the anesthetist and nurse. In order to prevent the side effects of the anesthesia, I had to lie flat on the bed for 6 hours and receive 5 bottles of intravenous drip. I could not get up at this time. It's a difficult time if you can't move around. As time passed, my lower body gradually began to feel. I finally made it to 12 o'clock. It had been more than six hours. I had to urinate frequently. I got up and went straight to the toilet. But the problem came: standing in front of the toilet, no matter how hard I concentrated, I couldn't stop urinating. My penis was swollen and painful, but I couldn't squeeze out a drop of urine. I thought: This is a bad thing. If another catheter is inserted, I will be completely disabled. No, absolutely not, you must solve it yourself! I returned to the bed and drank a bottle of mineral water. After another half an hour, I rubbed my lower abdomen and blew the whistle, and finally forced the urine out. I was sweating all over. A living person would almost die from choking in urine. When I returned to bed, the pain was not very strong due to the anesthetic, and I fell asleep.

April 12, the first day after the operation, Wednesday. I originally thought that the residual power of the anesthetic was still there, so it shouldn’t be very painful, but the actual situation was: it was very painful, but the pain was caused by the anesthetic irritating the skin. I had no choice but to ask the nurse for a painkiller. The doctor told me that you can eat normally, and you should eat normally, but pay attention to lightness and maintain normal bowel movements. It may be due to psychological suggestion. As long as the words defecation and dressing change are mentioned in the ward, everyone will subconsciously break out in a cold sweat. Because today will be the first time to go to the toilet and change the dressing after the operation, I don’t know what the pain is like, and my appetite is not good, so I only eat a little liquid food all day. Eight o'clock in the evening is the time for the second dressing change every day. The patients listened to the call of the nurse, and more than a dozen relatives and friends of "hemorrhoids" gathered at the door of the dressing room. This is an important time for everyone to greet each other and exchange experiences. time. I found that people are really not the same type, and they don’t enter the same door: they are all people with dampness and spleen deficiency, who do not pay attention to dietary restraint, like to eat spicy food, and some people also like to drink. The diseases at the back door are caused by the failure of the front door to take care of them! Looking at the grinning friend with hemorrhoids coming out of the dressing room, I shuddered. Enter the dressing room, slowly climb onto the bed, take off your pants, move your lower body as far as possible to the bedside, and bend your legs toward your chest.

The doctor took off the gauze on my buttocks, opened my anus, took out the gauze left in my body, checked the wound, cleaned and anti-inflammed, then reinserted the cotton wool and hemorrhoid suppository. The whole process was very short and done in one go. The pain was not bad. Bear.

The evening finally ushered in a historic moment, defecating for the first time. Because of the anesthesia, the muscles of the anus and mouth were not well controlled. I was lying on the bed and just felt the urge to defecate, but the excrement had already come out. Fortunately, there was gauze blocking it and it was not on the bed. He hurriedly staggered to the toilet, took off his pants in a hurry, held the toilet sink with his hands, and sat gently on the toilet. He was highly nervous and his legs were trembling slightly, waiting for that touching moment. But the result was unexpected. There was no strong pain and the poop came out without any effort.

Rinse the lower body with the faucet, dry the pp with gauze, spray anti-inflammatory medicine on a piece of gauze, clamp it in the buttocks groove, paste another piece of gauze on the outside, seal it with tape to form a cross, and dress neatly , moved his feet carefully and gently returned to the bed.

Thursday, the second day after the operation, April 13th, 1bed Lao Ding was discharged from the hospital. He had suffered from hemorrhoids for a short time. He only developed them in the past two years, but they developed rapidly and the internal hemorrhoids were often swollen. It was as big as the belly of a thumb, and I often had blood in my stool. I was a little scared, so I rushed to the hospital to report it. This guy was given local anesthesia. He had three injections around the anus before the operation, and he almost fainted. I stayed for 8 days after the operation. I had pain every day from defecation and abdominal distension, and the pain was so severe that I couldn't straighten my back when walking. Finally, the threads fell off, so I stayed for one more day and then went home.

A young man came with a lump on his anus. My husband only performed a digital examination on him. The man screamed in pain and couldn't sleep all night. I had a B-ultrasound the next day, but I couldn't tell whether it was a "fistula"? The doctor suggested that he do an operation and cut it open to take a look. Seeing our painful experience, the brother was even more nervous than we were after the operation. After thinking about it, he also went home.

April 14, Friday, the third day after the operation, my parents came to see me today. Just as the anesthesia was about to wear off, I went to the toilet, and the front of my shirt was wet with sweat. My father has been through this. My father also had hemorrhoid surgery when he was young. During the surgery, the anesthetic was not fully injected. Halfway through, the anesthetic had worn off and the pain came. Just imagine, my back felt cold. But my father actually hummed a revolutionary song and encouraged the doctor to continue the operation to the end. After finishing the work, we went to the field. My mother used a rented tricycle, which she didn’t know how to ride, and pushed it for 5 kilometers. Then Anzhen pushed my father back home. I didn't even take two days off when I got back and went straight to work. At that time, technology was backward, and my mother had three or four hemorrhoid surgeries. This is simply: Paul Korchagin in "How Steel Was Tempered".

April 15th Today is the fourth day after the operation, Saturday. The anesthetic is getting weaker and weaker, and a slight pain hits my heart. Two days ago, in order to prevent dry stool after surgery, I took a laxative, and the hospital also prescribed the importance of moisturizing the intestines. Unexpectedly, the "lubrication" was so strong that I went to the toilet three times a day, which really made me feel heartbroken. The pain of cracked lungs, and the feeling of "pulling glass in the anus". The blood vessels in his anus were pulsing, his legs were trembling, sometimes he clenched his fists, and sometimes his hands were dancing helplessly in the air. Sweat dripped down his neck, and after a while, his hair was completely wet. Pain is divided into ten levels. Natural childbirth is the first level, and hemorrhoid surgery is the fourth level. What is level 100 pain? From the palace! Let us pay tribute to Wei Zhongxian and An Dehai, the two historical greats who wielded their swords from the palace!

April 16, the fifth day after the operation, Sunday. I feel no pain in bed today and can move freely. However, I still feel intense excitement and severe pain when I have a bowel movement. Because the hemorrhoid wound at the exit was internal, it was an internal injury and the pain was not strong. However, because the site of the fistula was "open to the public", half a minute after sitting down, burning pain began to emanate from the fistula wound. In order to relieve the pain today, mainly the severe pain during the dressing change, I took a powerful Korean analgesic tablet an hour before the dressing change. Don't tell me, it was quite effective and I was not awakened by the pain in the middle of the night.

April 17, Monday, the sixth day after the operation, the air in Beijing was severely polluted today, and even the little swallows came out less. Looking out the window every day and chasing the joyful dance steps of the birds has become a required course for me every day. Only at this moment can I forget myself and gain short-term happiness. Thank you, beautiful elves, for my super painkiller.

When I was changing the dressing today, there was some happy news. The attending doctor gently pushed it, and the two rope ends fell off, indicating that I was recovering well. But there was still a thread left in the body. The doctor tried to "pull" it slightly outward. A heartbreaking pain hit me. My upper and lower teeth kept colliding with each other. I clenched the handle of the bed with both hands and stretched my arms. , shivering. The pain lasted for more than half an hour. I can't even remember how I got out of the hospital bed.

Today, 12 patients were discharged from the hospital, and 13 more came in. People were coming and going in the corridor, and the nurses were busy for a while. There were so many sick people at the back door! I, the new recruit last week, have now become a “veteran”.

On the seventh day after the operation on April 18, Tuesday, the gusts of level 5 and 6 blew away yesterday's haze. I woke up at around 5 o'clock, and the pain was relieved a lot. I took a nap first. When I went to the toilet, although the open incision area still hurt, the pain at the place where the hemorrhoid surgery was performed was no longer so intense.

Today when I was changing the dressing, the last thread fell off. The doctor specially took a photo of me, allowing me to see my butt after the surgery for the first time. When the last thread came off, it was pronounced that all the hemorrhoids were "dead". The slough was cleared, the internal wounds were closed, and it was not far from being discharged from the hospital. While I was changing the dressing, I took a peek at the buttocks of a seriously ill patient and saw a "deep pit" as big as a thumb on his left buttocks. I was deeply shocked!

Today I stopped by my attending doctor, Director Xu, and chatted with her about a question: People in ancient times were not so particular, so why didn’t they have hemorrhoids? Director Xu smiled and said: The "Fifty-Two Prescriptions for Diseases" unearthed in Mawangdui is the oldest known medical prescription book in my country. It records hemorrhoid surgeries such as ligation and removal, fistula removal, etc., which not only reflects the advanced technology at that time Traditional Chinese medicine surgical techniques also show that people suffered from hemorrhoids more than 2,000 years ago. When changing dressings in the evening, I chatted with Dr. Li, another attending doctor, about the development history of TCM surgery. When it came to the problem that no TCM surgery had been spread to the world after Hua Tuo, Dr. Li had a unique point of view: famous doctors in ancient times continued to perform They try various surgical operations. Maybe the methods they use are great, but the biggest problem is: they cannot prevent postoperative infection well, so the mortality rate is very high. Traditional Chinese medicine only records successful cases and methods, and fails. No one has recorded the case, which creates the illusion that Chinese medicine does not have surgery.

After communicating with Mi Tao on WeChat, Feifeitu’s forest education forum has achieved great success, setting off a storm of forest education for young children across the country. We have decided to hold a shareholders’ meeting with Mi Tao on the 28th. I had a phone call with Oda and discussed the next product development direction of Shanfei.

April 19th, Wednesday, the 8th day after the operation, the pain was not strong today, and the small blood vessel that bled yesterday did not flow again today. When changing the dressing, Dr. Li said that I was recovering well and could be discharged from the hospital on Friday. I survived. Location Network Technology received a TS for fund investment, and I also had the energy to revise it. I also have to read the new BP of Yanyuan Holdings. A new patient came, who used to be a chef at the Wangfu Hotel. He was very cheerful, but he came to the ward with trepidation. In order to eliminate his fear, this battle diary got its first loyal reader.

April 20th, Thursday, the 9th day after surgery. Today is the last day in the hospital. I woke up very early. Of the two new patients, one is going to have hemorrhoid surgery today and the other is going to have a colonoscopy. Neither of them fell asleep, and I woke up in the middle of the night.

After staying in the hospital for 10 days, I met all kinds of patients. Everyone has a different attitude towards life. The treatment of "hemorrhoids and anal fistula" is a test of human nature. Some people grinned, cried like ghosts, or I have a sad face all day long, complaining about everything and everyone, and suffer a lot and have deep hatred. There are also friends who are positive, optimistic and perseverant, talking and laughing every day. In fact, no matter how you behave, the pain is there, and facing it positively will help you recover. Because women have experienced childbirth and physical pain, their tolerance for pain is significantly higher than that of men. We often make fun of each other: the women are both Sister Jiang, and the men are both Fuzhigao!

A little experience sharing: first find the incision site by feeling. If it is to the right, use your left leg to exert force when defecating. Putting your strength on your left leg will reduce the pain; after sitting down, first use your hands to remove the incision. Spread the two buttocks to both sides so that the poop can slide down smoothly without touching the incision (injury); if it is difficult to urinate, just whistle. Do you still remember the beautiful music that our parents played when we were holding us while we were peeing? If that doesn't work, just use a hot water tap to flush your lower abdomen, or take a hot bath. Don't you often pee in public bathhouses? Hot water cleaning: Every time after defecation, use the faucet to flush the stool vigorously towards the outlet. Be sure to use hot water. This will not only keep the area clean, but also relieve pain. Communicate more with patients, encourage each other, eliminate lonely time, relax your consciousness, and temporarily forget the pain.

Food: In the first few days, liquid food will be the main diet, with less meat and protein, and no radishes to avoid gas production. Apples, porridge, green vegetables (celery), tomatoes, pasta. You must not be constipated, let alone have diarrhea!

Wipe the poop: wipe from back to front, and then rinse with hot water. Hot water can relieve pain!

Finally, we must thank our angel in white:

Thousands of years of benevolence have made us better,

The skillful hands and hard work can cure pain and illness.

The affection is as real as that of relatives and friends,

The evergreen apricot forest helps the world.