Chapter 276 Tricky hemorrhoids patient!

It's dangerous, but it's still the same sentence, timely surgery can be saved.

Just then, the sound of ambulance horns sounded in the distance.

"Oops, it's coming, the ambulance is finally here."

"Great, there's hope when the ambulance comes."

The mother lying on the steps also heard the whistle, she turned her head to look at Lin Yi in front of her and asked:

"Thank you...... Doctor, may I ask...... What's your name?"

"My name is Lin Yi."

"Okay, thank you!"

The girl's mother thanked again and again.

Then, the ambulance arrived, and the paramedics above carried the girl into the ambulance and drove away.

………………

Early the next morning, a male patient with blood in his stool came to the office.

Wu Jiang received the consultation, went to the disposal room and opened his pants to take a look, and said directly:

"Brother, you have hemorrhoids, I'll contact the doctor of the anorectal surgery to come down and show you."

"By the way, you have mixed hemorrhoids, which is more serious among the hemorrhoids, and you have to have surgery."

This male patient didn't know he had hemorrhoids.

Usually itchy and wet plus blood in the stool, the whiteness can also be detected.

Before he came to the hospital, or before he bleed, he had already checked a lot of home remedies himself.

For example, what garlic stuffs the anus, buy Chinese medicine for sitz bath.

Many evil sects have tried, but this hemorrhoid still can't get rid of.

As a result, when I went to the toilet today, I looked down and saw that the entire toilet sink had turned red.

Is this worth it?

Then I hurriedly came to the nearest central hospital and hung up the emergency department.

I waited for a long time for the emergency number of this central hospital to be accepted.

"Okay, thank you, doctor."

Soon, the anorectal surgeon came down and examined the patient, who was indeed hemorrhoids.

But there are no beds in anorectal surgery now, so we have to wait.

Wait until a bed is available before arranging hospitalization before surgery.

Ordinary hemorrhoids are actually a relatively minor surgery.

Hemorrhoids are actually varicose veins growing on the walls of the rectum.

There is also no guarantee that there will be no recurrence after resection.

This thing is related to personal physical fitness, and people who are often sedentary and do not exercise for a long time have hemorrhoids in nine out of ten.

As soon as the patient heard that he was going to wait, he immediately collapsed:

"Doctor...... Do you have to queue up for anorectal surgery hospitalization? I'm ...... Isn't that serious for me? Can't you operate on me right away??"

The patient was uncomfortable and wanted to cut off the small lump of flesh on his asshole immediately.

Wu Jiang was also helpless:

"I'm sorry, but there is a shortage of beds in the hospital, and if it's not a life-threatening patient, you usually don't need emergency surgery.

You wait in the emergency room first, the anorectal surgeon will call you when there is a place."

"Oh no...... That...... Can't you do it in the emergency room? Can this kind of surgery be done in the emergency department?

Cutting a hemorrhoid is not a major operation, isn't it all cutting anywhere?

Can't I just cut it in your emergency room? You can still get results."

This patient is in his early thirties, and he is an IT man who squats in the office every day.

Originally, it took a lot of time to go to the hospital to see a doctor, but now he has to wait, and he definitely doesn't want to.

Wu Jiang hesitated when he heard this.

Cut hemorrhoids in the emergency department??

It's not impossible.

However, after doing it, I can only live in the emergency department, and there is no professional and corresponding nursing measures like anorectal surgery.

For this, the patient nodded very understandingly:

"No problem, isn't it just a hemorrhoid, can you still die? I will go home after two days."

"Cutting hemorrhoids is not as easy as you think, and it's usually the most uncomfortable day after cutting."

The patient waved his hand and urged:

"It's okay, it's going to be cut anyway, I'll die early and I'll be reborn, and I still have to rush to work."

Seeing that the patient also agreed, Wu Jiang communicated with the doctor of anorectal surgery and transferred the patient to the emergency department.

Preoperative preparation, blood test routine, coagulation, and infectious diseases.

After confirming that the results were all right, the patient was taken to the emergency operating room.

Cutting hemorrhoids is very simple, that is, the protruding flesh mass is cut off by sewing or removing the hemorrhoids.

Wu Jiang is also quite fast.

In less than 20 minutes, the three hemorrhoids inside were removed.

After the end, he showed the patient the three dark brown thrombotic balls in the curved disc and said:

"This is your hemorrhoids, there are three of them, and they have all been taken off for you."

The patient had local anesthesia, and his whole body was unconscious of his asshole.

After seeing the three small hemorrhoids in the curved plate, he immediately shook his head in disgust and said:

"Ouch hey, it's disgusting."

"In the future, you should pay attention to your diet, not too spicy, smoke as little as possible, and exercise more.

It has a lot to do with not exercising."

Wu Jiang said while bandaging.

The patient was relieved and replied:

"Okay, okay, no problem, I will take care of myself when I go back."

The hemorrhoids are gone, and I can finally go out openly!

Alack~!

Out of the operating room, the nurse took the patient to the emergency inpatient department on the third floor.

Everything went very smoothly.

In the eyes of these doctors in the emergency department, it is just an ordinary hemorrhoid surgery.

When it's over, it's over.

But......

Early in the morning of the third day.

The patient turned out to be bloody.

Originally, Wu Jiang told this patient during his ward rounds on the first day after surgery that the first and second days after surgery were the most uncomfortable.

The pressure gauze to stop bleeding is stuffed in the anus to stop the bleeding, that is, there will be a feeling that you want to poop but can't pull it out, and it hurts.

I thought it would be much better on the third day.

As a result, the gauze was removed in the morning, and the patient was going to urinate and defecate on his own.

The nurse came with the bad news.

"Bloody stool? It's impossible!"

Wu Jiang was confused.

What's the situation?

It's just a hemorrhoid, how can there be bloody stool?

Could it be that the wound has cracked open?

As soon as he heard the nurse say this, Wu Jiang hurriedly went to the ward to check the situation.

Fortunately, there is not much bleeding, but since it has been the third day and is still bleeding, it means that there is something wrong with the wound.

The patient also questioned with a puzzled and annoyed expression:

"Doctor Wu, why am I bleeding again? Didn't you say that it would be okay in two or three days? What's wrong with me?"

Wu Jiang didn't know the situation and couldn't explain it, so he could only ask:

"Are you straining too hard when you poop? Don't push too hard not long after the surgery, it's easy to break open the wound."

The patient spread his hands and said helplessly:

"I didn't, I was very careful myself, for fear that my strength would be too strong to bleed, but I didn't expect it to be bleeding, what should I do now? I'm going to have to have another operation!"

"Well, let's have a colonoscopy and see how it goes."

Although the patient is very annoyed, he is also a young patient and is relatively easy to communicate.

Then he limped to pay the bill again, and then followed Wu Jiang to do a colonoscopy.

Lin Yi learned about the situation and also came over to check it out.

As soon as he looked at the wound on his rectum, Lin Yi knew that this was a hemorrhoid patient.

But......

How do I still bleed after the surgery?

Lin Yi glanced at it lightly, but he didn't care too much.

Wu Jiang will definitely be able to deal with such a minor disease as hemorrhoids, and there is no need for Lin Yi to intervene.

In the colonoscopy room, the doctor inserted the colonoscope into the patient's rectum.

As soon as I entered, I found that it was indeed bleeding from the previous wound.

But it's been three days after the operation, and it stands to reason that there will be no more bleeding, but how can it suddenly bleed again today?

What is the reason?

"Let's take a look inside and see if there are any other problems."

The camera moves on.

sigmoid colon, small bowel, ileum......

Every bend and fold was carefully searched.

No problems were found.

This made Wu Jiang even more confused!

I had a hemorrhoid surgery at the end of the day, why was it still bleeding on the third day?

And there is still fifty milliliters of bleeding?

"Forget it, since I haven't found the reason, forget it." Wu Jiang motioned for the colonoscopist to stop.

At the end of the examination, the patient was sent back to the ward.

As soon as he returned to the ward, the patient's anesthetic strength passed.

As soon as he opened his eyes, he immediately asked:

"How's it going, doctor, what's wrong with me? Why does it bleed? When will I be discharged?"

Wu Jiang explained:

"The colonoscopy showed that the wound of the hemorrhoids was bleeding, and nothing else was found.

I've re-stopped the bleeding for you, and I've also given you medicine to stop the bleeding.

You should wait another two days and you'll be fine, everyone's physique is different, and you may be slower to recover from the wound."

The patient bit his lower lip, helpless, but he could only listen to the doctor.

This incident is a small episode.

Wu Jiang thought that this person had checked the four items of blood coagulation before, and the results showed that there was no problem.

Therefore, the cause of this bleeding should be caused by the patient's own stool too hard.

After thinking about it, Wu Jiang felt that the patient should be much better if he waited for two more days.

I didn't expect it......

Two days later, the patient was bleeding again!

And the amount of bleeding also reached 200 ml!

"Doctor Wu, the hemorrhoids patient is bleeding again, and the amount of bleeding is about 200 milliliters!"

The nurse hurriedly ran to the office and said.

Wu Jiang stood up suddenly, and his eyebrows wrinkled directly into an inverted figure.

"What? Bleeding again? Isn't it the gauze that I just picked up last night? Why is it bleeding again?"

The nurse hurriedly said:

"This is also blood from pooping in the toilet!"

Wu Jiang immediately got up and walked to the ward, and by the way, he called the doctor of anorectal surgery for a consultation.

This patient really has a problem and must be examined by a specialist.

"How is the patient doing? Do you have an anemic face?"

The nurse shook her head:

"No, it's okay, but I'm in a bad mood after I found out that I was bleeding again......

Wu Jiang nodded, he could understand this.

After all, a small hemorrhoid surgery is difficult to bleed twice after a small hemorrhoid operation.

As a result, he really bleed twice, and it is normal to be emotional.

But it didn't feel right to him......

This person should have other hidden diseases that they haven't checked out yet!

Thinking of this, Wu Jiang's steps towards the ward also accelerated slightly.

In addition to this patient, there are two other patients with ordinary infusions in the ward.

As soon as I came in, I saw the hemorrhoid patient lying on his side on the bed, looking at the door with an angry and helpless expression.

"Hu Liang, how are you? Does the anal position hurt?"

The patient turned his head sideways and glanced at Wu Jiang, who was hurrying over:

"I said you're the attending doctor!

Why the hell am I bleeding again?!

I have a small hemorrhoid, how much time has been delayed before and after, and I haven't been discharged from the hospital??!

The patient yelled angrily, but Wu Jiang was not angry and only comforted:

"We've already called a proctal surgeon to come and take a look at you, don't worry.

A hemorrhoid will certainly not cause recurrent bleeding, it should be that you have other hidden diseases that have not been detected.

In this case, you should call your family first, you are bleeding a little heavily now, and you can't stay in the general ward, so you have to go to the intensive care unit to watch and avoid more bleeding."

"What? And call your family??"

The patient hesitated.

He didn't want to call his family.

"Yes, you need to go to the intensive care unit before you can find out the cause of the bleeding

It's better to call your family to take care of you during this period."

The patient has been hospitalized alone since the previous surgery.

Wu Jiang was worried that the bleeding would worsen this time, and if something really happened, it would be better to call a family member over.

The patient complained and got up slowly:

"What's the matter, that's what it's called! Cut a hemorrhoid, grind and chirp for so many days, it's been almost a week, and I haven't been discharged from the hospital yet! It's annoying!"

In the face of the patient's complaints, Wu Jiang was slightly embarrassed, but he did not say anything.

Soon, the doctor from the anorectal surgeon came.

It was Liu Dong, deputy director of the anorectal surgery department, who came.

"Director Liu, this patient was originally going to be hospitalized in your department, but there was no bed at that time, so we discussed the hemorrhoid surgery in our emergency department.

Now, less than a week later, he's bleeding twice.

One was on the third day of surgery, when the gauze was removed and the patient was bleeding when he had a bowel movement on his own.

But the amount was not much 50 ml, and I did a colonoscopy urgently at that time, and the results of the colonoscopy are here.

The second time was today, and the gauze was also taken last night, and it turned out to be bleeding again this morning.

The amount of bleeding is still 200 millilitres."

As soon as Liu Dong entered the ward, he began to examine the patient while listening to Wu Jiang explain the situation.

"Two bleeds? It's still 200 milliliters today?"

Liu Dong frowned.

Hemorrhoids bleeding 200 ml after surgery is quite rare.

Because the wound of hemorrhoids is not large, and many of them are bandages.

It is to suture the root first and then remove it, and the amount of bleeding during the operation is very small, let alone after the operation.

The patient clearly had a problem.

Pulling off the patient's pants, Liu Dong looked at the position of the anus.

The panties are now dry and not stained with blood.

The area around the anus is also quite clean, but I don't know what is going on in the intestines now.

"Well, let's do a colonoscopy and angiogram to find out where the bleeding is."

According to Liu Dong's experience, it is very strange to bleed so many hemorrhoids.

So he went straight to the imaging test.

Contrast is a test in which a contrast agent is applied to a specific blood vessel and then a CT scan is performed to see if any of the blood vessels are leaking.

In this way, the bleeding point can be found more accurately.

Subsequently, the patient reluctantly informed the family, and it was an uncle in his fifties, who should be his father.

After explaining in detail to the family, the family was also confused.

"We don't have any genetic diseases in our family, do we? How can it be bleeding?"

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Chapter 276 Tricky hemorrhoids patient! Free to read.