Original: medical rivers and lakes of DrX, medical rivers and lakes of DrX
The full text is 1879 words, and it takes 5 minutes to read.
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If you are eating or preparing to eat, the following content may not be very friendly to you.
Shit, as an important part of maintaining human physiological operation and life activities, is self-evident. Whether you like it or not, we must face this fact from the moment we are born.
Shit can be said to be one of the most important life activities in a person’s life. It will make you feel comfortable all over, forget all your troubles, and let you sit on the toilet and pour a thousand miles, and live a rainy life with the red dust of the toilet from now on.
Just today, Dr.X saw such a question on the Zhihu:
"When people vomit, is it possible to spit out shit? 」
In an instant, "a life of shit" began to emerge in my mind. With the sensitivity of a medical worker, Dr.X must popularize "Will shit be vomited?" 」
Yes!
Why? There are many reasons, the most important of which is intestinal obstruction.
The following content comes from the personal experience of an oncology intern:
An old man with low intestinal obstruction came to the department. He didn’t defecate for about ten days and had severe abdominal distension.
After coming to the department, the first thing to do is to insert a gastric tube for drainage. When the patient opened his mouth, a pungent and strong smell of feces came to his face.
The patient vomited just after the drainage tube was fixed and it didn’t work.
In an instant, the patient’s clothes and sheets were covered with thick liquid fecal vomit. Followed by the second and third waves of shocks … the families of patients standing on the side are stupid.
Imagine that all kinds of digestive juices and foods have been fermented in the human body for more than ten days. What kind of "wonderful" taste is this?
Is it possible to spit out shit?
I’m afraid this smell is worse than shit and more disgusting than shit.
Of course, no one wants this to happen to himself, but since the disease of intestinal obstruction has been developed, no matter how disgusting it is, it has to suffer.
In addition to nausea and pain, we can’t ignore the danger of long-term inability to defecate.
There is a disease called congenital colon, because the congenital colon development is abnormal, which leads to some large intestine or the whole large intestine in a state of spasm, and it is difficult to pass stool.
The young man in the picture below suffers from Hirschsprung’s disease. When he was 16 years old, he could only defecate once a month, so that his stomach became bigger and bigger.
Finally, at the age of 29, the man was found dead in the toilet while he was trying to defecate. After dissecting his body, it was found that his colon was many times larger than that of ordinary people, and the thickest part had reached a diameter of 76cm, while the stool inside was a full 18 kg.
The picture below is a specimen made of his colon, which is now on display in a museum in the United States.
Hirschsprung’s disease (HD) is a deformity characterized by the lack of nerve cells in the intestinal wall. Generally, the ganglion-free segment of the colon is located at the distal end of the colon, and the intestine of the ganglion-free segment lacks propulsive peristalsis. At this time, the intestine is in a spastic state, which will cause colon obstruction.
Generally, children with HD will have related symptoms within 24-48 hours after birth. If the baby has abdominal distension, delayed meconium discharge or even vomiting after birth, it is necessary to check whether it is Hirschsprung’s disease in time. In addition, 50%-90% of children will have abdominal distension, bile vomiting, intractable constipation, etc., and 10% of children will have fever, abdominal distension, diarrhea, and recurrent attacks, and even fatal risks.
Therefore, Hirschsprung’s disease cannot be ignored.
Congenital colon of the man above is relatively rare, and intestinal obstruction is more common. In medical terms, intestinal obstruction means that part or all of the intestinal contents cannot flow normally or pass through the intestine smoothly.
Generally, nearly 90% of intestinal obstruction will occur in the small intestine, especially in the narrowest ileum, and colon obstruction is more likely to occur in the sigmoid colon.
The condition of intestinal obstruction is very changeable. Don’t think it’s just simple constipation or indigestion. In many cases, carelessness may be life-threatening. According to the data of the World Health Organization, the mortality rate of small intestinal obstruction in the United States is 10%, and the mortality rate of colon obstruction is even higher than 30%.
If diagnosis and treatment are not carried out within 24 hours, the mortality rate will continue to increase.
Why do you still suffer from intestinal obstruction when you clearly pay attention to healthy diet and often exercise?
Before that, you need to recognize the cause of intestinal obstruction.
In fact, there are many reasons that can cause intestinal obstruction. Generally, the causes of intestinal obstruction may be inflammation, tumor, adhesion, volvulus, intussusception, food mass blockage and even intestinal stenosis caused by external pressure. Of course, serious infection can also cause intestinal obstruction. It is worth noting that more than 80% of mechanical intestinal obstruction in large intestine is caused by tumor, which is most likely to occur in sigmoid colon.
Because the tumor grows slowly and the intestinal cavity of the large intestine is relatively wide, it is usually blocked by fecal blocks in the obstructed area and induces or aggravates the condition of intestinal obstruction. In general, the manifestations of small intestinal obstruction are often the first symptoms of small intestinal tumors, and the lumen of the small intestine may be a little narrow, but there are many substances in the small intestine and they are generally fluids, so the obstruction will not appear in the early stage of tumor occurrence. This means that when the obstruction occurs in the small intestine, the small intestine tumor may have been there for some time.
It should be noted that malignant intestinal obstruction (MBO) is generally the most common complication of patients with advanced tumors, usually intestinal obstruction caused by primary or metastatic malignant tumors, which accounts for 5%-43%. The primary tumors of general intestinal obstruction are ovarian cancer (5.5%-51%), colorectal cancer (10%-28%) and gastric cancer (30%-40%)
Seeing this, do you dare to ignore your defecation problem? In particular, the problem of intestinal obstruction in middle-aged and elderly people needs special attention. Dr.X has contacted many patients with intestinal obstruction, and most of them think that they just have poor defecation, but in the end they have detected various tumors, most of which are intestinal cancer.
We won’t elaborate so much on the causes of intestinal obstruction, after all, it is hard for ordinary people to understand. Let’s focus on the manifestations of intestinal obstruction, and readers in front of the screen can also judge whether they have signs of intestinal obstruction according to their own situation.
abdominalgia
Abdominal pain here is generally paroxysmal severe colic, which generally has the following characteristics:
Wave-like pain from light to heavy and then relieved;
When you have an attack, you can feel a sharp drop in gas, and it will suddenly stop when you reach a certain part of the body. At this time, abdominal pain is generally the most intense;
When abdominal pain occurs, you can feel that the intestinal type is moving.
Stop defecation
This is the most typical feature of intestinal obstruction. However, when suffering from high intestinal obstruction, there will be a small amount of defecation and gas discharge in the early stage, which will cause many patients to be paralyzed. Strangulated intestinal obstruction can discharge bloody mucus-like stool.
vomit
Vomiting usually comes with intestinal obstruction at the same time, which is generally reflective in the early stage. At this time, the vomit is food and gastric juice, and the vomit in the above case is still relatively rare. When intestinal obstruction enters the quiescent stage, vomiting will be more frequent at this time, and the vomit at this time is gastric juice, duodenal juice and bile.
After the rest period, vomit is an object with the smell of feces, which is commonly known as "shit".
abdominal distention
This situation usually occurs after the obstruction has occurred for a period of time. The degree of abdominal distension here is largely related to the obstruction site, and abdominal distension is not obvious when suffering from high intestinal obstruction. But when suffering from low obstruction, the whole abdomen will swell.
It is worth noting that strangulated intestinal obstruction is likely to bring serious consequences, so once you have the following symptoms, don’t hesitate to seek medical attention!
Sudden abdominal pain with persistent severe pain
Vomiting occurs early, violently and frequently.
As the body temperature rises, the pulse rate increases.
Abdominal distension is asymmetrical, and there is obvious local bulge in the abdomen.
Vomit or excrement contains bloody liquid.
Dr.X said
Intestinal health is not only related to the digestive system, but also affects the intestinal flora and the cognitive development of the brain. If you feel stupid, it may be the intestinal cause ~
Finally, if you find yourself with chronic constipation, diarrhea, or even intestinal obstruction, please seek medical advice as soon as possible to avoid irreparable consequences.
Original title: "Is it possible to spit out shit when people vomit? Yes! 》
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