Start with an emergency physician

"I can't treat the disease properly if you guys are like this.……"Zhou Yuan said in a threatening tone.

Finally, Zhihui's wife stammered,"He...has hemorrhoids."

Zhou Yuan was helpless.

Nine out of ten men have hemorrhoids, so what's wrong with having hemorrhoids?

Zhou Yuan walked over and asked,"When did it start?"

Zhihui blushed and said,"It's been a long time since I had a car accident and have been lying in bed.……"

Zhou Yuan nodded,"Does it hurt, or do you only have blood in the stool?"

Hemorrhoids are divided into internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids.

Internal hemorrhoids are pathological changes in the supporting structure of the anal canal vascular cushion, the vascular plexus, and the arteriovenous anastomosis branches.

External hemorrhoids are pathological dilation or thrombosis of the subcutaneous vascular plexus distal to the dentate line.

Internal hemorrhoids are generally not painful, because the site of internal hemorrhoids is above the dentate line, and there are no nerves in that place, so there is no feeling.

The main feature is blood in the stool but no pain.

External hemorrhoids are produced below the dentate line, which is rich in blood vessels and nerves. The pain is unbearable and can turn a macho man into a gay in an instant. The main feature... you can tell at a glance. If you are lucky, you can even see external hemorrhoids the size of an egg.

As for mixed hemorrhoids, it is very cool. There is blood in the stool and pain. Turn over the outer egg, and there may be some pigeon eggs inside.

Zhou Yuan smiled and waited quietly for Zhihui's answer.

"Blood in the stool, and... it hurts!" Zhihui gritted his teeth and said.

Zhou Yuan smiled and said,"Then you are in trouble. It's not internal hemorrhoids, nor external hemorrhoids.……"

"It's mixed internal and external hemorrhoids."

Zhihui's expression froze,"Then...what should I do? I've been applying plasters, why is it not working?"

"I need to do some tests first to confirm how big your hemorrhoids are.……"

Zhou Yuan started writing out the prescription.

Ten minutes later, Zhihui's wife helped Zhihui back to the ward.

The test results were delivered to Zhou Yuan.

Seeing the results, Zhou Yuan couldn't help but shook his head:"Grade three hemorrhoids... You are quite patient. You haven't come to see a doctor even though it's already grade three?"

Zhihui was silent.

"Will the hemorrhoids fall out every time you sit for a long time or have a bowel movement, and do you need to press them back?" Zhou Yuan needed to confirm.

Second-degree hemorrhoids and third-degree hemorrhoids are not easy to observe with the naked eye. The most obvious difference is that the second-degree hemorrhoids will come out with the bowel movement, but will go back by themselves after defecation. Third-degree hemorrhoids need to be restored manually because they are too big and too heavy, and the skin elasticity of the hemorrhoid growth point is not enough.

Zhihui blushed:"Yes... Doctor, you are amazing! You have seen a lot of hemorrhoids, right?"

Zhou Yuan shook his head:"This is the first time"

"This is the first time I have seen hemorrhoids as big as an egg……"

Zhou Yuan thought about it.

He originally thought that the hemorrhoids as big as an egg were just a joke, but he actually encountered one.……

"Chicken...eggs?!"Zhihui was dumbfounded.

""Doctor, what should I do with my husband?" Zhihui's wife asked.

At this time, Zhihui's strong aunt stopped talking and just stood far away, staring at this side.

"Don't worry, it's not a big problem, just remove it."Zhou Yuan said

"resection……"Zhihui was silent.

Although he had just undergone an anoscopy, he was still unwilling to have someone operate a knife on him.

What if the cut was damaged?

Zhihui asked cautiously,"Can it not be removed?"

Zhou Yuan admired the egg and nodded slowly,"Of course.……"

Before Zhihui could breathe a sigh of relief, Zhou Yuan continued,"It's just that your egg will continue to grow."

"What? Can chicks be hatched?"Zhihui answered subconsciously, not realizing what Zhou Yuan meant by the eggs.

Zhou Yuan was stunned and said,"If it is not removed, the third-grade hemorrhoids will continue to develop and may cause rectal prolapse, anal fissure, etc. At that time, it will not only be a hemorrhoid problem."

Zhihui had no choice but to give up and nodded.

Zhihui's wife ran to her aunt and whispered a few words. The aunt immediately rushed to Zhou Yuan.

"Another surgery? It's just a hemorrhoid! Can't it be cured by taking some medicine?" Aunt Zhihui was furious.

Zhou Yuan patiently explained:"The patient now only has grade three hemorrhoids, the size of an egg. When it develops into grade four hemorrhoids, it may become the size of a goose egg. In addition, it will cause mucosal erosion in the dentate line area, exposed small blood vessels, etc."

"That place is more hidden, and it will be more troublesome to treat it, and the patient will suffer more."

Zhihui's aunt threw her hands and said,"What chicken egg, goose egg, how can a chicken egg become a goose egg! You doctors are bullying me because I don't understand, right? I checked online and found that hemorrhoids are a very common disease. You can be fine if you pay attention to your diet and take some medicine. I have never heard of surgery!"

"sister……"Zhihui's mother wanted her to stop talking

"Don't stop me, hospitals are places where people make money! Tell me, isn't it just a car accident? One moment you tell me that I have a broken bone, the next moment your spleen ruptures, and now even hemorrhoids appear!"

Zhou Yuan ignored Aunt Zhihui, walked around her, lifted Zhihui's quilt, and wanted to check the healing of his leg.

However, Zhou Yuan was stunned when he found that the patient's left lower limb was swollen.

Zhou Yuan tried to press the swelling on the patient's left lower limb and asked,"Does it hurt?"

Zhihui gritted his teeth and nodded,"It hurts a little."

Zhou Yuan sighed, looked at Aunt Zhihui, and said,"Now, he not only has hemorrhoids, but also has lower limb venous thrombosis."

The four of them were stunned.

"What is blood clot? Why did it happen again? It was fine when it was sent here. Was it your doctor who did it?"

When Aunt Zhihui said this, He Jianyi and Haiyang just came here.

Hearing this, their faces turned ugly.

"What's wrong?"He Jianyi came over.

"Look at this doctor. He said that Zhihui needs surgery for hemorrhoids, and then he said it was lower extremity venous thrombosis. Does he understand anything?"

Zhou Yuan was not made of clay. He was a little angry at this time, but he held it in.

He Jianyi did not look at the test results. He just looked at Zhihui's aunt and said,"Doctor Zhou is one of the best doctors in our emergency department. Since he made a judgment, it means that the patient does have these problems. If you think our diagnosis is inaccurate, you can transfer to another hospital."

"You guys in the hospital are all in cahoots. Now that my child has a bunch of problems, you want us to send him to other hospitals to make money? I checked online, you can just prescribe him some xx dragon, don't think of cheating him out of money by performing surgery!" Aunt Zhihui emphasized the word money.

Zhou Yuan frowned and said,"If you think the diagnosis found online is more accurate than our doctor's diagnosis, then see if the chicken egg will turn into a goose egg."