Start with the emergency physician
Chapter 110
“I can’t get a good look at a doctor like this,” Zhou Yuan said in a threatening tone.
Finally, Zhihui’s wife swallowed, “He… I have hemorrhoids. ”
Zhou Yuan was helpless.
Ten men and nine hemorrhoids, what is not to say about getting a hemorrhoid.
Zhou Yuan walked over and said, “When did it start?” ”
Zhihui blushed and said, “It’s been a long time ago, because I had a car accident, I have been lying in bed, so I just…”
Zhou Yuan nodded, “Does it hurt, or is it only symptoms of blood in the stool?” ”
Hemorrhoids are divided into internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids both inside and outside.
Internal hemorrhoids are pathological changes in the supporting structure, vascular plexus and arteriovenous anastomosis of the vascular pad, and 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 where internal hemorrhoids are produced is above the dentate line, there are no nerves in that place, so there is no feeling, and the main feature is that there is no pain in the blood in the stool.
External hemorrhoids arise below the dentate line rich in blood vessels and nerves, and the pain is unbearable, which can make the macho man instantly become a baseman, the main feature… Just take a look and you will know that if you are lucky, you can also see external hemorrhoids the size of eggs.
As for mixed hemorrhoids, it is very cool, blood in the stool still hurts, turn over the eggs outside, maybe there are some pigeon eggs inside.
Zhou Yuan smiled and quietly waited for Zhihui’s answer.
“Blood in the stool, and… It hurts so much! Zhihui gritted his teeth and said.
Zhou Yuanguan smiled: “Then you are miserable, not internal hemorrhoids, not external hemorrhoids…”
“It’s a mixture of internal and external hemorrhoids.”
Zhihui’s expression froze, “That… What am I going to do? I’ve been applying plaster, why is it useless? ”
“You have to do some tests to confirm how big your hemorrhoids are, to that extent…”
Saying that, Zhou Yuan began to open the order.
Ten minutes later, Zhihui’s wife helped Zhihui back to the ward.
The results of the examination were sent to Zhou Yuan.
Seeing the result, Zhou Yuan couldn’t help but shake his head: “Grade three hemorrhoids… You can endure it, you haven’t come to see a doctor when you’ve reached the third level? ”
Zhihui was silent.
“Every time you sit for a long time, or when you have a bowel movement, will the hemorrhoids fall out and need you to press it back?” Zhou Yuan needs to make sure.
Secondary hemorrhoids and tertiary hemorrhoids are not easy to observe with the naked eye, the most obvious difference is that the hemorrhoids will come out with the secondary hemorrhoids when defecating, but then run back by themselves, and the third-grade hemorrhoids are too large and heavy, the skin elasticity of the hemorrhoid growth point is not enough, etc., and need to be manually restored.
Zhihui blushed: “Yes… Doctor, you are a god! Seen a lot of hemorrhoids, right? ”
Zhou Yuan shook his head: “First time.” ”
“It’s really the first time I’ve seen hemorrhoids the size of eggs…”
Zhou Yuan pondered.
I originally thought that the hemorrhoids with the size of eggs were just a joke, but I actually touched him …
“Chickens… Egg?! Zhihui was dumbfounded.
“Doctor, what should my husband do?” Zhihui’s wife asked.
At this time, Zhihui’s strong aunt stopped talking, just stood far away, staring at this side.
“Don’t worry, it’s not a big problem, just cut it off.” Zhou Yuandao.
“Excision…” Zhihui was silent
Although he had already experienced the mirror just now, if he really wanted to let people use knives in his place, Zhihui was still unwilling.
What if it is cut?
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 this egg of yours will continue to grow. ”
“What, can you still hatch chicks?” Zhihui subconsciously answered, not reflecting what the egg in Zhou Yuan’s mouth meant.
Zhou Yuan was stunned and said, “If you don’t remove it, the third-grade hemorrhoids will continue to develop, which may cause rectal prolapse, fissures, etc., and then it will not be just a problem of hemorrhoids.” ”
Zhihui had no choice but to endure the pain of cutting his love and nodded.
Zhihui’s wife ran to her aunt’s side and whispered a few words, and her aunt immediately walked in front of Zhou Yuan.
“Surgery again? Isn’t it just a hemorrhoid! Wouldn’t it be nice to just take some medicine? “Aunt Zhihui is imposing.
Zhou Yuan patiently explained: “Now the patient is only a grade III hemorrhoid, the size of an egg, and when it develops into a grade 4 hemorrhoid, it may become a goose egg, moreover, it will also cause mucosal erosion in the dentate line area, exposed small blood vessels, and so on.” ”
“It’s a hidden place, it’s more troublesome to treat, and the patient will be more miserable.”
Aunt Zhihui shook her hands: “What eggs, goose eggs, how can eggs turn into goose eggs!” You doctors bully me don’t understand, do you? I checked on the Internet, hemorrhoids are a very common disease, usually pay attention to diet, take some medicine or whatever, it’s okay, I haven’t heard of surgery! ”
“Sister…” Zhihui’s mother wanted her to stop talking.
“Don’t stop me, hospitals are where black money is! Tell me, isn’t it a car accident? One moment told me that I had a broken bone, the next the spleen was ruptured, and now even hemorrhoids are coming out! ”
Zhou Yuan ignored Aunt Zhihui, bypassed her, and lifted Zhihui’s quilt, wanting to check the healing of his legs.
However, Zhou Yuan found that the patient’s left lower limb was swollen and was stunned.
Zhou Yuan tried to press the swelling of 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 a venous thrombosis in his lower limbs. ”
The four were immediately stunned.
“What blood clot? Why did the blood clot happen again? It was fine when it was delivered, did your doctor do it? ”
When Aunt Zhihui said this, He Jianyi and Haiyang happened to come here.
Hearing these words, the faces of the two became ugly.
“What’s wrong?” He Jianyi came over.
“You look at this doctor, one moment said that my family Zhihui hemorrhoids need to be operated, and the next moment said that it is a venous thrombosis of the lower limbs, does he understand it!”
Zhou Yuan was not a clay man, and he was already a little angry at this time, but he endured it.
He Jianyi didn’t look at the test results, but just looked at Aunt Zhihui and said, “Dr. Zhou is one of the best doctors in our emergency department, and since he has made a judgment, it means that the patient does have these problems.” If you feel that our diagnosis is inaccurate, you can transfer to another hospital. ”
“Your hospital is all a gang, now that your children have made a bunch of problems, let’s send people to other hospitals to make money?” I checked on the Internet, you guys just give him some xx dragons, don’t think about surgery to pit money! Aunt Zhihui emphasized the word money.
Zhou Yuan frowned and said, “If you think that the online check is more correct than our doctor’s diagnosis, then you can see if the egg will turn into a goose egg.” ”
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