On the afternoon of the 28th local time, Japanese Prime Minister Shinzo Abe held a press conference at his Prime Minister’s residence and announced his official resignation as Prime Minister of Japan. But what really caught the attention of the masses was the reason behind his resignation. According to Abe, he decided to resign because of a relapse of ulcerative colitis and unable to make a correct political judgment. For a while, this piece of news quickly appeared on the hot search list, and everyone began to discuss what kind of disease is ulcerative colitis? Why does it affect Abe so much? Today, let’s talk about how this disease came about and how to prevent it? What is ulcerative colitis? Ulcerative colitis, as its name implies, is a chronic non-specific inflammatory bowel disease that occurs in the colorectal and is one of the diseases of the digestive system. The scary thing is that it will become cancerous. According to a Meta analysis, the overall canceration rate of ulcerative colitis is 3.7%. Recent studies have shown that the onset of ulcerative colitis is related to many factors, including genetic factors, immune factors, dietary factors, infection factors, mental factors and social environmental factors. Once the disease occurs, there will be persistent or recurrent episodes of diarrhea, mucus pus and blood in the stool, abdominal pain, and tenesmus. Although ulcerative colitis is not cancer, its treatment is no less difficult than cancer. The main treatment drugs are salicylic acid preparations, immunosuppressants and glucocorticoids, etc., and the medication time is long, such as salicylic acid preparations after symptoms are relieved It takes 3-5 years or even longer for maintenance treatment. In addition, it also has the characteristics of easy relapse, I believe Prime Minister Abe has a deep understanding. How to prevent ulcerative colitis The risk factors of ulcerative colitis are divided into controllable factors and uncontrollable factors. The uncontrollable factors are mainly genetic and immune factors. We want to prevent ulcerative colitis through controllable factors. 1. Reasonable and regular diet studies have found that the incidence of ulcerative colitis is related to excessive intake of red meat, high fat, high sugar, and spicy stimulating diet, and also related to irregular eating. One of the reasons for Prime Minister Abe’s recurring illness may be that as the Prime Minister of Japan, he usually takes care of everything, leading to irregular eating habits. Therefore, the diet should be based on soft, easily digestible foods. Eating fish oil, linseed oil and nuts rich in unsaturated fatty acids can inhibit the inflammatory process of ulcerative colitis. In addition, a study abroad shows that eating more yogurt and blueberries has significant health effects on the intestines. 2. Regulate emotional stress, excessive pressure, and long-term negative emotions will promote the release of inflammatory mediators, induce and aggravate ulcerative colitis, so learn to manage emotions, avoid mental stimulation, maintain an optimistic attitude, and improve self-adjustment and relaxation Ability. 3. Active control of intestinal infections When acute intestinal infections occur, they should be actively controlled to reduce inflammation to intestinal irritation and prevent the conversion to chronic intestinal infections, otherwise it will induce ulcerative colitis. 4. Improve the environment. Some studies have shown that ulcerative colitis has a high incidence in areas with cold climates, because the high-cold environment will put the human body in a state of stress, and a series of physiological changes will occur, causing constipation or defecation disorders. The direct cause of ulcerative colitis. Therefore, it is necessary to avoid being in an alpine environment for a long time and pay attention to the changes in the climate at four o’clock. Through Shinzo Abe’s resignation, more people have learned about ulcerative colitis, which is difficult to treat. The best way is to focus on prevention. Human intervention can be aimed at the above factors to reduce ulcerative colon. The incidence of inflammation. References:  “Consensus on the Diagnosis and Treatment of Ulcerative Colitis with Integrated Traditional Chinese and Western Medicine” (2017)  Li Mei, Zhang Sumin. Etiological Analysis and Prevention of Ulcerative Colitis[J]. Chinese Medical Journal, 2012, 27 (10) ): 1343-1345 (Some pictures in the text are from the network and the copyright belongs to the original author. I would like to thank the author of the picture. If you find any violation of your copyright, please contact me and I will delete it.)
Duo Ma found that the baby had some diarrhea for two consecutive days, so she took the baby to the community hospital. Because I don’t know if it’s a bad meal or if the air conditioner is on at night and the baby has diarrhea. And the diarrhea is not very frequent, she did not give the baby antidiarrheal medicine. Instead, ask the doctor to prescribe oral rehydration salts for some babies, worrying about the baby being dehydrated. Although it is beginning of autumn, the weather is still hot, which is also a time when intestinal infectious diseases are high. The baby is prone to diarrhea and diarrhea, which makes mothers very worried. 1. What are the causes of baby’s diarrhea? 1. Physiological diarrhea. Physiological diarrhea may be a condition of baby lactose intolerance. The baby is small, the intestinal function is not fully developed and the secretion of digestive enzymes in the intestine is immature, resulting in incomplete digestion and excretion of fat. There is also a high content of protein in breast milk, which exceeds the baby’s digestion and absorption function, causing diarrhea. Generally seen in babies less than six months old. For babies with physiological diarrhea, breastfeeding mothers should pay attention not to eat cold food and greasy food, so as not to aggravate the baby’s diarrhea. 2. Infectious diarrhea. A common Candida albicans infection in infants can cause intestinal fungal infections and foamy stools due to excessive antibiotics or unsanitary diet. In this case, you need to see a doctor in time. 3. Food-induced diarrhea. Food-induced diarrhea is mainly non-infectious diarrhea caused by irregular eating, or eating too much, or eating too little, or food that is too cold. 2. How to care for baby’s diarrhea? If the baby’s diarrhea is not properly taken care of, it is likely to cause the baby’s diarrhea to be repeated. Under normal circumstances, physiological diarrhea and food-induced diarrhea do not require medication, and infectious diarrhea needs to be administered rationally under the guidance of a doctor. 1. Pay attention to hydrating. If the baby has more diarrhea, drink plenty of water to prevent the baby from getting dehydrated. If necessary, oral rehydration salts can be administered under the guidance of a doctor. 2. The baby has diarrhea and vomits at the same time, so fast for a while. If the baby not only has diarrhea, but also vomits badly, he needs to fast for a while. After the baby does not vomit, give him some water. If you are breastfeeding, you can continue breastfeeding and suspend complementary foods. If it is artificial feeding, it can be fed with the same amount of rice soup, or diluted milk or other milk substitutes. As the condition improves, gradually restore the baby’s usual food intake. 3. Pay attention to observation. Pay attention to observe the baby’s stool, urination and vomiting, and make timely and accurate records. 4. Clean the baby’s butt in time. After diarrhea babies have a bowel movement, wash their buttocks with warm water to prevent diaper rash or red buttocks. If your baby has severe diarrhea, you must seek immediate medical attention. Do you have any thoughts on today’s topic? Welcome to leave a comment, and communicate with us. Writing is not easy, please help me to leave a message forward, Dr. Yudi, thank you! Disclaimer: My science popularization and the content of science popularization are personal opinions, for reference only, and have nothing to do with my employer. If my science content is wrong, please leave a message to tell me, I am very willing to verify and correct it. Some pictures come from the network. If your copyright is involved, please contact me to delete it.
Which anorectal hospital in Changsha treats constipation better? What are the four main causes of constipation? Medically, the bowel movement is less than 2 times a week, and the stool is dry and hard, and the process is called “constipation”. If the symptoms of constipation exceed 6 months, it is classified as “chronic constipation”. 1, life habits ① Irregular toileting, tiredness at work, irregular daily routines, and irregular eating can cause abnormal intestinal bacteria and cause constipation. ②Insufficient dietary fiber intake and too little water intake will increase the dryness and hardness of stool, making it difficult to defecate. 2, aging the probiotics in the intestinal tract of newborns account for 90%, while the probiotics in the intestinal tract of the elderly account for only 10%. With age, probiotics such as bifidobacteria in the human intestine will gradually decrease, leading to slower intestinal peristalsis, which is an important cause of constipation in middle-aged and elderly people. 3, blood pressure changes constipation caused by blood pressure changes is manifested as “snail constipation”, which is medically called slow transit constipation. The excretion of feces in the intestines is slower and will accumulate more and more, forming a vicious circle. Women with low blood pressure, low heart rate, and anemia are at high risk of chronic constipation. People with hypotension have unstable autonomic nerve function, weak intestinal function, and constipation. There is a class of antihypertensive drugs called calcium antagonists, which relax the smooth muscles of the intestinal tract and slow down intestinal peristalsis. Antispasmodics, sedatives, antidepressants, morphine and other drugs can also cause slow transit constipation. 4. Other causes Liver and kidney disease, and the abuse of antibiotics can cause intestinal flora imbalance, reduce intestinal vitality, and cause constipation. Reminder: Changsha Dongda Anorectal Hospital has launched special services such as “male and female triage” and “night outpatient service” according to the needs of patients. Citizens with diseases or inquiries in need can access the official website of Changsha Dongda 24 hours a day. http: //www.csgc120.com/Online consultation and dial the hotline: 0731-82839120, or follow the WeChat public account: guahao0731-82839120.
Summer is here, and a variety of fruits are in season, including sweet melons. Muskmelon is suitable for all ages, and many mothers will pick out the sweetest part of the muskmelon seeds when giving them to their children, and then throw them away. Can you eat muskmelon seeds? What are the benefits of eating melon seeds? This effect is very important. In fact, the seeds of muskmelon have no harmful ingredients, not only can be eaten, but also have nutritional value. Like muskmelon pulp, it is rich in various minerals and trace elements, which can play the effects of cooling off, clearing heat, regenerating and thirst quenching. . It is particularly worth mentioning: the consumption of cantaloupe seeds and laxatives to help treat constipation. Muskmelon seeds contain a large amount of cellulose, which can promote intestinal peristalsis, reduce the residence time of food in the intestine, and also ferment in the intestine through microorganisms to absorb water in the food, making the stool softer and achieving laxative. It can relieve constipation. After the melon seeds are eaten, the dietary fiber swells and swells, which can make people feel full and reduce their eating. Moreover, the melon’s calories are very low, which will reduce the overall heat absorption of the person. It can deposit excess sugar and fat that we have eaten together in the intestine, and expel waste together. So for people who lose weight, eating muskmelon and muskmelon seeds is a good choice. Of course, if the melon seeds are not chewed, it will be difficult to digest if swallowed, especially the elderly, children, or people with gastrointestinal diseases, which may increase the burden on the stomach after eating. For this kind of people, it is best not to eat harder melon seeds. You can wait until the melons are ripe and the melon seeds are softer before eating. Conclusion As long as the muskmelon you eat has not deteriorated or spoiled, the muskmelon seeds eaten without any damage to the digestive system, and the nutrition is also relatively rich, it is a fruit suitable for summer consumption. And the mellow melons, the melon seeds inside are softer and the taste is sweeter, and you don’t need to worry about the seeds sprouting in your belly. (Some of the pictures in the article are from the source network, and the copyright belongs to the original author. Thank you for the picture author. If you find any violation of your copyright, please contact me and I will delete it.)
Chest duct or lymphatic vessel main branch damage caused chyle leakage, that is chyle leakage. Gynecology often occurs after lymphadenectomy for malignant tumors. The larger the scope of surgery and the more lymph nodes removed, the more damage may be caused and the greater the chance of chyle leakage. The typical performance is painless progressive abdominal distension, and some patients may have respiratory depression. Patients with a long course of disease may experience weight loss and malnutrition. A few patients may present with acute abdomen due to acute chylous peritonitis. If the content of triacylglycerol in chylous fluid exceeds 110 mg/dl or 2 to 8 times that in plasma, and the protein content exceeds 3 g/dl, then chylous leakage can be diagnosed. Sudan III staining showed that it was rich in fat particles and lymphocytes, which is highly suggestive of chylous leakage. Drainage tubes are often placed in the abdomen after gynecological malignant tumors. If the patient is diagnosed with chylous leakage, the drainage can be continued. Pay attention to keep the drainage tube unobstructed and observe the color and volume of the drainage fluid. Drainage can relieve clinical symptoms such as bloating and abdominal pain, and can also provide information on disease progression. If no drainage tube is placed after surgery but chylous leakage is highly suspected, diagnostic puncture and drainage can be performed. For patients with celiac disease, dietary strategies with high protein, low fat, and medium chain fatty acids can be used. When the amount of drainage fluid is higher than 100ml/d, or when diet adjustment fails, total parenteral nutrition can be used, and the intestinal tract can be fully rested to reduce the production of lymph fluid, thereby reducing the amount of chyle leakage and promoting chyle leakage Recovery. Somatostatin and its analogues can be routinely used during dietary adjustments to reduce intestinal intake of lipids, reduce thoracic duct triacylglycerol content and weaken lymphatic channel flow, by reducing gastrointestinal and pancreatic secretion and inhibiting intestinal tract Muscle activity, delay intestinal absorption, reduce visceral blood flow, and further reduce lymph production. When the conservative treatment is not effective after 2 weeks or the drainage volume exceeds 1000ml/d for more than 5d, surgical treatment should be considered. Before operation, lymphatic angiography can be used to determine the location of the fistula, and intraoperative angiography can be used to obtain more information. Leak reinforcement ligation is preferred; when leak ligation is not possible, embolization or shunting may be considered.
What is breast milk jaundice? Breast milk jaundice is jaundice in the neonatal period associated with breastfeeding. There are two types of breast milk jaundice. The first one is jaundice due to inadequate breastfeeding. Early in life, due to inadequate breast milk intake, slow intestinal peristalsis, delayed meconium excretion, increased intestinal and hepatic circulation, and intestinal reabsorption resulting in increased bilirubin levels. Based on the physiological jaundice of the newborn, serum bilirubin A further increase in levels leads to hyperbilirubinemia. In addition, severely high bilirubin levels may cause the nervous system to be in a state of depression, drowsiness reduces the effectiveness of sucking, and the amount of milk consumed is less, so the volume of stool and urine decreases, resulting in a further reduction in the ability to excrete bilirubin, serum bilirubin The level rises further. This neonatal hyperbilirubinemia was once called early-onset breast milk jaundice or breastfeeding jaundice. However, recent experts have pointed out that this type of hyperbilirubinemia is not related to breastfeeding itself, but is related to insufficient breastfeeding. Therefore, if it is called breast milk jaundice or breastfeeding jaundice, it is easy to cause misunderstanding and is called Inadequate breastfeeding jaundice may be more appropriate. The second type is due to certain components in breast milk that affect bilirubin metabolism, or excessive levels of 3α and 20β progesterone in breast milk have an inhibitory effect on liver glucuronidase, or due to intestinal glucuronidase content. Increased or due to increased epidermal growth factor content, may result in decreased intestinal peristalsis and increased bilirubin reabsorption, or due to mutations in the UGT1A1 gene coding region or some unclear reasons leading to serum bilirubin in breastfed infants The peak level is increased. This type of breast milk jaundice is characterized by a delay in the resolution of bilirubin after reaching the peak. Although most breast milk jaundice with delayed regression shows a benign process, special attention should be paid to the fact that there may be some potential pathological factors in the population with delayed regression of neonatal jaundice, and differential diagnosis should be paid attention to.
Long-term constipation of the elderly is actually a very common problem. Survey data show that the proportion of chronic constipation among the elderly over 60 years old in China is 15% -20%, and as high as 20% ~ 37% among the elderly over 84 years old. Among the elderly who need long-term care, the chance of constipation is more than 80%. For the elderly with long-term constipation problems, they are generally chronic chronic constipation problems. For such a problem, if you want to effectively relieve it, the first thing you should do is not take any medicine or find a remedy, but you should first Considering the causes of constipation, the chronic constipation problems of the elderly generally have the following three types. According to different types and causes, active treatment and improvement of the symptom can only achieve better improvement and conditioning effect. Three types of chronic constipation in the elderly The first type of chronic constipation in the elderly is functional constipation, which is also the most common type of constipation in the elderly. From old age to old age, the body is weakened in various aspects, the intestinal transmission function and the rectal defecation function will be weakened. Therefore, the weakening of these functions will cause the elderly to be more prone to constipation. If you do not pay attention to conditioning and control The problem of constipation will continue, seriously affecting the quality of life of the elderly. Chronic constipation in the elderly, there may be constipation problems caused by certain organic diseases, intestinal related diseases, such as intestinal tumors, intestinal obstruction caused by hemorrhoids, intestinal stenosis caused by some related diseases, intestinal torsion , Intestinal inflammatory diseases, etc., are one of the possible causes of constipation in the elderly; In addition, some neurological diseases, muscle-related diseases, electrolyte disorders, endocrine-related problems, and congestive heart failure, etc. Diseases may also cause chronic constipation in the elderly. Elderly people with chronic constipation should also consider the possibility of constipation caused by drugs. Some elderly people have chronic underlying diseases that require long-term medication for conditioning and control, but there are many drugs that can cause chronic constipation, such as opioid analgesics, tricyclic antidepressants, anti-allergic antihistamines , Anti-tremor paralysis drugs, ganglion blockers, non-steroidal anti-inflammatory drugs, calcium ion antagonists to lower blood pressure, common stomach drugs, antacids such as aluminum hydroxide, certain drugs containing calcium carbonate, iron supplements Agents and certain antibiotics may cause constipation problems. Therefore, when the elderly have constipation problems, they should be actively regulated and understand the specific causes of constipation. Although it is not always possible to completely cure the related diseases, most drugs cannot be stopped because of constipation, but understand the relationship between them. Sex, it is also very important to minimize the impact of external factors on constipation. How to relieve the constipation of the elderly For the problem of constipation in the elderly, first of all, it is necessary to emphasize the importance of life conditioning. If life conditioning cannot be done actively, even if the drug is used, the effect will not be too good, and various kinds of Drug safety issues. Life conditioning should be targeted. For example, some elderly people do not have good drinking habits and drink a small amount of water every day, which can easily lead to constipation. If there is such a problem, you should pay attention to sufficient water supplement It is recommended that elderly people with constipation problems should drink about 1500 ~ 1700ml per day, a small amount of times, preferably about 100ml at a time. In the choice of hydrating beverages, the simplest warm water or light tea is good, Do not substitute juice, strong tea, beverages, etc. for hydration. Another example is that some elderly people eat less vegetables and fruits, and the body ’s dietary fiber intake is seriously inadequate, which is also an important reason for constipation. It is recommended that elderly people can eat more fresh fruits and vegetables with a softer taste in an appropriate amount to supplement the diet for the body Fiber, dietary fiber is not only an important component of intestinal defecation, but also an important substrate for regulating intestinal flora. Therefore, it is very important for regulating constipation in the elderly, and for elderly people who have difficulty swallowing. Consider taking dietary fiber supplements to supplement dietary fiber in the body. Another example is that some elderly people do not exercise much, and the reduction in activity is also one of the reasons for functional constipation. If the physical conditions allow, it is recommended that elderly people with constipation problems should moderately carry out activities or sports, walking, gymnastics, etc., are all important activities to help improve constipation, not necessarily a large amount of activity, but active Often not moving