What are the symptoms of rheumatoid arthritis

Symptoms of rheumatoid arthritis&nbsp. 1. Pain and joint pain are the most common manifestations of rheumatoid arthritis. The main manifestation of patients is that pain may occur in joints throughout the body. In addition, pain in the limbs and trunk It is also one of the symptoms of rheumatoid arthritis. In addition, it is also likely to cause internal organs and nervous system diseases. &nbsp. 2. Muscle pain Muscle pain is also the most common symptom of rheumatoid arthritis, and the patient’s symptoms are relatively obvious. In addition, the patient will also have other adverse reactions, such as rheumatism. Arthritis patients may also have muscle weakness, increased muscle enzymes, muscle-derived damage, etc. In short, pay attention to the symptoms of rheumatoid arthritis. &nbsp.3. Irregular fever Irregular fever is also one of the symptoms of rheumatoid arthritis. The so-called fever mainly refers to the occurrence of irregular fever before rheumatism, but it should be noted that rheumatoid arthritis will not There is a chilling phenomenon, and the treatment of rheumatoid arthritis in this case is generally ineffective when treated with antibiotics, and patients will also have rapid blood sedimentation. After the diagnosis of rheumatoid arthritis disease, it is necessary to pay attention to scientific self-care, such as cold protection and warmth measures, while receiving clinical professional and regular treatment.

Which hospital is good for anorectal in Changsha? What is anal pain?

  Changsha, which hospital is good for anorectal? What is anal pain? With the development of the times, people’s diets have also become diversified. Many people especially like cold and spicy foods, which also leads to the occurrence of gastrointestinal diseases. The more common disease is anal pain, which has seriously affected People’s lives and work, so what about anal pain? One of the causes of anal pain: Hemorrhoids Hemorrhoids are a common cause of anal pain. This disease is also a type of varicose veins. It is caused by the congestion of the mucosa of the lower rectum and the venous plexus under the skin of the anal canal. The veins form hemorrhoids. Hemorrhoids are very stubborn and often recur frequently, so you must pay attention to your usual diet, eat spicy and stimulating food, and avoid cold. If you find symptoms of hemorrhoids, you must go to the hospital for timely treatment. The second reason for anal pain: Anal fissure Anal fissure is actually a lesion at the bottom exit of the human digestive tract, and then the tissue surface splits to form a small ulcer. This disease is very painful. Anal fissure can be a disease Choose external medicine for treatment, at the same time pay attention to diet, keep the stool smooth, so as not to cause anal fissure again, the usual diet is best to take some liquid food, eat less greasy and fatty foods, eat more vegetables and fruits, which is conducive to The smooth discharge of stool, to avoid the anal fissure caused by dry stool again. Three causes of anal pain: Anal fistula Anal fistula is actually the abbreviation of hemorrhoid fistula. This disease is the rupture of the abscess around the anus and rectum. Some people have to take incision drainage for surgery. The incision drainage is likely to cause anal fistula. The disease needs surgical treatment, and the consequences of this disease are very serious, so if there is an anal fistula, you must go to the hospital for inspection and treatment in time to avoid missing the treatment opportunity.

What diseases can cause breast pain?

Breast pain is an experience that many women have experienced, and some can still feel small masses, especially before menstruation. The pain will be more obvious. This is a normal phenomenon in most cases, but some people also have daily You will feel breast pain, so what are the main reasons for this situation? There are many causes of breast pain. Physiological breast pain does not need to be treated and should not be worried. But don’t think that all breast pains don’t matter. The following diseases can also cause breast pain: lactating mastitis is mostly of postpartum women of childbearing age and is in lactation. Characteristics of pain: severe pain, persistent exacerbation, refusal to press, touching the breast. The four major symptoms of red, hot, swollen, and painful inflammation during the acute inflammation of the breast are becoming more and more obvious, followed by systemic symptoms of chills and high fever. The disease is caused by the dual causes of milk stasis and bacterial invasion, which can be prevented and cured. It can be cured quickly by giving milk and anti-inflammatory treatment. If you do not actively treat protracted and purulent mastitis, only incision and drainage is necessary, and the pain is not trivial. The age of onset of mammary gland hyperplasia is 20 to 50 years old. Most women will have cyclic pain, aggravation of premenstrual pain, pain relief after menstruation, and some patients with severe hormone imbalance will have persistent pain. All examinations show normal, We clinically call it: breast pain, caused by hormone-stimulated catheter expansion, tissue hyperplasia and incomplete repair, and local edema. Mild to moderate, you can adjust your mood and diet, regular lifestyle habits, the symptoms will disappear by themselves. Severe breast pain affects daily life and work can be adjusted by drugs. To relieve symptoms, going to a beauty salon for a so-called “essential oil massage” not only does not have a good relief effect, but also causes aggravation of edema, which is counterproductive. Breast cancer There are few symptoms of early breast cancer, and most women are unaware of breast changes. As breast lumps grow larger and gradually protrude from the surface of the body, purple or red swollen or swollen masses close to the skin can still be seen, but there are still a small number of women who do not feel pain. When breast cancer continues to grow and the body’s nutrients can’t supply the nutrients needed for tumor growth, ulceration and ulceration occur. At this time, patients are often suffering, fearful, and helpless. What her family friends can help is to provide her with the courage and confidence to face the disease, as well as effective surgical measures and medical treatment to control the further development of the disease.

The back pain is thought to be strained, and after 5 days of massage, shock at the massage shop! Go to the hospital to diagnose heart disease

I was not idle on the weekend. After receiving the emergency notice, I immediately started the catheterization room and waited for the patients with myocardial infarction in the operating room. The patient was 47 years old and began to have back pain 5 days ago, thinking that it was a long-term sitting that caused the strain on the cervical or lumbar spine, and went to the massage shop. After 5 consecutive days of massage, I went to the appointment on time today. The patient’s sudden aggravation persisted without relief, sweating all over and darkening in front of his eyes. The massage shop owner immediately dialed 120. After 120 electrocardiograms were done, the acute myocardial infarction was indicated, the blood pressure was 78/56, and we immediately notified us to start the chest pain center. Everything was timely and relatively smooth. After opening the blood vessel, the patient’s condition stabilized and the back pain was relieved, and then returned to the intensive care unit. This patient is relatively lucky. We all know that Mr. Hou Yaowen, the master of Guo Degang, had pain in his back before his death, but he thought that he had been caught in the wind and cold. The apprentices, including Guo Degang, rubbed his back for him and did not take it seriously. The best time for treatment is to cause sudden death due to myocardial infarction. The key to seeing a doctor is to find out that the diseases caused by trauma are relatively clear. The rest of the diseases are not one-to-one. Simply speaking, it is not to say that something uncomfortable must be a disease. If it is so simple, there will be no misdiagnosis. If it is so simple, the hospital doctor will see what is wrong. This is not the case. There are many causes hidden behind many manifestations and symptoms. Only when the cause is found can you know how to treat it. The same as back pain, although all show back pain, sometimes it is a fatal disease, sometimes it is okay, and only on the basis of back pain, combined with the patient’s specific description, specific accompanying symptoms, and various This kind of related examination can finally clarify the specific cause and then know how to relieve. To give a very simple example: the baby crying at home, whether you are breastfeeding or changing diapers, if you don’t care if you take the bottle and feed the baby, the baby may cry all the time, and you can’t help the baby cry. At last the mother saw the reason the baby pulled the diaper. After changing the diaper, the baby fell asleep again. The same is crying, it may be hungry, or it may be pulling, and only know the solution if the cause is found. There are many reasons for back pain: back pain caused by heart disease The most worrying back pain is angina pectoris, which is what the people say is myocardial ischemia. If the back pain is caused by angina pectoris myocardial ischemia, it has several characteristics: 1. It is paroxysmal, one after another, every few minutes, usually within 2-15 minutes; 2. More than activity, fatigue, exercise, go upstairs After the onset or exacerbation; 3. Sudden occurrence, it can be relieved within a few minutes. After the relief, it is the same as a normal person. Because of this, it will cause many people to disagree; 4. If this back pain does not continue to relieve, it must be Immediately see a doctor, there may be myocardial infarction. If the back pain is caused by myocardial ischemia of angina pectoris, you need to see a doctor immediately, and after the diagnosis is confirmed by a cardiovascular doctor, you will be instructed how to relieve it. 1. Temporary relief: If the blood pressure is not low, you can take nitroglycerin. Angina pectoris can be relieved in about 2 minutes. 2. Long-term remission: First, aspirin and statin are needed to control coronary heart disease and cardiovascular stenosis to further aggravate, prevent plaque rupture, prevent thrombosis, and prevent myocardial infarction. Secondly, it is necessary to use drugs that control blood pressure, heart rate, and blood sugar according to specific conditions, or use vasodilator mononitrate, diltiazem to relieve blood pressure spasm, trimetazidine to improve hypoxia, nicordia to relieve angina, etc. Treatment can effectively control back pain caused by myocardial ischemia. 3. For angina pectoris that cannot be controlled by drugs or myocardial infarction where cardiovascular blockage has occurred, the best way is to use stent treatment or bypass treatment, so as to relieve repeated back pain. If Mr. Hou Yaowen knows that the back pain is angina, myocardial ischemia, can you say that he can delay? Certainly not, but no if! Back pain caused by other diseases 1. Cervical spondylosis or lumbar spondylosis The cervical spine has prominent, unstable, degenerative lesions, hyperplasia, tumors, etc., which can cause back pain. Of course, the back caused by this cervical spine Pain, which may also be accompanied by numbness in the limbs, requires further CT or MRI of the neck or waist to confirm the diagnosis. If it is a cervical or lumbar problem, you need to take traction, massage, surgery, etc. according to the specific problem

“Too much egg pain”-from egg pain to loss of testicles, egg pain needs to pay attention to testicle twisting! ! !

1. What is testicular torsion? Testicular torsion is also called spermatic cord torsion-it is caused by the abnormal structure of the testes and spermatic cord itself or increased activity, which causes the blood circulation in the spermatic cord to be impaired, causing testicular ischemia and necrosis. It usually occurs in adolescents (12-18 years old), followed by the neonatal period. According to statistics, the incidence of testicular torsion under 25 years old is 1/4000, and 85% of them are teenagers 12-18 years old. Second, the reason for testicular torsion? Common inducing factors include: long-term vigorous activity, direct external force of the scrotum, vagus nerve excitation during sleep, and strong spasm of the cremaster muscle. Cryptorchidism becomes cancerous and enlarges the testicles, which is more likely to induce testicular torsion. It must be diagnosed and treated in a timely manner. Reversal is the prime time for treatment within 6 hours. It is possible to preserve the testes; the longer the time, the greater the possibility of testicular function loss. Studies have shown that spermatogenic cells and testicular Sertoli cells develop ischemic necrosis at 4 hours of ischemia. Another study reported that the survival of the testis after torsion is related to the length of the disease and the angle of testicular torsion. The golden treatment time is within 4-8 hours. Children with a disease duration of >24h and a testicle torsion angle of >360° are extremely unlikely to retain testes. Since Dr. Wang’s clinical work, he has encountered more than a dozen cases of testicular torsion. Most of the testicles have been necrotic. They can only choose to remove the testicles, and most of them are teenagers. It is a pity and regret. 3. What are the clinical manifestations? (1) Acute onset, mainly manifested as egg pain, swelling, and severe testicular pain in the scrotum. The initial pain is scrotal pain, which then develops into persistent pain. The pain sometimes radiates into the groin and lower abdomen, and may be accompanied by nausea and vomiting. (2) Physical examination: no scrotal swelling in the early stage. As the disease progresses, the scrotum is red and swollen and tender; the testicles are in a high position in the scrotum in a horizontal position; when the scrotum or testicles are held up, the pain is increased; the cremastery reflex weakens or disappears. (3) It is worth noting that the newborn lacks the chief complaint, and the diagnosis can only rely on local physical examination and imaging examination. Physical examination Prehn&#39.ssign is positive, that is, when the scrotum is held or the testicle is moved, the degree of torsion is increased, and the newborn’s crying is increased; Roche&#39.ssign is positive, that is, spermatic cord is due to torsion Ischemia makes the testes and epididymis swell, and the boundaries are unclear and difficult to identify. 4. How to diagnose? Through medical history, physical examination, suspected testicular torsion, timely auxiliary examination. (1) Color Doppler ultrasound is the preferred inspection method. The main manifestations are enlarged testes, uneven internal echo, and reduced or disappeared testicular artery blood flow. Color Doppler ultrasound can have false negatives in the early stages of incomplete torsion, so if the clinical test is highly suspected of testicular torsion, color Doppler ultrasound should be reviewed in time. (2) Radionuclide scan, manifestation: the testicular vessel of the affected side weakens in the developing period, the parenchymal developing period weakens or disappears, and a halo reaction occurs. (3) Suspicious persons can be diagnosed by surgical exploration. Fifth, it is necessary to identify with the following diseases: (1) Acute epididymitis: patients often have fever, can touch the swollen epididymis contour, color Doppler ultrasonography shows increased blood flow of the epididymis testis, Prehn&#39. ssign) negative; (2) scrotal hematoma: children of this type often have a history of obvious trauma. Color Doppler ultrasound can see no echo area around the testis, including fluttering fine dot echo or hypoechoic mass, irregular shape; (3) hydrocephalus: a chronic developmental disease, generally no pain. Color Doppler ultrasound showed normal testicular morphology in the scrotum, with liquid dark areas around the testicles. When testicular torsion manifests as acute abdomen, it should also be distinguished from appendicitis and urinary tract stones, so it is recommended that all acute abdomen should pay attention to the scrotum examination! ! ! Six, how to treat? In principle, the testicular blood flow obstruction should be relieved as soon as possible and the blood supply of the testis should be restored. Methods include: manual reduction and scrotal incision exploration and testicular reduction and fixation. have to be aware of is! ! ! Although manual reduction has the advantages of rapidity and simplicity, it also has a certain blindness, and when the testicle is twisted for a certain period of time, it is often accompanied by complications such as scrotal edema and hydrocele, and the patient has severe pain and is difficult to cooperate, making The specific operation of manual reset is more difficult, and manual reset cannot prevent the recurrence of torsion, so it is recommended that it should be tried only in emergency situations, and active surgical exploration is still required. 7. Summary Testicular torsion is very easy to misdiagnose at the initial diagnosis, which often leads to bad testicles

Why is catheterization necessary for general anesthesia? Does the urinary catheter hurt?

Accurately speaking, it is not necessary to conduct catheterization for general anesthesia surgery, and not all operations need to be catheterized. The catheterization and catheterization depends on the operation and the specific situation of the patient. It is not absolute whether the catheter is painful or not, and there are many influencing factors. When is catheterization required? Long operation time: If the operation time is expected to be longer, this time requires preoperative catheterization. Although the human body is anesthetized during the operation, the kidneys will still work normally, and urine will be continuously produced, and the capacity of the bladder is limited. Therefore, if the operation time is expected to be longer, catheterization is needed to ensure the patency of the lower urinary tract and avoid overfilling of the bladder. Urine volume needs to be monitored during surgery: Some urine volumes need to be monitored during surgery. At this time, the best method is catheterization, which can directly observe the amount of urine through the urine bag. During some operations, many patients will lose blood or lose a lot of body fluids, and will also add a lot of fluids. Urine volume and blood pressure, heart rate, breathing and finger pulse oxygen are very important monitoring data. It is expected that patients will not be able to urinate on their own after surgery: although some surgical procedures are not very long, patients may not be able to urinate on their own due to problems with the surgical site and anesthesia. This is the most common type of urinary tract surgery, such as prostate, bladder, and urethral surgery, and basically a urinary catheter is required after surgery. Will the urinary catheter hurt? If it is necessary for surgery, we usually guide the patient after anesthesia, so that the patient will not have the pain of catheterization; but as far as I know, some hospitals or departments are in the ward before the operation, so this may be There will be some pain. If catheterization is performed under a non-anesthetized state, how many times it is a little uncomfortable, the main factors are: the spaciousness of the urethra: if the urethra is spacious, the resistance in the lower urethra is less, and the friction between the urethra and the urethral mucosa is less, so the pain Feeling lighter. If there is urethral stricture and benign prostatic hyperplasia, not only the pain is obvious, but also may not go in one time, need to use guide wire, the pain will increase. Lubrication: The better the urethral lubrication, the less pain. Personal experience: Lidocaine glue is used to lubricate the urethra before catheterization, which not only has the effect of lubrication, but also relaxes the smooth muscles of the urethra, which can greatly reduce the suffering of patients. Gender: The female urethra has a simple structure, wide, short, and straight, and has less pain during catheterization. The male urethra is long and curved, and the lower leg is more painful than the female. The size of the catheter: This must be the thinner the urinary catheter, the smaller the pain, but when it is necessary to choose a catheter that is too thin. Age: The greater the age, the lower the sensitivity to pain. Personal constitution is different: the same urinary catheter, the same smoothness, the same age, but everyone responds differently to the pain of urinary catheter insertion. For the vast majority of patients, there is pain in the urinary catheter, but they are all tolerable. Whether to insert a catheter before surgery, listen to the doctor. I don’t think anyone wants to actively insert a urinary catheter, but sometimes it is necessary to treat the disease, so whether to insert it or not, when to pull it, you must listen to your attending physician.

Which hospital in Changsha can treat hemorrhoids? Must blood in the stool be hemorrhoids?

It is often heard that blood in the stool is a fire or hemorrhoids, but this is not the case. Experts point out that there are many causes of blood in the stool. Blindly think that the blood in the stool is a fire or hemorrhoids. It is easy to cause misdiagnosis of blood in the stool. If the treatment of blood in the stool is natural It will be very difficult to get better. If you know more about the cause of blood in the stool, you will not have such a view.   Changsha Dongda Anorectal Hospital Professor Xie Lizi introduced that blood in the stool is a common symptom in the anorectal department. Hemorrhoids, large intestine malignant transformation, anal fissures, rectal polyps, rectal malignant transformation, lower gastrointestinal bleeding and other diseases may all cause stool bleeding. Among these diseases, hemorrhoids are the most common.  The cause of blood in the stool 1.&nbsp. Hemorrhoids    Most of the blood in the stool caused by hemorrhoids is painless, often with intermittent blood in the stool. Patients often drip blood into the urinals and do not mix with feces. In severe cases, patients will have jet-like bleeding. This may be caused by excessive forceful rubbing of the mucous membrane during defecation. Generally speaking, bleeding after stool will stop on its own. Constipation, hard stools, drinking alcohol, and eating irritating food are the triggers for bleeding in the stool.   The cause of blood in the stool 2. Anal fissure    Anal fissure is the most common cause of bloody stool in children. The child had bloody stools and symptoms of pain after defecation. Adult anal fissures are mostly caused by long-term constipation. Most of the patients bleed during bowel movements, mostly fresh blood, and the amount of bleeding is not much. Sometimes they find blood stained on toilet paper, or blood adheres to the surface of feces. This is mainly caused by feces scratching the small blood vessels on the ulcer surface.  The cause of blood in the stool 3. Large intestine   Malignant transformation of the large intestine is also one of the most common diseases that cause stool bleeding. Blood in the stool during the initial stage of malignant transformation of the large intestine will appear as a small amount of blood covering the surface of the stool. As the disease progresses, the amount of blood in the stool will gradually increase, and at the same time, the patient will also have symptoms such as thin stools and intestinal obstruction. In addition to blood in the stool, the patient will also be accompanied by severe pain in the anus. Generally, the pain will ease or disappear for a few minutes. This is called the pain interval. After that, the patient will have severe pain and pain due to persistent muscle spasm. The time may even last from a few hours to more than ten hours. This special process of pain is called “anal fissure pain cycle”.   In addition, Professor Xie Lizi of Changsha Dongda Anorectal Hospital mentioned that rectal malignancy is more common in middle-aged and elderly people, and feces are often mixed with pus blood, mucus or putrid secretions. Rectal malignancy will make patients have frequent bowel movements, and in the later stages, stool will become thinner.

What is anaphylactoid purpura

 Allergic purpura of the joint type is a type of allergic purpura. The clinical characteristics are clinical manifestations of joint pain and swelling caused by joint involvement except for a certain degree of skin purpura. 1 Clinical features The clinical features are the swelling and pain of the knee, ankle, elbow, and wrist joints before and after the appearance of skin purpura. The pain and swelling of the knee joint are the most significant, which can be wandering and repeated attacks. The physical examination shows that the affected joints have obvious Redness, swelling, heat, pain and dysfunction, there is a small amount of fluid in the joint cavity. Careful inspection can also find that the limbs, especially the lower limbs and buttocks, have unequal skin pressure spots, erythema or net Measles-like changes. Laboratory tests suggest abnormal capillary fragility test, accelerated erythrocyte sedimentation rate and positive C-reactive protein and other abnormal changes of diagnostic significance. The above is the main basis for doctors to diagnose arthritis purpura.    2 The treatment method is due to the joint type Allergic purpura is relatively rare, especially when joint pain and swelling of some patients appear before skin purpura, they are easily misdiagnosed as rheumatoid arthritis or other joint diseases. Therefore, when children have joint swelling and pain after the cold is cured , Should consider rheumatoid arthritis, but also consider allergic purpura of the joint type, and conduct a comprehensive inspection in time. Especially pay attention to the presence of skin petechiae, erythema, and urticaria-like changes, and the results of capillary brittleness test. In order to confirm the diagnosis in time and treat it reasonably.   Allergic purpura of the joint has a good prognosis. After effective treatment for about 3 to 5 days, the joint swelling and pain swelling can be resolved, and no sequelae will be left after the resolution. However, it is necessary to be alert to its tendency to relapse and strengthen prevention The main principle of prevention is to find possible allergens (such as upper respiratory tract infections, certain foods such as fish, shrimp, crabs, eggs, etc.), certain drugs such as penicillin, streptomycin, non-steroidal anti-inflammatory drugs and quinine Etc.) and avoid it in the future. Among them, upper respiratory tract infection is the most common cause of allergic purpura in children. Therefore, do a good job in keeping warm, avoiding cold and rain, preventing accumulation of food, increasing exercise, improving body resistance and immunity Waiting becomes the main preventive measure after the child is cured.

Rationally understand the characteristics of trigeminal neuralgia pain

Trigger neuralgia trigger points and triggers: The triggers of trigeminal neuralgia are also different from person to person. 40%-50% of patients’ faces have one or more particularly sensitive trigger points or triggers in the distribution area of ​​the invading branch Point, a little early winter can cause pain attacks, and immediately launched to other parts. Trigger points vary in size, and the smaller one is a point or a beard. Trigger points mostly occur on the upper and lower lips, nose wings, nasolabial folds, gums, cheeks, corners, beards, etc. There are also a few trigger points outside the distribution area or range of the mandible or trigeminal nerve, such as the neck.   The trigeminal nerve’s third branch of pain is mostly caused by mandibular movements (chewing, yawning, talking, etc.), which directly stimulates the skin trigger points to induce fewer pain attacks. The second pain-induced seizures are mostly caused by stimulating skin trigger points (1/3 of the upper lip, nasal cavity, upper incisors, cheeks, and inside of the eyeball, etc.). Drinking hot and cold water, blowing your nose, brushing your teeth, washing your face, shaving, etc. can also be induced. In severe cases, it can also be induced when the body is moved to drive the head. Therefore, the quality of life of patients is seriously affected.   Some patients do not dare to wash their face, shave, brush their teeth, etc. on the affected side for a long time, so that the diseased side is covered with dust, greasy or food residues stored in the gums or cheeks. In addition, combing hair, coughing, sneezing, and breeze blowing can also cause pain, sometimes without any external causes can also cause seizures, causing patients to be panic-stricken all day long, depressed, and act cautiously.  Trigeminal neuralgia symptoms   Trigeminal neuralgia is paroxysmal, without any discomfort during the intermittent period, just like ordinary people, (only severe patients can still have sustained mild dull pain during the intermittent period), and can suddenly relapse after a period of time. The intermittent period ranges from a few minutes to several hours or more than 10 hours. With the development of the disease, the seizures become more frequent, the intermittent period gradually shortens, and the pain gradually increases and becomes severe. Severe cases can occur several times per minute, usually only during the day, and at night, the attacks are mild or stop, and severe patients can also attack at night, so that the end of the day. Because of the onset of pain, people cannot sleep all night or wake up awake after sleep, so there is no rest day and night. The time limit and period of pain attack 1. Trigeminal neuralgia is a periodic attack. The time of each pain attack is suddenly stopped from a few seconds to 1~2 minutes. 2. The period of each attack can last from several weeks to several months. Alleviated and disappeared or the light was relieved (a few days to several years). 3. During remission, patients often expect no more attacks, but after a period of time, severe pain relapses and there is little chance of self-healing, but more and more frequent, the pain level will increase, but the disease is not directly endangered The risk of life.

Pain characteristics of trigeminal neuralgia and the necessity of surgical treatment

     The trigeminal nerve is a mixed nerve. It is the fifth pair of cranial nerves and the thickest nerve on the face. It contains two fibers for general somatosensory and special visceral movement. It controls the sensation of the face, mouth, and nasal cavity and the movement of the masticatory muscles, and transmits the sensory information of the head to the brain. The trigeminal nerve is formed by the confluence of the ocular branch (first branch), the maxillary branch (second branch), and the mandibular branch (third branch). The masticatory muscles contract. Trigeminal neuralgia is what everyone calls “face pain.” This symptom is easily confused with toothache. It usually occurs on the face. It is a relatively common neurological and surgical disease. This disease is characterized by : In the distribution area of ​​the human head and face trigeminal nerve, the onset is sudden, lightning-like, cauterizing, and unbearable severe pain.   Trigeminal neuralgia is painful and undesirable, so it is known as “the first pain in the world”. This disease is more common in middle-aged and elderly people, with more female friends. In recent years, it has been found that trigeminal neuralgia also tends to spread to young people.  Regardless of the cause, it is unbearable to have a single attack, and it even makes people feel like they want to die. It can be seen how terrible trigeminal neuralgia is, so it is important to understand the symptoms of trigeminal neuralgia. So, trigeminal neuralgia, where is the “pain”?    Degree of spread: The spread of pain is not jumping, such as the third pain will not cross the second to the first pain. The pain does not cross the midline, even if the patients on both sides do not cross the opposite side when one side attacks. These trigeminal neuralgia symptoms are relatively common.  Distribution along the nerve: the pain site is a branch or several branches in the trigeminal nerve distribution area, which can also start from one branch and then spread to other branches. The pain episodes of trigeminal neuralgia are mostly distributed along the nerve. This is the symptom of trigeminal neuralgia. Facial: At the time of the attack, the patient’s affected half-sided area may show spastic distortions. Sometimes sympathetic neurosis sometimes appears after the end of the attack. The main symptoms of trigeminal neuralgia are that the affected side turns white first, then flushing, conjunctival hyperemia, and accompanied by There are tears, runny nose, drooling, etc. Sometimes the so-called trigeminal nerve, spasmodic painful twitching of facial muscles, autonomic neurosis. This is also a symptom of trigeminal neuralgia.  Primary trigeminal neuralgia should be treated with microvascular decompression as soon as possible

Zhou Dongyu’s swollen face on Weibo, how about pulling wisdom teeth, so terrible?

When it comes to the pain of adults, pulling wisdom teeth is definitely on the list. When it comes to pulling wisdom teeth, everyone will automatically think of: pain, swollen face, drinking porridge to live. Zhou Dongyu had previously sunburned his face after pulling out his wisdom teeth, and it was very swollen, and he could not laugh at himself. There is also a celebrity in the wisdom tooth world in the entertainment circle. He is Liu Xianhua, and everyone is no stranger to him. The “Longing for Life” he participated in a while ago has also received a high degree of attention, and its performance has made netizens have many Praise won’t stop. Before that, he had participated in a variety show in Korea. Among them, his face was very swollen after pulling out his wisdom teeth. Netizens also felt like a bear. It was because of this matter that he received a lot of netizens. Onlookers have to say that Wisdom Tooth really helped him a lot. So let’s discuss today, is it really terrible to pull wisdom teeth? 1. Just after the tooth extraction, why didn’t the doctor let me spit? When you have extracted your teeth, the doctor will tell you that you can’t spit, you can only swallow it in, but this water is mixed with blood, it’s really uncomfortable to swallow…the dentist has you doing this, of course, for his reasons La! A tooth extraction socket will be formed in the mouth after tooth extraction, and a blood clot will form after half an hour. The blood clot protects the wound and accelerates the healing of the tooth extraction wound. The recovery of the tooth extraction socket starts from the blood clot. About 24 hours after the tooth extraction, the local “fibroblasts” have just grown from the wall of the alveolar bone to the blood clot, and slowly become a bloody “flesh”- -Granulation tissue. Over time, this piece of “flesh” will eventually calcify into normal bone tissue, fill in the “pits” on the bone, and complete the recovery of the tooth extraction trauma. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. But the growth of blood clots requires a process. The freshly coagulated blood clot has a tender texture like tender tofu. It can also be easily destroyed. If you spit saliva or gargle on the day of tooth extraction, it will cause negative pressure in the oral cavity to easily spit out the blood clot, resulting in more bleeding. The most terrible thing is that the wounds without the blood clot protecting the tooth extraction will become inflamed, and it is easy to form dry groove disease and produce severe pain! Even the ears and temples on the same side of the tooth extraction. Therefore, you are not afraid of bleeding after tooth extraction, but you are not afraid of bleeding! 2. After pulling out wisdom teeth, how do I know if I have dry socket? The teeth will not heal without blood. After the tooth is extracted, the blood clot falls off and the alveolar bone is exposed, showing a dry surface and exposed to the oral cavity filled with bacteria. The bone wall infection is dry socket. So, how to judge whether you have a normal postoperative reaction or dry groove? We should pay attention to the following key points: ① The time when the pain appears. The pain of dry groove is not the pain that occurs immediately after tooth extraction, but the severe pain that occurs after 3-4 days. The symptoms mentioned above do not need to be nervous two days before the wisdom teeth are removed, and the development of symptoms can be observed. ② painful area. If it is limited to the extraction socket, it may only be a postoperative reaction. If it is accompanied by radioactive peripheral pain, it may be swollen and painful to the ear-temporal area, lower jaw, and even the lymph nodes, so be careful. ③ Observe whether there is any smell in the mouth. Dry troughs or empty extraction sockets will have corrupt tissues and be accompanied by a foul smell. If you suspect that you have dry socket, please seek medical treatment immediately. The doctor will debride and apply medicine to relieve pain. If the treatment is not timely, the course of the disease can be extended for more than half a month. Infection secondary to dry groove disease may also cause osteonecrosis, osteomyelitis of the jaws, and even septicemia caused by systemic infection! &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.3, what should I pay attention to after removing wisdom teeth? Face swelling after wisdom tooth extraction is a normal postoperative reaction, don’t worry too much, and postoperative swelling reaction can occur anywhere in the body, but because the maxillofacial region is the exposed part of the body, plus loose tissue and rich blood vessels, the swelling reaction is often Is more obvious. It should be noted that tooth extraction wounds are very fragile, and smoking should be avoided within 7 days after surgery. Some patients think that “Liquor can cure wounds and sterilize, and gargle with Liquor must help wound healing!” But the doctor just wants to tell you that these are crooked! Reason! evil! Say! Tooth extraction is also a huge body cost

Changsha is a good hospital for hemorrhoids? What are the causes of long hemorrhoids?

  Hemorrhoids are a common anorectal disease with a high incidence rate. There are “ten people and nine hemorrhoids”. For hemorrhoids, many people think that it is a minor disease and no treatment is needed. However, this is a very wrong idea. Hemorrhoids, especially external hemorrhoids, will greatly increase the difficulty of treatment with the extension of the course of the disease. Failure to treat in time will result in a series of serious harms and other concurrent diseases. What are the symptoms of external hemorrhoids?  Changsha Dongda Anorectal Hospital Professor Xie Lizi introduced that the main symptoms of external hemorrhoids are anal swelling, pain, and foreign body sensation.  According to its development process, external hemorrhoids can be divided into cellulite external hemorrhoids, venous external hemorrhoids and thrombotic external hemorrhoids.  Cervical external hemorrhoids: neoplastic flaps at the edge of the anus, gradually increasing, soft texture, generally no pain, no bleeding, only anal sensation. Venous external hemorrhoids: local oval or long-shaped tumors, which are soft to touch and usually not obvious. When the abdominal pressure is increased during bowel movements or squats, the volume of the tumor increases to a dark purple color, which is harder. After massage, the volume of the tumor can shrink and become soft. Generally, there is only no feeling of bulging.   Thrombotic external hemorrhoids: Sudden severe pain in the anus, and a mass appears. This mass is very sensitive and causes pain when touched. Therefore, defecation, sitting down, walking, and even coughing can increase the pain. What are the hazards of external hemorrhoids?   1. Since external hemorrhoids are bulbs that grow outside the anus, they block the anus. When gas is generated, the gas is often held back because the pressure is not strong enough. Every day, about 7-10 liters of gas enter the intestines, but most of them are absorbed by the blood vessels in the intestinal wall, and about 0.5 liters are discharged from the intestines. Farts are exhaust gases emitted by the body, most of which are carbon dioxide, hydrogen and methane. Exhaust gas is present in the body for a long time. Excessive density can cause flatulence in the lower abdomen, or cause the compressive strength of blood vessels to affect the normal contraction of the heart. It is easy to have insufficient blood supply, such as dizziness, brain swelling, and weakness.   2. Although the external hemorrhoids are not easy to bleed, it does not mean that there is no possibility of bleeding. The external hemorrhoids will bleed after being scratched or inflamed. Long-term blood in the stool will cause anemia.   3. The external hemorrhoids are outside the anus, and the secretions increase, causing anal pruritus or anal eczema. For female patients with external hemorrhoids, it is more harmful because it will cause other gynecological diseases in women and pose a great threat to women’s health.   4. Pain in the stool, endure inconvenience, vicious circle, and eventually can lead to constipation, anal fissure, large intestine tumor, etc.   5. It is believed that any bloody stool or any discomfort in perianal swelling is caused by hemorrhoids. It is paralyzed and often causes misdiagnosis of other anorectal diseases.  Reminder: In order to facilitate patients to see a doctor, Changsha Dongda Anorectal Hospital specially set up an online appointment activity to avoid queue waiting time service. If you have any questions, you can also call the consultation hotline: (0731-82839120, WeChat public number: guahao0731-82839120 for your detailed answer!

Shi Shurong: The most common symptom of blood disease is also often misdiagnosed because of this symptom

Shi Shurong studio WeChat xyk261    bone pain is the most common symptom in life. The cause of bone pain is due to bone hyperplasia, joint degeneration, chronic strain, cold and cold, dampness and wind, acute sprain, injury, infection, tumor, tuberculosis, bone development deformity and other factors.  Clinically, patients with bone pain may be due to leukemia, multiple myeloma, lymphoma, and bone marrow necrosis.   1. Leukemia: Patients with acute and chronic leukemia will have bone pain, because the capacity of the bone marrow cavity is limited, and the bones around the bone marrow cavity are hard and inelastic, and the leukemia cells in the patient’s bone marrow proliferate a lot, making the bone marrow cavity tension increase, causing pain.   In addition, the phenomenon of bone pain may also be caused by the infiltration of leukemia cells to damage the cortex and periosteum of the bone, causing the disease to increase bone pain. Bone pain occurs in patients with leukemia, and the following situations are common:   Bone pain is more common in the ribs, and sternal tenderness is one of the characteristics of leukemia;   Most leukemia patients have hidden pain, and dull pain is common, and a few patients have severe bone pain , And unbearable;   Children with acute leukemia often have severe pain in the long bones of the limbs, and the analgesic is ineffective. Although the child had severe bone pain, the physical examination was normal and no other symptoms changed.   2. Multiple myeloma:    bone and joint pain is the main symptom of multiple myeloma. The cause of bone pain in patients with this disease is different from leukemia, mostly caused by bone destruction. Multiple myeloma is a malignant tumor disease caused by the malignant transformation of plasma cells in the bone marrow. Malignant plasma cells, also known as myeloma cells, can secrete a cytokine called osteoclast activation factor, which destroys and stimulates osteoclasts, leading to bone loss. Calcium, osteoporosis, and stubborn destruction.  Multiple myeloma patients with bone pain are most common in the lumbosacral region, followed by the thoracic ribs, and bone pain in the extremities is rare. The degree of pain varies, and it is often mild and temporary in the early stage. Activity can induce or make the pain worse, and it can become persistent and serious as the disease progresses. This pain analgesic is difficult to work together. Noridine does not relieve pain.   In addition, multiple myeloma is prone to pathological fractures due to bone destruction. If a fracture occurs, bone pain suddenly increases and the pain is severe. When a patient is diagnosed with multiple myeloma, sometimes a mass in the bone may be found, and the local bone may be tender.   3. Lymphoma:    Lymphoma cells can cause bone pain when they invade the bone. The pain is generally limited to the lesion, and local tenderness can be obvious. The main bones invaded by lymphoma are thoracic spine, lumbar spine, ribs, pelvis, femur and cervical spine. It is usually hidden pain and dull pain, and there can also be severe pain attacks.   4. Bone marrow necrosis:    is relatively rare. Due to the unclear etiology, the cells in the bone marrow dissolve and necrosis in a large amount in the short term, resulting in severe bone pain, which is very severe and makes it unbearable. All painkillers are difficult to relieve. Bone marrow necrosis is mostly secondary to other malignant tumors, and some cannot find a clear cause.

What are the symptoms of sperm non-liquefaction?

   Non-liquefaction of sperm is an important cause of male infertility. To treat a disease, we must first understand the symptoms of the disease, because we only understand the symptoms of the disease to detect the occurrence of sperm non-liquefaction in time, and then we can actively treat it. So, what are the symptoms of sperm non-liquefaction?   What are the symptoms of non-liquefaction of the upper sperm? First, the amount of semen is less, the amount of semen is slightly less, the color is yellow and sticky, the sex is strong, often dizziness, tinnitus, insomnia and other symptoms, as well as dry mouth and eyes, red tongue and other symptoms occur. 2. If the semen is viscous, the male will find that the ejaculate is too viscous and shows a jelly state after being liquefied. Some serious patients may even show flakes or blocks. No liquefaction occurred.   III. Pain in the pudenda and lower abdomen    Patients with semen that does not liquefy will have pain in the abdomen and pudenda, which will cause great inconvenience to life. Sometimes it will cause pain during ejaculation, and it may be difficult to urinate. 4. Sexual dysfunction. Some male friends suffer from painful ejaculation and difficulty in ejaculation when they do not liquefy, and blood sperm also occurs. Some patients also have impotence during sexual life. Premature ejaculation.   Fifth, mental symptoms    There are also a few patients with semen that do not liquefy will appear sleepless, flustered, dizzy, easy to fatigue, etc. At the same time, it is also easy to cause other complications.  The above contents explain what are the symptoms of sperm non-liquefaction. It is recommended that you receive treatment in a timely manner after semen does not liquefy, to avoid the consequences of the species.

Heart discomfort is heart disease? Doctors rumors: these 6 kinds of the most easily misdiagnosed as coronary heart disease

Many uncles and aunts around us say that they have myocardial ischemia and eat drugs all the year round; many aunts and aunts have said that myocardial ischemia has been for decades! Ask her carefully if she is only 50 years old. Myocardial ischemia is 30 years old. However, women who have myocardial ischemia at the age of 20 are almost rare. Once the hats of myocardial ischemia and coronary heart disease are put on, it is difficult to take them off, so you have to take medicine for a lifetime, causing serious harm to the “patient” physically and psychologically! Many people think that discomfort or pain in the heart is myocardial ischemia, which is not the case. These uncomfortable anterior areas are almost not myocardial ischemic coronary heart disease. 1. Pain for 1 second or a few seconds Pain in the patient’s precordial region, each time the pain is 1 second, at most a few seconds, some people say that she is coronary heart disease, myocardial ischemia, it is recommended to take Chinese medicine and Western medicine for a long time And even more treatments. In fact, the pain in the precordial area for a few seconds is almost certainly not myocardial ischemic coronary heart disease, because each episode of angina usually takes minutes instead of seconds. 2. One point of acupuncture-like pain in the anterior heart area “Patient” One point of acupuncture-like pain in the anterior heart area is as large as the tip of the needle. Someone will diagnose coronary heart disease and myocardial ischemia, let people take this medicine for a long time. , And even let people do cardiography. In fact, myocardial ischemia of coronary heart disease is almost impossible to be a needle-like pain. The vast majority of myocardial ischemia is in a relatively large range, such as the fist size range of pain, and there is diffuse pain around. 3. Pain in Deep Breathing or Pressing Pain “Patient” will have chest pain after taking a deep breath, and it won’t hurt if you don’t breathe; or it will hurt when you press it with your hand, and it won’t hurt if you don’t press. This situation can also rule out myocardial ischemic coronary heart disease. Pain caused by coronary heart disease has nothing to do with breathing and compression. 4. Persistent chest tightness, suffocation, chest pain “Patients” have chest tightness, suffocation, chest pains all day long. Someone will diagnose coronary heart disease and give the “patients” what pills, medicines, and collaterals to take for a long time. In fact, the pain caused by myocardial ischemia of coronary heart disease is usually a few minutes, it can not last for tens of minutes, and it is impossible to feel uncomfortable all day long. Unless a myocardial infarction occurs, if you have chest tightness and suffocation and chest pain all day long, a normal electrocardiogram can basically rule out myocardial ischemia in coronary heart disease. 5. Always shortness of breath. Relieve “patients” after long sighs. Especially middle-aged women or menopause women will feel this way. They always feel “suffocation, shortness of breath”, but they can be relieved by taking a deep breath and a long sigh. It is said to be myocardial ischemia and coronary heart disease. This is not myocardial ischemia of coronary heart disease, chest tightness caused by coronary heart disease can not be relieved by deep breathing or long sigh. 6. Electrocardiogram Myocardial ischemia The “patient” electrocardiogram indicates myocardial ischemia. Regardless of 371, it is based on an electrocardiogram to diagnose myocardial ischemia and coronary heart disease. We cannot diagnose myocardial ischemia in patients with coronary heart disease just by seeing an electrocardiogram, we must combine the history, symptoms, high-risk factors, and even need to do further dynamic electrocardiogram, exercise test, etc. to confirm the diagnosis, and some patients must pass the coronary artery CT or angiography can diagnose coronary heart disease, rather than casually reading an electrocardiogram to say coronary heart disease ischemia. In short, these six types of “patients” are the most likely to be misdiagnosed as coronary heart disease. You need to pay attention to it before. Please those who are diagnosed with coronary heart disease casually, do not easily make such a diagnosis, harming others. We will not let go of any details and clues, but we cannot kill a thousand wrongly. If you are not sure about the diagnosis, you can tell the patient to go to a cardiology department or a superior hospital, or further examination to confirm the diagnosis. Don’t wear a coronary heart disease hat for everyone! (First published in science to rumors) The hat of coronary heart disease is very heavy and will overwhelm those who are not coronary heart disease.

What are the symptoms of kidney stones?

Kidney stones are a very common disease. The incidence of males is 3-9 times that of females. The age of high incidence is 21-50 years. The incidence of left and right kidney stones is similar. At the same time, about 10% of patients with bilateral stones . The clinical symptoms of kidney stones are relatively simple, either no symptoms, or some complications caused by pain or stones. The diagnosis of stones is not very complicated, and can be easily diagnosed by symptoms and imaging. What are the main symptoms of kidney stones? 1. Pain: Many people have a misunderstanding about the pain of stones. The bigger the stones, the more painful. In fact, the opposite is true. The bigger the stones, the less active the stones are. Kidney stones. The pain of kidney stones can be divided into blunt pain and colic. Blunt pain is often located in the rib ridge angle, waist and abdomen of the affected side. It is mostly paroxysmal and can be continuous. The pain is not very severe. When it is mild, it only has a sense of soreness, which can be aggravated after activity or work. Colic is caused by kidney stones falling into the ureter, causing acute obstruction. The pain is severe, and the pain is knife-like. The pain can radiate to the groin and thighs. When the pain occurs, the patient often cannot straighten the waist, the curl is difficult to control, and the expression is painful. Renal colic is often accompanied by nausea and vomiting, paleness, sweating, and collapse. 2. Hematuria: Hematuria is caused by the stimulation of stones, but most of them are microscopic hematuria, and a few patients have gross hematuria. Hematuria often appears after pain. 3. Complications such as urinary tract infections and hydronephrosis: due to the stimulation of stones in the kidney, the risk of stone infections is often increased, and even some of the knots are caused by infections. Mild infection may have waist discomfort, mild urinary frequency, etc., and severe systemic symptoms, such as fever, chills, and even septic shock. Hydronephrosis is also a common complication of kidney stones. The main reason is that the urine output tract produced by the kidney is blocked, and there is often no obvious performance in mild, and the waist will be sore on the affected side. 4. Small stones are found in the urine: some stones are relatively soft, or relatively small, and may be directly discharged through the urine. Some patients with stones will find small stones in the urine during urination. This may be the case. It may also be caused by the shedding of larger stones, so this situation should also be checked to see if there are stones in the kidney. What are the inspection methods used to find stones? As mentioned earlier, many large stones have no obvious symptoms. In clinical practice, many patients with large staghorn stones are often seen. Such large stones are also very troublesome to handle, and the risk and cost of surgery will also increase, so Early detection of stones and early treatment are also very important. The commonly used examination method for stones is imaging: Ultrasound examination: Ultrasound examination is more convenient and cheap, and there is no radiation. It is a commonly used examination method for stones. It is more meaningful for some X-ray non-developed stone examination. CT: CT is a good imaging test for kidney stones, because CT is not affected by stone composition, kidney function, intestinal gas, and respiratory movement. It can find 1 mm stones and has a very good spatial recognition ability. Urinary tract plain film: Urinary tract plain film is an X-ray examination. I personally think that if you have a CT, you can not check the plain film. Plain film is only used when the condition is lacking, or when you review it after treatment. Enhanced CT, intravenous urography: This test is mainly used for some recurrent urinary tract stones, can indirectly determine the presence or absence of renal function, because many large stones long-term compression of renal parenchyma, resulting in renal parenchyma no longer function, this In this case, the kidney can be removed directly, and the CTU can roughly judge the presence or absence of kidney function. And can also determine whether there is a urinary tract malformation, which is very helpful for the selection of treatment methods. Summary Some stones have no obvious symptoms. If you are in a high incidence area of ​​stones, or there are many patients with stones in the family, it is recommended to regularly check the urinary color Doppler ultrasound to find stones in time. If the stones recur repeatedly, you can do a stone analysis, adjust your diet or do targeted prevention. The most important thing is to develop the habit of drinking plenty of water.

What are the symptoms of allergic purpura

Allergic purpura symptoms 1. Early symptoms in the early stages of the disease, there will be geothermal phenomenon for about 1 to 3 weeks, accompanied by systemic symptoms such as throat pain and upper respiratory tract infection, the typical characteristics of this disease The performance is different depending on the location of the disease. A small number of patients will have abnormal skin at the early stage of the disease, and purpura-like purpura will appear symmetrically in the joints of the lower limbs. Patients will feel itchy skin, which is easily confused with urticaria and other diseases.  &Nbsp.2. Other symptoms  Patients may experience swelling and pain in one or more joints. This pain is wandering and occurs mostly in the knees and wrists, but does not leave sequelae. Two-thirds of patients will experience abdominal pain, accompanied by vomiting or laxation, and very few patients will have bloody stools. Some patients with purpura will have hematuria proteinuria two weeks after the onset of the disease. If this situation is not taken, it will lead to the decline of kidney function.

Glomus tumor

&nbsp.&nbsp.&nbsp.&nbsp. Glomus tumors are benign tumors that involve more fingers and less toes; females have a significantly higher incidence than males. &nbsp.&nbsp.&nbsp.&nbsp. The main clinical manifestations are blue-violet lesions under the deck, paroxysmal pain, and slight touch may be accompanied by severe pain. &nbsp.&nbsp.&nbsp.&nbsp. Clinical examination: Pain stops when the pressure band placed at the base of the finger reaches 300 mmgh (Hildreth&#39.stest). The needle point test has 100% sensitivity and 78% specificity, which can cause acute pain when pressed precisely to the tumor location. &nbsp.&nbsp.&nbsp.&nbsp. Auxiliary examination: In 50% of cases, osteolysis is visible in x-ray. Conventional B-ultrasound can detect glomus tumors larger than 3mm. MRI is more specific and can be used to locate the tumor. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. The current treatment is surgical resection. Remnant or multiple glomus tumors during resection may recur after surgery. After the tumor was removed, the pain was relieved or relieved immediately, and the needle point test was negative. Figure 1&nbsp. Visible blue-violet lesions. Figure 2&nbsp. Local blue-violet lesions on the nail bed can be seen after the deck is raised, shown by the red arrow; Figure 3 MRI shows high signal under the nail bed; FIG. 4&nbsp.

A headache that is easily overlooked!

Have you ever had the same experience as follows: the back of the head always hurts? Sometimes it is like a tingling pain, sometimes it is like a tearing pain, and there are also pains like a knife cut, needle stick, or burning. What’s the problem?
 When it comes to “headaches”, many people generally think whether something is “in the head” or not. But after checking the head CT and head magnetic resonance, there is no problem. What is going on?
 In fact, there are many causes of headaches, which can be roughly divided into primary and secondary categories. The former cannot be attributed to a specific cause, and can also be referred to as idiopathic headache, common such as migraine and tension headache; the latter can involve various intracranial lesions such as cerebrovascular disease, intracranial infection, craniocerebral Trauma, systemic diseases such as fever, internal environment disorders, and abuse of psychoactive drugs. In fact, there is another common cause of headache, that is-big occipital neuralgia. “>”> The greater occipital nerve is the posterior branch (medial branch) of the 2nd cervical nerve. The posterior branch of the second cervical nerve is thick and passes between the posterior arch of the atlas and the axial lamina, and passes under the inferior oblique muscle of the head, and is divided into a smaller lateral branch and a larger medial branch. The medial branch, the great occipital nerve, is obliquely rearward and inward, passing through the cephalad spinous muscle, and obliquely outward, and the angle between the nerve trunk and the posterior median line is 40°. After sneaking 2.4 cm deep in the trapezius aponeurosis, Penetrate the aponeurosis and deep fascia to the skin. Divided into several branches, accompanied by the branches of the occipital artery and vein, and distributed on the skin from the upper line to the top of the skull. 01 The anatomical basis of the greater occipital neuralgia 
”> The inferior oblique muscle is the thickest muscle in the four pairs of inferior occipital muscles. Its main function is to rotate the head left and right and back, and there are more opportunities for damage. The great occipital nerve runs between the inferior oblique muscle of the head and the vertebral arch plate. The deep fascia here is relatively dense, and it is easy to form adhesions after injury. Lesions of the inferior oblique muscle of the head or adhesion of the fascia can stimulate or compress the great occipital nerve. Clinically, patients with sub-occipital pain will feel unbearable soreness after deep pressure. After the great occipital nerve exits the deep surface of the inferior oblique muscle, it walks in the connective group between the upper and lower oblique muscles of the head and the semi-spine muscle, and the stroke is longer. Fasciitis can also stimulate the great occipital nerve here. The great occipital nerve penetrates the head semispinous muscle obliquely. The muscle spasms and contracts, which can compress the great occipital nerve. 02 Main manifestations of occipital neuralgia 
 The form of onset: Sudden onset, spontaneous pain, or it may be caused by specific movements, such as brush head, pillow pillow movement, exposure to cold or moving neck 
 pain location: main Located in the area of ​​the posterior occipital region, it can originate in the neck area and spread immediately to the top of the head. The pain is usually unilateral, but there are also bilateral cases 
 Pain nature: the pain is acute pain, such as a tingling, knife cut Like, electric shock, burning pain. Each severe pain may last for about a few seconds or a few minutes, the pain may start spontaneously, and between the onset of the pain, there may be a faint discomfort in the pillow.
Physical examination of the doctor: During the examination, the pressure, touch or tapping of the occipital nerve distribution area can induce painful attacks, or cause sensory abnormalities along the distribution area of ​​the receiving nerve.

Men’s prostatitis is harmful to the following common sense

Introduction: Now there are more and more young male patients, and the damage to the male body is getting bigger and bigger. If the patient wants to recover as soon as possible, then the following should be done. The prostate is a common urological disease that occurs in men. As the age of men increases, the probability of this disease increases. The symptoms of prostate patients are:    Prostatitis often occurs suddenly, showing chills, fever, fatigue and other systemic symptoms, accompanied by perineal and suprapubic pain, may have frequent urination, urgency and rectal irritation symptoms, and even acute urinary retention .  Clinical symptoms of type II and type III prostatitis are similar, mostly with pain and abnormal urination. No matter which type of chronic prostatitis can show similar clinical symptoms, collectively referred to as prostate inflammation syndrome, including pelvic sacral pain, abnormal urination and sexual dysfunction. Pelvic-sacral pain is extremely complicated. The pain is generally located on the pubis, lumbosacral region, and perineum. Radial pain can be manifested as pain in the urethra, spermatic cord, testicles, groin, and medial part of the abdomen. Radiation to the abdomen resembles acute abdomen, along the urinary tract Radiation resembles renal colic and often leads to misdiagnosis. Abnormal urination manifested as frequent urination, urgency, dysuria, poor urination, bifurcation, post-urinary drip, increased frequency of nocturia, milky white discharge from the urethra after urine or stool. Occasional complications of sexual dysfunction include decreased libido, premature ejaculation, painful ejaculation, weakened erection and impotence.  Type IV prostatitis has no clinical symptoms, and only evidence of inflammation was found during the examination of the prostate.  When these conditions occur, you can go to the outpatient clinic of the nearby hospital to check the prostate fluid, make sure what is the specific cause, and then treat the cause symptomatically. So, what should be paid attention to when treating prostate patients?   First: adhere to treatment, do not change the medication or change the treatment method casually during the treatment.   Second: Properly recognize prostatitis and maintain a good attitude.  Third: It is recommended to drink plenty of water, drink boiled water, increase urination, which is conducive to the discharge of inflammatory secretions. Avoid tobacco and alcohol, light diet, do not eat spicy spicy food.   Fourth: Avoid sitting for a long time, avoid cycling for a long time, insist on exercise, it is best to jog and add more lower body exercises to avoid strenuous exercise.   Fifth: regular husband and wife life, can not endure ejaculation and ejaculation, do not masturbate frequently, avoid unclean sexual intercourse.   Sixth: keep the stool smooth, insist on hot water bath or hot water bottle hot compress perineum. 1: The prognosis of acute/chronic bacterial prostatitis is good. Most patients can be cured after timely treatment. A very small number of patients with prostate abscess can also be cured after surgery such as incision and drainage.   2: Acute bacterial prostatitis can be converted to chronic prostatitis if the treatment is not thorough. 3: Chronic prostatitis (chronic pelvic pain syndrome) itself can be cured, but some patients’ symptoms can be repeated, which is closely related to the patient’s lifestyle and work habits, and some patients have depression or anxiety. Local pain is a secondary manifestation. These reasons make the symptoms of some patients difficult to “cure”. For these patients, general treatment and psychological treatment are more important than drug treatment.