mucus stool
Introduction
Introduction It will be frozen, or red or white, accompanied by abdominal pain, and it will be heavy and heavy, 2-10 times a day. It is called mucus and is also one of the main symptoms of dysentery. Because the bottom is sticky, it is not good at the next time, also known as "intestines" and "stagnation" and is divided into "white peony" and "red peony" by sticky color. Mucus can appear in acute dysentery, and can also occur in chronic enteritis and bacillary dysentery. The mucus that appears in acute dysentery has been discussed in dysentery. The mucus described in this section is chronic enteritis or chronic dysentery. Common mucus. It belongs to Western medicine chronic enteritis, chronic bacillary dysentery, allergic enteritis and other diseases.
Cause
Cause
Mucus can appear in acute dysentery, and can also occur in chronic enteritis and bacillary dysentery. The mucus that appears in acute dysentery has been discussed in dysentery. The mucus described in this section is chronic enteritis or chronic dysentery. Common mucus. It belongs to Western medicine chronic enteritis, chronic bacillary dysentery, allergic enteritis and other diseases.
Feel the cold
Feel cold or overeating cold, cold injury and stomach. Spleen is not transported, water is wet inside, Zhongyang is insufficient, wet from cold, cold and wet, inadvertent diet, cold and wet congestion, large intestinal qi obstruction, qi stagnation and blood stasis, qi and blood and intestinal turbidity The gas phase of the knot, turned into pus and blood, it becomes cold and damp. Most of its stools are mainly white frozen.
Deficiency of the stomach
People with spleen and stomach deficiency, feel the cold and dampness, or damp heat, take the cold and cool products, cut the middle yang, the middle yang is damaged, then the spleen is not healthy, the large intestine is blocked, the blood is prone to stagnation, blood It is easy to turn into white frozen with the turbidity of the intestines. Anything that is spleen yang deficiency is insufficient, resulting in gastrointestinal dysfunction, and the resulting white frozen material is produced.
Damp heat accumulation
Feel the beginning of the summer heat, or over the alcoholic wine, thick and sweet, brewing damp heat, damp heat, abdominal block, qi and blood stagnation, turned into pus, then become hot and humid, become red and white frozen mucus; damp heat , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
Liver
Hepatic sulphate Shengzhi, every easy liver and liver cross-counter soil, causing gastrointestinal gas machine reversal, metaplasia damp heat or cold dampness, turbidity can not be discharged normally, contained in the intestine, it is mucus white frozen source of. Or the original is damp heat, long-term cure, the human liver gas is prosperous, then every easy to cut the spleen, causing mucus for a long time.
Spleen deficiency and damp heat
For a long time, the spleen and stomach are damaged, and the evil of dampness and heat often stays in love, causing the evil of the spleen and dampness. This type of clinical is most common. On the one hand, it shows symptoms such as anorexia, facial yellow muscle thinness, body fatigue and spleen deficiency, on the other hand, there are red and white frozen underarms, pain in the abdomen, thunder, swell, feces, but every solution is not smooth, stagnation, etc. The symptoms of dampness in the colon. Spleen deficiency is just qi deficiency, it is not appropriate to exorcise evil, evil love is because of spleen deficiency and can not exorcise evil as soon as possible, leading to the thorny situation of wanting to exorcise evil and to take care of righteousness and to correct and imaginary and evil.
The initial occurrence of this disease, mostly between the summer and autumn, from the external sense of heat and dampness, internal injuries and cold diet, accumulated intrinsic, transmission and dereliction of duty. The most common cause of mucus stools is that the initial treatment is not complete, or the treatment is stopped, or the palliative care is carried out, and the evil spirits are not dashed, or the diet is not good, and the evil spirits are inundated.
Examine
an examination
Related inspection
Conventional fecal occult blood test (OBT) fecal mucus
If there is a lot of mucus, it suggests intestinal inflammation or an allergic reaction. If the feces are mixed with the mucus, the mucus may come from the small intestine or the proximal colon; if the mucus only adheres to the surface of the feces and shows a certain bright luster, the mucus comes from the lower colon or rectum.
Microscopic examination includes
1 cell. Occasionally, white blood cells are found in normal feces, and there is no red blood cells. Leukocytes have less than 15/high power fields in enteritis; more than 15/high power fields in acute bacterial dysentery, and even full field of view. Red blood cells can be seen in the lower intestinal tract (such as colitis, bacillary dysentery) and bleeding (polyps, tumors, sputum, etc.). Eosinophilic leukocytes can be seen in allergic enteritis and intestinal parasite infections, accompanied by Shack-Ryden's crystal; macrophages can be seen in plaque and rectal inflammation; cancer cells can sometimes be found in feces of patients with colorectal cancer.
2 food residue. A small amount of starch granules, muscle fibers and fat droplets can be seen normally. If it increases, it suggests digestive dysfunction, which is more common in chronic pancreatitis and pancreatic insufficiency (such as pancreatic head cancer).
3 intestinal yeast. Normally visible human yeast and common yeast, Candida albicans can be seen when intestinal flora imbalance occurs.
4 parasites. The human body is infected with different parasites, and the corresponding eggs can be found in the feces. Commonly, there are aphid eggs, hookworm eggs, aphid eggs, clonorchiasis eggs, ginger eggs and amoeba trophozoites.
Chemical inspection includes
1 occult blood test. A small amount of bleeding in the digestive tract, red blood cells are destroyed and destroyed and can not be found under the microscope, so it is called occult blood (OB), and now it is detected by a specific high reverse passive blood coagulation method. Normal people are OB-negative. When the digestive tract disease causes bleeding, such as peptic ulcer, gastrointestinal tumor, inflammation, etc., OB is positive, even strong positive. However, this test should exclude false positives caused by food or drug factors. If necessary, the animal's internal organs, blood, lean meat and green leafy vegetables can be fasted for 3 days. Repeated OB check positive, should be alert to the possibility of gastrointestinal tumors.
2 sessile bilirubin qualitative test. Check for the presence of feline (also known as urobilin) in the stool. Fecal bilirubin can be combined with mercury to form a red compound, and the depth of red is proportional to the cetilin content. Normal fecal reaction was positive (red); strong positive in hemolytic anemia; negative reaction in common bile duct obstruction (not red).
3 fecal gallbladder: normal: negative
Diagnosis
Differential diagnosis
1, the stool is bright red with a paste. May be suffering from acute hemorrhagic necrotic enteritis, which is due to overeating or eating unclean food.
2, the surface of the stool is attached with bright red blood drops, not mixed with stool. Common in internal hemorrhoids, external hemorrhoids and anal fissure. If blood is attached to the surface of the stool and the stool becomes a flat ribbon, you should go to the hospital to check for rectal cancer, sigmoid colon cancer, rectal ulcer and other diseases.
3, the stool is dark red like jam, and there is more mucus, often suffering from amoebic dysentery. The amoeba in the stool is a parasite. In patients with bacterial dysentery, the discharged stools also have mucus and blood, but not as bad as the stool of the amoebic disease.
4, stool tar-like, black and bright, often bleeding in the esophagus, stomach, duodenal ulcer disease. The blood is originally red. When it enters the digestive tract, the iron in the blood combines with the sulfide in the fat to produce iron sulfide, which causes the stool to be tarred black (the blood can be black when the blood volume is generally 60 ml or more). In addition, black tar-like stools can also be seen in esophageal varices bleeding, continuous vomiting after overeating, or rupture of blood vessels at the junction of the esophagus and gastric mucosa.
5, the stool is gray like clay, indicating that the passage of bile into the intestine has been blocked, bile has to be deposited on the skin through blood circulation, making the skin yellow. Gallstones, cholangiocarcinoma, pancreatic head cancer, liver cancer, etc. are all "blockers" of bile flowing into the digestive tract. There is no bile in the digestive tract, and the stool is grayish-green.
6, stool red and white like snot, commonly known as red and white frozen, which is the characteristics of acute bacterial diseases. It is a mixture of concentrated, bloody, mucus. Red and white frozen seeds also appear in patients with chronic colitis.
7, the stool is white oil foam, often a syndrome of digestion and malabsorption. This happens in young children, which is called celiac disease in young children.
8, stool is red, may be bleeding of the large intestine mucosa. If mucus and concentrated liquid are mixed, check the mucosa of the large intestine for inflammation.
