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If you ask, what are the items that are most reluctant to check in the physical examination? Many people blurt out: digital anal examination, stool examination, gastroscopy.
.
.
But in fact, these very uninvited physical examination items are meaningful, really Can't give up easily
.
Digital anus examination
Song Zhenya, director of the International Health Center of the Second Affiliated Hospital of Zhejiang University School of Medicine (according to Qianbao.
com) : We generally think that girls are more resistant to digital anal examinations.
We did not expect that 60 to 70% of those who abandoned the examination were young men
.
Most of the reasons for rejection are shy and uncomfortable
Tu Shiliang, Director of Anorectal Surgery, Zhejiang Provincial People's Hospital (According to Qianbao.
com): Digital anal examination is actually very important.
This is the most basic and effective means of screening for anorectal diseases.
60% of rectal cancers can be detected by it.
.
To put it simply, in a digital anal examination, the doctor’s fingers will be inserted into the anus about 5 cm.
Early detection and early treatment are very important
.
The survival rate of first-stage rectal cancer after 5 years is as high as 97%, the second-stage survival rate is also 70%, and the third-stage survival rate is only 45%
On the other hand, digital anus examination can also check the prostate
.
Touch the prostate with your fingers through the anus, you can check whether it is enlarged, whether the texture has changed, etc.
In addition, by checking also diagnosed with hemorrhoids, rectal prolapse, anal incontinence, anal fistula, anal fissure
.
This shows that the digital anus examination is an indispensable examination
Stool test
As for the retention of feces, many people say that it is too troublesome, thinking that they are young, and going to the toilet is normal and regular, and there will be no major problems
.
Zhang Jian, deputy director of the Department of Gastrointestinal and Anal Surgery, Hangzhou First People's Hospital (according to Qianbao.
com) : Fecal examination is equally important
.
Stool routine is one of the three major clinical routines, mainly including stool color, shape, cells, and occult blood.
According to statistics, the incidence of colorectal cancer in China has increased at a rate of 4.
5% per year in the past 10 years, and the age of onset is concentrated at the stage of 45 to 55 years old, 10 years earlier than abroad
.
Moreover, the phenomenon of rejuvenation of bowel cancer is becoming more and more obvious
But what is strange is that once many young people are diagnosed with bowel cancer, most of them are in the middle and advanced stages
.
What is the reason? Objectively speaking, this is because generally the younger the malignant tumor, the greater the malignant degree of the tumor and the faster the metastasis, and the poorer effect on surgery, chemotherapy, and radiotherapy
gastroscopy
Be a gastroscope, this is probably the last thing people with a bad stomach want to hear
.
The thought of sticking a tube from my mouth into my stomach makes me feel sick and terrified
.
As a result, gastroscopy has become one of the most frequently rejected examinations
.
Li Bo, deputy chief physician of the Department of Gastroenterology, Xiyuan Hospital, China Academy of Chinese Medical Sciences (according to Good Doctor Online) : I have also had a gastroscopy, and it was really uncomfortable
.
Normal people have a pharyngeal reflex.
The foreign body staying in the pharynx will stimulate the nerves and feel abnormally uncomfortable, which will lead to vomiting.
This is a protective reflex of the body
.
If there are persistent foreign bodies in the pharynx, the pharyngeal reflex will continue to exist, that is to say, the feeling of vomiting is always present
.
However, the gastroscopy has a function that no other examination can replace.
It is equivalent to seeing the situation in the stomach directly with the eyes of a doctor, and it is clear that there are problems and no problems at a glance
.
What's more, if the doctor feels that there is something wrong, he can take out one for pathological examination.
Whether there is any problem in the stomach, whether it is benign or malignant, it is basically clear after a gastroscope
.
Of course, there are also gastroscopes that are not uncomfortable, including comfortable gastroscopes, painless gastroscopes, and capsule gastroscopes
.
Specifically, comfortable gastroscope is a gastroscope technique that is intubated from the nose, and the observation effect is no different from ordinary gastroscope; Painless gastroscope is to perform gastroscopy under general anesthesia; Capsule gastroscope only needs to swallow one capsule, but the cost is more High, not very clear, pathological analysis is not possible
.
Which one to use depends on the subject’s condition and willingness to determine the best results
.
Source: Health Times
