Have you ever solved "sheep poop"? In the impression of many people, the "sheep feces" with dry and granular stools does not have much impact on daily life except for increasing the pain of going to the toilet. As everyone knows, this is a signal from the body, and if it is not taken seriously, it may have fatal consequences in the long run.
Recently, a 32-year-old man surnamed Chen came to the emergency department of the First Affiliated Hospital of Jinan University for medical treatment because of abdominal pain. "Two hours too late, and there may be no one left."Dong Zhiyong, deputy chief physician of Bariatric Center, Gastrointestinal Surgery District IAfter the consultation, emergency surgery was immediately arranged, and it was found that there was a large amount of pus in the abdominal cavity, and the whole abdomen was seriously infected.
Four years of stool is "sheep-like" is used to itAs early as four years ago, Mr. Chen's stool has been dry and granular, which is what we call "sheep feces", and since he has not shown obvious physical discomfort, he has always been accustomed to it.
It is understood that Mr. Chan has always liked to eat fried and greasy meat, and rarely touches vegetables and fruits. Second, the amount of water consumed is very small, with an average of no more than 250ml per day, "if you are not thirsty, you will not want to drink water"; Third, there is little exercise, and after eating, he has always maintained "Ge You's paralysis", which greatly increases the stickiness of food; Fourth, habitually staying up late, the internal environment of the body is disordered. For a long time,Mr. Chen's bad living and eating habits are the "killers" that induce the production of "fecal stones".
Until January 21, Mr. Chen suddenly developed a tingling pain around the umbilicus, which gradually shifted to the right lower abdomen, which was relieved at first, but after 2-3 days, the pain in the right lower abdomen intensified, and cold sweat broke out all over his body, and the pain was unbearable, and his family immediately sent him to the emergency department of the First Affiliated Hospital of Jinan University for treatment.
Spread of intra-abdominal infection causes toxic shock of infectionAfter examination, it was found that Mr. Chen's appendix cavity was blocked by "fecal stones", and the "fecal stones" were entrapped and ischemia led to perforation of the appendix. At this time, Mr. Chen had a high fever of 39 due to the spread of abdominal infection caused by gangrene perforation5. Blood pressure drops, paleness, clammy limbs, septic shock. The emergency department immediately invited Dong Zhiyong, deputy chief physician, to conduct a consultation, and Dong Zhiyong underwent a detailed assessment of physical examination and related examinationsInstructions "Immediately perform emergency surgery or risk life".
Mr. Chen was taken to the operating room"Laparoscopic exploratory gangrenocal appendectomy + perforation repair of the base of the appendix + drainage of abdominal abscess" was performed。Under laparoscopy, the doctor found that Mr. Chen's intestinal adhesions were very severe, with more than 1,000ml of pus, and the smell of feces permeated the operating room during the pus suction. After removing the pus, Dong Zhiyong performed abdominal adhesion release, successfully found the appendix for resection, repaired the perforation near the ileocecal part of the root, placed a drainage tube, and the operation went smoothly.
On the first day after surgery, Mr. Chan was in good spirits, his abdominal pain disappeared and he got out of bed. The diet is mainly a liquid diet, and the stool is now loose, bidding farewell to the "sheep feces". The First Affiliated Hospital of Jinan University, Department 1 of Gastrointestinal SurgeryDr. Tan Boon Fai explained: "Now the runny is due to the infection and intestinal irritation, and the liquid diet also has a certain effect, and then it will slowly return to normal stool quality
"Fecal stones" should not be underestimated, and prevention is the key"Fecal stones" are formed by the accumulation and enlargement of foreign substances such as food residues, chaff, wood residues, sand, and metal shavings that cannot be digested or are not easily digested, and a large number of bacteria are attached. The appendix is a hollow organ with an opening that connects to the large intestine, and the fecal stones in the large intestine enter the appendix cavity with intestinal peristalsis, forming "appendiceal fecal stones". Dong Zhiyong reminded that when the "dung stone" is not blocked by the appendix, it may not cause symptoms. ButIf the "fecal stone" completely blocks the appendix, it can cause edema, ischemia, inflammation, necrosis, leading to perforation. Once the appendix perforation causes diffuse peritonitis, infection with toxic shock, it can be life-threatening。People with habitual constipation, long-term indigestion, the elderly, sedentary office people, and poor gastrointestinal function are high-risk groups of "fecal stones". Dong Zhiyong emphasized that obese patients are often prone to constipation in the process, so**Friends, you should make dietary adjustments under the guidance of a professional weight loss doctor to avoid long-term constipation causing fecal stone blockage。**The First Affiliated Hospital of Jinan University This article is only for health science popularization, not for any commercial advertising purposes, and does not provide diagnosis and treatment advice, nor can it replace the hospital's examination and**. If you have any related diseases, please go to a regular medical institution for treatment in time and follow the doctor's instructions.