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Date Posted: 01:22:28 03/05/08 Wed
Author: Vancomycin
Subject: Re: 大便出血
In reply to: 金牌 's message, "Re: 大便出血" on 13:37:42 02/25/08 Mon

>15歲
>男
>出血時係鮮血
>D血抹係廁紙上先見到
>冇肛裂、fistula等問題
>無貧血(未驗過)
>家族無人有否腸癌、腸息肉、irritable bowel
>syndrome、Crohn's Disease/Ulcerative Colitis等問題?
>之前有試過係乾血
>我有小腸氣
>之前試過小腸氣發作
>好肚痛
>個人申直唔到
>痛完之後就痌黑血色既大便
>唔知有無關係呢?

小腸氣屬於外科病﹐要按情況睇要否做手術(你家庭醫生會寫信去外科排期)。至於便血/便黑血關唔關小腸氣﹐嚴重起黎可以引起便血(叫strangulating hernia係外科急症﹐另一情況多見於嬰兒係intussusception[腸套疊]﹐不過部份人仍會患上)。

其實便血(如你般排出黑血)多數係upper GI問題﹐網上只能俾你一set成因如胃/十二指腸潰瘍、腸炎等問題﹐要知道點解一定要親自睇醫生做臨床檢驗(如OGD)。

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