Broadly speaking, any protuberant lesion protruding from the intestinal cavity can be called polyp, but it is generally called polyp, which is only a local protrusion of mucosa. It should be said that polyps are benign lesions, not cancer, and will not endanger life. It can be as small as sesame mung beans with a diameter of only a few millimeters, or as large as walnuts with a diameter of 2-3 cm, and the number varies from 1 to several. From the morphological point of view, there are pedicled polyps, pedicle polyps and broad-based polyps.

The most common polyps are inflammatory and adenoma. The former is related to the inflammatory reaction of the large intestine, while the latter is caused by the imbalance of cell renewal on the surface of colon mucosa. After the inflammation is cured, the inflammatory polyp can disappear by itself. We must be alert to adenomatous polyp, which generally does not disappear by itself. If it exists in the intestinal cavity for a long time, it may become malignant. Therefore, the most effective measure to detect polyps and determine the nature of their lesions is to have a comprehensive colonoscopy regularly. Inflammatory polyp usually does not need special treatment, and colonoscopy follow-up can be done every 1-2 years. Small adenomatous polyp can be directly resected by electrocoagulation under colonoscopy, and larger pedicled polyp (generally more than 2 cm in diameter) can be ligated with titanium or nylon thread under colonoscopy, and then electrocoagulation is performed, so that patients do not have to suffer from surgery.

The cause of intestinal polyp is the change of diet structure and living habits, which leads to the acidification of constitution. Acidic constitution damages the peripheral nerves of the body, and the body's immunity decreases, leading to inflammation. Together with other chronic stimuli, intestinal polyps occur. Bad living habits and irregular life lead to acidification of body fluids and mutation and proliferation of intestinal cells.

What are the clinical manifestations of intestinal polyps? Due to different pathological types, the clinical manifestations of this disease may be different, but blood, mucus stool or constipation, abdominal pain and diarrhea are common symptoms.

Colorectal adenoma often has no self-conscious symptoms, but is discovered by chance during colonoscopy or X-ray barium enema. Blood in stool or mucus with blood is the most common symptom, which can be seen every time you defecate, and it is not mixed with feces and is not on the surface of feces; The blood is bright red, the amount is not much, there is mucus, and sometimes it suddenly bleeds a lot; Long-term chronic blood loss can lead to anemia. Large adenomas located in the rectum can cause an increase in defecation frequency or a feeling of heaving in the anus, and extremely low adenomas can protrude the anus when defecating. In some cases, colon adenoma may lead to intussusception and abdominal colic. Children's polyps are more common in bleeding, diarrhea, polyp prolapse or abdominal pain, anemia and other diseases, and sometimes can be complicated with congenital malformation, such as congenital heart disease; Its blood is bright red, attached to the surface of feces, not mixed, and the amount of bleeding is generally small, much like internal hemorrhoid bleeding.

Familial polyposis can be completely asymptomatic in the early stage, and the average age of symptoms is about 20 years old. Its clinical manifestations are mainly bloody stool, increased defecation times or loose stool, often accompanied by more mucus stool; Some patients can see large and small polyps falling off the anus when defecating. In addition, patients can also have abdominal discomfort in different operations, as well as general symptoms such as fatigue, weakness and emaciation.

The treatment of most polyps is benign and not life-threatening, but some polyps have the trend of canceration, so they need to be treated in time. The treatment of polyps must follow the principle of polyp treatment, and do not blindly remove polyps. The main treatment of polyps is to remove polyps through endoscope or surgery.

Pay attention to 1 after operation of intestinal polyps, and stay in bed after polypectomy to reduce bleeding complications. Pay attention to observe whether there is active bleeding, hematemesis, bloody stool, abdominal distension, abdominal pain and peritoneal irritation, and whether there is edema, pain, blood pressure, heart rate and other vital signs in the pharynx.

2. After polypectomy of stomach and duodenum, you should fast for 6 hours, then eat liquid diet 1 day after 6 hours, and then eat slag-free semi-liquid diet for 3 days. You can eat a liquid or semi-liquid diet after colorectal polyp surgery, and avoid eating coarse grains 1 week.

3. In order to keep the defecation unobstructed after operation, a proper amount of senna leaves can be used instead of tea, and at the same time, the thumb should be pressed on Zhongwan (4 inches above umbilicus, ventral line, supine position), (Tianshu point is located in the middle abdomen of human body, 2 inches on both sides of umbilicus), Zusanli, Fenglong 1 min, 1 min.

4. Abdominal pain and flatulence occurred in a few patients after operation, which were mostly caused by excessive gas injection during operation. Acupuncture can tonify deficiency and purge excess, and acupuncture at Zusanli and Zhongwan 15min can quickly relieve abdominal pain and flatulence.

The suitable diet is 1, and it is advisable to eat digestible and soft food.

2. Try to have a smooth stool and eat more foods rich in cellulose, such as fresh vegetables, fruits, tremella and kelp.

3. It is advisable to eat foods that moisten the intestines, such as pears, bananas, spinach, honey, sesame oil and other animal and vegetable oils.

4. It is advisable to choose foods with cool texture, such as cucumber, bitter gourd, wax gourd, watermelon, lotus root, bamboo shoots, celery, spinach, lettuce, water bamboo, spinach, eggplant, loofah, mushrooms, duck eggs and duck meat. , so as not to aggravate the fairy fever and cause bloody stool.

5. Those who have not been cured for a long time, those who have been bleeding for a long time, and those who are weak should be properly nourished with nourishing foods, such as longan, red dates, lotus seeds, lilies, milk, sesame seeds, honey, walnuts, etc.

After polypectomy, if you don't eat properly, it will easily lead to complications such as intestinal bleeding and perforation. Proper and reasonable diet after operation is helpful to prevent and reduce complications, eliminate and reduce risk factors, and then improve the quality of life.

After resection of intestinal polyps, it is generally necessary to fast and drink water for 24 hours. The specific time of fasting and drinking is determined by the surgeon according to the surgical site, polyp size and polyp number. Don't make a claim.

After an empty stomach, you can try to drink a small amount of cold water. If you don't feel uncomfortable, you can eat some cold liquid food, such as thick rice soup, porridge, lotus root starch, soup with oil and residue removed or meat water, which is light and easy to digest in liquid state. Please keep them at room temperature before eating. Avoid milk and dairy products, soy milk or drinks containing soybeans, because these foods may cause bloating.

On the second day after operation, you can eat soft, chewy and digestible food. Such as mashed vegetables, steamed cakes and rotten noodles. Soft food was the main food after operation 1 week. Then gradually transition to a normal diet.

Pay attention to avoid cold, spicy, irritating food and indigestible food. Do not drink strong tea, coffee, carbonated drinks, etc. Avoid frying and pickling food. Drink plenty of water and ensure about 2000 ml of water every day to prevent constipation and keep the stool unobstructed.

No drinking, no smoking.

Author: Wang Duan, nutritionist of Guangdong Provincial People's Hospital.

Intestinal polyps can be removed by colonoscopy or open surgery. Many smaller polyps, lesions smaller than 2cm or obvious pedicled tumors can be removed by colonoscopy. After operation, observe the symptoms and signs of the patient's abdomen. Usually you can drink water after 24 hours and gradually transition. After 48 hours, you can eat a whole liquid diet and a semi-liquid diet. If there are obvious symptoms of bloody stool, abdominal distension and abdominal pain, water should be banned. During the normal recovery period, we should pay attention to eating less and more meals, not overeating, and we can eat porridge, wonton, noodles and so on. For open surgery, it will involve intestinal anastomosis and the relative fasting time will be longer. After the intestinal function is restored, patients can take it orally, which is also an early and gradual transition.

Hello, as a gastrointestinal surgeon, let me answer this question.

What is intestinal polyp? Intestinal polyp is a protuberant lesion of intestinal mucosa. Polyps in large intestine are common, but polyps in small intestine are rare. According to the different etiology, it can be divided into inflammatory polyp, adenomatous polyp, proliferative polyp and juvenile polyp. Inflammatory polyp and adenomatous polyp are more common.

Harm of intestinal polyps Generally speaking, inflammatory polyp can disappear by itself or after anti-inflammatory treatment, while adenomatous polyp cannot disappear by itself, and it will grow bigger and bigger.

Adenomatous polyp will have a certain chance of malignant transformation. According to statistics, about 80% of colorectal cancer is caused by malignant transformation of colon polyps. Intestinal polyps, if left untreated, will gradually become larger, and cells will mutate and deteriorate into colon cancer. It usually takes 5 to 10 years to develop from colon polyp to colon cancer.

Treatment of intestinal polyps Polyps smaller than 3cm can be removed under colonoscopy, with less surgical trauma and quick recovery. More than 3cm, or suspected malignant, multiple polyps, need to do intestinal resection.

Precautions after polypectomy After polypectomy, there will be a wound on the intestinal mucosa. Fasting water for a period of time after operation is beneficial to the prognosis of incision, and staying in bed for a period of time to observe whether there is blood in the stool or black stool.

After exhausting or defecating, you can eat a liquid diet. When you start to resume your diet, you should eat some digestible soft foods, such as millet porridge, egg custard, various soups and noodles. And you can't eat hard, spicy and stimulating foods, such as nuts, peppers, garlic and peppers.

After polypectomy, colonoscopy should be reviewed regularly, and once every six months after operation, to see whether the focus is completely removed and whether there are any missing focus. If the colonoscopy is normal, the colonoscopy can be reviewed again after 5 years.

Four years ago, I had mucus in my intestines for more than ten years, so I was not at ease. I had an intestinal ytterbium test. It was examined by a female doctor in the PLA Hospital. The examination is very careful and painless, unlike the legendary examination, which has pain. While checking, communicate with doctors and watch intestinal images on TV screens. From rectum, S-shaped colon, descending colon to transverse colon, one * * * removes six polyps. Doctors are afraid to remove many polyps, causing bleeding, and there is still a section of ascending colon that has not been done.

Later, the hospitalization procedure was opened, mainly for observation, to prevent excessive intestinal bleeding and facilitate timely hemostasis treatment.

Colonoscopy was performed to remove polyps and the intestinal wall was slightly damaged. Of course, the more polyps are removed, the larger the damage area will be. But as long as you follow the doctor's instructions, drink rice soup for three days, eat some rotten noodles and vegetables the next night, and stick to it for another day on the third day. If there is no discomfort, you can eat normally on the fourth day.

The doctor also said that during eating juice, don't touch faint soup and vegetables.

The above are the precautions I should do according to the dietary requirements told by the doctor when I remove intestinal polyps, and share them with my friends who are in the same boat. I wish me a speedy recovery!

How are intestinal polyps caused?

1. Dietary factors have a certain relationship with the formation of intestinal polyps, such as spicy food or pickled food, toxic food, etc.

2. Genetic factors, it is generally believed that the formation of polyps is closely related to gene mutation or genetic factors. Current research shows that mutant genes can be passed on from parents to children, with equal genetic opportunities for men and women, and there is no gender difference.

3. Inflammation stimulation, intestinal mucosa is stimulated by inflammation for a long time, which can cause intestinal mucosal polyps. This is due to inflammation, congestion and edema of intestinal mucosa. After the erosive ulcer healed, the scar gradually atrophied to form polypoid, and chronic inflammation stimulated gland obstruction and mucus retention.

4. It is the stimulation or mechanical injury of foreign bodies in feces, the long-term stimulation of intestinal mucosal epithelium by rough stool or foreign bodies, and other reasons that cause rectal mucosal injury, leading to cell dysplasia and polyp formation.

What are the symptoms of intestinal polyps?

The common clinical manifestations of intestinal polyps are not very prominent, such as abdominal distension, abdominal mass, diarrhea and constipation. In most cases, patients will see a doctor because of bloody stool, discolored stool and bloody stool.

Larger polyps can cause intestinal symptoms. At this time, obvious symptoms will attract patients' attention and attention, such as the change of stool habits, the increase of stool frequency every day, the feeling of unclean stool, mucus and bloody stool found in stool, and abdominal pain and back pain.

What should the diet pay attention to after resection of intestinal polyps?

1. The patient should fast for a few days according to the doctor's advice. When the intestinal peristalsis recovers and the anus exhausts smoothly, you can eat some liquid food properly, then semi-liquid food, and then slowly eat less digestible residue food, which can relieve the intestine and is conducive to wound healing.

2. Eat some flour and rice for a period of time after operation, and try not to eat crude fiber foods such as celery, leek and cabbage.

3. Do not eat seafood and other hair products after the patient resumes eating after operation. The diet must be light and easy to digest, eat less greasy food, avoid stimulating food such as sour and spicy food, abstain from alcohol, keep a regular schedule, drink a glass of water before meals, and eat more alkaline foods, such as cabbage, kelp and onions, to improve the acidic physique.

Dr. x

Doctor of medicine, surgeon and father of three children.

The author of Learn to See a Doctor.

Bring you healthy dry goods and parenting tips with attitude and temperature ~

What should the diet pay attention to after resection of intestinal polyps? After resection of intestinal polyps, if the polyps are small, they will be taken out with biopsy forceps in the clinic. Generally speaking, it has little effect, mainly avoiding strenuous activities after operation, eating lightly and the wound will heal quickly. If polypectomy is frequent and the wound is large, short-term fasting may be needed. For example, fasting for 1-2 days, in the process of restoring diet after operation, it is generally recommended to gradually transition from liquid food to semi-liquid food, and it is recommended to eat some foods with low residue, because once gastrointestinal bleeding occurs, the wound surface will scab after colon polypectomy, causing bleeding or oozing, which will be more convenient to handle under colonoscopy. In addition, low-residue diet will produce relatively little feces, which has relatively little influence on the wound after colon polypectomy, and low-residue diet will also make feces relatively soft and have little influence on the wound. Therefore, after colon polypectomy, the diet should have a gradual recovery process.

Warmly remind that after colon polypectomy, the diet should have a gradual recovery process. If the resected polyp is very small, it is mainly to avoid strenuous exercise after operation, and the diet is relatively light, and the wound will heal quickly. However, if there are many polyps and large wounds, you need to fast for a short time, and then gradually transition from liquid food to semi-liquid food and eat some low-residue food.

It's not easy to fight by hand. If you think the writing is ok, you can enjoy it and pay attention to it. If you have any questions, you can leave a message in the comments section. Thank you for your support! Lifeway public health believes that after resection of intestinal polyps, the postoperative stage is mainly in accordance with doctor's advice. Different surgical methods should pay attention to different matters. Within 48 hours after operation, the patients who were resected under microscope should observe the changes of abdominal symptoms and signs and whether there is blood during defecation. There is no obvious abnormality, you can eat a whole liquid diet, eat less and eat more meals, and you can't overeat. If the intestine is partially removed by open surgery, people should fast, drink water, receive anti-infection treatment, intravenous infusion and get out of bed as soon as possible. After the anus is vented, the patient can eat, and after eating, he should also pay attention to the symptoms of the abdomen, change the medicine regularly, and remove the stitches.

After this operation, we should also pay attention to changing physique and bad habits, and pay attention to recurrence. Do not eat spicy food, do not eat greasy and sweet food, and exercise moderately. Be careful not to have constipation and diarrhea.

Last September, 14, my younger brother was hospitalized and underwent endoscopic resection of colon polyps, and 9 were cut.

14 was admitted to the hospital on an empty stomach in the morning. Colonoscopy was performed on the same day to remove polyps. At 4 o'clock in the afternoon, in the extra endoscopy room, the doctor prescribed some nutritional drugs, and intravenous infusion was given two hours later. After 2 hours, you can drink warm water several times. After 6 hours, you can eat liquid, millet porridge, protein powder and so on. 15 was discharged early in the morning and went home for a week. The first three days were mainly liquid diet, and the stool was carefully observed. In the last three days, I ate a semi-liquid diet and some rotten noodles and egg custard. I changed my normal diet on the last day, but eat slowly! !

We are all well up to now, I hope it has reference value for you!

Clinically, intestinal polyp is a common disease. The older you get, the higher the incidence. Most intestinal polyps can be cured by endoscopic resection, and some intestinal polyps may become cancerous and need laparoscopic resection. However, regular colonoscopy can find and remove intestinal polyps early, which can effectively avoid their canceration.

First, what should I pay attention to after resection of intestinal polyps? Generally speaking, endoscopists will make a preliminary judgment according to the size, quantity and shape of polyps to see whether they are directly clamped or selectively removed. At the same time, he will also tell patients whether they need to be hospitalized, whether to fast, eat liquid food for a few and a half days, and some possible discomfort. , as directed by the doctor.

Doctors and nurses should care carefully and follow the doctor's advice during the hospitalization of intestinal polypectomy. If you have abdominal pain, bloating and other discomfort, you should inform the nurse or doctor in time. The diet after discharge can refer to the following points.

1, mainly digestible and soft semi-liquid foods, such as millet porridge, noodles and tofu. It is beneficial to the recovery of intestinal mucosal wounds, and then you can resume general eating. The specific time to resume general eating should be in accordance with the doctor's advice, because the size of intestinal polyps is different and the wounds are different.

2. Pork porridge and vegetable porridge can be made properly to ensure a balanced nutritional intake, which is beneficial to patients' physical recovery and can also supplement foods with high protein content.

3, avoid eating greasy, spicy, cold, smoked, contaminated food.

It is best to give up smoking and drinking.

5. Properly control the intake of celery and other foods rich in crude fiber, so as to avoid bleeding from rubbing wounds or causing obstruction.

6. Eat regularly on time, eat less and eat more, chew slowly, drink plenty of water, and keep regular defecation.

Of course, in addition to diet, other precautions are as follows.

After 1 and 1 month, strenuous exercise or heavy physical labor is not recommended to avoid wound bleeding.

2, keep a good mood, so as not to induce bleeding and perforation.

3, for patients taking anticoagulant drugs, should be stopped before and after the doctor's advice.

4. If there is bloody stool, abdominal pain and fever, it is recommended to see a doctor in time.

5, regular review, specific review time in accordance with the doctor's advice.

Second, from what aspects can we reduce the risk of intestinal polyps? Because the pathogenesis of intestinal polyps is not clear for the time being, it may be related to diet, heredity, inflammatory stimulation, fecal foreign body stimulation, mental depression and so on. Therefore, there is no specific prevention method, so we can only do colonoscopy regularly as soon as possible and find it early.

Intestinal polyps are mostly asymptomatic. Only when the polyps are large and numerous, or when they become cancerous, will there be symptoms such as bloody stool, bloody mucus, diarrhea and constipation, polyp prolapse from anus, anemia and intestinal obstruction. However, it is easy to be misdiagnosed as hemorrhoids and delay treatment.

Generally speaking, if the above two symptoms occur, or bloody stool occurs repeatedly, it is recommended to see a doctor for finger examination and colonoscopy, especially for people with family history of intestinal cancer, intestinal polyp and chronic enteritis. , need regular colonoscopy monitoring.

Of course, for the general population, the following measures can be taken to reduce the risk of intestinal polyps.

1, it is best to quit smoking and drinking, exercise properly, don't sit still, control your weight and avoid obesity.

2, to develop good living habits, avoid staying up late, to work and rest, do not overwork, so as not to reduce the body's resistance.

3, need a balanced, reasonable and nutritious diet, don't always eat fast food, fried, smoked and baked, processed and pickled, spicy and irritating, too cold, expired and deteriorated food.

4, appropriate intake of some crude fiber food, drink plenty of water, and maintain normal and regular defecation.

5. Keep a cheerful mood, avoid excessive anxiety, worry, depression and tension, go out for a walk more, communicate with family and friends more, and learn to relieve stress.

6. If there is any abnormal discomfort, seek medical attention in time, and then treat it after it is clear.