Military Central Hospital 108 received and treated a 36-year-old female patient in a state of severe exhaustion due to prolonged constipation and severe anal pain, the consequence of a misdiagnosis and incorrect treatment of hemorrhoids.
According to the medical record, the patient has a history of hemorrhoids for about 5 years, constipation lasting for more than a year. 5 months ago, the patient was treated with hemorrhoid injection at a private clinic. However, after intervention, the symptoms not only did not improve but also worsened significantly. In just 5 months, the woman lost up to 14kg, falling into a state of prolonged loss of appetite and sleep.
Sharing with the doctor, the patient said that for many years she has had to pee 3-4 times a day, often having to pee a lot, always feeling throbbing but not getting all the stools. The anal pain gradually increased over time, the most painful was when peeing to pee. In addition, the patient also showed signs of mild urinary incontinence every time she had to exert a lot of effort.
Due to believing in social media advertisements about the "3-no" hemorrhoid injection method: painless - no surgery - no hospitalization, the patient went to a private clinic for treatment. After the injection, the constipation became more severe, every time he or she urinated, he or she had severe pain, despite using many types of medicine, increasing green vegetables, and drinking plenty of water, the disease did not improve.
When coming for examination at Central Military Hospital 108, the patient was prescribed by doctors of the Department of Abdominal - Rectal Surgery to perform in-depth tests, including defecography MRI (Defecography MRI) to comprehensively assess pelvic floor function and bladder mechanism.
The results showed that the patient not only had simple hemorrhoids but also had many complex combined pathologies, including: constipation due to pre-rectal sagging type III; mixed hemorrhoids type IV; chronic anal fissure 5 months after hemorrhoid injection; accompanied by mild urinary incontinence.
After a specialist consultation, the doctors decided to perform Starr reconstruction surgery to treat constipation due to rectal prolapse, and at the same time remove hemorrhoids, remove chronic inflammatory fissures and treat internal medicine combined with pelvic floor physical therapy for urinary incontinence.
Only one week after surgery, the patient was no longer constipated, had easy bowel movements, no more anal pain and was discharged from the hospital in stable health.
Major, Master, Doctor Le Van Quoc - Department of Abdominal - Rectal Surgery, Central Military Hospital 108 - said: This is a typical case of a misdiagnosis leading to serious consequences. The main disease is constipation due to missed pocket-style rectal prolapse, and at the same time, it is not recognized to be an embossed discharge disorder and urinary incontinence due to effort. The abuse of hemorrhoid fiber injection while not being properly indicated has made the disease increasingly worse.
According to Dr. Quoc, not all cases of anal pain or constipation are caused by hemorrhoids. Injecting hemorrhoid cysts is not a solution for all patients and can cause complications if applied to the wrong subject. Constipation can originate from physical causes and is completely possible to be cured by surgery if diagnosed correctly.
Experts recommend that people be cautious of "winged" advertisements such as "no pain, no surgery, no hospitalization" on social networks. Examination at specialized medical facilities, especially the pelvic floor - rectal anal specialty, with a complete and comprehensive diagnosis, is a key factor in effectively treating and avoiding unfortunate prolonged consequences for patients.
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