There are more than a thousand anorectal hospitals in my country, and it is re -coincided with the "spicy food landscape"

Written article | Li Juan (Indicators at the Sixth Hospital of Sun Yat -sen University Affiliated to the Sixth Hospital) Yan Xiaoxiu

Source | "Medical Community" public account

There are many "paragraphs" in Sichuan and Chongqing, like a serial.

The previous episode was: "Eat the hottest hot pot."

The next episode is: "The best anorectal hospital."

As of the middle of August this year, there were more than a thousand anorectal hospitals in my country. Sichuan ranked first with 133 absolute advantages, almost doubled in Hunan.

This echoed a legend of the rivers and lakes: "Without a chrysanthemum, you can walk out of Sichuan and Chongqing alive."

Pictures from the Internet

However, clinicians need to speak with epidemiological data: the number of anorectal hospitals does not mean the incidence rate.

The Anorectal Branch of the Chinese Academy of Chinese Medicine has done "Survey of the Popularity of Common Anorectal Diseases in Chinese Adults". This is considered to be the most widely surveyed and largest amount after the founding of New China.

The results show that the top five of the "disease rate of adult hemorrhoids" are Hunan, Guangdong, Qinghai, Guizhou and Heilongjiang. The spicy Sichuan -Chongqing area is even behind Zhejiang with a light diet.

If the regional range is expanded, the differences or more obvious. In 2017, "Symptoms and Distribution of Common Anorectal Diseases in Residents in my country" showed that the incidence of symptoms of anorectal disease in South China was 51.69%, which was far higher than 37.37%of the Southwest region.

This is different from the old saying "eat more spicy and easy hemorrhoids"?

How to cast "Steel chrysanthemum"?

In response to the problem of "spicy food to cause hemorrhoids", the most anti -party citation was a foreign study in 2006.

50 patients with hemorrhoids were randomly divided into two groups. During lunch, a set of capsules with 10 mg of red pepper will be swallowed with meals. The other group eats a placebo capsule.

Two days later, the hemorrhoid friends who ate "ingredient capsules" did not report hemorrhoids.

Although the research sample volume and short time, due to the standards of satisfying forward -looking, random control, placebo group, cross -crossing, etc., the level of evidence is relatively high, and the number of references is considerable. The "Hemorrhoid Science" of the Meoo Clinic, the University of Chicago Medical College of the United States mentioned it.

The square believes that the BUG of this study is very obvious. For example, there is no relationship between dosage-effect, not easy to quantify, difficulty in food, and individual differences that have not considered the metabolism of capsaicin, and so on.

We feel spicy because of the capsules in the body being activated, producing burning sensation and pain. However, different people eat equal amounts of peppers, and their bodies have different responses to capsaicin. Affected by many factors, the first is "whether the peppercipinose receptor is sensitive."

Studies from Hungarian chemist Gábor Jancsó and his parents show that after repeated exposure stimulation of capsaicin, the nervous system will no longer respond to stimuli such as capsaicin. This is "the more spicy, the more you can eat".

The people of Chuan Guiyu have changed their flowers and land after they know that peppers can be put in vegetables. Pregnant mothers also have "taboos". Gradually, the local spicy chicken can have no chickens.

This also helps to understand that the anorectal hospital in the Sichuan -Chong Di and the restaurant as the neighbor. They obviously guard the "chrysanthemums" who are traveling and indulgence.

Eating spicy does not hurt chrysanthemum, but it will promote chrysanthemum

Since there is evidence support, can you say "eating spicy food and not hurting chrysanthemum"?

Not necessarily.

At present, the specific pathogenesis of hemorrhoids has not been completely clear. There are two kinds of mainstream doctrine: "vein song" and "anal pads".

The former believes that the formation of hemorrhoids is related to intravenous dilation and congestion. Sitting, constipation, pregnancy, etc. will continue to compress the blood vessels, affect the return of the rectal vein, and cause blood stasis, vascular dilation, etc., forming hemorrhoids.

The latter believes that anal pads are a layer of circular blood vessel pad under the anal canal mucosa, which is responsible for keeping the anus. During bowel movements, the anal pads are under pressure and pushed out, and they will shrink back after defecation. Affected by factors such as increased age, long squatting, constipation or diarrhea, the burden of anal pads is too heavy, which will distort, relax, lose elasticity, and cause congestion, move down, and get rid of it, thereby forming hemorrhoids.

Based on these two doctrines, hemorrhoids are the unbearable weight of the anus.

For "no hemorrhoids", "explosive chrysanthemums" caused by spicy food. Gastrointestinal tract accelerates peristalsis and promotes discharge. The higher the capsule content, the stronger the gastrointestinal motion, the less the contents of the contents, and the lower the absorption of moisture. At the anal at the anal, the pepper is still a demon, causing local congestion and edema. In the end, the content is either in a hot burning pain, spraying at a high speed, a thousand miles in the original state, high -speed, and a thousand miles; or it is obstructed at the mouth of the chrysanthemum.

But for "hemorrhoids", peppers are "the last straw that crushes the anus". Under the dual action of stress and stimuli, the original quiet hemorrhoids were active.

In 2018, the "Investigation and Research on the Risk of Risk of Earlier Diseases and Anorectal Diseases" in my country mentioned that spicy foods are difficult to digest and absorb in the digestive tract, and have a direct stimulating effect on the rectal mucosa, which can easily induce or aggravate anorectal diseases.

This kind of food is more terrible than peppers

It is also in the "Investigation and Research on the Risk of Earlier Diseases and Anorectal Diseases", clinicians discovered another "chrysanthemum food" that fiercely pepper: meat.

The result shows that high -frequency intake of cattle and sheep, dog meat and its products, chicken, ducks and goose and other poultry meat and its products, aquatic products and seafood survey, the anal campaign is removed, pain around the anus, anal swelling, anal flow, anal flow The risk of pus and blood in the stool increase. The "high frequency" mentioned here refers to eating meat at least 4 days a week.

Modern characters are good, and there are many people who are not separated from meat. The aforementioned survey pointed out that the prevalence of anorectal diseases is 14.5%higher than those who do not eat basically than those who do not eat basically.

The words "Survey of Common Anorectal Diseases in Chinese Urban Residents" summarize: No matter which kind of meat and their products, if a large and frequent intake, the prevalence of anorectal disease will be significantly increased.

Therefore, there are many anorectal hospitals in Sichuan and Chongqing, will it be because the spicy pot is too much meat, and then I will sit and rub the numbness for a day in the hometown.

Reference materials:

[1]Red hot chili pepper and hemorrhoids:the explosion of a myth:results of a prospective,randomized,placebo-controlled,crossover trial.Dis Colon Rectum.2006 Jul;49(7):1018-23.DOI:10.1007/ S10350-006-0532-3

[2] Conservative and Surgical Treatment of Haemorrhoids.nat Rev Gastroenterol Hepatol.2013 SEP; 10 (9): 513-21.Doi: 10.1038/NRGASTRO.2013.91

[3] Research on the risk of the risk of malignant tumors of lip, oral and pharynx in Chinese adults. j.cn112338-20210616-00475

[4] Survey of epidemiological epidemiography in Chinese urban residents. China Public Health. 2016,32 (10): 1293-1296

[5] Number of anorectal hospitals match spicy food? Expert: Pepper is just a disease -induced factor. Health Times

[6] A survey and relevant factors of adults in the northwest of my country and analysis of related factors. Practical prevention medicine. 2017, VOL.24, Issue (3): 333-337.Doi: 10.3969/J.ISSN.1006-3110.2017. 03.021

[7] Investigation and research on the risk of adult eating habits and anorectal diseases. China General Medicine. 2018,21 (8): 975-980

[8] Investigation and research on the risk of adult dietary habits and anorectal diseases related to the symptoms of anorectal diseases. China General Medicine. 2018, VOL.21.ISSUE (8): 975-980.DOI: 10.3969/J.ISSN.1007-9572.2018. 08.019

Guide expert: Professor Ren Donglin (Director of Anorectal Surgery, Sixth Hospital Affiliated to Sun Yat -sen University)

Source: Medical Community

School pair: Zang Hengjia

Responsible editor: Wan Shunshun

- END -