Intestinal transposition

　　Disease name. See 'Shi Yi De Xiao Fang'. When defecating, urine may flow out of the anus, and when urinating, fecal matter may be excreted from the urethra. 'Zhen Zhi Yao Jie · Da Xiao Fa Men': 'The disease of intestinal transposition, the stools and urine are easily displaced. It is because the Qi does not follow the old path, and the pure and impure are mixed. It is recommended to take five Ling Powder and Diao Qi Powder each one qian, add half a qian of Aconitum Kusnezoffii powder, take it with soup, or grind Huanlian Ejiao Pill into powder, add a little Musk powder, and then take it with decocted soup.' This disease is similar to rectal bladder fistula. It is recommended to repair it surgically.

　　This disease is consistent with the intestinal urethral fistula described in Western medicine and belongs to a congenital developmental malformation. It can cause ascending urinary tract infection, and patients may have symptoms such as fever, frequent urination, urgency, and burning urination of the urinary system. If the infection reaches the kidneys, symptoms of pyelonephritis such as high fever and back pain may occur. For children with low resistance, infection can directly enter the blood system, causing sepsis.

　　Unable to control the excretion of feces and gas autonomously, leading to frequent dampness in the perineum and feces staining clothes and pants. In complete incontinence, feces can be spontaneously discharged at any time; during coughing, walking, squatting, and sleeping, there is often feces and mucus flowing out from the anus. In incomplete incontinence, although dry stools can be controlled, loose stools cannot be controlled. It is only possible to prevent feces from flowing out when concentrating on controlling the anus.

　　The following foods not only provide the necessary nutrition for infants but also have a certain antidiarrheal effect:

　　1. Crispy Rice Soup:Grind rice flour or cream into powder, fry it to a crisp yellow color, add water and an appropriate amount of sugar, and boil it into a thin paste.

　　2. Carrot Soup:Carrots are alkaline foods, and the pectin they contain can help shape stools, adsorb pathogenic bacteria and toxins in the intestines, making them a good astringent and antibacterial food. The method of making carrot soup is as follows: wash the carrots, cut off the stems, cut into small pieces, cook until soft in water, then filter through a cloth to remove the residue, and then add water to make soup (with a ratio of 500 grams of carrots to 1000 milliliters of water), and finally add sugar and boil. Take 2 to 3 times a day, 100 to 150 milliliters each time, and stop taking it after the diarrhea improves.

　　3. Apple Puree:Apples are also alkaline foods, containing pectin and tannic acid, which have the effects of adsorption, contraction, and diarrhea. Take a fresh, soft apple, cut it in half, and scrape it into a paste with a spoon.

　　First, Local Examination

　　1. Visual Examination:Pay attention to the presence of fecal contamination, ulcers, eczema, skin scars, mucosal prolapse, anal dilation, and other conditions.

　　2. Digital Examination:Pay attention to the contraction force of the anal sphincter muscle and the tension of the anal-rectal ring.

　　3. Endoscopy:Observe the color of the rectal mucosa, whether there are ulcers, inflammation, hemorrhoids, tumors, stricture, anal fissure, etc.

　　Second, Laboratory Examinations

　　The function of the anal and rectal area has a complex mechanism of interaction among various different factors, including allowing defecation at any time and maintaining self-control ability. Therefore, a special examination can test one aspect of this mechanism, and clinical evaluation must be considered comprehensively based on various examination results.

　　The following foods not only provide the necessary nutrition for infants but also have a certain antidiarrheal effect:

　　1. Crispy Rice Soup:Grind rice flour or cream into powder, fry it to a crisp yellow color, add water and an appropriate amount of sugar, and boil it into a thin paste.

　　2. Carrot Soup:Carrots are alkaline foods, and the contained pectin can make stools formed, adsorb pathogenic bacteria and toxins in the intestines, and is a good antidiarrheal bacteriostatic food. The method of making carrot soup is as follows: wash the carrots, cut off the stems, cut into small pieces, cook until soft in water, filter the residue with gauze, then add water to make soup (in the proportion of 500 grams of carrots to 1000 milliliters of water), and finally boil the sugar to make it boil, take 2 to 3 times a day.

　　3. Apple Puree:Apples are also alkaline foods, containing pectin and tannic acid, which have the effects of adsorption, contraction, and diarrhea. Take a fresh, soft apple, cut it in half, and scrape it into a paste with a spoon.

　　This disease should be treated according to the cause of the disease, mainly through surgical repair first. For patients with a large range of lesions, multiple surgical repairs may be required. Antimicrobial treatment should be carried out before surgery, and continue with antimicrobial treatment for 2 weeks after the infection is controlled. For patients with urinary system infection, routine urinalysis should be reviewed after treatment to avoid the extension of infection.