Proctologist

Proctology – science which studies diseases of an anus, pararectal area and a large intestine. A proctology – very delicate and dynamically developing medicine industry.

The proctologist – the doctor who specializes in treatment and diagnosis of diseases of a crotch, an anus and a rectum. The number of specialists of this profession is small in spite of the fact that among all oncological diseases of a tumor of a large intestine win first place. Diseases of a large intestine the coloproctologist treats.

History of development of a proctology

Diseases which are studied by a modern proctology, interested also scientific ancient times. They in the fourteenth century were investigated B.C. by Hippocrates, about these diseases in the tenth or sixteenth centuries wrote in the works Ibn Xing. Since the beginning of the nineteenth century the proctology in practice was mastered by Solomon, Butkovsky, Karpinsky, Buyalsky, Velyaminov. By the beginning of the twentieth century about 500 research works on a proctology were published. Works of the scientist Fedorov who developed the first ректороманоскоп were especially distinguished from all scientific works. In a research of diseases Russia is obliged by much to Braytsev, Spasokukotsky, Holdin, Vishnevsky.

In 1835 for the first time in London the educational institution which trained specialists for work in the field of medicine was open.

Reasons for survey of the proctologist

Proceeding from responses, patients usually address the proctologist at hemorrhoids, proctites, locks, a prolapse of the rectum, an itch in an anus, polyps and papillomas of an anus, a focal hyperplasia of sigmoid and direct guts, allocations from a rectum. But most often patients with hemorrhoids – the rectum disease connected with vasodilatation register in reception of the proctologist.

It is necessary to come to survey of the proctologist at emergence of sensations of discomfort, pain and itch, continuous or temporary difficulties at bowel emptying, allocations (purulent, mucous or bloody), palpation of consolidations and cones, an incontience a calla and gases, and also at false desires to defecation.

Routine inspection of the proctologist is necessary before any planned band operation. After operation the patient some time has to keep to a diet which can affect work of intestines, especially a rectum.

Judging by responses, patients most often address the proctologist 45 years as such most widespread diseases as hemorrhoids, cancer of intestines belong to age are more senior. These diseases almost do not occur at young patients.

Reception of the proctologist

Proceeding from responses, proctologists carry out reception, considering a sex and age of the patient. So, female patients are examined by the proctologist the woman, and men are accepted, as a rule, by the proctologist the man. Diseases of children the children's proctologist treats.

Specifics of specialty demand from the proctologist of extensive knowledge in many industries of medicine. He is obliged to be able to reveal the diseases relating to venereology, oncology, gynecology, to know urology, and also to be able to find psychological approach to each patient.

At the beginning of reception the proctologist in detail asks on symptoms, finds out genetic predisposition, studies records of other specialists in a medical card. Judging by responses, the proctologist quite often asks to tell in detail about preferences in food, a way of life of the patient.

During reception the proctologist inspects all departments of a large intestine for an exception of the malignant cancer new growths having similar symptomatology with other diseases. By results of inspection the doctor the proctologist sometimes directs the patient to other specialist for expansion of an overall picture of a disease.

Diagnosis of a disease usually lasts about an hour. The most part of this time is occupied by purgation and training of the patient. For diagnosis of diseases the doctor performs manual inspection, survey by means of the special medical device – an anoskop. Today rather big arsenal of the various diagnostic receptions allowing to conduct very exact research of diseases of intestines of the patient is at the disposal of the doctor of the proctologist. If necessary he can appoint in addition a kolonoskopiya, a rektoromanoskopiya, an irrigoskopiya, a biopsy mucous intestines, a koprologichesky research, DNA - diagnosis, a research of motive and secretory functions, laboratory analyses.

On the basis of the obtained data the doctor establishes the diagnosis and chooses the most effective treatment planning. Medicines are selected individually. Surgical intervention or a vacuum alloying (pulling) by rings from latex of internal nodes and removal of outside nodes by means of the radio wave device is sometimes appointed.