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A Case Report on an Elderly Patient with Acute Hematochezia and Anemia Improved by Treatment with Korean Medicine

한의약 치료를 통해 급성 혈변 및 빈혈이 개선된 노인 환자 1례에 대한 증례 보고

  • Chu, Hongmin (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Young-ung (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kim, Kwang-ho (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kim, Cheol-hyun (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Sang-kwan (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Sun, Kang-keyng (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
  • 추홍민 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이영웅 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 김광호 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 김철현 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이상관 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 성강경 (원광대학교 한의과대학 순환신경내과학교실)
  • Received : 2019.11.20
  • Accepted : 2019.12.27
  • Published : 2019.12.30

Abstract

Introduction: The aim of this study was to report the effect of Korean medicine treatments on an elderly patient with acute hematochezia and anemia Case presentation: An 81-year-old female with chronic multifocal middle cerebral artery infarction had symptoms of acute hematochezia and anemia. Method: The patient was treated with Korean medicine therapy. Results: Treatment with Korean medicine, including herbal medicine, significantly improved the patient's symptoms. After treatment, her hematochezia was improved and the results of a complete blood count (CBC) also improved. No side effects were observed during treatment. Conclusion: Korean medicine treatment can be considered an effective treatment for acute hematochezia and anemia in an elderly patient.

Keywords

References

  1. Lee SK. Acute lower gastrointestinal bleeding. Clin Endosc 2007;34(Suppl. 1):68-71.
  2. Oakland K, Chadwick G, Ease JE, Guy R, Humphries A, Jairath V, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut 2019;68(5):776-89. https://doi.org/10.1136/gutjnl-2018-317807
  3. Park JH, Ye BD, Lee JK, Yang DH, Yoon SM, Kim JH, et al. The Efficacy of Bedside Colonoscopy for Critically Ill Patients with Acute Lower Gastrointestinal Hemorrhage. Intest Res 2009;7(2):86-92.
  4. Kim HR, Kang HM, Chu MS, Lee KB, Nam KW, Lee GS, et al. Two Cases of Colon Polyp Bleeding With Massive Hematochezia in Elderly Patients. J Korean Geriatr Soc 2013;17(2):86-9. https://doi.org/10.4235/jkgs.2013.17.2.86
  5. Lee JG, Son DH, Lee YG, Lee KG. A case of Byeon-Hyeol. The Journal of the Korean Institute of Oriental Medical diagnostics 2000;4(2):124-9.
  6. Son DH, Jang IS. 1 case of watershed infarction following gastrointestinal hemorrhage. The Korean Journal of Joongpoong 2004;5(1):59-64.
  7. Choi DY, Lee SM, Nam DW, Shin SM. Editorial : Korean Translation of the CARE guidelines. Journal of Acupuncture Research 2015;32(4):1-9. https://doi.org/10.13045/acupunct.2015056
  8. Penninx BW, Guralnik JM, Onder G, Ferrucci L, Wallace RB, Pahor M. Anemia and decline in physical performance among older persons. Am J Med 2003;115(2):104-10. https://doi.org/10.1016/S0002-9343(03)00263-8
  9. Chaves PH, Carlson MC, Ferrucci L, Guralnik JM, Semba R, Fried LP. Association between mild anemia and executive function impairment in community-dwelling older women: the Women's Health and Aging Study II. J Am Geriatr Soc 2006;54(9):1429-35. https://doi.org/10.1111/j.1532-5415.2006.00863.x
  10. Statistics Korea(KOSTAT), 2010 statistics of Elderly. 2010.
  11. Lee HS, Lee SK, Seo JH, Kwack KK, Chung SJ, Lee KH, et al. Characteristics of Colorectal Cancer in Elderly Patients in Comparision with Younger Patients. Clin Endosc 2007;34(2):76-82.
  12. Peura DA, Lanza FL, Gastout CJ, Foutch PG. The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 1997;92(6):924-8.
  13. Toyoda H, Nakano S, Takeda I, Kumada T, Sugiyama K, Osada T, et al. Transcatheter arterial embolization for massive bleeding from duodenal ulcer not controlled by endoscopic hemostasis. Endoscopy 1995;27(4):304-7. https://doi.org/10.1055/s-2007-1005697
  14. Heo J. Jinjupyo. Donguibogam. Seoul: Bubinbooks;2009.
  15. Kang HG, Choi BT, Kim YH, Kang HS, Kim HD, Ko WS. The Anti-Inflammatory Effects of Takrisodok-eum in the Ong-Juh. J Korean Oriental Med 2000;21(1):45-52.
  16. Lee DH, Nam JS, Jung HS, Jang IS, Seo IS. Two Cases of Grade Four Pressure Ulcer Patients Treated with Pharmacopuncture Soyeom and Herbal Medicine Taklisodok-eum. J Korean Int Med 2010;31(2):388-94.
  17. Ju YS. Ungok herbology Jeonju: Woosuk Press;2013.
  18. Wilcox CM, Alexander LN, Cotsonis GA, Clark WS. Nonsteroidal antiinflammatory drugs are associated with both upper and lower gastrointestinal bleeding. Dig Dis Sci 1997;42(5):990-7. https://doi.org/10.1023/A:1018832902287
  19. Nakajima H, Takami H, Yamagata K, Kariya K, Tamai Y, Nara H. Aspirin effects on colonic mucosal bleeding: implications for colonic biopsy and polypectomy. Dis Colon Rectum 1997;40(12):1484-8. https://doi.org/10.1007/BF02070716