"Anal pain" means "anal pain" and "hemorrhoids" means "hemorrhoids". Don't be confused...
"Anal pain" is a symptom common to many anorectal diseases. Inflammatory external hemorrhoids, thrombotic external hemorrhoids, and internal hemorrhoid incarceration can cause anal pain. Anal fissure, anal sinusitis, perianal abscess, acute anal fistula, and foreign body injury can also cause anal pain. Some patients, especially "old hemorrhoid patients", often "confident" hemorrhoid medicine when they feel pain in the anus. 99 times of good luck are "hemorrhoids" and the medicine works; if there is one bad luck, it is not "hemorrhoids" , Then you can only "haha".
For example, the perianal abscess is mistaken for "hemorrhoids", and the more "hemorrhoid medicine" is used, the more serious it is; the foreign bodies such as fish bones, jujube nucleus, and bone fragments in the anus, the application of "hemorrhoid medicine" will not improve and so on. Not uncommon. Although the diagnosis of anorectal diseases should be based on the diagnosis and microscopic examination by specialists, "talking therapies" with patients through the Internet may not help you much in diagnosis and treatment, but here is a "self-diagnosis form" for you. Patients, to be honest, it is difficult to make a 100% accurate diagnosis without relevant examinations, but at least the choice of "smear hemorrhoid medicine or register for a visit" can give you a hint. Patients are welcome to check in:
Paroxysmal burning or knife-cutting pain, obvious during defecation, after the stool passes, the pain can be relieved for a period of time, and then there is no obvious cause to cause persistent pain; severe cases can last for several hours, often accompanied by blood stains on stool , Constipation and other symptoms. Cracks can be seen when the anus is broken.
It often occurs with diarrhea after eating spicy food or drinking alcohol, accompanied by burning sensation in the anus when diarrhea, burning pain in the anus after diarrhea, wiping the anus with toilet paper can palp small lumps very close to the anus, the lumps are soft, low tension, and relieved after washing with warm water . ————Inflammatory external hemorrhoids
It often occurs when you are struggling too hard during defecation, the main pain is swelling and pain, and there are blue and purple round hard nodules under the skin close to the extreme distance of the anus
————Thrombotic external hemorrhoids
It often occurs after sitting on hot stools, hot stones, drinking alcohol, or overeating spicy food. Pain is the main cause. Pain during defecation, sitting and walking is severe. The pain is like a chicken peck when pus is felt. It can be palpated around the anus and a lump. Tension, varying in size, redness and heat on the surface of the skin, and progressive pain. In patients with pus ulcers, the skin around the anus is ulcerated, pus flows out, or pus is discharged in the anus, causing anal dampness, and the pain and lump tension after discharge can be relieved. Severe cases are accompanied by fever and chills.
"Old patients with hemorrhoids" have repeated prolapse of internal hemorrhoids in the past, but after this prolapse, they can't receive it back, mainly due to swelling and burning.
———— Hemorrhoids incarceration
Panzhihua City Hospital of Integrated Traditional Chinese and Western Medicine Dr. He