2020年10月19日星期一

hemorrhoids and anal fissures,Anal pain self-examination

    Most anorectal diseases will show symptoms of anal pain, but there are still differences in the manifestations of anal pain in different diseases. Based on these different manifestations, we can initially determine what the disease is, and then treat it symptomatically.

    1. Anal tear-like pain after defecation + blood in stool: anal fissure

    Symptoms: A typical anal fissure is an unbearable pain, which usually occurs during or after the bowel movement, such as knife cutting or fire. It may last for tens of minutes in the mild cases, and may last from several hours to ten hours in the severe cases, and even last until the next bowel movement. In addition to pain, anal fissures are often accompanied by blood in the stool, bloody red, dripping, or stained toilet paper.

    Treatment: At present, the main treatment methods for anal fissure are drug treatment and surgical treatment. For drug treatment, I recommend external application of nitroglycerin ointment, or use of compound carrageenate suppositories, Taining suppositories and other suppositories. In severe cases, surgery can also be used.

    2. Sudden pain + local swelling: hemorrhoids

    Symptoms: Hemorrhoids have no pain symptoms for most of the time. Anal pain occurs during the onset. This pain is the heaviest at onset and lasts for 2-3 days, and then slowly relieves. Different types of hemorrhoids have different characteristics of pain and masses.

    Thrombotic external hemorrhoids: The swelling and pain are obvious, the local masses are hard, and sometimes the appearance is blue-purple.

    Inflammatory external hemorrhoids: localized lumps, hard, smooth, shiny, and tender.

    Internal hemorrhoids and mixed hemorrhoids incarceration: In the past, hemorrhoids prolapse every time after defecation, and incarceration means that the prolapse cannot be repaid. The lump is large, painful, and sometimes accompanied by bleeding.

    Treatment: Different hemorrhoids have different symptoms and different treatment methods. Edema external hemorrhoids and thrombotic external hemorrhoids are generally treated by oral administration of Maizhiling or external application of Ruyi Jinhuang ointment. If the condition is serious, dissection resection can be selected for surgical treatment.

    Incarceration of internal hemorrhoids is usually treated by taking a bath with Qudu Decoction. Orally, you can also choose to take 2 tablets a day, 2 times a day, or choose peeling ligation for surgical treatment.

    3. Heartache + fever: perianal abscess

    Symptoms: Heart-shaped pain, and gradually worsening, may find masses near the anus, these masses will develop from hard to soft with the development of the disease, and may also rupture and discharge pus. If it is accompanied by fever, it means that the condition is severe and wide.

    Treatment: There is no better way to treat perianal abscess than surgery. Generally, incision or radical suture is used to treat perianal abscess in clinic.

    4. Pain + fever + fatigue: necrotizing fasciitis

    Symptoms: piercing pain, gradually worsening, with fever, high white blood cells, slow swelling around the anus, and redness of the surrounding skin. The rapid development of the disease was also the cause of Xiao Qi's death.

    Treatment: Operate as soon as possible, and cooperate with the whole body to fight infection.

    5. Sudden swelling and pain + mass + fever: acute onset of anal fistula

    Symptoms: With a history of anal fistula, sudden swelling and pain aggravated, in addition to palpable cords, swelling can also be palpable, with obvious tenderness, or accompanied by fever.

    Treatment: Anal fistula is actually the later manifestation of perianal abscess, and it can only be cured by surgical methods such as incision or suture removal.

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