Among the patients in the anorectal department, a large number of patients complain of anorectal swelling. There are many reasons for this symptom. A brief introduction to the diseases that cause anorectal swelling is now.
1. Prolapsed mixed hemorrhoids
This disease usually occurs for several years, the hemorrhoids are repeatedly congested, and the hemorrhoids feel swollen when it is not easy to return after prolapse. If there are a large number of blood clots in the hemorrhoids, the pain is severe, or there is tingling, tenderness and sensitivity, and blood clots can be seen under the skin near the tooth line; if there is a burning sensation, it means that there are ulcers on the surface of the hemorrhoids; and the hemorrhoids are mainly varicose venous plexus In other words, the bulge is relatively lighter.
2. Strangulated mixed hemorrhoids
The course of the disease is short, most of which are the first onset. Before onset of constipation, he was puzzled for a few days, struggling in the toilet, or carrying a long distance, and hemorrhoids were incarcerated and edema after prolapse. Tenderness is more sensitive than prolapsed mixed hemorrhoids, and can cause inconvenience, or cause spasm of the urethral sphincter and affect urination.
3. Rectal or anal sinus inflammation
Inflammation is also the main cause of anorectal swelling. The duration of the disease varies. Frequent bowel movements, increased swelling during defecation, or radiated to the sacrococcygeal soreness and swelling, or thin stools, or with a small amount of mucus and blood. During anal examination, if it is proctitis, it can be seen that the middle and lower rectum mucosa is loose, congested and edema, or there is a large amount of secretions attached, or there are ulcers or bleeding; if it is anal sinusitis, the diseased anal sinus orifice is congested, or there is A small amount of purulent secretions overflowed, and there was a sense of soreness when pressed.
4. Anorectal foreign body
Most foreign bodies are swallowed by mistake, and a few are inserted from the anus. Such as the broken lot of the pot brush, animal bones, hard masses of watermelon seeds and mud. Anorectal foreign bodies can also cause discomfort during falling, aggravation during defecation, or secretion due to foreign body infarction. If it is suspected to be a foreign body, you should perform a digital examination first during the specialist examination, with slow and light movements.
5. Anorectal cancer
Anorectal swelling often occurs in the middle and late stages of the disease. Accompanied by frequent bowel movements, tenesmus or pus and blood in the stool, weight loss, fatigue. Finger examination in the anal canal or rectum touches a hard mass, or tenderness, pus and blood on the finger cuff, and foul smell, tissue biopsy can help diagnosis.
6. Pour behind the uterus
In clinical practice, many middle-aged women go to the anorectal department for anorectal swelling. After a specialist examination, there are no hemorrhoids, inflammation, foreign bodies and other diseases, but the patient always feels that the anus is swollen and has frequent bowel movements. After gynecological examination, the uterus collapsed. And the degree of falling back is proportional to the severity of the fall. Symptoms can be relieved after calcining in the knee and chest position.
7. Non-gonococcal prostatitis
Anorectal swelling caused by this disease is not common in clinic, so it is easy to miss and misdiagnose. It is characterized by slow onset, long course, and history of unclean sexual intercourse. However, the symptoms are not obvious, especially those with no symptoms or mild symptoms of genitourinary system infection, often go directly to the anorectal department. The patient only felt swelling of the anus and rectum, frequent bowel movements, and no abnormalities in the specialist examination.
8. Anorectal neurosis
Patients with this disease often complain of anorectal swelling. However, there are many complicated symptoms, frequent medical visits, inconsistent complaints or swelling, numbness, or burning, or foreign body sensation, or severe pain. Each narration of illness is difficult to distinguish between primary and secondary, contradictory and emotionally unstable. After excluding organic disease, the disease can be initially diagnosed.