Anal disease is a common and frequently-occurring disease in humans. It is known as "ten people and nine hemorrhoids". However, due to the special location, most people avoid diseases and avoid doctors. When the anus sends out a danger signal, negligent, most often think it is hemorrhoids. Don't you know that there are still many diseases under the cover of hemorrhoids. If you abuse drugs, you will regret it if you delay the diagnosis and treatment. Now analyze the danger signals sent by the anus as follows to see if hemorrhoids are really committed or other diseases are causing trouble.
1. Blood in the stool
Patients with mild blood in the stool will be stained or dripping blood on the toilet paper, and in severe cases, it will be sprayed out. It can often be relieved after a few days or after medication. But every time it occurs due to constipation, drinking, or eating spicy food, long-term bleeding can lead to anemia and serious Affect physical health. Intermittent painless blood in the stool is a typical feature of hemorrhoids, but it may also be caused by rectal polyps. Rectal polyps are often the precursors of rectal cancer, and should be removed as soon as possible. In addition, pay attention to other potentially more dangerous blood in the stool. Don't mistake it for hemorrhoids. If there is blood in the stool with severe pain, it relieves slightly after the stool but worsens, and it can last for several hours. This may be an anal fissure at work, which may affect normal life in severe cases. Such as persistent or recurrent diarrhea, mucus, bloody stools, stale blood, abdominal pain or fever, weight loss, fatigue and other systemic symptoms may cause ulcerative colitis, which can lead to severe malnutrition for a long time. If there is blood or dark red blood in the stool, accompanied by changes in the shape of the stool, the note is thin or grooved, or accompanied by frequent stools, stools several to dozens of times a day, but each stool volume is very small or only a small amount of blood And mucus, it may be rectal cancer, if you think it is hemorrhoids, then you are wrong.
Anal pain is varied, and it doesn't seem to be as terrible as bleeding, but it's fatal. One situation is the aforementioned anal fissure. The pain has periodic characteristics. It is painful during defecation, relieves slightly after defecation, and then aggravates. It is mostly caused by dry stool, and conversely, because of pain, it is difficult to defecate, which makes dry stool worse. Form a vicious circle. Another situation may be caused by thrombotic or inflammatory external hemorrhoids or internal hemorrhoids prolapse and incarceration, which is different from the anal fissure, which is a sudden onset, obvious pain, persistent pain or tingling, and a bump on the anal margin. The last condition that is most likely to be misdiagnosed is perianal abscess. Superficial ones are accompanied by redness and swelling at the anal margin. Sometimes they are mistaken for fire boils or hemorrhoids. After a few days, they may ulcerate and discharge pus, often forming anal fistula, which does not heal . Deep perianal abscesses are not painful or have only discomfort due to swelling, and are often accompanied by fever of varying degrees. Sometimes they think that they are colds and abuse cold medicines. As a result, they may delay the disease and even cause sepsis, which increases the difficulty of treatment.
3. Draining pus or pus blood
If there is pus or blood from the anus, be careful. You may have an anal fistula. Some anal fistulas have no obvious abscess stage, that is, no obvious pain. Sometimes there are small boils around the anus that can be touched, and repeated ulceration is not good. Don’t be careless at this time. If it is an anal fistula, the recurrent fistula will become more and more complicated, which will increase the difficulty of treatment and increase the surgical trauma , Postoperative recovery time is prolonged.
The above-mentioned anal diseases recur and do not heal for a long time. The skin around the anus is often impregnated with various secretions, which may cause perianal eczema and itching intolerance. If the cause is not removed, it is difficult to cure. If the perianal itching is mainly at night, it cannot be ruled out whether you have pinworm disease. Pinworm is an intestinal parasite, white thread-like, no more than 1.5 cm in length. Females crawl out of the anus at night. Eggs, causing itching.
In short, if the anus sends out a danger signal, it means that there is a problem with the body, you must pay attention to it. Sometimes you did have hemorrhoids before, but other diseases can often develop secretly under the cover of hemorrhoids, so the most It is good to go to a specialist hospital for a comprehensive examination, and do not delay the condition, so as to avoid serious consequences and bring you lifelong regrets.
(Peng Lianming, Department of Anorectal, Ningbo Ninth Hospital)