Anal bulging is an uncomfortable symptom that occurs in the rectum, anus, and perineum. The main manifestations are: local falling, swelling and pain, foreign body sensation, stool, ant walking sensation, burning sensation. In severe cases, there are symptoms of radiation to the lumbosacral and lower limbs. The condition persists for a long time, often with psychiatric symptoms, such as anxiety, hypochondriasis, insomnia, and even thoughts of suicide. Anal bulging is not only a common symptom of many diseases in anorectal department, but also one of the common complications after anorectal disease. Next, let us understand the common causes of anal bulge.
Inflammation of internal hemorrhoids
Due to dry stool or other reasons, mucosal erosion, edema, bleeding, and massive thrombosis under the mucosa of the internal hemorrhoids can occur. In severe cases, it can protrude outside the anus. Patients often have a strong sense of anal drop, and patients with incarcerated hemorrhoids also experience severe pain.
If chronic colitis affects the rectum, anal fall sensation will generally have a longer course, recurring attacks, and varying degrees of disease.
Other inflammatory stimuli
Such as bacillary dysentery, various proctitis, early rectal submucosal abscess, etc. lead to increased rectal pressure; perianal diseases such as anal sinusitis, anal papillitis (that is, anal papillary hypertrophy and edema), external hemorrhoid edema and various perianal diseases after surgery Increasing the pressure of the anal canal caused by wound irritation, etc. will cause the anus to fall to varying degrees.
Various prolapsed disease stimulation
Such as repeated prolapse of internal hemorrhoids, incarceration of internal hemorrhoids (congestion caused by the inability to be absorbed after prolapse), rectal prolapse and other prolapsed objects repeatedly stimulate the anal canal and the end of the rectum, causing anal swelling.
Rectal cancer, prostate cancer, and rectal polyps, including rectal villous adenoma, stimulate baroreceptors at the end of the rectum, causing frequent bowel movements and anus dropping.
Anal stagnation and compression
For patients with long-term constipation or fecal impaction, the feces stimulate the anorectal baroreceptors and the feces cannot be smoothly resolved, which causes a feeling of anal bulging.
Diseases of adjacent organs of the rectum
Male prostate is adjacent to rectum and anus, prostatitis, prostatic hypertrophy, prostate nodules, etc. will all cause certain anal irritation; women with retroverted uterus, uterine fibroids, pelvic inflammatory disease, endometriosis, etc. will also appear to varying degrees Anorectal swelling.
Some patients may suffer from very mild diseases, but they pay attention to their condition all the time every day. They are even terrified and have difficulty falling asleep. Eventually they develop anal neurosis, leading to abnormal anal bulging.
Anorectal swelling can be preliminarily distinguished from the duration and degree of swelling. Such as internal hemorrhoids incarcerated, rectal tumors, anal foreign bodies, the swelling is continuous and has nothing to do with defecation. If the condition is light, the swelling will be light, and vice versa; if the internal hemorrhoids prolapse, rectal prolapse, the swelling will increase after the swelling, when the swelling is absorbed Intra-anal swelling is reduced; bacillary dysentery, proctitis, swelling accompanied by obvious increase in stool, irregular stool, or even pus and blood in the stool, etc.; internal hemorrhoid ligation, internal hemorrhoid injection, or other perianal surgery after swelling has obvious surgery History, that is, due to the stimulation of the wound after the operation, as the wound grows or the ligature falls off, the swelling will gradually decrease. If women have significant premenstrual swelling, they should consider the possibility of endometriosis, because the displaced endometrium is often located at the lowest point of the uterus and rectum (the place called Douglas’s fossa in medicine). When menstruation is coming, the area is obviously congested and causes swelling; if the anus swelling is accompanied by obvious groin soreness and nocturia, attention should be paid to exclude prostate disease.
In short, once anorectal swelling occurs for a period of time, it is recommended that you do not make your own claim, let alone ignore it. You should actively look for the cause, investigate the condition, and prevent the disease first.