2020年12月7日星期一

hemorrhoids and anal fissures,Anal pain is "what kind of pain"

    In a word, I’m familiar with it, "Toothache is not a disease, it hurts to kill people." Toothache can be spoken upright.

    Anal pain is extraordinary, but people who experience it can only suffer quietly. Things in this place are hard to come by.

    Anal pain, tearing, cutting, falling pain, burning pain, distending pain, cramping pain. Pain during defecation, persistent pain, and intermittent pain are all tastes. People who experience it only have a bitter smile.

    The perianal skin and the muscles around the anal canal are densely covered with somatic nerves such as the pudendal plexus and the caudal plexus, and the sensory response is very sensitive. Pain comes from two aspects, one is injury, inflammation or surgical trauma, and the other is spasm of the reflex levator ani muscle and anal sphincter after injury and inflammation, coupled with psychological fear and tension, the anal sphincter continues to contract, and the pain continues.

    Anal pain caused by anal fissures is the most common.

    Acute anal fissures are only painful during defecation. Old anal fissures are typically cyclical pain, pain during defecation, and then relieved. After half an hour, the pain and throbbing start to last for more than 6 hours. Anal fissure will be accompanied by bleeding, bright red, constipation and other symptoms.

    Secondly, hemorrhoids cause anal pain.

    Internal hemorrhoids incarcerated, mainly swelling and burning pain, usually occur in the third and fourth stages of internal hemorrhoids that usually prolapse, the internal hemorrhoids are prolapsed, and the mucosa is damaged, bleeding, and necrosis.

    Thrombotic external hemorrhoids, swelling or tingling, mild symptoms, foreign body sensation, usually due to straining of stool, perianal vein damage, blood clots clotting under the skin and forming thrombus, blue-purple round lumps appear in the anus.

    Inflammatory external hemorrhoids and edema, mainly swelling and burning pain, localized lumps on the anus edge, hard texture and obvious tenderness. Mostly due to fatigue, anal fissure or surgical stimulation.

    Perianal infection-paraanal abscess and anal fistula, causing anal pain.

    After the anal crypt is infected, the inflammation spreads to the surroundings, and the initial itching pain, swelling pain, falling pain, and chicken pecking pain during suppuration. The location of paraanal abscess, the size of the abscess, the pathogenic bacteria and the body's resistance are different, and the symptoms and signs are different. Perianal subcutaneous abscess and ischiorectal fossa abscess are low abscesses, with lumps on the body surface, red, swelling and heat pain; pelvic rectal fossa abscess, posterior rectal space abscess, etc. are high abscesses, manifested as rectal swelling, incomplete defecation, and obvious systemic symptoms , There is a high fever.

    In the late stage of abscess, most of the anal fistulas will form, and the anal fistula will have external swelling, pain and inflammation, or perianal abscess after reinfection.

    Anal pain caused by anal sinusitis.

    The inflamed anal sinus causes slight pain, burning, and swelling in the anus. If the sphincter is stimulated and contracted, the pain will increase, and it will radiate to the buttocks, the roots of the thighs, and the tailbone. Occasionally, a small amount of purulent or mucus secretion overflows the anus, which can cause discomfort such as perianal dampness and itching. Anal sinusitis has repeated symptoms and psychological changes occur, which affects recovery.

    Anal neurosis.

    Mental trauma may be misleading or local pain stimulation, leading to cerebral cortex dysfunction, autonomic dysfunction, local nerve dysfunction, and anorectal paresthesia. The anal symptoms are rather bizarre, telling the sensation of wind blowing, the sensation of insects crawling, the sensation of foreign body, etc. Specialist examination showed no abnormal positive signs. Symptoms change and worsen with mood swings.

    Functional anorectal pain.

    Chronic functional anorectal pain is usually vague and dull, electric shock-like, or increased pressure in the rectum, which is aggravated when sitting and lying for a long time, lasting several hours to several days. These pains are chronic or recurrent. There are also spastic anorectal pain, sudden severe pain in the anal area, lasting for a few seconds or minutes, and then disappear completely. It usually occurs in the middle of the night, and the time of the attack is uncertain and irregular.

    Anal foreign body injury is painful.

    This kind of pain is persistent, foreign body remaining in trauma, or improper diet, which is caused by inserting fish bones, bone fragments, fruit pits, etc. into the anorectal canal. If the foreign body is removed, the pain can be relieved. If the residence time is too long, it will cause local infection.

    Pain after anorectal surgery is generally about 10 days in the process of wound recovery.

    Inflammatory bowel disease can also cause anal discomfort, anal swelling, accompanied by increased stool frequency, mixed with mucus, and blood in the stool.

    Anorectal cancer is swollen and has no pain in the early stage. Later, the swelling enlarges and ruptures. There may be swelling, dull pain in the anus, changes in bowel habits, pus and blood in the stool, abdominal distension, abdominal pain, weight loss and other symptoms.

    Anal pain has a greater impact. It can cause defecation disorders due to painful stimulation or fear of pain, such as persistent pain, cramping pain, dysuria, urinary retention, and pelvic floor dysfunction, which affect the quality of life. Do not go to the doctor or consult a doctor for reasons of privacy and other reasons. Severe long-term pain can cause psychological disorders.

    If the anus is painful, first make a preliminary judgment for yourself, relax, and then actively seek medical treatment. After the doctor's diagnosis is confirmed, he will give treatment and recovery suggestions.

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