2020年12月30日星期三

hemorrhoids and anal fissures,Several possibilities and countermeasures for acute anal pain!

    Anal tear-like pain after defecation + blood in the stool

    Anal fissure

    distinguish

    A typical anal fissure is an unbearable pain, which usually occurs during or after the bowel movement, such as a knife cut or a 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.

    response

    At present, the treatment of anal fissure is mainly medical treatment and surgical treatment. For medical treatment, I recommend external application of nitroglycerin ointment, or use of suppositories such as compound carrageenate suppository and tannin suppository. In severe cases, surgery can also be used.

    Sudden pain + local swelling and hemorrhoids

    distinguish

    Hemorrhoids have no pain symptoms most of the time. Anal pain occurs during the onset of hemorrhoids. 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 they are blue-purple in appearance.

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

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

    response:

    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 generally treated by taking a bath with Qudu Decoction. You can also choose to take Maizhiling 2 tablets a day, 2 times a day, or choose peeling ligation for surgical treatment.

    Heartache + fever perianal abscess

    distinguish

    Heart-shaped pain that gradually worsens. Masses may be found near the anus. These masses will change from hard to soft as the disease progresses, and may also rupture and discharge pus. If it is accompanied by fever, it means that the condition is severe and wide.

    response:

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

    Pain + Fever + Fatigue Necrotizing Fasciitis

    distinguish

    Heart-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.

    response

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

    Sudden swelling and pain + lump + fever

    Acute onset of anal fistula

    distinguish

    There is a history of anal fistula, and the sudden swelling and pain intensifies. In addition to palpable cords, the swelling may also be palpable, with obvious tenderness, or accompanied by fever.

    response

    Anal fistula is actually the manifestation of severe perianal abscess. Similarly, only surgical methods such as incision or radical suture can be used to treat anal fistula.

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