2020年12月8日星期二

hemorrhoids zinc oxide,Lecture 53: Disturbing anorectal swelling

    Anal bulging is different from anal pain. In mild cases, local fullness and falling, and severe cases are tense and heavy, frequent squatting in the toilet, and heavy falling after going to the toilet. It is very painful and clinically not uncommon. From my experience, sag is related to many perianal and rectal diseases, such as inflammatory irritation, swelling irritation, increased anorectal pressure, female gynecological diseases, male prostate diseases, etc., which can cause different degrees of sag, which requires careful clinical identification.

    ①A variety of inflammatory irritation: 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 Increasing the pressure of the anal canal caused by wound stimulation after a variety of perianal diseases can all cause different degrees of anal drop.

    ② Tumor irritation: For example, rectal cancer, prostate cancer, rectal polyps, including rectal villous papilloma, etc. pressure stimulate baroreceptors at the end of the rectum, causing frequent bowel movements.

    ③Intra-anal stagnation and compression: For patients with long-term constipation or fecal impaction, the feces can not be smoothly resolved because the stool stimulates the anorectal baroreceptors.

    ④Stimulation of various prolapsed diseases: such as repeated prolapse of internal hemorrhoids, internal hemorrhoids incarceration (congestion caused by the inability to absorb after prolapse), rectal prolapse and other prolapsed objects repeatedly stimulate the anal canal and the end of the rectum.

    ⑤The male prostate is adjacent to the rectum and anus. Prostatitis, prostatic hypertrophy, prostate nodules, etc. will all cause certain anal irritation; in women, retroverted uterus, uterine fibroids, pelvic inflammatory disease, endometriosis, etc. will also appear to varying degrees Anorectal swelling. In addition, some people may suffer from very mild diseases, but they are always paying attention to their own condition 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 The swelling in the anus is reduced; bacillary dysentery and proctitis are accompanied by significant increase in stools, irregular stools, or even pus and blood in the stool; deep perianal abscesses do not compress anal nerves, so anal pain is not obvious. However, there are often high fever and chills with swelling, and even difficulty in urination and unresolved stools; swelling after ligation of internal hemorrhoids, injection of internal hemorrhoids, or other perianal surgery has a significant history of surgery, that is, caused by the stimulation of the wound after the operation. As the wound grows or the ligature falls off, the swelling will gradually decrease. If there is significant bulging in the premenstrual period, the possibility of endometriosis should be considered, because the displaced endometrium is often located at the lowest point of the uterus and rectum (the place called daoglas 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 treat the disease as early as possible.

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