2016-03-11 Li Hui
The so-called "butt pain" is the medical "anal pain", which refers to pain in and around the anus. The severity of this kind of pain is different, the course of the disease is different, and the manifestation is also different, including bulging pain, throbbing pain, burning pain, knife-like pain, falling pain and so on. Don't underestimate the anal pain. In severe cases, it will affect the quality of life. Over time, it will cause mental anxiety and even movement disorders. Have you encountered this situation? This is a signal, which means you may have anorectal disease!
What causes the pain of "ass"? There are many factors. A variety of anal and rectal diseases can cause anal pain, such as anal fissure, anal sinusitis, thrombotic external hemorrhoids, paraanal abscess, mixed hemorrhoid incarceration, anorectal cancer, etc.
A real case I cured
Two years ago, a middle-aged patient found me admiringly. When I came to see the doctor, the patient told me that he had some unexplained pain in his anus recently. He went to a small clinic to see it. The doctor thought it was hemorrhoids and anal fissures. He suggested conservative treatment and prescribed different types of hemorrhoid creams and hemorrhoid suppositories. It took a while, but it didn't work.
I checked his medical records in detail, and most of the diagnoses above said "anal fissure, mixed hemorrhoids", but no further intra-anal digital examination was done due to anal pain. After repeated inquiries about the medical history, I found that this patient had pain in the anus during defecation, and felt discomfort or even pain in the anus when walking and lying in bed. So I decided to give him a detailed examination first. During this examination, I found that there was a hard mass about 6cm inside the anus, which was diagnosed as rectal cancer after pathological examination! Fortunately, it was discovered in time. It is an early stage of rectal cancer, and the cancer has not yet spread to other parts of the body. Surgical treatment was given promptly, and now the patient is recovering well.
Through this case, I want to tell everyone, don't take anal pain improperly, minor problems may hide big problems. Once anal pain occurs, you should see a doctor in time, check this morning, the diagnosis is clear, and then use a targeted program for treatment. Kill the disease in the cradle.
Once the ass hurts, it is best to treat it in time
The above case also tells us that to treat anal pain, we must first identify the cause, not to diagnose lightly and use drugs blindly. Otherwise, not only the pain cannot be relieved, but treatment may be delayed. Even if it is a benign disease, it is necessary to examine the cause and prescribe the right medicine. For example, for inflammatory external hemorrhoids, you can use anorectal lotion to take a local bath; for severe acute mixed hemorrhoids incarceration, surgery should be performed as soon as possible to prevent necrosis and bleeding; acute perianal abscesses should be given anti-inflammatory drugs and timely surgical treatment...
Ass pain "related" to defecation is caused by the following reasons
According to the relationship between the anatomy and physiology of the anorectum, the pain of anorectal diseases mostly occurs in the lower abdomen, perineum, anal margin and lower rectum. This means that anal pain is mostly related to anorectal diseases.
·Stool is too dry, causing anal fissure during defecation
If anal pain occurs periodically, usually during or after defecation, it is mainly paroxysmal burning pain or pain like a knife cut, and severe and long-lasting pain will still occur after defecation. This situation is mostly caused by anal fissure of. The main reason is dry stool, irritation of the anus, and expansion of old cracks.
Anal pain caused by this reason can often last for 10 minutes or even hours, and in severe cases, it will hurt for more than 24 hours. Due to individual differences, some patients even need to take orally or intramuscularly inject painkillers for relief. This condition is often accompanied by symptoms such as bleeding and constipation. Once it hurts, it makes people restless and restless, which is very painful.
·Inflammatory thrombotic external hemorrhoids
If there is a sudden pain during defecation, a purple-black round lump appears on the side of the anus edge, with a hard texture, a shiny lump with severe edema, and persistent pain, it may be an inflammatory thrombotic external hemorrhoid.
·Mixed hemorrhoid incarceration
If you have a history of internal hemorrhoids prolapse, the hemorrhoids cannot be retracted after defecation, causing local edema and persistent pain. The pain is mainly swelling and burning. This situation is mostly mixed hemorrhoid incarceration. In this case, it is recommended to return to hospital or surgical treatment as soon as possible, otherwise the surface mucosa is very easy to necrosis, hemorrhage, and even induce infection.
·Anal sinusitis irritation
If the anus is slightly painful and swollen during defecation, the pain will disappear naturally within a few minutes after defecation; sometimes the pain will radiate to the buttocks and thighs, accompanied by perianal dampness, itching and other discomfort symptoms. This condition is mostly caused by anal sinusitis.
Ass pain "unrelated" to defecation is caused by the following reasons!
If there is unexplained redness and swelling around the anus, accompanied by systemic symptoms such as fever; around the anus and in the anal canal, feeling swelling, throbbing pain, and getting worse; sometimes you can feel the swelling around the anus; some also fall Feeling... This condition is mostly caused by paraanal abscess. In the early stage, it is mainly painful. When the infection worsens and becomes pus, there will be persistent throbbing pain. In severe cases, it may even cause poor urination and high fever.
·Signs of rectal tumors
If the anus continues to swell, dull pain, the pain gradually worsens, and the number of stools increases, the stool has dark red blood stains or entrained pus and blood; the shape of the stool changes or the note becomes thinner, you should be alert! This may be a sign of rectal tumors. If you have the above symptoms, you must go to a regular hospital in time for diagnosis and treatment by a specialist.
·Anorectal neurosis before and after menopause
Before and after menopause, women occasionally experience unexplained pain or discomfort in the anus. This kind of pain is mostly related to emotions and will increase with emotional instability. In this case, there is no obvious positive signs in the anorectal area, which can be considered as anorectal neurosis. Most patients will have symptoms such as poor sleep, dizziness, irritability, or depression, which will gradually alleviate as the menopause improves.
·A foreign body in the anorectum causes pain
There are also a few anal pains caused by foreign bodies. For example, residual foreign body from trauma, or improper diet caused by fish bones, bone fragments, melon seed shells, etc. embedded in the anal canal and rectum. The most common symptom is sudden pain in the anus and worsening pain during bowel movements. If the foreign body stays for too long, it will cause local infection. So, again, go to a regular hospital as soon as possible. Ask an experienced specialist to check carefully and remove the foreign body. The pain will be relieved.