2021年1月26日星期二

hemorrhoids and anal fissures,Talk about anal pain

    Anal pain, tearing, cutting, falling pain, burning pain, distending pain, cramping pain. Pain during defecation, persistent pain, and intermittent pain are the tastes, and only those who experience it can experience it.

    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 injury and inflammation that cause spasm of the reflex levator ani muscle and anal sphincter. Coupled with psychological fear and tension, the anal sphincter continues to contract, and the pain does not stop.

    1 Anal pain caused by anal fissure is the most common

    Acute anal fissures are only painful during defecation, tearing or splitting.

    Periodic pain of old anal fissure, pain during defecation, and then relieved. After half an hour, pain and cramping began to last for more than 6 hours. Accompanied by bright red blood, constipation and other symptoms.

    2 Secondly, hemorrhoids cause anal pain

    Internal hemorrhoids are incarcerated, swelling, painful, and burning. It usually occurs in the third and fourth stages of internal hemorrhoids. The internal hemorrhoids are prolapsed, and the mucous membrane is damaged, bleeding, and necrosis.

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

    Inflammatory external hemorrhoids, falling swelling, burning pain, localized lumps around the anus, hard texture, obvious tenderness. Often due to fatigue, anal fissure or surgical stimulation.

    3 Perianal infection-paraanal abscess and anal fistula anal pain

    Anal crypt infection, inflammation spreading to the surrounding, initial itching pain, swelling pain, falling pain, and chicken pecking pain during suppuration.

    Perianal subcutaneous abscess and sciatic rectal fossa abscess are low abscesses with lumps on the body surface, red, swelling and heat pain; high abscesses such as pelvic rectal fossa abscess, retrorectal space abscess, etc., are 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, the external opening of the anal fistula will become inflamed, swelling and painful, or perianal abscess will occur after re-infection.

    4Anal sinusitis causes anal pain

    The inflamed anal sinus causes slight pain, burning, and swelling in the anus. If the sphincter muscle is stimulated and contracted, the pain is aggravated and radiates 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 recurs and has psychological changes.

    5 Anal Neurosis

    Mental trauma or misleading or previous local pain stimulation can lead to cerebral cortex dysfunction, autonomic dysfunction, local nerve dysfunction, and anorectal paresthesia. The anal symptoms are bizarre, telling the feeling of wind blowing, insects crawling, foreign body sensation, etc. The specialist examination showed no abnormal signs. Symptoms change and aggravate with mood swings.

    6 Functional anorectal pain

    Chronic functional anorectal pain is often fuzzy and dull, electric shock-like, or increased rectal pressure, which is aggravated when sitting and lying for a long time, lasting several hours to several days. Chronic or recurrent attacks.

    Spastic anorectal pain, sudden severe pain in the anal area, lasts for a few seconds or minutes, and then disappears completely. It usually occurs in the middle of the night, and the attack time is irregular.

    7 Anal foreign body injury pain

    Persistent pain, residual foreign body from trauma, or improper diet, caused by inserting fish bones, bone fragments, fruit pits, etc. in the anorectal canal, remove the foreign body, and relieve the pain. If the residence time is too long, it will cause local infection.

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

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

    Anorectal cancer is swollen and painless in the early stage. After the swelling enlarges and ulcers, anal swelling, dull pain, changes in bowel habits, pus and blood in the stool, abdominal distension, abdominal pain, weight loss, etc. occur.

    There are other diseases, such as gynecological diseases, prostate diseases, presacral cysts, etc. may also cause anal pain.

    Anal pain has a great impact. It can cause defecation disorders due to painful stimulation or fear of pain, persistent pain, cramping pain, dysuria, urinary retention, and pelvic floor dysfunction. Do not go to the doctor or consult a doctor for reasons of privacy and other reasons to delay your illness. Severe long-term pain can even lead to psychological disorders.

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

没有评论:

发表评论

hemorrhoids ligation,Irritating anorectal swelling

    Irritating anorectal swelling     Anal bulging is different from anal pain. In the mild cases, local fullness and falling, and severe c...