Clinically, it is common to see patients with anal falling sensation as the main complaint. Some patients not only feel a falling sensation in the anus, but sometimes even have a falling sensation in the perineum and lower abdomen. Some people may experience anal bulging sensation when standing or sitting, and the symptoms disappear when lying down. Some patients even suffer from insomnia, anxiety, restlessness due to the feeling of falling anus, which seriously affects work and life.
Why is there a feeling of falling?
Do I need medical treatment?
What treatments are there to eliminate this nasty symptom?
Today, I will take everyone to understand what anal drop is all about.
This article is about 1200 words in total, and the estimated reading time is 5 minutes
Internal Hemorrhoid 01
When the internal hemorrhoids are heavy, the anus may fall due to local inflammation and edema of the mucous membrane, or when the prolapsed internal hemorrhoids cannot be absorbed, a sudden strong fall may occur.
Anal falling sensation caused by internal hemorrhoids often has mild symptoms and corresponds to the onset of hemorrhoids. In this case, after medication or surgery for hemorrhoids, the feeling of falling anus disappears.
Rectal mucosal prolapse
Relaxation of the rectal mucosa and accumulation in the rectum and anal canal can cause anal swelling or incomplete defecation. It is common in the elderly and those with long-term constipation. In severe cases, full-thickness rectal prolapse occurs, that is, "prolapse". The falling sensation caused by this situation is usually accompanied by prolapse of anal mass and difficulty in defecation. The diagnosis can be confirmed after anoscopy and angiography.
Congestion, edema, or even erosion of the rectal mucosa can stimulate local symptoms such as anal sinking sensation and increased bowel movements. Generally, the course of the disease is long, recurrent, and the severity of the disease varies.
Colonoscopy can show congestion of the intestinal mucosa, unclear blood vessel texture, and obvious inflammation in the lesion area. Suppository or drug enema treatment is feasible. After the local inflammation is controlled, the feeling of falling will be significantly reduced or disappeared.
The condition of rectal cancer is relatively hidden, and it is difficult to detect in time in the early stage. Due to the gradual enlargement of the tumor, patients in the late stage of cancer will have anal drop, increase the number of bowel movements, feel incomplete defecation, and narrow the shape of stool. Be vigilant and check in time.
The anal sinus is a pocket-shaped pit with an upward opening formed between the anal valve and two adjacent lower rectal columns. There is often fecal accumulation, which is prone to bacterial infection and inflammation. Anal cryptitis causes anal fall The most common cause of sensation, further development can form perianal abscess. Anal swelling caused by anal sinusitis is usually accompanied by pain, itching, or increased anal secretions at the anal mouth, and requires timely medical treatment and symptomatic treatment.
Prolonged non-defecation causes a large amount of feces to accumulate in the lower part of the sigmoid colon, compressing the intestinal cavity, resulting in anal falling feeling, lower abdomen or anal pain, etc. When fecal retention occurs, green fishy fecal water may be discharged from the patient’s anal orifice. At this time, emergency enema Or maneuver assisted defecation to avoid intestinal obstruction and critical symptoms.
The feeling of falling anus caused by this condition is the most difficult to cure, but it is also the most painful. The so-called neurosis means that the patient has no obvious organic disease through examination, or the disease is mild and does not match the patient's description. Patients usually have self-awareness of the disease, obvious pain and a strong desire for treatment. Patients with a longer course of illness will cause depression or aggravate their original anxiety due to this kind of accompanying falling feeling, and thus pay more attention to their "location of disease", which creates a vicious circle.
For this kind of functional disease, there is no exact clinical diagnosis and treatment plan. It usually needs to combine the patient's accompanying symptom comprehensive treatment, warm water sitz bath, local nerve stimulation, functional exercise, etc., multi-pronged approach can be effective. The most commonly used treatment methods are mainly to help restore the coordinated movement of the pelvic floor muscles, and at the same time cooperate with antidepressants and psychological counseling to relieve or reduce the anxiety of patients.
It should be noted that the influence of mental factors on the body is often beyond our cognition. The patient must first have a positive treatment attitude. Don't be stubborn and relax, understand that this disease is difficult to treat but not terrible, and don't overweight yourself. The burden of thinking can achieve a multiplier effect in the treatment process.