Heilongjiang patient QuXX asked l: Anal neuralgia. Sometimes the anus bounces uninterruptedly, and now it is getting heavier. Every night I can feel uncomfortable and walk around in circles to ease the pain. How should this disease be treated, I eagerly hope that people of insight can help.
Anal neuralgia, also known as anal neurosis, is a functional anal neurological disease whose etiology is unknown. This disease is mild and generally manifests local paroxysmal pain and throbbing pain. Anal fall is uncomfortable. Mild pain in the anus, etc. But some patients have severe pain symptoms. Recently, I have treated a very serious case of anal neuralgia. The patient is a 43-year-old female. The complaint has developed into long-term pain since the obvious pain in the anus during the first month of August last year, accompanied by fear of cold and wind. It takes long-term pain relief to relieve the pain. The tongue is pale, dark, and the fur is white and greasy; I have been to many hospitals for examinations such as sacrococcygeal magnetic resonance, colonoscopy, etc., and there is no abnormality. Exclude rectal cancer and lumbosacral tumor diseases. The patient had hemorrhoids, the local doctor suggested that the anal pain may disappear after hemorrhoids. As a result, he had hemorrhoids and the pain remained. The patient came to see me from another city two weeks ago. The patient had a painful face. His complexion was pale and painful, he had cold sweat on his head, unable to stand, and squatted underground. Check the patient to answer the right questions. The neuropathological reflex was not abnormal. Anorectal examination showed no abnormalities. The person who was sick was indeed very suffering. At that time, I had to temporarily prescribe a tramadol capsule for oral analgesia before continuing the examination. According to examination and Chinese medicine syndrome differentiation. At that time, the patient was diagnosed with anal neurological signs (anal neuralgia). In TCM, the liver channel is weak and cold, and blood stasis is painful. After invigorating qi and activating blood circulation, warming menstruation and dispelling cold, Tongmai analgesic and nutrient-nervous western medicine for 7 days (without taking any pain-relieving western medicine before the medication period), the pain in the anus disappeared completely, and it looked like an ordinary person. The joy is beyond words. After a period of treatment. The patient's anal pain has long since disappeared.