I was admitted to a patient in the afternoon and he was hesitant to describe his condition, looking very embarrassed.
For the past two weeks, his underwear has been stained with viscous liquid, and he felt it came out of his anus. He took a photo and saw a small hole near the anus, which made him wonder, "Doctor, what could be the reason for this, why is there a small hole in the anus?"
Specialist examination showed that there was a needle-eye ulcer at a distance of 1cm from the edge of his anus. The ulcer led to the anus and touched the subcutaneous hard cord into the anus. The contraction force of the anal sphincter was slightly weaker on the digital examination. The rectum was seen under anoscope Dilute watery stool remains.
Continue to inquire about the medical history. He usually eats spicy food, has blood in the stool and pain during the stool after drinking, and has irregular stools. This symptom repeated for a long time. He thought he had internal hemorrhoids and didn't care much. Two weeks ago, there was bright red blood during defecation and pain in the anus during defecation. After that, the wet secretions around the anus were contaminated and the underwear was contaminated.
There are several situations of fluid flow from the anus:
During 1.4, hemorrhoids prolapse outside the anus, and the mucous membrane is damaged and erosion.
2. Anal fistula, repeated swelling, pain and ulceration, pus in the anus or outside the anus.
3. Anal sinusitis, or proctitis, increased mucus in the intestine.
4. The anus is loose, the anus is not tightly closed, and the mucus or loose stools in the intestine increase.
5. Inflammatory bowel disease, mucus or loose stools in the rectum, or more undiluted stools.
6. Perianal eczema, broken, damp skin, and secretions on the skin surface.
7. Tumor related.
His problem, fluid outflow from the anus, stems from two reasons. One is an anal fistula. It can be judged that he has recurring anal fissures. This time anal fissure infection, subcutaneous anal fistula, chronic inflammation of the fistula, causing continuous purulent secretions. Overflow, the second is the intestinal dysfunction, more loose stools remain in the intestine, while the anus is slightly loose, loose stools and mucus flowing out of the anus.
Anal fistula, through surgical treatment, remove the small hole in the anus that will overflow and the fistula of the inflammatory tissue that leads to the anus; at the same time, a healthy and regular diet adjusts the disordered intestinal function to make the stool healthy, and then cooperate with the anal levator movement After functional exercise, biofeedback therapy or electrical stimulation therapy, the anal contractility is restored and strong, and there will be no more pus or fecal water in the anus.
Author: Anorectal Xingyun Li doctors