2021年11月3日星期三

Is the small flesh pimple at the anal door hemorrhoids or anal polyps?

The incidence rate of hemorrhoids is high in China, which is known as "ten men and nine hemorrhoids, ten women and ten hemorrhoids". Just because hemorrhoids are common, many people found small flesh lumps near the anus. Subconsciously, they thought they were hemorrhoids. In fact, small flesh lumps may also be anal polyps. So what's the difference between anal polyps and hemorrhoids?

Pathologically different

Hemorrhoids are the veins of anal eminence, which are grayish white, grayish black and dark.

Anal polyps are mostly inside the anal canal and rectum, from inside to outside the anus, and the color is red.

Difference in etiology

The main causes of hemorrhoids are habitual constipation, increased portal vein pressure, increased intra-abdominal pressure, etc.

Polyps are mainly caused by inflammatory stimulation, genetic factors and fecal stimulation.

Distinguish from symptoms

1. Bloody stool

Painless hematochezia is the main clinical manifestation of anal polyps. Some patients can have no symptoms of hematochezia all the time. The amount of bleeding is generally less. If the polyp falls off due to extrusion during defecation, the polyp volume is large and the position is low, more bleeding can occur. Blood in the stool is characterized by blood in the stool without blood dripping.

2. Prolapse

When the anal polyps are large or large in number, the intestinal mucosa is pulled by gravity to gradually separate from the muscular layer and prolapse downward. The patient's defecation traction and intestinal peristalsis stimulation can relax the mucosal layer around the pedicle, which can be complicated with rectal prolapse.

3. Intestinal irritation symptoms

When intestinal peristalsis pulls polyps, intestinal irritation symptoms can occur, such as abdominal discomfort, abdominal pain, diarrhea, purulent and bloody stool, internal urgency, etc.

1. Stool bleeding

Dripping blood, spitting blood or blood on the stool, the blood color is bright red, covering the surface of the stool, and the bleeding is generally not painful.

2. Anal pain

Anal burning pain, falling pain, severe pain, making people restless.

3. Meatball prolapse

There is tumor prolapse at the anal opening. In the early stage, it can automatically retract the anus after defecation, and in the later stage, it can be pushed back by hand.

4. Keep the anus clean; 5. Keep your lower body warm; 6. Avoid sitting and standing for a long time;

7. Often do anal lifting exercise; 8. Self massage; 9. Timely medication.

The symptoms and morphology of anal polyps are similar to hemorrhoids. If there are symptoms such as small anal polyps and meatballs, they should not be treated blindly as hemorrhoids. They should be checked and diagnosed in a regular hospital in time, and then treated symptomatically.

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