Anal foreign body sensation

Introduction

Introduction to anal foreign body sensation Anal foreign body sensation means that foreign bodies swallowed include ducts, chicken bones and fish bones, and gallstones or feces can stay at the junction of the anorectum. Acne, urinary calculi, vaginal rings or surgical sponges or instruments may erode into the rectum. Some strange or foreign objects related to sexual performance were artificially inserted and unconsciously incarcerated. Some substances are embedded in the rectal wall, and some foreign objects are embedded on the anal sphincter to give the anus a feeling. basic knowledge Sickness ratio: 0.1% Susceptible people: no specific population Mode of infection: non-infectious Complications: anemia, anal pruritus

Cause

Anal foreign body sensation

Anal canal (20%):

Anal canal inflammation is caused by long-term fecal stimulation and poor bowel habits. Repeated constipation or repeated diarrhea can cause inflammation of the anal canal. Due to the presence of inflammation, many patients have a patience phenomenon, so it is prone to anal foreign body sensation.

Acne (35%):

In clinical medicine, hemorrhoids are divided into three types: external hemorrhoids, internal hemorrhoids, and mixed hemorrhoids. The main symptoms of external hemorrhoids are anal swelling, pain, and foreign body sensation. In particular, the connective tissue type external hemorrhoids, the flaps at the edge of the anus are gradually enlarged, the texture is soft, generally no pain, no bleeding, only the anus has a foreign body sensation.

Rectal prolapse (10%):

When the anal canal and rectal mucosa in the intestinal lumen are relaxed, accumulation may occur due to the influence of gravity. When not out of the anus, the patient will have a noticeable anal pain. In addition, rectal prolapse can cause various inconveniences, such as difficulty in defecation and incontinence.

Perianal abscess (10%):

When the perianal abscess occurs under the skin, there will be a lump around the patient's anus. And the lump will make the anus feel like falling. When the tumor is purulent, the patient will experience severe pain.

Rectal mucosal relaxation (5%):

Relaxation of the rectal mucosa is also called rectal prolapse. According to the degree of development, it can be divided into stage I, stage II, and stage III. The symptoms are mainly difficulty in stool, anal fall, and foreign body sensation in the anus.

Anal papillary hypertrophy (5%):

Anal papillary hypertrophy is a benign disease, often manifested as a white papillary mass at the anal canal, which is hard and often multiple. Anal papillitis is mainly manifested by the feeling of foreign body in the anus. As the nipple hypertrophy, the nipple can come out of the anus when defecation. The small nipple can return to the anus by itself, and the large one needs to be pushed back into the anus by hand. If not reset in time, it can cause anal edema and pain.

Prevention

Anal foreign body sensation prevention

1. Be optimistic: Have a good attitude to cope with stress, work and rest, not excessive fatigue. Visible pressure is an important cause of cancer. Chinese medicine believes that stress leads to excessive physical weakness, which leads to decreased immune function, endocrine disorders, metabolic disorders in the body, leading to the deposition of acidic substances in the body. Stress can also lead to mental stress causing qi stagnation and blood stasis. Invagination and so on.

2, the law of life: life should be regular, people with irregular living habits, such as singing karaoke, playing mahjong, staying at night, and other life irregularities, will aggravate the body acidification, easy to suffer from intestinal polyps. You should develop good habits to maintain a weak alkaline constitution, make cells proliferate, and mutate disease away from yourself.

Complication

Anal foreign body complication Complications anemia anal pruritus

1, causing anemia: bleeding in or after defecation, bright red, sometimes a small amount of blood attached to the surface of the stool, or red paper, sometimes for blood or ejection. The varicose veins rupture due to the feces rubbing the mucosa or the excessive force exerted during defecation. Such as long-term repeated bleeding, or multiple times of massive bleeding, can also cause anemia.

2, anal pain: simple internal hemorrhoids, generally no pain, sometimes only feel anal swelling or difficulty in defecation. If the prolapse is not reset in time, the pain is aggravated; if incarceration occurs, there is ulceration and necrosis, causing inflammation and edema of the anal verge, and the pain is severe.

3, nucleus detachment: due to the increase in the volume of the nucleus, the stool is squeezed by the feces during the defecation, so that it gradually separates from the muscle layer and escapes the anus, sometimes 1-1-2 nucleus nucleus at the same time, sometimes all nucleus with rectum The mucous membranes come out together. Initially, you can reset yourself afterwards. If you have severe symptoms, you need to push back with your hands after you have taken it out, or you can rest in bed. If the symptoms are more serious, except for defecation, you will use force, walking, coughing, sneezing, squatting. Wait, it may come out.

4, mucus outflow: the rectal mucosa long-term stimulation by the nucleus, causing increased secretion; late internal hemorrhoids, due to anal sphincter relaxation, often secretions from the anus. When the light is in the stool, it will flow out naturally. When the heavy one does not defecate, it will naturally flow out. It will pollute the underwear. The patient is extremely inconvenient, and when the internal hemorrhoids are released, the secretion is more.

5, anal itching: due to secretions or prolapse of the nucleus stimulation, so that the anus around the wet and dirty, eczema and itching, itching is sometimes caused by the internal hemorrhoids due to reflex.

Symptom

Anal foreign body symptoms common symptoms diarrhea rectal prolapse anal papillary hypertrophy constipation

Sudden onset of pain during defecation should be suspected of penetrating foreign bodies that just stay at or above the anorectal junction. Other symptoms depend on the size and morphology of the foreign body, the residence time in situ, and the presence or absence of infection or perforation. The foreign body usually stops in the middle of the rectum, where the foreign body cannot pass the angle of the rectum. Foreign objects can be touched during anal finger examination. It may be necessary to perform an abdominal and chest X-ray to exclude perforation in the rectal rectum.

Examine

Anal foreign body sensation check

The foreign body usually stops in the middle of the rectum, where the foreign body cannot pass the angle of the rectum. Foreign objects can be touched during anal finger examination. It may be necessary to perform an abdominal and chest X-ray to exclude perforation in the rectal rectum.

The method of anoscope examination: holding the mirror in the right, the thumb against the core, and the tip of the anoscope is coated with a lubricant. The left hand separates the gluteal groove, and the anus lens is used to gently press the anus for a while and then slowly push it in.

Diagnosis

Anal foreign body sensation diagnosis

Hemorrhoids, anal canal inflammation, anal papillary hypertrophy, rectal mucosal relaxation and other diseases can cause anal foreign body sensation. Clinically, an anoscope should be used to check for ulcers, hemorrhage, polyps, tumors and foreign bodies. At the dentate line, attention should be paid to the presence or absence of internal hemorrhoids, anal fistula, anal papilla and anal crypts for inflammation. the reason.

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