rectal pain
Introduction
Introduction Anorectal pain is the most common symptom of anorectal disease. Due to the relationship between anatomy and physiology, the pain of anorectal disease occurs mostly in the lower abdomen, perineum, anal margin and lower rectum.
Cause
Cause
Diseases that cause anal pain can be classified into two categories depending on the cause of the pain.
(1) Anal pain and defecation related persons:
Anal fissure, strangulated internal hemorrhoids, anal cryptitis, thrombotic external hemorrhoids.
(2) Anal pain is not related to defecation:
Infection around the anus, anal canal cancer.
There are also a few anal pains caused by foreign bodies. Some people eat chicken bones, fish bones, and shelled melon seeds. In some cases, foreign bodies are pushed by the anus.
Examine
an examination
Related inspection
Rectal examination for rectal examination
(1) Anal pain and defecation related persons:
The patient felt a burning pain during defecation, and a periodic severe pain after defecation, which often lasted for ten minutes to several hours. This condition was mostly caused by an anal fissure.
The patient has a history of internal hemorrhoids prolapse. Most of the pain is caused by internal hemorrhoids after defecation, causing local edema and persistent pain. This condition is mostly strangulated guilt.
When the patient feels defecation, a certain acupuncture-like pain on one side of the anus, a few minutes after defecation, the pain will naturally disappear, mostly anal cryptitis.
Sudden pain occurred during defecation, a purple-black round mass appeared on the side of the anal side skin, and the edema was severe, and accompanied by persistent pain, should be considered thrombotic external hemorrhoids.
(2) Anal pain is not related to defecation:
Unexplained redness around the anus, accompanied by systemic symptoms such as fever, pain around the anus and pain in the anal canal, jumping pain, and constantly increasing, sometimes the mass around the anus can touch the lumps, and some have a sense of falling, mostly Symptoms caused by infection around the anus.
If there is a long-lasting, increasing aggravation of the anus, accompanied by a drop in the sense of falling and the number of stools, occasionally can touch the irregular lumps in the anus, should be suspected of anal canal cancer.
There are also a few anal pains caused by foreign bodies. Some people eat chicken bones, fish bones, and shelled melon seeds. They are invaded in the anal canal, and there will be sudden pain in the anus. The pain will increase when the stool is severe. There are also cases where the foreign body is pushed by the anus.
an examination:
1, anus examination.
2, rectal examination.
Diagnosis
Differential diagnosis
Rectal crisis: The spinal cord fistula includes a rectal crisis with severe pain in the rectum and a major symptom in the urgency.
Recurrent duplication of the rectum: the diagnosis of rectal repeat deformity has signs of intestinal obstruction, and the rectal examination can touch the mass. A double-chamber rectum can be found by colonoscopy and X-ray examination. The treatment procedure closes the proximal end of the excess rectum.
Rectal pain: Anorectal pain is the most common symptom of anorectal disease. Due to anatomical and physiological relationships, pain in anorectal diseases occurs in the lower abdomen, perineum, anal and rectum.
Rectal prolapse: rectal prolapse is common in children and old age. In children, rectal prolapse is a self-limiting disease that can heal itself before the age of 5, so it is mainly based on non-surgical treatment. Adult complete rectal prolapse is more serious, long-term prolapse will cause genital nerve injury to produce anal incontinence, ulcer, perianal infection, rectal bleeding, prolapse of intestinal edema, stenosis and necrosis, should be based on surgical treatment. Rectal prolapse refers to a chronic disease in which the rectal mucosa, anal canal, rectum, and part of the sigmoid colon are displaced downwards and removed from the anus. In the stool, the rectal mucosa is prolapsed, the lower abdomen is painful, and it is not clean; in severe cases, rectal mucosal congestion, edema, ulcer, bleeding, etc. may occur as the main clinical manifestations. The degree of prolapse can be divided into three degrees.
