Sunday, March 2, 2008

Hemorrhoids and other anorectal diseases

Anorectal Diseases common symptoms are: hematochezia, anal pain, itching, mouth anal prolapse, perianal mass, defecation difficulties, diarrhea or they secrete, bloody mucus, feces shape changes, nausea and vomiting, Perianal viscous flow of water, abdominal pain and abdominal palpable mass, anemia, fatigue, fever, chills and so on. Hemorrhoids and other anorectal diseases such as anal fissure, anal fistula, perianal abscesses, rectal polyps, colorectal cancer, and so there are many similar symptoms, It has essentially different from the treatment principles and treatment methods are also different. Correct identification hemorrhoids and other anorectal diseases choice for guiding treatment, prevention judgment has very important significance. Anal fissure refers to the dentate line ruptured anal transitional cell formation of cracks or ulcers, a common line after hemorrhoids anal disease. There are many reasons why the incidence of anal fissure, but mostly around the anus and repeated infections, ulcers and constipated related to defecation, anal pain, hematochezia (output will be limited). Anal fissure can also more single hair, the former is only a gap, which may have more than two cracks. Early anal fissure is superficial epithelial rupture, then advanced to the formation of deep anal ulcer. This gap could be lower because of chronic skin inflammation and the formation of small pocket stimulate skin uplift, known as cleft hemorrhoids, formerly known as the "sentinel hemorrhoid." Its clinical manifestations of pain, hematochezia, constipation. Features anal fissure pain during defecation is a knife cuts kind of pain, pain after row End will be alleviated, but for a minute and then have sustained intolerable pain, lasting several hours, or even a day. is falling straight gut anal prolapse, extricate himself from the part of a ring, and internal hemorrhoids prolapse, in the extrusion of one or often several to lithotomy position 3,7,11 points more. If the prolapse is not very serious, self-identification, and the internal hemorrhoids emerge, it is difficult external hemorrhoids mass District , demonstrated outside the anus for the Masses. But hemorrhoids mass blood Stagnation is formed, through anti-inflammatory, Blood Circulation eliminated is to extricate himself from the part of sending back, not to be serious reduction, the need serious surgery. Children in general hemorrhoids rarely, if they tumor after anal prolapse, should consider is or rectal polyps.are more common in children, the elderly, women, long-term diarrhea, chronic cough,excessive,such people is not their strength Qi subsidence, or long-term abdominal pressure increases. Anal fistula is an abbreviation of anorectal fistula, it is a straight one end anal orifice in the intestinal wall, the other end of openings in the perianal skin, and granulation tissue covered by the fistula. However, in clinical practice, to the rectum and anal canal to include sinus often called incomplete fistula or single-mouth fistula. Anal Fistula formation is anal gland infection after pyogenic abscess, abscess rupture or left open after a sequelae. Anal fistula, which are mainly manifested on the skin around the anus is , continued to drain. It is the reason for the formation of rectal inflammation. Rectal inflammation and is due more constipated, anal fissure, and other infectious diseases. Anal fistula and hemorrhoids more easily differentiated. Colorectal polyps are straight intestinal submucosal glands or limitations formed benign proliferative epithelial tumors, can occur at any age and sex, may also be more single hair, can occur anywhere in the gut, but most rectum and sigmoid commonly, there are family history, for reasons unknown, and is generally believed that the following factors: inflammation stimulation, gene mutation, genetic factors, dietary factors, mechanical injury, and stimulate the stool. Mainly for hematochezia, prolapse and stimulate the intestinal symptoms, such as abdominal discomfort, abdominal pain, diarrhea,mucus then, digital rectal examination and endoscopy can be diagnosed. Multiple rectal cancer in the elderly, mainly for it in blood, diarrhea or constipation, fecal shape change, it often frequency,such as stimulation of intestinal symptoms, is unknown. More and chronic inflammatory stimulation, benign tumor malignant, restaurants, and other relevant factors. Digital rectal examination can be found tumor, pathological examination can be diagnosed. Anal anal papilla mast is due to chronic inflammation of nipple stimulation mast from hyperplasia. Small, like triangles or vertebral shape, the shape of a nipple may extricate himself from the surface of the skin is white, in the dentate line, quality hardware and shape of small, bleeding, it is not difficult to hemorrhoids and varicose veins without distinction. Under gastrointestinal bleeding, intestinal bleeding, inflammatory mostly or bloody mucus, blood and feces mixed, sigmoid colon examination will be diagnosed. Anal sinusitis acute inflammation, anal burning, pain, a sense of falling, increased stool, pain, if not serious stool, often short paroxysmal tingling and pain to the buttocks and the back of the Department of Radiotherapy Unit. Chronic remission period, almost no obvious symptoms, only after defecation anal with a short-pain. Often stool with a small amount of mucus in the feces or mucus often before outflow, and sometimes were bloody. The etiology of this disease is when constipated or diarrhea, stool wear anal flap, caused by bacterial infection anal sinusitis. Treatment of anal Thai Rongchang with good results. Eczema is an anal allergic, inflammatory perianal skin, it has pleomorphic damage, recurrent easily evolve into chronic and so on. The main symptom is anal and intense itching around paroxysmal; in addition to anal humid discomfort, pain, and other systemic symptoms, such as indigestion, abdominal distention, constipation, diarrhea, etc.. Risk factors for chronic digestive diseases, nervous, endocrine dysfunction, as well as, drug and chemical stimulation, and other items. When the original radical treatment morbidity, improve and remove induced factors, and maintain clean underwear to avoid disturbing grasp.

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