Sometimes we experience anal pain when we defecate, and we think it is caused by constipation and don’t pay much attention to it. But if it happens every time, we should pay attention to it. We may have anal sinusitis. Anal sinusitis is related to many factors. On the one hand, it is the long-term accumulation of feces in the anal sinus, and on the other hand, the preference for irritating food in diet causes infection and leads to anal sinusitis. So what are the treatments for anal sinusitis? Causes Due to the special anatomical morphology of the anal sinus, feces are easily accumulated in the anal sinus or it is blocked by secretions, causing infection and inflammation. In addition, dietary factors may also cause anal sinusitis, such as fried and spicy foods, seafood, etc. Clinical manifestations 1. Anal pain during defecation, and the location is very clear. 2. It is often more common in the posterior anus because this is where the pressure in the anal canal is the highest. 3. In addition, there will be a foreign body sensation in the anus, discomfort, a feeling of falling in the anal canal, and purulent secretions in the anus. examine 1. Digital rectal examination The sphincter is tense, and the anal sinuses and nipples are indurated and tender. 2. Anoscopy The anal sinuses and anal papillae are congested and swollen. diagnosis The diagnosis is based on clinical symptoms and relevant examinations. Differential Diagnosis 1. Anal fissure The main symptoms of anal fissure are periodic anal pain, constipation and bloody stool. The pain is more severe than that of anal cryptitis and the pain lasts longer. 2. Perianal abscess It is the result of further development of anal cryptitis, and its main manifestations are gradually aggravated perianal pain, chicken-pecking-like pain when pus forms, accompanied by chills and fever, and a routine blood examination shows a significant increase in white blood cell count and neutrophil count. treat 1. Conservative treatment When anal sinusitis first occurs or the symptoms are mild, medication and sitz baths can be used for treatment. 2. Surgery For patients with anal sinusitis that is not responsive to drug treatment, or for patients with anal sinus abscesses, or those with anal papilla hypertrophy and hidden fistulas, surgical treatment is recommended. Treatment methods include anus incision and anus resection. |
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