Pain above the anus

The main cause of pain in the upper anus is anorectal diseases, such as hemorrhoids and anal fissures, which are common causes of pain in the upper anus. When this kind of pain occurs, it is best to check the rectal indications and perform an anorectal endoscopy to further determine the cause and then treat it symptomatically. Conditioning in daily life is very important. Do not exert too much force when defecating. Also, pay attention to diet and prevent constipation.

1. Non-surgical treatment

Asymptomatic hemorrhoids do not require treatment; symptomatic hemorrhoids do not require radical treatment; non-surgical treatment is the main treatment. (1) General treatment is applicable to most hemorrhoids, including the early stages of thrombotic and incarcerated hemorrhoids. Pay attention to your diet, avoid alcohol and spicy foods, increase fiber foods, eat more fruits and vegetables, drink more water, change bad bowel habits, keep bowel movements smooth, take laxatives when necessary, and clean the anus after defecation. For prolapsed hemorrhoids, be careful to gently push the hemorrhoids back with your hands to prevent them from falling out again. Avoid sitting or standing for long periods of time, do appropriate exercise, take a sitz bath with warm water (which may contain potassium permanganate) before going to bed, etc.

2. Surgery

(1) Indications for surgery: Conservative treatment is ineffective, hemorrhoids are severely prolapsed, large fibrotic internal hemorrhoids are not well treated with injections, and there are anal fissures, anal fistulas, etc.; (2) Principles of surgery: The prolapsed anal cushions are repositioned through surgery, and the structure of the anal cushions is preserved as much as possible, so as to minimize the impact on the ability to control bowel movements after surgery; (3) Preoperative preparation: When there are ulcers or infections on the surface of internal hemorrhoids, conservative treatment such as laxatives and warm water sitz baths are performed first, and surgery can be performed after the ulcers have healed; bowel preparation is performed.