My asshole is swollen and it hurts

The anus, because it is used to excrete feces, becomes a place where a large number of bacteria parasitize, and is naturally a high-incidence site of disease. In life, in order to satisfy their appetite, some people particularly like to eat spicy and stimulating food, which gradually causes a swelling in the anus, which is very painful and interferes with their life and work. This is hemorrhoids, and in more detail, it is called thrombosed external hemorrhoids. Next, let’s talk about the causes, main symptoms, differential diagnosis and treatment of the disease.

Thrombosed external hemorrhoids are a common clinical disease, often caused by overeating spicy and irritating foods, straining when going to the toilet, rupture of subcutaneous veins around the anus, and blood stasis under the skin. Clinically, the main complaints are swelling, pain and a foreign body sensation in the anus. Examination may reveal grape-like dark purple swellings under the skin around the anus or in the anal canal, sometimes accompanied by mild erosion and bleeding on the surface.

Causes

It is usually caused by increased pressure in the subcutaneous blood vessels around the anus, resulting in excessive expansion and rupture due to reasons such as drinking, eating spicy food, constipation, squatting for a long time on the toilet, sitting for a long time, etc.

Clinical manifestations

Most of the time, after defecation or strenuous activity, you will feel a protruding lump in the anus, severe pain, limited movement, and even restlessness. There is a tender mass under the skin at the anus, and the pain is aggravated by bowel movements, sitting, walking, and even coughing. Examination may reveal grape-like dark purple tumors under the skin of the anus or anal canal, sometimes accompanied by mild erosion and bleeding on the surface.

examine

Surgical anal inspection and digital anal examination.

diagnosis

Diagnostic points:

1. After defecation or strenuous activity, there is a protruding lump in the anus, severe pain, and limited movement.

2. The lump is dark purple, round or oval, of varying sizes, slightly hard, and obviously painful to touch.

3. If the lump is too large, it may cause ischemic necrosis of the anal skin, or it may rupture and be discharged on its own, the wound may heal on its own or form an anal fistula.

Differential Diagnosis

1. Internal hemorrhoids

Internal hemorrhoids on the tooth line prolapse and become incarcerated, causing prolonged pain, edema of the skin flaps that heal slowly, and erosion on the surface of the hemorrhoids accompanied by secretions and odor when infected.

2. Anal fissure

Anal pain is cyclical, with blood in the stool, and local examination may reveal a longitudinal fissure or anal fissure triad at 6 or 12 o'clock.

treat

1. In mild or non-acute stages, hot compresses and hot water sitz baths are mainly used.

2. Surgical treatment:

(1) Squeezing method for treating thrombosed external hemorrhoids: Before the operation, disinfect the anus with 0.1% Sanisol and inject 2 ml of 2% procaine into the head and surrounding subcutaneous tissue of the thrombosed external hemorrhoids. Apply sterilized gauze on the hemorrhoids, then use the thumb, index and middle fingers of your right hand to rub the gauze, and crush the spherical pieces of thrombosed external hemorrhoids with force. It should feel like breaking pieces of soil when you pinch them. Rub with gauze for 3 to 5 minutes.

(2) Thrombectomy, also known as thrombectomy, is a procedure that involves making a radial or fusiform incision in the center of the thrombus, and then using hemostatic forceps to separate and remove the blood clot.

prevention

To prevent thrombosis of external hemorrhoids, it is necessary to promptly treat anal inflammatory diseases, drink less alcohol, eat less spicy and irritating foods, pay attention to drinking more water, eat more vegetables and fruits, exercise more, keep the bowels open and develop good bowel habits; pregnant women should participate in appropriate activities, and try to shorten the delivery process to reduce pressure on the anorectal area; try to avoid heavy physical labor that exceeds your ability.