The first thing I tell many patients, when coming for the first time visit: “I Have hemorrhoids!” And when I’m interested in how they determined this, should answer: “Well, when I go to toilet I feel pain and then there is blood.”
Now reveal the secret: the pain of chronic hemorrhoids not uncommon.
Then there may get sick and where is the blood? Let’s understand:
- Anal fissure, in which is formed a defect in anoderm. The pain occurs during a bowel movement and can last all day after it.
- Acute paraproctitis is acute inflammation coloramerican (around the rectum) of the fiber caused by propagation of inflammation of the anal crypts and glands.
- Inflammatory bowel disease (Crohn’s disease) with perianal lesions.
- Thrombosis of external hemorrhoidal nodes in which the node increases in size and becomes dense.
- Anakopiyskoy pain syndrome, coccygodynia, proctalgia, anorectal neuralgia.
- Dyssynergia of the pelvic floor muscles, in which there is a violation of evacuation function and pain can occur during or after defecation.
- Malignant tumors of the anal canal and rectum to the anal canal.
- Endometriosis (pozavcherashny, the Sacro-uterine ligaments).
- Caudal teratoma – a congenital formation, which are located in presacral space or at the side walls of the rectum and recto-vaginal fistulae (between the front wall of the rectum and back wall of the vagina) wall.
As you can see, it’s a long list and there is something to think about. Therefore, when symptoms required inspection of the coloproctologist, who will be able to pinpoint the source of pain in the rectal area, anus and perineum, as well as prescribe the necessary treatment.