How Do I Treat Hip Pain?

Butt pain is a symptom mainly in the anus and around the anorectum. It is common to many anorectal diseases, such as anal fissure, anal sinusitis, thrombotic external hemorrhoids, paraanal abscess, internal hemorrhoid incarceration, external hemorrhoidal edema, Anorectal cancer and anal foreign body damage can cause butt pain.

Ass pain

1.Anal fissure

The pain caused is periodic, which occurs frequently during or after stool, which is mainly caused by irritation of the stool and expansion of the ulcer. The pain is paroxysmal burning or scalpel-like pain, which can last for several minutes; after the stool passes, the pain is reduced. In addition, due to the stimulus of defecation, the internal sphincter can show continuous spasm, causing severe and persistent pain in the ulcer. It often lasts for several hours, and the patient is restless and very painful. In severe cases, the pain can be more than 24 hours. In addition to pain, those with anal fissures often have symptoms such as bleeding and constipation.

Anal sinusitis

Generally, the buttocks are slightly painful and swollen. During defecation, the anus is burned due to the pressure on the inflamed anal sinus. If the sphincter contractures due to stimulation, the pain intensifies and radiates to the buttocks and back of the femur. Often accompanied by a small amount of purulent or mucus discharge, odor, which can cause discomfort such as perianal dampness and itching over time.

3, thrombotic external hemorrhoids

The mild ones have a foreign body sensation, mostly accompanied by pain. Due to the damage of the perianal vein blood vessels, the blood clot coagulated into a thrombus, and blue and round hard nodules appeared under the outer skin of the anus, generally at 3 and 9 o'clock in the lithotomy position.

4.Paral anal abscess

It is mainly bloating, and the pain is like chicken pecking when pus is brewed. Due to various factors such as the location of the paraanal abscess, the size of the abscess, the pathogenic bacteria, and the patient's resistance, the symptoms and signs appear to be different. Common subcutaneous abscesses around the anus, sciatic rectal fossa abscess, pelvic rectal fossa abscess, retrorectal abscess, and tuberculous abscess. Quanzhou Boshi Anorectal Hospital doctors pointed out that in addition to the main symptoms of these abscesses are different, generally have fever, chills, constipation, poor urination and so on. Different from other parts, about 90% of paraanal abscesses can form anal fistula, and the course is longer.

5. Internal hemorrhoid incarceration

It is mainly caused by bloating and burning pain. Mostly due to hemorrhoid varicose veins, broken blood networks, and thrombosis, the tissue circulation is limited and the prolapse is out of the anus. Therefore, it is necessary to return to the hospital as soon as possible or to perform surgical treatment, otherwise the surface mucosa will be prone to bleeding, damage, and even concurrent infection.

6, external hemorrhoidal edema

Swelling and burning are the main symptoms, showing a limited mass at the edge of the anus, hard, smooth, shiny, and tender. Mostly due to fatigue, difficulty in bowel movements or surgical stimulation.

7. Rectal cancer

There is no pain in the early stage. Later, due to the enlargement and ulceration of the lump, there may be anal swelling and dull pain. Symptoms such as changing stool habits, purulent stool, abdominal distension, abdominal pain, and weight loss are common.

8.Anal foreign body damage

Most of them are caused by residual foreign bodies in the trauma or improper diet. Fishbone and bone pieces are inserted into the rectum of the anal canal. Therefore, it is necessary to ask the doctor to carefully check and remove the foreign bodies. The pain can be relieved. If the retention time is too long, it can cause local infection. ^[1]

Cause pain

Butt pain can cause periodic pain due to defecation, which is the main symptom of anal fissure. During defecation, the fecal mass stimulated the nerve endings on the ulcerated surface, and the patient immediately felt burning pain in the anus. But after a few minutes, the pain was relieved. This period is called the intermittent period of pain. Later, severe pain occurred due to internal sphincter spasm. This period can last for half an hour to several hours, making the patient restless and difficult to endure. After sphincter fatigue, muscle relaxation and pain ease, but defecation occurs again.

Cause constipation

This is the cause of ass pain. The patient is unwilling to defecate for a long time due to anal pain, which causes constipation, and the stool becomes drier. Constipation can aggravate the anal fissure and form a vicious circle, making it difficult to heal the anal fissure.

Bring blood in the stool

Defecation often sees a small amount of fresh blood or drops of blood on the surface of the stool or on the toilet paper, which can easily form anemia over time. What are the dangers of anal pain in Changzhou?

4.Five signs of anal pain

If butt pain is not treated in time in the early stage, there will be three diseases such as anal canal ulcer, anal papillary hypertrophy, and sentinel hemorrhoids. Anus sinusitis and anal fistula can continue to develop. ". Once the five-syndrome of anal pain is formed, the patient's condition becomes more serious and the treatment is more complicated. ^[2]

1. Inspection

Acute anal fissure can be seen in the anus, the lower end of the anal fissure can be seen by pulling the hip. If you touch the lower end of the fissure with a probe, it can cause pain in the buttocks; chronic anal fissure often has connective tissue external hemorrhoids.

2. Digital diagnosis

Due to sphincter spasm, the anus is tightened. If the force is too strong, it often causes severe pain. Sometimes it is necessary to check under local anesthesia. The fissures in the anus are soft in the edges, shallow in the bottom, elastic, and sensitive to the touch; in the chronic, the edges are hard, with a deep bottom, and inelastic.

3. speculum inspection

Oval ulcers can be seen, or small fissures can be seen. Acute anal fissures have neat edges with light red bottoms; chronic anal fissures have irregular edges and dark gray white bottoms. Some severe anal fissures can also see sphincter fibers.

Treatment of butt pain includes etiology and symptomatic treatment

1. Psychological factors (including neuropathy) : For the pain caused by neuropsychological factors, we must first give psychological treatment, and at the same time, give vitamins and stable drugs appropriately. For anal pain caused by neurological factors, such as sciatica, the specific cause of sciatica should be diagnosed, so that the cause can be eliminated, and anal pain will disappear;

2. Intestinal infections, constipation, and diarrhea : Use antibiotics or laxatives for symptomatic treatment. Intestinal infections, constipation, and diarrhea are controlled or cured, and the buttocks will no longer hurt

3. Anorectal infection or abscess : timely incision and drainage or radical operation;

4. Anal diseases and anal tumors : anal diseases such as hemorrhoids, fistulas, fissures are cured in time, anal tumors are surgically removed, and natural pain in the butt is reduced;

1. Good personal hygiene : Change underwear and wash the anus frequently every day to keep the skin of the anus clean and clean to prevent infection by bacteria and viruses.

2. Reasonable eating habits : Eat a reasonable diet, avoid overeating, eat less spicy and greasy foods, eat more vegetables, fruits, etc., to maintain smooth bowel movements, which will help the intestines to accelerate digestion. After getting up every day, you can drink a glass of honey water on an empty stomach to promote normal bowel movements.

3, regular bowel habits : develop a good habit of regular, fixed bowel movements, let the intestines get used to your work and rest time, and form a conditioned reflex bowel movement. Should not squat in the toilet for a long time, it will hinder the normal circulation of venous blood and cause other complications.

4. Bathing and fumigation : Persistence of fumigation and washing for about 20 minutes every day can effectively relieve anal pain. The water temperature is preferably about 38 degrees, or the traditional Chinese medicine fumigation and washing according to the doctor's advice, this effect is better.

5. Pleasant mood : relieve tension, combine work and rest, do more outdoor sports, adjust the mood, and enhance the combat effectiveness of patients. A good attitude is conducive to the soothing of the nervous system of the brain.

1, anal fissure : row can induce knife-like and tear-like butt pain, blood or dripping on the surface of stool, often after the pain for a period of time.

2. Hemorrhoids : There is a swollen sensation in the buttocks, often itching and redness and pain, and the swelling comes out of the stool.

3. Perianal abscess : severe buttock pain, exacerbation when touched, coughed, or accompanied by low fever

4. Anal prolapse : The buttocks have a falling sensation, feeling defecation is not complete, accompanied by lower abdominal pain, frequent urination, etc., buttocks and perineal pain, accompanied by constipation, rectal compression and abdominal pain.

5. Anal canal cancer : perianal ulcer, hardening texture, increased pain when quiet, frequent frequent stool, incontinence with pus and blood.

6. Anal sinusitis : pain and discomfort in the buttocks, accompanied by incomplete defecation, and occasionally a small amount of light red discharge.

7. Neuropathic anal pain : Pain in the buttocks, no cause of pain can be explained after examination.