Edema in the anus
Mucous or purulent discharge
Pain in the anus
Usually for chronic hemorrhoids is not typicalpain syndrome, and if it is in this case - the main complaint of the patient, then you need to look for other causes of pain than hemorrhoids. Of course, with hemorrhoids, too, there may be pain, for example, with inflammation of the nodes, their thrombosis, with pain noted during defecation. Pain can also occur with a combination of hemorrhoids with anal fissure, the attachment of purulent inflammation (paraproctitis). Pain can also be noted in tumors, when there is inflammation of the tissues around it.
Causes of pain syndrome in the anal canal: (most often), thrombosis of external hemorrhoids, thrombosis of internal hemorrhoids, acute and chronic paraproctitis, anal canal tumors, complicated caudal teratomas, granulomatous colitis with perianal lesion, idiopathic anaecopic pain syndrome (when the cause of the pain is simply unknown), endometriosis , a procalgia.
Anal itching is enougha common condition in proctology. This symptom is characteristic of chronic hemorrhoids and it is associated, usually with a constant irritation of the skin around the anus by the mucosa, and also due to the constant use of ointments or suppositories. However, anal itching can be a sign of other diseases, for example, diabetes mellitus.
Anal itching can occur with the following conditions: prolapse of the rectum, incontinence of the anal sphincter, villous swelling of the rectum, diabetes mellitus, chronic paraproctitis, idiopathic itching of the anal canal, rectal cancer, granulomatous colitis, fungal diseases of the anal canal, helminthiasis (especially in children), allergic dermatitis, contact dermatitis on ointments or suppositories), psoriasis, poor hygiene of the anus.
Usually, hemorrhoids can have mucous membranesexcretion during defecation, which is associated with the attachment of inflammation in the rectum (proctitis, sigmoiditis). However, they are also characteristic for other diseases: prolapse of rectum, rectal ulcer in its fall, peaked perianal condylomas, anal fissure, malignant tumor of the anal canal and rectum, villous swelling of the rectum, irritable bowel syndrome. nonspecific inflammatory diseases of the colon.
The perianal region is the soft tissue areaaround the anus. The edema of this area is typical for inflammatory diseases of the anal canal and perineum. It is associated with an acute course of the disease. With edema, the patient feels discomfort, which is felt as a desire to empty the intestine, a feeling of heaviness in the anus. Usually perianal edema occurs with exacerbation of hemorrhoids, acute paraproctitis or in tumors of the rectum with inflammation of the tissues around the tumor.
The causes of perianal edema can be: acute thrombosis of hemorrhoids, acute paraproctitis, genital warts (virus disease), tumors of the anal canal and rectum with inflammation around the tumor tissues, diarrhea, pyoderma in the perineal region.
- Clinical blood test
- Clinical analysis of urine.
- Biochemical blood test (total protein, urea, creatinine, bilirubin, glucose, ALT, AST)
- 12-lead ECG
- Blood test for RW
- Fluorography of the chest
- Blood test for group and Rh factor