Connective tissue external hemorrhoids

Introduction Connective tissue nephew, also known as skin or skin. basically connective tissue changes, no obvious varicose veins, very few blood vessels, wide at the bottom, long brown, brownish black, prominent and easy to see, size and shape, sometimes only one, in the back of the anus or in the front Sometimes several around the anus.

Cause

Often caused by constipation, when dry stool through the anus, excessive traction of the anal skin, tearing anal folds, causing infection, inflammation, edema, fibrous tissue hyperplasia, after the inflammation is cleared, wrinkles can not return to normal. If the damage is repeated several times, the wrinkles will become fat and become a nephew. Various inflammations of the anus and rectum, such as proctitis, internal hemorrhoids, and anal sinusitis, are also causes of connective tissue spasms. In addition, anal surgery, due to improper operation such as incision, suture, ligation, etc., will also affect the lymph and blood reflux of the anus, often causing connective tissue nephew.

an examination

Related inspection

Anal finger examination anal inspection

Connective tissue external hemorrhoids, no inflammation occurs, the patient only feels local foreign body sensation or the anus is not easy to clean after defecation; if there is inflammation, it feels pain, sitting and walking inconveniently. At the beginning, it is only wrinkled and swollen, the skin is dark red, and the epidermis is peeling off; due to repeated inflammation, the skin outside the anus has protrusions, soft and yellow, often in the midline of the anus, sometimes in front of or on both sides of the anus.

Differential diagnosis

Inflammatory external hemorrhoids: often caused by anal skin damage and infection. The anal edge of the skin wrinkles the wall as a blister. The swelling is painful. Thrombotic external hemorrhoids: The anal venous plexus ruptures, the blood leaks out of the blood vessels, and the thrombus forms a subcutaneous bulge. It is characterized by sudden onset, local swelling and severe pain. Venous varicose external hemorrhoids: the venous mass of subcutaneous varicose around the anal margin, the lower abdominal pressure increases, and the stool increases when the bowel movement returns. The symptoms can be alleviated to different degrees after returning to normal position. Internal hemorrhoids: occur above the dentate line, so that blood is the main symptom. According to the sag prolapse, it is divided into three phases: one phase has no prolapse. The second phase of the release can be paid by itself. In the third phase, you need to push it before you can take it.

External hemorrhoids: anal canal and anal margin that occur below the dentate line.

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