Varicose external hemorrhoids

Introduction Venous varicose external hemorrhoids are extra-orbital venous varicose veins below the tooth line, forming a round, elliptical or prismatic soft mass at the anal margin. If there is edema, the shape becomes larger. In the motherland medicine, it belongs to the category of discouragement. For example, "The sore experience book, the leaky map" said: "Air sputum, feeling the breath is down." The disease is generally not painful, no bleeding, only feel anal bulge or foreign body sensation. More and three periods of and mixed concurrent.

Cause

All kinds of causes of acne formation can cause varicose external hemorrhoids. The main factors are: due to unhealthy diet, sedentary or long standing, long-term constipation or diarrhea stimulation, abdominal pressure continues to increase for a long time, combined with infection damage, resulting in infection Extrapyramidal plexus dilatation, blood stasis, and flexion.

an examination

Related inspection

Anal finger examination anal reflex anus

The onset is slow. From the beginning, I only feel the swelling of the anus. Swelling worsens during defecation. If there are complications such as inflammation, symptoms such as swelling and pain may occur. Examination can be seen in front of or around the anal canal or around the anus is swollen, raised, the surface is covered with skin. There is an enlarged varicose vein under the skin.

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.

Connective tissue external hemorrhoids: due to chronic inflammation, repeated inflammation, swelling, resulting in anal margin skin wrinkles become larger, connective tissue hyperplasia, the formation of different sizes of skin.

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.

The onset is slow. From the beginning, I only feel the swelling of the anus. Swelling worsens during defecation. If there are complications such as inflammation, symptoms such as swelling and pain may occur. Examination can be seen in front of or around the anal canal or around the anus is swollen, raised, the surface is covered with skin. There is an enlarged varicose vein under the skin.

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