Thrombosed external hemorrhoids

Introduction External hemorrhiod is a clinically frequently-occurring disease. It is often caused by over-eating spicy food, stools in the toilet, ruptured perianal subcutaneous veins, and blood stasis. Clinically, the patient is conscious of anal swelling, pain and foreign body sensation as the main symptom. It can be seen that there are grape-like dark purple tumors under the perianal or anal canal, sometimes with mild erosion on the surface. Among patients with thrombotic external hemorrhoids, 71.1% had symptoms, while 28.9% had no symptoms, indicating that asymptomatic acne patients are abundant. The acne we mentioned actually refers to acne, that is, those who have symptoms and cause harm and pain to the body.

Cause

Cause:

Excessive defecation, difficulty in dry stool, pregnancy and childbirth, excessive weight bearing, drinking and staying up late can increase the intravascular pressure of the external iliac plexus, especially explosive power, more prone to iliac vein rupture, blood accumulation and condensation in the anus Under the skin, a thrombotic external hemorrhoid is formed. In short, all those who can cause the reduction of extravascular venous plexus elasticity, increased pressure, and rupture of blood vessels are the causes of thrombosis.

an examination

Related inspection

Anal finger test partial thromboplastin time-activated partial thromboplastin time (APTT)

Clinical manifestations:

After defecation or strenuous activity, the anus has a protruding mass, severe pain, limited mobility, and even restlessness.

Differential diagnosis

Diagnostic points:

(1), after defecation or strenuous activity, the anus protrudes from the mass, the pain is severe, and the activity is limited.

(2), the mass is dark purple, round or oval, varying in size, slightly hard, and tender.

(3), the tumor is too large, can cause anal skin ischemic necrosis, can also be broken, self-discharge, wound self-healing or anal fistula.

Symptoms of thrombotic convulsions:

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.

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.

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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