Proctalgia | MUSC Health | Charleston SC

Just as spasms of neck muscles cause headaches, spasms of the pelvic muscles causes proctalgia.

Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. This type of pain may originate without warning. It may vary in severity and duration. It may pass quickly or might last much longer.

Often the pain will be severe enough to awaken a person at night out of a sound sleep. If the person gets up and walks around, moves his bowels, or passes gas, the pain could resolve in a matter of minutes.

Causes

Anorectal and pelvic pain may also be the result of many different conditions:

• stress
• hemorrhoids
• rectal ulcers, also referred to as solitary rectal ulcers
• abcesses
• a fissure in the lining of the rectum
• inflammatory bowel disease

As you can see, diagnosing the primary cause of proctalgia can be very difficult and may require several approaches before a successful strategy is developed for each sufferer. There may be structural anomalies in the area of the pelvic wall; however, no study has found a specific anatomical cause. Several studies have shown that only a small portion of people who suffer from proctalgia have an organic disease that could be the cause of the condition.

Chronic Proctalgia

A person with chronic proctalgia will experience pain that lasts more than twenty minutes. Some people have spasms of these muscles which lasts continuously through the day and for many weeks at a time. Persons with chronic proctalgia may experience pressure or aching after sitting for extended periods. Defecation may also be painful.

Proctalgia and Stress

Proctalgia can be related to stress. It is common for doctors to refer to the mind-body connection when a person is dealing with considerable stress in their daily lives. The continued emotional stress causes the body to react, and the internal organs of the digestive system are acute receptors of stress. You may recall feeling sick to your stomach during stressful events. Over the counter medications for gastric pain may alleviate the symptoms, but the root cause of the pain must be also addressed. This may mean adopting stress-relieving therapies.

Treatment

Natural Vegetable Powder

There are several treatments for proctalgia. The first is natural vegetable powder in a dose of three heaping tablespoonfuls per day. With this dose, a person should have large, soft bowel movements that stretch out the muscles and help prevent muscle spasms.

If natural vegetable powder does not work, muscle relaxants can be used to help achieve the same results.

Electrical Stimulation

Another possible treatment is electrical stimulation. A small probe about the size of person’s finger is inserted into the rectum. A low voltage vibrating current is passed through the spastic muscles for approximately thirty minutes for each treatment. This may cause the muscles that are in spasm to relax.

Nerve Blocks

Epidural nerve blocks help some people. For this treatment, an anesthesiologist puts a small needle into the person’s back and injects a solution that numbs the nerves in the pelvic area.

Pelvic Muscle Retraining

Pelvic muscle retraining may also be helpful. If voluntary muscles are in spasm, a person can be trained to relax these muscles by doing special exercises.

The main focus of pelvic muscle retraining is to teach individuals how to relax and contract (squeeze) the muscles at the anal sphincter. A small sensor is placed at the rectum or vagina. The person stays dressed, and sits in a comfortable lounge chair. The sensor is connected by a cable to a computer. The computer records and measures the muscle movement while the individual watches the computer screen.

When doing these exercises, tighten the pelvic floor muscles as if trying not to pass gas or trying to stop the flow of urine. A woman may feel the muscles tighten around the vagina. A man may feel tightness at the anal sphincter. Try to hold these muscles tight for several seconds while breathing normally and keeping all other muscles relaxed. For example, the abdomen and buttock muscles should stay completely relaxed during this exercise. The only muscle that should feel tight is the muscle at the anal sphincter or the vagina.

When the muscles are weak, it is hard to hold them for very long. Gradually, over the course of several weeks (or several months) it is easier to hold the muscles tight for a longer time (up to ten seconds). After tightening the muscles, let go and relax the muscles for ten seconds. If the muscles do not feel completely relaxed after ten seconds, then continue to try to relax them for another ten seconds.

A helpful way to remember to do the exercises is to do them once an hour or at various “cues” during the day, such as hanging up the phone, stopping at red lights or watching commercials on the TV. A person can do more sets as the muscles get stronger. It is important to continue doing these exercises for two to three months to strengthen the pelvic floor muscles adequately. After that time, the exercises must be continued in order to keep the muscles in shape, or they will weaken again. After the symptoms are under control, the exercises should be done at least several days each week.

Rectal Prolapse | Johns Hopkins Medicine

Your rectum is the lower part of your colon, where stool forms. If the rectum drops out of its normal place within the body and pushes out of the anal opening, the condition is called rectal prolapse.

In the early stages, a prolapse may happen only after a bowel movement. The protruding rectum may then slip back through the anal canal on its own. Over time, however, the prolapse may become more severe and could require surgery.

Causes

Rectal prolapse is usually caused by a weakening of the muscles that support the rectum.

Symptoms

Symptoms of rectal prolapse include:

• Feeling a bulge after coughing, sneezing, or lifting

• Having mucous discharge in your stool

• Pain and rectal bleeding

• Fecal incontinence

• Having to push the prolapse back into the anus by hand

• Feeling pressure in your rectum

• Being constipated

• Having anal pain, bleeding, or itching

Risk factors

Anyone can develop rectal prolapse, but women are more likely to have the condition than men.

These are some conditions that may increase your risk for developing a rectal prolapse:

• A long history of constipation

• Straining to have bowel movements

• Chronic diarrhea

• Laxative abuse

• Childbirth

• Spinal cord problems or previous stroke

• Cystic fibrosis

• Aging or dementia

Diagnosis

Your healthcare provider will be able to diagnose rectal prolapse with a medical history and a physical exam. You may be asked to squat and strain as if you are having a bowel movement. Your healthcare providers may also do other tests to confirm the diagnosis. Tests may include:

• Videofecogram. A type of X-ray taken during a bowel movement.

• Anorectal manometry. A pressure-measuring tube placed inside the rectum to measure how well the muscles that control bowel movements are working.

• Colonoscopy. A flexible tube with a camera placed inside the rectum so the healthcare provider can do a visual exam.

• Barium enema. X-ray pictures are taken after a type of contrast solution is placed in the rectum.

Treatment

Treatment often begins with steps to avoid constipation and straining. If your rectal prolapse is severe enough and interferes with your quality of life, your healthcare provider will probably recommend surgery.

Types of surgery include:

• Repair done through the abdomen. A cut is made through the lower belly, and the rectum is attached to the lower part of the backbone to support it and keep it in place.

• Repair done through the rectum. During this operation, your surgeon must remove the part of the rectum that has prolapsed and join the two ends.

• Repair done by combining these techniques

Complications

These are the two main types of complications:

• A rectal prolapse that can’t be pushed back into the rectum. This can cause the blood supply to the prolapse to be cut off. This complication is called strangulation. It’s painful and needs emergency treatment.

• A rectal prolapse that happens again. This can happen up to 40% of the time. Following your healthcare provider’s advice on lifestyle changes can help prevent recurrence. This includes eating a high-fiber diet and drinking enough water.

When to call the healthcare provider

Call your healthcare provider if you have any of these symptoms:

• Fever

• Chills

• Redness

• Swelling

• Bleeding

• Discharge

• Constipation

• Fecal Incontinence

Managing rectal prolapse

If you are recovering from rectal prolapse surgery, make sure to take your pain medicine as directed by your healthcare provider. Finish all antibiotics and don’t take any over-the-counter medicine without talking with your surgeon.

These tips for managing rectal prolapse before or after recovery from surgery may help:

• Avoid any activities that increase pressure in your rectal area, like straining to have a bowel movement or heavy lifting, for at least 6 months.

• Have any persistent cough treated by your healthcare provider. Your healthcare provider may also urge you to stop smoking.

• Eat at least 5 servings of fruits and vegetables every day. A high-fiber diet will help prevent constipation and straining.

• Drink 6 to 8 glasses of water every day.

• If you are constipated, ask your healthcare provider if you should take a stool softener or a bulk laxative.

• Stay active and get regular exercise. If you are overweight, try to get back to a healthy weight.

Anal Fissure | Michigan Medicine

Topic Overview

What is an anal fissure?

An anal fissure is a tear in the lining of the lower rectum (anal canal) that causes pain during bowel movements. Anal fissures don’t lead to more serious problems.

Most anal fissures heal with home treatment after a few days or weeks. These are called short-term (acute) anal fissures. If you have an anal fissure that hasn’t healed after 8 to 12 weeks, it is considered a long-term (chronic) fissure. A chronic fissure may need medical treatment.

Anal fissures are a common problem. They affect people of all ages, especially young and otherwise healthy people.

What causes an anal fissure?

Anal fissures are caused by injury or trauma to the anal canal. Injury can happen when:

• You pass a large stool.
• You are constipated and try to pass a hard stool.
• You have repeated diarrhea.
• You give birth. (Childbirth can cause trauma to the anal canal.)

Fissures can also be caused by a rectal exam, anal intercourse, or a foreign object. In some cases, a fissure may be caused by Crohn’s disease.

Many experts believe that extra tension in the two muscular rings (sphincters) controlling the anus may be a cause of fissures. The outer anal sphincter is under your conscious control. But the inner sphincter is not. This muscle is under pressure, or tension, all of the time. If the pressure increases too much, it can cause spasm and reduce blood flow to the anus, leading to a fissure. This pressure can also keep a fissure from healing.

What are the symptoms?

You may have:

• A sharp, stinging, or burning pain during bowel movements. Pain from a fissure may be quite severe. It can be brief or last for several hours after a bowel movement.
• Itching.
• Bleeding. You may see a small spot of bright red blood on toilet tissue or a few drops in the toilet bowl. The blood from a fissure is separate from the stool. (Very dark, tarry stools or dark red blood mixed with stool may be a sign of a more serious problem.) Tell your doctor if you have any bleeding with a bowel movement.

Sometimes an anal fissure may be a painless wound that won’t heal. It may bleed from time to time but cause no other symptoms.

How is an anal fissure diagnosed?

A doctor can diagnose an anal fissure based on your symptoms and a physical exam. The exam may include:

• Looking at the fissure by gently separating the buttocks.
• A digital rectal exam. The doctor inserts a gloved finger into the anal canal.
• Anoscopy. This involves using a short, lighted scope to look into the anal canal.

The doctor may wait until the fissure has started to heal before doing a rectal exam or anoscopy. If an exam needs to be done right away, medicine can be used to numb the area.

During an exam, a doctor can also find out whether another condition may be causing the fissure. Having several fissures or having one or more in an area of the anus where fissures usually don’t occur can be a sign of a more serious problem, such as inflammatory bowel disease or a weakened immune system.

How is it treated?

Most short-term anal fissures can heal with home treatment in 4 to 6 weeks. Pain during bowel movements usually goes away within a couple of days after the start of home treatment.

There are several steps you can take to relieve your symptoms and help the fissure heal:

• Try to prevent constipation. For example:
  • Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fiber.
  • Drink plenty of fluids.
  • Get some exercise every day.
  • Take a fiber supplement, such as Benefiber, Citrucel, or Metamucil, every day if needed. Read and follow all instructions on the label.
  • Use the toilet when you feel the urge. Or when you can, schedule time each day for a bowel movement. A daily routine may help. Take your time and do not strain when having a bowel movement. But do not sit on the toilet too long.
• Try taking stool softeners or laxatives to make bowel movements less painful. Ask your doctor how long you should take laxatives.
• Sit in a tub filled with a few inches of warm water for 20 minutes, 2 or 3 times a day. This is called a sitz bath. It soothes the torn tissue and helps relax the internal anal sphincter. Do not put soaps, salts, or shampoos in the water.
• Talk with your doctor about whether to try a nonprescription cream such as zinc oxide, Preparation H, Anusol, or 1% hydrocortisone for a short time. These may help soothe anal tissues. But fiber and sitz baths help symptoms more.^{footnote 1}
• Be safe with medicines. Read and follow all instructions on the label. If the doctor gave you a prescription medicine for pain, take it as prescribed. If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
• Instead of using toilet paper, use baby wipes or medicated pads, such as Tucks pads or Preparation H wipes, to clean after a bowel movement.

Don’t avoid having bowel movements. Knowing that it might hurt may make you anxious. But trying not to have bowel movements will only make constipation worse and keep the fissure open and painful.

What happens if the fissure doesn’t heal on its own?

About 9 out of 10 short-term fissures heal with home treatment—including using stool softeners or fiber supplements and taking regular sitz baths. And about 4 out of 10 long-term anal fissures will heal after home treatment is used.^{footnote 1}

But not all fissures will heal with just home treatment. If a fissure lasts more than 8 to 12 weeks, you may need prescription medicines. These may include nitroglycerin cream, high blood pressure medicines in pill or gel form, or injections of botulinum toxin (Botox).

If medicines don’t stop your symptoms, you may need to consider surgery. The most commonly used surgery is lateral internal sphincterotomy. In this procedure, a doctor cuts into part of the internal sphincter to relax the spasm that is causing the fissure.

Why Does My Butt Hurt?

There are lots of things that are a pain in the butt: forgetting your hair tie at the gym, coming home to a sink full of dirty dishes, needing to do laundry. Then, there’s a literal pain in your butt.

Butt pain can come in different forms: shooting pain, cramping, even an irritating “do I have a paper cut down there?” type of pain. No matter which type of pain you’re experiencing, you probably want it gone ASAP.

Here are the most common causes of butt pain—plus how to make it stop.

1. You have your period.

Fun fact: Your periods can mess with your poop. Hormone-like compounds called prostaglandins—they make the uterus contract, causing cramps—can stray into the bowel area and cause some people to poop more during their period.

These prostaglandins may cause diarrhea, too. “Looser stools than normal, having to go to the bathroom more often, and feeling more urgency—like, ‘I gotta go now’—are all very common side effects of a sharp rise in prostaglandins,” Jennifer Gunter, MD, an ob-gyn in San Francisco, previously told WH.

Severe period cramps can also extend to the lower abdomen, and feel as if they’re affecting your butt area.

2. You have hemorrhoids.

Hemorrhoids are swollen blood vessels that form on the anus and rectum, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Pregnant women are especially susceptible, and so are people who either stand or sit for long periods of time, and people who have constipation.

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There are also two types of hemorrhoids: external and internal. Itching or pain around the anus, along with a lump (an inflamed blood vessel), can signal an external hemorrhoid, per the NIDDK. Internal hemorrhoids also cause rectal pain, and may be accompanied by bleeding.

Hemorrhoids will usually go away on their own (or with a little over-the-counter prescription cream). But if your hemorrhoids don’t go away after a week, or if they cause a lot of pain or occur frequently, then you should check in with your primary care doctor.

3. You have endometriosis.

About 11 percent of women have endometriosis, according to the Office on Women’s Health (OWH). Endometriosis happens when tissue that normally lines the uterus (the same stuff that sheds with your period each month) grows outside of the uterus.

The overgrowth of this tissue is most often found on fallopian tubes, ovaries, and the outer surface of the uterus, but it can also also extend to the bowel area. If endometrial tissue grows in the bowel, it can cause painful bowel movements, according to the American College of Obstetricians and Gynecologists (ACOG).

Endo can be notoriously difficult to diagnose, given that there are so many conditions that can cause pelvic pain and discomfort, and symptoms of endo vary from person to person. “Black and Latinx populations are only about half as likely to be diagnosed with endometriosis. However, Asian women were more likely to be diagnosed with endometriosis when compared to white women,” Jodie Horton, MD, a board-certified ob-gyn and chief wellness Advisor for Love Wellness, previously told WH. (Part of the issue here is racial bias in the medical community, she notes, and the mishandling or dismissing of BIPOC patients’ pain and concerns.)

There is no cure for endometriosis, but treatment typically requires either medication, surgery, or both. If pain is the primary problem, doctors will most likely recommend meds.

4. You have genital herpes.

There are two types of herpes viruses: herpes simplex virus-1 (HSV-1) and herpes simplex virus-2 (HSV-2). HSV-1 causes cold sores (and is extremely common), while HSV-2 is known as genital herpes and is a little less common. The latter can cause painful sores and fluid-filled blisters on your anal or genital area, according to ACOG.

If you notice sores on your anus or your genitals, it’s important to be tested for STIs and to contact all of your sexual partners if you test positive so they can also be tested. Herpes doesn’t have a cure, but it can be managed. Doctors prescribe antiviral medications to lessen the number of outbreaks and to shorten the duration and lessen the severity of an outbreak when it does happen.

5. You have an anal fissure or anorectal abscess.

Anal fissures are splits and cracks in the lining of the anal opening (sounds pleasant, right?). Often, they happen when you have either very hard—or conversely, very watery poop—which can cause irritation to the anus.

The cracks expose the muscle that controls bowel movements, which can lead to burning pain or bleeding after you poop. The resulting tear is easily visible, so all it takes is a doctor’s visit to confirm, according to the U.S. National Library of Medicine (NLM). If your doctor suspects that the fissure was caused by an underlying condition like Crohn’s disease, you may need further testing.

Anorectal abscesses are caused when the tiny anal glands on the inside of the anus become blocked, or an anal fissure becomes infected, per the NLM. The abscesses become filled with pus, which can be painful, and if you have one you’ll have to see your doctor to open and drain the abscess.

6. You have sciatica.

The sciatic nerve is as thick as your thumb and runs from your lower back, down through your buttocks and to your foot. When the nerve gets pinched, it can cause pain, sometimes in the butt. “If irritated, it can feel like a dog bite in the butt,” says Carrie Pagliano, PT, DPT, a board-certified clinical specialist in women’s physical therapy and spokeswoman for the American Physical Therapy Association.

Numbness, tingling, and a burning or prickling sensation are also common sciatica symptoms. If you think this might be the cause of your butt pain, you can go to the American Physical Therapy Association‘s website to find a physical therapist in your area.

7. You have piriformis syndrome.

Piriformis syndrome can sometimes be mistaken for sciatica, because the symptoms are very similar. But piriformis syndrome is a neuromuscular condition (a miscommunication between your nerves and muscles) that causes hip and butt pain. Piriformis syndrome is basically cramping and spasming of the piriformis muscle (located behind your gluteus maximus), says Pagliano.

Piriformis syndrome can cause a sharp, radiating pain when you move your hips (so, pain in your butt while walking, siting, running, and so on). This kind of pain, as well as sciatic pain, typically stems from back issues, says Pagliano. Physical therapy, exercise, and stretching can all help treat and manage piriformis syndrome.

8. You have bursitis.

“Bursitis is an inflammation of the bursa sacs, which cushion the bones, muscles, and tendons near your joints,” says Jonathann Kuo, MD, an anesthesiologist and pain medicine doctor with Hudson Medical. These sacs are all over your body, but if a sac bursts around the hip region, it could lead to butt pain, though it’s likely you’ll feel it around the sides of your butt and hips rather than just in your bum.

If you have bursitis in your hips, the joints will be really stiff and hurt (in an achey way) if you move them. Bursitis will usually calm itself down in a few weeks with rest and anti-pain meds, but if you suddenly develop a fever, swelling, redness, warmth, or the inability to move your joint, you should see a doctor ASAP to make sure you’re not dealing with any complications.

9. You have a nasty bruise.

Taken a fall recently? You might just have butt pain due to a developing bruise. Usually characterized by black and blue markings, bruising occurs when blood vessels under the skin have been damaged, therefore pooling under the skin. It can occur after contact sports, when you’ve fallen on the floor, or hit something hard, and can manifest as a dull pain over the bruised region. (And it might take a few days before it shows up visually, though you’ll feel the pain right away.)

Often, the area will be swollen and tender, but the pain usually fades away with time. Icing the area and rubbing vitamin C cream on it can help speed up the healing process, adds Dr. Kuo. However, if you’re suddenly bruising more than usual, or find that your pain is increasing, you should go see a medical professional, as this could be a sign of other conditions.

10. You have shingles.

Shingles is less likely to cause butt pain, according to Dr. Kuo, but it is important to notice its main symptom—a painful, splotchy rash that itches, tingles, or burns. It’s caused by the same virus as chickenpox, and can lay dormant in your body for years. So, you just never know when it might start up again, and it could manifest near your bum, leading to pain in the area. The shingles rash develops as a stripe of blisters around a certain side of your torso.

If you do suspect you have shingles, contact your doctor so you can get treated with antiviral meds which will heal the blisters and pain.

11. You have muscle pain from a tough workout.

“When you exert your gluteus medius and minimus, aka the muscles that make up your butt, it can cause significant pain,” says Dr. Kuo. It can happen when you overuse the muscles to the point where they tear, or it could just happen because of muscle tension. Mostly, it manifests as an ache, which increases if you move the muscle, and you’ll know you have it if you’ve worked out significantly the day before, only to find you have muscle soreness when you wake up. Runners and weight lifters are most likely to feel this kind of pain.

“Mostly, muscle aches can heal at home, with adequate rest, ice, and an over-the-counter pain relief medication,” says Dr. Kuo. However, if you find the pain is getting worse with time, he recommends making sure it isn’t something more severe by talking with your doctor. And be on the lookout of the symptoms of rhabdomyolysis if you’ve just finished a particularly strenuous effort.

12. You have arthritis in your sacroiliac joints.

The sacroiliac joints connect the spine to the hips, provide support and stability, and play a major role in absorbing impact when walking and lifting weights. Arthritis in these joints can result in lower back and butt pain, due to intense inflammation, and is usually characterized by sharp, shooting pain. Unfortunately, this condition is common in young women, notes Dr. Kuo.

“If you suspect you have arthritis in the sacroiliac joints, contact your doctor,” says Dr. Kuo. Through a variety of testing methods, including hands-on tests and MRIs, your doctor can determine a specific treatment method, which can include anything from physical therapy to medication to ease the pain.

13. You have a herniated disc.

A herniated disc occurs when one of the discs (rubbery, cushion-like substances) between the vertebrae of your spine gets dislocated and protrudes out. This causes a sharp pain in the lower back and butt area, as well as numbness or tingling if it hits the nerves.

If you experience any of the symptoms, it’s best to see a doctor: The longer you go without treating it, the worse it can get. You may even need surgery, depending on the severity of the slipped disc. You doc will likely have x-rays taken and then develop a treatment plan to help with the pain and function of your spine.

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Spinal Stenosis – Low Back and Neck Pain, Tingling, Numbness

It’s important to recognize and understand the potential symptoms of spinal stenosis because having this knowledge can help you obtain an early diagnosis and treatment. Symptoms typically develop when the spinal canal narrows and/or nerve roots are compressed, causing neural irritation, inflammation and pain. The lumbar (low back) and cervical (neck) spinal levels are commonly affected by this age-related and gradually progressive disorder. Symptoms may inhibit your ability to move without discomfort, pain and/or neurological signs, such as tingling sensations and numbness that may radiate (travel) into another part of your body.
Generally, spinal stenosis affects your low back (lumbar spine) or your neck (cervical spine). Photo Source: 123RF.com.

Lumbar Spinal Stenosis Symptoms

The most common symptom of spinal stenosis is low back, buttock and back of the thigh pain that worsens with standing and walking. These symptoms are called neurogenic claudication. Many people with lumbar spinal stenosis experience symptoms only when they are standing or active. Often, the discomfort temporarily eases when bending forward and is relieved by sitting down.

• When you are at the grocery store does leaning forward on the cart’s handle reduce your pain?

This is a rather common scenario for people with spinal stenosis in their low back. Pain that eases when you bend forward, sit, or lie down is typical of lumbar spinal stenosis.

• It’s important to understand that claudication is not neurogenic or pseudoclaudication. While the symptoms of claudication are similar to pseudoclaudication, the cause is different. Claudication is caused by poor blood circulation in the leg muscles.

Other common symptoms include low back pain and lumbar radiculopathy. Widely known as sciatica, lumbar radiculopathy is pain, numbness, weakness, and/or tingling sensations that radiate (travel) downward from the affected level in the low back into the buttocks and legs. Some people experience pain in both legs, though one leg can be worse than the other.

• Bowel and Bladder Alert: In severe cases of lumbar spinal stenosis, nerves that control the bladder or bowel may be compressed, which can lead to partial or complete incontinence. If you’re having problems controlling your bladder or bowel, you should seek immediate medical attention.

Cervical Spinal Stenosis Symptoms

Spinal stenosis in your neck can cause cervical radiculopathy—symptoms may include pain accompanied by tingling sensations, numbness and/or weakness. These symptoms may radiate downward from your neck into one or both shoulders, arms and/or hands. The pain caused by cervical spinal stenosis may be described as acute, episodic, occasional, or it may become chronic; it’s intensity can vary from mild to severe.

Other symptoms may include:

• Headaches
• Difficulty with balance; increased risk for falling.
• Fine motor skills (eg, handwriting, buttoning a shirt) may be affected.

On the potentially severe end of cervical spinal stenosis symptoms are those associated with cervical myelopathy. Cervical myelopathy occurs when the spinal canal narrows to the point that it compresses the spinal cord in your neck. While pinched nerves in your neck may affect your shoulders, arms and/or hands, myelopathy can involve both your arms and legs. Common symptoms of cervical myelopathy include neck pain, stiffness, tingling sensations, numbness, weakness, clumsiness, balance problems, difficulty walking, bowel and/or bladder problems, and sexual dysfunction.

Spinal Stenosis Doesn’t Always Cause Symptoms

Sometimes an imaging study (eg, MRI, CT scan) detects a spine disorder for which a patient has no symptoms. That is one reason why imaging tests are performed to confirm a diagnosis, which is supported by results from the physical/ neurological exam, medical history, and symptoms. Many people who have undergone an x-ray or other imaging test for a non-spine-related matter have discovered they have spondylosis, osteophytes, and/or a bulging disc. Yet, they never knew it because they were not symptomatic.

Spinal stenosis has been referred to as the gray hair of the spine, meaning it’s often an age-related and gradual process of physical change. It may take time for the symptoms of cervical or lumbar spinal stenosis to become apparent. If you have neck or low back pain and symptoms that persist or worsen, talk with your doctor.

Numbness – Brain, Spinal Cord, and Nerve Disorders

Signs of hemorrhoids | Ada

What are hemorrhoids?

Hemorrhoids are clusters of tissue containing enlarged blood vessels around the anus and lower rectum. When this vascular tissue becomes swollen, similar to varicose veins, they can cause problems such as:

This condition is what most people know as hemorrhoids or piles.

Hemorrhoids can form inside or outside the anus, and internal hemorrhoids can prolapse, which is when the swellings become visible outside of the anus.

Hemorrhoids can be painless, but in certain circumstances they can become painful. Hemorrhoids that bleed may look alarming, but they are generally harmless. However, rectal bleeding always should be investigated by a doctor to rule out more serious conditions that may require specific treatment, such as bowel polyps, anal fissure or an anal fistula. If there is no rectal bleeding, but the other symptoms listed on this resource seem familiar, try a symptom assessment on the Ada app.

Around half of American adults will experience signs and symptoms of hemorrhoids by the age of 50. Simple treatments, such as sitz baths and topical hemorrhoid creams, will relieve the most unpleasant symptoms, although will likely not make the hemorrhoid itself go away for good.

Hemorrhoids are not contagious and are not usually associated with further health risks. In rare cases, however, a person may experience severe bleeding. In very rare cases, this could turn into iron-deficiency anemia if not addressed. There is also a very slight risk of other complications such as infection from an external hemorrhoid.

Read more about hemorrhoids »

Signs of hemorrhoids

Hemorrhoids can form both inside the rectum and under the skin of the anus (external hemorrhoids). Internal and external hemorrhoids share some common symptoms; both types can bleed, for example. Other similarities include:

• Both internal and external hemorrhoids can cause leakage of feces and anal mucus
• Hemorrhoids can also make cleaning the anus after a bowel movement more difficult. Due to this, both types of hemorrhoid may produce a bad smell

Leaking feces and anal mucus can also irritate the anus. This can cause the anus to itch, a condition known as pruritus ani.

Signs of internal hemorrhoids

Internal hemorrhoids are the most common type of hemorrhoid. These swellings develop inside the anal canal.

Small hemorrhoids stay inside the anal canal and cannot be seen or felt by the person affected by them. Larger hemorrhoids may fall outside the anus in a process called prolapse, often during a bowel movement or while the buttocks are being wiped. Hemorrhoids which prolapse may go back inside the anal canal on their own or may be pushed back in by the affected person.

Read more about hemorrhoids ».

Internal hemorrhoids generally cause no pain. Noticeable signs and symptoms of internal hemorrhoids include:

• Bright red blood in feces, on toilet paper after wiping, or in the toilet bowl
• Bodily tissue falling outside the anus, i.e., prolapse
• Mucal or fecal discharge
• A feeling of not having fully evacuated the bowels

Additional signs of a prolapsed internal hemorrhoid include:

• Itching around the anus, i.e.,pruritus ani
• A lump felt outside the anus

An internal hemorrhoid cannot be seen unless it prolapses. A prolapsed internal hemorrhoid has the following characteristics:

• Approximately the size of a grape
• A rubbery texture
• Soft to the touch
• Skin colored or of reddish appearance
• Can usually be pushed inside the anus
• There may be more than one

If an internal hemorrhoid cannot be pushed back into the anus, it may become trapped by the sphincter muscle. This is called a strangulated hemorrhoid and can cause severe pain.

A prolapsed hemorrhoid is different to a rectal prolapse. In rectal prolapse, the rectum itself falls out of the anus.

Signs of external hemorrhoids

External hemorrhoids are swellings that form under the anal skin and become prominent on or around the outside of the anus. Signs and symptoms that a person may have external hemorrhoids include:

• Lumps around the anus
• Itching around the anus, i.8]
  • Sudden onset of pain
  • Constant pain following sudden onset of pain

  Thrombosed hemorrhoids have the following characteristics:

  • Blue or purple in color
  • A lump or bulge
  • Firm to the touch

  A thrombosed hemorrhoid will often hurt, but are not generally dangerous.

  Signs of anal skin tags

  Skin tags are not hemorrhoids, but they can be left behind after an external hemorrhoid has healed. Skin tags appear after the skin is stretched, such as by an external hemorrhoid. Once the hemorrhoid has resolved itself, the skin may remain stretched, resulting in a skin tag.

  Skin tags are benign, but it is advisable to get any lump checked by a doctor to get confirmation of that.

  Skin tags have the following characteristics:

  • Small bumps or raised areas
  • Soft
  • Scaly

  Signs of hemorrhoids in pregnancy

  Pregnancy creates more pressure in the abdomen than usual, which can cause vascular tissue in the rectum and anus to swell. Hemorrhoids are common in the third trimester of pregnancy and around a third of pregnant people experience them. It is also common to develop hemorrhoids during childbirth.

  Hemorrhoids in pregnancy develop the same way as non-pregnancy hemorrhoids and can be internal, external or become thrombosed. Most cases of hemorrhoids in pregnancy resolve after birth.

  Read more about pregnancy complications »

  Signs of hemorrhoids and other conditions

  Some common signs of hemorrhoids include:

  • Bleeding from the anus
  • Pain around the anus
  • Anal itching
  • Lump near the anus
  • Bad smell around the anus

  However, these signs can also occur in some other conditions. If feeling unwell and unsure of the cause, then try a symptom assessment on the Ada app.

  Bleeding from the anus

  A common sign of hemorrhoids is bleeding from the anus. Blood from hemorrhoids is likely to be a brighter red because it comes directly from arteries or veins. The blood can be found:

  • On toilet paper after wiping
  • In the toilet bowl
  • On feces

  Anal bleeding is a symptom of several other conditions, including:

  Anal fissure, anal abscess and anal fistula

  Bright red blood can also be a sign of an anal fissure, anal abscess and/or anal fistula.

  • An anal fissure is a small tear or sore in the skin of the anal canal
  • An anal abscess is a pocket near the anus filled with pus
  • An anal fistula is a tunnel that runs from the end of the bowel to the skin around the anus

  Symptoms of these conditions that are not shared with hemorrhoids include:

  • Anal fissure can cause sharp pain during and after passing a stool, while hemorrhoid pain is normally less severe
  • An anal abscess can cause a firm, warm, tender, non-thrombosed lump around the anus. Abscesses may sometimes cause fever
  • Anal fistula commonly forms after a previous abscess

  Colorectal polyps

  Polyps are another type of growth that can be found in similar parts of the body to hemorrhoids. A polyp in the colon or rectum can also cause bleeding. In the case of colorectal polyps, blood can sometimes be seen in the feces. If a person has polyps they may also experience:

  • Abdominal pain
  • Mucus from the anus
  • A change in bowel habits

  Polyps are often non-cancerous growths when they are found in, e.g., colonoscopy screenings, but can also develop into colorectal cancer and should therefore be properly examined and treated by a medical doctor.

  Colon cancer and rectal cancer

  Bleeding from the anus can also be a sign of colon cancer or rectal cancer. Symptoms of colorectal cancer include finding bright red blood on the rectum or dark blood mixed in with feces.

  If a person has symptoms or suspects they may be affected by colorectal cancer, they should see a doctor immediately. Other signs of colorectal cancer include:

  • Changes in bowel habits, such as having diarrhea or being constipated
  • A feeling of needing a bowel movement that does not go away after having one
  • Unexplained and/or unintended weight loss
  • Tiredness or feeling weaker than normal
  • Pain from gas, bloating, cramps or a feeling of being full

  Colorectal cancer may not show early signs, so in the U.S. the current guidelines are that regular screening should begin at age 50. For those at increased risk of colorectal cancer, e.g., people with a family history of the condition, doctors may recommend that screening begins at an earlier age, usually around 45.

  The American Cancer Society even argues that regular screening should begin for everyone, not just high risk groups, once they reach 45 and even earlier for people with high risk for colon cancer. In the United Kingdom, the National Health Service recommends regular screening from age 55.

  The conversation around these guidelines is continually evolving. It is generally recommended to see a physician for regular health check-ups and in case of any doubt, for a proper diagnostic work-up, even if someone is younger.

  Read more about colorectal cancer »

  Anal cancer

  Bleeding from the anus can also be a sign of anal cancer. Bright red blood may come from the rectum or anus, or may be visible in feces.7]

  Read more about anal cancer »

  Pain around the anus

  Hemorrhoids can be painful if a prolapsed hemorrhoid becomes trapped by the anal sphincter muscle or an external hemorrhoid becomes thrombosed. Other potential causes for pain in this part of the body include:

  Anal abscess

  Pain that is constant and very often throbbing around the anus is also a sign of anal abscess. Anal abscesses are most often caused by infection, for example, of glands surrounding the anus, so fever may also be present.

  Anal fistula

  An anal fistula may cause mild pain around the anus that comes and goes. The pain from anal fistulas is more pronounced when sitting down, having a bowel movement or when coughing. Anal fistulas most commonly form following an anal abscess.

  Anal cancer

  Pain around the anus can also be a sign of anal cancer. If a person suspects they have symptoms of anal cancer, they should see a doctor immediately.

  Anal itching

  A sign of hemorrhoids can be itching around the anus, also known as pruritus ani. However, there are several other conditions and causes that can create the symptoms of an itchy anus.

  Anal fistula

  Itching around the anus can be caused by an anal fistula. An anal fistula is also accompanied by a constant, throbbing pain and is often the result of a previous anal abscess.

  Pinworms

  Pinworms are small parasites that can live in a human colon or rectum. These worms can be a cause of itching around the anus, particularly at night. Pinworms lay their eggs on the skin around the anus, and worms may be seen in stools. These parasites affect children far more often than adults.

  Anal cancer

  Anal itching can be a sign of anal cancer. Medical attention should be sought promptly in all cases where a person suspects any symptoms of anal cancer.

  Other causes for anal itching

  Anal itching can also be caused by:

  • Irritants such as soap or laundry detergent
  • Not cleaning the anal area properly
  • Moisture from sweat
  • Certain foods, including coffee, tea, chocolate, spicy foods and citrus fruit
  • Long-term use or non-prescribed use of topical steroids applied to the anus

  Lump near the anus

  External hemorrhoids and skin tags will feel like a small lump near the anus. Lumps can also appear around the anus as part of some other conditions, including:

  Anal fissures

  Anal fissures sometimes produce small lumps or skin tags near the anus. If a person has an anal fissure, they will also experience pain during and after passing a stool.

  Anal cancer

  A lump near the anus could be a sign of anal cancer. Seek prompt medical attention in all cases where anal cancer is suspected.

  Bad smell around the anus

  Hemorrhoids can cause feces and mucus to leak out of the anus, which may lead to a foul smell. There may also be other causes for this though, among them:

  Anal fistula or anal abscess

  An anal fistula can result in a bad smelling discharge from the anus. Another symptom of anal fistula is a mild, intermittent pain around the anus. A constant, throbbing pain that is even more pronounced when sitting down, having a bowel movement or when coughing can be the result of an anal abscess that often precedes an anal fistula.

  Proctitis and anusitis

  Proctitis and anusitis are conditions where the rectum and anus become inflamed. These conditions can cause bad-smelling discharge. Someone with these conditions will also likely experience a frequent urge to have a bowel movement, pain and a feeling a fullness in the rectum.

  Fecal incontinence and anal cancer

  A bad smell could be caused by fecal incontinence, which can be a sign of anal cancer. Seek prompt medical attention in all cases where anal cancer is suspected.

  Diagnosing hemorrhoids

  Hemorrhoids are usually diagnosed through a combination of medical history and physical examination.

  Read more about hemorrhoids »

  When to seek medical advice for hemorrhoids

  Lumps around the rectum and anus, and bleeding from the rectum and anus should be examined by a doctor to rule out more serious conditions.

  If hemorrhoids become painful, or cause discomfort or distress, seek medical advice. Many people wait a long time before consulting a doctor, possibly due to embarrassment. Early intervention can ease discomfort. There are various ways to treat hemorrhoids, many of which are painless and/or more successful the earlier the treatment is started.

  Read more about hemorrhoids »

  Signs of hemorrhoids FAQs

  Q: Do I have hemorrhoids or cancer?
  A: Hemorrhoids, anal cancer and colorectal cancer can cause bleeding, with bright red blood. Other signs of colorectal cancer include:

  • Dark red blood in feces
  • Changes in bowel habits, such as having diarrhea or being constipated
  • A feeling of needing a bowel movement that does not go away after having one
  • Unexplained weight loss
  • Tiredness or feeling weaker than normal
  • Pain from gas, bloating, cramps or a feeling of being full

  Other signs of anal cancer include:

  • Pain around the anus
  • Itching around the anus, i.e., pruritus ani
  • A lump near the anus
  • Mucus discharge
  • Changes in bowel habits, such as having diarrhea

  If a person suspects they may have cancer, they should see a medical professional immediately.

  Q: Are hemorrhoids supposed to bleed?
  A: It is normal for hemorrhoids to bleed with bright red blood. Bleeding from hemorrhoids will most often not be painful and is usually not dangerous. It is rare for someone to bleed excessively. However, bleeding from the rectum and anus can be a sign of colorectal or anal cancer and should be examined by a doctor, especially in cases where a person is not aware of a pre-existing problem, such as hemorrhoids.

  Q: What are the signs that hemorrhoids are healing?
  A: Signs that the hemorrhoids are improving generally include the swellings going down and a lessening of any additional symptoms, such as bleeding and itching. Skin tags may appear after an external hemorrhoid has resolved itself. Hemorrhoids experienced during pregnancy will usually go away after birth.

  Read more about treatment for hemorrhoids »

  Q: How can you avoid making your hemorrhoids flare up or getting worse?
  A.: Some of the following steps can make the symptoms of hemorrhoids less likely to persist:

  • Eating fibre, for example, fruits and vegetables, or cereals
  • Drinking plenty of fluids, not including alcohol and caffeine
  • Avoiding co-codamol, a mixture of the two painkillers codeine and paracetamol, which often causes constipation as a side effect
  • Exercising regularly and maintaining a healthy weight
  • Avoiding long periods of sitting down

  Read more about risk factors for hemorrhoids »

  Q: Rectal prolapse vs prolapsed hemorrhoid: what is the difference?
  A: A prolapsed hemorrhoid is when an internal hemorrhoid pushes down and extends out from the anus. A rectal prolapse is when the entire rectum, i.e. the end of the large intestine, or part of it bulges out of the anal opening.A rectal prolapse should be examined by a doctor as soon as possible.

  Q: What if a lump on the anus is not painful?
  A: It is advisable to contact a doctor to check any lump on the anus. This is especially the case if the lumps are persistent and do not clear up after a couple of weeks, or if the lump is hard to the touch. A doctor should also be contacted if the lump comes along with any of the other symptoms reported in the above resource, especially bleeding from the anus.

  Q: Can stress cause hemorrhoids to flare up?
  A: There is no evidence that stress is a trigger for hemorrhoids. However, the symptoms of hemorrhoids can be a cause of stress for some people.

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  90,000 7 problems after childbirth

  All the hardest things are over: the birth was over, and the happy mother and baby returned home.But here new difficulties may await her – from severe lack of sleep and soreness of the nipples when feeding the crumbs to exacerbation of various diseases. Panic, of course, is not worth it, but it is important to remain calm and do everything possible to normalize the condition.

  1. Abdominal pain after childbirth

  Abdominal pain after childbirth is normal and should not be scared. They can be pulling or cramping. This suggests that the enlarged uterus contracts and gradually returns to its previous size.The pain becomes especially intense during lactation, since at this moment the hormone oxytocin is produced, which promotes uterine contraction. Therefore, in women who are breastfeeding, the contraction and recovery of the uterus is faster. Abdominal pain can be felt from a few days to 1 week after delivery.

  Postpartum abdominal pain also occurs after caesarean section. In the maternity hospital, pain relievers are used for no more than 3-4 days and strictly according to indications. Usually, by 4–5 days, the acute discomfort practically disappears, and the postpartum period as a whole continues the same as in women who gave birth naturally, although it takes more time for the uterus to recover after a cesarean section – 2–3 weeks.

  2. Perineal pain after childbirth

  Perineal pain after childbirth is also normal, even if the birth was without tissue dissection. Indeed, at the birth of a child, as a rule, there is stretching, compression, microcracks may appear.

  If a woman had a perineal incision (episiotomy), then the pain in the perineum after childbirth persists for a little longer, up to several weeks or months, aggravated by exertion (coughing, sneezing, laughing, straining, bending forward, squatting).

  After an episiotomy, it is not recommended to sit for a month, but on the 5th-7th day it is allowed to sit on the toilet, a hard chair on the buttock opposite to the direction of the incision: the mother needs to check with the doctor on which side the incision was. Getting out of bed, you must first turn on your side to avoid a sitting position, take your time and do not make sudden movements. It is better to feed the baby after suturing while lying on its side. It is also undesirable to lift weights during the first two months after childbirth.In the presence of discharge, it is necessary to change the sanitary napkins on time – at least once every 3 hours, avoiding the “greenhouse effect”.

  If the discharge is accompanied by an unpleasant odor, the pain in the perineum has significantly increased both at rest and during movement, the body temperature has increased, nausea or vomiting occurs – you should immediately consult a doctor.

  3. Hemorrhoids

  Pregnancy and childbirth are one of the main factors in the development of hemorrhoids in women, which is associated with an increase in pressure on the intestinal wall from the pregnant uterus, increased intra-abdominal pressure, impaired blood circulation in the veins due to a slowdown in venous outflow.In this case, the enlarged vein forms a “bag of blood” – the hemorrhoidal node itself. During childbirth, the head of the fetus compresses the vessels, including the veins of the rectum. The longer the delivery, the more pronounced the stagnation of blood. After childbirth, the anus and hemorrhoids gradually contract and may disappear altogether, but sometimes they persist.

  Hemorrhoids after childbirth are external and internal. External hemorrhoids after childbirth are easier, complications occur less often. External hemorrhoids bother a woman less, but can cause discomfort in the anus, itching, and less often bleeding.Internal hemorrhoids are more likely to cause pain, can fall out during bowel movements, cough, and irritate the skin around the anus. The fallen out bumps can be infringed, and then the pain becomes unbearable, the mucous membrane becomes necrotic, the body temperature rises to 38 ° C, and thrombosis of varicose veins can occur. In such a situation, you should immediately consult a doctor.

  Proper nutrition is essential. It is necessary to improve the work of the intestines so that there is no constipation and defecation occurs without straining.It is useful to eat more fruits, vegetables (broccoli, corn, carrots, ripe apples, beets, cauliflower, potatoes, raisins, prunes, dried apricots) and cereals (especially pearl barley, oatmeal). You should exclude spicy, salty, spicy foods, marinades, since these foods increase the blood circulation in the hemorrhoidal veins. It is recommended to limit fatty foods: it slows down the digestion of food, creating conditions for the development of constipation.

  The improvement of the large intestine and the reduction of congestion in the veins of the small pelvis is facilitated by light gymnastics aimed at strengthening the abdominal muscles and improving blood flow.A set of permitted exercises may be recommended by your doctor.

  It is also advisable to lie on your back for 15 minutes 2-3 times a day with a raised pelvis – putting your buttocks, for example, on a small pillow. It is very important to avoid hypothermia (especially in the lower body), do not sit on a cold surface, give up long (more than 1 hour) walking and long-term work in a standing and sitting position, as this can lead to a slowdown in blood flow, an increase in congestion in hemorrhoidal veins and, consequently, exacerbation of hemorrhoids.

  There are conservative methods for the treatment of hemorrhoids after childbirth: warm baths, ointment applications and suppositories containing novocaine, anesthesin, belladonna. These drugs have anti-inflammatory, astringent, drying and local anesthetic effects. In the acute period, lead lotions, lotions with drilling fluid, furacilin are used, which have an astringent, antiseptic and anti-inflammatory effect. Ointments with venotonic, angioprotective properties (reduced swelling, pain, bleeding) and other agents are often prescribed.

  Surgical treatment is indicated for prolonged periodic moderate bleeding or occasional heavy bleeding, the development of anemia, infection, thrombosis, fissures and fistulas of the rectum.

  Special attention should be paid to hygiene. In the acute period of the disease, you need to take a cool shower 2-3 times a day, as well as rinse the perineum after each chair, or use wet wipes.

  4. Constipation after childbirth

  Constipation after childbirth is the most common problem, which is associated with physiological changes in the digestive system during pregnancy, especially in the second half.The intestine is gradually compressed by the enlarged pregnant uterus, blood circulation is disturbed (venous congestion occurs in the vessels of the small pelvis), innervation changes, which leads to a weakening of peristalsis. Fermentation and flatulence intensify, constipation occurs, and hemorrhoids worsen along the way. In addition, the hormone progesterone, which is released during pregnancy, helps to relax smooth muscles, including the intestines, which reduces its motility.

  The regulation of intestinal activity is provided by the central and autonomic nervous systems, which also undergo changes during pregnancy and childbirth.After childbirth, fears often arise that the stitches will part during bowel movements. In addition, the abdominal muscles become more flabby, stretched, and it takes time for them to tone up.

  It is important to follow basic dietary guidelines to normalize stool. A sufficient content of dietary fiber in the diet is necessary, at least 400 g of vegetables and fruits (raw or in any cooked form), soaked dried fruits (especially prunes), bran, fermented milk products should be consumed daily.

  It is advisable to exclude foods that lead to increased gas production (legumes, cabbage, unripe fruits).

  It is recommended to consume 1.5–2 liters of liquid per day.

  If constipation after childbirth continues to bother you, your doctor may prescribe medication. The safest for solving this problem are lactulose preparations.

  5. Violation of urination and urinary incontinence

  The bladder of a recently given birth woman, as well as her intestines, felt the influence of the pregnant uterus, which led to a temporary decrease in its sensitivity.This will pass 3-5 days after childbirth: some women may have no urge to urinate, others have them, but new mothers cannot empty their bladder. This phenomenon is associated with atony of the bladder or, conversely, with a spasm of its sphincter. However, it is necessary to empty the bladder within 6-8 hours after childbirth – and if you cannot do this on your own, a catheter is placed for the woman, since a full bladder can prevent the uterus from contracting normally.

  At home, it is necessary to empty the bladder at least once every 4 hours.If there are cramps, pain during urination, this is a sign of the inflammatory process of the bladder, so you should immediately consult a doctor.

  Postpartum urinary incontinence may also occur. It occurs with exertion (coughing, sneezing, laughing), possibly involuntary leakage of urine before, between or after urination, reflex urinary incontinence, for example, with the sound of pouring water. The reason for this is the weakening of the pelvic floor muscles, stretching of the ligamentous apparatus of the pelvic muscles, dysfunction of the urethral sphincter.

  More often this phenomenon is observed in multiparous women, women who have undergone severe traumatic childbirth. However, urinary incontinence also occurs in women whose childbirth proceeded without any complications. This is due to the fact that the pelvic floor muscles experience increased pressure, excessive compression of soft tissues during pregnancy and childbirth, as a result of which there may be disturbances in innervation, blood circulation and, as a result, dysfunction of the urinary organs.

  Postpartum urinary incontinence should not be embarrassed.It is important to consult a doctor on time, who will prescribe the appropriate treatment. It can be both conservative and operative (in severe cases). Conservative therapy usually begins with special exercises aimed at strengthening the muscles of the pelvic floor: for a certain time, it is necessary to hold specially designed “weights” in the vagina, to contract the muscles during urination, etc.

  Medications are also prescribed that reduce the contractile activity of the bladder, suppress involuntary urine flow, increase the interval between urination, increase the volume of urine excreted, and contribute to the disappearance or weakening of imperative (false) urges.Conservative treatment can last up to 1 year. In the absence of the effectiveness of conservative treatment, surgical methods are used

  6. Sore nipples

  This problem often accompanies the initiation of breastfeeding. The delicate skin of the nipples is still very sensitive, and the mother may experience severe pain when breastfeeding. Cracked and damaged nipples often occur when the baby is not properly attached to the breast. It is necessary that the baby captures not only the nipple, but also the areola.

  To relieve the painful condition, you can use special nipple pads during the feeding period, treat them with an ointment containing dexpanthenol – it does not need to be washed off before each feeding. In addition, it is recommended that you leave your breasts open more often.

  There is no need to wash the mammary glands with soap before each feeding, it is enough to take a shower 2 times a day, you can simply wash the breast with warm water – preferably boiled until the cracks have healed to avoid infection.

  When lactation is established (this will happen within about 1 month), the skin of the nipples will become somewhat coarse, and breastfeeding will not bring discomfort.

  7. Sutures after caesarean section

  Currently, in modern obstetric practice, absorbable suture material is used for suturing after caesarean section (it completely disappears on the 40–45th day). Depending on the characteristics of the hospital, sometimes non-absorbable sutures are used, which are removed before discharge on the 7-10th day.The seam does not need special care. In most maternity hospitals, postoperative dressings are not applied to the suture area, only local treatment is done 2 times a day with alcohol or brilliant green. At home, you do not need to process the seam and wear bandages. You can take a shower on the second day, the seam area, of course, should not be rubbed intensively with a washcloth. But lying in the bath is better to postpone for 1-1.5 months.

  If you notice discharge from the suture area, redness appears, the temperature rises, or the increasing intense pains begin to bother, you should immediately consult a doctor.

  In the area of ​​the postoperative scar, a feeling of numbness, discomfort (up to several months), itching, burning sensation may persist for a long time – and this is normal. To relieve the condition, you can wear a bandage.

  90,000 Sacral pain – causes and treatment

  Pain in the sacrum (sacrodynia) – a common reason for women seeking medical help.

  Pain in the sacral area is not excluded in men, in most cases extends to the lower back.

  It is necessary not only to deal with pain in the sacral region, but also to identify and then eliminate the cause of its occurrence.

  Reasons

  Pain in the sacrum is associated with many diseases that are not always associated with the musculoskeletal system.

  These include:

  • injuries – falling on the back, lifting weights, etc.;
  • pathology of bone tissue and muscle structures – osteochondrosis, osteoporosis, abnormal shape of the lumbosacral vertebra, anteroposterior displacement of the V vertebra of the lumbar spine, pathology of the sacroiliac ligament;
  • neurology – lumbosacral radiculitis, disc hernias in the lower lumbar region;
  • gynecological field – female diseases, painful menstruation, pregnancy, operations;
  • urology in men – prostatitis, adenoma, prostate cancer;
  • tumors – multiple melanoma, lymphomas, metastases;
  • infections – tuberculosis, infection with staphylococcus and colibacteria;
  • other diseases – thrombophlebitis of the pelvic veins, persistent constipation with enlargement of the sigmoid colon, pathology of the urinary system.

  Classification

  Sacrodynia is not a separate disease.

  This is a pain syndrome associated with a specific pathology.

  Soreness in the sacrum is divided according to the principle of definition of back pain: radicular, non-specific and specific.

  Symptoms

  Soreness in the sacrum manifests itself in different ways depending on the causative disease.

  • Osteochondrosis provokes acute, aching pain radiating to the buttock and leg.
  • For protrusion and disc hernia pain in the morning, after prolonged standing, is characteristic. The intensity of the pain syndrome is different, often the patient is forced to take a special position in order to alleviate his condition.
  • The defeat of the sacroiliac joint is characterized by unilateral pain in the sacrum, lameness and muscle cramps.
  • With sciatica, shooting or aching pain, radiates to the leg and buttock.
  • Pathology of the pelvic vessels is accompanied by diffuse pain in the sacrum, lower back, lower abdomen.
  • Gynecological diseases are accompanied by pulling pain in the sacral and lumbar region. Painful sensations intensify before menstruation, during intercourse and bowel movements.
  • Diseases of the prostate are accompanied by a dull pain in the sacrum, radiating to the groin.

  Treatment

  The choice of treatment tactics depends on the nature of the disease that caused the pain syndrome.In any case, the patient requires pain relief.

  Doctors prescribe analgesics, blockade, recommend courses of manual therapy and exercise therapy.

  The specialists of the “Harmony” clinic actively use shock wave therapy as an anesthetic measure.

  UHT perfectly relieves pain, both as an independent symptomatic treatment, and in combination with drug therapy and other physiotherapy.

  In addition, infrared waves improve blood circulation in the affected area, which dramatically accelerates recovery and prevents the formation of adhesions in the small pelvis.

  However, it should be remembered that UHT courses are contraindicated during pregnancy, during an acute infectious process, with severe deformity of the hip joints, oncology and arrhythmias.

  90,000 Pain in the lower back and buttocks. What are the symptoms of the disease, how to be treated? in your city

  26.05.2017

  Various problems associated with the spine, severe infections, including osteomyelitis, malignant tumors, and cardiovascular pathologies can cause severe pain in the buttocks.That is why, in order to accurately determine the cause, you need to contact a qualified specialist who will establish why there is pain in the lower back, radiating to the buttock, the doctor will also prescribe the treatment.

  You can undergo a full examination at the Medelect clinic, if necessary, take tests, and then the doctor will determine the main reason that provoked severe pain in the lower back and buttocks, treatment is prescribed only after diagnosis.

  The most common causes of severe pain in the buttock area are inflammation, diseases of the joints and spine, and soft tissue injuries.If there is a systematic violation of the correct blood flow of soft tissues, not the most pleasant sensations and pains appear, which, as a result, can lead to more dangerous complications.

  A serious disease such as pinching of the sciatic nerve, which occurs when the roots are squeezed, can also cause severe pain in the buttocks. The development of this problem is associated with displacement of the vertebrae, inflammation or deformation of the surrounding tissues, and the formation of tumors. This type of neuritis is manifested by such a symptom as severe and acute pain, lumbago in the lumbar region, disturbs the feeling of discomfort during light pressure on the lumbar region with the hand.If this type of pathology develops, pains bother only on one side of the body.

  With pathological processes occurring in the tissues of the buttocks, painful sensations take on an acute form and are most clearly manifested during sitting or a quick and sharp movement.

  Damage to the ligaments and muscles of the hip joint is manifested by excruciating and severe painful sensations in the buttocks. Unbearable pains bother while sitting, if abscesses or boils appear.

  A pulling pain often manifests itself after a prolonged tone of the gluteal muscles, if a motionless and uncomfortable posture was adopted, while discomfort is given to the leg. Such conditions can not only provoke the appearance of pain symptoms, but also give to the buttocks or lower back.

  Among the unpleasant consequences are the so-called “hot injections”, but this is the most harmless reason that causes pain in the buttocks. In this case, the syringe is filled with a special vitamin preparation, drugs of a rather thick consistency or antibiotics.Directly at the injection site, a characteristic seal appears, the process of resorption of which can take several days, and unpleasant sensations do not disappear.

  In the event that, during the injection, the patient strongly strains the buttocks or the needle enters the adipose tissue, a rather painful bump (infiltration) forms. As a result of a vessel injured by an injection, a painful bruise appears, in cases where the needle enters the nerve, there is a possibility of developing more serious complications.

  Treatment of severe pain in the buttock area is carried out taking into account the disease or pathology that provoked their appearance. In some cases, it is quite enough to carry out conservative therapy, when determining purulent processes, as well as global pathological changes, there is a need for surgical treatment.

  Provided that the pain in the buttock is caused by myositis, bruising or physical overload, the independent use of warming and anti-inflammatory gels or ointments will be quite sufficient (it is advisable to consult a doctor first).In case of bruises and bumps formed after the injection, the use of an alcohol compress and iodine nets is recommended.

  Sacral pain (pain in the sacral region)

  The sacrum is a large triangular bone located at the base of the spine and forming the upper posterior part of the pelvic cavity. The sacrum, like a wedge, is located between the pelvic bones. The upper part of the sacrum is connected to the last vertebra in the lumbar spine, and the lower part is connected to the tailbone.

  In an adult, the five sacral vertebrae grow together into one bone called the sacrum. Several parts are distinguished in the structure of the sacrum: the back and front surfaces, 2 lateral edges, the wide part on top is called the base, and the narrow part facing down is called the apex. Through the entire bone, from the base to the apex, there is a curved sacral canal. The plane of the sacrum, located in front, has a concave shape and faces the pelvic cavity, which is why it is called the pelvic surface.Traces of fusion of the sacral vertebrae remain on the pelvic surface: four parallel transverse lines, and outward from these lines there are four pelvic holes on each side. The pelvic openings lead into the cavity of the sacral canal and contain the anterior branches of the sacral nerves of the spinal cord, as well as the vessels accompanying them.

  Pain in the sacrum can be different: the right or left joint or the sacrum itself can hurt.

  In case of a violation in the right sacroiliac joint, a displacement occurs, which disrupts the blood circulation of the right leg.Due to this displacement, muscle pain and cramps can occur. This is called a displacement of the right pelvic bones. Such a disease causes not only pain in the sacrum due to improper articulation, but also dysfunction of the liver, intestines and stomach, as well as diarrhea and weight loss of a person. In women, in such cases, gynecological diseases are often encountered.

  When the pelvic bones are displaced to the left, the person experiences obesity, constipation, impaired lung and heart function, and reduced resistance to colds.

  Sacrodynia – pain localized in the sacrum, which are caused by various pathologies of the small pelvis and adjacent areas.

  Pain in the sacral region is a symptom complex, not a disease. This complex of symptoms very rarely can be explained by specific reasons, such as malignant tumors, prolapse of the ligamentous disc, neurological, visceral, or vascular disorders. Thus, the term “sacral pain” refers to pain localized to the ligamentous disc, intervertebral joints, and surrounding longitudinal ligaments, from which the pain is likely to originate.Explaining the cause of pain by morphological changes is possible only in rare cases.

  For problems with the sacrum, the pain in the back can be very intense. People tend to confuse the tailbone and the sacrum, mistaking the pain in the tailbone for problems with the sacrum. In fact, the sacrum is located below the coccyx. A specialist will help to pinpoint the source of pain.

  The main causes of pain in the sacrum:

  • Often pain localized in the sacrum is observed in diseases of a gynecological nature: external endometriosis, located behind the cervix, or on the sacro-uterine ligaments.Painful sensations, with endometriosis, are characterized by cyclicality and intensification during menstruation.
  • If pain in the sacral region increases during exertion, this may be a sign of chronic posterior parametritis, which causes wrinkling of the rectal-uterine ligaments.
  • Anomalies in the development of the spine can also cause pain in the sacrum . The most common anomalies occur in the transitional lumbosacral vertebra. Painful sensations, as a rule, arise suddenly after physical exertion on the spine, when falling on the legs, bending to the sides of the body, with awkward movements.
  • Aching pain in the sacrum, often signals a displacement in the anteroposterior direction of the V lumbar vertebra – spondylolisthesis. This disease can also occur with pathologies localized in the muscles of the gluteal region, as well as disorders in the sacroiliac ligaments.
  • Thrombophlebitis of the pelvic and iliac veins can cause pain radiating to the sacrum and back.
  • In pregnant women, pain in the sacral region can occur when the fetus is placed in the posterior (occipital) position, in which the back of the child’s head presses on the sacrum of the pregnant woman.Also, similar pains can appear after a different position of the fetus, or when changing the position from back to front. The cause of such pain is increased muscle tension.
  • Pain localized in the lumbosacral joint and in the sacrum is a serious problem. In almost all cases, especially in women, pain is associated with dyshormonal or inflammatory processes in the pelvic area. Despite the fact that the condition of the spine, in such cases, is far from ideal, pain is most often provoked by other reasons, and the condition of the spine is only a “point of minimum resistance” for the manifestation of pain.Men, especially the elderly, also often have sacral pain caused by processes in the prostate or rectum.
  • Traumatic injuries of the sacrum. Patients complaining of pain in the sacral region, often due to spasm of the sacro-vertebral muscles, assume forced body positions. Usually, the pain is localized in the lower back and disappears in a few days, provided the patient is at rest.
  • Tumor, metabolic and infectious diseases.Metastatic cancers of the lung, breast, thyroid, prostate, gastrointestinal tract, kidney, multiple lymphoma, and myeloma are the malignant tumors most commonly affecting the sacrum. The primary localization of these tumors may be asymptomatic, or unnoticed, patients, turning to a doctor, may complain of pain in the sacral region. This pain is constant and aching and does not go away after rest. An increase in the intensity of pain is possible at night.
  • Infectious lesions of the sacrum usually include infection with pyogenic microorganisms (coliform bacteria and staphylococci), or the causative agent of tuberculosis, which is difficult to recognize on the basis of clinically obtained information. Patients complain of chronic or subacute pain in the sacral region, aggravated by movement, but does not stop during rest.
  • Metabolic diseases (osteomalacia or osteoparosis) can cause significant bone loss without any symptoms.But most of the patients with these diseases complain of dull, prolonged pain, characterized by low intensity, in the sacral region.
  • Pain in the sacral region may be due to gynecological or urological diseases. Cases of diseases in the pelvic region, causing vague pain in the sacrum, are quite rare, but gynecological diseases can manifest themselves in this way. Less than a third of the pathological changes in the pelvic region, which are accompanied by pain, are caused by inflammatory processes.Other causes that provoke pain can be retroversion of the uterus, relaxation of the structures supporting the uterus, edema of the ovarian appendages, varicose veins of the pelvic veins. Mental illness is also important in many cases where the cause of the pain is not recognized.
  • Pain in the sacral region may occur during menstruation. Such pain is poorly localized, has the character of colic and is capable of spreading to the lower extremities. Most often, chronic pain in the sacral region, radiating from the pelvic organs, is caused by disorders in the uterosacral ligaments.
  • Cancer of the uterus (endometriosis) can affect both the body and the cervix, and the abnormal position of the uterus causes their tension. The pain is localized in the central part of the sacrum, below the lumbosacral joint, however, pain may be more pronounced on one side of the sacrum. Endometriosis causes pain that occurs before menstruation, continues for a period of time, and turns into pain during menstruation. According to some researchers, an abnormal position of the uterus (prolapse, prolapse, or posterior deviation) causes pain in the sacrum region, most manifesting itself after a long stay on the legs.
  • Chronic prostatitis, confirmed by disorders in the functioning of the prostate gland, an increase in the frequency of urination, burning sensation during urination, a slight decrease in potency, may be accompanied by aching pain sensations localized in the sacral region. Pain sensations can be more pronounced on one side of the sacrum, and also spread to one of the legs, in cases where the seminal vesicle is involved in the inflammatory process.
  • Another, fairly common, cause of pain in the sacrum, or in the lower back is prostate cancer, with the presence of metastases in the lower region of the spine.In such cases, a burning sensation during urination and its frequency may not be observed. Tumor cells can infiltrate the spinal nerves, and compression of the spinal cord is also possible when the epidural space is affected. To make a diagnosis, a study of the rectum, determination of acid phosphatase activity, with radioisotope scanning of the spine, as well as X-ray studies are used.
  • Pain in the lumbosacral vertebral region can increase due to the expansion of the ampulla of the sigmoid colon, which is caused by exacerbation of colitis, or the accumulation of feces.

  Questions about proctology

  Questions about proctology Alexander Yakovlevich Lust, a coloproctologist of the Siberia clinic, a doctor of the highest category, answers the questions. See also Medical encyclopedia: section Surgical diseases In-person consultations of doctors you can go to clinics in Omsk You can ask a question to the doctor and make an appointment at . Hello, about 2 weeks ago, it hurts to go to the toilet big, no blood. Could you advise me what to do? Is it possible with this to cope at home? To begin with, an examination by a proctologist is imperative, because. pain there can be from various reasons a crack, thrombosis of the hemorrhoid, paraproctitis, tumor, etc.You have provided very little data: after which they appeared, how long they hold, is there a painful nodule, is there a temperature and etc. Therefore, one hundred percent to make a diagnosis without these data and without inspection is difficult. At first glance, you have a crack. It is treated at least 3-4 weeks: Oily micro enema is made at night (40 ml. vegetable oil 2) After the chair – a sedentary warm bath (sit for up to 10 minutes) 3) The first 2 weeks in the anal canal must be injected: in the morning Proctoglivenol ointment or cream; on the night – Levosin ointment.4) The next 2 weeks – Ultraproct ointment * 2 times a day. See a proctologist. Best regards: proctologist Lust A. Ya I have two chronic fissures, sphincter spasm. The doctor said that little remove cracks, but you need to make a patch in their place, tk. due to permanent cracks the passage became very narrow. Is it possible in another way, how to solve my problem.I would like with the help of Surgitron, but then how to deal with the spasm and narrowing of the passage? Dear patient. Anal fissures, including yours, are treated in our clinic with the “Surgitron” apparatus. No “patches” are required. Sphincter constriction is a subjective feeling that occurs due to sphincterospasm, which is eliminated during the treatment with the device. But anyway, in the beginning an examination by a proctologist is necessary to resolve the issue of the help you need.WITH Respectfully yours: proctologist Lust A.Ya. Hello. After giving birth, hemorrhoids appeared. Go to the doctor’s appointment difficult, because. has not yet recovered after suturing, and you will not leave the baby. would you give advice, bump and pea. Dear patient! Most often, after childbirth, women in this form manifest thrombosis of the external hemorrhoid.You need to apply heparin ointment: lubricate twice a day, and then apply a napkin with the same ointment to the node for 10-12 days, then stop everything. Keep in mind that the nodule can dissolve for a long time, up to 3-4 weeks.This is as it should be, sometimes much longer, but eventually it will disappear. In no case should it be heated or steamed. Question to the proctologist.I am 23 years old. For four months now, aching pains in rectum, burning after bowel movements, intermittent sensation foreign body in the anus. There is no blood in the stool or anus. I have dolichocolon, in connection with which there are pains in the intestines and alternating constipation and soft stools. In addition, I suffer from chronic nonspecific vaginitis and cystitis. Tell me if my sensations could be symptoms caused by bacteria from the vagina of proctitis? If not, what kind of disease could it be and what can i help myself? Thanks in advance. Dear patient! Similar complaints can be in many diseases, such as anal fissure, hemorrhoids, sphincteritis, anusitis, fistulas and many other diseases. Therefore, in order to properly prescribe the treatment, you should be examined by a proctologist. As for the issue of penetration of infection into the anal canal during vaginitis, this is possible, as a result of which there is an inflammation of the mucous membrane of the anal canal (anusitis).In any case, a specialist examination is necessary first, and then the appointment of the correct treatment. On the basis of only the patient’s complaints, without examination, it is impossible to make a correct diagnosis. Respectfully yours: Coloproctologist Lyust A.Ya. Dear Doctor! I am writing to you with the following question: hemorrhoidal thrombosis – external, removed five days ago together with the node, imposed “self-absorbable” sutures, went to the toilet for the first time on the third day, after an injection of ketarol and a sea buckthorn suppository, but still with tears on eyes, although the feces were liquid, I drink laxatives, it hurts to insert candles.The doctor says that this is normal and it will become easier in two weeks. And I just can’t go to the toilet because of the pain, in the place where the seams begin – an unbearable pain as if the “ass” is torn. The seam itself is more than about 1.5 cm. Half of the seam goes into the anus, as I understand the pain occurs mainly due to pressure on this seam. Dear patient. Pain symptom during bowel movements after hemorrhoidectomy always present.Just to ease the stool before emptying the bowel, you can use anesthetic suppositories Indomethacin 15 minutes before stool. Candle lubricated with petroleum jelly and gently inserted into the anal canal, but not completely, but so that a small section of it remains outside and, holding it, lie down for 5-7 min. During this time, the candle dissolves. walk for 10-15 minutes. During this time comes pain relief and it will be much easier for you to empty the bowel. Also for 0.5 hours before stool, it is advisable to drink an anesthetic pill.I wish you soon recovery. Good afternoon! A week ago, I started having some aching sensations in anus, stool as before, no constipation, no blood, pain during bowel movements no. Today it hurts in the anus, then the tailbone, or a burning sensation coccyx and above the spine, sometimes gives to the lower back on the left. Signed up for appointment with a proctologist. Tell me, what could it be? Dear patient! According to your complaints, the clinic is similar to osteochondrosis lumbosacral spine with radicular syndrome.But obligatory, of course, examination by a proctologist to exclude proctological diseases. Hello. I will very much forgive you to help. I live in Kazakhstan, Shymkent. Father is sick, age 57 years old. I started to get sick in May last year. From the symptoms: flatulence, diarrhea mixed with blood, red blood at the beginning of the blood disease there was a lot, and now at the end of defecation, rarely low-grade fever, good appetite, but the weight during the illness has decreased from 65 to 55 kg.Vomiting and abdominal pain, no joints. The patient works in the field of veterinary medicine, so he tried to heal himself. At the beginning of taking sulfademezin, the blood disappeared in the feces, after the drug was discontinued, all the symptoms returned. After that, ciprofloxacin was repeatedly taken (7-10 days), which also gave an instant positive effect, but after the end of the intake, the symptoms of the disease gradually returned within 20-30 days. The same effect was given by metronidazole with tetracycline. During this time, the patient also took albendazole, nystatin, which did not give any positive effect.He also tried to take salofalk for 5 days, suspecting NUC, which only caused an exacerbation of the disease. An analysis was carried out for the presence of bacterial infections and for dysbiosis (although not long before the patient took ersefuril), which showed only a decrease in bifidobacteria to 10 to 4 degrees. The patient categorically does not want to undergo rectromanoscopy. Please tell me what other diseases are suitable for the above-described signs and what tests, in your opinion, need to be passed in order to diagnose the disease. To clarify the diagnosis, an examination by a proctologist, or at least a surgeon, is required. Of the examinations, sigmoidoscopy or fibrocolonoscopy, irrigography are required. Colon cancer, polyposis, Cohn’s disease of the colon, diverticular disease, NUC, Irritable bowel syndrome with dysbiosis, as a concomitant disease – hemorrhoids with bleeding can occur with similar symptoms.It is impossible to make a diagnosis without examining the patient by a specialist and the above examinations, based only on the above symptoms. Hello, for about a year I am worried about pain in the anus, next character, it is quite sharp and severe pain, repeated several times in a day. we don’t have a proctologist in our village. at least approximately, please tell me that it could be.stool is normal, but not regular, it may not even be 6-7 days, but sometimes it happens quite regularly. and also, I would like to go to the diagnostic center will be checked. tell me who to go to, what procedure should I go to likely to be directed and how long it will take. I’m just very far away I live from the city and there is no opportunity to spend the night there. I believe they will be sent to colonoscopy, is it on time? thank you very much in advance. Dear patient, you did not describe the complaints in great detail (are these pain with bowel movement, how long do they last, is there blood? and T.e), therefore, it is impossible to determine what is the cause of your pain. Similar pain can be with anal fissure, lumbosacral osteochondrosis, proctitis, anusitis, internal pararectal incomplete fistula and etc. Therefore, first you should be examined by a proctologist at the reception, make sigmoidoscopy (for this you can do 2-3 cleansing enemas and make an appointment. This can be done in our clinic as well. Recording for an appointment by phone 56-82-60. Dear Alexander Yakovlevich, I would like to receive your advice on the surgical section of chronic anal fissure and mixed hemorrhoids.This diagnosis was made on the basis of a study of retromanoscopy and irrigoscopy (it was revealed that the sigmoid part of the intestine forms an additional loop). An ultrasound of the abdominal cavity was also performed (deformation of the gallbladder, stagnation of bile and minor changes in the pancreas), a general and biochemical analysis of blood and urine, and an analysis of feces for scatology, desgroup and dysbacteriosis. Painful symptoms persist for 3 weeks without interruption (frequent urge to empty the bowels, loose stools, frequent urination, pain in the lower left side of the anus, aggravated by sitting and standing).When the body is positioned on the left side, the pain subsides. Relapses occur regularly throughout the year. There are no proctologists in our city (I am a nonresident)? According to the study, no competent conservative treatment was prescribed. I tried various ointments, suppositories, microclysters, but the pain syndrome (blistering tingling pain on the inside of the anus) persists and intensifies, especially after bowel movement. Tell me in this case, is surgical intervention necessary? If yes, is it possible to conduct with you on a paid basis or contact you by the contact phone number of the clinic? What other additional testing is needed? Thank you in advance, looking forward to your reply. Dear patient. It is preferable that you speak beforehand call me to clarify some questions. Crack treatment we we carry out the apparatus “Surgitron” – this is a non-operative method. Treatment results cracks with this method – healing in 99.8%. For mixed hemorrhoids, I can give an answer only after examining you, because at different stages of hemorrhoids, different methods of its removal (without surgery by latex alloying or, according to indications – surgical treatment).Best regards, Lust A. Ya Hello, I have a daughter, she is 6 years old, the child began to go to the toilet according to big with blood, we turned to the surgeon, he looked he said nothing terrible, and the discharge of blood also somehow stopped, from the day of treatment passed half a year, and now it’s all over again, only now the child constantly complains about the fact that her butt hurts and on the anus appeared like two processes, tell me what to do? go to the surgeon again or can you try home treatment? in advance thanks for the answer! According to the complaints and the clinic, it looks like your child has an anal crack, which requires treatment for about 1 month at home.But it is necessary for the child to be examined and treated by a pediatric proctologist. There is a children’s proctologist in the regional children’s clinic, which is located on the street. Kuibyshev. Hello! question to the proctologist: after the treatment of ulcers. stomach diseases and positive H. pylori, such discomfort as diarrhea appeared in subsequently, it feels like the rectum has cracked inside, near the anus, not outside, inside, during bowel movements, pain, and bloody discharge, sensations of an abscess, pulsation inside the anus, treatment with suppositories: anuzole, relif, not brought results, fear of stool constantly, no constipation.tell me what can you still apply? how to heal a crack, it is painful to insert candles. The first recommendation is to see a proctologist for establishing an accurate diagnosis. A typical crack treatment is next: After the chair, you need to make a sitting warm bath for 15 minutes, then a suppository with indomethacin is inserted into the anal canal. 2) At night done oily microclysters (50 ml of vegetable oil) 3) The first 2 weeks in the anal the channel is inserted with a finger to a depth of 1.5 cm of ointment: in the morning, Levomekol ointment; at night, after microclysters) – Synthomycin liniment 10% 4) The next 2 weeks twice per day – Ultraproct ointment.Items 1 and 2 are performed for the entire treatment period. The minimum time for crack healing when performing the prescribed treatment is 1 month. We wish you good luck and health. Hello! I am 26. A month ago I gave birth to a son, after giving birth, after a week, there was severe constipation, after that I found that after going to the toilet (for the most part) I have blood on toilet paper and a little on my feces.So it seems nothing hurts, it is a little painful to go to the toilet, as if it hurts something there. There is no proctologist at the hospital at the place of residence. Please tell me what it is, and how it can be cured. Maybe it’s a fissure or hemorrhoids. Really looking forward to the answer, Thank you! Clinically, you have an anal fissure. We recommend injecting Ultraproct or Levomekol ointment twice a day into the anal canal for 2 weeks, shallowly, 1-1.5 cm twice a day.In case there is still something to bother you, you need to see a proctologist. Hello! I am 9 months pregnant. I think that hemorrhoids appeared: near the anus, something seemed to have grown, a small lump. So already was, at 6 months, but quickly passed, I did not have time to go to the doctor. Chair in normal, I do not suffer from constipation, itching, no pain, no bloody discharge, rather discomfort.Tell me what to do in my situation. It really is hemorrhoids. Lubricate the nodule with heparin ointment for 7-10 days. Tell us in detail about the diagnosis and treatment of hemorrhoids. There are diseases that are considered indecent to talk about.And not only speak and admit the presence of an ailment, but even start treatment. A young man in love can easily complain to his girlfriend that he has a toothache or, say, a leg. But the fact that he has hemorrhoids, he does not confess under torture. That’s shameful. Why exactly? Our soft spot is worthy of the same respect and consideration as other organs of the human body. After all, a person needs the health of the whole organism, and selectivity is unacceptable here. Do not hesitate to tell your doctor that you have rectal problems – hemorrhoids need to be cured! more details What is paraproctitis? Paraproctitis is a purulent inflammation of the tissues surrounding the rectum.Allocate acute (first appeared) and chronic paraproctitis (develops as a result of untreated acute paraproctitis). more details Tell us about the capabilities of the “Surginon” apparatus? Practical medicine today has many cutting tools that have their pros and cons.The SIBIR Clinic has acquired the most modern device “Surgitron” for radio wave incision of tissues, in which the radio wave emanating from the electrode seems to push the cells apart, coagulate the vessels, and have a low-damaging effect on the surrounding tissues. Since there is no trauma, healing takes place without the formation of a rough scar, there is almost no pain syndrome, there are practically no complications in the form of suppuration. In proctology, the Surgitron apparatus is used for excision of pararectal fistulas, hemorrhoids, chronic anal fissures, anal canal polyps, and perianal warts.The method of radio wave surgery using the “Surgitron” device, in comparison with traditional surgical interventions, is more effective, less painful and safer. Hello. A question for a proctologist. For almost a year I have been leading a sedentary lifestyle associated with a new job. Three weeks ago, I began to notice a slight discomfort in the anus. I felt a subcutaneous lump.A week later, a lump formed, 9-11 mm, but already on the outside of the anus. I smeared it with a simple anti-inflammatory ointment and after five days it disappeared, but the inner one remained on the same side, it hurts a little when pressed. Stool is normal, pain, itching, no blood, only discomfort from inflammation. What to do in this situation? Is it enough to buy candles? And couldn’t it be something more serious? Thanks in advance for your reply. Dear patient.In the clinic you described, you had a segmental thrombosis of the hemorrhoidal node external and in the transition zone .. Pain syndrome and the feeling of discomfort lasts up to 6-12 days. Then they subside. The very same blood clot resolves for a long time. The average time for its disappearance is up to 3-4 weeks, and possibly longer, up to 3 months. In cases of thrombosis, we apply heparin to the nodules. ointment or ointment Hepatrombin “G”, if in the anal channel – is introduced there (treatment period is 2 weeks) Then everything is canceled, then the body will cope with the resorption of the thrombus on its own.Recommended with sedentary work every 2 hours 5-10 minutes. break, walk, you can squat up to 10 times. This is done in order to disperse the stagnation of blood in the small pelvis, which sometimes leads to the development of acute hemorrhoids, in the case of yours. Total Good to you. Health. Proctologist Lust A. Ya Hello, I am having a problem.I am 37 weeks pregnant. I always suffered from constipation both before and during pregnancy, that the intestine climbed out from straining, well, then it was repositioned again. Now there is bleeding from the anus. The color of the blood is bright scarlet, it comes out in a trickle as soon as I start to strain, but I’m not straining too much now, without pain, there are no constipations now. It’s just that when I go to the toilet, blood starts to flow a lot. Before bleeding, I sat on the toilet, pushing for almost the whole day. After that, my intestines came out a little again.See the doctor only next week, and before that I’ll go crazy from not knowing what’s wrong with me. Please answer me! First of all, I always recommend an examination by a proctologist., But since there is no possibility yet I recommend: Detralex according to the scheme: the first 4 days, 2t * 3 times; the next 3 days for 2t * 2p and then for 1t * 2p up to a month. 2) Light laxative to Normase according to the instructions in the pack 3) Three to four days per knot in the evening cold for 30 minutes (Ice cubes are frozen, folded into a cellophane bag, tied.Then be sure to go through a terry towel to the knot for 30 minutes. Sincerely. Proctologist Lust A.Ya. hello, please tell me how to prepare for a colonoscopy Hello! Preparation FORTRANSOM – purchase 3 packages of Fortrans, dilute each one with 1 liter of water.Preparation begins on the eve of the study day at 6 pm. Taking the drug: Divide the dissolved contents (Fortrans) of each packet into four parts and drink it within 15 minutes. Thus, drink all three packets. Hello. I am a 53 year old woman. In 2004, there was a hemorrhoidectomy operation. In 2009, there was a Milligan-Morgan hemorrhoidectomy, excision of the anal fissure with dosed sphincterotomy.The pain doesn’t stop. I made a Fibro-colonoscopy here is the result: the rectum is well passable, 16 cm rectosigmoid fold. The rectal mucosa is pale pink. Further, the sigma is well straightened with air, the sigmoid colon makes a small alpha loop, but it is very painful when the endoscope is held beyond the splenic angle. The sigmoid colon is freely passable, slightly elongated, the splenic angle is freely passable, when holding the endoscope further than the middle of the transverse colon, the patient notes a pronounced pain syndrome in the lower abdomen.The bowel tone is somewhat reduced. Examined the mucous membrane of the large intestine to the middle of the transverse colon. Gaustration in all parts of the large intestine is uniform, moderately expressed, the lumen is of the correct shape, it spreads out easily. Active peristalsis. The mucous membrane is pale pink, smooth, shiny, areas of atrophy are determined. There is a small amount of wash water in the lumen without pathological impurities. CONCLUSION: Chronic colitis with sigma kinks. I want to know if there is a chronic fissure? I am on a diet all the time, and the pain does not stop.There is pain in the left buttock. There is no blood in the stool. Prescribed suppositories ultraproct, enemas with chamomile, toxivenol tablets. Nothing helps. What other examinations can be done to find out what is wrong with my intestines and how to treat it? Maybe you are being treated for such diagnoses? Dear patient! You did not specify the location of the pain except in the buttock. Based on this, it is difficult for you to answer. Of course, a proctologist’s examination is necessary.Perhaps these pains are associated with osteochondrosis of the spine, the so-called radicular pain. This can only be said after examination at the reception. Hello, Alexander Yakovlevich! I ask for your advice, tk. already exhausted from the pain … Before giving birth, at a period of 32 weeks, a bump the size of a bean came out, very painful. According to the experience of a previous pregnancy, she was treated like this: Detralex according to the scheme, Hepatrombin G ointment, Hepatrombin G.As a result, the lump opened after childbirth (childbirth took place at 37 weeks). After giving birth, she continued treatment with Relief ointment. I did not see the effect. At the moment, the child is 2 weeks old, the old bump is gone, there is a small bag left, it cannot be adjusted. But a second bump came out nearby, the size of a small pea. The lump is set, but it is very painful: I can not walk practically, sit, lying down, constant aching pain, tk. the lump is located as if on the sphincter itself. Now I smear with Hepatrombin G, but it seems that it no longer works due to prolonged use.Tell me how to ease the pain so that at least you can walk, I’m already in despair. I will come to the hospital as soon as I recover from childbirth. I really hope for your help. Thanks. Dear patient! Of course, it would be nice to see what you have there in order to exclude paraproctitis. If you really have a thrombus in the external hemorrhoid, then the pain syndrome can last from 5 to 12 days. You are using the Hepatrombin “G” ointment correctly, you can first apply Aurobin or Proctosedidil ointment to the node for 1-2 hours, then again Hepatrombin.You cannot use more powerful anesthetic suppositories Diclofenac or Indomethacin. you breastfeed. Hello! I have such a problem. During pregnancy, at the age of 8, like a month, a small nodule appeared in the anus. It did not bother me. I thought the rage would pass. Well, I gave birth, and it was buried. It passed, then it appeared again. I am already walking with this 2.5 years. Did not bother much.I felt a little discomfort, sometimes itching. I go to the toilet normally: no pain, no blood, I don’t feel a burning sensation. I can’t go to the doctor in the near future (although I know that I should have addressed for a long time, but ….) please tell me hemorrhoids are or maybe something else. How it treats, if, of course, you can give such information online. I also forgot to say the nodules have increased during this time, but they also appear and disappear. Dear patient! What you describe looks like external hemorrhoids.Once formed, they will no longer become smaller. Periodic exacerbations are characteristic of hemorrhoids .. For the prevention of exacerbations, it is necessary to monitor the stool so that it is not tight, exclude spicy foods, heavy lifting, long sitting or standing, alcohol. But it is better, when the opportunity arises, to see a proctologist. Sincerely . Proctologist Lust A. Ya After childbirth, problems with stool began, apparently rectocele appeared, and all the related problems, incomplete emptying, with further urge, manual assistance, etc.tell me, do you operate on these operations, what method, have you heard that there is an endoscopic method as well. if not, what would you recommend? Diet, osmotic laxatives and enemas are not an option, you want to live a normal life Dear patient! If you really have Rectocele, then only an operative method of treatment is a radical method of treatment. The operation is not performed in our clinic, it must be done in inpatient conditions.Endoscopic operations on this matter are not performed in Omsk. The operation is recommended to be done in the regional clinical hospital in the department of coloproctology. Help with defecation is a manual tool: insert your finger into the vagina and press towards the sacrum. Hello, Hello, I have adnexitis and adhesions, they prescribed augmentin, fluomizin, longidase, on the 3rd day of treatment, itching appeared in the anus, then a slight burning sensation also increased, then decreased.from what it can be? dysbiosis or candidiasis, there are small seizures in the corners of the mouth, there was a thrush, but apparently she was cured with fluomizin, but the itching in the anus remained, I read that mucous membrane candidiasis is possible and it is necessary to drink an antifungal drug along with augmentin, but I did not appoint anything except fluomisin, but it only acts locally, what should I take? and under the anus at the bottom there is redness with blood, tell me what to do? Dear subscriber! First, you need to consult the doctor who prescribed this treatment so that he would adjust the treatment taking into account the complications that have arisen. Leave a Reply Cancel reply Your email address will not be published. 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