Is anal pain bleeding hemorrhoids or anal rupture during defecation?

Hemorrhoid Treatment

Hong Kong doctor He Yan explained that anus and hemorrhoids are different anorectal diseases. The venous segment formed by congestion, expansion and wrinkling of subrectal submucosa and subanal cutaneous venous plexus is caused by pathological hypertrophy of subrectal anal pad. Anal fissure is the facial fissure of the narrowest anal canal tissue from the injury line to the anus at the outlet of the digestive tract, forming a small ulcer. Constipation is an important cause of anal fissure.
Anal pain and massive bleeding are the symptoms of hemorrhoids and anal fissure, but the biggest difference between the two is that hemorrhoids can produce hemorrhoids. In other words, the anus forms a soft meat ball, and external hemorrhoids can be felt. Internal hemorrhoids can only be felt when they come out of the anus. Anal fissure does not produce "meat ball", but it will cause ulcer, edema, etc. And the pain is worse than hemorrhoids. So, how do we usually distinguish between hemorrhoids and anal cracks? Xia Yan pointed out that this can be distinguished from their respective characteristics.
Characteristics of hemorrhoids
Internal hemorrhoids often have no obvious characteristics in the early stage, and generally there will be no obvious symptoms in the later stage. With the aggravation of hemorrhoids, the symptoms become more and more obvious.
There are blood hemorrhoids in the stool, which will cause intermittent massive bleeding. It is generally manifested as a drop of blood from the anus or stained on toilet paper after defecation.
Hemorrhoid prolapse hemorrhoid prolapse is generally a late symptom of hemorrhoids. If hemorrhoids fall off at the initial stage, you can push them back with your hands, but if you can't push them later, you will get stuck and slip away when walking and sitting.
pain. In the early stage of hemorrhoids, anus protrudes or defecation is difficult. But hemorrhoids have inflammation, swelling, thrombosis, imprisonment, there will be pain. If dehydration is not reset in time, the pain will increase. In case of imprisonment, ulcer and necrosis, the skin around the anal edge will be inflamed and edematous, with severe pain and restlessness.
Characteristics of anal fissure
Constipation. Most patients with anal fissure have constipation, mainly because they dare not defecate due to pain, so they will cause habitual constipation for a long time.
pain. It's painful to go to the bathroom when you have anal fissure. The tear of sensitive parts becomes more and more painful with the excretion of stool. Some patients can no longer defecate when they are afraid. Continue to endure, endure, dry defecation is more painful and shooting is more difficult. This repeatedly aggravates the situation of anal fissure, which occurs repeatedly, and the vicious circle continues. Anal fissure cannot heal, and even develops into anal fissure. (Shakespeare, Hamlet, vicious circle, vicious circle, vicious circle, vicious circle)
3. Stool blood: the anus is seriously cracked and painful during defecation. When defecating hard, it is easy to have anal tear and bleeding. Stool blood will be seen when pasted on the stool.
Changsha Dongda Changjiang hospital reminds us that anorectal diseases are a disease with high incidence rate in life. The symptoms of anal pain and massive bleeding are not necessarily caused by hemorrhoids, but may also be caused by anorectal diseases such as anal rupture. But which should go to the regular anorectal Hospital for examination? We can't judge or treat blindly.