How to treat anal poditis

Anal sinusitis is a relatively common perianal disease. It is located at the junction of the end of the rectum and the anal canal. The space in this area is relatively narrow, which can easily lead to complications. It often causes anal fistula and perianal abscess, which can cause pain to the patient. The harm is relatively large, so regular treatment must be carried out in a timely manner. Careful cleaning must be done after defecation, and attention should also be paid to diet.

How to treat anal poditis

1. Adjust your diet, eat more vegetables and fruits, drink plenty of water, avoid eating chili peppers, and avoid drinking alcohol.

2. Keep bowel movements smooth and prevent constipation. Constipation can be treated with appropriate laxative preparations or enema.

3. Take anti-inflammatory drugs orally as appropriate.

4. Apply hemorrhoid suppositories locally.

5. Drug enema.

6. Keep the anus clean and take a salt water bath once in the morning and once in the evening.

Conservative treatment

You can take a warm salt water sitz bath to keep the area clean, and apply 5% to 10% silver nitrate solution to the bottom of the anal sinus once a day. You can also use 30 to 60 mL of olive oil for enema. Various hemorrhoid suppositories and hemorrhoid creams are also available. At the same time, oral antibiotics can be taken to treat intestinal infections such as diarrhea that cause the disease; or laxatives can be used to normalize fecal excretion, such as Ma Ren Run Chang Wan. Due to the anatomical and physiological characteristics of the anal sinus, the sinus opening is upward, and the accumulated fecal residues and pus cannot be completely discharged. Therefore, it cannot be completely cured and can only alleviate the symptoms.

TCM treatment options

Clinically, the most common symptoms of this disease are downward invasion of damp-heat, anal heat toxicity, internal heat due to yin deficiency, and downward sinking of qi due to deficiency. Different treatments are used for different causes.

1. Clearing away heat and removing dampness: for patients with wet and uncomfortable anus, occasional stinging pain, aggravated by defecation, large amount of mucus, and increased frequency of bowel movements; or diarrhea with abdominal pain, foul smell from the anus, and yellow-brown stool; or patients with irritability and thirst, short and dark urine, red tongue, yellow and greasy tongue coating, and slippery pulse. It is mostly caused by damp heat.

2 Clear away heat and detoxify: If there is burning pain in the anus, redness, swelling, erosion and pain in the skin. The symptoms worsen during defecation; or patients with diarrhea, dry and hard stools, red tongue, yellow tongue coating, and rapid pulse are mostly caused by anal heat and toxicity. Treatment should be heat-clearing and detoxifying.

3 Nourishing Yin and clearing away heat: Any patient who experiences anal discomfort, such as pain but not pain, distension but not distension, pain and distension aggravated during defecation, mucus mixed with blood, or hot flashes in the hands and feet, night sweats, dry mouth; or constipation, red tongue with yellow or less coating, and thin and rapid pulse, is mostly caused by Yin deficiency and internal heat. Treatment should be based on nourishing yin and clearing away heat.

4. Replenish Qi and lift the sunken: Whenever there is swelling and discomfort in the anus, sometimes mucus overflows from the anus, which is clear and thin; or the face is pale, the breath is short and the speech is lazy; or there is poor appetite and loose stools. Patients with pale tongue, white coating, and weak pulse are mostly suffering from qi deficiency and sinking. The treatment should be to invigorate Qi and lift the sunken.