How to treat anal sinusitis

Anal sinusitis, also known as anal cryptitis, is a type of anal disease, which refers to inflammation of the anal sinus area. The anal sinus is an organ located between the bases of the two anal columns and opens upwards, like a pocket. After suffering from anal sinusitis, there will be pain during defecation, a foreign body sensation in the anus, and possible secretions. After suffering from anal sinusitis, you should pay special attention to hygiene, otherwise it is very likely to cause viral infection in the anus, and then cause other diseases. The treatment of anal sinusitis is divided into: conservative treatment and surgical treatment. The following is a detailed introduction on how to treat anal sinusitis.

1. Treatment of anal sinusitis:

1. Conservative treatment

When anal sinusitis first occurs or the symptoms are mild, medication and sitz baths can be used for treatment.

2. Surgery

For patients with anal sinusitis that is not responsive to drug treatment, or for patients with anal sinus abscesses, or those with anal papilla hypertrophy and hidden fistulas, surgical treatment is recommended. Treatment methods include anus incision and anus resection.

[Treatment policy]

When anal sinusitis first occurs or the symptoms are mild, medication can be used for treatment. If medication is ineffective or an abscess has formed in the anal sinus, surgical treatment is appropriate.

[Drug treatment]

Treatment is with antibiotics and rectal suppositories.

[Surgical treatment]

Anorectomy and sinusectomy.

[Other treatments]

Medicated sitz bath.

[Prognosis]

Early standardized treatment has significant effects and a good prognosis.

2. Nursing

[Daily Care]

1. Keep bowel movements smooth and prevent constipation. 2. Pay attention to personal hygiene, keep the anus clean, and take a warm water bath once in the morning and once in the evening.

[Dietary adjustment]

Pay attention to dietary adjustments, eat more vegetables and fruits, drink plenty of water, you can eat some coarse grains appropriately, avoid eating chili peppers, and avoid drinking alcohol.

3. Clinical manifestations

1. Anal pain during defecation, and the location is very clear.

2. It is often more common in the posterior anus because this is where the pressure in the anal canal is the highest.

3. In addition, there will be a foreign body sensation in the anus, discomfort, a feeling of falling in the anal canal, and purulent secretions in the anus.

Fourth, check

1. Digital rectal examination

The sphincter is tense, and the anal sinuses and nipples are indurated and tender.

2. Anoscopy

The anal sinuses and anal papillae are congested and swollen.

5. Diagnosis

The diagnosis is based on clinical symptoms and relevant examinations.

Differential Diagnosis

1. Anal fissure

The main symptoms of anal fissure are periodic anal pain, constipation and bloody stool. The pain is more severe than that of anal cryptitis and the pain lasts longer.

2. Perianal abscess

It is the result of further development of anal cryptitis, and its main manifestations are gradually aggravated perianal pain, chicken-pecking-like pain when pus forms, accompanied by chills and fever, and a routine blood examination shows a significant increase in white blood cell count and neutrophil count.

6. Symptoms of anal sinusitis

If you have anal sinusitis, in mild cases you will only feel discomfort in the anus, but in severe cases it may lead to intestinal inflammation. Anal sinusitis is often a precursor to perianal abscess and anal fistula. If it is not cured in time, it can easily lead to the latter, resulting in serious consequences such as repeated redness, swelling, pain, and pus ulceration around the anus. It may even lead to complications such as hemorrhoids and anal warts. Early stage anal sinusitis can be treated conservatively. If the treatment is successful, no surgery is required. If the treatment is not successful, surgical treatment is required.

Complications that may occur after surgery: ① Bleeding: There is generally no major bleeding after surgery. If it is simple oozing blood, gauze packing can be used to stop bleeding, and adrenaline can be added locally if necessary; Yunnan Baiyao can also be sprinkled on the wound or gelatin sponge can be used to apply pressure to stop bleeding. ② Infection: There are many chances for the anus to be contaminated, but due to the rich blood supply, actual infection of the wound is rare. Frequent sitz baths and proper and clean dressing changes after surgery can accelerate normal wound healing.