Hemorrhoids, Fistula, Abscesses and Anal Fistula

Description

Hemorrhoids: they appear because veins of the anal region are full of blood. They normally appear after periods of constipation or diarrhea.

Anal fissure: wound caused normally in constipation periods. Fissures cause a maintained contraction of the anal sphincter which avoids its healing.

Perianal fistula and abscess: an infection is caused due to an obstruction of anal glands (perianal abscess). This infection seeks the areas of lower pressure to exit and produces different routes (fistulas) with chronic suppuration. Crohn Disease sometimes also causes complex perianal fistulas.

Symptoms

Hemorrhoids: anal lumps, pain and anal bleeding (normally with depositions)

Fisura anal: very intense anal pain which increases with excretion and anal bleeding.

Perianal Abscess: fever, lump in the area of the anus and rectum and pain.

Fistulas: point near the anus causing continuous suppuration.

Treatment

Depending on the severity, treatment may be medical with creams aiding healing and drugs in milder or surgical in the most serious cases or not disappearing with medical treatment.

Surgeries of the perianal region are normally routine and most require at least one night of hospital to control the patient's pain.

Hemorrhoids: removal of hemorrhoids

Anal fistula: part of the anal fistula is cut (internal lateral sphynterectomy) for this relaxation to allow the healing of the wound (fissure).

Perianal abscess: they are normally urgently operated and treatment consists in the surgical drainage (extraction of pus and blood)

Fistula: requires the performance of tests to known its direction and remove or open the fistula.