Perianal hematoma
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| Perianal hematoma | |
|---|---|
| File:Analthrombose 01.svg | |
| Synonyms | Perianal thrombosis, external hemorrhoid |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pain, swelling near the anus, blue or purple discoloration |
| Complications | Infection, abscess formation |
| Onset | Sudden |
| Duration | Days to weeks |
| Types | N/A |
| Causes | Straining, constipation, heavy lifting, trauma |
| Risks | Constipation, pregnancy, obesity, sedentary lifestyle |
| Diagnosis | Physical examination |
| Differential diagnosis | Hemorrhoids, anal fissure, perianal abscess |
| Prevention | Avoid straining, maintain bowel regularity |
| Treatment | Pain management, sitz baths, surgical excision |
| Medication | Analgesics, topical anesthetics |
| Prognosis | Good with treatment |
| Frequency | Common |
| Deaths | N/A |
Perianal Hematoma is a medical condition characterized by the collection of blood in the perianal tissue. It is often caused by the rupture of a small vein that drains blood from the anus and rectum.
Causes[edit]
The primary cause of a perianal hematoma is straining, which can occur during heavy lifting or while passing hard stool. Other potential causes include pregnancy, constipation, and diarrhea.
Symptoms[edit]
The main symptom of a perianal hematoma is a painful, tender lump near the anus. Other symptoms can include discomfort while sitting, rectal bleeding, and itching around the anus.
Diagnosis[edit]
Diagnosis of a perianal hematoma is typically made through a physical examination. In some cases, a proctoscopy may be performed to rule out other conditions such as hemorrhoids or anal fissures.
Treatment[edit]
Treatment for a perianal hematoma can vary depending on the size and severity of the condition. Small hematomas may resolve on their own without treatment. Larger hematomas may require a simple surgical procedure to drain the blood. Pain relief can be achieved through over-the-counter painkillers, warm baths, and the application of a topical anesthetic cream.
Prognosis[edit]
The prognosis for a perianal hematoma is generally good. Most people recover fully with appropriate treatment. However, if left untreated, a perianal hematoma can lead to complications such as anemia due to blood loss, or abscess formation.
See Also[edit]
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