Rectalgia separated into primary and secondary. Primary cause of neurological pathology of the disease appear regardless of their level of. In this way, any emotional upset person can cause unpleasant pain in the rectum and lead to very serious disease. Secondary rectalgia is not an independent disease. Pain in the rectum pathology occurs when adjacent organs, namely inflammation or tumor of the bladder, prostate and urolithiasis.
The average age of patients, who have a history of rectalgia, is 35-55 years and, usually, regardless of the sex characteristics.
To the doctor was able to establish an accurate diagnosis and to identify the development of the disease it is necessary to eliminate all organic causes of the rectum. If there are pains in the anus, we recommend you immediately contact the proctologist, who will appoint a special survey.
types rectalgia
There are three types of the disease, on the basis of which, and conducted patient treatment, namely:
- Night rectalgia - pain, that arise, have different duration and intensity. Often, occur at night, when the patient is sleeping. Discomfort in the anus with time added to the pain in the hip joint and the perineum. Pain worse with time.
- spastic rectalgia characterized by anorectal pain in humans, who have bowel problems, while constipation alternating with diarrhea.
- Flying rectalgia (anusalgiya) - on pain sensation is different from the night, but the reasons for its development a little bit different. The most common among them is:
- osteochondrosis;
- coccyx injury;
- frequent constipation;
- urological diseases.
Rectalgia symptoms and signs
Galloping or passing rectalgia it is characterized by a sudden onset of pain in the rectum, are subjectively similar to a convulsive spasm. their duration, usually, is only a few minutes. Perhaps irradirovanie pain in the anus, Kopcik, hips and crotch. Besides, pain attacks can occur quite often, thereby worsening the patient's life. Often, disease is accompanied by discomfort in the area of the perineum, what happens, leads astray, because it suggests the development of pathologies of the genitourinary system.
rectalgia symptoms, which, usually, pain, It takes a long time and has a wave-like nature. Periods of calm alternate exacerbations, which manifest themselves in the form of frequent pain attacks. It is worth noting, that factors, which provoke the exacerbation of, never found. However, there is an opinion, that they have a psychological and neurological.
Features rectalgia women
Usually, rectalgia women occurs with pain in the form of coccygodynia. In other words, it covers not only the area of the anus, but also the coccyx, and rectum as a whole.
In this pain and longer wear intensive. Often, they appear or when the act of defecation, or during prolonged sitting, as well as at night, when a woman sleeps. To these unpleasant sensations may also add hip pain in the perineum. Moreover, the discomfort, which arises in the crotch, often similar to the symptoms of inflammatory diseases of the genitourinary system (cystitis and vesiculitis).
diagnosing rectalgia
In order that the doctor diagnosed as "rectalgia syndrome," the physician must conduct a full examination of the patient to eliminate the disease, which also have a pain in the rectum.
In addition to the physical examination patient examination conducted anus, and digital examination of the anal canal. Usually, recent survey safely, but sometimes there are levator spasm.
For a more detailed survey of the rectum walls held sigmoidoscopy. If it is necessary to inspect the upper colon sections, there shall be, either barium enema, or colonoscopy.
In some cases, the disease is accompanied by spasms muskulaturnoy perineum and anus. Identify the spasm, perhaps spending a simple procedure. To do this, take the slim wand of plastic, having a rounded end and is introduced into the rectum by two centimeters. true, previously recommended in cold water to moisten the cloth and lightly wrung out to attach to the scrotum. During this action to relax the muscles of the anus and are accompanied by spasms during insertion rod. However, it is worth noting, if the patient has muscle spasm, enter the wand will be possible to a depth of no more than one centimeter, and only then it will pass with a pretty great difficulty. In this it is necessary to stop the procedure, so as not to cause injury to direct the intestinal mucosa.
The presence of the inflammatory process is set based on a blood test. Besides, during a survey carried out a pelvic ultrasound and bladder, and the patient is sent for consultation to the urologist and gynecologist.
If the functional and organic disorders excluded, and pain are, the doctor diagnoses primary rectalgia.
Principles of treatment rectalgia
Drug treatment of the disease takes a very long period and requires the intervention of different specialists, such as a proctologist, gastroenterologist, surgeon, family physician and psychotherapist. The patient has to go to the doctor to contact and deal with him understanding.
In order to facilitate, resulting pain associated with proktalogiey carry out various treatments. The main among them are:
- A variety of physiotherapy techniques, which include electrical stimulation, mud therapy, UVCh, electrostimulation, intrarectal irradiation with infrared semiconductor laser.
- Novocaine blockade perisakralnye or epidural-sacral, and retrorektalnye injection novocaine.
- Massage levator anus under the condition expressed spasms, as well as the PC muscle.
- Microclysters Collargol, sea buckthorn oil and novocaine.
- Receiving sedation, such as hypnotics, sedatives and tranquilizers light.
Often, pursue a course of treatment rectalgia begin with sanitation antibacterial agents rectum. These actions are necessary for the treatment of latent proktosmgmoidita – inflammation of the lower rectum.
It should be emphasized, that the development of primary rectalgia provided a certain dependence of the psychological and emotional state of the patient, so the main goal of the therapy acts to create the most comfortable environment from a psychological point of view,, as well as to minimize voltage and various stresses. Quite often used for medicinal purposes for relaxation psychotherapies. In some cases, you may need to carry out psychological counseling.
In addition to the above procedure is recommended for patients on a diet, which helps normalize digestion. In this connection it is necessary to abandon the product causing fermentation, flatulence, constipation (diarrhea).
Treatment of secondary rectalgia involves addressing the underlying pathology, which caused the development of the disease.
proctalgia – Treatment of folk remedies is not carried out.
Prediction rectalgia symptoms, treatment
Usually, disease disappears as suddenly, as appears. However, in some cases, persistent expression of pain attacks of varying degrees of intensity and duration of life of the patient worsens, reducing their ability to work, and a negative impact on the psyche.