From symptom to diagnosis
In case of complaints in the anus, hemorrhoids are usually first accused of being the cause of disease. But what very few people know is that everyone has hemorrhoids. These are vascular structure in the anal canal that are important for continence. However, there are many different diseases of the rectum, which are often caused by typical symptoms.
Successful treatment is based on careful diagnosis by an experienced surgeon who is familiar with the treatment of rectal diseases. In false belief ,hemorrhoids are „harmless“ , so early diagnosis and treatment of other diseases, such as inflammatory or tumor-like changes, may be delayed.
Hemorrhoids are vascular cushions in the anal canal that ensure fine continence. These cushions can be injured and sheared off by longterm constipation or pressing on the toilet. They increase in size and begin to bleed, in a severe condition the hemorrhoids protrude to the outside. The treatment depends on the stage.
An anal fissure is a crack in the anal canal that is accompanied by burning pain after bowel movement and bleeding. The sphincter muscle cramps due to the pain stimulus and prevents rapid healing of the wound.
Perianal thrombosis is an acute clot in the veins at the outer edge of the sphincter muscle. Within a few hours, an elastic, usually very painful lump appears on the anus.
A periproctic abscess is a suppurative cavity in the immediate surroundings of the sphincter muscle that develops within days. It is an emergency in proctology and need an urgent treatment.
An anal fistula is an inflammation originating from the anal canal, in the course of which a pus duct connects to the anal environment. Purulent secretion probes out of the outer fistula opening, often causing pain.
Mariske, also known as anal skin tag, do not usually cause any problems as long as the hygienic supply is guaranteed. Larger skin wrinkles can make anal hygiene more difficult.
Genital warts (Condylomata acuminata) are small, superficial skin tumors in the genital and anal area that can also spread into the anal canal. They are caused by viruses, which are often transmitted through sexual or skin contact.
Colon cancer is a malignant tumor that often goes unnoticed for a long time. Initially, there are few symptoms such as blood in the stool, variable stool behavior or weight loss. Benign intestinal polyps are precursors of cancer.
Fecal incontinence is defined as the inability to retain stool arbitrarily. It ranges from occasional stool smearing to complete loss of control over bowel movements.
Anal carcinoma is a malignant tumor in the anal canal or anal rim that usually develops from degenerate cells of the anal skin.
Prolpas and pelvic floor subsidence
Prolaps occur significantly more frequently in women than in men. However, several factors lead to the lowering of the muscle plate with increasing age, for example hormonal changes, overweight, births and operations in the pelvis and perineum. We also see reductions in nerve diseases such as nerve damage in diabetes mellitus. The term prolapse refers to an incident. Proctology distinguishes between hemorrhoid prolapse, anal prolapse and rectal prolapse.
Chronic pelvic floor pain and anal pain
There is no generally binding definition of chronic pain, but it is usually defined as persistent pain or discomfort associated with mental and social impairment over a period of at least 6 months.
The coccyx fistula (Sinus pilonidalis) is a chronic inflammation in the area of the buttock cleft, which typically shows small skin openings (fistulas) in the midline between the buttock halves.
Chronic inflammatory bowel diseases