What is paraproctitis ?
Paraproctitis is an inflammatory disease of the tissues near the anus or rectum. The disease, depending on the location of the purulent focus, can occur in several forms: pelvic rectal, sciatic, rectal, submucous and subcutaneous. Although the forms of paraproctitis are different, however, this is not due to differences in treatment approaches. Surgical treatment of paraproctitis, as the disease faces serious consequences.
Symptoms
The symptomatology of the disease is quite bright, because the diagnosis is most often not difficult. In patients with paraproctitis, the general condition of the body worsens, they feel weakness and malaise. Body temperature rises, chills are felt. In the area of the anus appears pain, swelling, local hyperthermia (fever) and hyperemia (redness). Soon an abscess forms in this place. The sizes of the abscess can be different, as well as its location. The more pus accumulates, the more pain increases at the site of the lesion. The pain becomes throbbing, jerking. Defecation is difficult due to pain.
If the treatment of paraproctitis is not started on time, then the abscess will occupy more and more space and more and more layers. In the future, he will get to the intestinal mucosa and, due to its subtlety, will break into the rectum. Sometimes the abscess passes through the skin of the perineum. With the release of pus and the release of a purulent sac, the pain goes away, the temperature drops, the sick person feels a significant improvement. However, the positive dynamics are only visible - in the future, paraproctitis can progress and go into the chronic stage.
Causes of Paraproctitis
The disease occurs most often due to hemorrhoids or anal fistulas, which contributes to inflammation of the tissues near the anus. May cause paraproctitis and inflamed glands in the anus.
Paraproctitis Treatment
Paraproctitis is acute and chronic. In acute paraproctitis, the patient should seek medical help as soon as possible, since surgery will be required. Without surgery, the disease threatens with serious complications up to death.
During surgery, the patient is given anesthesia. The essence of the operation is the drainage (release from pus) of the abscess. After surgery, frequent dressings are performed to avoid complications. Patients are prescribed vitamins, antibiotics, and drugs to enhance immunity.
As a rule, one operation does not eliminate paraproctitis. The treatment of paraproctitis is usually long. After surgery, repeated abscesses often arise, since fistulas are difficult to heal and contribute to relapse. Repeated surgery is usually performed to remove the fistula into the rectum.
If the patient does not seek help, and treatment for paraproctitis has not been started, then the disease becomes chronic. Sometimes chronic paraproctitis can be the result of an unsuccessful operation. As usual, this form of the disease occurs due to the fact that feces enter the fistula in the rectum, so the process does not stop - the fistulas heal for a while, then open again. The treatment of chronic paraproctitis is also surgical.
It is important for patients to remember that the onset of symptoms of paraproctitis will not disappear on their own. Delaying treatment leads to the involvement of new tissue layers in the inflammatory process. In the end result, the accumulated pus can break into the pelvic cavity, which will lead to grave consequences and even death. And with late surgical treatment of paraproctitis, complications such as impotence, fecal incontinence, gas, narrowing of the anus are possible.