Thrombosis of external hemorrhoidal node

Hemorrhoids is a disease that is associated with inflammation, as well as crimp and expansion of pathological hemorrhoidal veins that form nodes near the rectum. The disease has three degrees of severity.

Topographically classify thrombosis of the external hemorrhoidal node, internal node or both nodes.

The first stage is characterized by their small size, a tauto-elastic consistency, painfulness during palpation. They are located under the dentate line of the anal canal. In the second stage, the markedness of the edema that has spread to most of the perianal region, sphincter spasms, and hyperemia is noted. Rectal examination of the finger causes severe soreness. The third stage is characterized by puffiness and hyperemia of the entire anal circumference. Examination reveals cyanotic-purple or purple-colored internal nodes that protrude from the anus. Conducting rectal examination is not possible, due to pronounced sphincter spasm and acute soreness. In some cases, there is a plaque of fibrin on the nodes, visually revealing areas of black color. These areas are manifestations of walls with necrosis.

The cause of necrosis is thrombosis of the external hemorrhoidal node. As a rule, it is represented by a barely visible dense formation. It is located under the skin epidermis of the perineum near the external sphincter. The thrombosis of the external hemorrhoidal node can affect the entire dermal anal circumference. However, in most cases, isolated skin edema is observed.

Characteristic symptoms should be attributed to patients' complaints about the appearance of pain, not associated with defecation, as occurs when cracks are formed. Pain intensification is noted during emptying, most often in patients with constipation. Together with this, swelling of the skin is noted. There is no correlation between the severity of the pain and the size of the affected node. It should be noted that painful manifestations are purely individual for each. They may be unbearable in some cases, and in some cases very insignificant, despite the increased size of the formations.

Diagnosis of the acute stage of the disease, as a rule, does not present difficulties. Frequent pains occur due to violations of intestinal functions or due to intake of laxatives. Rectal examination is painful, so spend it after the process subsides. Up to 35% of cases are characterized by necrosis accompanying thrombosis of the external hemorrhoidal node. In this case, a spontaneous evacuation of the compaction through a defect in the mucosa is noted. This process accompanies rapid relief, but bleeding from the defect is noted. In some cases it is very abundant.

Acute hemorrhoidal thrombosis concludes with the development of hemorrhoidal fringes. Their occurrence is provoked by cutaneous stretching of the perianal region. These fimbriae, which are not painful, in many cases mistaken for external seals.

Treatment.

Thrombosis of the hemorrhoidal node assumes emergency hospitalization. In the case of an acute current, it is not permitted to direct the dropped seals by yourself. This is associated with a greater risk of damage to the mucosa during self-manipulation. In addition, bleeding and serious complications are possible. The acute course of the disease in many cases involves surgery.

With the development of seals of acute nature, sedentary baths with a solution of potassium permanganate, rest, cold lotions using lead acetate or potassium hydrogen carbonate (2% solution) are shown. After a day or two recommend a warm bath (sessile).