1) Anal structure, work, the structure of the bowel movement, the burden to anus, anal illness, the symptom of hemorrhoids
1) About anal structure
Anus usually means parts continuing from rectum downward, but depth is you with the anal canal that there is the 3-4cm length exactly.
2) About anal work
Send the flight which collected to the anus off regularly to the outside the body; work important. It is an inner sphincter that regulate so that gas and a flight do not leak to the outside even if not usually conscious to this anal canal at all. In addition, the rectal levator ani muscles which maintain it to endure the flight which overcomes an inner sphincter, and went down for self-will, and not to be out of a sphincter, rectum and anus attach, and autonomic nerve and spinal nerves adjust the muscle.
3) With the structure of the bowel movement
When I have a meal and stand more than six hours, nutrition is absorbed in the small intestine. Come to liquid diet-formed, the meal arrives at the large intestine afterwards. I move in the large intestine slowly and water is absorbed in the meantime and becomes the moderate hardness and approaches the state of the flight. At this stage, when food enters the stomach again, large intestine begins to move lively, and a flight is sent off in rectum. Then it is defecation desire that the pressure of recta increases, and the sensory nerve in the rectal wall is stimulated, and reach the brain. The inner sphincter which I explained some time ago continues shrinking in this state, and a flight becomes unable to leak. Abdominal pressure is finished when I strain in a restroom, and an inner sphincter opens, and I can move it for self-will, and a sphincter melts, and a flight goes out.
Thus, it is important to have a meal properly to empty the bowels regularly.
4) When a bowel movement does not go well, does a burden depend on anus?
As the flight which collected has been left in the large intestine all the time if morning does not have a bowel movement, the vein in the rectal anus is pressed, and blood vessel swells. This is so-called hemorrhoids. Furthermore, an anal mucous membrane may become the bleeding hemorrhoids with the wound when this state continues.
5) The things most in anal illness.
It is hemorrhoids to be the most frequent in an anal disease. Even if the hemorrhoids develop, from the poor thing of subjective symptoms, I often take the anal disease except hemorrhoids for hemorrhoids, and this probability to get sick is actually unidentified in Japanese. I am told that I guess from 4.4-13.3%, the diagnosis of the doctor judging from self-assessment of a patient with 21.6-55%. There is not gender gap in the sex. There are few child and young people, and there seems to be much age after a 45-65-year-old middle-age.
6) Please tell me about the symptom of hemorrhoids.
The main symptom is datsu*, an itch, a leak of the viscous liquid that bleeding, a pain, hemorrhoids are over outside anus. It is often the red that the bleeding symptom is seen on defecation, and is clear. The pain is often seen in only at the time of a bowel movement, but aching may continue it even if I do it from the onset for a few days in clot-related outside hemorrhoids and seriously ill datsu*.
7) What kind of medical examination do you do at the hospital?
I perform an ocular inspection, palpation as an anal medical examination and examine the anal depths with the instrument called the anal mirror. The staff helps even the woman not to be ashamed. In addition, I may make an anger responsibility diagnosis to examine after having you strain yourself in another room at the time of a medical examination when there are not many symptoms.
8) The choice of the doctor
I will have at first you talk with family medicine and introduce a large intestine anus disease specialist. I can read the specialist on the homepage of the Japanese large intestine anus society.
About the cure, it is important to choose after consultation with a doctor. I recommend that I talk with a large intestine anus disease specialist. When I search it on the homepage of the Japanese large intestine anus disease society, how about a specialist, the specialist in instruction?
2) Anal illness, a cause, a kind, a symptom, the diagnosis of hemorrhoids, medical treatment and operation
Please tell me about the disease of the Q1) anus.
The anal illness has three major diseases. It is hemorrhoids followed by an anal fissure, an anal fistula that there is the most for frequency.
What kind of diseases are the Q2) hemorrhoids?
Originally a blood vessel anal mucous membrane lower line to act as an anal cushion that an anal sphincter can support so this says a together tumefacient state with hemorrhoids.
How is the frequency to become the hemorrhoids of the Q3) Japanese?
Even if there are hemorrhoids by a thing, the diagnostic study that may take the person who does not consult a hospital even if it develops in hemorrhoids being broken, the anal illness except hemorrhoids for hemorrhoids, as it may be asymptomatic, the frequency is not clear, but, as for most, the gender gap, there are generally none toward 45-65 years old with the man and woman.
Is the cause that Q4) hemorrhoids develop in it?
An occupation or long-time seat rank treating constipation and the strong heavy thing which strains, and has a long bowel movement occasion interval are reported.
I have heard that there were various kinds of the Q5) hemorrhoids,
There is it in internal hemorrhoids, an anal canal or the anal edge, and possible hemorrhoids are greatly distinguished from hemorrhoids so that rectum stops by.
The main symptom of Q6) hemorrhoids
Bleeding, the pain at the time of the bowel movement, so-called datsu* where hemorrhoids come out to outside anus, a feeling of swelling, an itch, leaks of the viscous liquid are various. Particularly, the bleeding has much clear red. The pain is often accompanied only at the time of escape, but a pain continues the strangulation hemorrhoids that a clot-related casual income nucleus and the hemorrhoids that escaped do not come back in anus during the immediate nature period.
The diagnosis of Q7) hemorrhoids
A detailed interview and an anal medical examination are necessary. As it is difficult, as for diagnosing internal hemorrhoids which there is in anus in particular on palpation, anoscopy is necessary even for a specialist. The anoscopy puts several centimeters of thin pipes in the anus not to want to be and performs it. Time is several minutes.
Is the Q8) large intestine endoscopy necessary?
I can observe the anus by operation such as the inversion in the rectum using a large intestine endoscope in detail.
Furthermore, it is very useful to distinguish a large intestine disease in the case of bleeding at a bowel movement.
I take many laxatives and hear the Q9) large intestine endoscopy very much.
When I inspect all large intestines with an endoscope, I need taking laxative. However, on the day I can inspect anus, rectum, the case for the purpose of the observation only for areas of predilection for large intestine disease including the S,-formed colon only by an enema.
The precaution of the everyday life of Q10) hemorrhoids.
It is important in the everyday life to avoid having water and dietary fiber enough, excessive doseki.
There can be the thing effective for a pain of the immediate nature period and postoperative relaxation a warm bath.
The medical treatment of Q11) hemorrhoids.
A suppository with a steroid is effective in the immediate nature period that bleeding, swelling, a pain are strong in. However, attention is necessary as it causes steroidal dermatitis and perianal region favus symptom when I use it for a long term. Furthermore, the internal use produces a synergistic effect, too.
The hemorrhoids which Q12) operation needs
A surgical management is effective, and case not to be relieved by medical treatment and datsu* repeating itself are cured surely early. At first it is important to have you introduce a specialist in consultation with family medicine.
3) The relapse rate of the hemorrhoids operation? A ligation (kessatsu) resection and sclerotherapy
In the operation of the hemorrhoids (ji) nucleus, the standard maneuver is "a ligation (kessatsu) resection". Approximately 60% of anal diseases are said to be hemorrhoids, and there are the symptoms such as bleeding, escape, the pain. At first I give the conservative treatment such as oral medicine or the suppository and, for treatment, choose sclerotherapy (local injection to hemorrhoids) and a ligation resection when I am not improved.
For one having difficult hospitalization, sclerotherapy increases, but approximately 12% recur recently. About the ligation resection by the specialist, a recurrence is not almost accepted.
What it does not have a relapse of according to the ligation resection ligates blood vessel flowing into the hemorrhoids in the anal depths, and it cuts off the bloodstream, and it removes the morbid supporting tissue which it had flabby with hemorrhoids surgically, and this is because it is a method to fix a normalcy organization to remain in at the original position. Even a one-day operation is possible to tell the going too far in saying, but it is important for this operation not to overdo it if it considers the bleeding after a posttreatment and the bowel movement. I may control it if I devise pain-killers about the pain.
4) What is hemorrhoids operation not to drain off? Sclerotherapy
About the surgery of hemorrhoids not to cut. The hemorrhoids are the diseases that blood vessel told that the vein in the anus is so swells up for diarrhea and constipation. When it says datsu* to need a surgical management, and hemorrhoids escape outside anus. Particularly, it is approximately invalid, and a surgical management is necessary for the medical treatment when a case and appearance to need to push it back with a finger keep on.
When internal hemorrhoids in the particularly anal depths become the main lesion among these hemorrhoids with the surgery treatment to cure of without cutting it, it is adaptation.
I can treat it by making full use of a surgical technique, and injecting special medicine (hardening agent) to strengthen hemorrhoids after having anesthetized it, and to reduce into the depths from anus. As the time required does not approximately have the postoperative pain in around ten minutes, and there is not the wound to remove surgically, an operation is possible in a day.
5) The anal fissure which is common in young fellows
The anal disease is apt to seem all to be hemorrhoids (ji), but there are 3 diseases and greatly occupies approximately 85% of anus diseases exactly with "hemorrhoids" "anal fissure" "hemorrhoids rou".
When it is painful on defecation, I put "an anal fissure" in the mind in 3 diseases. It is two to three, and this disease is common in women, and 20-30 years old is said that there is many it with the man and woman.
The function of muscle accounting for anus is strong, and the one which is common in young fellows is because there is much that the formation of the anal epithelium is undeveloped. On the contrary, it is necessary to doubt other diseases in the age group 65 years or older.
The anal rear center is easy to burst, and the anal fissure is accompanied by an ulcer and a polyp to anus when it becomes chronic. A pain is light in the immediate nature period, and the duration is short, too, but, without only at the time of a bowel movement, I come to accuse a regular pain when it becomes chronic, and an operation is necessary. In addition, I may recommend large intestine endoscopy as it may be accompanied by a large intestine disease.
As for the large intestine endoscopy, there is the method to observe ill many recta and sigmoid colons only by an enema without taking a laxative. You can eat on the day of the medical examination. At first let's consult the large intestine anus disease specialist.
6) Can leave hemorrhoids? The distinction with colon cancer?
As hemorrhoids are benign diseases, a life does not generally have the danger. However, there is the risk to turn worse if I leave you unattended and is not cured spontaneously. Particularly, it may rarely cancerate when anal people leave festering "hemorrhoids rou" for many years. Furthermore, it may shift to a severe infectious disease when the underlying disease has diabetes. I may be annoyed by intense pain and bleeding every bowel movement by an anal fissure and the hemorrhoids.
In addition, it is colon cancer to have to be careful most. In late years colon cancer increases by high protein, the change of the eating habits including the high-fat meal in not only Europe and America but also Japan.
1) A restroom newspaper has blood after the bowel movement.
2) There is dyschezia such as zambenkan.
3) There are a pain and a sense of incongruity in the abdominal region.
When you have nadono symptom, you do not self-diagnose with hemorrhoids, and please receive large intestine endoscopy in consultation with a large intestine anus disease specialist. Colon cancer is the disease that is high in probability to be repaired by an operation if I can discover it early. Please let's be careful not to become too late.
7) There was bleeding on defecation. Where should I go to for a medical examination?
I think that most one is shocked and begin worrying if I bleed on defecation. It is 1) anus disease that there is many as a disease
2) Large intestine tumor
3) It is an inflammatory digestive organ disease.
The anal disease is so-called pile bleeding relatively abundantly, and the vein around the anus is congested and has it because this fails temporarily. The bleeding hemorrhoids that is common in young women feels a strong pain on defecation, but it features it that there is relatively little bleeding. Fester; the bleeding of the mingling is perianal abscess and hemorrhoids rougaarimasu. It is a disease to need a surgical management for bacterial infection immediately. Large intestine tumor has the benign polyp, but at first doubts colon cancer. The death tolls of colon cancer become more than 10 times in these 50 years, in 2006 of the cancer death of the woman come first. When there is not regular bowel movement abnormality, the inflammatory digestive organ disease thinks about inflammation of mucosa of large intestine such as large intestine diverticulitis or the ischemia-related colitis. Each treatment policy is decided by kind and degree of illness. A medical examination jumps over these diseases comprehensively, and it seems to be the public, digestive organ surgery that curative treatment is possible. In Wakayama, it often advocates it as surgery, and it is apt to seem that the surgery examines an operation and an injury, but, actually, it features it that there are many doctors acquiring digestive organ disease and a digestive organ endoscope specialist. It seems to be one of the important thing that a doctor in charge of confirms these specialists or large intestine anus disease specialist.
8) The disease that pus collects around anus?
The pus migatamaru disease is perianal abscess (nouyo) and hemorrhoids rougaarimasu which has already drained pus around anus. A surgical management is necessary for the disease that the colleterial gland in the anal depths becomes all the source of infection.
It is said that it develops by local abnormality of the anal colleterial gland of immunity for a cause, but it rarely merges an inflammatory bowel disease (Crohn disease), and the case that an anus lesion precedes before developing in the disease of the bowels is it in before and after 30%.
The Crohn disease is common in young fellows by an unidentified disease and needs the correspondence as the systemic disease because an ulcer is formed on the small intestine or large intestine. The clinical manifestations depend on a part and the range of the lesion, but detect nutritional disorder, anemia such as a digestive organ symptom, fever, weight losses such as diarrhea or the abdominal pain.
As for the anal lesion, there is anus stenosis that an edema form skin of appendix, the anal exit where bleeding hemorrhoids to be sharp from the anus to the rectum deeply, the skin of perianal region swell up very narrow other than the above. At first I perform enough internal use, a diet cure after having attached the definitive diagnosis of the inflammatory bowel disease by large intestine endoscopy, and it is anal treatment.
But please consult with a large intestine anus disease specialist as I may need an emergency surgery when anus swells up, and high heat, a pain, pus flow.
Q) The disease of the pus migatamari bowels was said to be a cause to anus.
A) The pus migatamaru disease is perianal abscess and hemorrhoids rougaarimasu which has already drained pus around anus. A surgical management is necessary for the disease that the colleterial gland in the anal depths becomes all the source of infection. It is said that it develops by local abnormality of the anal colleterial gland of immunity for a cause, but it rarely merges it with an inflammatory bowel disease (Crohn disease), and an anus lesion may precede it before developing in the disease of the bowels in the ratio of 30%. The Crohn disease is common in young fellows by an unidentified disease and needs the correspondence as the systemic disease because an ulcer is formed on the small intestine or large intestine. The clinical manifestations depend on a part and the range of the lesion, but detect nutritional disorder, anemia such as a digestive organ symptom, fever, weight losses such as diarrhea or the abdominal pain. As for the anal lesion, there is anus stenosis that an edema form skin of appendix, the anal exit where bleeding hemorrhoids to be sharp from the anus to the rectum deeply, the skin of perianal region swell up very narrow other than the above. At first I perform enough internal use, a diet cure after having attached the definitive diagnosis of the inflammatory bowel disease by large intestine endoscopy, and it is anal treatment. But please consult with a large intestine anus disease specialist as I may need an emergency surgery when anus swells up, and high heat, a pain, pus flow.
9) datsu* and a prolapse of the rectum
When rectum appeared from anus if I thought it to be hemorrhoids and had a medical examination, I had a diagnosis.
The appearance top is similar to datsu* where hemorrhoids escape from anus, but there is a prolapse of the rectum for a disease varying in a cure. The prolapse of the rectum is divided into a complete prolapse of the rectum and an incomplete prolapse of the rectum. It is in condition that all direct intestinal wall layers reverse the complete prolapse of the rectum outside anus and escape. As for the incomplete prolapse of the rectum, the part called the mucous membrane lower layer who is slightly deeper than mucous membrane and that of direct intestinal wall leaves from the anus, and it is common that a prolapse of the rectum points to the perfection prolapse of the rectum.
The cause comes to have weak rectal supporting tissues such as muscle, the ligament in the pelvis and develops, but the opinion which I can explain is not yet seen surely.
Anal noshimariga becomes bad and causes the fecal incontinence when I leave you unattended, and underwear pollutes it for viscous liquid and bleeding from the intestinal tract which escaped frequently.
As for the treatment, a surgical management is a principle. There are a method and the treatment from anus to give by an open surgery.