Paraproctitis is a fairly common disease, manifested in the form of inflammatory processes of pararectal tissue near the rectum. It usually occurs in adults.
Causes of the disease
Paraproctitis occurs in the case ofpararectal tissue of the causative agent - E. coli, golden and white staphylococcus. A mixed microflora is also possible. Usually the development of the disease is promoted by hemorrhoids, cracks and scratching of the skin around the anus, damage to the rectal mucosa, perineal hematomas.
There are cases when paraproctitis happens as a complication of ulcerative colitis, as a consequence of rectal injuries or Crohn's disease.
Possible acute form of the disease and chronic.In fact, this is one and the same disease, but in two stages of development. If the acute form of the disease does not receive proper treatment, it overflows into chronic paraproctitis. Infection in this case can be inactive for many years in places of old scars. As soon as a person's immunity weakens, paraproctitis worsens, the symptoms of which flow into purulent infiltrates.
The disease is characterized by infiltration of diseased cellulose and a pronounced edema.
The disease begins sharply.Paraproctitis, the symptoms of which are expressed as weakness, chills, headache and fever, is characterized by the appearance of painful sensations in the rectum.
Forms of the disease
Because there are abscesses, what they have forms, the paraproctitis is divided into:
- sciatic and rectal;
- behind the rectum.
Sidelitic-rectal paraproctitis, the symptoms of which may not disturb in the initial phase, is located in the area of sciatic-rectal cavities and extends to the pelvic cellulose.
Subcutaneous paraproctitis concentrates under the skin layer around the anus. The patient suffers pain, especially with defecation. The skin is inflamed, there is swelling in the lesion.
Tazovo-rectum paraproctitis is considered the mostheavy form, but also the rarest. Inflammation is above the pelvic floor, which does not allow it to be detected with a finger examination at the initial stage.
Submucous paraproctitis is located insubmucosal layer of cellulose. Finger examination of the rectum reveals this disease. Such paraproctitis symptoms have in the form of pain in the rectal area, but not as intense as the subcutaneous form.
Behind the rectal form of the disease has onlyone distinctive feature. Initially, the abscess is located in the cellulose behind the rectum, but the pus can get into the sciatic and rectal area.
The initial stage of the disease is well eliminated.through conservative treatment. These are: complex antibiotic treatment, sessile warm baths with the addition of potassium permanganate, UHF-therapy. But most cases of paraproctitis require surgery. On operation, the abscess is opened, dead tissues are removed, pus outflow is provided. Postoperative treatment consists of a doctor’s supervision and strict bed rest.