മലദ്വാരത്തിലെ വേദനയുടെ കാരണങ്ങൾ
Ғылым және технология
മലദ്വാരത്തിലെ വേദനയുടെ കാരണങ്ങൾ
ANAL PAIN - COCCYDYNIA & PROCTALGIA FUGAX
COCCYDYNIA :
SYMPTOMS
COCCYDYNIA IS PAIN OR ACHING IN THE COCCYX
WHY :
IT USUALLY RESULTS FROM TRAUMA / ARTHRITIS
PER RECTAL EXAMINATION :
MOVEMENT OF COCCYX ON PR WILL REPRODUCE THE PAIN
WHAT ARE THE TREATMENT OPTIONS :
1. SITZ BATH
2. NSAIDS
3. STOOL SOFTENERS
HOW LONG DOES IT LASTS ?
IT MAY LASTS FOR WEEKS OR MONTHS
HOW TO GET RID OF IT ?
A SUPPORTING PILLOW OR CUSHION MAY BE HELPFUL
WHAT IS THE ULTIMATE CURE ?
COCCYGECTOMY , BUT GENERALLY SHOULD BE AVOIDED
FUNCTIONAL RECTAL PAIN :
FUNCTIONAL RECTAL PAIN IS PAIN IN THE ABSENCE OF STRUCTURAL OR SPECIFIED CAUSES LIKE FISSURE , FISTULA , HEMORRHOIDS , ABSCESS , IBD , PROSTATITIS AND STRUCTURAL PROBLEMS OF THE PELVIC FLOOR
THERE ARE TWO TYPES OF FUNCTION L ANO RECTAL PAIN -
1. PROCTALGIA FUGAX
2. LEVATOR ANI SYNDROME
WHAT IS PROCTALGIA FUGAX ?
SYMPTOMS :
IT IS A TYPE OF FLEETING RECTAL PAIN
THERE WILL BE RECURRENT EPISODES OF PAIN LOCALISED TO THE ANUS OR LOWER RECTUM
EPISODES LASTS FROM SECONDS TO MINUTES
THERE WILL NOT BE ANY PAIN BETWEEN EPISODES
PAIN MAY BE SEVERE ENOUGH TO AWAIKEN THE PATIENT FROM SLEEP
WHAT ARE THE RELIEVING FACTORS ?
WALKING
SOAKING IN A TUB
BOWEL MOVEMENT
THE USUAL AGE GROUP AFFFECTED :
EARLY ADULTHOOD AND SUBSIDES BY MIDDLE AGE
WHAT IS THE MECHANISM OF PROCTALGIA FUGAX ?
IT IS DUE TO ANAL SMOOTH MUSCLE DYSFUNCTION
WHAT ARE THE TRIGGERING FACTORS ?
STRESSFUL LIFE EVENTS
WHAT ARE THE TREATMENT OPTIONS :
USUALLY PAIN ATTACKS RESOLVE ON ITS OWN
TOPICal nitroglycerin 0.2 % IS VERY EFFECTIVE IF USED AT ONSET
SALBUTAMOL INHALERS MIGHT HELP IN THOSE WITH REGULAR PROCTALGIA ATTACKS
BOTULINUM TOXIN INJECTION & PUDENTALNNERVE BLOCK ARE EFFECTIVE IN SEVERE PROCTALGIA
Пікірлер: 18
Doctor ee vedhana divasavam undavuanengil athumm 3 , 4 pravashyam varuanengill enthu cheyyanam
❤️🙏🙏🙏
വണ്ണം വെക്കാൻ ഏതു ഡോക്ടറെയാണ് കാണേണ്ടത്
Sir enikk 28 yr old aanu 2 delivery kazhinju fissur undayirunnu surgone kanichu ath mari ippo maladwarathinte ullil aayi nalla pain und murivonnum illa idakkide nalla pain( kadachil) undavarund 3 month aayi thudangit AP poll adivayar vedhanayum back painum nallonam undavum entha karanam sir nalla tension und pls reply
@DrSijilsGastroCorner
2 жыл бұрын
Proctalgia fugax akan sadhyatha und
@subijamsheerayshafarvin2687
2 жыл бұрын
@@DrSijilsGastroCorner ithinengane treatment edkkendath sir
@DrSijilsGastroCorner
2 жыл бұрын
Yes . Oru gastroenterologist ne consult cheyyam
Ileum nudularity cancer anno sir Nan ennu colonscopy chyithu apoll biopsy enne parana options : ileum nudularity taken bio psy enna parayunne ith cance anno sir replay prethishikunnu
@DrSijilsGastroCorner
2 жыл бұрын
It’s usually due to peyers patch hypertrophy… No chance business
@DrSijilsGastroCorner
2 жыл бұрын
No cancer business
@midhun04
2 жыл бұрын
@@DrSijilsGastroCorner sir conducte number tharumo urgent ane sid
@midhun04
2 жыл бұрын
@@DrSijilsGastroCorner sir onu vekkatham akkiy parayoo
@midhun04
2 жыл бұрын
Please sir
Dr എനിക്ക് hip sides ഇൽ നിന്ന് വേദന അടിവയർ കൂടി താഴോട്ട് ഉണ്ടാകുന്നു once ina while ഇത് നട്ടെല്ലിന്റെtwo three bones above d last one. ഒരു വല്ലാത്ത കഴപ്പു പോലെ, really irritating, താഴോട്ട് urinary track വഴി പോകുന്നു, ഇത് ഈ പറഞ്ഞ എന്തെങ്കിലും ആണോ sir if u get it give areply, god bless.
@DrSijilsGastroCorner
2 жыл бұрын
Unlikely
@krishnakumarikarunakaran1528
2 жыл бұрын
@@DrSijilsGastroCorner thank u Dr, pls give episodes for jzogerin secondary syndrome, how serious it is, curable or not, future life if affected etc, and on colonoscopy very inspiring educational talk,
@DrSijilsGastroCorner
2 жыл бұрын
Soon ..