Acute paraproctitis and chronic paraproctitis (fistula of the rectum)it is, in fact, one disease in its different stages. Usually the disease begins with acute paraproctitis, in which acute purulent inflammation occurs within the rectal tissue. In these cases, the patient has increasing pain, swelling, sometimes redness in the anus, and body temperature rises. The reason for this disease is that for various reasons, for example, constipation, diarrhea, weight lifting, diet errors, alcohol, cooling, etc., and sometimes for no apparent reason in the anal canal at a height of 2-3 cm , in places where the so-called. anal crypts, a micro-hole appears through which the infection penetrates into the rectal tissue and its acute purulent inflammation occurs. In the future, with the progression of the disease, the abscess either opens up on its own, or doctors open it. After that, the condition of the patients improves, the pain disappears, the temperature returns to normal, but in the majority, as a rule, a fistula of the rectum or chronic paraproctitis is formed. And the “fault” for him is the very inner micro-hole (hole) in the anal canal, which is, in fact, the entrance gate for infection.
Usually, patients with a fistula complain of discomfort, sometimes pain in the anus, purulent or pus-like discharge from the fistula, which may be located in one place or another on the skin near the anus (the so-called external opening of the fistula). Another variant of the development of the disease is also possible, which is less common. After the opening of acute paraproctitis, independent or operative (by a doctor), acute inflammatory phenomena in the rectal tissue gradually disappear and the wound is completely closed. According to statistics, in these cases, approximately only 5–10% of the patients begin to recover completely. In the majority, in different periods (weeks, months, years), a relapse (repetition) of the disease begins, most often again in the form of acute paraproctitis and again pain, temperature.
In such cases, as well as in primary acute paraproctitis, the so-called radical operation of paraproctitis is optimal, when, in addition to opening the abscess, the internal hole (microhole) in the anal crypt zone, which was the actual source of this disease, is eliminated. Such operations are traditionally performed by specialists – coloproctologists.
Fistulas of the rectum are of varying degrees of complexity, depending on the passage of the fistulous passage relative to the muscle fibers of the anal sphincter. The more muscle fibers are “captured” by the fistula, the more difficult the fistula is in nature and the more difficult the surgical intervention is. But in any case, the only method of treating rectal fistulas today is operative, which allows you to radically remove the fistulous tract and heal the patient. In addition, during the operation of the fistula, the surgical removal of concomitant hemorrhoids, anal fissures and other diseases is also likely, which makes it possible to save the patient from all or at least most of the proctological diseases at a time.
Articles from the forum on the topic ” Paraproctitis “
The causes of acute paraproctitis can be non-compliance with the rules of personal hygiene, traumatic manipulations in the anal canal, the presence of diseases of the anus (anal fissures, hemorrhoids). In some cases, paraproctitis occurs for no apparent reason.
Hypothermia!!! Sat on a cold field, stone, water …
The main one is infection.
Causes of paraproctitis:
– anal fissures,
– inflammation of crypts and anal glands.
Chronic paraproctitis can occur due to improper self-treatment. As a result of an autopsy at home, an abscess hole in the anal can remain, it does not heal and a fistula occurs. After the difficult treatment of the fistula, there will be a scar that does not heal completely. And with any injury, it inflames again. There is a repeated paraproctitis. Moreover, the most common constipation can become the cause of a repeated abscess.
Acute paraproctitisappears after the rapid penetration of infection into the cellular space, usually in the