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Showing posts with label Anus. Show all posts
Showing posts with label Anus. Show all posts

Anus (itching): Definition and Treatment

Anus (itching): Definition

The discomfort of the skin around the anus, causing an absolute necessity to have to scratch, can have many origins. The area around the anus is hot and humid. Indeed, there is no place in this ventilation. There is other excessive sweating, which promote the deleterious atmosphere. Finally, a microbial seed mass is constant around the anus.

Anus (itching): Treatment

  • Do not use cream, ointment with the exception of medical clearance
  • Avoid stimulants (alcohol, coffee, tobacco, vinegar, mustard, pepper, chilli etc ...)
  • Have a healthy diet containing enough fruits and vegetables
  • Have regular bowel movements, taking care to drink enough fluids throughout the day


  • It is necessary to keep the anal area antiseptic by washing with a mild soap in the morning and evening. Rinse with clean water is very important.
  • Avoid rubbing directly anus with soap or a rough glove. Cleaning of this area should be done with the hand covered or neutral soap containing sweet almond oil (non-chemical origin, that is to say, natural).
  • Outside it is advisable to have wet wipes, type toilettine.
  • Wiping with dry paper and rigid course against formally-specified. If necessary moisten the paper before wiping.
  • Careful drying of the anus whenever possible, especially in children
  • In case of itching and scratching during the night, it is sometimes necessary to wear protective gloves.
  • Psychotherapeutic consultation

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Treatment Anus Cancer Medical Examination

Treatment

The combination of chemotherapy using drugs such as mitomycin and fluorouracil and radiotherapy can get many healing while maintaining the sphincter. The advantage of the use of these molecules in the presence of mainly large tumors, despite their deleterious effects (toxicity) is not only an improvement in symptoms but also the preservation of the anal sphincter. Irradiation takes about four weeks (4 to five days of treatment per week) is first externally. It then performs complementary irradiation, carried out on the anal canal itself with external-beam radiotherapy or brachytherapy with (implementation under general anesthesia with a device for local irradiation ). In most cases, this type of treatment is the cause of symptoms (bleeding, burns to the anus, hardening of tissue fibrosis type of the anus, gas incontinence but not stool). Rarely, incontinence Also stool. Other types of complications (occurring mainly in tumor's volume) stenosis, that is to say, a significant narrowing of the anus and the local destruction of one particularly painful and sometimes accompanied fistula c ' is to say, communications between the rectum and the vagina. The presence of pathological lymph nodes in the groin requires excision (removal) and radiotherapy associated. The surgical procedure that involves removing the anus (anal amputation) is practiced mainly in case of failure of radiotherapy and chemotherapy. In this case, the change is difficult.

Anus (cancer of): Consulting physician

Examination of the patient and more particularly, the rectal as well as anoscopy, using a speculum very small, can be observed inside the anal canal. It sometimes observed budding tissue, unfortunately (delayed diagnosis), sometimes mistaken for hemorrhoids or an anal fissure. 

On palpation, the tumor is less elastic than normal skin that can possibly cause differential diagnosis of hemorrhoids among others. 

Anus (cancer of): Medical Examination

Additional examinations and more particularly, anoscopy followed by biopsy under local anesthesia (tissue sample locally) shows the nature of the cancerous lesion. Ultrasound inside the anus (endo-anal) will allow to assess the seriousness of the breach of the sphincters (circular muscles set for opening closing) the anus. More conventional examinations such as CT or pelvic MRI will allow to obtain a classification of the tumor, TNM classification: 

  • T corresponds to the invasion of the tumor.
  • The existence of N nodes.
  • M in the presence of metastases.
Anus (cancer of): Evolution of the disease

Metastases associated with this type of cancer is rare. 
In a number of cases large enough recurrence after chemotherapy and radiotherapy occurred in less than 10% of patients and 70% of patients with anal cancer could be cured by non-surgical treatment. 

The surgery will be reserved for a small number of patients in whom the persistent tumor after radiation therapy and chemotherapy. 

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Classification, Physiology, Causes, Symptoms: Cancer Anus


Anus (cancer of): Classification

There are several types of cancer of the anus, also relatively rare (representing approximately 3% of malignant tumors of the anus and rectum, occurring mainly after 60 years, three times more in women than in men), due to the presence of several kinds of covering material at this level, specifically called the epithelium. The most common cancer of the anus is the squamous-cell carcinoma of the anal canal.

Anus (cancer of): Physiology

The closure of the anal canal is done through two sphincters: the internal sphincter, consisting of circular muscle fibers, and automatic external sphincter is under the control of the will.


Anus (cancer of): Causes

  • Use of radiation as a treatment (radiotherapy).
  • Leukoplakia (plate, sometimes taking the appearance of a whitish spot, creamy), appearing mucosa of the mouth or genitals.
  • Corresponding to an infection lymphogranuloma cancer characterized by the proliferation (multiplication) abnormal cell in one or more lymph lymphatiques.Infection papillomavirus (HPV type 6) transmitted during sexual intercourse (sodomy).


Anus (cancer of): Symptoms

Pain with defecation, often red rather than pain.
Constipation followed by diarrhea.

Rectal bleeding (onset of blood from the anus that stains underwear or toilet paper).
Presence of a palpable tumor by the patient himself.

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Anus (cancer of): Definition

Cancer of the anus is sometimes confused with hemorrhoids, the terminal orifice of the digestive tract: the anus, which is the normal state allows defecation under physiological conditions (normal).

Cancer of the anus is 2% of malignant tumors of the large intestine.
The majority of lesions arise within the channel, which is the anatomical area extending from the anorectal ring to an area located approximately halfway between the dentate line (or serrated) and the margin of the anus?

Carcinoma develops essentially ready the dentate line, that is to say, in the region of transition between the mucous membrane of the rectum comprising glands and squamous anus.

The development of anal cancer is most often due to infection by the human papilloma viruses, which is even causing cervical cancer of the uterus. This virus is sexually transmitted.


Sometimes it also induces the appearance of warts around the anus known as genital warts may develop into anal cancer (squamous intraepithelial or).
The anal cancer occurs most often in middle-aged individuals and more frequently in women.

Frequency seems to be higher among homosexuals affected by the human immunodeficiency virus.

Pathology (microscopic study of diseased cells constituting the affected tissue) it is a squamous carcinoma type most often located in the anal canal itself or margin (edge) of the anus.

We find sometimes metastasis (cancer cells that migrated) in the lymph groin. More rarely, the cytological study highlights melanoma or Kaposi's sarcoma (margin, edge of the anus) eventually indicative of AIDS.

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Anus Definition Medical


Anus: Definition

Terminal orifice of the digestive tract.

The proctologist is a medical specialist in the anus and rectum.

Pathologies encountered in the anus are (non exhaustive list):

Sphincter deficiency and nervous system be ordered, causing incontinence (inability to retain feces in the rectum).

Pruritus ani.

Cryptitis is an inflammation of the anus called crypt of Morgagni crypt or sinus anal. These are vertical grooves separating the anal columns.

Hemorrhoids, which are venous dilatations of the anus or rectum.


The pinworms are small grubs and a few millimeters long, parasites of the terminal part of the human intestine. They are highlighted by scotch-test. This technique developed by Graham collects pinworm eggs that were laid on the margin of the anus. It uses a transparent adhesive tape, which will be examined under a microscope, after sticking the tape on a slide.

The sawgrass is a small swelling (size) of the anal margin wrapped in a skin. Wrinkled and soft, the sawgrass is painless and is the result of a hemorrhoid which turned into having lost his usual strength.

Anal fissures, requiring special treatment by incision and drainage.

Abscesses of the anus. Anorectal abscess, which is a relatively common condition, is a collection of pus located within a cavity formed around the rectum and from a fold of the wall which has penetrated between the muscles of the anatomical region that normally allow closing of the anus (sphincter). The pus is a pathological exudate (from illness), a liquid, disorder, usually yellowish in color, containing leukocytes (white blood cells) altered cell debris from the body, cell necrosis (destruction) or not, or not containing or germs (microbes) exudate liquid from the body oozing at an inflamed surface.

The causes of anorectal abscesses are relatively numerous. It can be an inflammation of the bowel such as diverticulitis, ulcerative colitis or Crohn's disease. Apart from these gastrointestinal diseases, surgery may lead to the development of anorectal abscess.

When the abscess is superficial palpation can highlight a lump (swelling) in color red and painful.

Deep abscesses can sometimes be a source of infection throughout the body. This is reflected by the appearance of hyperthermia (fever) and fatigue (asthenia) more or less important. In case of deep abscess, rectal examination, consisting of a finger to penetrate inside the anus), reveals the presence of a ball complained the patient and is very painful.

It is sometimes necessary to carry out a rectoscopy, that is to say, to the visualization of the interior of the rectum (through the anus), using a rigid tube and a light.

The evolution of anorectal abscess may be towards the emergence of a complication related to the spontaneous formation of a communication of the abscess with skin. This communication can also be done with another organ such as the vagina or bladder through a conduit through which flows the pus. This duct is called a fistula.

The treatment of anorectal abscess requires a small surgery. It aims to open the abscess and drain pus through an incision followed by drainage.

The exanie (a term derived from the Latin ex: out and anus, English exania) means prolapse of the rectum.

The meliena (Greek Melaina: black), also called melena means the evacuation anus; black blood is mixed with feces, often adopting tarry.

Trauma to the anus associated with a 'sexual' anal.

Too intense masturbation of the anus using objects as well large resulting in an enlargement and disruption of the functioning of the anal sphincter.

The anal cancer is relatively rare, which presents itself as a lesion that bleeds and heals poorly. It is essentially cancer tissue lining (squamous), rarely adenocarcinoma (glandular cancer). This cancer is usually accompanied by glands in the groin (inguinal), and requires radiotherapy sometimes associated with surgery to remove the tumor when it reaches a large volume. The results are generally good, especially in localized forms.

The hedrocele (Greek hedra, anus and Kele: hernia), English hedrocele is the herniated bowel loops exiting through the anus into the rectum is pushing prolab adjective prolapsed is derived from the Latin labi that means falling.

Plate mucosa is an injury due to secondary syphilis, localized mucosal and skin covering the parts near the orifice such as the anus, vulva where the mouth. These superficial lesions characterized by mucosal erosion chorion, that is to say, the deep layer of the mucosa, which is the set of cells covering the inside of hollow organs in contact with air. Sometimes the lining plate has a projection very large. In other patients there is an abrasion buds giving a smooth plates known as swaths of Fournier. Lesions are colored reddish opal, that is to say, having milky hue, iridescent opaline as the porcelain. It is contagious lesions, which are sometime  covered with exudate (oozing fluid) close to what can be seen in diphtheria?

The Letterer-Siwe disease is a disorder of exceptional occurrence but serious about the young infant child from six months to two years and a syndrome characterized by multiple symptoms, including dermatitis (skin disease), and multiple organ damage ( achievement of several organs) among others.

The Fox-Fordyce disease.

Congenital malformations that reach about 1 in 10,000.

The imperforate anus is the malformation characterized by complete occlusion of the anal orifice. This term is also sometimes used to describe the accidental cancellation or occurring after surgery. Imperforate the word also applies to other channels or openings such as the esophagus among others.

The aproctie (from Greek: Private and proktos: anus) in English aproctia refers to congenital absence of an anus.

The ectro-urie (Greek ektroo: I abort and oura: tail), English ectrouria means the monstrosity characterized by the lack of development of the caudal end (opposite the head) of the embryo. These malformations affect the genital and urinary tract, rectum, anus and the sacrum. These elements are either rudimentary or completely absent. Malformations also involve both lower limbs, which is referred to as ectromelia. The two members are sometimes welded together, then it is a sirenomelia.

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