What Is A Perianal Hematoma?

Perianal hematoma defines as a blood stack that gathers in the tissue around the anus. hematoma. Usually, a burst or gushing vein is the culprit. Not every perianal hematoma needs medical attention. Some must, however, be drained during a quick office procedure. A doctor will have to remove a blood clot if one has developed.

Due to the symptoms being so similar, many patients mistake prolapsed haemorrhoids for perianal hematomas. An internal blood collection called a prolapsed haemorrhoid, on the other hand, might pool inside the anus and occasionally protrude before returning inside. Only outside the anus may there be perianal hematomas never internal.

Due to the symptoms being so similar, many patients mistake prolapsed haemorrhoids for perianal hematomas. An internal blood collection called a prolapsed haemorrhoid, on the other hand, might pool inside the anus and occasionally protrude before returning inside. Only outside the anus may there be perianal hematomas never internal.

Hematomas can get more painful as they grow larger because they are sensitive to pressure. The pain associated with a perianal hematoma may increase when the blood that caused it begins to clot.

What are the symptoms?

A perianal hematoma appears as a dark purple or blue bruise beneath the skin close to the anus. Additionally, a lump that is between the size of a tennis ball and a small raisin may be palpable.

A perianal hematoma can also cause the following symptoms:

bubbling or bulging skin near the anus

mild to severe pain depending on the size of the bulging skin

bloody stools

Itching

rectal bleeding

What are the causes?

Haemorrhoids and perianal hematomas have many of the same causes.

A perianal hematoma can result from anything that exerts pressure on your anal veins, such as:

Forceful excess coughing and sneezing put strain on veins and may cause them burst.

Constipation. Constipation increases the likelihood of passing difficult stools and straining during bowel motions. The veins in your anus may get overly stressed and rupture as a result of the straining and hard stools.

Medical procedure. Your risk of anal bleeding may increase during medical procedures involving a scope. A colonoscopy, sigmoidoscopy, or anoscopy are a few examples.

Pregnancy. Women who are pregnant are more likely to get perianal hematomas and haemorrhoids. The anus experiences increased pressure as the baby develops inside the uterus. Haemorrhoids and perianal hematomas can develop as a result of pushing during labour, which increases the pressure surrounding the anus.

Sedentary lifestyle. Long durations of sitting put additional strain on your anus. The likelihood of getting a perianal hematoma is significantly higher in those whose occupations entail extended periods of sitting at a desk or in a vehicle.

Heavy weight lifting. Lifting something heavy causes strain on your body, including your anus, especially if it is heavier than you are accustomed to lifting.

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How is it identified?

To identify a perianal hematoma, your doctor will need to do a physical examination on you. Remember that a perianal hematoma may be diagnosed with far less difficulty and discomfort than a haemorrhage. You won't require a colonoscopy or any other form of diagnostic examination because they simply manifest around the exterior of your anus.

The majority of perianal hematomas disappear naturally in five to seven days. But they can still hurt you in the interim.

Treatment

Try these to lessen discomfort while you heal:

Applying a cold compress to the area

adding extra fibre to your diet,

having sitz baths twice day,

resting on a doughnut cushion to ease pressure,

and avoiding vigorous exercise

They'll probably leave the wound open, but it will eventually heal on its own in a day or so. While it heals, be sure to keep the area as dry and clean as you can.

Your doctor could advise emptying your hematoma, depending on its size. Making a tiny incision and numbing the region are the only steps in this straightforward surgery. Your doctor can use the same process to remove a blood clot that has developed inside of your hematoma.