Paraproctitis: causes, symptoms and treatment methods (without surgery), complications. Paraproctitis: treatment without surgery Infusions, teas and mixtures in treatment

Symptoms of the disease

Symptoms of paraproctitis can sometimes be confused with many other diseases. A person feels general intoxication of the body, which manifests itself in the form of:

weaknesses;
headache;
decreased appetite;
elevated body temperature (up to 39°C);
chills;
bowel disorders (constipation or diarrhea).

Signs of paraproctitis can also be recognized by painful urination, unpleasant sensations in the abdomen and pelvis. This disease manifests itself in the form of severe pain in the anus and rectum.

Sometimes patients experience redness of the epidermis in the anal area, swelling and hardening of the tissue. Pain will be felt when touching this area. Therefore, it is quite often difficult for a person to sit on a sofa or stool.

If the disease is not treated, the patient's condition will worsen.

At this stage, a large amount of purulent bleeding may appear. This occurs because the intestinal wall melts.

The symptoms and treatment of chronic paraproctitis are slightly different from the usual form of the disease. Patients are often bothered by purulent discharge from the fistula. Most often there is no painful sensation, but the skin is very irritated and this causes discomfort.

Often women or men do not understand what is happening to them and turn to surgeons or gynecologists. But first of all, you should go to a proctologist so that he can conduct a thorough diagnosis and determine the disease.

Why does paraproctitis occur?

The reasons for its appearance are different. Most often, the disease occurs due to infectious infection.

The causative agents of the disease include:

staphylococci;
anaerobic flora;
coli.

Typically, such viruses enter from the rectum through microtraumas and cracks in the mucous membrane. This occurs due to constant constipation, accompanied by compaction of stool.

Also causes of paraproctitis are hemorrhoids and anal fissures, as a result of which nodes burst and open wounds form. The infection can penetrate into the perirectal tissue through a blockage of the anal gland duct. When bacteria spread in the deep layers of the intestinal wall, paraproctitis occurs. The causative agent of the disease can enter the cells through any other source of chronic infection (sinusitis, tonsillitis, caries, etc.).
The causes of paraproctitis also lie in injuries to the rectum. They can be both domestic and operational.

Traditional therapy methods

Treatment of paraproctitis involves surgery. It is imperative to open the purulent focus and pump out the contents. After the manipulations, it is necessary to determine the source of the infection in order to remove it.

The operation must be performed using sacral or epidural anesthesia. If the patient’s abdominal cavity is affected, then general anesthesia will have to be used. Only after the purulent focus is opened and its contents are cleared can one count on a full recovery.

If you develop chronic paraproctitis, you will have to excise the fistula that has formed. But during the period of active purulent inflammation, it is strictly forbidden to perform surgical intervention. For this reason, abscesses must first be opened, cleared of contents, and drained. Only then is it allowed to begin surgical manipulations.

If there are infiltrated areas in the fistula canal, antibacterial treatment using physiotherapeutic methods is initially required. The operation should be performed quickly after preliminary therapy. In this case, relapse of the disease is excluded.

Folk remedies for local therapy

Paraproctitis can be cured using folk remedies that have an anti-inflammatory effect on the source of the disease. To do this, you should carry out sitz baths. You need to take 250 ml of boiling water, pour it into a basin and add 1 tbsp to the container. l. sea salt and a similar amount of soda. The components need to be mixed so that they dissolve. You need to sit in this composition for 30 minutes.
To overcome the disease paraproctitis, you can make sitz baths from:

oregano herbs;
oak bark;
sequences;
calamus;
calendula flowers;
sage;
yarrow.

RECIPE! You should take 1 tbsp. l. each component, and then 50 g of the resulting mass should be poured into 0.5 liters of boiled water. The drug must be boiled for 120 seconds, then strain through cheesecloth into a bowl of warm liquid. The duration of the procedure is 12-15 minutes.

To relieve inflammation caused by paraproctitis, you can take a bath with salt and mumiyo.

RECIPE! You need to take 2 tablets and 1 tbsp. l. sodium carbonate, pour into a basin and add 4 liters of warm water. You need to sit in such a container for 10 minutes.

RECIPE! You should take 200 g of this substance, pour it into a basin and add 4 liters of boiling water. When the composition has cooled to room temperature, you need to sit in it and remain in this position for 20 minutes.

In order for paraproctitis to disappear, treatment with this bath should be carried out every day for 3-4 weeks.
Candles made from potatoes help well with this disease.

It is necessary to cut a small suppository from a root vegetable and place it in the anus every night, pushing it into the rectum. Also, to relieve inflammation and pain caused by paraproctitis, gauze swabs are used, which are moistened in a decoction of chamomile or sage.

Such suppositories must be placed at night. Quite often candles are made from a mesh of pork fat and bee glue (10:1).
Knowing what paraproctitis is, you can effectively cure the disease. For this purpose, microenemas with calendula solution are used.

To prepare the healing liquid, you need to take 100 ml of water and 1 tbsp. l. plant inflorescences.

Preparations for internal use

There are many folk ways to cure paraproctitis using oral medications. Red rowan juice helps very well, because it has antibacterial, antifungal and laxative effects.

A healing decoction can also be made from such berries. You should take 2 tsp. dried raw materials and pour 500 ml of boiling water over them. The drug should infuse for 60 minutes, and then a little sugar should be added to the drink.

The medicine should be taken 3 times a day.
Inflammation caused by paraproctitis can be reduced with the help of herbal teas and infusions.

100 g of marshmallow and plantain root, 80 g of yarrow need to be brewed with 750 ml of boiled water. The drug must be left for 12 hours to infuse. After the specified time has passed, you need to strain the drink through a sieve. You need to drink 150 ml of tea up to 4 times a day.
50 g of St. John's wort, basil, celandine and 100 g of birch leaves. The components need to be poured with 4 cups of boiling water and boiled for 60 seconds. The drug should be infused for an hour. You can take tea up to 5 times a day.
20 g of string, 30 g of sage and the same amount of calendula should be poured into 300 ml of water and put on medium heat. You need to cook the drug for 15 minutes. Then the medicine must be filtered, cooled and drunk several times a day, always after meals.
Traditional medicine will also help in loosening stools, which is very important for paraproctitis. For such purposes, prunes (6-9 pcs.), brewed with boiling water, are used. The fruits must be left for 12 hours, and then eaten and drunk. You can use fresh carrot juice for these purposes. It should be consumed up to 5 times a day. You are allowed to drink 250 ml per dose.

If you know how to treat paraproctitis, you can alleviate the symptoms of the disease and reduce inflammation. But before starting therapy, you should definitely consult a specialist.

What could be the consequences of paraproctitis?

If paraproctitis is not treated in a timely manner, it can cause harmful consequences. Often this disease leads to.

If you experience unpleasant and often painful sensations in the rectal area. However, by the time the decision to visit a doctor is made, the disease often takes an advanced form. This critical form of proctological diseases is purulent paraproctitis.

Folk remedies can treat various diseases

In order to relieve the patient from inflammatory processes, the abscess must be opened, washed and removed from the accumulated pus. Also, if paraproctitis has been severely neglected, in addition to washing and drainage (removing pus), it is necessary to carry out a procedure for cleaning the fistula - a purulent tract that occurs in the presence of particularly advanced ulcers. This procedure is extremely delicate and requires execution by an experienced specialist.

It should be remembered that untimely consultation with a doctor with an advanced case of paraproctitis threatens the patient with destruction of the wall of the rectum or urethra.

Symptoms of paraproctitis and its forms

Surgical treatment of paraproctitis

A rapidly developing disease requires immediate contact with a medical specialist if you experience symptoms such as:

(its manifestations may be fever, general weakness, headaches, body aches and loss of appetite)
Constipation and when trying to go to the toilet
The urination process is also accompanied by pain.
Unreasonable occurrence of foci of pain and swelling in the anal area.

In addition to the main symptoms listed, there are also private signs that accompany the following forms of paraproctitis:

Spicy. Characterized by pronounced manifestations of the main symptoms listed above, however, requires individual selection of treatment
Chronic. Characterized by the occurrence of a fistula that destroys the walls of the small intestine and requires immediate surgical intervention followed by regular drainage
Purulent. Not just an abscess is formed, but an entire cavity filled with pus. To prevent the occurrence of a fistula, immediate action must be taken
Ischiorectal. The abscess itself is located in a deep layer of perirectal tissue (located under the skin), which is why this form of paraproctitis is difficult to diagnose. Many symptoms of ischiorectal paraproctitis are often mistaken for a respiratory infection.

Thus, almost every form of paraproctitis can be mistaken for an ordinary viral infection or one of the manifestations of hemorrhoids not only by the patient himself, but also by doctors. A thorough examination by a qualified specialist using a rectal speculum, as well as an ultrasound procedure, will help to avoid the serious consequences of such an error.

Paraproctitis: treatment

You need to use folk remedies with caution!

A disease such as paraproctitis, in most cases, requires surgical intervention. The doctor is obliged to send the patient to the operating room immediately after confirming the diagnosis. There the patient will have the abscess opened and drained.

In addition to draining the purulent focus, during the operation the crypt, which is the source of infection, is excised, and in especially advanced, acute cases of paraproctitis, the fistula is also excised, after which the procedure will be considered finally completed.

If there were infiltrated areas in the canal, it would be appropriate to prescribe a course of anti-inflammatory and antibacterial therapy in the preoperative period, but even in this case, surgical intervention should in no case be delayed for long. However, in some cases the operation is not possible. These are cases such as:

Quite old age
Severe weakness of the body
Decompensated diseases of internal organs.

Treatment of illness with folk remedies

Folk remedies are more effective in the early stages of the disease

Often, if it is undesirable to operate on paraproctitis for one reason or another, patients resort to traditional medicine. And if the disease has not yet acquired an acute form, such treatment can have a positive effect.

Treatment of paraproctitis with folk remedies tested by many generations in the early stages of the disease often helps to avoid opening the abscess by a doctor, allowing it to open spontaneously. However, even in this case, you need to see a doctor in order to treat the burst abscess, remove the pus and excise the fistula.

There are several ways to treat paraproctitis at home: using medicinal baths and drinking special medicinal teas. Among the most effective bath solutions are:

Bath with salt solution to relieve inflammation and reduce pain. To prepare it you need to take 1 tbsp. l. salt and 1 tbsp. l. soda, mix and dilute in 5 liters. distilled water.
The course of treatment consists of 15 procedures, after each of which it is recommended to use an ointment prescribed by the doctor.
Shilajit solution. To prepare this composition you will need 200 ml of boiled water and 10 mummy tablets. The expressed solution must be dissolved in five liters of boiled warm water.
A procedure in which a mixture of 2 liters of heated milk, 2 onions and 5-6 cloves of garlic is used as a bath is also effective. The mixture must be boiled for 3-4 minutes, then cool thoroughly. When taking this bath, you need to ensure that the patient's body is warm.

Treatment of paraproctitis with folk remedies should be carried out under the supervision of a doctor!

Microenemas and tampons impregnated with special compounds have a positive effect, both on their own and in combination with bath treatment:

A solution of 100 ml water and 1 tbsp. l. Mix honey with separately prepared infusion of sage, chamomile and yarrow. Administer 40 ml immediately after the cleaning procedure.
Squeeze out the juice of a small, well-peeled potato and administer 1 tbsp with an enema. l. in 10 days. It is advisable to perform the procedure before bedtime.

Healing infusions and teas help strengthen the body and relieve discomfort:

You can brew a mixture of plantain leaves, yarrow and marshmallow root and use 150 ml 4 times a day.
Pour 3 liters. boiling water 3 grams of stone oil and leave for 3 days. Take 200 grams after each meal, if the body accepts this infusion well.

Paraproctitis is a disease that is extremely dangerous and brings a lot of inconvenience. And, as you know, it is easier to avoid it than to completely cure it. In order not to encounter paraproctitis, you need to drink, consume a sufficient amount of fluid, and lead a healthy, active lifestyle.

This video will tell you how to behave when you have an “uncomfortable” illness:

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Paraproctitis is a purulent inflammatory process that is localized in the fatty tissue surrounding the rectum. This disease is common and men are more susceptible to it.

If untimely or incorrect treatment often develops into a chronic disease. Treatment at home with traditional medicine should only occur after consultation with your doctor.

Paraproctitis can begin for no apparent reason. The infection penetrates the adipose tissue from the lumen of the rectum. Infection occurs as a result of violation of basic rules of personal hygiene or through a traumatic surface of the anal canal.

After the onset of inflammation, an abscess forms. Its size and location depend on the state of human health. There are a number of reasons that contribute to the onset of the disease:

weak immunity;
chronic illness;
exhaustion of the whole body;
previous infectious diseases of the digestive tract;
unstable stool;
specific infections;
concomitant proctological diseases, such as hemorrhoids, proctitis, anal fissures;
unbalanced diet;
stress.

Paraproctitis can be of several types; depending on its course, acute and chronic are distinguished. Each of them in turn is divided into subspecies.

Acute paraproctitis:

due to the occurrence it can be: ordinary, anaerobic, specific, traumatic;
by location of abscesses: submucosal, subcutaneous, ischiorectal, pelviorectal, retrorectal.

Chronic paraproctitis:

according to anatomical characteristics: complete, incomplete, external, internal;
according to the location of the fistula: anterior, posterior, lateral;
by complexity: simple, complex.

Acute paraproctitis usually begins suddenly and manifests itself clearly. As the abscess grows, the symptoms intensify. Without treatment, it opens on its own, which improves the patient’s condition. But it does not lead to recovery. For a long time, sluggish inflammation continues in the rectum, which leads to a chronic form of paraproctitis.

In chronic paraproctitis, a fistula is formed; it is a canal that connects the anal crypt and the perineum. There is a constant infection from the rectum and fatty tissue. The inflammatory process is constantly maintained, with the formation of purulent cavities and infiltrates.

Symptoms of paraproctitis

In acute paraproctitis, the following symptoms appear, their intensity depends on the location of the purulent process:

the appearance of signs of intoxication of the body. Such as increased weakness, headaches, lack of appetite, a sharp rise in temperature to 39 degrees;
the appearance of constipation, which is accompanied by a painful urge to defecate;
the appearance of pain when urinating;
the appearance of localized pain in the lower abdomen and anus, which may intensify during defecation.

Symptoms may vary slightly and depend on the location where the pathological process occurs.

Subcutaneous paraproctitis manifests itself most acutely. Hyperemia and swelling of the tissue around the anus immediately appears. On palpation, the patient feels a sharp pain and complains of pain when sitting down.

With deeper tissue damage, early diagnosis is difficult. Since many patients mistake the symptoms of paraproctitis for respiratory infections, which only worsens the general condition. In this case, after 1-2 weeks, purulent bloody discharge appears from the rectum or vagina. Only after this the patient consults a doctor.

In chronic paraproctitis, when a fistula has already formed, the following symptoms are observed in the acute phase:

purulent discharge from the anus;
itching and irritation in the perineal area;
mild pain;
the appearance of pain during the act of defecation, which goes away immediately after the end of the process.

Infusions, teas and mixtures in treatment

Here are recipes that will help alleviate the general condition of paraproctitis:

take dry celandine, St. John's wort, basil, Japanese sophora and birch leaves, 3 tablespoons each and adding 1 liter of hot water to them, bring until bubbles appear. After an hour, filter. Drink ¼ cup 3 times. a day after meals;
Take 5 tablespoons of red rowan juice before meals. You can make tea from it: 2 table. spoons of berries pour half a liter of boiling water and infuse;
take plantain leaves, marshmallow root, yarrow herb in equal proportions. 3 table. Spoons of this mixture should be filled with 600 ml of boiling water and left overnight. In the morning, strain and drink ½ cup 4 r. a day half an hour before meals;
1 teaspoon in a glass of boiling water. Add chamomile, sage and yarrow herb to a spoon. Infuse, strain and drink half a glass 40 minutes before meals.

Elena Malysheva tells more about the treatment of the disease.

Treatment with baths and compresses

The following recipes can be used before and after surgery:

3 tbsp. Brew a spoonful of St. John's wort in 300 g of boiling water, boil for 5 minutes and strain. Place the still warm grass on the plastic and sit on top of it with your bare buttocks. The procedure is completed when the St. John's wort has cooled down, then you need to take a bath with its decoction. Repeat the procedure 2 times a day;
In a half-liter jar you need to put fly agaric caps and pour 400 ml of alcohol. After 10 days, the resulting tincture is moistened with gauze and compresses are made;
In a glass of boiling water you need to put a spoonful of sea salt and soda, stir and add to a bowl of warm water. It must be taken within half an hour;
In a glass of warm water you need to dissolve two mummy tablets and pour into the bath, add another 3.5 liters of water. This procedure is done at night, its duration is 10 minutes;
you need to wash the brick and heat it on the fire, put it in a bucket, sprinkle chopped garlic on top. Sit on top yourself. These inhalations will help the abscess disappear.

For paraproctitis, a good effect can be achieved using tampons and suppositories:

You need to cut a small stick out of raw potatoes and insert it into the anus before going to bed;
the tampon is well soaked in sea buckthorn oil and inserted into the rectum 2 times a day;
a suppository is formed from pork fat and propolis (10:1) and inserted into the anus.

Features of traditional medicine treatment for children

According to statistics, children suffer from this disease very rarely. The causative agents are staphylococci. The difficulty of treatment lies in the fact that the age of children susceptible to paraproctitis is less than a year, and non-urgent surgical treatment can only be used after two years. Therefore, in this case, traditional medicine is ideal. You can use baths and microenemas.

If the child is under 6 months old, then general baths are used before bedtime. They can be with decoctions of chamomile, calendula and sage. Just a weak solution of potassium permanganate will do.

If the baby is already sitting, then use sitz baths. Their duration should not be more than 15 minutes. To make the child sit quietly, you can give him a toy.

For microenemas, special children's syringes with a soft tip are used, which is well lubricated with sunflower oil to prevent additional injury. For this purpose, only herbal decoctions are used, such as: oak bark, sage, St. John's wort, etc.

Proper diet

There is no special diet as such, but there are foods that need to be limited or their consumption minimized:

everything fried;
hot, salty and spicy foods;
strong tea or coffee;
carbonated drinks;
sweet and floury.

For paraproctitis, you need to adhere to the basic principles of nutrition:

the number of meals should be at least 4;
steam, boil or bake dishes;
Be sure to have soups for lunch;
drink 1.5 liters of water per day;
do not drink alcohol and do not smoke.

It is important to monitor good intestinal motility. To avoid constipation, the diet should include foods: beans, dried fruits, fresh vegetables, cereal bread or crackers. Fermented milk products should be consumed in sufficient quantities: kefir, sour cream, yoghurt.

Soups should not be strong; it is best to use vegetable broths when preparing them. Fish and meat should be cooked separately and only then added to the soup.

It is useful to drink freshly squeezed juices before meals. It can be carrot, rowan, spinach, beetroot.

You will learn how to recognize acute paraproctitis from this video.

In contact with

Most people do not know about such a disease as paraproctitis until they personally encounter it. This disease causes great discomfort. The patient is uncomfortable sitting, has trouble going to the toilet and is ashamed to talk about it. That’s why people go to the hospital in the most advanced stages of paraproctitis.

Paraproctitis is an inflammatory process that affects the fatty tissue of the rectum. The development of pathology occurs against the background of an attack by pathogenic agents that enter the body in the following way:

fissures in the anus;
damage to the rectal mucosa;
infection enters the body through the blood;
lymph nodes, capillaries, blood vessels, ducts.

Attention! According to statistics, paraproctitis occurs in 0.5% of the population. Pathology most often occurs in adults. The disease occurs rarely in children.

Symptoms of the disease

Paraproctitis is accompanied by characteristic symptoms, so it is difficult to confuse it with other diseases. Among the main signs of pathology are the following:

Symptoms	Description
Feeling of discomfort in the perineal area	Paraproctitis causes pain to the patient, it can be sharp, pulsating, twitching. If you ignore symptoms and delay visiting a doctor, the pain becomes more intense
Problems not related to the source of the disease: apathy, fever, weakness, headache, insomnia, fatigue, malaise, poor appetite	The main sign of the disease is the existing suppuration associated with the inflammatory process. Pathogenic microorganisms that develop during the process of suppuration are quickly absorbed into the blood and spread throughout the body, which leads to a deterioration in health
Pain during defecation	Paraproctitis is a disease whose focus is in the rectum. Due to inflammatory processes, pain appears during bowel movements. Frequent urge to defecate (often false), causing pain and discomfort in the anus
Constipation	Due to inflammatory processes, the body is saturated with harmful substances, which leads to intoxication. The intestines weaken. The functionality of the organ is impaired, and intestinal obstruction may occur. To prevent this, medication should simplify the process of defecation (suppositories, enemas)

Treatment

A proctologist diagnoses and treats paraproctitis.

No matter how much patients suffering from paraproctitis would like to avoid surgery, in most cases it is an absolute necessity. If you do not consult a doctor when the first symptoms appear, purulent formations will arise, which are almost impossible to get rid of using medications and traditional medicine methods. These types of treatments will be useful to the patient after surgery to eliminate swelling. To avoid relapse, you should carefully follow the recommended diet and observe personal hygiene rules.

As practice shows, treatment of paraproctitis without surgery Maybe. It is important to strictly follow the specialist’s instructions. Among the main methods of therapy are the following:

medicinal;
treatment with folk remedies;
diet therapy.

Video - Paraproctitis: treatment of the disease

Drug treatment

Paraproctitis in the early stages can be treated with medication, and surgical intervention is not required. The following medications are used in the treatment of paraproctitis:

antibiotics: Amoxicillin, Betasporin, Oleandomycin;
NSAIDs: Ibuprofen, Ketorolac, Ketanov;
rectal suppositories: suppositories with propolis, methyluracil, Ultraproct, Anuzol;
ointments ( Vishnevsky ointment).

Medicines used in the treatment of paraproctitis are aimed at eliminating the severity of the disease, reducing pronounced symptoms, and alleviating the patient’s condition. The course of treatment, dosage and frequency of use are prescribed individually, depending on the age of the patient, the form and severity of the pathology.

Treatment with folk remedies

For paraproctitis, treatment with folk remedies is effective, but is used only in the initial stage of the disease or during postoperative rehabilitation.

Lotions and compresses

A clean cloth, gauze, bandage or cotton wool is soaked in the healing liquid and applied to the sore spot. The gruel prepared for the treatment of the disease is also applied in a thick layer to the fabric and other listed materials and pressed against the problem area. The process of preparing the drug is as follows:

St. John's wort- 3 tbsp. Pour spoons into 1 glass of hot water, apply the herbal pulp to the anus, pressing with a cloth, bandage or cotton wool. Keep for no longer than 15 minutes. The procedure is repeated twice a day for 10 days.
Potato rub, the procedure is performed in the same way as the previous one. The procedure is carried out once a day. The course of treatment is 7-14 days.
Parsley roots, bergenia mix in equal proportions. Boil 20 g of the resulting mixture for 10 minutes in 1 glass of water. Leave for 1.5 hours, apply a cloth soaked in the solution to the rectal opening. Keep for 10-15 minutes. It is recommended to carry out the procedure once a day before bedtime. The course of treatment is 7-10 days.

Candles

Homemade suppositories are not inserted too deeply into the anus. After the procedure, they should be easily removed. For their manufacture we use:

Potato. Cut an oblong shape from the root vegetable, shaped like a rectal suppository. It should remain in the anus all night. Repeat 2 times a week. The course of treatment is 30 days.
Herbs. Combine sage, chamomile, yarrow, marshmallow root, tansy, calendula 1:1. Separate 2 tbsp. spoons of the resulting mixture, combine with 2 glasses of water. Bring to a boil, reduce heat to low, cook for 10 minutes. Soak a homemade or hygienic tampon in the prepared liquid and insert it into the rectum overnight. The procedure is carried out 2-3 times a week. The course of treatment is prescribed individually.
Sea buckthorn oil. Thoroughly soak a tampon (hygienic or homemade) with this substance and insert it into the rectum overnight. Frequency: 2-3 times a week. The course of treatment is 20-30 days.
Badger fat. Used similarly to sea buckthorn oil.

Medicinal decoctions and infusions

Decoctions should be drunk directly on the day they were prepared. They are prepared from the following products:

Mix Japanese sophora, celandine, birch leaves, St. John's wort and basil in equal proportions. Separate 300 grams of the resulting mixture, pour it with 1 liter of water. Cook for 10 minutes over low heat after boiling. Take 1/2 cup orally 2-3 times a day. The course of treatment is 10-14 days.
Mix plantain, yarrow and marshmallow herbs 1:1. Separate 3 tbsp. spoons of the medicinal mixture and pour them into 600 ml of boiling water. Leave for 24 hours. Strain the resulting infusion and take half a glass 3-4 times a day before meals. The course of therapy is 10 days.
Take 3 g of stone oil and combine with 3 liters of clean boiled warm water, stir and put in a dark place. Leave for 3 days. Take 1 teaspoon three times a day before meals. The course of treatment is 10 days.

Video - Treatment of paraproctitis

Therapeutic baths

Therapeutic baths: you need to lower the basin into a container of a suitable size and sit down in it. The anus should be completely immersed in moderately hot liquid. The baths are made from the following components:

Soda with sea salt: pour 1 tbsp into a glass of hot water. spoon of each ingredient, pour this mixture into 5 liters of hot water, take a bath for no longer than 10 minutes. Apply once a day before going to bed. The course of treatment is 10 days.
Mumiyo: dissolve 2 tablets in 1 liter of clean and moderately hot water. Calculate the required amount of water for the bath and mix the mummy with water in the correct ratio. The procedure lasts 15 minutes.
Stone oil: add 1 teaspoon of the product to 4 liters of warm water, stay in the bath for 20 minutes. Frequency: 2-3 times a week. The course of treatment is prescribed individually.
Manganese: a pinch of powder (do not touch the pure powder with your hands, you can get a severe chemical burn, it is better to scoop the powder onto the tip of a knife, spoon or other clean object), mix with 10-15 liters of water. The color of the solution should be translucent pink. Sit in the bath until the water cools down. Conducted once a week. The course of treatment is 1 month.

Microclysters

Microclysters should only be given warm. In order not to experience severe discomfort when using it, the temperature of the liquid should be 35-37 degrees. Before the procedure, you need to empty your bowels. This needs to be done naturally. After complete bowel movements, you can do a microenema.

With proper preparation, the procedure will have the desired effect. Each prepared decoction must be filtered through a bandage or gauze, folded several times, so that the liquid is clean, without sediment. The following ingredients are used to prepare medicinal infusions:

Mix chamomile and calendula in equal proportions. Separate 6 tbsp. spoons of the mixture and mix them with 0.5 liters of boiling water. Leave covered until the liquid becomes warm. Strain.
Oak bark 1.5 tbsp. spoons per 1 liter of water, boil and turn off, leave to the desired temperature under a closed lid.
Squeeze out the potato juice, you should get about 10 ml, warm it up a little and use.
Prepare calendula in the same way as chamomile decoction, only you need to take 5 tbsp. spoons of grass.

When giving an enema, the tip is lubricated with Vaseline so as not to irritate the anus. Carefully insert the tip of the enema into the anus and slowly inject the contents. The frequency and course of treatment is prescribed individually.

Proper nutrition for paraproctitis

When treating paraproctitis, the doctor will prescribe the optimal diet for the patient. The main foods that patients suffering from paraproctitis should eat should be:

dairy products;
fresh vegetables;
fresh fruits;
porridges of all kinds;
low-fat broths and soups;
lean meat (chicken breast, turkey, pork without lard, rabbit);
lean fish.

If you have paraproctitis, it is forbidden to fry food; you can bake, boil, stew and steam.

At all undesirable There are such products:

fried food;
smoked products;
alcohol;
products containing preservatives, dyes, flavors and flavor enhancers;
carbonated drinks;
snacks (chips or crackers);
sauces (ketchup or mayonnaise);
coffee;
strong tea;
fast food.

The food should be such that it does not cause constipation and the stool is soft.

In what cases is surgery necessary?

Due to the delicate location where the focus of the disease forms, most patients do not go to the hospital when the first symptoms occur. Shyness of people leads to the fact that it becomes chronic. Surgical intervention is required immediately in cases where paraproctitis has not been treated and is very advanced.

If, when you go to the hospital, the focus of the disease is very inflamed, but surgery is not required as an emergency, then microenemas with medications, baths and compresses are prescribed that remove swelling and inflammation. Next, the doctor observes the progress of the disease and, if necessary, prescribes surgery.

Attention! You should not start treating the disease yourself. If symptoms of pathology occur, you should consult a doctor, get advice and undergo an examination.

Even if treatment is planned using folk remedies and unconventional methods, it is necessary to visit a doctor to eliminate the risk of complications. Each action related to the treatment of paraproctitis must be accompanied by the approval of a doctor. If any procedure causes your health to worsen, it must be abandoned immediately.

It is an inflammation of the tissues surrounding the rectum. To understand what paraproctitis is, you need to turn to our anatomy. The cellular spaces surrounding the rectum are quite numerous - and inflammation can occur in each of them, and in especially severe cases, even in several.

The mucous membrane also has its own characteristics, rich in crypts (depressions), at the bottom of which the anal glands are located. Most often, inflammation begins with cryptitis, and later, thanks to the anal glands, the infection spreads to nearby tissues.

Classification of acute and chronic paraproctitis

Acute paraproctitis divided into the following types:

1. Ordinary, anaerobic, traumatic, and specific(according to etiology).
2. Submucosal, retrorectal, subcutaneous, pelviorectal, ochiorectal(depending on where the ulcers are located).

Chronic paraproctitis(or, as it is also called, rectal fistula) It happens:

1. Full, external, incomplete And internal(according to anatomical principles).
2. Front, side, rear(according to the location of the internal opening of the fistula).
3. Simple, complex(according to severity).

Of course, paraproctitis has its own characteristics, thanks to which it can be diagnosed. Often, each type of this disease has its own symptoms. We'll look at them below.

Symptoms of paraproctitis

Subcutaneous paraproctitis. Occurs in most patients (50% of cases). They are bothered by sharp pains, like twitching muscles, which intensify during movement and tension (that is, during straining) that accompany the act of defecation. Dysuria (impaired urine flow) occurs. The body temperature with this type of paraproctitis reaches 39 degrees.

During the examination, the patient experiences hyperemia (redness), swelling of the affected tissue and deformation of the anal canal. During palpation (palpation), the patient experiences sharp pain, sometimes fluctuation is detected (a symptom indicating the presence of fluid in a closed cavity).

Submucosal paraproctitis. Occurs in a small percentage. Painful sensations, which, however, increase during bowel movements, are quite moderate at other times. Body temperature remains subfebral (that is, it can rise for a long time to 37-37.5 degrees). Palpation also determines bulging of the abscess and pain. If the abscess breaks into the lumen of the rectum on its own, recovery occurs.

Retrorectal paraproctitis It is considered the form of the disease that is least common among sick people. It is characterized by severe painful sensations in the rectum, radiating to the perineum, thighs, sacrum and even to the rectum. The pain becomes stronger during defecation, sitting, palpation of the tailbone or pressing it. The posterior wall of the intestine bulges sharply, which is noticeable during examination.

Ischio-rectal paraproctitis, which occurs in 35-40% of patients, reports itself, first of all, with signs of inflammation of a purulent nature - the patient is bothered by sleep disturbances, accompanied by weakness and chills.

Subsequently, the disease manifests itself in a more localized manner - in particular, pain of a dull nature begins in the perineum and rectum, becoming sharp and throbbing over time. The pain intensifies not only during physical activity and during the act of defecation, but also during an ordinary cough.

In front of the rectum, when an abscess appears, dysuria is noted. After 5-7 days, moderate redness and swelling is observed in the perineum, where the abscess is located. The semilunar fold is smoothed, and the gluteal lobes are asymmetrical. On palpation, patients complain of pain (though moderate) inside the sciatic nerve.

Palviorectal paraproctitis(or, as it is also called, pelvicorectal) is considered the most severe form of the disease. Diagnosed in 2-7% of patients with acute paraproctitis. The main clinical picture is general weakness, malaise, slight increase in body temperature (up to 37.5), headaches, loss of appetite and even aches in the joints.

Pain is also noted in the lower abdomen. When, after a week or three, an abscess of the infiltrate of the palviorectal tissue occurs, the body temperature begins to sharply “jump” by several degrees. Symptoms of purulent intoxication become more pronounced - the pain intensifies, constipation is observed (but at the same time, patients complain of a false painful urge to defecate, which is called tenesmus in medicine), and impaired urine outflow. At this stage, there is no pain on palpation in the perineum; they appear later, with a longer course of the disease.

Diagnosis is difficult until the inflammatory process spreads to the ischiorectum and subcutaneous tissue. In this case, the symptoms are quite recognizable - hyperemia and swelling of the perineal tissue, pain on palpation. Also, during examination, the doctor may detect infiltration (accumulation of blood and lymph in the tissue) of the wall of the rectum, bulging of the abscess into the intestinal lumen (it is not possible to feel the upper edge of the bulge).

Classification by pathogens

The disease is largely determined by which pathogen enters the rectum. Thus, anaerobic paraproctitis is difficult because it is characterized by tissue necrosis, not only of the affected area, but also of the abdominal cavity, perineum, and buttocks. Severe intoxication, accompanied by high body temperature, requires immediate treatment.

Tuberculous paraproctitis occurs due to infection from the rectum or metastasis. The formation of a dense infiltrate is noted, which softens and opens over time, releasing a large amount of colorless pus.

Actinomycosis paraproctitis(caused by a fungus) is very rare in medical practice. It is characterized by the formation of a dense infiltrate, which then opens, releasing a small amount of thick pus. Whitish grains are visible in it - these are the fungi that caused paraproctitis.

Complications of paraproctitis

There are acute and chronic paraproctitis, the complications after which may vary. Moreover, after surgery to eliminate this “inconvenient disease,” complications are sometimes observed.

Complications of acute paraproctitis

1. Breakthrough of the abscess. If the abscess breaks out on its own, this is a plus, but the fact that when it breaks out, pus from it can get into the nearest intercellular spaces is a minus, because pus getting into the rectum or vagina will cause infection.
2. The inflammatory phenomenon can spread to neighboring organs (uterus, prostate gland, rectum, vagina or even urethra), which will lead to irreversible deformation of them, possibly leading to disability, because sometimes the only method of treatment is their removal. The infection can also enter the abdominal cavity, causing peritonitis.

Consequences of chronic paraproctitis

1. The growth of the fistula tract into many branches, which complicates treatment.
2. Deformation of the rectum, up to the inability to retain feces due to poor functioning of the sphincter.
3. If periodically exacerbating paraproctitis occurs for more than five years, this can lead to the development of cancer.

Possible complications after surgery

1. Relapse (reappearance of the fistula).
2. Insufficiency of the anal sphincter (partial or complete incontinence).

Causes of paraproctitis

Often provocateurs of paraproctitis are proctological diseases (hemorrhoids, proctitis, anal fissures, cryptitis, etc.), traumatic manipulations in the anal canal, and poor adherence to personal hygiene rules. Also, the cause of paraproctitis can be an infection of the digestive tract, specific infectious diseases, bowel disorders (constipation or diarrhea), diseases of organs and systems, a decrease in the body’s immune forces and even exhaustion.

There have been cases when paraproctitis occurred due to heavy lifting, poor diet (as well as excessive alcohol consumption), hypothermia, and even previous rhinitis. In other cases, it is impossible to find out the cause of paraproctitis. It has been established that in women it often occurs against the background of underwear constantly cutting into the skin of the anus.

A little about paraproctitis in children

Children are also periodically diagnosed with paraproctitis, but in pediatric proctology it is not given due attention. It should be noted that often paraproctitis occurs as a result of blockage of the crypts with a viscous secretion, which is caused by microtraumas, stagnation of feces, etc.

However, in children (including infants), it is necessary to differentiate true paraproctitis from perineal abscesses, which, it should be noted, occur much more often. In general, some doctors are sure that childhood and paraproctitis are incompatible. Also, the purulent process that occurs with septicopyemia cannot be called true paraproctitis.

Diagnosis and treatment of paraproctitis

Primary diagnosis is carried out using palpation of the anus based on the patient's complaints. In order to exclude the possibility of complications of acute proctitis, it is recommended to visit a gynecologist for women and a urologist for men. Anoscopy (examination of the distal intestine using an anoscope), rectromanoscopy (visual examination of the rectal mucosa), fistulography (x-ray contrast method for examining fistulas), and ultrasonography (ultrasound) are also used.

*Often, paraproctitis is diagnosed quickly enough using finger scanning with the addition of a rectal speculum, if the patient’s condition allows this.
*This disease is quite common, given that the percentage of patients with paraproctitis is 20-40% of all proctological diseases, ranking 4th among them in frequency.
*It is noteworthy that men suffer from this disease more often than women. The age of patients ranges from 30 to 50 years.
*Paraproctitis affects not only people, but also animals - it more often affects dogs than cats.

It should be noted that the above methods for diagnosing the disease are not always used. The fact is that due to severe pain, many types of examinations (palpation, anoscopy, sigmoidoscopy) are unacceptable. In this case, blood tests reveal inflammation of a purulent nature, as evidenced by an increase in ESR and leukocytes, as well as neutrophilia.

In order to distinguish paraproctitis, additional examination methods are needed, which is especially necessary when the abscess is too high. Such instrumental diagnostics include anoscopy, rectromanoscopy, and fistulography. In some cases, ultrasonography is used.

Treatment of paraproctitis

The following treatment methods are distinguished: conservative and surgical (the latter is used most often if a similar diagnosis is made).

Conservative treatment.

Conservative treatment of paraproctitis is, of course, possible, but in most cases it turns out to be ineffective due to relapses, and therefore is used only in the initial stages of the disease. In particular, conservative treatment consists of the doctor prescribing bed rest, antiseptics, sitz baths and warm enemas with a medicinal effect.

A diet is also prescribed. It consists in the need to adhere to the regime (eat at least 4 times a day at the same time), eat hot liquid meals at least once a day, limit yourself to food in the evenings and avoid unhealthy foods - fried, fatty, salty. It is important to drink a lot of water. It is recommended to avoid products that contain tannin, as well as foods with a viscous consistency (rice porridge, semolina) and ground foods.

Along with diet, there have been cases of successful treatment of paraproctitis with the help of regular compresses (using Vishnevsky ointment), baths with potassium permanganate, and suppositories with antibiotics. Suppositories such as Relief, Anestezol, Ultraproct, Anuzol, suppositories with methyluracil and propolis have proven themselves well in the treatment of paraproctitis.

If conservative treatment is ineffective, surgery is indicated.

Surgery It is often prescribed immediately after diagnosis, because it is considered urgent. However, sometimes it can be postponed - in this case, the doctor advises the patient to take antibiotics and prescribe physiotherapeutic procedures. However, surgical treatment is mandatory because inflammation may occur in case of recurrence.

The main purpose of the operation is to open and drain the inflammatory focus. The patient is given epidural and sacral anesthesia, in other, more rare cases, general anesthesia. When opening paralectal processes, local anesthesia is usually not given.

During the operation, the surgeon finds and opens the abscess and pumps out the pus. Then he finds the inflamed crypt, which is the source of infection, and excises it along with the purulent tract. If the source of inflammation remains in the body, a relapse may occur in the future. Therefore, the source in the body is removed. After this, the chances of a full recovery are high.

The most difficult operation is opening the abscess, which is located in the pelvic area. If chronic paraproctitis occurs, the fistula must be excised. But during an exacerbation, this cannot be done - you must first open and drain the existing abscesses, after which the fistula itself is removed.

If there are areas of infiltration, antibacterial therapy along with anti-inflammatory therapy is prescribed as preoperative preparation. The fistula tract must be removed as soon as possible in order to avoid relapse, which can occur quite quickly. In some cases, surgery becomes impossible. In this case, the patient's condition should be improved with conservative therapy and only then surgery should be performed.

Folk remedies for treating paraproctitis

Treating paraproctitis at home is really effective. As practice shows, old recipes have still not lost their relevance.

Treatment of fistula (chronic) with calendula. Brew fresh calendula flowers in boiling water and leave for two hours. Microenemas are made with this infusion, combining the use (if there are no contraindications) with stone oil. One course is usually enough for patients.

Milk with onions. Boil two liters of boiling water, then throw in 2 medium onions and 4 cloves of garlic. After boiling for a few minutes, cool it down a bit. With a blanket wrapped around you, sit on the pan. The procedure should be done while it is hot, when the milk cools down, the treatment for today can be completed. To save money, you can boil the same milk every day.

Hot baths. Baths should be taken at night, when the patient feels that the pain will soon arise again. To do this, it is recommended to lie in hot water and wait until the body gets used to this temperature. After this, add more hot water. And so on until the patient can no longer bear it. You should spend at least half an hour in the bathroom.

Prevention of paraproctitis

Take care of your immunity and hygiene. Try to avoid injuries to the rectum - one injury can lead to many problems in the form of constant treatment of paraproctitis, because repeated inflammation in the postoperative period is not so uncommon in medical practice. Prevention should be carried out, first of all, by treating the problems that cause paraproctitis - hemorrhoids, constipation, even rhinitis.

1. Drink plenty of fluids (from 1.5 liters per day).
2. Eat more cereals, fruits and vegetables, which improve peristalsis.
3. Do not get carried away with laxatives (they cause constipation) and enemas.
4. Avoid increasing your own weight.
5. Move a lot.