At the beginning of April 2024, a young girl walked into the anorectal surgery clinic of Jiangxi Provincial People's Hospital (the First Affiliated Hospital of Nanchang Medical College) in a panic, "Doctor, I have recently fallen out of a 'lump of things' to block my anus, and it is difficult for my stool to be discharged normally...... Deputy Chief Physician Mao Lihua gently calmed the patient's emotions, and conducted a routine digital anal examination for the patient, and found out the culprit - anal papilloma (and the shape is a bunch of grapes), and then admitted the patient to the day ward, In the afternoon of the same day, anal papillectomy was performed under local infiltration anesthesia. After another 1 month of recovery period, the patient recently had a regular outpatient follow-up, and the wounds had grown without discomfort, and the patient expressed his heartfelt thanks to Mao Lihua and all the medical staff.
What is anal nipple hypertrophy
Anal papillae hypertrophy is the growth of fibrous connective tissue in the normal anal papilla due to chronic inflammatory stimulation. Also known as anal papilloma or papillary fibroma, it is a common benign tumor of the anus. Although mostly benign, large anal papillomas carry a risk of malignant transformation.
Clinical manifestations of anal papilloma
1. Anal discomfort: At the beginning, the anus has a feeling of swelling, sometimes the anus is itchy and uncomfortable, if there is inflammation, not only the feeling of swelling is obvious, but also due to stimulation and frequent defecation.
2. Anal nipple prolapse: The anal nipple grows to a certain extent and can protrude out of the anus during stool. After the start of stool, it can retract into the anus on its own, and gradually need to be pushed back into the anus, and even protrude out of the anus for a long time.
3. Bleeding and pain: In case of dry and hard stool and abrasion of the anus, it can bring blood, drip blood and pain.
4. Incarceration: After the hypertrophic anal nipple protrudes out of the anus, if it is not pushed back into the anus in time, incarceration will occur, and after incarceration, edema and pain are severe, inconvenient movement, restlessness, and even difficulty in urinating and urinating.
Anorectal specialist reminds: When there is a feeling of swelling and incomplete stool, try not to go online to Baidu, or have an understanding of relevant knowledge, but you can't sit down by yourself, mistake anal papilloma for hemorrhoids, and casually stuff hemorrhoids suppositories or apply hemorrhoids cream, because it is easy to delay the correct treatment of anal papilloma. You should go to the anorectal surgery department as soon as possible and seek the help of an anoproctologist to achieve early detection, early diagnosis, early treatment, and early benefit.
How to reduce the incidence of anal papilloma
1. Actively exercise, enhance physical fitness, improve blood circulation, strengthen local disease resistance, and prevent anal nipple hypertrophy and infection.
2. Keep the anus clean, change underwear frequently, and insist on cleaning the anus after defecation every day, which has a positive effect on preventing infection.
3. Actively prevent and treat other anal diseases that cause anal nipple hypertrophy, such as anal cryptitis, anal papillitis, perianal abscess, etc.
4. Actively prevent and treat systemic diseases that cause perianal abscess, such as ulcerative colitis, intestinal tuberculosis, etc.
5. Do not sit in the wetland for a long time, so as not to get cold and wet in the anus and cause infection.
Expert Profile
Zheng Zhi is the President of Jiangxi Provincial People's Hospital (the First Affiliated Hospital of Nanchang Medical College), Chief TCM Physician, Doctoral Supervisor, Doctor of Integrated Traditional Chinese and Western Medicine of Beijing University of Chinese Medicine, Doctor of Joint Training of University of Florida, and Visiting Scholar of the Department of Clinical Oncology Prevention of MDAnderson Cancer Center of the University of Texas. He has successively studied under Professor Wei Qiping, a national famous old Chinese medicine expert, Professor Li Pingping, a national famous old Chinese medicine expert, Professor Chen Xinyi, a national famous blood disease expert, and Wang Xiao, chief physician of Jiangxi Province.
Specialty: He has rich clinical experience in immune regulation of traditional Chinese medicine, anti-aging of traditional Chinese medicine, blood diseases of traditional Chinese medicine, integrated traditional Chinese and Western medicine for tumors (lung cancer, gastric cancer, colorectal cancer, pancreatic cancer, etc.), and reversal treatment of tumor drug resistance.
Mao Lihua, deputy chief physician, master's degree candidate, director of the Anorectal Branch of the Chinese Society of Traditional Chinese Medicine Information, vice chairman of the Anorectal Branch of the Jiangxi Provincial Association of Rehabilitation Medicine, standing member of the Anorectal Branch Committee of the Jiangxi Provincial Association of Integrated Medicine, standing member of the Spleen and Stomach Disease Branch of the Jiangxi Association of Traditional Chinese Medicine, and member of the Wuyun and Liuqi Branch of the Jiangxi Association of Integrative Traditional and Western Medicine. He has been engaged in clinical work in proctology for nearly 20 years. In 2018, he won the second prize in the Jiangxi Anorectal Difficult Case Speech Competition, and in 2019, he won the second prize in the Jiangxi Anorectal Surgery Video Competition, presided over and participated in more than 10 provincial and municipal scientific research projects, and published many papers.
Specialty: The use of integrated traditional Chinese and Western medicine methods to treat various common and frequent diseases in anorectal medicine, such as hemorrhoids, fistulas, fissures, perianal abscesses, rectal prolapse, inflammatory bowel disease, constipation, anorectal neurosis, colorectal polyps and tumors.
Author: Wang Yanru, Department of Anorectal Surgery, Jiangxi Provincial People's Hospital (the First Affiliated Hospital of Nanchang Medical College).
Correspondent: Le Xiwen Luo Shan
Editor: Huang Menglin
Reviewer: Chen Shirui
Issued: Daley Red
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