Female coccyx pain anal swelling

Nowadays, most people work in front of computers and sit all day long, so sometimes people will have coccyx pain, but some people will also have anal prolapse, so they must be very concerned about the cause. So, what is the reason for women’s coccyx pain and anal prolapse?

Pain in the coccyx, accompanied by a painful and uncomfortable feeling at the anus. The most common cause of this condition is perianal abscess. Because of infection around the anus, the surrounding tissues are compressed. It can cause pain in the coccyx and a feeling of heaviness and discomfort in the anus. After the perianal abscess ruptures, the pus is discharged and may cause anal fistula. The treatment of perianal abscess is mainly based on surgical treatment. Surgical treatment to open the cyst, release the pus, and find the internal opening to hang the thread is beneficial for treatment and helps reduce the risk of subsequent recurrence.

Perianal abscess symptoms

The most important symptom of perianal abscess is pain. This kind of pain can be very intense and gradually intensifies. Many patients say that they will lose their appetite and cannot sleep. After the cyst ruptures spontaneously, the pain is temporarily relieved.

A low-lying cyst can cause severe anal pain that persists. Periduodenal cysts (superior) are not necessarily painful. Because the area around the duodenum belongs to the pelvis, the autonomic nerves distributed here are not sensitive to normal stimulation. The most specific manifestations are local heaviness and urinary sensation.

Another symptom of perianal abscess is fever, which can exceed 40°C. Generally speaking, the larger and heavier the abscess cavity is, the greater the chance of fever. Some patients will continue to experience difficulty going to the toilet, poor appetite, and insomnia.

Perianal abscess treatment

There are not many options for the treatment of this disease. The only way to recover is surgery, and the sooner the better. When there is no reason or human body conditions do not allow surgery, drug treatment can be chosen.

1. Medication

(1) For superficial cysts, oral antibiotics can be used, usually antifungal drugs. For relatively large cysts, mutual medication is required, such as ornidazole, ezetimibe hydrochloride, kanamycin, streptomycin, etc.

(2) For external application, you can apply golden ointment, blood-activating and analgesic powder, four-yellow ointment, jade-dew ointment, etc.

(3) The oral administration of Chinese medicinal materials in the Essentials of Surgery edited and annotated by Xue Yi in the Ming Dynasty clearly proposed the treatment concept of giving detoxification in the early stage and expelling toxins in the pus formation stage. You can use Xianfang Huoming Drink and Huanglian Jiedu Decoction interactively.

2. Surgery

(1) Drain the pus and relieve the pressure. Disinfect and sterilize the area. Use a 20ml syringe to pierce the pus cavity from the weakest part of the cyst to extract the concentrated liquid. Move the needle up and down while draining until there is no pus to be drained.

This method can temporarily relieve the support of the abscess cavity, relieve pain, and is suitable for temporary emergency treatment, but it cannot replace surgical treatment. If the disease progresses rapidly, such as necrotizing fasciitis, it should not be used to avoid delaying the disease.

(2) Incision and drainage: Under local anesthesia, an incision is made in the middle of the abscess cavity to drain the pus. After the operation, the abscess cavity is cleaned with ornidazole and an oil gauze strip is placed for drainage.

It is a temporary emergency treatment or the first surgery of the secondary surgery treatment method. Pus can be discharged to quickly relieve symptoms, but it cannot replace resection. It usually takes about three months for the fistula to form and the internal opening to be established before resection can be performed again.

(3) Resection of the cyst at the bottom of the cyst - cut it open immediately. Blood pressure horseshoe cyst - incision and isolation. Blood-superior cyst - hanging thread technique. Supplementary superior cyst-isobaric drainage. Because the laser cutting hanging wire still disconnected the straight anal ring, it was very painful and the wound was deep. In order to further reduce surgical trauma, double isobaric drainage surgery can be used. During the operation, semi-laser cutting of the hanging wire is used, and a drainage tube is placed, and the anal ring is not disconnected to allow the abscess cavity to heal.