Symptoms, treatment and possible complications with cryptitis

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Cryptite is called inflammation of blink crypts. These are depressions located on the border of the rectum and anus.

The open part of the blind pocket is located on the rectum side, which contributes to the entry of feces into them.

With proper functioning, crypts are easily released from the feces, since the mucus secreted by the anal glands acts as a pledge of complete emptying of the indentations.

But if the work of the anal glands is broken due to their clogging or mucosal damage, the crypts remain stool particles, which leads to an inflammatory process that can occur in acute or chronic form.

Contents

  • Causes and factors provocateurs
  • Features of the clinical picture
  • Inspection and diagnosis
    • Instrumental diagnostic methods
  • Therapeutic measures
    • Proper nutrition is the basis of success
    • Therapy methods
    • Surgical method
  • Is it dangerous and insidious?
  • Prophylaxis

Causes and factors provocateurs

The secret that secrete anal glands not only participates in the defecation process, but also performs a protective function, since it prevents bacteria from entering the crypts.

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When clogging of the anal glands occurs, dry lumps of stool can not completely leave the indentations. A favorable environment for the development of microbes is created and, as a result, inflammation occurs.

The normal functioning of crypts can also occur due to trauma to the walls and mucosa. Damage can cause hard stools that are observed during constipation, or hard particles present in the feces.

During mucosal diarrhea irritated, which can also cause inflammation in crypts.

Among the main factors provoking the development of the disease, it is worth noting:

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  • frequent constipation;
  • diarrhea;
  • consumption of fatty, fried, smoked food in large quantities;
  • love of spices;
  • sedentary lifestyle;
  • hemorrhoids and other diseases of the rectum;
  • some infections.

Features of clinical picture

Inflammatory process may occur in one or more crypts. In addition, it can occur in acute or chronic form. In the second case, exacerbations and damping of manifestations of the disease are noted.

The main symptoms indicative of cryptitis are:

  • pain in the anus, which is aggravated by bowel evacuation;
  • itching and burning in the anus;
  • admixture of blood in the feces;
  • presence of pus during emptying;
  • sensation of foreign body or non-emptied bowel;
  • humidity in the anus;
  • discomfort and discomfort.

Almost always the evacuation of the intestine is accompanied by painful sensations.

Because of this, some patients eat to stop the feces, which only aggravates the problem, as the inflammatory process continues to develop, and spasm of the sphincter can also occur.

Depending on the stage and form of the disease, feces may contain blood or pus. However, purulent discharge may not be associated with going to the toilet.

Because of violations of the sealing of the anal opening, the mucus flows, so the anus area is often wet. This can cause redness or swelling of the skin.

Inspection and Diagnosis

Symptoms of cryptite are very similar to those of other diseases of the rectum, for example, paraproctitis.

For effective treatment it is important to diagnose the disease correctly. After the doctor carefully listens to the patient's complaints, he must perform an external examination of the anus, as well as a rectal finger examination.

In the early stages of an ailment, an external examination will not give any information at all for the diagnosis. But with a digital rectal examination, the proctologist can detect a hotbed of inflammation, as when pressing, painful sensations are noted, and the swelling of the tissues is felt.

Instrumental diagnostic methods

But to diagnose the disease, it is also necessary to perform instrumental examinations:

  1. Anoscopy .Using an anoscope, the doctor determines the location of the inflamed areas and the deposition of fibrin. Purulent inflammation of the helps detect a pressure on the affected crypt.
  2. Recto-Maskoscopy .A special device allows you to assess the condition of the rectal mucosa.
  3. In some cases, when it is required to study the condition of the crypt bottom, proctology or ultrasonography is used.
  4. When a doctor has reason to suspect the development of a cancerous tumor, the biopsy is done. Only this study can confirm the diagnosis of oncology.

Treatment measures

Treatment for cryptitis depends on the form of the disease and its neglect.

In the chronic course of the disease, treatment is aimed at removing the swelling of the mucosa and eliminating pain. In the acute form of the disease, when there is an abscess, necessarily open the abscess.

Proper nutrition is the basis for the success of

. The goal of the treatment is also the normalization of the stool. The patient should carefully monitor their diet, adhere to a diet.

It is necessary to discard products that can irritate the mucous:

  • spice;
  • smoked;
  • fried;
  • carbonated drinks;
  • acute and so on.

The diet should contain enough fiber, fruits and vegetables, dairy products.

Be sure to eat beets, prunes and dried apricots in order to promote the normal release of stool.

If the patient has frequent constipation, then he is recommended to cleanse the intestines with oil, herbal or aqueous enemas.

And here to accept laxative it is not necessary, as similar preparations cause puffiness and irritation mucous.

Therapy methods

Cryptite is treated conservatively or surgically. With mild disease, the proctologist prescribes the use of anti-inflammatory and analgesic drugs.

In general, topical drugs are used. It can be candles, ointments, powders and so on.

In some cases, it is necessary to take antibacterial drugs, as well as vitamin complexes to strengthen immunity.

It is important to monitor the diet, if necessary, to do enemas, and do not forget about hygiene. After each emptying, it is necessary to rinse the area of ​​the anus with cool water and to soak with a tissue.

Surgical method

When the disease is started and the risk of complications increases, surgery is performed. The abscess is opened.

The doctor makes sure that the pus comes into the rectum.

The operation is sometimes performed in a classical way( excision of affected crypts), but more often - using minimally invasive methods.

These methods include:

  • infrared coagulation;
  • radio wave method;
  • removal by laser.

The advantage of using modern methods is that the operation is carried out quickly and practically without pain. In addition, the rehabilitation period as such is absent. In a couple of days the patient can return to work.

Is he dangerous and cunning?

Untimely treatment of anterior passage cryptitis can lead to the following complications:

  • purulent paraproctitis;
  • acute paraproctitis;
  • formation of fistula;
  • scarring of rectum tissue;
  • pectonase.

If the disease is triggered, the inflammatory process will affect adjacent tissues. As a result, purulent or acute paraproctitis or proctitis( inflammation of the rectum) may develop.

In chronic cryptitis, there is a risk of scarring at the bottom of the crypt( pectone) or the walls of the rectum. When scarring takes about a quarter of all tissues, the rectum loses its elasticity, which complicates the output of stool.

Preventive measures

To reduce the risk of the disease, it is necessary to follow simple recommendations:

  1. Follow the diet. Eat enough fruits and vegetables to normalize the emptying of the intestine. It is necessary to minimize or completely abandon the use of irritating mucus products.
  2. Drink plenty of fluids( at least 1.5 liters per day).
  3. Refuse bad habits( smoking, alcohol).
  4. Keep an eye on your personal hygiene. After each emptying, it is advisable to wash the area of ​​the anus with water.
  5. Perform exercises to improve blood flow in the pelvic area to avoid blood stagnation.
  6. If you have a sedentary job, do not forget to do gymnastics or just walk around from time to time.

Cryptite gives a person a lot of inconvenience, besides, if it is not treated, serious complications can arise. When symptoms appear, be sure to visit a doctor and take a survey.

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  • Apr 08, 2018
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