Perianal hematoma and hemorrhoids are two common conditions of the anus, but they are not the same. Perianal hematomas are caused by a buildup of blood in the tissue around the anus, while hemorrhoids are enlarged, swollen veins in and around the anus. It is important to understand the differences between these two conditions to seek the appropriate treatment.
What is a Perianal Hematoma?
A perianal hematoma is a painful, swollen mass of clotted blood that forms around the anus. It is caused by a tear in the tissue of the anus, which can happen due to straining during a bowel movement, or it can be caused by a foreign object. Perianal hematomas can be very painful and can cause intense itching.
What are Hemorrhoids?
Hemorrhoids are enlarged, swollen veins in and around the anus and rectum. They are caused by straining during a bowel movement, pregnancy, or obesity. Hemorrhoids can be very painful and can cause itching, burning, and bleeding. In some cases, they can become thrombosed, which means that a blood clot has formed inside them.
Symptoms of Perianal Hematoma
The primary symptom of a perianal hematoma is a swollen, painful lump around the anus. It can be very tender to the touch and can cause intense itching. Other symptoms of a perianal hematoma include pain during bowel movements, bleeding from the anus, and fever.
Symptoms of Hemorrhoids
The primary symptom of hemorrhoids is a swollen, painful lump in and around the anus. It can be very tender to the touch and can cause itching, burning, and bleeding. Other symptoms of hemorrhoids include pain during bowel movements, difficulty controlling bowel movements, and feeling of fullness in the rectum.
Diagnosis of Perianal Hematoma
A perianal hematoma can be diagnosed by a physical exam and medical history. Your doctor will look for a lump around the anus and may also order an imaging test such as an MRI or CT scan to confirm the diagnosis.
Diagnosis of Hemorrhoids
Hemorrhoids can be diagnosed by a physical exam, medical history, and imaging tests such as an MRI or CT scan. Your doctor may also order a sigmoidoscopy, which is a test that uses a lighted tube to look inside the rectum and colon.
Treatment of Perianal Hematoma
Treatment of a perianal hematoma usually involves draining the hematoma with a needle. This can be done in the doctor’s office. After the hematoma has been drained, it is important to keep the area clean and dry to prevent infection. In some cases, surgery may be necessary to remove the hematoma.
Treatment of Hemorrhoids
Treatment of hemorrhoids usually involves lifestyle changes such as increasing physical activity, drinking more water, and eating a high-fiber diet. Over-the-counter medications and topical creams can also be used to relieve pain and itching. In some cases, surgery may be necessary to remove the hemorrhoids.
Conclusion
Perianal hematomas and hemorrhoids are two common conditions of the anus, but they are not the same. Perianal hematomas are caused by a buildup of blood in the tissue around the anus, while hemorrhoids are enlarged, swollen veins in and around the anus. It is important to understand the differences between these two conditions to seek the appropriate treatment.