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Peri-anal Haematoma

WHAT IS A PERI-ANAL HEMATOMA?

A literal translation of the medical terminology it means a lump of blood(hematoma) around or next to the anus (perianal).  It is best described as a blood blister which occurs very close to the edge of the anal canal opening.  They typically appear very suddenly.  The condition is exquisitely painful and a small lump with a bluish colouration on the edge of the anal verge can often be seen.

WHY DOES IT HAPPEN?

It happens spontaneously after passing a hard, difficult, constipated stool.  Not every case occurs after passing a constipated stool. A small blood vessel next to the anal canal becomes damaged and bleeds under the skin.  This causes the tense painful blood blister type lesion which characterizes this condition.   

WHAT IS THE TREATMENT?

Usually after 7 to 10 days of conservative management it will settle down without the need for operation. During this time many doctors and surgeons advise pain killers anti-inflammatory drugs, a local anaesthetic gel and laxatives.  This regime helps the patient cope with the main symptom of severe pain.

Some surgeons do advocate a small operation to evacuate or remove the clot to provide a faster resolution, however this is not usually necessary.

IS IT THE SAME AS HEMORRHOIDS?

No.  Although some doctors may call this problem external haemorrhoids, it is a separate problem.  See the article on hemorrhoids.

OTHER CAUSES OF ANAL PAIN.

Although this is a benign problem which resolves without much treatment other causes of anal can be more problematic such as peri-anal abscess, fistula, fissure and even cancer.  It is therefore important that such cases are seen and the diagnosis confirmed by trained specialist doctors or surgeons.

If you wish to arrange an appointment with Dr. Rob Church at Al Zahra Hospital Dubai

Contact Al Zahra Call Center on +9714-378-6666