What are the symptoms of anorectal trauma?
Everyone must be surprised to hear about anorectal trauma. How does a good anorectal injury happen? What are its symptoms? Do you have many questions? Let's specifically look at the symptoms of anorectal trauma. Abdominal pain and vomiting. Abdominal pain and vomiting are caused by perforation of colon and rectum, and feces in intestinal cavity overflow into abdominal cavity. The pain was first confined to the perforation, and then spread to the whole abdomen to form diffuse peritonitis with total abdominal pain; Peritoneal irritation sign. Abdominal tenderness, muscle tension and rebound pain. The pain is most obvious when it is perforated or ruptured. The symptoms of anorectal injury vary according to the severity and location of the injury and whether the rectal and vascular injuries are extensive or not. The common symptom is pain. Where there is abdominal injury, there is lower abdominal pain, and later there are symptoms and signs of peritonitis; Extraperitoneal injury and pain are not as serious as intraperitoneal injury, and there are generally no symptoms and signs of peritonitis. If there is a pelvic fracture and bladder and urethra rupture, there may be pubic pain. There is urine in rectum, blood and feces in urine, urinary extravasation, bleeding and shock, infection, abscess and cellulitis in urethral injury. Congenital Hirschsprung's disease cases mainly show constipation, abdominal distension and extreme abdominal distension. Due to a large amount of feces filling the colon, the coordination between the colon and rectum is out of control, and the lack of nerves in the intestinal wall, the oppression of the rectum by the hard stool and other factors lead to anal incontinence, and stool water leaks from the hard stool. Among the common patients complicated with anal incontinence after anorectal surgery, some cases have mild symptoms, which loose stool can't control when complaining of diarrhea. Some patients complain that the perineum is often polluted by mucus and feces. There are also complaints that feces can't be controlled at will, nor at night. There are also different degrees of out-of-control performance such as fecal leakage during exhaust. Bowel sounds weaken or even disappear. Digital rectal examination: low rectal injury can touch the injured part, feeling hollow, blood in the finger cuff, and only a few colon injuries have blood. Tearing, complexity, rupture, tissue shedding, obvious fecal pollution and other large pieces of damage. In some cases, the manifestations are covered by the main pathological changes, such as patients with brain trauma and cerebrovascular accident, unconsciousness and bedwetting. In addition to nursing, people pay more attention to the treatment of brain diseases.