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Papillit – a hypertrophy and an inflammation of anal nipples () of bosoms (crypts) of back pass. It is shown by discomfort, pain, feeling of a foreign matter in back pass, feeling of incomplete depletion of intestines after defecation. Loss hypertrophied from an anus can lead to their infringement and hypostasis, emergence of a kriptit. Traumatizing leads to their bleeding. Pain reflex conducts to a spasm, and then weakening of a sphincter of a rectum, dribble of slime, maceration and infection of anogenitalny area.

Papillit

Papillit – a hypertrophy and an inflammation of anal nipples () of bosoms (crypts) of back pass. It is shown by discomfort, pain, feeling of a foreign matter in back pass, feeling of incomplete depletion of intestines after defecation. Loss hypertrophied from an anus can lead to their infringement and hypostasis, emergence of a kriptit. Traumatizing leads to their bleeding. Pain reflex conducts to a spasm, and then weakening of a sphincter of a rectum, dribble of slime, maceration and infection of anogenitalny area.

Anal nipples are the eminences of triangular shape which are found at some people in the lower part of an ampoule of a rectum at free edges of the semi-lunar valves bordering a zone of an arrangement of morganiyevy crypts and columns. Anal nipples by the size do not exceed 1 cm in the diameter, light pink color, are palpated as painless small knots. In a form distinguish triangular anal nipples with the wide basis and spherical on a narrow leg.

Papillit – an inflammation of these educations. It arises when the hypertrophy of anal nipples takes place, and there is their defeat a bacterial infection. Most often the infection passes to nipples from the struck morganiyevy crypts or at a proktita. Papillit it is characterized by nipple hypostasis, hyperaemia mucous, covering it, increase in sizes and morbidity at a palpation. If regular traumatic damage of the increased nipple by the dense kalovy masses or foreign matters takes place, on its top the erosion and an ulcer can be formed.

Reasons of a papillit

The major factors promoting an inflammation of anal nipples: a travmatization or chemical damage of a surface of nipples (locks, ponosa, abuse of enemas), stagnation of blood in bodies of a small pelvis (a hypodynamia, a sedentary life and activity, hemorrhoids), infectious and inflammatory diseases of a rectum and the anal channel (kriptit, proktit).

In certain cases anal nipples are hypertrophied so that 3-4 centimeters have a diameter. Such educations (in particular if they do not fasten to a wall a thin leg) can drop out of a rectum. Hypertrophied nipples are especially inclined to regular inflammations.

Symptoms of a papillit

Papillit it is shown by the periodic or constant pain in back pass amplifying at frequent or long defecation, diarrhea. Hypertrophied nipples more than a centimeter in the diameter can be shown in the form of feeling of presence of a foreign matter at back pass. At traumatic damage of a nipple emergence of blood from an anus is possible.

Long morbidity can become the reason of a tonic spasm of an anal sphincter, and intensive inflammatory process with the expressed hypostasis and increase in a nipple leads to decrease in a tone of a sphincter and dribble of intestinal contents from an anus. Maceration of skin of a perianalny zone and an anal itch becomes result.

Diagnostics of a papillit

Significant methods in diagnostics of a papillit are survey of back pass, a manual research of the anal channel, an anoskopiya and a rektoromanoskopiya.

At survey of the patient ask to natuzhitsya, sometimes at this moment the inflamed nipples are shown outside. At a manual research anal nipples are defined to the touch, at an inflammation they are painful, condensed. Anoskopiya and a rektoromanoskopiya allow to examine in details a mucous membrane of the anal channel and a rectum, to reveal existence of anal nipples, their inflammation, to define its intensity, erosion taking place and ulcerations.

Differential diagnostics of a papillit

Clinical manifestations of a papillit are not specific and can indicate other diseases of a rectum, first of all polyps. Differentiate anal nipples from polyps of a rectum and the anal channel on localization (polyps are always found above the anorektalny line, and nipples on it) and on morphological features. The polyp on color does not differ from a mucous membrane of an intestinal wall, at a histologic research has adenomatozny structure and is covered with a single-layer cylindrical epithelium while anal nipples represent more pale, than a surrounding mucous membrane of education from collagenic fibers, containing fatty tissue and covered with a multilayered flat epithelium.

Sometimes there is a need to differentiate anal nipples from sentry hillocks on the ends of an anal crack or gemorroidalny knots at chronic hemorrhoids. Internal gemorroidalny knots have saturated red color, a soft consistence (if they are not trombirovana).

Treatment of a papillit

If anal nipples exist, without giving troubles, have the small size and do not drop out of the anal channel, then they do not demand treatment and are not considered as a pathological state. If anal nipples inflamed, then it is necessary to address the proctologist. Originally carry out conservative anti-inflammatory and antibacterial therapy, mainly by means of local application. At the inefficiency of conservative treatment, a recurrence of an inflammation expressed to a hypertrophy of an anal nipple make its removal. Cryodestruction is in certain cases possible.

Expeditious removal of anal nipples is made in the conditions of a hospital under local anesthesia, the postoperative period – short and proceeds usually without complications.

Papillit - treatment

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