Perianal Hematoma | Hemorrhoid or Hematoma? | Ouch That Hurts!


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Ouch That Hurts! But What is it? What is a Fistula?

In many cases a perianal hematoma is misdiagnosed as an external hemorrhoid.

Do you know the difference between a perianal hematoma and an external hemorrhoid?

If you are unsure, you should really visit a physician – hemorrhoids and hematoma’s can have very similar symptoms, and can be difficult to diagnose.

Hemorrhoids and Hematoma’s are not the same two conditions and do not call for the same treatment

  • A hemorrhoid is a vein that has enlarged and taken some of the surrounding tissue with it
  • A perianal hematoma occurs when a vein ruptures and leaks blood into the surrounding tissue

When that surrounding tissue fills with that blood, it causes a swelling to rise usually  on the outer part of the anus.

A perianal hematoma must have the blood removed, by syringe if the blood has not clotted yet or by a simple incision if it has.

When dealing with a simple perianal hematoma, the incision usually heals cleanly and without stitches, perhaps only leaving a skin tag behind if anything.

Video Player: Perianal Hematomas and Fistulas

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What is a Perianal Hematoma (Hematoma of the Anus)

A perianal hematoma is a type of hematoma located in, or on the border of the anus.

First of all a hematoma is basically a bruise, a pooling of blood in the tissues outside blood vessels. A perianal hematoma is a hematoma on the border of the anus. A perianal hematoma is caused by the rupture of a vein in or around the anus, this may happen during lifting something heavy or even coughing.

The blood can be removed after a short period of time by a syringe, however if left too long the blood will clot making this form of treatment impossible. Once a clot has formed, simple surgery under local anesthesia can be used to remove it manually. Usually an incision caused in this manner is not stitched and is instead left to heal on its own. This is fine because such surgical wounds heal up completely.

What is A Fistula or Anal Abscess?

Small cavities in your anus can get filled with pus and form an anal abscess. We have glands just inside the anus (dogs love to sniff these) and these can get clogged – perhaps becoming infected and an abscess may form. An anal fistula is caused from the result of a prior abscess. They are not a hematoma, which are generally caused by trauma or surgery.

Taking Care of Your Perianal Hematoma

It is important to take care when having a perianal hematoma removed surgically.  Allowing fecal matter to get in the wound, can lead to all sorts of infections; which can complicate things further.