Perianal Hematoma

• Cause: Perianal hematomas are typically caused by excessive straining during bowel movements, leading to the rupture of small blood vessels around the anus. This straining can result from conditions like constipation, diarrhea, or childbirth./li>
• Symptoms: Common symptoms of a perianal hematoma include pain, swelling, and a firm, tender lump in the perianal region. The discomfort is often aggravated during sitting, bowel movements, or when wiping after using the toilet.
• Diagnosis: Diagnosis is generally based on the physical examination of the affected area by a healthcare provider. In some cases, additional tests, such as an ultrasound, may be used to confirm the diagnosis and rule out other conditions.
• Treatment: Treatment for a perianal hematoma typically involves conservative management. This may include warm sitz baths to ease pain and swelling, pain relief medications, and stool softeners to reduce the strain during bowel movements. In some cases, the hematoma may rupture and spontaneously drain.