How to relax the sphincter of the rectum? Spasm of the sphincter of the rectum: symptoms and treatment

Today we would like to discuss a delicate problem. The work of the digestive tract determines in many respects our state of health, cheerfulness and good mood. And it is important not only proper nutrition, but also a stable emptying, so that the body does not send the products of life. Very good, if you have never encountered such problems, and the morning toilet does not cause unpleasant associations. But most people know firsthand what a spasm of the sphincter of the rectum is. Symptoms are extremely unpleasant, it is pain and raspiranie in the lower abdomen, with which it is difficult to cope without taking antispasmodics. Today we will talk about this phenomenon and ways of dealing with it a little more detailed.

A little about physiological features

What is the sphincter of the rectum? It's a muscle element. It is located directly in the rectum and is designed to regulate the secretion of feces. On the one hand, it performs a locking function, and when there is a sufficient accumulation of masses - opens. This is usually a controlled process. The sphincter of the rectum opens exclusively in the right place (in the toilet), and not on the way home from work.

In order for the sphincter to function smoothly, its surface is lined with a large number of receptor cells, and the inner part is smooth muscle musculature, which forms a ring. While the child is small, it works in a natural mode, that is, immediately after the emerging need follows the evacuation of the intestine. As you grow up and become accustomed to the pot, the sphincter of the rectum becomes more and more trained, effectively restraining feces and gases.

What is spasm of the sphincter

This is not a disease, but only its manifestation, so doctors will have to conduct a full diagnostic to determine what caused this phenomenon. And we will begin by telling you what is characterized by a spasm of the sphincter of the rectum. Symptoms are primarily pain. It is caused not by inflammation, but by painful compression of muscles, which has a psychological or somatogenic nature.

Such a picture is typical for most proctological pathologies, so if doctors say about spasm of the sphincter of the rectum, they mean that there are no organic lesions of this segment of the intestine. That is, there is a pain of undiagnosed etiology.

Features of the disease

Complicated is not only diagnostics. Disease with such symptoms usually lasts for a long time and is quite difficult. We can not stop the intestine at the time of its treatment, even with a sparing diet, there is still a load on it. And persistent pain, which is difficult to remove even with strong drugs, is exhausted physically and psychologically. Often, people get to mind terrible diagnoses, most often of an oncological nature, which further aggravates his condition.

More about the symptoms

How can you suspect that you have spasmodic sphincter of the rectum? Simple enough. Strong, paroxysmal pain will not make a mistake. The following signs are observed:

• Acute pain of paroxysmal nature, which gives into the perineum. In this regard, patients tend to write off symptoms on chronic kidney diseases, pelvic organs problems.
• Note that the pain may accompany the act of defecation or arise separately from it.
• Most often, after taking a bath, the pain subsides significantly, although it may not go completely.
• An important point is the reason for the spasm. This is the key to unraveling, as well as the appointment of an adequate treatment. Most often it is not provoked by somatogenic diseases, but psycho-emotional: experiences, chronic stresses and neurological problems, as well as inadequate physical activity.

What you need to know for everyone

We have already touched upon this matter a little, but it is extremely important to deal with this point in more detail. Treatment of the sphincter of the rectum, or rather its effectiveness, directly depends on how much the doctor figured out the reasons. What causes spasm? It is a contraction of smooth muscles. This may involve an external or internal sphincter. But this is half the trouble. With the contraction of smooth muscles, there are pulling, sometimes pulsating pains, varying in duration and intensity, as nerves and blood vessels are pinched.

Most often this pathology occurs in middle-aged people. At the same time, there is no division into men and women, all are susceptible to the disease. Why is this area of the intestine prone to spasms? This is due to good innervation. What can be included here:

• Constipation;
• Inflammation;
• Violation of the integrity of the mucosa;
• Varicose veins or vessels.

As a result, the patient feels severe pain, which is difficult to correct with medication.

Risk group

Before we talk about how to remove spasm of the sphincter of the rectum, we will stop at another point. There is a certain group of patients who are more likely to develop this pathology. These are people:

• Mentally unbalanced;
• Suffering from CNS pathology.

As a result of the pathologies mentioned above, a spasm of the anal opening develops, which increases emotional lability and, as a result, pain. In addition, this syndrome can be caused by various violations of innervation. This is the result of injuries or difficult births. Often the spasm of anal sphincters develops in emotionally unstable women. Men fall into this category less often, although the sexual sign, as we have already mentioned, is not predominant.

Types of spasms

The most common problems arise when the internal sphincter of the rectum is spasmodic. First of all, they can be divided by the time of the attack:

• Rapidly passing;
• Long.

Usually, mild pathology is simultaneously rapid and rapid. In this case, for the relief of the condition, no serious drugs are required. The disorder manifests itself in the form of sudden drawing or stitching pains. Very often patients experience pronounced discomfort in the perineal region. And some of them begin to cure the fictitious diseases of the prostate gland, kidneys and uterus. Once again I want to recall that any therapy begins with adequate diagnosis. Without this, it is not only ineffective, but also dangerous.

Prolonged pains of unexplained etiology practically do not respond to anesthesia, and seizures can go on for several days. And the uneven flow is characteristic, after some time the frequency of seizures increases. However, the factors that cause exacerbation of pain are not completely defined. However, doctors have long noted that the emotional state of the patient greatly affects the state of his intestines. Stress and worries immediately cause a worsening of the situation.

There is a classification of the etiologic factor. In this case, the following are distinguished:

• Primary spasmodics. If you compare two photos of the sphincter of the rectum - spasmodic and completely healthy - you can see that they are not much different. In our case, this is simply muscle spasm, which most often develops against the background of stress and passes after the situation is normalized.
• Secondary. This disorder does not appear in itself, but develops against the background of certain pathologies of the rectum. These include hemorrhoids and fissures, Crohn's disease and tumors in the anal canal.

Any problems with the intestines require attention, timely consultation with specialists. The earlier the cause is determined, the more effective the therapeutic effect will be.

First visit to the doctor

It all starts with a survey. An important role is played by the collection of anamnesis. Quite often, patients are identified primary diseases, which led to this development of events. These are the transferred injuries and various operations. More often, the primary cause is the diseases of the rectum and organs of the genitourinary system. Do not forget that smooth muscle musculature of our body is interconnected, therefore primary proctology is combined with muscle spasms of other organs. What this includes:

• visual inspection;
• Palpation of the anus;
• Examination of the walls of the rectum;
• Colonoscopy examines the colon.

What to do

Since you can not remove the spasm of the sphincter of the rectum overnight, you will have to follow a number of doctor's recommendations in order to improve the condition. The choice of methods of treatment will depend on the general and psychological state of the patient, the presence of somatic diseases.

But the first task of a doctor is to remove the spasm of the sphincter of the rectum. Treatment should begin with the elimination of the disorder and the removal of inflammation. To this end, prescribe antispasmodics and pain medications. If necessary, prescribe antibacterial agents, and with constipation - laxatives.

Relaxation of the sphincter

This is the goal of the patient and the doctor, which is not always easy to achieve with the help of medicines alone. Very good in this case help thermal procedures, as well as physiotherapy methods of treatment. In parallel, it is necessary to carry out anesthesia with antispasmodics and painkillers. It is best to use Relief Advance, Procto-Glivenol, Venoruton, Ultraprotect, Prosterizan Fort, candles with bellies and sea-buckthorn oil. Of antispasmodics, most often used "No-shpa", as well as warm sedentary baths.

Solving problems with constipation

It is very important to pay close attention to the toilet. It is extremely important to maintain the anus area in perfect purity. Every morning you need to wash yourself, using the shower for this. It is good to repeat the procedure after every act of defecation, so as not to irritate the mucous by friction. The right diet is one of the most important factors. Food should be as gentle as possible to reduce the burden of not the organs of the digestive tract. Here everything is quite simple: fatty, sweet, fried and spicy should be excluded from the diet. The basis is soups and lean porridges, baked fruits and vegetables. Observe the drinking regimen.

Surgery

If the alternative treatment does not work, then you have to choose more radical measures. First, doctors use different drugs, as well as conservative methods of treatment. If the seizures become more frequent, and serious complications are added, then there is no choice. In this case, resort to surgical intervention - sphincterotomy. It consists in partial excision of the muscles of the anal sphincter. This leads to the fact that the smooth muscles relax, and the pain is significantly reduced. The cause is not eliminated, but the patient still gets a good result.

Traditional methods of treatment

If the situation has not yet gone too far, then you can use the prescription phytotherapy. In this case, it is recommended to treat spasms of the anal sphincter with decoctions of medicinal herbs or a solution of potassium permanganate. The treatment regimen includes enemas and microclysters, tampons and suppositories.

Sitting baths are not difficult to prepare. To do this, draw a little warm water in the pelvis, add potassium permanganate. The procedure should be repeated for at least 7-10 days. Not bad help baths with a decoction or infusion of medicinal plants that have an antispasmodic or soothing effect. It is chamomile and yarrow, St. John's wort and oak bark, calendula. Plants can be mixed or alternated. A decoction of medicinal herbs is used for the preparation of enemas and tampons.

Weakness of sphincter

This is exactly the opposite situation to the one we discussed above. If before we discussed how to relax the sphincter of the rectum, normalize the waste of gases and stool and remove the pain, now we need to pay attention to what to do with weakening the same locking ring. A weak sphincter of the rectum leads to incontinence of gases, liquid or solid feces.

Treatment requires consideration of individual characteristics of a person, as well as violations. As a rule, if the sphincter of the rectum is relaxed, a special diet is prescribed, electrostimulation and exercise therapy. Drug therapy in this case should be directed to the treatment of inflammatory diseases and dysbiosis.

If the sphincter is weakened for organic reasons, surgical intervention, namely sphincteroplasty, is necessary. After this operation, a long restorative treatment with a mandatory diet is required.

Instead of concluding

The health of our intestines depends largely on ourselves. The right diet, the optimal balance of exercise and rest, avoidance of serious stress - all these are the main methods of preventing diseases of the digestive system in general and the intestine in particular. Excessive stress, as well as the weakness of the sphincter of the rectum, can be the result of a number of serious ailments, each of which requires attentive attitude and medical support.