Очень часто человек начинает замечать у себя неприятные ощущения в области ануса. Иногда это может проявляться в виде зуда и шевеления в заднем проходе.
К сожалению, данная проблема очень деликатная и не всегда удобно ее обсуждать на людях. Но к какому же врачу обращаться с такими симптомами? Может ли шевеления быть причиной серьёзного заболевания? Какие причины ощущения шевеления в заднем проходе? На эти и другие вопросы мы постараемся ответить в этой статье.
Возможные причины
Итак, шевеление в заднем проходе, что это? Это состояние, при котором пациент ощущает постоянный дискомфорт в зоне ануса. Данное состояние может сопровождаться зудом, жжением, болевыми ощущениями, кровоточивостью.
В первую очередь при ощущении шевеления в заднем проходе человек начинает думать о наличии в своем организме гельминтов. Так ли это на самом деле? Врачи утверждают, что неприятные ощущения в анусе может спровоцировать воспаленный геморрой.
Давайте рассмотрим основные причины чувства шевеления в заднем проходе:
- аллергическая реакция на какой-то пищевой продукт;
- начальная стадия развития геморроя;
наличие кишечных паразитов в организме;
- трещины и мелкие ранки на анусе;
- полипозные и другие виды доброкачественных образований;
- злокачественные новообразования в области прямой кишке;
- сахарный диабет;
- наличие грибковой микрофлоры на стенках ануса;
- хронические болезни печени и органов пищеварительной системы;
- нарушение работы кишечника после курса антибиотиков, которые провоцируют частые диареи;
- аллергия из-за некачественного белья или косметических средств;
- частые стрессы и нервные напряжения, которые являются психосоматическим фактором развития шевеления в заднем проходе;
- заражение трихомонадами, хламидиями и другими патогенными микроорганизмами, которые передаются во время интимной близости.
Как правило, чаще всего ощущение, что что-то шевелиться в заднем проходе указывает на наличие гельминтов, геморроя или дисбактериоза.
В первом случае, если у человека в организме живут паразиты, то они могут активизироваться в вечерние часы (особи женского пола выходят наружу заднего прохода), чем и вызывают ощущение щекотания.
При дисбактериозе сильно раздражаются стенки прямой кишки, нарушается баланс микрофлоры в ней, это и вызывает неприятное ощущение в анусе.
Если шевеление вызвано геморроем, то можно говорить о том, что во время акта дефекации геморроидальные уплотнения повреждаются и воспаляются. Это вызовет сильный дискомфорт и боль у пациента. При выпадении узлов из области прямой кишки человек может ощущать шевеление.
Диагностика причины
Если пациент ощутил как будто шевеление в заднем проходе, ему необходимо обратиться за консультацией к проктологу. Именно он поможет разобраться в причинах, которые вызывают такое неприятное ощущение, и назначит эффективное лечение.
При осмотре врач проведет детальный опрос клинической картины пациента, затем последует диагностика:
- методом ректальной пальпации: с помощью пальцев одной руки, которые введены в зону прямой кишки, врач детально ощупает ее стенки, выявит возможные уплотнения, трещины или новообразования. Перед проведением такого осмотра пациенту обязательно ставят очистительную клизму;
- осмотр с помощью аноскопа: это прибор, который вводится в область ануса на 8-9 см. Он представляет собой небольшую трубочку, на кончике которой располагается специальный оптическое устройство. Благодаря нему врач-проктолог может тщательно осмотреть область прямой кишки, найти возможные узелки геморроя или другие образования. Данный метод является более информативным по сравнению с ректальной пальпацией;
- также могут назначить осмотр сигмовидной кишки, который проводится методом ректороманоскопии;
- если у пациента есть подозрения на образования в области толстого кишечника, то проводят диагностику методом колоноскопии. Это один из разновидностей эндоскопических исследований, который помогает установить наличие опухолевых образований в толстой кишке и взять биопсию на гистологическое исследование.
Также пациенту могут назначить ультразвуковое обследование органов брюшной полости, сдачу крови на биохимические показатели, наличие ЗППП, анализ каловых масс на наличие патогенной микрофлоры, которая провоцирует расстройства кишечника.
Рекомендуется проконсультироваться у гинеколога, терапевта, уролога, эндокринолога, так как шевеления в анусе могут быть вызваны более серьёзными заболеваниями смежных органов.
Тактика лечения
После установления истинной причины неприятных ощущений в зоне заднего прохода, врач назначает комплексное лечение. Как правило, оно включает в себя следующее:
- соблюдение личной гигиены зоны ануса;
ношение нижнего белья из натуральных материалов;
- строгая диета, которая исключает все вредные продукты;
- если шевеление вызвано наличием геморроидальных узлов, то используют свечи, мази или крема специального назначения;
- если это состояние вызвано наличием гельминтов, то проводят очистительную терапию с назначением противогельминтных препаратов;
- если шевеление вызвано более серьезными заболеваниями, то лечение назначается индивидуально исходя из клинической картины пациента.
Заключение
Таким образом, зуд или шевеление в анусе не рядовая проблема. Они требуют повышенного внимания от пациента и начала своевременного лечения. Не стоит стесняться с обращением к специалисту, ведь неприятные щекотания в заднем проходе могут быть вызваны серьезными заболеваниями не только в прямой кишке, но и в смежных с ней органах.
Если шевеления ощущаются регулярно, это может свидетельствовать о геморрое или наличии паразитов. Не пренебрегайте своим здоровьем, при появлении первых неприятных симптомов обращайтесь за консультацией к специалисту!
Неприятные спазмы или дискомфорт в кишечнике могут иметь разный характер. Если человек ощущает легкое шевеление в заднем проходе, будет сложно найти причину без помощи проктолога. Такой симптом сопровождает не только начальную стадию геморроя, но и указывает на появление паразитов, образование гнойника или дисбактериоз. Любой из перечисленных моментов требует срочного лечения и грозит принести множество проблем со здоровьем всего организма.
Почему возникает шевеление в заднем проходе
Неприятный симптом в проктологии более известен как первичный или вторичный зуд. Это особый признак многих заболеваний, поэтому к жалобам пациента врач относится с большим вниманием. Условно все причины возникновения можно разделить на бытовые и медицинские. К первым относится проблема гигиены и нарушение ухода за кожей промежности. Как ни странно, шевеление все чаще встречается у людей, которые для ежедневных процедур выбирают незнакомые косметические средства, используют туалетную бумагу с различными пропитками и ароматизаторами.
Как вторичный симптом, раздражение в анусе сопровождает многие патологические процессы в кишечнике:
- появление на сфинктере анальных трещин ;
- онкологические заболевания;
- колиты ЖКТ;
- запущенную форму дисбактериоза ;
- геморрой;
- формирование гнойника;
- размножение грибков рода Кандида.
В этих случаях ощущение шевеления в заднем проходе является естественной реакцией на воспалительный процесс и представляет собой легкие спазмы гладкой мускулатуры прямой кишки.
Внутренняя оболочка – это тончайший слой эпителия, который остро реагирует на разные раздражители. Поэтому симптом часто осложняет протекание таких хронических заболеваний, как:
ВАЖНО!
- печеночная недостаточность;
- сахарный диабет;
- гормональный дисбаланс или дисфункция щитовидной железы;
- аллергия на лекарственные и пищевые компоненты.
Если возникает постоянное ощущение будто в попе что-то шевелится, необходимо сдать анализы на гельминты . Это еще одна распространенная причина лёгкого жжения в области ануса . Она возникает из-за движения паразитов по ректальному каналу и раздражения слизистой.
Ощущение шевеления при геморрое
Основная часть обращений с подобной жалобой все же приходится на геморрой. Это заболевание связано с повреждением кровеносных сосудов и их деформацией. Этот один из видов варикозного расширения вен, от которого страдает каждый 5 взрослый человек активного возраста. Когда пациент чувствует легкое покалывание и зуд , ректальное обследование может дать следующие результаты:
- маленькие геморроидальные узелки;
- проктит;
- микротравмы слизистой;
- внутренний свищ .
Основные симптомы геморроя
Внутренняя форма заболевания отличается тем, что первая стадия протекает практически незаметно для пациента. Неприятное покалывание и ощущение будто в попе что-то шевелится многие списывают на неправильное питание, злоупотребление специями или сладостями. Они обращаются к гастроэнтерологу, сдают различные анализы на гельминты и аллергические пробы, упуская драгоценное время: лечение геморроя в начальной стадии способно полностью вернуть венам здоровое состояние.
Подсказать точный диагноз могут следующие симптомы:
- болезненное жжение после дефекации;
- тяжесть в заднем проходе ;
- проблемы с отхождением каловых масс, хронические запоры ;
- раздражение вокруг сфинктера от жидких выделений;
- появление крови на бумаге после опорожнения или силовых нагрузок.
Проблема начинается на фоне лишнего веса и малоподвижного образа жизни. Если человек большую часть рабочего времени и досуга проводит в положении «сидя», вены в кишечнике становятся менее эластичными и упругими. Любой резкий прилив крови деформирует их и нарушает нормальное кровообращение. Добавляют проблем и запоры, врожденные патологии ЖКТ, неправильное питание и вредные привычки.
Как избавиться от ощущения шевеления в заднем проходе
Дискомфорт и зуд часто изводят пациента уже на начальной стадии геморроя, когда остальные симптомы еще не проявляют себя. Поэтому необходимо комплексное обследование ректального канала и нижнего отдела сигмовидной кишки специальным аппаратом – аноскопом. Это тончайшая трубочка с камерой на конце, которая помогает проктологу обнаружить мельчайшие узелки и выступающие вены.
Убрать зудящие ощущения внутри заднего прохода можно с помощью лечебных свечей. Это наиболее удобный и комфортный для пациента способ доставить полезные компоненты к очагу воспаления. При сильном жжении рекомендуется использовать:
Анальгетики в их составе быстро замораживают нервные окончания на слизистой кишки и успокаивают раздраженные участки. Всего через 10-15 минут человек чувствует заметное облегчение и комфорт. Ранозаживляющие и противовоспалительные компоненты восстанавливают структуру поврежденных вен. После курса лечения затягиваются микротравмы и улучшается кровообращение, проходит боль и тяжесть.
Ощущение шевеления в заднем проходе можно снять и применением специальных венотонизирующих препаратов – ангиопротекторов. Это новая группа лекарственных средств, которые эффективно восстанавливают кровеносную систему изнутри. При регулярном приеме стенки сосудов становятся настолько эластичными, что с легкостью переносят перепады давления и перегрузки. Пациент может выбрать одно из доступных ему средств: Флебодиа 600 , Троксевазин, Троксерутин, Венодиол, Детралекс.
Помощь народной медицины
Снять неприятный симптом при начальной стадии геморроя помогут и рецепты, содержащие только натуральные компоненты и экстракты. Прекрасный природный антисептик и венотоник – прополис. Продукт пчеловодства содержит огромное количество микроэлементов и аминокислот, улучшающих состояние сосудов в ректальном канале. Из него изготавливают наружные мази и свечи, делают антисептическую настойку.
Если нет возможности обратиться к специалисту, а ощущение шевеления не дает заниматься привычными делами, можно применить один из народных рецептов:
- Изготовить из отфильтрованной воды или лечебного отвара ледяные свечи. Их вводят в анус для замораживания нервных рецепторов после дефекации.
- Успокаивают слизистую домашние суппозитории, вырезанные из свежего клубня картофеля.
- Помогает укрепить венозную сетку внутри кишки спринцевание отваром ромашки, календулы, листьев эвкалипта, зверобоя и тысячелистника.
Случается, что человек замечает в заднем проходе как будто шевеление. Естественно, что первая мысль, приходящая в голову, — что это такое? Что делать в данной ситуации? Тема эта щекотливая, поэтому обсуждать ее в семье или с друзьями не хочется. Кроме того, непонятно, к какому врачу обращаться. Для начала следует успокоиться и обдумать, какие еще проявления нездоровья отмечаются.
Причины «странных» ощущений в области ануса
Помимо шевеления человек может ощущать жжение, зуд, раздражение и прочий дискомфорт.
Причины подобных неприятностей могут крыться в следующем:
- идиопатический зуд;
- пищевая аллергия;
- геморрой;
- заражение кишечными паразитами;
- трещина заднего прохода;
- рак прямой кишки;
полипы и доброкачественные опухоли;
- сахарный диабет;
- грибковые поражения ануса;
- системные заболевания печени и органов пищеварения;
- дисбактериоз после антибиотиков;
- контактная аллергия, вызванная новыми средствами гигиены или нижним бельем;
- хламидиоз, трихомониаз и другие заболевания.
Самыми распространенными причинами чувств, напоминающих шевеление в заднем проходе, являются глисты, геморрой и дисбактериоз. Необходимо рассмотреть характеристики данных состояний:
- Геморроидальные узлы, раздраженные прохождением каловых масс, воспаляются, набухают и пульсируют. Каждое испражнение может превратиться в пытку. После посещения туалета человека мучает боль, жжение и зуд. На запущенной стадии на туалетной бумаге можно увидеть следы алой крови. Выпавший в просвет прямой кишки и ануса геморроидальный узел вызывает ощущение инородного тела.
- Дисбактериоз, спровоцированный нарушением баланса полезной и вредоносной микрофлоры кишечника, приводит к изменению кислотно-щелочного баланса, а в дальнейшем и к раздражению слизистой прямой кишки.
- Глистные инвазии вполне могут вызвать щекотание, так как в вечернее и ночное время самки остриц выходят наружу из заднего прохода, чтобы отложить яйца. Развитие патологии вызывает неприятные
ощущения в любое время суток.
Заражение глистами очень распространенное явление, поэтому лучше сразу же начать со сдачи анализов кала на кишечных паразитов. Это неоднократный анализ, который придется повторять в течение нескольких месяцев. Заболеваниями прямой кишки занимается проктолог. Возможно, что понадобятся консультации других врачей.
Шевеление в заднем проходе и геморрой
Геморрой представляет собой болезнь, связанную с воспалением, тромбозом и патологическим расширением геморроидальных вен, собранных в узлы вокруг прямой кишки. Многие люди в течение жизни хоть раз столкнулись с этой патологией. Первые две стадии геморроя достаточно легко обратимы с помощью консервативного лечения. Третья и четвертая — заметно ухудшают качество жизни больного.
«Заработать» геморрой достаточно просто, у некоторых это профессиональная патология. Данное касается водителей, швей, офисных работников, в общем, всех, кто вынужден сидеть много часов подряд. Геморрой случается и у женщин, вынашивающих малыша, у и тех, кто уже родил. В группу риска также попадают лица с излишним весом.
Не секрет, что любые проблемы, связанные с задним проходом, люди стараются замалчивать. Как-то стыдно описывать их другому человеку, будь он даже врачом. Диагностика геморроя включает опрос пациента, внешний осмотр и пальцевое исследование ануса. Так врач определяет наличие трещины, воспаления, увеличенных или выпавших геморроидальных узлов.
Довольно часто проктологи используют аноскоп — оптический прибор, позволяющий проводить осмотр и забор образцов тканей с глубины 8–12 см. В зону видимости могут попасть полипы, новообразования, трещины, эрозии и увеличенные геморроидальные узлы.
Если у больного случаются кишечные кровотечения, рекомендуют пройти ректороманоскопию. С помощью специального прибора, снабженного миниатюрной камерой, врач исследует кишечник на глубину 25 см.
Для проведения обследования всего кишечника делается ирригоскопия и колоноскопия.
Для временного облегчения советуют гигиенические процедуры прохладной водой после каждого посещения туалета. Подходят и сидячие ванночки с отваром ромашки. Медикаментозное лечение включает:
- Противовоспалительные и рассасывающие мази — Гепарин, Левомеколь, Безорнил.
- Для уменьшения боли и воспаления используют суппозитории Анестезин, Ультрапрокт, Лидокаин, Проктогливенол.
- Для снятия жжения и ускорения заживления применяют свечи с метилурацилом, Проспорин и Релиф Ультра.
- Для восстановления микроциркуляции и укрепления стенок сосудов назначают Проктоседил, Детралекс, Постеризан.
Заражение глистными инвазиями
В подавляющем большинстве гельминты попадают в организм человека через рот. Это может быть вызвано:
- употреблением недожаренного или необработанного термически мяса (сало, бекон, шашлык, отбивная с кровью);
- немытые овощи, фрукты и зелень;
- купание в природных водоемах;
- употребление воды из сомнительных источников;
- нарушение правил гигиены;
- прогулки босиком.
Большая часть паразитов селится в кишечнике человека, где есть все условия для их жизнедеятельности. К сожалению, признаки гельминтоза не всегда явно выражены, и их чаще всего списывают на нарушения работы желудочно-кишечного тракта, аллергию и усталость.
Некоторые виды паразитов с годами растут в длину и толщину. В результате они могут перекрыть собой просвет кишечника или желчные протоки. Питаясь за счет человека, паразиты высасывают нужные ему питательные вещества, тем самым ослабляя, истощая и отравляя хозяина.
Глисты быстро размножаются, но жить они могут как в кишечнике, так и в любых частях организма, включая сердце, легкие и головной мозг. Средством передвижения может стать кровоток. Глист делает отверстие в сосуде и так попадает в вену. Ранки воспаляются и кровоточат, возникает чувство жжения и зуда. Одним из признаков гельминтоза является окрашивание кала в красный цвет. Как глисты шевелятся внутри кишечника, человек не почувствует, зато можно заметить зуд в районе заднего прохода по ночам.
Диагностика и лечение гельминтоза
Выявить паразитов не так-то просто. Для этого нужно сдавать не только анализ кала, но и кровь на определение антител к веществам, выделяемым паразитами в процессе жизнедеятельности.
Анализ кала на яйца глист, назначенный в поликлинике, может быть ложноотрицательным. Ведь разные виды гельминтов откладывают яйца периодически, раз 14–45 дней, и время сдачи анализа может не совпасть с этим периодом. Или же яйца есть, но они не попали в порцию кала, предоставленного для анализа.
Некоторые полагают, что повышенный уровень эозинофилов в крови доказывает наличие паразитов. Однако это наблюдается также при аллергических заболеваниях и бронхиальной астме. По общему анализу крови можно заподозрить присутствие глистов, но доказать сложно.
Признаками возможного присутствия гельминтов считают:
- наличие в доме кошки или собаки;
- обнаружение глистов у одного из членов семьи;
- неприятный запах изо рта при отсутствии зубных болезней;
- аллергическую сыпь на коже;
- чрезмерный голод и тягу к сладостям;
- скрежет зубами во сне;
- сухие волосы и слоящиеся ногти;
- повышенную утомляемость и сонливость без видимых причин;
- зуд вокруг ануса;
- шелушение на пальцах, когда кожа отходит пластами;
затяжное лечение любого простудного заболевания;
- падение уровня гемоглобина, изменение белкового состава крови, а также повышение иммуноглобулинов, в том числе класса Е;
- нарушение работы ЖКТ;
- периодические боли в животе;
- головокружение.
Вылечиться от паразитов самостоятельно практически невозможно, так как без хорошей диагностики нельзя установить, какие именно существа поселились в организме. Использование лекарств от гельминтоза окажется неэффективным, кроме того, оно может навредить печени и другим органам.
Раздумывая над тем, могут ли чувствоваться шевеления глистов в животе, люди вводят себя в панику. На фоне невроза достаточно легко почувствовать то, чего нет. Тем не менее, чтобы избавиться от страхов, лучше пройти диагностику в клинике и, при необходимости, лечение, назначенное врачом.
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