Trauma during defecation or inflammation of the anal sinuses can cause acute inflammation of the anal papillae. Due to poor drainage and prolonged inflammatory stimulation, the anal papillae may become hypertrophic.

bubble_chart Etiology

Trauma or inflammation of the anal sinuses during defecation can cause acute inflammation of the anal papillae. Due to poor drainage and chronic inflammatory stimulation, the anal papillae become hypertrophic. Repeated defecation gradually elongates the anal papillae, forming a pedunculated mass resembling a rectal tumor.

bubble_chart Diagnosis

1. Anal discomfort and dull pain.
2. Anal cutaneous pruritus and easy moisture, rarely bleeding.
3. During defecation, the hypertrophic papillae may prolapse outside the anus, appearing as white, hard nodules.
4. Digital rectal examination can detect hardened papillae.
5. Anoscopy reveals congestion and edema at the dentate line.

bubble_chart Treatment Measures

1. Oral antibiotics, such as tetracycline, erythromycin, etc.
2. Topical antibiotic ointment.
3. Maintain regular bowel movements, and mild laxatives can be taken daily.
4. For pedunculated papillae protruding outside the anus, the base can be clamped and excised, followed by ligation with silk thread.
5. Sitz baths with hot water or a 1:5000 potassium permanganate solution.