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Cryptitis
Last reviewed: 07.07.2025
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Cryptitis is an inflammation of the anal sinuses (Morgagni crypts), which are depressions in the most distal part of the rectum. The crypts are located between the anal (Morgagni) ridges and are covered from the side of the intestinal lumen by semilunar valves. The development of the inflammatory process is facilitated by obstruction of the anal gland ducts, the mouths of which are located at the bottom of the crypts.
Symptoms of Cryptitis
The following symptoms of cryptitis are distinguished: pain in the anus, which intensifies during defecation, blood in the stool, itching and a feeling of discomfort in the anus.
Diagnosis of cryptitis
When examining with mirrors and anoscopy, edema in the area of the affected crypt and fibrinoid deposits are detected. When pressing on the crypt, drops of pus may be released from it. If left untreated, the process may spread to both adjacent crypts and proximally to the rectal mucosa, contributing to the development of proctitis.
What do need to examine?
Treatment of cryptitis
Diet with the exclusion of spicy foods and alcohol. Thorough toilet of the anus (washing) after each act of defecation, rectally ointment "Proctosedyl", "Aurobin". At night, warm sitz baths with a solution of manganese (temperature 37-38 ° C). Then an enema of 0.3% collargol is given - 50.0 ml, a course of 10 days, the next 10 days prescribe microclysters (50.0 ml) of warm vegetable oil. In case of persistent course of the disease without a tendency to improve and a tendency of the process to abscess formation and fistula formation, surgical treatment is indicated - excision of the crypt.