Pain

Published on 23/05/2015 by admin

Filed under Internal Medicine

Last modified 23/05/2015

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Anorectal Pain

Anorectal pain is a common problem. The majority of patients have an obvious cause, e.g. fissure-in-ano, perianal abscess or thrombosed haemorrhoids.

Causes

Acute

• Fissure-in-ano

• Perianal haematoma

• Thrombosed haemorrhoids (Fig. 3)

• Perianal abscess

• Intersphincteric abscess

• Ischiorectal abscess

• Anorectal gonorrhoea

Figure 3 Thrombosed haemorrhoids.
Note the oedematous, congested purplish mass seen at the anal margin.

Chronic

• Fistula-in-ano

• Anorectal malignancy

• Chronic perianal sepsis, e.g. Crohn’s disease, TB

• Proctalgia fugax

• Solitary rectal ulcer

• Cauda equina lesions

History

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