Anorectal disorders can be…you know… a pain in the rear. But that’s okay because we got a great list of disorders to review to prevent yours from getting chapped. These disorders range from simple to complex and can manifest signs of underlying local or systemic disorders. Studying these disorders might make you a little anal retentive but this review should help loosen you up. Just remember that a focused history and careful examination are crucial.
Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions. Although most conditions are benign and may be successfully treated by primary care practitioners, a high index of suspicion for colorectal cancer should be maintained, and all patients should be appropriately investigated.
So by all means, live your best sex life. Just be careful doing it—no one wants to end up in the ER having a sex toy surgically removed from their derriere (even if it's worth a "sex badge of honor").
The visible signs are:
•A very deep crease in the buttocks
•Enlarged pores or open areas in the midline of the crease, possibly with hairs entering them
•Bleeding or drainage
•Sinus tract openings on the skin
•Darkening of the skin on each side of the buttock crease
•A painful, red lump adjacent to the buttock crease, or reddening of the skin in that area.
•Note: these signs may not be visible unless the buttocks are spread apart to visualize the base of the cleft. Sometimes, a cursory external examination will look quite normal!
Although anal STDs are most commonly seen in men who have sex with other men, anyone who has anal sex is susceptible, which is why safe sex is so important.
Here are seven substances and objects never to put in or near your butt. Ignore this advice at your own peril; I'm sure the people at your local emergency room will just love sorting out your anal misadventures on a Saturday night.
Worldwide, anal itch is a very common problem that occurs in up to 45 percent of people at some time during their lives. Men are affected two to four times more often than women. People who are overweight, perspire heavily or routinely wear tight-fitting underwear or hosiery are more likely to get anal itch.
When the waste has been released from the canal, the anal sphincter should restrict and remain in that condition until the process needs to occur again.
But there can be problems … and one of those problems is called anal stenosis. Anal stenosis is a serious condition that can greatly impact a person's lifestyle and total well-being.
Almost all anorectal disorders once diagnosed and treated in the emergency department need appropriate follow-up to ensure adequacy of treatment, for further possible diagnostic procedures (e.g., endoscopy, biopsy), or for definitive treatment. Hemorrhoids are the most prevalent anorectal disorder and are the most common cause of hematochezia.
Anorectal problems are frequent presentations in the general practice setting. Symptoms tend to be a combination of one or more of pain, lumps, bleeding, discharge or itch.
Dr Philip Marazzi presents eight perianal conditions.
The rectum refers to the last four or five inches of the digestive tract. The rectal outlet or opening is called the anal canal or anus. Problems in this area are common, but many adults are too shy or embarrassed to ask their doctor about them. Fortunately, most of these problems are treatable when recognized early and properly diagnosed.
Women frequently describe symptoms of anorectal disease to their gynecologist. These symptoms may coexist with pregnancy or pelvic floor disorders, or may occur independently. The most common symptoms are pain and bleeding with defecation, but may also include itching, drainage, and fullness from a mass (e.g., external hemorrhoid). These are most often attributed to benign disorders (e.g., hemorrhoids, fissures, abscesses), and a careful history and physical examination will help identify the source.
You may be embarrassed to talk about your anal troubles. But it is important to let your doctor know, especially if you have pain or bleeding. The more details you can give about your problem, the better your doctor will be able to help you.
Overview of the anus and rectum.