Anorectal pain is most often secondary to; Anal fissure, Perirectal abscess and/or fistula, Thrombosed hemorrhoid, Anal canal neoplasms, Perianal skin infection, Dermatologic conditions. Proctalgia fugax results from levator spasm and may present without any other anorectal findings. Physical examination is critical in evaluating patients with anorectal pain. If a patient is too tender to examine
Hemorrhoid tissue is the painful condition which may involve bleeding, and occurs due to swelling of vascular structures located at the bottom end of rectum inside the duct, supported by connective tissue pads, resulting from various reasons. Internal hemorrhoids are vascular complexes on the dentate line, a mucosal borderline located at 2,5-4 cm distance from
A fissure in ano is a tear in the anoderm distal to the dentate line. The pathophysiology of anal fissure is thought to be related to trauma from either the passage of hard stool or prolonged diarrhea. A tear in the anoderm causes spasm of the internal anal sphincter, which results in pain, increased tearing,
What is Anal Abscess? Anal abscess occurs as a result of accumulation of pus due to anal gland infection. Anal abscess generally originates from infection of anal glands, and progresses around. Primary function of these glands is to secrete mucus to ease defecation. It is an inflammatory disease requiring immediate surgical drainage. It may occur
What is Anal Fistula? Fistula is formation of a tunnel between anal canal and outer skin tissue. Fistula is the term for tunnel-like formations occurring at a few centimeters distance from anus inside the skin, causing painful swelling and discharge. Anal fistula is generally like later stages of anal abscess, or it can be referred as chronic anal abscess. Patients usually complain