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==Overview==
==Overview==
'''Rectal pain''' is uncomfortable and can be upsetting to many patients. Often, the origin of the pain is benign. Carcinoma should be ruled out in older patients. Many times, rectal pain can be easily diagnosed. In some cases, though, the pain may be from the urinary or gynecologic systems. Rectal pain should be distinguished from [[coccydynia]] which is buttock pain.
Rectal pain is uncomfortable and can be upsetting to many patients. Often, the origin of the pain is benign. Carcinoma should be ruled out in older patients. Many times, rectal pain can be easily diagnosed. In some cases, though, the pain may be from the urinary or gynecologic systems. Rectal pain should be distinguished from [[coccydynia]] which is buttock pain.
 
== Differential diagnosis of causes of rectal pain==


==Causes==
In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>


*[[Anal Fissure]]
*[[Anal fissure]]
*Anal sex
*Anal sex
*[[Constipation]]
*[[Constipation]]
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*Fecal impaction
*Fecal impaction
*Idiopathic  
*Idiopathic  
*[[Inflammatory Bowel Disease]]
*[[Inflammatory bowel disease]]
*Levator ani syndrome
*Levator ani syndrome
*[[Neoplasm]]
*[[Neoplasm]]
*[[Perianal abscess]]
*[[Perianal abscess]]
*[[Proctalgia fugax]]
*[[Proctalgia fugax]]
*Solitary Rectal Ulcer Syndrome
*Solitary rectal ulcer syndrome
*Thrombosed [[hemorrhoid]]
*Thrombosed [[hemorrhoid]]
*[[Trauma]]
*[[Trauma]]


== Treatment ==
==Treatment==
'''Acute anal fissure'''
===Medical Therapy===
====Acute anal fissure====
*Increase fiber/water intake
*Increase fiber/water intake
*Sitz bath
*Sitz bath
*Stool softener
*Stool softener
*topical corticosteroids
*Topical corticosteroids
'''Coccuodynia'''
====Coccuodynia====
*analgesics
*[[Analgesics]]
*corticosteroid shot
*[[Corticosteroid]] shot
*Sitz bath
*Sitz bath
 
===Surgery===
=== Indications for Surgery ===  
====Indications for Surgery====  
'''Chronic Anal Fissure'''
*Chronic [[anal fissure]]
*Sphincterotomy
*[[Sphincterotomy]]


== References ==
== References ==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


 
[[Category:Symptoms]]
[[Category:Signs and symptoms]]
[[Category:Signs and symptoms]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Primary care]]
[[Category:Surgery]]
[[Category:Surgery]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
{{WH}}
{{WS}}

Latest revision as of 23:57, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Rectal pain is uncomfortable and can be upsetting to many patients. Often, the origin of the pain is benign. Carcinoma should be ruled out in older patients. Many times, rectal pain can be easily diagnosed. In some cases, though, the pain may be from the urinary or gynecologic systems. Rectal pain should be distinguished from coccydynia which is buttock pain.

Causes

In alphabetical order. [1] [2]

Treatment

Medical Therapy

Acute anal fissure

  • Increase fiber/water intake
  • Sitz bath
  • Stool softener
  • Topical corticosteroids

Coccuodynia

Surgery

Indications for Surgery

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

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